Active NPI
Plastic Surgery Services of Fredericksburg
- Plastic and Reconstructive Surgery Physician
- Fredericksburg, VA
National Provider Identifier
1912087206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- PLASTIC SURGERY SERVICES OF FREDERICKSBURG
- Practice address
- 3312 Fall Hill Ave
Fredericksburg, VA 22401-3000 - Phone
- (540) 371-7730
- Fax
- (540) 371-4790
- NPI assigned
- Oct 17, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lesi Beamon Mackey
- Title
- Practice Administrator
- Phone
- (540) 371-7726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | NU | Primary |
Addresses
Primary practice location
3312 Fall Hill Ave
Fredericksburg, VA 22401-3000
Mailing address
3312 Fall Hill Ave
Fredericksburg, VA 22401-3000
Phone (540) 371-7730
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2079285 | Plastic Surgery Services of Fredericksburg | Certificate of waiver | Jun 12, 2028 |
National Provider Directory
National Provider DirectoryLocations
3312 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 371-7730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912087206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3312 FALL HILL AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013000",
"telephone_number": "540-371-7730",
"fax_number": "540-371-4790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3312 FALL HILL AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013000",
"telephone_number": "540-371-7730",
"fax_number": "540-371-4790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY SERVICES OF FREDERICKSBURG",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MACKEY",
"authorized_official_first_name": "LESI",
"authorized_official_middle_name": "BEAMON",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "540-371-7726"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.