Aesthetic Medicine and Surgery, PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

AESTHETIC MEDICINE AND SURGERY, PLLC

Doing business as

Aesthetic Medicine and Surgery, PLLC

Practice address

3300 Gallows Rd
Falls Church, VA 22042-3300

Phone

(443) 646-5001

Fax

(410) 257-7042

NPI assigned

Oct 11, 2024

Last updated

Oct 11, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gabriel F Santiago, MD, MBANPI 1851608954

Title

President

Phone

(443) 646-5001

Specialties & licenses 3

Addresses

Other names 1

• Aesthetic Medicine and Surgery, PLLC Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriel Fernando Santiago, M.D.

  • Neurological Surgery Physician
  • McLean, VA
  • NPI 1851608954

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1982424388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221010004",
            "telephone_number": "443-646-5001",
            "fax_number": "410-257-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423300",
            "telephone_number": "443-646-5001",
            "fax_number": "410-257-7042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Chain Bridge Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013935",
            "country_code": "US",
            "telephone_number": "443-646-5001",
            "fax_number": "410-257-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AESTHETIC MEDICINE AND SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-646-5001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MBA"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Medicine and Surgery, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Neurological Surgery Physician in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Neurological Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.