Organization Active NPI

Germain Plastic Surgery PLLC

  • Plastic Surgery Physician
  • MC Lean, VA
National Provider Identifier
1992964811
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101238468 Issued in VA
Legal business name
GERMAIN PLASTIC SURGERY PLLC
Practice address
1355 Beverly Rd
Suite 220
MC Lean, VA 22101-3651
Phone
(703) 442-8040
Fax
(703) 992-8354
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Dr. Timothy Justin Germain, MD
Title
Plastic Surgeon
Phone
(703) 442-8040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 0101238468 VA Primary

Addresses

Primary practice location

1355 Beverly Rd
Suite 220
MC Lean, VA 22101-3651

Mailing address

1355 Beverly Rd
Suite 220
MC Lean, VA 22101-3651
Phone (703) 442-8040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1992964811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 BEVERLY RD",
            "address_2": "SUITE 220",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013651",
            "telephone_number": "703-442-8040",
            "fax_number": "703-992-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 BEVERLY RD",
            "address_2": "SUITE 220",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013651",
            "telephone_number": "703-442-8040",
            "fax_number": "703-992-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMAIN PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "GERMAIN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "703-442-8040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101238468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.