Active NPI
Germain Plastic Surgery PLLC
- Plastic Surgery Physician
- MC Lean, VA
National Provider Identifier
1992964811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 0101238468
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- McLean, VA
- NPI 1700859964
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.