BLUEMONT PLASTIC SURGERY, PC – NPI #1023405297
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

BLUEMONT PLASTIC SURGERY, PC is a surgeon located in FAIRFAX, VA. NPPES has assigned the NPI number 1023405297 to BLUEMONT PLASTIC SURGERY, PC on April 24, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 3 years ago on Jul 18, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUEMONT PLASTIC SURGERY, PC below.

NPI Profile for
BLUEMONT PLASTIC SURGERY, PC

NPI Number
1023405297
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUEMONT PLASTIC SURGERY, PC
Primary location
8316 ARLINGTON BLVD STE 524
FAIRFAX, VA 22031-5216
Phone: (703) 596-1660 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK DOMANSKI
PRESIDENT
Phone: (703) 596-1660
Updated
Certification Date
Jul 18, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
208200000X
- Plastic Surgery		 VA 0101257764
207Y00000X
- Otolaryngology		 VA 0101257764

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.