WASHINGTON PLASTIC SURGERY GROUP LLC NPI 1417128182

NPI Information

  • NPI: 1417128182
  • Provider Name: WASHINGTON PLASTIC SURGERY GROUP, LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 21D2017696
  • Address: 3203 TOWER OAKS BLVD STE 200
    ROCKVILLE, MD
    ZIP 20852
  • Phone: (301) 656-6398

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NPI Details

WASHINGTON PLASTIC SURGERY GROUP, LLC is a specialist in Rockville, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WASHINGTON PLASTIC SURGERY GROUP, LLC NPI is 1417128182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3203 TOWER OAKS BLVD STE 200
ROCKVILLE, MD
ZIP 20852-260
Phone: (301) 656-6398

The provider's authorized official is Angela Shemuha .
The authorized official title is Office Manager and has the following contact phone number (301) 656-6398.

The CLIA number assigned to this NPI record is 21D2017696 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/20/2008 and was last updated on 3/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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