BLUEMONT PLASTIC SURGERY, PC
NPI 1023405297
Surgery - Plastic and Reconstructive Surgery in Fairfax, VA

Active since April 24, 2015
8316 ARLINGTON BLVD STE 524, FAIRFAX, VA 22031(703) 596-1660 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bluemont Plastic Surgery, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUEMONT PLASTIC SURGERY, PC (NPI 1023405297) is a healthcare organization registered as a plastic and reconstructive surgery in Fairfax, Virginia and active in the NPI registry since April 2015. The organization lists Mark Christian Domanski, President, as its authorized official.

NPPES Registry Identity

NPI1023405297
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameBLUEMONT PLASTIC SURGERY, PC
Location Address8316 ARLINGTON BLVD STE 524Fairfax, VA 22031-5216
Mailing Address8316 Arlington Blvd Ste 524Fairfax, VA 22031-5216 · (703) 596-1660
Organization SubpartNo
Authorized OfficialMark Christian DomanskiPresident · (703) 596-1660
Enumeration DateApril 24, 2015
Last NPPES UpdateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
NPI 1023405297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 0101257764 (VA)
Also ListedPlastic SurgeryTaxonomy 208200000X · License 0101257764 (VA)
8316 ARLINGTON BLVD STE 524, Fairfax, VA 22031

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Plastic and Reconstructive Surgery)
8316 ARLINGTON BLVD STE 524
FAIRFAX, VA 22031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluemont Plastic Surgery, PC's NPI number?

The NPI number for Bluemont Plastic Surgery, PC is 1023405297. It was assigned to this organization in the NPPES registry on April 24, 2015.

Where is Bluemont Plastic Surgery, PC located?

Bluemont Plastic Surgery, PC is located at 8316 Arlington Blvd Ste 524, Fairfax, VA 22031. The listed phone number is (703) 596-1660.

What is Bluemont Plastic Surgery, PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Bluemont Plastic Surgery, PC was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.