MONTICELLO PLASTIC AND RECONSTRUCTIVE SURGERY, PC
NPI 1023429818
Surgery - Plastic and Reconstructive Surgery in Charlottesville, VA

Active since May 14, 2014
1490 PANTOPS MOUNTAIN PL, SUITE 100, CHARLOTTESVILLE, VA 22911(434) 260-5130(434) 995-5948 Get Directions Write a Review

NPPES record last updated: August 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monticello Plastic And Reconstructive Surgery, Pc NPPES

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

MONTICELLO PLASTIC AND RECONSTRUCTIVE SURGERY, PC (NPI 1023429818) is a healthcare organization registered as a plastic and reconstructive surgery in Charlottesville, Virginia and active in the NPI registry since May 2014. The organization lists Brian M Showalter, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1023429818
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameMONTICELLO PLASTIC AND RECONSTRUCTIVE SURGERY, PC
Location Address1490 PANTOPS MOUNTAIN PL, SUITE 100Charlottesville, VA 22911-4601
Mailing AddressPo Box 5508Virginia Beach, VA 23471-0508 · (757) 340-3489 · Fax (757) 340-4278
Fax(434) 995-5948
Organization SubpartNo
Authorized OfficialBrian M ShowalterPresident/ceo · (434) 260-5130
Enumeration DateMay 14, 2014
Last NPPES UpdateAugust 26, 2014
NPI 1023429818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in VA · 0101255390
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1490 PANTOPS MOUNTAIN PL, Charlottesville, VA 22911

Other Identifiers 2

Medicaid1023429818VA
Medicare PIND704VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Occupational Therapist
1490 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 22911
Health Educator
1490 PANTOPS MOUNTAIN PL, SIUTE 202
CHARLOTTESVILLE, VA 22911
Family Medicine
1490 PANTOPS MOUNTAIN PL, SUITE 200
CHARLOTTESVILLE, VA 22911
Family Medicine
1490 PANTOPS MOUNTAIN PL, SUITE 200
CHARLOTTESVILLE, VA 22911
Family Medicine
1490 PANTOPS MOUNTAIN PL, SUITE 200
CHARLOTTESVILLE, VA 22911
Physical Therapist
1490 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 22911
Family Medicine
1490 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 22911
Obstetrics & Gynecology
1490 PANTOPS MOUNTAIN PL, SUITE 105
CHARLOTTESVILLE, VA 22911

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 Monticello Plastic And Reconstructive Surgery, PC's NPI number?

The NPI number for Monticello Plastic And Reconstructive Surgery, PC is 1023429818. It was assigned to this organization in the NPPES registry on May 14, 2014.

Where is Monticello Plastic And Reconstructive Surgery, PC located?

Monticello Plastic And Reconstructive Surgery, PC is located at 1490 Pantops Mountain Pl Suite 100, Charlottesville, VA 22911. The listed phone number is (434) 260-5130.

What is Monticello Plastic And Reconstructive 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 Monticello Plastic And Reconstructive Surgery, PC was last updated on August 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.