PROSPERITY PA, LLC
NPI 1164112207
Surgery - Plastic and Reconstructive Surgery in Falls Church, VA

Active since May 11, 2023
2755 HARTLAND RD STE 204, FALLS CHURCH, VA 22043(703) 544-8971 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prosperity Pa, Llc NPPES

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

PROSPERITY PA, LLC (NPI 1164112207) is a healthcare organization registered as a plastic and reconstructive surgery in Falls Church, Virginia and active in the NPI registry since May 2023. The organization lists Daniel Glynn, Counsel, as its authorized official.

NPPES Registry Identity

NPI1164112207
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NamePROSPERITY PA, LLC
Location Address2755 HARTLAND RD STE 204Falls Church, VA 22043-3544
Mailing Address2755 Hartland Rd Ste 204Falls Church, VA 22043-3544 · (703) 544-8971
Organization SubpartNo
Authorized OfficialDaniel GlynnCounsel · (703) 544-8971
Enumeration DateMay 11, 2023
NPPES CertifiedMay 11, 2023
NPI 1164112207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2755 HARTLAND RD STE 204, Falls Church, VA 22043

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 3

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

Hospitalist
2755 HARTLAND RD STE 204
FALLS CHURCH, VA 22043
Surgery (Plastic and Reconstructive Surgery)
2755 HARTLAND RD STE 204
FALLS CHURCH, VA 22043
Occupational Therapist (Hand)
2755 HARTLAND RD STE 204
FALLS CHURCH, VA 22043

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 Prosperity PA, LLC's NPI number?

The NPI number for Prosperity PA, LLC is 1164112207. It was assigned to this organization in the NPPES registry on May 11, 2023.

Where is Prosperity PA, LLC located?

Prosperity PA, LLC is located at 2755 Hartland Rd Ste 204, Falls Church, VA 22043. The listed phone number is (703) 544-8971.

What is Prosperity PA, LLC'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 Prosperity PA, LLC was last updated on May 11, 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.