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FAIRFAX ENT & FACIAL PLASTIC SURGERY, PC
NPI 1720259054
Otolaryngology - Plastic Surgery within the Head & Neck in Falls Church, VA

Active since March 14, 2008
8120 GATEHOUSE RD, #3, FALLS CHURCH, VA 22042(703) 573-3687(703) 204-0114 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fairfax Ent & Facial Plastic Surgery, Pc NPPES

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

FAIRFAX ENT & FACIAL PLASTIC SURGERY, PC (NPI 1720259054) is a healthcare organization registered as a plastic surgery within the head & neck in Falls Church, Virginia and active in the NPI registry since March 2008. The organization lists Laurence R O'halloran, President, as its authorized official.

NPPES Registry Identity

NPI1720259054
Entity TypeOrganization
Primary Taxonomy207YX0007X
Legal Business NameFAIRFAX ENT & FACIAL PLASTIC SURGERY, PC
Location Address8120 GATEHOUSE RD, #3Falls Church, VA 22042-1204
Mailing Address8120 Gatehouse Rd, #3Falls Church, VA 22042-1204 · (703) 573-3687 · Fax (703) 204-0114
Phone(703) 573-3687
Fax(703) 204-0114
Organization SubpartNo
Authorized OfficialLaurence R O'halloranPresident · (703) 573-3687
Enumeration DateMarch 14, 2008
Last NPPES UpdateJune 15, 2016
✔ NPI 1720259054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in VA · 0101051134
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
8120 GATEHOUSE RD, Falls Church, VA 22042
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Other Identifiers 2

Medicare PINE58500VA
Medicare UPINH86226VA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairfax Ent & Facial Plastic Surgery, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Fairfax Ent & Facial Plastic Surgery, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Sarah Blank, M.D.
Otolaryngology
NPI 1013238021
8120 GATEHOUSE RD
Falls Church, VA 22042
(703) 534-3314
✔ PECOS✔ Accepts MedicareSame address
Eugenia Marino
Qualified Audiologist
NPI 1801017215
8120 GATEHOUSE RD #1
Falls Church, VA 22042
(703) 534-4344
✔ Accepts MedicareSame address
Laurence O Halloran, MD
Otolaryngology
NPI 1023007044
3299 WOODBURN RD #300
Annandale, VA 22003
(703) 534-3314
✔ PECOS✔ Accepts Medicare1.0 mi
Timothy Egan, M.D.
Otolaryngology
NPI 1043358922
3299 WOODBURN RD
Annandale, VA 22003
(703) 534-3314
✔ PECOS✔ Accepts Medicare1.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fairfax Ent & Facial Plastic Surgery, PC's NPI number?

The NPI number for Fairfax Ent & Facial Plastic Surgery, PC is 1720259054. It was assigned to this organization in the NPPES registry on March 14, 2008.

Where is Fairfax Ent & Facial Plastic Surgery, PC located?

Fairfax Ent & Facial Plastic Surgery, PC is located at 8120 Gatehouse Rd #3, Falls Church, VA 22042. The listed phone number is (703) 573-3687.

What is Fairfax Ent & Facial Plastic Surgery, PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Fairfax Ent & Facial Plastic Surgery, PC enrolled in Medicare?

Yes. Fairfax Ent & Facial Plastic Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairfax Ent & Facial Plastic Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Fairfax Ent & Facial Plastic Surgery, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (3) and Qualified Audiologist (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fairfax Ent & Facial Plastic Surgery, PC was last updated on June 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.