OrganizationActive
Bluemont Plastic Surgery, PC
NPI 1023405297 · Plastic and Reconstructive Surgery Physician · Fairfax, VA
Provider details
- NPI number
- 1023405297
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Domanski, President(703) 596-1660
- License
- 0101257764 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8316 Arlington Blvd Ste 524
Fairfax, VA 22031-5216
Phone: (703) 596-1660
Street-level locationGet directions
Mailing address
8316 Arlington Blvd Ste 524
Fairfax, VA 22031-5216
Registry dates
- Enumerated
- 2015-04-24
- Last updated
- 2023-07-18
- Certified
- 2023-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.