The Clinical Skin Center of Northern Virginia PLLC
NPI 1700887387 · Specialist · Fairfax, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Clinical Skin Center of Northern Virginia PLLC is a Specialist organization in Fairfax, VA (NPI 1700887387).
Provider details
- NPI number
- 1700887387
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Mitchell Stashower, Owner(703) 620-8900
- License
- 0101049818 (VA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Clinical Skin Center
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2011-01-14
Frequently asked questions
- What is The Clinical Skin Center of Northern Virginia PLLC's NPI number?
- The Clinical Skin Center of Northern Virginia PLLC's National Provider Identifier (NPI) is 1700887387, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Clinical Skin Center of Northern Virginia PLLC?
- The Clinical Skin Center of Northern Virginia PLLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is The Clinical Skin Center of Northern Virginia PLLC located?
- The Clinical Skin Center of Northern Virginia PLLC's practice location on file with NPPES is 3700 Joseph Siewick Dr, Fairfax, VA 22033-1744.
- What is The Clinical Skin Center of Northern Virginia PLLC's phone number?
- The practice phone number listed in the NPPES registry for The Clinical Skin Center of Northern Virginia PLLC is (703) 620-8900.
- Does The Clinical Skin Center of Northern Virginia PLLC accept Medicare?
- The Clinical Skin Center of Northern Virginia PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Clinical Skin Center of Northern Virginia PLLC?
- The authorized official listed on The Clinical Skin Center of Northern Virginia PLLC's NPPES record is Mitchell Stashower, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Clinical Skin Center of Northern Virginia PLLC's NPI active?
- Yes — The Clinical Skin Center of Northern Virginia PLLC's NPI (1700887387) is active in the NPPES registry as of the last update on 2011-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.