Fairfax Ent & Facial Plastic Surgery, PC
NPI 1720259054 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Falls Church, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairfax Ent & Facial Plastic Surgery, PC is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician organization in Falls Church, VA (NPI 1720259054).
Provider details
- NPI number
- 1720259054
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Laurence O'Halloran, President(703) 573-3687
- License
- 0101051134 (VA)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 0101051134 (VA)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Registry dates
- Enumerated
- 2008-03-14
- Last updated
- 2016-06-15
Frequently asked questions
- What is Fairfax Ent & Facial Plastic Surgery, PC's NPI number?
- Fairfax Ent & Facial Plastic Surgery, PC's National Provider Identifier (NPI) is 1720259054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairfax Ent & Facial Plastic Surgery, PC?
- Fairfax Ent & Facial Plastic Surgery, PC is classified in the NPPES registry as Plastic Surgery within the Head & Neck (Otolaryngology) Physician (Allopathic & Osteopathic Physicians).
- Where is Fairfax Ent & Facial Plastic Surgery, PC located?
- Fairfax Ent & Facial Plastic Surgery, PC's practice location on file with NPPES is 8120 Gatehouse Rd, Falls Church, VA 22042-1204.
- What is Fairfax Ent & Facial Plastic Surgery, PC's phone number?
- The practice phone number listed in the NPPES registry for Fairfax Ent & Facial Plastic Surgery, PC is (703) 573-3687.
- Does Fairfax Ent & Facial Plastic Surgery, PC accept Medicare?
- Fairfax Ent & Facial Plastic Surgery, PC 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 Fairfax Ent & Facial Plastic Surgery, PC?
- The authorized official listed on Fairfax Ent & Facial Plastic Surgery, PC's NPPES record is Laurence O'Halloran, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairfax Ent & Facial Plastic Surgery, PC's NPI active?
- Yes — Fairfax Ent & Facial Plastic Surgery, PC's NPI (1720259054) is active in the NPPES registry as of the last update on 2016-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.