Burn and Reconstructive Centers of Virginia, PLLC
NPI 1194346734ActiveOrganization· Specialist· Richmond, VA
Specialist in Richmond, Virginia, registered in NPPES in May 2020. The authorized official on file is Shawn Fagan, Owner/Md. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1194346734 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 6, 2020 |
| Last updated in NPPES | Oct 11, 2022 |
| Certified by provider | Oct 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA); Part B Supplier - Clinic/Group Practice (VA) |
|---|
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