The Clinical Skin Center of Northern Virginia PLLC
NPI 1700887387ActiveOrganization· Specialist· Fairfax, VA
Specialist in Fairfax, Virginia, registered in NPPES in August 2005. The authorized official on file is Mitchell E. Stashower, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700887387 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 9, 2005 |
| Last updated in NPPES | Jan 14, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 0101049818 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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