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ANNE M. NICKODEM MD PC NPI 1205916871


NPI Information

NPI: 1205916871
Provider Name: ANNE M. NICKODEM, MD PC
Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
3299 WOODBURN RD
SUITE 310
ANNANDALE, VA
ZIP 22003
Phone: (703) 560-8711
Get Directions

ANNE M. NICKODEM, MD PC is a plastic surgery in Annandale, VA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. ANNE M. NICKODEM, MD PC NPI is 1205916871. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3299 WOODBURN RD
SUITE 310
ANNANDALE, VA
ZIP 22003-275
Phone: (703) 560-8711
Fax: (703) 560-8725

The provider's authorized official is Anne M Nickodem .
The authorized official title is President and has the following contact phone number (703) 560-8711.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 1/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic Surgery0101047333VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1736626MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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