Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elan Plastic Surgery PC

Organization Plastic Surgery Physician · NPI 1063783660

Elan Plastic Surgery PC is a Plastic Surgery Physician in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2012.

Licensed in
MD
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 Wormans Mill Ct Ste L-M
Frederick, MD 21701-3019
Phone: (301) 698-2400
Fax: (301) 698-2460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence D0037204 (MD)

Record details

NPI number1063783660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paige Smith — Credentialing Manager · (301) 509-4091
NPI enumeratedJanuary 13, 2012
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021
Mailing address15 Wormans Mill Ct Ste L-M, Frederick, MD 21701-3019

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