LOUDOUN MEDICAL GROUP, P.C. (NPI# 1003335886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003335886 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
| Other Organization Name | VALERIE WILLIAMSON, MD |
| Practice Address |
46440 Benedict Dr Ste 107 Sterling VA 20164-6602 |
| Mailing Address |
224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 |
| Practice Telephone | 5717072079 |
| Practice Fax Number | 7034438643 |
| Mailing Telephone | 7037376001 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | MARY BETH TAMASY (CEO) |
| Authorized Official Telephone | 7037376012 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Valerie Williamson, MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760186 | Loudoun Medical Group, P.C. | Obstetrics & Gynecology | 10400 Eaton Pl Ste 430, Fairfax, VA 22030-2208 | 2017-10-09 |
| 1902325608 | Loudoun Medical Group, P.C. | Family Medicine | 224d Cornwall St Nw Ste 102, Leesburg, VA 20176-2700 | 2017-09-13 |
| 1609900208 | Loudoun Medical Group, P.C. | Internal Medicine | 44055 Riverside Pkwy Ste 216, Leesburg, VA 20176-5176 | 2007-03-15 |
| 1427617422 | Loudoun Medical Group, P.C. | Physical Therapist | 19490 Sandridge Way Ste 230, Leesburg, VA 20176-3467 | 2019-06-12 |
| 1386203628 | Loudoun Medical Group, P.C. | Physical Therapist | 6408 Grovedale Dr Ste 102, Alexandria, VA 22310-2596 | 2019-06-11 |
| 1447817689 | Loudoun Medical Group, P.C. | Pathology | 6736 Curran St Ste 1, Mc Lean, VA 22101-3803 | 2019-05-23 |
| 1356907612 | Loudoun Medical Group, P.C. | Clinic/Center | 5901 Kingstowne Village Pkwy Ste 300, Kingstowne, VA 22315-5883 | 2019-05-13 |
| 1295290286 | Loudoun Medical Group, P.C. | Urology | 1860 Town Center Dr Ste 180, Reston, VA 20190-5905 | 2019-02-05 |
| 1346710084 | Loudoun Medical Group, P.C. | Internal Medicine | 24585 Stone Carver Dr Ste 100, Aldie, VA 20105-2798 | 2018-11-26 |
| 1962978569 | Loudoun Medical Group, P.C. | Clinic/Center | 19490 Sandridge Way Ste 240, Leesburg, VA 20176-3467 | 2018-10-22 |
| Street Address |
46440 BENEDICT DR STE 107 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295797843 | Judith Lim Greco | Internal Medicine | 46440 Benedict Dr Ste 107, Sterling, VA 20164-6602 | 2006-04-06 |
| 1275188559 | Maite Jacquay Corbin | Nurse Practitioner | 46440 Benedict Dr Ste 107, Sterling, VA 20164-6602 | 2019-08-05 |
| 1235606864 | Mallory A Guffey | Physician Assistant | 46440 Benedict Dr Ste 107, Sterling, VA 20164-6602 | 2018-11-01 |
| 1740764117 | Valerie Piccolo | Physician Assistant | 46440 Benedict Dr Ste 107, Sterling, VA 20164-6602 | 2018-09-20 |
| 1033638739 | Loudoun Medical Group, P.C. | Clinic/Center | 46440 Benedict Dr Ste 107, Sterling, VA 20164-6602 | 2017-09-13 |
| 1861870222 | Rhonda Martin | Family Medicine | 46440 Benedict Dr Ste 107, Sterling, VA 20164 | 2015-05-18 |
| 1174965347 | Clorissa Fischetti | Nurse Practitioner | 46440 Benedict Dr Ste 107, Sterling, VA 20164-6602 | 2013-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
| 1770132045 | Alethea Daheshiar | Family Medicine | 1405 S 8th Ave Ste 103, Sterling, CO 80751-4560 | 2019-09-09 |
| 1881993574 | Michael Anthony Corrado | Family Medicine | 21400 Potomac View Rd, Sterling, VA 20164-3557 | 2011-03-21 |
| 1609172782 | Keyna I Schlup | Family Medicine | 428 S 2nd St, Sterling, CO 80751 | 2011-02-07 |
| 1538357934 | Amardeep Singh Athwal | Family Medicine | 47100 Community Plz Ste 100, Sterling, VA 20164-1821 | 2007-10-10 |
| 1659499028 | Sterling Medical Group PC | Family Medicine | 104 Leominster Road, Sterling, MA 01772-0586 | 2007-03-26 |
| 1447394465 | Phong Dao Lam Dang | Family Medicine | 100 E Lefevre Rd, Sterling, IL 61081-1278 | 2007-02-16 |
| 1659417632 | Su Chong Weber | Family Medicine | 46200 Potomac Run Plz, Sterling, VA 20164-6622 | 2007-01-29 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| 1952400335 | Valerie J. Moreland | Family Medicine | 50 Leominster Rd, Sterling, MA 01564-2146 | 2006-09-21 |
| Find all providers in STERLING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.