LOUDOUN MEDICAL GROUP . P.C


Address: 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691
Phone: 7037235700

LOUDOUN MEDICAL GROUP . P.C (NPI# 1093339764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093339764
Entity Type Organization
Organization Name LOUDOUN MEDICAL GROUP . P.C
Practice Address 19500 Sandridge Way Ste 400
Leesburg
VA 20176-3691
Mailing Address 224d Cornwall St Nw Ste 403
Leesburg
VA 20176-2704
Practice Telephone 7037235700
Mailing Telephone 7037376000
Enumeration Date 2020-05-29
Last Update Date 2020-05-29
Authorized Official Name HEATHER STANTON (CREDENTIALING MANAGER)
Authorized Official Telephone 7037376012
Authorized Official Credential MBA
Is Organization Subpart Y
Parent Organization Name LOUDOUN MEDICAL GROUP . P.C

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1675951440 05

Other Provider/Organization Names

Other Name Type Code
Skin Cancer Center of Northern Virginia Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992318067 Loudoun Medical Group . P.c Orthopaedic Surgery 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 2020-08-28
1093324378 Loudoun Medical Group . P.c Orthopaedic Surgery 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 2020-07-23
1285242867 Loudoun Medical Group . P.c Orthopaedic Surgery 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 2020-07-20
1750999892 Loudoun Medical Group . P.c Orthopaedic Surgery 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 2020-07-15
1528691839 Loudoun Medical Group . P.c Internal Medicine 5901 Kingstowne Village Pkwy Ste 101, Alexandria, VA 22315-5881 2020-02-14
1760029904 Loudoun Medical Group . P.c Dermatology 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 2019-12-06
1679024418 Loudoun Medical Group . P.c Family Medicine 20 Town Sq, Suite 180, Lovettsville, VA 20180-8555 2016-10-17
1801408109 Loudoun Medical Group . P.c Podiatrist 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 2020-08-18
1386255602 Loudoun Medical Group . P.c Podiatrist 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 2020-08-11
1407464092 Loudoun Medical Group . P.c Internal Medicine 4660 Kenmore Ave Ste 500, Alexandria, VA 22304-1300 2020-07-20

Office Location

Street Address 19500 SANDRIDGE WAY STE 400
City LEESBURG
State VA
Zip Code 20176-3691

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053912923 Timothy Michael Nixon Pharmacist 61 Catoctin Circle, Leesburg, VA 20176 2020-11-05
1558996645 Stacey E Moran Occupational Therapist 44124 Woodrige Parkway, Lansdowne, VA 20176 2020-03-09
1710531272 Joseph H Kasuska Jr. Specialist/Technologist 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 2019-08-01
1568935849 Joel Manalang Polintan Jr. Physical Therapist 171 Cedarwalk Circle, Leesburg, VA 20176 2019-01-09
1194203026 Jing Cao Acupuncturist 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 2018-08-02
1134648314 Alaina Marie Gotwalt Speech-Language Pathologist 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 2017-09-19
1841717105 Happy Inhome Care Corp Respite Care 722 E Market St Ste 103, Leesburg, VA 20176 2017-08-28
1912423484 Aaa Good Healthcare LLC Nursing Care 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 2017-08-16
1740704253 Anna Maria Domingo Seaford Physician Assistant 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 2017-07-27
1710436480 Reena Patel Physician Assistant 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 2016-09-23
Find all providers in zip 20176

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881627966 Sandeep Kumar Thaper Internal Medicine 601 E Dixie Ave Ste 1001, Leesburg, FL 34748-7309 2006-07-09
1093747560 Lake Cancer Medical Center Pa Internal Medicine 732 North Third Street, Leesburg, FL 34748 2006-07-07
1295716645 Rambabu Tummala Internal Medicine 9832 Us Hwy 441, Suite 101, Leesburg, FL 34788 2005-11-10
1275514622 Cancer Centers of Central Florida Pa Internal Medicine 9832 Us Highway 441, Ste 101, Leesburg, FL 34788-3966 2005-11-10
1356332506 Maen A Hussein Internal Medicine 110 North Boulevard East, Leesburg, FL 34748-5241 2005-11-04
1962499111 Christopher T Soprenuk Internal Medicine 9846 Us Highway 441, Leesburg, FL 34788-3910 2005-10-03
1184174336 Loudoun Medical Group . P.c Internal Medicine 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 2016-10-12
1306277793 Loudoun Medical Group PC Internal Medicine 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 2013-12-10
1699909093 Mei-hwa Rose Firestone Internal Medicine 19490 Sandridge Way Ste 240, Leesburg, VA 20176-3467 2009-05-13
1215006432 Central Florida Hematology and Oncology Internal Medicine 601 E Dixie Ave Ste 1001, Leesburg, FL 34748-7309 2006-11-06
Find all providers in LEESBURG

Competitor

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City LEESBURG
Zip Code 20176

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Dataset Information

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.

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