LOUDOUN MEDICAL GROUP . P.C


Address: 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700
Phone: 7034436717

LOUDOUN MEDICAL GROUP . P.C (NPI# 1104377746) 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) 1104377746
Entity Type Organization
Organization Name LOUDOUN MEDICAL GROUP . P.C
Other Organization Name COMPREHENSIVE SLEEP CARE CENTER
Practice Address 224d Cornwall St Nw
Suite 403
Leesburg
VA 20176-2700
Mailing Address 6000 Executive Blvd
Suite 604
North Bethesda
MD 20852-3803
Practice Telephone 7034436717
Practice Fax Number 7034438643
Mailing Telephone 7037293420
Mailing Fax Number 7037293422
Enumeration Date 2016-10-19
Last Update Date 2016-10-19
Authorized Official Name MARY BETH TAMASY (CEO)
Authorized Official Telephone 7037376012
Is Organization Subpart Y
Parent Organization Name LOUDOUN MEDICAL GROUP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 173F00000X Sleep Specialist, PhD Other Service Providers

Other Provider/Organization Names

Other Name Type Code
Comprehensive Sleep Care Center 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
1093339764 Loudoun Medical Group . P.c Internal Medicine 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 2020-05-29
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

Office Location

Street Address 224D CORNWALL ST NW
SUITE 403
City LEESBURG
State VA
Zip Code 20176-2700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427057686 Michael K Kuo Physical Medicine & Rehabilitation 224d Cornwall St Nw, Suite 202, Leesburg, VA 20176-2700 2005-07-20
1356951651 Medical Center Orthotics and Prosthetics, LLC Prosthetic/Orthotic Supplier 224d Cornwall St Nw, Leesburg, VA 20176-2713 2020-08-03
1194275339 Loudoun Medical Group . P.c Orthopaedic Surgery 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 2016-10-12
1952851107 Loudoun Medical Group . P.c Internal Medicine 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 2016-10-12
1679927560 Loudoun Medical Group PC Physical Medicine & Rehabilitation 224d Cornwall St Nw, Suite 403, Leesburg, VA 20176-2700 2016-04-18
1093186587 Nicole Langdon Price Nurse Practitioner 224d Cornwall St Nw, Leesburg, VA 20176-2700 2015-10-09
1609113380 Kristen D Ritch Physician Assistant 224d Cornwall St Nw, Suite 102, Leesburg, VA 20176-2700 2013-01-15
1245586015 Loudoun Medical Group PC Internal Medicine 224d Cornwall St Nw, Suite 303, Leesburg, VA 20176-2700 2012-07-31
1982981924 Loudoun Medical Group PC Orthopaedic Surgery 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 2011-11-04
1588941629 Csssdwc Orthopaedic Surgery 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 2011-11-03
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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
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Taxonomy Information

Taxonomy Code 173F00000X
Grouping Other Service Providers
Classification Sleep Specialist, PhD

Taxonomy Definition

Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others.
Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740646512 Healthy Sleep LLC Sleep Specialist, PhD 100 N Carter St, Suite 12, La Crosse, VA 23950-1911 2016-01-11
1043550015 Comprehensive Sleep Care Center Sleep Specialist, PhD 14141 Robert Paris Ct, Chantilly, VA 20151-4201 2013-02-27
1811234305 Kevin Ray Crum Sleep Specialist, PhD 3031 Silver Charm Cir, Suffolk, VA 23435-3342 2013-01-03
1194065169 Comprehensive Sleep Care Center Sleep Specialist, PhD 200 N Glebe Rd, Suite 316, Arlington, VA 22203-3728 2013-02-27

Competitor

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City LEESBURG
Zip Code 20176

Improve Information

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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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