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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 173F00000X | Sleep Specialist, PhD | Other Service Providers |
Other Name | Type Code |
---|---|
Comprehensive Sleep Care Center | Doing Business As Name - Organization |
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 |
Street Address |
224D CORNWALL ST NW SUITE 403 |
City | LEESBURG |
State | VA |
Zip Code | 20176-2700 |
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 |
Find all providers in the same location |
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 Code | 173F00000X |
Grouping | Other Service Providers |
Classification | Sleep Specialist, PhD |
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 |
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 |
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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.