LOUDOUN MEDICAL GROUP PC (NPI# 1255601605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255601605 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | VIRGINIA MEDICAL ARTS CLINIC |
| Practice Address |
21495 Ridgetop Cir Suite 102 Sterling VA 20166-6512 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7034046900 |
| Practice Fax Number | 7034377888 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |
| Authorized Official Name | MARY BETH TAMASY (CEO) |
| Authorized Official Telephone | 7037376010 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDOUN MEDICAL GROUP PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Virginia Medical Arts Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891217857 | Loudoun Medical Group PC | Obstetrics & Gynecology | 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 | 2017-07-12 |
| 1487107587 | Loudoun Medical Group PC | Specialist | 6355 Walker Ln Ste 303, Suite 303, Alexandria, VA 22310-3247 | 2016-07-26 |
| 1184077976 | Loudoun Medical Group PC | Ophthalmology | 1901 N Beauregard St, Suite 100, Alexandria, VA 22311-1738 | 2016-07-18 |
| 1659728889 | Loudoun Medical Group PC | Urology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-05-18 |
| 1285093070 | Loudoun Medical Group PC | Obstetrics & Gynecology | 8292 Old Courthouse Rd, Suite C, Vienna, VA 22182-3834 | 2016-02-22 |
| 1841658499 | Loudoun Medical Group PC | Internal Medicine | 10200 Colvin Run Rd, Suite 326, Great Falls, VA 22066-1830 | 2016-02-10 |
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1285021345 | Loudoun Medical Group PC | Ophthalmology | 8751 Sudley Rd, 2nd Floor, Manassas, VA 20110-8319 | 2015-04-16 |
| 1821409590 | Loudoun Medical Group PC | Internal Medicine | 3687 Fettler Park Dr, Dumfries, VA 22025-2049 | 2014-05-15 |
| 1134530900 | Loudoun Medical Group PC | Internal Medicine | 4897 Prince William Pkwy, Suite C 102, Woodbridge, VA 22192-5432 | 2014-05-15 |
| Street Address |
21495 RIDGETOP CIR SUITE 102 |
| City | STERLING |
| State | VA |
| Zip Code | 20166-6512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073586582 | Douglas Scott Richardson | Dermatology | 21495 Ridgetop Cir, Suite 204, Sterling, VA 20166-6512 | 2006-02-07 |
| 1093358129 | Amanda Williams | Occupational Therapist | 21495 Ridgetop Cir, Sterling, VA 20166-8520 | 2019-10-22 |
| 1912341686 | Loudoun Medical Group PC | Internal Medicine | 21495 Ridgetop Cir, Suite 102, Sterling, VA 20166-6512 | 2013-04-24 |
| 1114260825 | Laura Melissa Bray Scott | Occupational Therapist | 21495 Ridgetop Cir, Sterling, VA 20166-6512 | 2013-04-01 |
| 1043563133 | J.r. Rios D.d.s., P.l.c. | Dentist | 21495 Ridgetop Cir, Suite 200, Sterling, VA 20166-6512 | 2012-10-26 |
| 1265788038 | Loudoun Medical Group PC | Internal Medicine | 21495 Ridgetop Cir, Suite 302, Sterling, VA 20166-6512 | 2012-07-31 |
| 1326326265 | Joanna Claustro | Dentist | 21495 Ridgetop Cir, Suite #100, Sterling, VA 20166-6512 | 2011-07-26 |
| 1710123005 | Shaukat Jahan | Obstetrics & Gynecology | 21495 Ridgetop Cir, Suite 203, Sterling, VA 20166-6512 | 2008-12-17 |
| 1649480682 | Mahnaz Jafari | Dentist | 21495 Ridgetop Cir, 303, Sterling, VA 20166-6512 | 2007-05-22 |
| 1174647903 | Peter J Repole Sr. | Dentist | 21495 Ridgetop Cir, #200, Sterling, VA 20166-6512 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881187458 | Vincent Seng | Behavior Technician | 4040 Center Oak Plaza, Suite 150, Sterling, VA 20166 | 2018-06-08 |
| 1205339348 | Morgan Elyse Gillum | Occupational Therapist | 45305 Catalina Ct Ste 101, Sterling, VA 20166 | 2018-03-15 |
| 1376090548 | Chelsea Moore | Behavioral Analyst | 46040 Center Oak Plz Ste 150, Sterling, VA 20166 | 2016-09-06 |
| 1194175711 | Krisha Verma | Dentist | 21631 Ridgetop Cir Ste 240, Sterling, VA 20166 | 2016-06-14 |
| 1265898571 | Bba Home Health Care | Home Health | 23420 Summerstown Place, Dulles, VA 20166 | 2016-01-04 |
| 1588038590 | Mancy Modi | Physical Therapist | 45305 Catalina Court, Suite 103, Sterling, VA 20166 | 2015-11-16 |
| 1912300377 | Kiley Coleman Gibbs | Physical Therapist | 21631 Ridgetop Cir Ste 225a, Sterling, VA 20166 | 2014-09-30 |
| 1053712554 | Rx Ante Pharmacy Services, LLC | Pharmacy | 21630 Ridgetop Circle, Suite 100, Sterling, VA 20166 | 2014-09-16 |
| 1972904738 | Northern Virginia Community Hospital LLC | General Acute Care Hospital | 24440 Stone Springs Boulevard, Dulles, VA 20166 | 2014-09-11 |
| 1518304641 | Institute for The Psychological Sciences | Psychologist | 45154 Underwood Ln., Sterling, VA 20166 | 2013-05-30 |
| Find all providers in zip 20166 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155648 | Mosaic Md, Pllc | Internal Medicine | 22365 Broderick Dr Ste 330, Sterling, VA 20166-9361 | 2020-08-18 |
| 1881080166 | Munira Shodikulova | Internal Medicine | 20935 Sandian Ter, Sterling, VA 20165-5859 | 2015-04-13 |
| 1235475682 | Etnacare, LLC | Internal Medicine | 45800 Jona Dr, Sterling, VA 20165-5685 | 2012-12-12 |
| 1093072951 | Noor Dabaie | Internal Medicine | 216 E Juniper Ave, Sterling, VA 20164-2416 | 2012-04-17 |
| 1730299926 | Vincent J. Racanelli | Internal Medicine | 101 E. Miller Road, Sterling, IL 61081-3619 | 2006-08-30 |
| 1346253002 | Arvinder Chawla | Internal Medicine | 21495 Ridgetop Circle, Suite 102, Sterling, VA 20166-6512 | 2006-08-14 |
| 1861442758 | Ann Mecherikunnel | Internal Medicine | 107 E Holly Ave, #3, Sterling, VA 20164-5405 | 2006-05-11 |
| 1295797843 | Judith Lim Greco | Internal Medicine | 46440 Benedict Dr Ste 107, Sterling, VA 20164-6602 | 2006-04-06 |
| 1487613410 | Katie Del Pierro | Internal Medicine | 46175 Westlake Dr Ste 440, Sterling, VA 20165-5886 | 2006-03-20 |
| 1437121910 | Rahel G Yirga | Internal Medicine | 20 Pidgeon Hill Dr Ste 208, Sterling, VA 20165-6134 | 2006-02-07 |
| 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.