LOUDOUN MEDICAL GROUP PC (NPI# 1285082016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285082016 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | CENTREVILLE OBGYN |
| Practice Address |
14701 Lee Hwy Suite 303 Centreville VA 20121-2137 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7038304388 |
| Practice Fax Number | 7038304188 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centreville OBGYN | 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 |
14701 LEE HWY SUITE 303 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747404 | Nulife Physical Therapy P. C. | Specialist | 14701 Lee Hwy, Suite # 206, Centreville, VA 20121-2114 | 2005-11-16 |
| 1023561339 | Dae Hyung Kim | Acupuncturist | 14701 Lee Hwy, Suite 306, Centreville, VA 20121-2137 | 2016-08-03 |
| 1760935084 | Nova Training Center Clinic | Acupuncturist | 14701 Lee Hwy, Suite 306, Centreville, VA 20121-2137 | 2016-08-03 |
| 1053692343 | Traci Annetta Marin | Advanced Practice Midwife | 14701 Lee Hwy, Suite 304, Centreville, VA 20121-2137 | 2011-08-31 |
| 1477832459 | Lee Seob Park | Chiropractor | 14701 Lee Hwy, Suite 307, Centreville, VA 20121-2137 | 2011-08-09 |
| 1295026086 | Image Medical LLC | Physician Assistant | 14701 Lee Hwy, Suite 303, Centreville, VA 20121-2137 | 2011-04-27 |
| 1033385026 | Neda Hashemi Md PC | Obstetrics & Gynecology | 14701 Lee Hwy, #303, Centreville, VA 20121-2137 | 2008-04-30 |
| 1750588760 | Lifeline Home Care, Inc | Respite Care | 14701 Lee Hwy, Suite 206, Centreville, VA 20121 | 2007-07-02 |
| 1215008024 | First Chiropractic &acupuncture | Chiropractor | 14701 Lee Hwy, Suite 307, Centreville, VA 20121-2137 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710244926 | Samar Benhusen Merriman | Obstetrics & Gynecology | 14701 Lee Hwy Ste 304, Centreville, VA 20121-2135 | 2012-04-12 |
| 1225209018 | About Care Obgyn Associates PC | Obstetrics & Gynecology | 6134 Redwood Square Center, Unit 101, Centreville, VA 20120 | 2008-03-19 |
| 1710044706 | Jan Paul Fruiterman Md & Associates, PC | Obstetrics & Gynecology | 13880 Braddock Rd Ste 307, Centreville, VA 20121-2462 | 2007-01-02 |
| 1669449435 | Kanwal S Khan | Obstetrics & Gynecology | 14631 Lee Hwy, Suite 405, Centreville, VA 20121-5824 | 2006-03-01 |
| 1851391288 | John Laferla | Obstetrics & Gynecology | 202 Coursevall Dr, Suite 107, Centreville, MD 21617-2804 | 2005-07-28 |
| 1730574617 | Lara E. Stein | Obstetrics & Gynecology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2015-03-30 |
| 1619260007 | Jessica Jabola | Obstetrics & Gynecology | 13880 Braddock Rd, Suite 307, Centreville, VA 20121-2459 | 2011-05-18 |
| 1033385026 | Neda Hashemi Md PC | Obstetrics & Gynecology | 14701 Lee Hwy, #303, Centreville, VA 20121-2137 | 2008-04-30 |
| 1033145651 | Virginia Gynecologists, Ltd | Obstetrics & Gynecology | 5675 Stone Rd, Centreville, VA 20120-1667 | 2006-06-24 |
| 1609813500 | Southern Illinois Healthcare Foundation Inc | Obstetrics & Gynecology | 6000 Bond Ave, Centreville, IL 62207-2328 | 2006-05-31 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
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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.