LOUDOUN MEDICAL GROUP . P.C


Address: 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247
Phone: 7037376012

LOUDOUN MEDICAL GROUP . P.C (NPI# 1346787397) 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) 1346787397
Entity Type Organization
Organization Name LOUDOUN MEDICAL GROUP . P.C
Other Organization Name FAMILY ALLERGY CENTER
Practice Address 24430 Stone Springs Blvd
Suite 100
Dulles
VA 20166-2247
Mailing Address 224d Cornwall St Nw
Suite 403
Leesburg
VA 20176-2700
Practice Telephone 7037376012
Mailing Telephone 7037376012
Enumeration Date 2017-01-30
Last Update Date 2017-01-30
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 207K00000X Allergy & Immunology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Family Allergy 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 24430 STONE SPRINGS BLVD
SUITE 100
City DULLES
State VA
Zip Code 20166-2247

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659728889 Loudoun Medical Group PC Urology 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 2016-05-18
1033720487 Danah Balmaceda Nurse Practitioner 24430 Stone Springs Blvd, Dulles, VA 20166-2267 2020-08-10
1831636786 Loudoun Medical Group . P.c Specialist 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 2017-01-30
1750828703 Loudoun Medical Group . P.c Specialist 24430 Stone Springs Blvd, Dulles, VA 20166-2247 2017-01-30
1275070260 Loudoun Medical Group . P.c Family Medicine 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 2017-01-27
1932646213 Loudoun Medical Group . P.c Specialist 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 2017-01-25
1679018550 Loudoun Medical Group, P.C. Specialist 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 2016-12-30
1124563002 Loudoun Medical Group, P.C. Specialist 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 2016-12-30
1477096352 Loudoun Medical Group, P.C. Specialist 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 2016-11-28
1669914792 Loudoun Medical Group . P.c Internal Medicine 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 2016-11-07
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207K00000X
Grouping Allopathic & Osteopathic Physicians
Classification Allergy & Immunology

Taxonomy Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255954764 Premier Allergy and Asthma Centers, LLC Allergy & Immunology 8100 Ashton Ave Ste 207b, Manassas, VA 20109-5688 2020-05-19
1437630241 Allergy Partners, Pllc Allergy & Immunology 100 Elden St Ste 10, Herndon, VA 20170-4833 2018-08-29
1780053587 Allergy Partners, Pllc Allergy & Immunology 8136 Old Keene Mill Rd Ste A309, Springfield, VA 22152-1853 2015-09-22
1194130294 Farah Nawaz Khan Allergy & Immunology 311 Maple Ave W Ste H, Vienna, VA 22180-4309 2014-06-26
1033470091 Shahab S Virani Allergy & Immunology 1300 Thornton St Ste 200, Fredericksburg, VA 22401-4654 2012-06-06
1235414681 Ahmad Hamad Allergy & Immunology 8233 Old Courthouse Rd Ste 230, Vienna, VA 22182 2011-10-17
1124358486 Mehmet Eragan, Md Allergy & Immunology 3522 Pinetree Ter, Falls Church, VA 22041-1418 2010-01-10
1982869897 Erin J Klaffky Allergy & Immunology 1415 Rolkin Ct Ste 102, Charlottesville, VA 22911-3643 2008-07-21
1114184967 Karen Robbins Allergy & Immunology 1360 Beverly Rd Ste 103, Mc Lean, VA 22101-3621 2008-05-20
1356516546 Ananth Thyagarajan Allergy & Immunology 5210a Lyngate Ct, Burke, VA 22015-4697 2008-04-28
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Competitor

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City DULLES
Zip Code 20166

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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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