LOUDOUN MEDICAL GROUP, P.C. (NPI# 1356907612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356907612 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
| Practice Address |
5901 Kingstowne Village Pkwy Ste 300 Kingstowne VA 22315-5883 |
| Mailing Address |
224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 |
| Practice Telephone | 5713846304 |
| Practice Fax Number | 5713846309 |
| Mailing Telephone | 7037376001 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |
| Authorized Official Name | MARY BETH TAMASY (CEO) |
| Authorized Official Telephone | 7037376001 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kingstowne Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760186 | Loudoun Medical Group, P.C. | Obstetrics & Gynecology | 10400 Eaton Pl Ste 430, Fairfax, VA 22030-2208 | 2017-10-09 |
| 1902325608 | Loudoun Medical Group, P.C. | Family Medicine | 224d Cornwall St Nw Ste 102, Leesburg, VA 20176-2700 | 2017-09-13 |
| 1609900208 | Loudoun Medical Group, P.C. | Internal Medicine | 44055 Riverside Pkwy Ste 216, Leesburg, VA 20176-5176 | 2007-03-15 |
| 1427617422 | Loudoun Medical Group, P.C. | Physical Therapist | 19490 Sandridge Way Ste 230, Leesburg, VA 20176-3467 | 2019-06-12 |
| 1386203628 | Loudoun Medical Group, P.C. | Physical Therapist | 6408 Grovedale Dr Ste 102, Alexandria, VA 22310-2596 | 2019-06-11 |
| 1447817689 | Loudoun Medical Group, P.C. | Pathology | 6736 Curran St Ste 1, Mc Lean, VA 22101-3803 | 2019-05-23 |
| 1295290286 | Loudoun Medical Group, P.C. | Urology | 1860 Town Center Dr Ste 180, Reston, VA 20190-5905 | 2019-02-05 |
| 1346710084 | Loudoun Medical Group, P.C. | Internal Medicine | 24585 Stone Carver Dr Ste 100, Aldie, VA 20105-2798 | 2018-11-26 |
| 1962978569 | Loudoun Medical Group, P.C. | Clinic/Center | 19490 Sandridge Way Ste 240, Leesburg, VA 20176-3467 | 2018-10-22 |
| 1295201895 | Loudoun Medical Group, P.C. | Clinic/Center | 19490 Sandridge Way Ste 240, Leesburg, VA 20176-3467 | 2018-10-22 |
| Street Address |
5901 KINGSTOWNE VILLAGE PKWY STE 300 |
| City | KINGSTOWNE |
| State | VA |
| Zip Code | 22315-5883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861871865 | Wegmans Food Markets, Inc. | Pharmacy | 7905 Hilltop Village Center Drive, Alexandria, VA 22315 | 2015-05-22 |
| 1255731071 | Jennifer Becker | Registered Nurse | 6061 Joust Ln, Alexandria, VA 22315 | 2014-08-28 |
| 1386908564 | Gregory James Davis | Pharmacist | 7100 Silver Lake Rd, Alexandria, VA 22315 | 2012-07-02 |
| 1447525910 | Tersit Menberu Gulelat | Pharmacist | 7216 Lake Cove Dr, Alexandria, VA 22315 | 2012-03-17 |
| 1720392871 | Hung Quoc Chau Lu | Dentist | 6479 Old Beulah St, Alexandria, VA 22315 | 2010-07-31 |
| 1962727958 | Armin Susan Razavi | Obstetrics & Gynecology | 5420 Castle Bar Ln, Alexandria, VA 22315 | 2010-04-01 |
| 1205027463 | Roberts Home Medical LLC | Durable Medical Equipment & Medical Supplies | 5680 King Centre Dr Ste 673, Alexandria, VA 22315 | 2007-08-05 |
| 1114045606 | Amanuel Haileab | Pharmacist | 6400 Lansdown Center, Cvs Pharmacy, Alexandria, VA 22315 | 2007-03-26 |
| 1336265859 | Arnold B Braff | Optometrist | 5800 Kingstowne Blvd, Alexandria, VA 22315 | 2007-03-22 |
| 1154404622 | Don J Pisciotta | Dentist | 6408 Grovedale Drive, Suite 100, Franconia, VA 22315 | 2006-10-20 |
| Find all providers in zip 22315 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200764 | Total Healthcare | Clinic/Center | 2202 Daniels Creek Rd, Collinsville, VA 24078-1370 | 2020-09-16 |
| 1487284717 | Xcel Urgent Care LLC | Clinic/Center | 3517 S Jefferson St, Falls Church, VA 22041-3106 | 2020-01-27 |
| 1003446402 | Mwhc Urgent Care LLC | Clinic/Center | 10 Stafford Lakes Parkway, Stafford, VA 22406 | 2020-01-24 |
| 1942857297 | Quiet Heartbeat LLC | Clinic/Center | 101 King Arthurs Way Apt 203, Fredericksburg, VA 22406-6421 | 2019-08-21 |
| 1467914994 | Velocity Urgent Care, LLC | Clinic/Center | 7394 Harbour Towne Pkwy Ste 5, Suffolk, VA 23435-3473 | 2019-04-03 |
| 1710448022 | Shifa Health LLC | Clinic/Center | 9 Center St Ste 101, Stafford, VA 22556-8910 | 2019-03-28 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1104394766 | Ortho Oic Orthopaedic Immediate Care, LLC | Clinic/Center | 1701 Clarendon Blvd Ste 120, Arlington, VA 22209-4800 | 2018-11-12 |
| 1043795941 | Velocity Urgent Care, LLC | Clinic/Center | 2180 General Booth Blvd Ste F, Virginia Beach, VA 23454-5804 | 2018-09-27 |
| 1174005920 | Velocity Urgent Care, LLC | Clinic/Center | 1001 Centerbrooke Ln Ste 100, Suffolk, VA 23434-8663 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
| City | KINGSTOWNE |
| Zip Code | 22315 |
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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.