LOUDOUN MEDICAL GROUP PC (NPI# 1376677989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376677989 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | ASHBURN PEDIATRICS |
| Practice Address |
20955 Professional Plz Suite 200 Ashburn VA 20147-3405 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7037297652 |
| Practice Fax Number | 7037298746 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-09-11 |
| 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 | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ashburn Pediatrics | 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 |
20955 PROFESSIONAL PLZ SUITE 200 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831182260 | Theresa Hoffman Crowley | Pediatrics | 20955 Professional Plz, Ste 200, Ashburn, VA 20147-3405 | 2005-08-31 |
| 1750798146 | Kathleen Anastasia Zinicola | Nurse Practitioner | 20955 Professional Plz, #200, Ashburn, VA 20147-3405 | 2014-07-17 |
| 1326384496 | Rachael Hanna Catherine Charron | Nurse Practitioner | 20955 Professional Plz, # 200, Ashburn, VA 20147-3405 | 2012-12-18 |
| 1386954568 | Katie Nicole Geaneas | Registered Nurse | 20955 Professional Plz, Suite 200, Ashburn, VA 20147-3405 | 2010-10-20 |
| 1609107564 | Denise Elling | Dental Hygienist | 20955 Professional Plz, Suite 110, Ashburn, VA 20147-3405 | 2010-01-15 |
| 1598950818 | Jyotsna Hebbar Shah | Pediatrics | 20955 Professional Plz, Suite 200, Ashburn, VA 20147-3405 | 2007-09-10 |
| 1780885160 | Kenneth Robert Eye II | Dentist | 20955 Professional Plz, Ashburn, VA 20147-3405 | 2007-05-31 |
| 1821155318 | Ashburn Dental Associates | Dentist | 20955 Professional Plz, Ashburn, VA 20147-3405 | 2007-01-03 |
| 1528156916 | Cristelle Rodriguez-singh | Dentist | 20955 Professional Plz, Suite 110, Ashburn, VA 20147-3405 | 2006-10-11 |
| 1174516504 | Maura Katharine Carroll | Pediatrics | 20955 Professional Plz, Ste 200, Ashburn, VA 20147-3405 | 2005-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578079364 | Sarah Kamp | Pediatrics | 20955 Professional Plz Ste 200, Ashburn, VA 20147-3405 | 2017-12-16 |
| 1578982625 | Lindsay Russow | Pediatrics | 20925 Professional Plz Ste 100, Ashburn, VA 20147-3403 | 2014-04-15 |
| 1629381173 | Capital Area Pediatrics, Inc | Pediatrics | 44050 Ashburn Shopping Plaza, #189, Ashburn, VA 20147 | 2010-07-26 |
| 1427225788 | Hind Bouallali | Pediatrics | 20745 Williamsport Pl Ste 340, Ashburn, VA 20147-6520 | 2008-05-14 |
| 1295895431 | Umesh V Kodu | Pediatrics | 44095 Pipeline Plaza, Suite#410, Ashburn, VA 20147-7518 | 2006-12-11 |
| 1538266994 | Khan Pediatric Care P.C. | Pediatrics | 44121 Harry Byrd Hwy., Suite 215, Ashburn, VA 20147 | 2006-09-20 |
| 1477658417 | Renee Haynesworth, Md | Pediatrics | 20608 Gordon Park Sq, Suite 170, Ashburn, VA 20147-3141 | 2006-09-14 |
| 1740260397 | Shirley L Christian | Pediatrics | 43480 Yukon Drive, Ste. 206, Ashburn, VA 20147-7915 | 2006-01-19 |
| 1083695977 | Ruth Isabel Mcdonald | Pediatrics | 44081 Pipeline Plaza, Unit 125, Ashburn, VA 20147 | 2005-11-08 |
| 1831182260 | Theresa Hoffman Crowley | Pediatrics | 20955 Professional Plz, Ste 200, Ashburn, VA 20147-3405 | 2005-08-31 |
| Find all providers in ASHBURN | ||||
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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.