LOUDOUN MEDICAL GROUP PC


Address: 20955 Professional Plz, Suite 200, Ashburn, VA 20147-3405
Phone: 7037297652

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Ashburn Pediatrics Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 20955 PROFESSIONAL PLZ
SUITE 200
City ASHBURN
State VA
Zip Code 20147-3405

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City ASHBURN
Zip Code 20147

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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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