LOUDOUN MEDICAL GROUP, P.C. (NPI# 1447760186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447760186 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
| Other Organization Name | METROPOLITAN MATERNAL-FETAL MEDICINE |
| Practice Address |
10400 Eaton Pl Ste 430 Fairfax VA 22030-2208 |
| Mailing Address |
224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 |
| Practice Telephone | 7032779510 |
| Practice Fax Number | 7032779523 |
| Mailing Telephone | 7037376001 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |
| Authorized Official Name | MARY BETH TAMASY (CEO) |
| Authorized Official Telephone | 7037376012 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Metropolitan Maternal-Fetal Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1356907612 | Loudoun Medical Group, P.C. | Clinic/Center | 5901 Kingstowne Village Pkwy Ste 300, Kingstowne, VA 22315-5883 | 2019-05-13 |
| 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 |
10400 EATON PL STE 430 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 |
|---|---|---|---|---|
| 1346514007 | Maternal Fetal Medicine Associates of Northern Virginia | Obstetrics & Gynecology | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 | 2012-02-28 |
| 1437324407 | Nwamaka Obiageli Obi | Obstetrics & Gynecology | 3020 Hamaker Ct, Fairfax, VA 22031-2238 | 2008-04-29 |
| 1205859691 | Pediatrix Medical Group of The Mid-atlantic PC | Obstetrics & Gynecology | 8316 Arlington Blvd, Suite 500, Fairfax, VA 22031-5207 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104058718 | Pushpinder Dhillon | Obstetrics & Gynecology | 412 Cambridge Street, Fredericksburg, VA 22405-1455 | 2009-08-14 |
| 1679728273 | Samer Said Cheaib | Obstetrics & Gynecology | 2400 S Glebe Rd Apt 620, Arlington, VA 22206-2550 | 2008-11-24 |
| 1184874778 | Lisa E Simmonds | Obstetrics & Gynecology | 1204 W Main St Fl 3, Charlottesville, VA 22908-1147 | 2008-09-19 |
| 1144233412 | M Cathleen Mccoy | Obstetrics & Gynecology | 1870 Amherst St Ste 3a, Winchester, VA 22601-2841 | 2006-08-15 |
| 1548207491 | Siva Thiagarajah | Obstetrics & Gynecology | 600 Peter Jefferson Pkwy Ste 190, Charlottesville, VA 22911-8835 | 2006-06-01 |
| 1043289531 | Robert E Petres | Obstetrics & Gynecology | 9000 Stony Point Pkwy, Richmond, VA 23235-1900 | 2006-03-16 |
| 1376519082 | Rita Wesley Driggers | Obstetrics & Gynecology | 7908 Greenebrook Ct, Fairfax Station, VA 22039-3171 | 2006-02-23 |
| 1851365225 | Maurice Kieth Eggleston Jr. | Obstetrics & Gynecology | 1300 Hospital Dr Ste 200, Fredericksburg, VA 22401-8451 | 2006-02-14 |
| 1730169186 | Susan K Hendricks | Obstetrics & Gynecology | 590 15th St S, Apt 145, Arlington, VA 22202-2872 | 2006-01-20 |
| 1598749186 | Lisa R Troyer | Obstetrics & Gynecology | 1401 Johnston Willis Dr Ste 5500, North Chesterfield, VA 23235-4730 | 2005-12-06 |
| Find all providers with the same taxonomy | ||||
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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.