LOUDOUN MEDICAL GROUP . P.C (NPI# 1669914792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669914792 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP . P.C |
| Other Organization Name | LOUDOUN INTERNAL MEDICINE ASSOCIATES |
| 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 | 7038583220 |
| Practice Fax Number | 7038583221 |
| Mailing Telephone | 7037376012 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | MRS. MARY BETH TAMASY (CEO) |
| Authorized Official Telephone | 7037376012 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDOUN MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Loudoun Internal Medicine Associates | Doing Business As Name - Organization |
| 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 |
| Street Address |
24430 STONE SPRINGS BLVD SUITE 100 |
| City | DULLES |
| State | VA |
| Zip Code | 20166-2247 |
| 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 |
| 1346787397 | Loudoun Medical Group . P.c | Allergy & Immunology | 24430 Stone Springs Blvd, Suite 100, 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 20166 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659613222 | Celeste P Pizza | Internal Medicine | 9000 New Delhi Pl, Dulles, VA 20189-9005 | 2013-03-21 |
| 1558803684 | Loudoun Medical Group . P.c | Internal Medicine | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-11-07 |
| 1962850107 | Loudoun Medical Group PC | Internal Medicine | 24430 Stone Springs Blvd, Suite 250, Dulles, VA 20166-2247 | 2016-05-27 |
| 1598113730 | Loudoun Medical Group PC | Internal Medicine | 24430 Stone Springs Blvd, Suite 250, Dulles, VA 20166-2247 | 2016-05-27 |
| 1376917070 | Emergency Medicine Associates, P.a.,p.c. | Internal Medicine | 24440 Stone Springs Boulevard, Dulles, VA 20166 | 2015-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113783 | Tiger Telemedicine | Internal Medicine | 1107 S Walter Reed Dr Apt 204, Arlington, VA 22204-4371 | 2020-10-30 |
| 1235737248 | Alpa Patel Md Pllc | Internal Medicine | 3020 Hamaker Ct Ste B106, Fairfax, VA 22031-2236 | 2020-10-12 |
| 1821696139 | Jennifer Gorrelick, Md, Pllc | Internal Medicine | 1800 Town Center Dr Ste 418, Reston, VA 20190-3240 | 2020-10-09 |
| 1316551237 | Pinnacle Healthcare Services, LLC | Internal Medicine | 8000 Towers Crescent Dr Ste 1350, Vienna, VA 22182-6236 | 2020-09-08 |
| 1588277396 | Amm Consulting Inc | Internal Medicine | 6123 Stegen Dr, Alexandria, VA 22310-2277 | 2020-08-31 |
| 1215549936 | Marie Hope Campbell | Internal Medicine | 5705 Redbud Highway, Honaker, VA 24260 | 2020-08-24 |
| 1376155648 | Mosaic Md, Pllc | Internal Medicine | 22365 Broderick Dr Ste 330, Sterling, VA 20166-9361 | 2020-08-18 |
| 1164030458 | Premier Health Consultants of Northern Virginia Inc | Internal Medicine | 1860 Town Center Dr Ste 260, Reston, VA 20190-5899 | 2020-07-22 |
| 1679199194 | Abyssinia Medical Center | Internal Medicine | 8200 Greensboro Dr Ste 910, Mc Lean, VA 22102-4931 | 2020-06-20 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
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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.