LOUDOUN MEDICAL GROUP . P.C (NPI# 1750828703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750828703 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP . P.C |
| Other Organization Name | NORTHERN VIRGINIA ENT ASSOCIATES |
| Practice Address |
24430 Stone Springs Blvd Dulles VA 20166-2247 |
| Mailing Address |
224d Cornwall St Nw Suite 403 Leesburg VA 20176-2700 |
| Practice Telephone | 7037376012 |
| Mailing Telephone | 7037376012 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | 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 | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Northern Virginia ENT 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 |
| 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 |
| 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 |
| 1669914792 | Loudoun Medical Group . P.c | Internal Medicine | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-11-07 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831636786 | Loudoun Medical Group . P.c | Specialist | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2017-01-30 |
| 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 |
| 1346782463 | Loudoun Medical Group . P.c | Specialist | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-11-07 |
| 1376085407 | Loudoun Medical Group . P.c | Specialist | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-11-07 |
| 1912449042 | Loudoun Medical Group . P.c | Specialist | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-11-07 |
| 1518105824 | Gabriel Reyes | Specialist | 5270 Budapest Pl, Dulles, VA 20189-5270 | 2009-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952004 | Patricia Maureen Williams | Specialist | 175 W Campus Dr, 110 Lr Hall, Blacksburg, VA 24061-1034 | 2020-11-02 |
| 1497360028 | Ann L Swanson | Specialist | 872 Garrow Rd, Newport News, VA 23608-3365 | 2020-09-10 |
| 1093338915 | Bridget Elizabeth Poindexter | Specialist | 103 Madison St Apt C, Radford, VA 24141-1878 | 2020-05-27 |
| 1285257246 | Zamjams Enterprises LLC | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1427670538 | Megan Cone | Specialist | 6236 Willow Glen Rd, Midlothian, VA 23112-2230 | 2020-05-12 |
| 1033739529 | Maureen Marguerite Loftus | Specialist | 8321 Old Courthouse Rd Ste 130, Vienna, VA 22182-3817 | 2020-04-24 |
| 1972132090 | Alissa S Rexo | Specialist | 25251 Beach Place, Chantilly, VA 20152 | 2020-04-02 |
| 1821626235 | Tidewater Surgical | Specialist | 1732 S Park Ct, Chesapeake, VA 23320-8934 | 2020-03-31 |
| 1699307520 | Latia Tisdale | Specialist | 2520 Professional Rd Ste D, North Chesterfield, VA 23235-3267 | 2020-02-08 |
| 1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
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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.