LOUDOUN MEDICAL GROUP PC (NPI# 1912156266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912156266 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | LOUDOUN OB/GYN & MIDWIVES STERLING |
| Practice Address |
46161 Westlake Dr Suite 210 Sterling VA 20165-5871 |
| Mailing Address |
224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 |
| Practice Telephone | 7034302070 |
| Practice Fax Number | 7034302952 |
| Mailing Telephone | 7037376001 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2020-04-10 |
| 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 | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Loudoun OB/GYN & Midwives Sterling | Doing Business As Name - Organization |
| Loudoun OBGYN | 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 |
46161 WESTLAKE DR SUITE 210 |
| City | STERLING |
| State | VA |
| Zip Code | 20165-5871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306391610 | Camilla Grant | Physical Therapist | 46161 Westlake Dr, Suite 330, Sterling, VA 20165-5871 | 2016-08-17 |
| 1801204060 | J2 Therapy and Wellness LLC | Occupational Therapist | 46161 Westlake Dr, Suite 330, Sterling, VA 20165-5871 | 2014-07-31 |
| 1932445533 | Adams Smile Center Pllc | Dentist | 46161 Westlake Dr, Suite 220, Sterling, VA 20165-5871 | 2012-12-31 |
| 1518264902 | Jennifer G Fulk | Occupational Therapist | 46161 Westlake Dr, Suite 330, Sterling, VA 20165-5871 | 2011-02-21 |
| 1366688160 | Arlington Loudoun Pediatric Ophthalmology Pllc | Ophthalmology | 46161 Westlake Dr, Suite 300, Sterling, VA 20165-5871 | 2008-12-29 |
| 1013175447 | Paul A. Finamore | Dentist | 46161 Westlake Dr, Suite 230, Sterling, VA 20165-5871 | 2008-06-02 |
| 1891801759 | Jacqueline Nyren | Physical Therapist | 46161 Westlake Dr, Suite 330, Sterling, VA 20165-5871 | 2006-08-22 |
| 1629011895 | Loudoun Anesthesia/loudoun Interventional Pain Center | Anesthesiology | 46161 Westlake Dr, Sterling, VA 20165-5871 | 2006-06-14 |
| 1386606549 | Melissa D Kern | Ophthalmology | 46161 Westlake Dr, Ste 300, Sterling, VA 20165-5871 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578042073 | Potomac Speech, LLC | Clinic/Center | 20657 Shoal Place, Sterling, VA 20165 | 2018-08-07 |
| 1386138600 | Jennifer M Bennett | Specialist | 46691 Cavendish Sq, Sterling, VA 20165 | 2018-06-20 |
| 1689163271 | Horizon Healthcare Professionals, LLC | Registered Nurse | 6 Pidgeon Hill Dr Ste 309, Sterling, VA 20165 | 2018-05-09 |
| 1336668573 | Jennifer Beatriz Henriquez | Student in an Organized Health Care Education/Training Program | 88 Bickel Ct, Sterling, VA 20165 | 2017-09-19 |
| 1134648413 | Alannah Angels Care, LLC | Home Health | 47672 Comer Sq, Sterling, VA 20165 | 2017-09-18 |
| 1215472709 | Hiba Aljumaah | Non-emergency Medical Transport (VAN) | 20829 Miranda Falls Sq, Sterling, VA 20165 | 2016-12-20 |
| 1629465299 | The Key Center of Florida | Health Maintenance Organization | 21155 Whitfield Pl 206, Sterling, VA 20165 | 2015-04-22 |
| 1740679265 | Shahla Zamani | Pharmacist | 46380 Monocacy Square, Potomac Falls, VA 20165 | 2015-01-21 |
| 1598006785 | Jeanine Marie Burke | Physical Therapist | 2 Pidgeon Hill Dr Ste 350, Sterling, VA 20165 | 2013-03-13 |
| 1134464126 | Faisal Hasan | Specialist | 46770 Willowood Place, Potomac Falls, VA 20165 | 2012-12-03 |
| Find all providers in zip 20165 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1871811604 | Alexis Balstad | Obstetrics & Gynecology | 1405 S 8th Ave Suite 105, Sterling, CO 80751 | 2010-05-04 |
| 1811337025 | Nnenna Joy Maduforo | Obstetrics & Gynecology | 21475 Ridgetop Cir Ste 360, Sterling, VA 20166 | 2013-07-02 |
| 1710123005 | Shaukat Jahan | Obstetrics & Gynecology | 21495 Ridgetop Cir, Suite 203, Sterling, VA 20166-6512 | 2008-12-17 |
| 1285833707 | David Scott Almasy | Obstetrics & Gynecology | 101 E Miller Rd, Sterling, IL 61081-1252 | 2007-07-14 |
| 1700094422 | Gabriela A Mandolesi | Obstetrics & Gynecology | 21475 Ridgetop Cir, Suite 360, Sterling, VA 20166-6580 | 2007-05-18 |
| 1861605990 | Debra Hope Bowman | Obstetrics & Gynecology | 101 E Miller Rd, Sterling, IL 61081-1252 | 2007-05-07 |
| 1780764696 | Frank Tugwell | Obstetrics & Gynecology | 101 E Miller Rd, Sterling, IL 61081-1252 | 2006-10-16 |
| 1588752877 | Jeffrey Lemay | Obstetrics & Gynecology | 101 E Miller Rd, Sterling, IL 61081-1252 | 2006-10-11 |
| 1548270937 | Women Health of Logan County, PC | Obstetrics & Gynecology | 1405 S 8th Ave, Suite 105, Sterling, CO 80751-4563 | 2006-08-08 |
| 1720018666 | Virginia Gynecologists, Ltd | Obstetrics & Gynecology | 2 Pidgeon Hill Dr, Sterling, VA 20165-6145 | 2006-07-04 |
| Find all providers in STERLING | ||||
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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.