Loudoun ENT & Allergy

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

0101238286 Issued in VA

Legal business name

LOUDOUN ENT & ALLERGY

Practice address

19455 Deerfield Ave
Suite 312
Lansdowne, VA 20176-8446

Phone

(703) 858-0303

NPI assigned

Jun 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sumeet Mathur, MDNPI 1609864115

Title

President

Phone

(703) 858-0303

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sumeet Mathur, MD

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Johnstown, PA
  • NPI 1609864115
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013951326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "SUITE 312",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768446",
            "telephone_number": "703-858-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE",
            "address_2": "SUITE 312",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768446",
            "telephone_number": "703-858-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN ENT & ALLERGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHUR",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-858-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "VA",
            "license": "0101238286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609864115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lmcwellness (Loudoun Medical Care & Wellness)
• Loudoun Cardiovascular Specialists, PLLC
• Loudoun Community Pharmacy LLC (Loudoun Community Pharmacy)
• Loudoun Counseling, LLC
• Loudoun Endoscopy Group, LLC
• Loudoun Family Medicine LLC
• Loudoun Family Medicine, P.C.
• Loudoun Internal and Lifestyle Medicine LLC
• Loudoun Medical Care PC
• Loudoun Medical Group, PC (LMG Imaging Center)

• Facial Plastic Surgery Physician in Lansdowne, VA
• Providers in Lansdowne, VA by specialty
• Facial Plastic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.