Loudoun Medical Group PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LOUDOUN MEDICAL GROUP PC

Doing business as

Prince William Foot & Ankle Center, PC

Practice address

7430 Heritage Village Plaza
Suite 101
Gainesville, VA 20155

Phone

(703) 753-3338

Fax

(703) 753-7870

NPI assigned

Aug 23, 2006

Last updated

Jul 31, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

LOUDOUN MEDICAL GROUP, P.C.As reported in NPPES

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

Authorized official

Name

Mukesh D. Bhakta, DPMNPI 1326152976

Title

President

Phone

(703) 753-3338

Specialties & licenses 1

Addresses

Other names 1

• Prince William Foot & Ankle Center, PC Doing business as

Part of

John M Archer MD

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.

• Mukesh D. Bhakta, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Gainesville, VA
  • NPI 1326152976
  Authorized official Same address or phone

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1184731796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 HERITAGE VILLAGE PLZ",
            "address_2": "SUITE 101",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553088",
            "telephone_number": "703-753-3338",
            "fax_number": "703-753-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 HERITAGE VILLAGE PLAZA",
            "address_2": "SUITE 101",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-753-3338",
            "fax_number": "703-753-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN MEDICAL GROUP PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUDOUN MEDICAL GROUP, P.C.",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-753-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prince William Foot & Ankle Center, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Siracuse Loewer, DPT
• Amadeus Sebastian Lopez, D.D.S.
• Allison A Lorete, MSN, FNP-BC
• Lorraine Schooner PH.D. LLC
• Megan Loudermilk
• Loudoun Medical Group, PC (Prince William Foot and Ankle Center)
• Loudoun Medical Group, PC (Family Allergy Center)
• Loudoun Medical Group, PC (Loudoun Medical Group)
• Loudoun Medical Group, PC (Physicians Premiere Weight and Wellness Center)
• Loudoun Medical Group, PC (DME)

• Podiatrist in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.