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Loudoun Medical Group, PC

Organization Active NPI Surgery Physician · Dulles, VA

NPI 1194495093 · NPPES record last updated Aug 18, 2023

Key facts

NPI
1194495093
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
LOUDOUN MEDICAL GROUP, PC
Practice address
24430 Stone Springs Blvd Unit 100
Dulles, VA 20166-2269
Phone
(703) 858-3200
Fax
(703) 858-3203
NPI assigned
Sep 14, 2021
Organization subpart
Yes
Parent organization (as reported)
LOUDOUN MEDICAL GROUP, PC

Authorized official

Name
Mary Beth Tamasy
Title
Ceo
Phone
(703) 737-6001

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Walter M Obrien MD (305 organizations share this tax ID)
Part of
Walter M Obrien MD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X Yes

Addresses

Primary practice location

24430 Stone Springs Blvd Unit 100
Dulles, VA 20166-2269

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6001

Other names

  • James A. Lesniewski, MD Doing business as

Other providers in Dulles, VA

All providers in Dulles, VA · Surgery Physician in Virginia

Sources for this page

Verify at the official NPI Registry.