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Loudoun Medical Group, PC

Organization Active NPI Surgery Physician · Dulles, VA

NPI 1235895459 · NPPES record last updated Aug 18, 2023

Key facts

NPI
1235895459
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
Legal business name
LOUDOUN MEDICAL GROUP, PC
Practice address
24430 Stone Springs Blvd.
Suite 100
Dulles, VA 20166-2269
Phone
(703) 858-3200
NPI assigned
Nov 11, 2021
Organization subpart
Yes
Parent organization (as reported)
LOUDOUN MEDICAL GROUP, PC

Authorized official

Name
Mary Beth Tamasy
Title
Ceo
Phone
(707) 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.
Suite 100
Dulles, VA 20166-2269

Mailing address

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

Other names

  • Virginia Madey, MD Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 18, 2023.

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1235895459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL STREET NW",
            "address_2": "SUITE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6001",
            "fax_number": "571-291-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 STONE SPRINGS BLVD.",
            "address_2": "SUITE 100",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662269",
            "telephone_number": "703-858-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN MEDICAL GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUDOUN MEDICAL GROUP, PC",
        "enumeration_date": "2021-11-11",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "TAMASY",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-737-6001"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Madey, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Virginia Madey, MD",
            "code": "3",
            "type": "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.