Loudoun Rheumatology Center, PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

0101234395 Issued in VA

Legal business name

LOUDOUN RHEUMATOLOGY CENTER, PC

Practice address

740 E Main St
Purcellville, VA 20132-3128

Phone

(540) 338-7116

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By 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. Jennifer OdutolaNPI 1750397725

Title

MD

Phone

(703) 723-3398

Specialties & licenses 1

Addresses

Tax ID family

Loudoun Rheumatology Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Loudoun Rheumatology Center, PC

  • Rheumatology Physician
  • Lansdowne, VA
  • NPI 1376748426
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1800/brand/1/csg/1/fhir/r4

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.

• Jennifer Odutola, MD

  • Rheumatology Physician
  • Lansdowne, VA
  • NPI 1750397725
  NPD Authorized official

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1255525895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE",
            "address_2": "SUITE 309",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201761700",
            "telephone_number": "703-723-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 E MAIN ST",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201323128",
            "telephone_number": "540-338-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN RHEUMATOLOGY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "ODUTOLA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "703-723-3398",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101234395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loudoun Medical Group, PC (Loudoun Pediatric Associates)
• Loudoun Medical Group, PC (Loudoun Medical Group PC, 'D')
• Loudoun Medical Group, PC (VMC Urgent Care)
• Loudoun Medical Group, PC (DME)
• Loudoun Medical Group, PC (Loudoun Internal Medicine Associates)
• Debra Jo Loving, RPH
• Luna Sol Chiropractic, LLC
• Gregory Thomas Lutz
• Ashley Elizabeth Maffett
• Magnolia Psychological Services

• Rheumatology Physician in Purcellville, VA
• Providers in Purcellville, VA by specialty
• Rheumatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.