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Loudoun Medical Group, PC

Organization Active NPI Surgery Physician · Dulles, VA

NPI 1285392829 · NPPES record last updated Nov 10, 2023

Key facts

NPI
1285392829
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 215
Dulles, VA 20166-2268
Phone
(703) 858-3200
Fax
(703) 858-3203
NPI assigned
Dec 1, 2021
Organization subpart
Yes
Parent organization (as reported)
LOUDOUN MEDICAL GROUP, PC

Authorized official

Name
Mary Beth Tamasy
Title
Ceo
Phone
(703) 737-6010

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 215
Dulles, VA 20166-2268

Mailing address

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

Other names

  • Daniel L. Meikle, 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.