Loudoun Medical Group, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LOUDOUN MEDICAL GROUP, PC

Practice address

19500 Sandridge Way, Suite 450
Leesburg, VA 20176-3467

Phone

(703) 656-9805

Fax

(703) 729-6576

NPI assigned

Oct 22, 2018

Organization subpart

Yes

Parent organization

LOUDOUN MEDICAL GROUP, PCAs reported in NPPES

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

Authorized official

Name

Mary Beth Tamasy

Title

Ceo

Phone

(703) 737-6010

Specialties & licenses 3

Addresses

Other names 1

• LMG Infusion Center- DME Doing business as

Part of

Walter M Obrien MD

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.

• Loudoun Medical Group, PC

  • Internal Medicine Physician
  • Leesburg, VA
  • NPI 1679591440
  NPPES parent name

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1295201895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL STREET, NW, SUITE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 SANDRIDGE WAY, SUITE 450",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763467",
            "telephone_number": "703-656-9805",
            "fax_number": "703-729-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN MEDICAL GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUDOUN MEDICAL GROUP, PC",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "TAMASY",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-737-6010"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMG Infusion Center- DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC
• Loudoun Medical Group, PC

• All providers in Leesburg, VA
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.