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Loudoun Medical Group, PC

Organization Active NPI Orthopaedic Surgery of the Spine Physician · Dulles, VA

NPI 1447916366 · NPPES record last updated Nov 14, 2023

Key facts

NPI
1447916366
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery of the Spine Physician 207XS0117X
Legal business name
LOUDOUN MEDICAL GROUP, PC
Practice address
24430 Stone Springs Blvd., Suite 100
Dulles, VA 20166-2269
Phone
(703) 723-6774
Fax
(703) 723-1494
NPI assigned
Nov 15, 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
Orthopaedic Surgery of the Spine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207XS0117X Yes

Addresses

Primary practice location

24430 Stone Springs Blvd., Suite 100
Dulles, VA 20166-2269

Mailing address

224-D Cornwall St., NW
Suite 403
Leesburg, VA 20176-2704
Phone (571) 707-2048

Other names

  • Orthopaedic & Spine Surgery Institute Doing business as

Other providers in Dulles, VA

All providers in Dulles, VA · Orthopaedic Surgery of the Spine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.