Loudoun Medical Group, PC
Organization Active NPI Obstetrics & Gynecology Physician · Dulles, VA
NPI 1457093973 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1457093973
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- LOUDOUN MEDICAL GROUP, PC
- Practice address
- 24430 Stone Springs Blvd, Suite 100
Dulles, VA 20166-2269 - Phone
- (703) 437-0001
- Fax
- (703) 787-5739
- NPI assigned
- Apr 13, 2022
- 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
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Walter M Obrien MD
- Part of
- Walter M Obrien MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
24430 Stone Springs Blvd, Suite 100
Dulles, VA 20166-2269
Mailing address
224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176
Phone (703) 737-6010
Other names
- All About Women OB/GYN
Other providers in Dulles, VA
- 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 Dulles, VA · Obstetrics & Gynecology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.