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Loudoun Medical Group, PC

Organization Active NPI Specialist · Dulles, VA

NPI 1477096352 · NPPES record last updated Aug 18, 2023

Key facts

NPI
1477096352
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
Legal business name
LOUDOUN MEDICAL GROUP, PC
Practice address
24430 Stone Springs Blvd
Suite 100
Dulles, VA 20166-2247
Phone
(703) 723-3398
Fax
(703) 723-7464
NPI assigned
Nov 28, 2016
Organization subpart
Yes
Parent organization (as reported)
LOUDOUN MEDICAL GROUP, PC

Authorized official

Name
Mary Beth Tamasy
Title
Ceo
Phone
(703) 737-6012

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
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 174400000X Yes

Addresses

Primary practice location

24430 Stone Springs Blvd
Suite 100
Dulles, VA 20166-2247

Mailing address

224D Cornwall St NW
Suite 403
Leesburg, VA 20176-2700
Phone (703) 737-6012

Other names

  • Loudoun Rheumatology Center Doing business as

Other providers in Dulles, VA

All providers in Dulles, VA · Specialist in Virginia

Sources for this page

Verify at the official NPI Registry.