NPIMap

Organization Active NPI

Loudoun Anesthesia/Loudoun Interventional Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Sterling, VA
National Provider Identifier
1629011895
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
LOUDOUN ANESTHESIA/LOUDOUN INTERVENTIONAL PAIN CENTER
Practice address
46161 Westlake Dr
Sterling, VA 20165-5871
Phone
(703) 433-9264
Fax
(703) 433-9248
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Monica Crossan
Title
Practice Administrator
Phone
(703) 433-9252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

46161 Westlake Dr
Sterling, VA 20165-5871

Mailing address

46161 Westlake Dr
Sterling, VA 20165-5871
Phone (703) 433-9264

National Provider Directory

National Provider Directory

Locations

46161 Westlake Dr
Sterling, VA 20165
Phone (703) 433-9264

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629011895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-433-9264",
            "fax_number": "703-433-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46161 WESTLAKE DR",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655871",
            "telephone_number": "703-433-9264",
            "fax_number": "703-433-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN ANESTHESIA/LOUDOUN INTERVENTIONAL PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROSSAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "703-433-9252"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.