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Loudoun Medical Group, PC

Organization Active NPI Foot & Ankle Surgery Podiatrist · Annandale, VA

NPI 1659945541 · NPPES record last updated Sep 16, 2022

Key facts

NPI
1659945541
Entity type
Organization (NPI type 2)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
Legal business name
LOUDOUN MEDICAL GROUP, PC
Practice address
7023 Little River Turnpike, Suite 207
Annandale, VA 22003-5939
Phone
(703) 379-0700
Fax
(703) 941-6963
NPI assigned
May 17, 2021
Organization subpart
Yes
Parent organization (as reported)
LOUDOUN MEDICAL GROUP . P.C

Authorized official

Name
Mary Beth Tamasy
Title
Ceo
Phone
(703) 737-6001

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
Foot & Ankle Surgery Podiatrist
Group: 193200000X MULTI-SPECIALTY GROUP		 213ES0103X Yes

Addresses

Primary practice location

7023 Little River Turnpike, Suite 207
Annandale, VA 22003-5939

Mailing address

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2704
Phone (703) 737-6001

Other names

  • Alexandria Podiatry Associates Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 16, 2022.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1659945541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 LITTLE RIVER TURNPIKE, SUITE 207",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035939",
            "telephone_number": "703-379-0700",
            "fax_number": "703-941-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN MEDICAL GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUDOUN MEDICAL GROUP . P.C",
        "enumeration_date": "2021-05-17",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "TAMASY",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-737-6001"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexandria Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alexandria Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annandale, VA

All providers in Annandale, VA · Foot & Ankle Surgery Podiatrist in Virginia

Sources for this page

Verify at the official NPI Registry.