Loudoun Medical Group, PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

LOUDOUN MEDICAL GROUP, PC

Practice address

19440 Golf Vista Plaza
Suite 120
Leesburg, VA 20176-8264

Phone

(703) 858-7887

Fax

(703) 858-7453

NPI assigned

Mar 22, 2022

Organization subpart

Yes

Parent organization

LOUDOUN MEDICAL GROUP, PCAs reported in NPPES

Name

Mary Beth Tamasy

Title

Ceo

Phone

(703) 737-6010

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Loudoun Medical Group, PC

  • Internal Medicine Physician
  • Leesburg, VA
  • NPI 1679591440
  NPPES parent name

Part of

Walter M Obrien MD

• Lansdowne Foot & Ankle Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 21, 2022.

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1700535291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224-D CORNWALL STREET, NW",
            "address_2": "SUITE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766010",
            "telephone_number": "703-737-6010",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19440 GOLF VISTA PLAZA",
            "address_2": "SUITE 120",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768264",
            "telephone_number": "703-858-7887",
            "fax_number": "703-858-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDOUN MEDICAL GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOUDOUN MEDICAL GROUP, PC",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "TAMASY",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-737-6010"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lansdowne Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lansdowne Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Leesburg, VA
• Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.