LOUDOUN MEDICAL GROUP PC (NPI# 1124450408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124450408 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | NEUROLOGY ASSOCIATES |
| Practice Address |
19455 Deerfield Ave Suite 310 Leesburg VA 20176-8100 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7037266393 |
| Practice Fax Number | 7037266394 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |
| Authorized Official Name | MARY BETH TAMASY (CEO) |
| Authorized Official Telephone | 7037376010 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDOUN MEDICAL GROUP PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Neurology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891217857 | Loudoun Medical Group PC | Obstetrics & Gynecology | 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 | 2017-07-12 |
| 1487107587 | Loudoun Medical Group PC | Specialist | 6355 Walker Ln Ste 303, Suite 303, Alexandria, VA 22310-3247 | 2016-07-26 |
| 1184077976 | Loudoun Medical Group PC | Ophthalmology | 1901 N Beauregard St, Suite 100, Alexandria, VA 22311-1738 | 2016-07-18 |
| 1659728889 | Loudoun Medical Group PC | Urology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-05-18 |
| 1285093070 | Loudoun Medical Group PC | Obstetrics & Gynecology | 8292 Old Courthouse Rd, Suite C, Vienna, VA 22182-3834 | 2016-02-22 |
| 1841658499 | Loudoun Medical Group PC | Internal Medicine | 10200 Colvin Run Rd, Suite 326, Great Falls, VA 22066-1830 | 2016-02-10 |
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1285021345 | Loudoun Medical Group PC | Ophthalmology | 8751 Sudley Rd, 2nd Floor, Manassas, VA 20110-8319 | 2015-04-16 |
| 1821409590 | Loudoun Medical Group PC | Internal Medicine | 3687 Fettler Park Dr, Dumfries, VA 22025-2049 | 2014-05-15 |
| 1134530900 | Loudoun Medical Group PC | Internal Medicine | 4897 Prince William Pkwy, Suite C 102, Woodbridge, VA 22192-5432 | 2014-05-15 |
| Street Address |
19455 DEERFIELD AVE SUITE 310 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518412477 | Britton Schaeufele | Specialist/Technologist | 19455 Deerfield Ave, #312, Leesburg, VA 20176-8100 | 2016-08-22 |
| 1700274008 | On Point Pathology LLC | Clinical Medical Laboratory | 19455 Deerfield Ave, Suite #202, Leesburg, VA 20176 | 2015-01-08 |
| 1407100308 | Colleen Nappi | Specialist | 19455 Deerfield Ave, Suite 201, Leesburg, VA 20176-8100 | 2012-10-31 |
| 1730330374 | Loudoun Medical Group PC | Obstetrics & Gynecology | 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176 | 2008-10-01 |
| 1699972406 | Dermatology Center of Loudoun, Plc | Dermatology | 19455 Deerfield Ave, Suite 311, Leesburg, VA 20176-8100 | 2007-06-27 |
| 1619178464 | Loudoun Obgyn, P.C. | Specialist | 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8446 | 2007-05-30 |
| 1467581504 | Jennifer M Hickman | Obstetrics & Gynecology | 19455 Deerfield Ave, Suite 204, Leesburg, VA 20176-8100 | 2007-03-05 |
| 1992869861 | Jahanbakhsh Naghshin | Internal Medicine | 19455 Deerfield Ave, Suite 206, Leesburg, VA 20176-8102 | 2006-12-21 |
| 1730268343 | Colon, Stomach and Liver Center, LLC | Internal Medicine | 19455 Deerfield Ave, Suite 201, Leesburg, VA 20176-8446 | 2006-11-03 |
| 1053491704 | Elisabeth Ann Fox | Otolaryngology | 19455 Deerfield Ave, Suite 301, Leesburg, VA 20176 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154651693 | Lake County Neurology, Pa | Psychiatry & Neurology | 9800 Us Highway 441, Suite 106, Leesburg, FL 34788-3975 | 2010-01-06 |
| 1942497235 | Seth Mitchell Tuwiner | Psychiatry & Neurology | 19490 Sandridge Way Ste 260, Leesburg, VA 20176-3469 | 2007-10-01 |
| 1255376778 | Kenneth A. Henschel | Psychiatry & Neurology | 10123 Us Highway 441, Leesburg, FL 34788 | 2006-06-18 |
| 1841264413 | Marc I Raphaelson | Psychiatry & Neurology | 525k East Market St, Leesburg, VA 20176 | 2006-02-13 |
| 1285605865 | Parminder S Chawla | Psychiatry & Neurology | 19420 Golf Vista Plz, Suite 340, Leesburg, VA 20176-8265 | 2006-01-31 |
| 1598741092 | Pedro L Geliga | Psychiatry & Neurology | 601 Medical Plaza Dr, Leesburg, FL 34748-7311 | 2005-12-16 |
| 1003371378 | Kenneth Henschel, Md, LLC | Psychiatry & Neurology | 10123 Us Highway 441, Leesburg, FL 34788-3952 | 2019-01-31 |
| 1821562406 | Neurological Specialists of Central Florida, LLC | Psychiatry & Neurology | 2500 Citrus Blvd, Leesburg, FL 34748-3063 | 2019-01-16 |
| 1588025027 | Loudoun Medical Group PC | Psychiatry & Neurology | 19490 Sandridge Way, Suite 260, Leesburg, VA 20176-3465 | 2016-03-11 |
| 1790053171 | Loudoun Medical Group PC | Psychiatry & Neurology | 19450 Deerfield Ave, Suite 175, Leesburg, VA 20176-6820 | 2011-12-13 |
| Find all providers in LEESBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.