LOUDOUN MEDICAL GROUP PC (NPI# 1164809414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164809414 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | FAMILY ALLERGY AND ASTHMA ASSOCIATES |
| Practice Address |
19465 Deerfield Ave Suite 301 Leesburg VA 20176-1701 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7034447234 |
| Practice Fax Number | 7034447201 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| 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 | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Allergy and Asthma 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 |
19465 DEERFIELD AVE SUITE 301 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306830179 | Virginia Marie Hackenberg | Obstetrics & Gynecology | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2005-09-07 |
| 1255787099 | Loudoun Medical Group PC | Internal Medicine | 19465 Deerfield Ave, Suite 301, Leesburg, VA 20176-1701 | 2016-05-11 |
| 1467873067 | Kimberly Anne Gregory | Advanced Practice Midwife | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2013-12-27 |
| 1083035893 | Heather K Swartz | Advanced Practice Midwife | 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 | 2013-12-20 |
| 1215358155 | Loudoun Medical Group PC | Physical Therapist | 19465 Deerfield Ave, Suite 207, Leesburg, VA 20176-1701 | 2013-12-19 |
| 1578803490 | Sara R Scott | Physical Therapist | 19465 Deerfield Ave, Leesburg, VA 20176-1701 | 2013-03-01 |
| 1801136635 | Loudoun Medical Group PC | Internal Medicine | 19465 Deerfield Ave, Suite 309, Leesburg, VA 20176-1701 | 2013-02-14 |
| 1922347236 | Vishakha Nabar | Physical Therapist | 19465 Deerfield Ave, Suite 208, Leesburg, VA 20176-1701 | 2013-02-06 |
| 1346529773 | Natalie Buller Miller | Speech-Language Pathologist | 19465 Deerfield Ave, #201, Leesburg, VA 20176-1701 | 2011-08-16 |
| 1134427453 | Orthopaedic & Spine Surgery Institute Pllc | Orthopaedic Surgery | 19465 Deerfield Ave, Suite 207 & 307, Leesburg, VA 20176-1701 | 2011-03-10 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629045729 | Behnam Daghigh | Allergy & Immunology | 44125 Woodridge Pkwy, Suite 180, Leesburg, VA 20176-6839 | 2006-03-07 |
| 1194795807 | Thomas J Shen | Allergy & Immunology | 8245 County Road 44 Leg A, Suite 1, Leesburg, FL 34788-3751 | 2006-01-25 |
| 1992988844 | Anupama Reddy Padi | Allergy & Immunology | 19465 Deerfield Ave, #101, Leesburg, VA 20176-1701 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954764 | Premier Allergy and Asthma Centers, LLC | Allergy & Immunology | 8100 Ashton Ave Ste 207b, Manassas, VA 20109-5688 | 2020-05-19 |
| 1437630241 | Allergy Partners, Pllc | Allergy & Immunology | 100 Elden St Ste 10, Herndon, VA 20170-4833 | 2018-08-29 |
| 1780053587 | Allergy Partners, Pllc | Allergy & Immunology | 8136 Old Keene Mill Rd Ste A309, Springfield, VA 22152-1853 | 2015-09-22 |
| 1194130294 | Farah Nawaz Khan | Allergy & Immunology | 311 Maple Ave W Ste H, Vienna, VA 22180-4309 | 2014-06-26 |
| 1033470091 | Shahab S Virani | Allergy & Immunology | 1300 Thornton St Ste 200, Fredericksburg, VA 22401-4654 | 2012-06-06 |
| 1235414681 | Ahmad Hamad | Allergy & Immunology | 8233 Old Courthouse Rd Ste 230, Vienna, VA 22182 | 2011-10-17 |
| 1124358486 | Mehmet Eragan, Md | Allergy & Immunology | 3522 Pinetree Ter, Falls Church, VA 22041-1418 | 2010-01-10 |
| 1982869897 | Erin J Klaffky | Allergy & Immunology | 1415 Rolkin Ct Ste 102, Charlottesville, VA 22911-3643 | 2008-07-21 |
| 1114184967 | Karen Robbins | Allergy & Immunology | 1360 Beverly Rd Ste 103, Mc Lean, VA 22101-3621 | 2008-05-20 |
| 1356516546 | Ananth Thyagarajan | Allergy & Immunology | 5210a Lyngate Ct, Burke, VA 22015-4697 | 2008-04-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LOUDOUN MEDICAL GROUP PC.
| 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.