LOUDOUN MEDICAL GROUP . P.C


Address: 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179
Phone: 7038583110

LOUDOUN MEDICAL GROUP . P.C (NPI# 1184174336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184174336
Entity Type Organization
Organization Name LOUDOUN MEDICAL GROUP . P.C
Other Organization Name ONCOLOGY /HEMATOLOGY OF LOUDOUN AND RESTON
Practice Address 44055 Riverside Pkwy
Suite 224
Leesburg
VA 20176-5179
Mailing Address 224d Cornwall St Nw
Suite 224
Leesburg
VA 20176-2700
Practice Telephone 7038583110
Practice Fax Number 7038583111
Mailing Telephone 7037376012
Enumeration Date 2016-10-12
Last Update Date 2016-12-21
Authorized Official Name MARY BETH TAMASY (CEO)
Authorized Official Telephone 7037376012
Is Organization Subpart Y
Parent Organization Name LOUDOUN MEDICAL GROUP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Oncology /Hematology of Loudoun and Reston Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992318067 Loudoun Medical Group . P.c Orthopaedic Surgery 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 2020-08-28
1093324378 Loudoun Medical Group . P.c Orthopaedic Surgery 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 2020-07-23
1285242867 Loudoun Medical Group . P.c Orthopaedic Surgery 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 2020-07-20
1750999892 Loudoun Medical Group . P.c Orthopaedic Surgery 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 2020-07-15
1093339764 Loudoun Medical Group . P.c Internal Medicine 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 2020-05-29
1528691839 Loudoun Medical Group . P.c Internal Medicine 5901 Kingstowne Village Pkwy Ste 101, Alexandria, VA 22315-5881 2020-02-14
1760029904 Loudoun Medical Group . P.c Dermatology 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 2019-12-06
1679024418 Loudoun Medical Group . P.c Family Medicine 20 Town Sq, Suite 180, Lovettsville, VA 20180-8555 2016-10-17
1801408109 Loudoun Medical Group . P.c Podiatrist 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 2020-08-18
1386255602 Loudoun Medical Group . P.c Podiatrist 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 2020-08-11

Office Location

Street Address 44055 RIVERSIDE PKWY
SUITE 224
City LEESBURG
State VA
Zip Code 20176-5179

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437141173 Chauncey C Stokes IIi Obstetrics & Gynecology 44055 Riverside Pkwy, Suite 220, Leesburg, VA 20176-5179 2005-08-18
1033769906 Sun Mi Cho Nurse Practitioner 44055 Riverside Pkwy, Suite 226, Leesburg, VA 20176 2019-09-12
1437525201 Eastern Cranial Affiliates, LLC Prosthetic/Orthotic Supplier 44055 Riverside Pkwy, Suite 106a, Leesburg, VA 20176-5179 2015-08-17
1306277793 Loudoun Medical Group PC Internal Medicine 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 2013-12-10
1164778932 Loudoun Medical Group PC Internal Medicine 44055 Riverside Pkwy, Suite 226, Leesburg, VA 20176-5179 2012-07-31
1881974939 Valerie Sherman Oare Nurse Practitioner 44055 Riverside Pkwy, Suite 110, Leesburg, VA 20176-5179 2011-08-21
1801182878 Janee Mao Leong Obstetrics & Gynecology 44055 Riverside Pkwy, Leesburg, VA 20176 2011-06-28
1144558768 Nehal Jain Physical Therapist 44055 Riverside Pkwy, 118, Leesburg, VA 20176-5179 2009-11-19
1740419613 The Critical Care Company Plc Specialist 44055 Riverside Pkwy, Leesburg, VA 20176-5179 2009-07-13
1538312855 Mary Katherine Pilgrim Nurse Practitioner 44055 Riverside Pkwy, Suite 234, Leesburg, VA 20176-5179 2008-10-30
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093339764 Loudoun Medical Group . P.c Internal Medicine 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 2020-05-29
1881627966 Sandeep Kumar Thaper Internal Medicine 601 E Dixie Ave Ste 1001, Leesburg, FL 34748-7309 2006-07-09
1093747560 Lake Cancer Medical Center Pa Internal Medicine 732 North Third Street, Leesburg, FL 34748 2006-07-07
1295716645 Rambabu Tummala Internal Medicine 9832 Us Hwy 441, Suite 101, Leesburg, FL 34788 2005-11-10
1275514622 Cancer Centers of Central Florida Pa Internal Medicine 9832 Us Highway 441, Ste 101, Leesburg, FL 34788-3966 2005-11-10
1356332506 Maen A Hussein Internal Medicine 110 North Boulevard East, Leesburg, FL 34748-5241 2005-11-04
1962499111 Christopher T Soprenuk Internal Medicine 9846 Us Highway 441, Leesburg, FL 34788-3910 2005-10-03
1306277793 Loudoun Medical Group PC Internal Medicine 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 2013-12-10
1699909093 Mei-hwa Rose Firestone Internal Medicine 19490 Sandridge Way Ste 240, Leesburg, VA 20176-3467 2009-05-13
1215006432 Central Florida Hematology and Oncology Internal Medicine 601 E Dixie Ave Ste 1001, Leesburg, FL 34748-7309 2006-11-06
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Competitor

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City LEESBURG
Zip Code 20176

Improve Information

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Dataset Information

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.

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