LOUDOUN MEDICAL GROUP PC (NPI# 1225460504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225460504 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | LOUDOUN COMMUNITY MIDWIVES |
| Practice Address |
43300 Southern Walk Plz Suite 100 Broadlands VA 20148-4463 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7037261300 |
| Practice Fax Number | 7037269612 |
| 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 | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Loudoun Community Midwives | 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 |
43300 SOUTHERN WALK PLZ SUITE 100 |
| City | BROADLANDS |
| State | VA |
| Zip Code | 20148-4463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610594 | Rachel R Colquitt | Nurse Practitioner | 43300 Southern Walk Plz, Suite 100, Broadlands, VA 20148-4463 | 2005-09-21 |
| 1447537568 | Aleena Desai | Pharmacist | 43300 Southern Walk Plz, Broadlands, VA 20148-4463 | 2011-11-03 |
| 1184915597 | Loudoun Medical Group PC | Family Medicine | 43300 Southern Walk Plz, Suite 100, Broadlands, VA 20148-4463 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902447550 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 23684 Strickland Drive, Ashburn, VA 20148 | 2019-10-04 |
| 1932760196 | Gino Vc, Dds, Pllc | Clinic/Center | 22420 Flagstaff Plaza, Suite 150, Ashburn, VA 20148 | 2019-06-27 |
| 1396241907 | Shawnda Williams Saul | Speech-Language Pathologist | 2100 Education Court, Ashburn, VA 20148 | 2018-04-03 |
| 1558879973 | Gianfranco Acevedo | Non-emergency Medical Transport (VAN) | 22535 Welborne Manor Sq, Ashburn, VA 20148 | 2018-01-19 |
| 1255855797 | Juan Pablo Duran | Physical Therapist | 42365 Soave Dr Ste 200, Brambleton, VA 20148 | 2017-07-26 |
| 1972918670 | Ashley Passarelli | Speech-Language Pathologist | 21000 Education Ct., Ashburn, VA 20148 | 2014-06-23 |
| 1326396474 | Mary Elizabeth Creagh | Speech-Language Pathologist | 21000 Education Court, Ashburn, VA 20148 | 2012-08-21 |
| 1770838971 | Harris Teeter LLC | Pharmacy | 43315 Crandall Square, Ashburn, VA 20148 | 2012-07-13 |
| 1326308834 | Shilpa Arimanda | Physical Therapist | 43356 Barnstead Dr, Ashburn, VA 20148 | 2012-05-18 |
| 1760750988 | Minhhieu Nguyen | Pharmacist | 43776 Maison Blanc Square, Ashburn, VA 20148 | 2011-12-02 |
| Find all providers in zip 20148 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527140 | Leah Suzanne Choate | Advanced Practice Midwife | 2048 Cross County Rd, Mineral, VA 23117-2519 | 2020-10-28 |
| 1770199978 | Rachael Leffler Freeman | Advanced Practice Midwife | 1011 Care Way Ste 200, Fredericksburg, VA 22401-8439 | 2020-09-22 |
| 1194340869 | Stephenia Marie Deloglos | Advanced Practice Midwife | 7603 Forest Ave Ste 207, Richmond, VA 23229-4937 | 2020-06-09 |
| 1174147722 | Emma Navarro Gupta | Advanced Practice Midwife | 4604 Spotsylvania Pkwy Ste 225, Fredericksburg, VA 22408-7765 | 2020-05-29 |
| 1932734316 | Aaron Matthew Diestel | Advanced Practice Midwife | 420 Cobblestone Dr Apt 109, Fredericksburg, VA 22401-6675 | 2020-03-06 |
| 1144880600 | Julie Anne Flanagan | Advanced Practice Midwife | 1101 Sam Perry Blvd Ste 401, Fredericksburg, VA 22401-4466 | 2019-06-17 |
| 1750875498 | Pauline D Thompson | Advanced Practice Midwife | 4604 Spotsylvania Pkwy Ste 310, Fredericksburg, VA 22408-7766 | 2018-06-16 |
| 1972028199 | Stephanie Creighton Barrett | Advanced Practice Midwife | 3803 Fairfax Dr Ste 500, Arlington, VA 22203-5861 | 2017-08-09 |
| 1265955728 | Casey Lynette Morrow | Advanced Practice Midwife | 1850 Town Center Pkwy Ste 650, Reston, VA 20190-3300 | 2017-07-17 |
| 1295285666 | Robin Jennifer Pass Tucker | Advanced Practice Midwife | 44055 Riverside Pkwy Ste 234, Leesburg, VA 20176-5177 | 2016-10-10 |
| Find all providers with the same taxonomy | ||||
| City | BROADLANDS |
| Zip Code | 20148 |
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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.