LOUDOUN MEDICAL GROUP PC


Address: 19465 Deerfield Ave, Suite 301, Leesburg, VA 20176-1701
Phone: 7032935242

LOUDOUN MEDICAL GROUP PC (NPI# 1255787099) 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) 1255787099
Entity Type Organization
Organization Name LOUDOUN MEDICAL GROUP PC
Other Organization Name NEVEN A. UJEVIC, MD
Practice Address 19465 Deerfield Ave
Suite 301
Leesburg
VA 20176-1701
Mailing Address Po Box 17334
Baltimore
MD 21297-1334
Practice Telephone 7032935242
Mailing Telephone 7034436717
Mailing Fax Number 7034438643
Enumeration Date 2016-05-11
Last Update Date 2016-05-11
Authorized Official Name MARY BETH TAMASY (CEO)
Authorized Official Telephone 7037376010
Is Organization Subpart Y
Parent Organization Name LOUDOUN MEDICAL GROUP PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Neven A. Ujevic, MD Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 19465 DEERFIELD AVE
SUITE 301
City LEESBURG
State VA
Zip Code 20176-1701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306830179 Virginia Marie Hackenberg Obstetrics & Gynecology 19465 Deerfield Ave, Suite 205, Leesburg, VA 20176-1701 2005-09-07
1164809414 Loudoun Medical Group PC Allergy & Immunology 19465 Deerfield Ave, Suite 301, Leesburg, VA 20176-1701 2015-05-06
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
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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 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1033679063 Warren Joseph Marion Internal Medicine 38483 Forest Mills Rd, Leesburg, VA 20175 2019-03-25
1881197903 Physician Associates LLC Internal Medicine 22316 Us Highway 27, Leesburg, FL 34748 2018-03-15
1124472873 Adam Hines Internal Medicine 22381 Aging Oak Dr, Leesburg, VA 20175-4836 2016-04-19
1154714301 Mid-atlantic Health Service Providers Internal Medicine 43713 Red House Dr, Leesburg, VA 20176-1628 2015-03-12
1104251370 Mid-florida Primary Care Pa Internal Medicine 501 North Blvd West, Leesburg, FL 34748 2013-09-06
1013359975 Lake Internal Medicine Pa Internal Medicine 293 Bent Oak Ct, Leesburg, FL 34748-9559 2013-07-20
1699069898 Sepehr Mesdaghinia Internal Medicine 821 S King St Ste L, Leesburg, VA 20175-3922 2011-06-06
1003115098 Amir Hesam Etemadnia Internal Medicine 1004 N 14th St, Leesburg, FL 34748-3850 2011-03-16
1518285139 Sheyla Zelaya-aragon Internal Medicine 33049 Professional Dr Ste 103, Leesburg, FL 34788-3705 2010-05-06
1073845459 Shakti Narain Md Pa Internal Medicine 1070 Flagler Ave, Leesburg, FL 34748-7633 2010-02-09
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Competitor

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City LEESBURG
Zip Code 20176

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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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