LOUDOUN MEDICAL GROUP PC (NPI# 1306277793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306277793 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | ONCOLOGY/HEMATOLOGY OF LOUDOUN AND RESTON |
| Practice Address |
44055 Riverside Pkwy Suite 224 Leesburg VA 20176-5179 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7038583110 |
| Practice Fax Number | 7038583111 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |
| 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 | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oncology/Hematology of Loudoun and Reston | 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 |
44055 RIVERSIDE PKWY SUITE 224 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-5179 |
| 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 |
| 1184174336 | Loudoun Medical Group . P.c | Internal Medicine | 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 | 2016-10-12 |
| 1437525201 | Eastern Cranial Affiliates, LLC | Prosthetic/Orthotic Supplier | 44055 Riverside Pkwy, Suite 106a, Leesburg, VA 20176-5179 | 2015-08-17 |
| 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 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| 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 |
| 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 |
| 1184174336 | Loudoun Medical Group . P.c | Internal Medicine | 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 | 2016-10-12 |
| 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 |
| 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.