LOUDOUN MEDICAL GROUP PC (NPI# 1366566788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366566788 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | LOUDOUN MEDICAL GROUP IMMEDIATE CARE CENTER |
| Practice Address |
46440 Benedict Dr Suite 107 Sterling VA 20164-6602 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7034501125 |
| Practice Fax Number | 7034501145 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2013-05-23 |
| 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 | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RR MEDICARE PIN | CG8678 | 01 |
| Other Name | Type Code |
|---|---|
| Loudoun Medical Group Immediate Care Center | 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 |
46440 BENEDICT DR SUITE 107 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528060787 | Thomas P Mcgorry | Pediatrics | 46440 Benedict Dr, Ste 206, Sterling, VA 20164-6602 | 2005-06-01 |
| 1861934234 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-11-16 |
| 1043752413 | American Current Care Pa | Clinic/Center | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-11-16 |
| 1104371731 | E R Hughes Enterprises Inc | Dentist | 46440 Benedict Dr, # 201, Sterling, VA 20164-6602 | 2016-08-24 |
| 1750735544 | Loudoun Medical Group PC | Physical Therapist | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-04-18 |
| 1417317553 | Capital Diagnostic Laboratory LLC | Clinical Medical Laboratory | 46440 Benedict Dr, Suite 104, Sterling, VA 20164-6602 | 2016-03-02 |
| 1275929564 | Digitrace Care Services, Inc. | Clinic/Center | 46440 Benedict Dr, Suite 103, Sterling, VA 20164 | 2015-04-13 |
| 1518202001 | Yi Zhang | Nurse Practitioner | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 | 2012-12-10 |
| 1275842387 | Loudoun Community Health Center | Clinic/Center | 46440 Benedict Dr, Suite 208, Sterling, VA 20164-6602 | 2010-10-07 |
| 1356670541 | Erin Elizabeth Collier | Nurse Practitioner | 46440 Benedict Dr, Suite 107, Sterling, VA 20164-6602 | 2009-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417227083 | Chs Virginia Medical P C | Clinic/Center | 22980 Indian Creek Dr Ste 300, Sterling, VA 20166 | 2012-01-12 |
| 1619150778 | American Current Care, Pa. | Clinic/Center | 45305 Catalina Court, Sterling, VA 20166 | 2007-12-12 |
| 1033638739 | Loudoun Medical Group, P.C. | Clinic/Center | 46440 Benedict Dr Ste 107, Sterling, VA 20164-6602 | 2017-09-13 |
| 1043752413 | American Current Care Pa | Clinic/Center | 46440 Benedict Dr, Suite 108, Sterling, VA 20164-6602 | 2016-11-16 |
| 1548702616 | Northern Virginia Carenow Urgent Care, LLC | Clinic/Center | 46200 Potomac Run Plz, Sterling, VA 20164-6622 | 2016-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200764 | Total Healthcare | Clinic/Center | 2202 Daniels Creek Rd, Collinsville, VA 24078-1370 | 2020-09-16 |
| 1487284717 | Xcel Urgent Care LLC | Clinic/Center | 3517 S Jefferson St, Falls Church, VA 22041-3106 | 2020-01-27 |
| 1003446402 | Mwhc Urgent Care LLC | Clinic/Center | 10 Stafford Lakes Parkway, Stafford, VA 22406 | 2020-01-24 |
| 1942857297 | Quiet Heartbeat LLC | Clinic/Center | 101 King Arthurs Way Apt 203, Fredericksburg, VA 22406-6421 | 2019-08-21 |
| 1467914994 | Velocity Urgent Care, LLC | Clinic/Center | 7394 Harbour Towne Pkwy Ste 5, Suffolk, VA 23435-3473 | 2019-04-03 |
| 1710448022 | Shifa Health LLC | Clinic/Center | 9 Center St Ste 101, Stafford, VA 22556-8910 | 2019-03-28 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1104394766 | Ortho Oic Orthopaedic Immediate Care, LLC | Clinic/Center | 1701 Clarendon Blvd Ste 120, Arlington, VA 22209-4800 | 2018-11-12 |
| 1043795941 | Velocity Urgent Care, LLC | Clinic/Center | 2180 General Booth Blvd Ste F, Virginia Beach, VA 23454-5804 | 2018-09-27 |
| 1174005920 | Velocity Urgent Care, LLC | Clinic/Center | 1001 Centerbrooke Ln Ste 100, Suffolk, VA 23434-8663 | 2018-08-29 |
| Find all providers with the same taxonomy | ||||
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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.