LOUDOUN MEDICAL GROUP PC (NPI# 1457475873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457475873 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | LOUDOUN PEDIATRIC ASSOCIATES |
| Practice Address |
19500 Sandridge Way Suite 110 Leesburg VA 20176-3688 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7037237337 |
| Practice Fax Number | 7037238278 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2012-06-20 |
| 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 | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Loudoun Pediatric Associates | 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 |
19500 SANDRIDGE WAY SUITE 110 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063405579 | Corinna Talley Schrankel | Pediatrics | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2005-08-30 |
| 1427449578 | Lauren Smeltz | Physical Therapist | 19500 Sandridge Way, Suite 390, Leesburg, VA 20176-3688 | 2015-02-11 |
| 1245633668 | Michele Wiley | Physical Therapist | 19500 Sandridge Way, Suite 390 Riverside Office Park, Leesburg, VA 20176-3688 | 2014-09-30 |
| 1790100477 | Lansdowne Weightloss & Wellness LLC | Family Medicine | 19500 Sandridge Way, # 170, Leesburg, VA 20176-3688 | 2014-03-04 |
| 1902169220 | Suzanne Coughenour | Physical Therapy Assistant | 19500 Sandridge Way, Suite 230, Leesburg, VA 20176-3688 | 2012-06-21 |
| 1386972198 | Lauren S Bland | Nurse Practitioner | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2009-12-07 |
| 1811158397 | Adrienne Ripken Harmel | Nurse Practitioner | 19500 Sandridge Way, Ste 110, Leesburg, VA 20176-3688 | 2008-06-18 |
| 1790828077 | Lisa Ann Cook | Physician Assistant | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2007-02-15 |
| 1851467310 | Lisa Marie Hutchinson | Pediatrics | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2006-11-28 |
| 1548281421 | Anya Abouzeid Roychoudhury | Pediatrics | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-6821 | 2006-07-23 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073906202 | David O. Elliott M.d.pa | Pediatrics | 1218 W Dixie Ave, Suite B, Leesburg, FL 34748-6380 | 2015-03-12 |
| 1003258666 | Leesburg Pediatrics Pa | Pediatrics | 110 E North Blvd, Leesburg, FL 34748-5241 | 2013-07-24 |
| 1164659934 | Sosun Z. Faqiri | Pediatrics | 161 Fort Evans Road Ne, Suite 330, Leesburg, VA 20176 | 2009-06-18 |
| 1104012590 | Loudoun Medical Group PC | Pediatrics | 722 E Market Street, Suite 202, Leesburg, VA 20176 | 2007-09-19 |
| 1760505135 | Stephanie Sterrett Konkus | Pediatrics | Town Pediatrics, 823 S. King St, Leesburg, VA 20175 | 2007-04-09 |
| 1639251150 | Sandra Joy Groeber | Pediatrics | 823 S King St, F, Leesburg, VA 20175-3915 | 2006-10-20 |
| 1467487959 | Patricia Finn Rappaport | Pediatrics | 823 S King St Ste F, Leesburg, VA 20175-3916 | 2006-07-12 |
| 1063405579 | Corinna Talley Schrankel | Pediatrics | 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-3688 | 2005-08-30 |
| 1306839378 | Maria Magdalena Mena | Pediatrics | 733 North 3rd Street, Leesburg, FL 34748-4441 | 2005-08-25 |
| 1043217003 | William Jeffrey Franks | Pediatrics | 225 N 1st St, Leesburg, FL 34748-5150 | 2005-07-06 |
| 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.