LOUDOUN MEDICAL GROUP PC (NPI# 1568734390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568734390 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | LOUDOUN INTERNAL MEDICINE ASSOCIATES |
| Practice Address |
921 E Main St Suite 2d Purcellville VA 20132-3133 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7038583220 |
| Practice Fax Number | 7038583221 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-22 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Loudoun Internal Medicine 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 |
921 E MAIN ST SUITE 2D |
| City | PURCELLVILLE |
| State | VA |
| Zip Code | 20132-3133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417305939 | Loudoun Medical Group PC | Internal Medicine | 921 E Main St, Suite D, Purcellville, VA 20132-3133 | 2016-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
| 1760828297 | Purcellville Pediatric Dentistry | Dentist | 17333 Pickwick Dr, Purcellville, VA 20132 | 2013-05-10 |
| 1992945703 | Loudoun Medical Group PC | Internal Medicine | 205 E Hirst Road, Suite 304, Purcellville, VA 20132 | 2009-03-06 |
| 1821242587 | Alice Elizabeth Fields | Psychiatry & Neurology | 17340 Pickwick Dr Ste 130, Purcellville, VA 20132 | 2008-11-07 |
| 1194867036 | Loudoun Family & Relationship Counseling | Social Worker | 215 Loudoun St, Leesburg, VA 20132 | 2007-02-13 |
| 1083785547 | Jacqueline R Fleming | Social Worker | 170 W Main Street, 201, Purcellville, VA 20132 | 2006-11-13 |
| 1023197688 | Carol E Harkrader | Psychiatry & Neurology | 170 West Main St, 204, Purcellville, VA 20132 | 2006-11-03 |
| 1083702112 | John Robert Mcwilliams Jr. | Chiropractor | 101 F South Maple Avenue, Purcellville, VA 20132 | 2006-10-11 |
| 1023106408 | Glenna B. Winnie | Pediatrics | 205 E. Hirst Road, Suite 303, Purcellville, VA 20132 | 2006-10-10 |
| 1548352826 | Peter M Daddio | Chiropractor | 17337b Pickwick Dr, Purcellville, VA 20132 | 2006-09-28 |
| Find all providers in zip 20132 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992945703 | Loudoun Medical Group PC | Internal Medicine | 205 E Hirst Road, Suite 304, Purcellville, VA 20132 | 2009-03-06 |
| 1134171218 | Irfan Idrees | Internal Medicine | 200 N Maple Ave, Purcellville, VA 20132-6100 | 2006-05-17 |
| 1417305939 | Loudoun Medical Group PC | Internal Medicine | 921 E Main St, Suite D, Purcellville, VA 20132-3133 | 2016-05-25 |
| 1083060891 | Loudoun Medical Group PC | Internal Medicine | 200 N Maple Ave, Purcellville, VA 20132-6100 | 2016-05-11 |
| 1225064082 | Virginia Med Center PC | Internal Medicine | 609 E Main St, Ste Q, Purcellville, VA 20132-3182 | 2006-06-24 |
| 1487699161 | Annette Marie Hudler | Internal Medicine | 205 E Hirst Rd, Suite 201, Purcellville, VA 20132-6198 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113783 | Tiger Telemedicine | Internal Medicine | 1107 S Walter Reed Dr Apt 204, Arlington, VA 22204-4371 | 2020-10-30 |
| 1235737248 | Alpa Patel Md Pllc | Internal Medicine | 3020 Hamaker Ct Ste B106, Fairfax, VA 22031-2236 | 2020-10-12 |
| 1821696139 | Jennifer Gorrelick, Md, Pllc | Internal Medicine | 1800 Town Center Dr Ste 418, Reston, VA 20190-3240 | 2020-10-09 |
| 1316551237 | Pinnacle Healthcare Services, LLC | Internal Medicine | 8000 Towers Crescent Dr Ste 1350, Vienna, VA 22182-6236 | 2020-09-08 |
| 1588277396 | Amm Consulting Inc | Internal Medicine | 6123 Stegen Dr, Alexandria, VA 22310-2277 | 2020-08-31 |
| 1215549936 | Marie Hope Campbell | Internal Medicine | 5705 Redbud Highway, Honaker, VA 24260 | 2020-08-24 |
| 1376155648 | Mosaic Md, Pllc | Internal Medicine | 22365 Broderick Dr Ste 330, Sterling, VA 20166-9361 | 2020-08-18 |
| 1164030458 | Premier Health Consultants of Northern Virginia Inc | Internal Medicine | 1860 Town Center Dr Ste 260, Reston, VA 20190-5899 | 2020-07-22 |
| 1679199194 | Abyssinia Medical Center | Internal Medicine | 8200 Greensboro Dr Ste 910, Mc Lean, VA 22102-4931 | 2020-06-20 |
| 1902422587 | Naila T Rahman | Internal Medicine | 5416 3rd St S, Arlington, VA 22204-1114 | 2020-06-19 |
| Find all providers with the same taxonomy | ||||
| City | PURCELLVILLE |
| Zip Code | 20132 |
Please comment or provide details below to improve the information on LOUDOUN MEDICAL GROUP PC.
| 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.