LOUDOUN MEDICAL GROUP, P.C. (NPI# 1609302645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609302645 |
Entity Type | Organization |
Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
Other Organization Name | LOUDOUN VALLEY FAMILY PRACTICE |
Practice Address |
117 N Bailey Ln Suite 200 Purcellville VA 20132-3085 |
Mailing Address |
224d Cornwall St Nw Suite 403 Leesburg VA 20176-2700 |
Practice Telephone | 5403386101 |
Practice Fax Number | 5403387803 |
Mailing Telephone | 7037376001 |
Mailing Fax Number | 7034438643 |
Enumeration Date | 2017-05-11 |
Last Update Date | 2017-05-11 |
Authorized Official Name | MARY BETH TAMASY (CEO) |
Authorized Official Telephone | 7037376012 |
Is Organization Subpart | Y |
Parent Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Loudoun Valley Family Practice | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447760186 | Loudoun Medical Group, P.C. | Obstetrics & Gynecology | 10400 Eaton Pl Ste 430, Fairfax, VA 22030-2208 | 2017-10-09 |
1902325608 | Loudoun Medical Group, P.C. | Family Medicine | 224d Cornwall St Nw Ste 102, Leesburg, VA 20176-2700 | 2017-09-13 |
1609900208 | Loudoun Medical Group, P.C. | Internal Medicine | 44055 Riverside Pkwy Ste 216, Leesburg, VA 20176-5176 | 2007-03-15 |
1427617422 | Loudoun Medical Group, P.C. | Physical Therapist | 19490 Sandridge Way Ste 230, Leesburg, VA 20176-3467 | 2019-06-12 |
1386203628 | Loudoun Medical Group, P.C. | Physical Therapist | 6408 Grovedale Dr Ste 102, Alexandria, VA 22310-2596 | 2019-06-11 |
1447817689 | Loudoun Medical Group, P.C. | Pathology | 6736 Curran St Ste 1, Mc Lean, VA 22101-3803 | 2019-05-23 |
1356907612 | Loudoun Medical Group, P.C. | Clinic/Center | 5901 Kingstowne Village Pkwy Ste 300, Kingstowne, VA 22315-5883 | 2019-05-13 |
1295290286 | Loudoun Medical Group, P.C. | Urology | 1860 Town Center Dr Ste 180, Reston, VA 20190-5905 | 2019-02-05 |
1346710084 | Loudoun Medical Group, P.C. | Internal Medicine | 24585 Stone Carver Dr Ste 100, Aldie, VA 20105-2798 | 2018-11-26 |
1962978569 | Loudoun Medical Group, P.C. | Clinic/Center | 19490 Sandridge Way Ste 240, Leesburg, VA 20176-3467 | 2018-10-22 |
Street Address |
117 N BAILEY LN SUITE 200 |
City | PURCELLVILLE |
State | VA |
Zip Code | 20132-3085 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437143971 | Michael Thomas Wenzel | Family Medicine | 117 N Bailey Ln, Purcellville, VA 20132-3085 | 2005-09-09 |
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 | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003009119 | Troy Randolph Mohler | Family Medicine | 17336 Pickwick Drive, Building A, Purcellville, VA 20132-6602 | 2007-08-22 |
1922064450 | Larry Pierce Belote | Family Medicine | 740 E Main St, Purcellville, VA 20132-3128 | 2006-04-24 |
1992764401 | Lauren B Cianciaruso | Family Medicine | 711c E Main St, Purcellville, VA 20132-3178 | 2006-03-22 |
1437143971 | Michael Thomas Wenzel | Family Medicine | 117 N Bailey Ln, Purcellville, VA 20132-3085 | 2005-09-09 |
1134112642 | Anthony Edward Crowley | Family Medicine | 17336 Pickwick Dr, Suite 100, Purcellville, VA 20132-6179 | 2005-08-30 |
1093708513 | Thomas Jerome Hegerich | Family Medicine | 205 Hirst Rd Ste 303, Purcellville, VA 20132-6602 | 2005-08-30 |
1740289719 | Su Jin Choi | Family Medicine | 205 Hirst Rd, #101, Purcellville, VA 20132-6198 | 2005-07-20 |
1346415478 | Mahamarakkala Patabandige Deepani Dias | Family Medicine | 711c E Main St, Purcellville, VA 20132-3178 | 2008-04-29 |
1760674345 | Joseph Parimal Gurrala | Family Medicine | 17336 Pickwick Dr, Suite 179, Purcellville, VA 20132 | 2007-08-16 |
1386852101 | Sarah L Regan | Family Medicine | 205 Hirst Rd Ste 303, Purcellville, VA 20132-6602 | 2007-05-18 |
Find all providers in PURCELLVILLE |
City | PURCELLVILLE |
Zip Code | 20132 |
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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.