LOUDOUN MEDICAL GROUP PC (NPI# 1669743266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669743266 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP PC |
| Other Organization Name | VIRGINIA MEDICAL ARTS CLINIC |
| Practice Address |
13505 Dulles Technology Dr Suite 1 A Herndon VA 20171-3401 |
| Mailing Address |
Po Box 17334 Baltimore MD 21297-1334 |
| Practice Telephone | 7034373850 |
| Practice Fax Number | 7034377888 |
| Mailing Telephone | 7034436717 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |
| 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 |
|---|---|
| Virginia Medical Arts Clinic | 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 |
13505 DULLES TECHNOLOGY DR SUITE 1 A |
| City | HERNDON |
| State | VA |
| Zip Code | 20171-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467425876 | Ravi R Iyer | Internal Medicine | 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171-3401 | 2006-02-08 |
| 1578980579 | Hiral P Jobanputra | Nurse Practitioner | 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171-3401 | 2014-03-27 |
| 1447596036 | Kim Quyen Nguyen | Nurse Practitioner | 13505 Dulles Technology Dr, Suite 1-a, Herndon, VA 20171-3401 | 2012-12-31 |
| 1720358179 | Loudoun Medical Group PC | Internal Medicine | 13505 Dulles Technology Dr, Suite 1, Herndon, VA 20171-3401 | 2012-01-03 |
| 1497927347 | Ravi R Iyer | Internal Medicine | 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171-3401 | 2008-04-01 |
| 1164543377 | Professional Healthcare Associates Pllc | Specialist | 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171-3401 | 2007-04-03 |
| 1093866329 | Nova Health Management & Research Group, PC | Internal Medicine | 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171-3401 | 2007-01-15 |
| 1760590012 | Nadeem Gul Qazi | Internal Medicine | 13505 Dulles Technology Dr, Suite 1-a, Herndon, VA 20171-3401 | 2006-08-28 |
| 1841203106 | Virginia Medical Arts Clinic, P.C. | Internal Medicine | 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171-3401 | 2006-08-15 |
| 1447278049 | Northern Virginia Psychiatry PC | Psychiatry & Neurology | 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171-3401 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417587312 | Herndon Modern Dentistry, PC | Dentist | 2537 John Milton Dr., Reston, VA 20171 | 2020-01-20 |
| 1689196529 | Susan Ngatia | Occupational Therapist | 2978 Centerville Rd., Herndon, VA 20171 | 2017-07-12 |
| 1932634375 | Angelic Home Care,llc | Home Health | 13800 Coppermine Road, Suite 175, Herndon, VA 20171 | 2017-04-24 |
| 1952855348 | Attentive Home Care Inc | Registered Nurse | 13578 Cedar Run Ln, Herndon, VA 20171 | 2016-08-15 |
| 1336531391 | Daniela Maria Querubin Mesina | Physical Therapist | 2978 Centreville Rd, Herndon, VA 20171 | 2015-02-28 |
| 1740602291 | Herndon Dental Arts At Woodland Park, Pllc | Dentist | 12973 Highland Crossing Drive, Ste B, Herndon, VA 20171 | 2014-01-16 |
| 1295165801 | Grace Greenan | Counselor | 13600 Frying Pan Road, Herndon, VA 20171 | 2013-11-18 |
| 1356770390 | Eunjoo Lee | Behavioral Analyst | 12936 Cedar Glen Lane, Herndon, VA 20171 | 2013-11-08 |
| 1043539919 | Wesam Hassen Moustafa Hussein | Internal Medicine | 13326 Horsepen Woods Lane, Herndon, VA 20171 | 2010-05-18 |
| 1740516996 | Fadi Alhrashi | Dentist | 13609 Flying Squirrel Dr, Herndon, VA 20171 | 2009-10-22 |
| Find all providers in zip 20171 | ||||
| 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 |
|---|---|---|---|---|
| 1902251648 | Musaab Esmael | Internal Medicine | 13000 Elm Tree Dr, Herndon, VA 20171-2829 | 2016-05-02 |
| 1043539919 | Wesam Hassen Moustafa Hussein | Internal Medicine | 13326 Horsepen Woods Lane, Herndon, VA 20171 | 2010-05-18 |
| 1730356619 | Phetpailin Amaralikit | Internal Medicine | 420 Elden St, Herndon, VA 20170-4511 | 2008-05-10 |
| 1699833400 | Shalini Goyal Kaneriya | Internal Medicine | 2579 John Milton Dr Ste 300, Herndon, VA 20171-2500 | 2006-12-05 |
| 1396785093 | Edward Gerard Dempsey | Internal Medicine | 1244 State Route 225, Herndon, PA 17830-7324 | 2006-06-08 |
| 1609815703 | Angela Jean Klinger | Internal Medicine | 1224 State Route 225, Herndon, PA 17830-7324 | 2006-06-05 |
| 1982642518 | Eskender Beyene | Internal Medicine | 1037 Sterling Rd, Suite # 102, Herndon, VA 20170-3871 | 2006-06-04 |
| 1467425876 | Ravi R Iyer | Internal Medicine | 13505 Dulles Technology Dr, Suite 1a, Herndon, VA 20171-3401 | 2006-02-08 |
| 1801897335 | Han Tonthat | Internal Medicine | 1041 Sterling Rd, Ste 106, Herndon, VA 20170-3869 | 2005-08-09 |
| 1346715141 | Lifetime Internal Medicine, Pllc | Internal Medicine | 2579 John Milton Dr Ste 300, Herndon, VA 20171-2500 | 2018-10-08 |
| Find all providers in HERNDON | ||||
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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.