LOUDOUN MEDICAL GROUP, P.C. (NPI# 1750879995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750879995 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
| Other Organization Name | THE CHRONIC PELVIC PAIN CENTER OF NORTHERN VIRGINIA |
| Practice Address |
3301 Woodburn Rd Ste 309 Annandale VA 22003-7308 |
| Mailing Address |
224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 |
| Practice Telephone | 7034486070 |
| Practice Fax Number | 7034489292 |
| Mailing Telephone | 7037376001 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | MARY BETH TAMASY (CEO) |
| Authorized Official Telephone | 7037376001 |
| Is Organization Subpart | Y |
| Parent Organization Name | LOUDOUN MEDICAL GROUP, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Chronic Pelvic Pain Center of Northern Virginia | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 Town Center Dr Ste 220, Reston, VA 201903238 | 7034486070 | 7034489292 |
| 8100 Boone Blvd Ste 710, Vienna, VA 221822683 | 7034486070 | 7034489292 |
| 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 |
3301 WOODBURN RD STE 309 |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-7308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891217857 | Loudoun Medical Group PC | Obstetrics & Gynecology | 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
| Find all providers in zip 22003 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588953780 | Elham Waheeda Altaf | Obstetrics & Gynecology | 4208 Evergreen Ln Ste 213, Annandale, VA 22003-3254 | 2011-03-29 |
| 1912208349 | Thuy Nguyen Ho | Obstetrics & Gynecology | 4328 E Evergreen Lane, Annandale, VA 22003 | 2010-11-17 |
| 1487988648 | Misuk Kim Md Obgyn Plc | Obstetrics & Gynecology | 4304 Evergreen Ln, Ste 104, Annandale, VA 22003-3216 | 2009-09-21 |
| 1508017716 | Misuk Agnes Kim | Obstetrics & Gynecology | 4308 Evergreen Ln, Ste F, Annandale, VA 22003-3276 | 2008-10-07 |
| 1205853983 | Evergreen Ob/gyn P.C. | Obstetrics & Gynecology | 4328 Evergreen Ln, Suite E, Annandale, VA 22003-3257 | 2006-07-17 |
| 1588019723 | Said Ali, M.d., P.C. | Obstetrics & Gynecology | 3301 Woodburn Rd, Suite 307, Annandale, VA 22003-1229 | 2016-04-25 |
| 1487917126 | Margaret Strickland | Obstetrics & Gynecology | 3299 Woodburn Rd Ste 350, Annandale, VA 22003-7321 | 2012-06-18 |
| 1861759227 | Jessica Lauren Sommer | Obstetrics & Gynecology | 4208 Evergreen Ln Ste 213, Annandale, VA 22003-3254 | 2012-04-23 |
| 1215173208 | Kathy E. Wolf, M.d., P.C. | Obstetrics & Gynecology | 3299 Woodburn Rd, Suite 350, Annandale, VA 22003-1275 | 2008-12-23 |
| 1386819365 | Metropolitian Womens Center | Obstetrics & Gynecology | 3301 Woodburn Rd, Ste 307, Annandale, VA 22003-1229 | 2008-04-29 |
| Find all providers in ANNANDALE | ||||
Please comment or provide details below to improve the information on LOUDOUN MEDICAL GROUP, P.C..
| 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.