LOUDOUN MEDICAL GROUP . P.C (NPI# 1760029904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760029904 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP . P.C |
| Practice Address |
24560 Southpoint Dr Ste 230 Aldie VA 20105-3504 |
| Mailing Address |
224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 |
| Practice Telephone | 7039570416 |
| Mailing Telephone | 7037376012 |
| Mailing Fax Number | 7034438643 |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | HEATHER CAMPBELL (CREDENTIALING MANAGER) |
| 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 | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Stone Ridge Dermatology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318067 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 | 2020-08-28 |
| 1093324378 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 | 2020-07-23 |
| 1285242867 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 | 2020-07-20 |
| 1750999892 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 | 2020-07-15 |
| 1093339764 | Loudoun Medical Group . P.c | Internal Medicine | 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 | 2020-05-29 |
| 1528691839 | Loudoun Medical Group . P.c | Internal Medicine | 5901 Kingstowne Village Pkwy Ste 101, Alexandria, VA 22315-5881 | 2020-02-14 |
| 1679024418 | Loudoun Medical Group . P.c | Family Medicine | 20 Town Sq, Suite 180, Lovettsville, VA 20180-8555 | 2016-10-17 |
| 1801408109 | Loudoun Medical Group . P.c | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2020-08-18 |
| 1386255602 | Loudoun Medical Group . P.c | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2020-08-11 |
| 1407464092 | Loudoun Medical Group . P.c | Internal Medicine | 4660 Kenmore Ave Ste 500, Alexandria, VA 22304-1300 | 2020-07-20 |
| Street Address |
24560 SOUTHPOINT DR STE 230 |
| City | ALDIE |
| State | VA |
| Zip Code | 20105-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730749102 | Physical Medicine Associates, Ltd | Pain Medicine | 24560 Southpoint Drive, Ste. 120, Aldie, VA 20105 | 2019-06-18 |
| 1447714415 | Stone Ridge Pharmacy, LLC | Pharmacy | 24560 Southpoint Drive Suite 190, Aldie, VA 20105 | 2019-01-24 |
| 1932675691 | Birdsong Home Healthcare, LLC | Home Health | 25288 Gary Poplar Terrence, Aldie, VA 20105 | 2018-10-22 |
| 1427508845 | Virginia Family & Cosmetic Dentistry | Clinic/Center | 24585 Stone Carver Drive, Suite 225, Aldie, VA 20105 | 2016-10-10 |
| 1053562504 | Anna Carrenina Wiesbauer | Physical Therapist | 25062 Lind Court, Aldie, VA 20105 | 2008-10-02 |
| 1790803153 | Andrew Howard Heyman | Family Medicine | 39070 John Mosby Highway, Aldie, VA 20105 | 2007-03-26 |
| 1649243908 | Tiffany Dunbar Lione | Optometrist | 42015 Village Center Plaza, Suite 103, Aldie, VA 20105 | 2006-02-08 |
| 1386638732 | Tahir Ahmad | Internal Medicine | Encompass Health Rehabiliation Hospital of Northern Va, 24430 Millstream Drive, Aldie, VA 20105 | 2005-08-31 |
| 1831645803 | Heather Singleton | Marriage & Family Therapist | 24600 Millstream Dr Ste 340, Stone Ridge, VA 20105 | 2016-08-30 |
| 1902126949 | Middleburg Neuromuscular Medicine and Rehabilitation, Plc | Physical Medicine & Rehabilitation | 24430 Millstream Drive, Aldie, VA 20105 | 2010-06-01 |
| Find all providers in zip 20105 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366659351 | Asmaa Chaudhry | Dermatology | 24560 Stonepoint Dr, Suite 230, Aldie, VA 20105-2459 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428709 | Clinical Dermatology Center, LLC | Dermatology | 14500 Avion Pkwy Ste 100, Chantilly, VA 20151-1108 | 2020-05-14 |
| 1588210330 | Brandi M Horner | Dermatology | 7650 E Parham Road, Ste 110, Richmond, VA 23294-4367 | 2019-08-16 |
| 1194383372 | Clarity Acne and Aesthetics LLC | Dermatology | 3345 Bridge Rd Ste 900, Suffolk, VA 23435-1848 | 2019-06-03 |
| 1356821235 | Sdm Virginia LLC | Dermatology | 4198 Cox Rd Ste 109, Glen Allen, VA 23060-3328 | 2018-08-20 |
| 1851877336 | Keri Church | Dermatology | 19455 Deerfield Ave Ste 311, Lansdowne, VA 20176-8102 | 2018-07-17 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1710479936 | Integrated Dermatology of Gloucester, LLC | Dermatology | 6790 Wood Ridge Dr, Gloucester, VA 23061-4377 | 2018-06-04 |
| 1477077071 | Dulles Dermatology Associates, Pllc | Dermatology | 24430 Stone Springs Blvd Ste 275, Dulles, VA 20166-2247 | 2017-07-26 |
| 1487186466 | Integrated Dermatology of Reston, LLC | Dermatology | 1886 Metro Center Dr Ste 650, Reston, VA 20190-5294 | 2017-03-30 |
| 1336697093 | Seven Hills Dermatology, LLC | Dermatology | 119 Tradewynd Dr Ste A, Lynchburg, VA 24502-5288 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
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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.