LOUDOUN MEDICAL GROUP PC


Address: 8316 Arlington Blvd, Suite 235, Fairfax, VA 22031-5207
Phone: 7035738080

LOUDOUN MEDICAL GROUP PC (NPI# 1861889008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861889008
Entity Type Organization
Organization Name LOUDOUN MEDICAL GROUP PC
Other Organization Name THE EYE CENTER
Practice Address 8316 Arlington Blvd
Suite 235
Fairfax
VA 22031-5207
Mailing Address Po Box 17334
Baltimore
MD 21297-1334
Practice Telephone 7035738080
Practice Fax Number 7035732929
Mailing Telephone 7034436717
Mailing Fax Number 7034438643
Enumeration Date 2015-04-24
Last Update Date 2015-05-29
Authorized Official Name MARY BETH TAMASY (CEO)
Authorized Official Telephone 7037376010
Is Organization Subpart Y
Parent Organization Name LOUDOUN MEDICAL GROUP PC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
The Eye Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 8316 ARLINGTON BLVD
SUITE 235
City FAIRFAX
State VA
Zip Code 22031-5207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396744355 Jennifer Ann Quintanilla Physical Therapist 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 2005-07-20
1275179137 Amelia Ellen Pitha Nurse Practitioner 8316 Arlington Blvd, Fairfax, VA 22031-5207 2019-11-25
1508367517 Eric Scarton Physical Therapy Assistant 8316 Arlington Blvd, Fairfax, VA 22031-5207 2018-02-24
1073986568 Fairfaxdentalgroup Dentist 8316 Arlington Blvd, Fairfax, VA 22031-5207 2015-11-05
1093194300 Mira Wahba Physical Therapist 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 2015-05-20
1568840957 Alliance Rehab and Physical Therapy LLC Physical Therapist 8316 Arlington Blvd, #600, Fairfax, VA 22031-5207 2015-05-18
1023405297 Bluemont Plastic Surgery, PC Otolaryngology 8316 Arlington Blvd, Ste 410, Fairfax, VA 22031-5207 2015-04-24
1649517830 Megan Goetz Physical Therapist 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 2013-01-09
1104188978 Kazumi Keener Occupational Therapist 8316 Arlington Blvd, Suite 600, Fairfax, VA 22031-5207 2012-06-08
1962770180 Joanne G, Crantz M.d. LLC Internal Medicine 8316 Arlington Blvd, 615, Fairfax, VA 22031-5207 2011-12-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649619305 Northern Virginia Eye Physicians, PC Ophthalmology 10721 Main St Ste 3200, Fairfax, VA 22030-6906 2013-06-17
1205024692 Fairfax Eye Center, PC Ophthalmology 3650 Joseph Siewick Dr Ste 303, Fairfax, VA 22033-1714 2007-10-10
1689894578 Prema Modak Ophthalmology 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 2007-04-26
1376766816 John Phillip Essepian IIi Ophthalmology 3031 Javier Rd Ste 300, Fairfax, VA 22031-4638 2007-04-11
1750427555 John Robert Minarcik Jr. Ophthalmology 8505 Arlington Blvd Ste 300, Fairfax, VA 22031-4630 2007-01-29
1881663102 Fairfax Eye Associates Inc Ophthalmology 9936 Main St, Fairfax, VA 22031 2006-03-17
1407824394 Jacqueline Jiang Fredrick Ophthalmology 12011 Lee Jackson Mem Hwy #305, Fairfax, VA 22033 2006-03-08
1003814534 David Benjamin Summer Ophthalmology 3031 Javier Rd, Suite 300, Fairfax, VA 22031-4637 2005-07-08
1982067112 Meghan Giurintano Moroux Ophthalmology 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 2016-04-04
1275904674 Eye Specialists and Surgeons of Northern Virginia, LLC Ophthalmology 3998 Fair Ridge Dr Ste 105, Fairfax, VA 22033-2980 2015-10-12
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

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.

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