LOUDOUN MEDICAL GROUP PC


Address: 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622
Phone: 7037293420

LOUDOUN MEDICAL GROUP PC (NPI# 1982002937) 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) 1982002937
Entity Type Organization
Organization Name LOUDOUN MEDICAL GROUP PC
Other Organization Name COMPREHENSIVE SLEEP CARE CENTER
Practice Address 8100 Ashton Ave
Suite 200
Manassas
VA 20109-5622
Mailing Address Po Box 17334
Baltimore
MD 21297-1334
Practice Telephone 7037293420
Practice Fax Number 7037293422
Mailing Telephone 7034436717
Mailing Fax Number 7034438643
Enumeration Date 2014-12-08
Last Update Date 2014-12-08
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 2084S0012X Psychiatry & Neurology
Specialization: Sleep Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Comprehensive Sleep Care 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 8100 ASHTON AVE
SUITE 200
City MANASSAS
State VA
Zip Code 20109-5622

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609875434 Balbir Sidhu Internal Medicine 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 2005-07-14
1336792308 Whitney Loraine Thomas Nurse Practitioner 8100 Ashton Ave, Manassas, VA 20109-5622 2019-07-18
1194272062 Juliane Austin Physician Assistant 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 2016-09-07
1508263104 Ahmad Hawasli Dentist 8100 Ashton Ave, Ste 212, Manassas, VA 20109-5622 2014-11-25
1225396955 Lynn Nelson Physical Therapist 8100 Ashton Ave, Suite 209, Manassas, VA 20109-5622 2012-05-01
1194008292 Jessica Lynn Sinclair Physician Assistant 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 2011-09-25
1790065100 Allergy and Asthma Clinical Centers Clinic/Center 8100 Ashton Ave, Suite 207b, Manassas, VA 20109-5622 2011-08-17
1295977403 Linda R Ledbetter Nurse Practitioner 8100 Ashton Ave, Suite 200, Manassas, VA 20109 2009-04-02
1417195686 Shreenathji, LLC Pharmacy 8100 Ashton Ave, Suite #104, Manassas, VA 20109-5622 2009-01-27
1588810071 Parita Mulraj Vasa Internal Medicine 8100 Ashton Ave, Suite 215, Manassas, VA 20109-5622 2008-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275151854 Laura Zabel Social Worker 10220 Launch Circle #103, Manassas, VA 20109 2020-07-09
1659910677 Leigh Cristi Babin-adkins Registered Nurse 10550 Linden Lake Plazza, Manassas, VA 20109 2019-12-23
1326686221 Sophie Louise Elliot Speech-Language Pathologist 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 2019-12-11
1962978221 Dominique Marie Cytryn Behavior Technician Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 2018-10-15
1255829008 Lyusyena Teper Physical Therapist 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 2018-04-27
1861995060 Mylisa L Ickes Counselor 7982 Donegan Drive, Manassas, VA 20109 2018-03-14
1336641885 Stephanie Joanne Gamboa Behavior Technician 1037 Battleview Pkwy, Manassas, VA 20109 2018-03-01
1154822237 Katherine Sholl Behavior Technician 10370 Battleview Parkway, Manassas, VA 20109 2018-02-23
1386168615 Northern Virginia Checker Cab LLC Taxi 7631 Coppermine Dr, Manassas, VA 20109 2017-07-28
1407383201 Monique Lowery Social Worker 7403 Emerald Dr., Manassas, VA 20109 2017-05-11
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Taxonomy Information

Taxonomy Code 2084S0012X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Sleep Medicine

Taxonomy Definition

A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114170446 Riverside Physician Services Inc Psychiatry & Neurology 7547 Medial Drive, Suite 1300, Gloucester, VA 23061 2008-10-30
1033546908 Neuroscience Consultants, Plc Psychiatry & Neurology 12007 Sunrise Valley Dr, Suite 130, Reston, VA 20191-3479 2013-10-08
1467896670 Elsie Achieng Psychiatry & Neurology 12200 Warwick Blvd Ste 410, Newport News, VA 23601-2548 2013-04-18
1699012161 Neurosleep Medical Consulting Services Plc Psychiatry & Neurology 8300 Boone Blvd, Suite 130, Vienna, VA 22182-2626 2013-01-03
1245294024 Nancy Doralie Morewitz Psychiatry & Neurology 3640 High St, Suite 1a, Portsmouth, VA 23707-3213 2006-04-17

Competitor

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City MANASSAS
Zip Code 20109

Improve Information

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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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