LOUDOUN MEDICAL GROUP . P.C (NPI# 1992318067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992318067 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP . P.C |
| Practice Address |
224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 |
| Practice Telephone | 7037376000 |
| Mailing Telephone | 7037376000 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | HEATHER STANTON (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7037376000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VI | 1675951440 | 05 | |
| VA | 1675951440 | 05 |
| Other Name | Type Code |
|---|---|
| Abdurrahman Kandil, MD | Doing Business As Name - Organization |
| Loudoun Medical Group LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1760029904 | Loudoun Medical Group . P.c | Dermatology | 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 | 2019-12-06 |
| 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 |
224D CORNWALL ST NW STE 403 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639289507 | Cedric J Tankson | Orthopaedic Surgery | 701 Medical Plaza Dr, Leesburg, FL 34748-7313 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922195858 | John Donald Duerden | Orthopaedic Surgery | 501 Discovery Dr, Chesapeake, VA 23320-3843 | 2006-10-10 |
| 1396031142 | Oliver Nikolaas Schipper | Orthopaedic Surgery | 2445 Army Navy Dr, Arlington, VA 22206-2905 | 2011-06-21 |
| 1902063092 | Kevin Charles Lutta | Orthopaedic Surgery | 13350 Franklin Farm Road, Suite 220, Herndon, VA 20171-4095 | 2008-05-17 |
| 1063556603 | Venkat Perumal | Orthopaedic Surgery | 545 Ray C Hunt Dr, Ste 310, Charlottesville, VA 22903-2981 | 2007-02-16 |
| 1114084407 | Minton Truitt Cooper | Orthopaedic Surgery | 545 Ray C. Hunt Drive, Medical Office Bldg 2, Charlottesville, VA 22903-0001 | 2007-01-03 |
| 1245310614 | Steven K Neufeld | Orthopaedic Surgery | 2922 Telestar Ct, Falls Church, VA 22042-1206 | 2006-10-17 |
| 1144242298 | Michael Andrew Caines | Orthopaedic Surgery | 5838 Harbour View Blvd, Suite 100, Suffolk, VA 23435-2663 | 2006-07-24 |
| 1568406825 | Colonial Orthopaedics, Inc | Orthopaedic Surgery | 131 Jennick Dr, Colonial Heights, VA 23834-4905 | 2006-06-16 |
| 1871536235 | Mark Mcclellan Jones | Orthopaedic Surgery | 1400 Johnston Willis Dr, Suite A, North Chesterfield, VA 23235-4765 | 2006-06-14 |
| 1235171406 | Mark Lindsay Hagy | Orthopaedic Surgery | 101 Knotbreak Road, Salem, VA 24153-7304 | 2006-06-12 |
| 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.