LOUDOUN MEDICAL GROUP PC NPI 1104950716

NPI Information

  • NPI: 1104950716
  • Provider Name: LOUDOUN MEDICAL GROUP, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: LEESBURG STERLING FAMILY PRACTICE
  • CLIA Number: 49D1012290
  • Address: 205 E. HIRST ROAD, SUITE 303
    PURCELLVILLE, VA
    ZIP 20132
  • Phone: (540) 338-9896

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NPI Details

LOUDOUN MEDICAL GROUP, PC is a family medicine in Purcellville, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LOUDOUN MEDICAL GROUP, PC NPI is 1104950716. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Leesburg Sterling Family Practice.

The provider's business location address is:

205 E. HIRST ROAD, SUITE 303
PURCELLVILLE, VA
ZIP 20132-602
Phone: (540) 338-9896
Fax: (540) 338-8235

The provider's authorized official is Mary Beth Tamasy .
The authorized official title is Ceo and has the following contact phone number (703) 737-6010.

The CLIA number assigned to this NPI record is 49D1012290 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 4/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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