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LOUDOUN MEDICAL GROUP PC NPI 1407908817


NPI Information

NPI: 1407908817
Provider Name: LOUDOUN MEDICAL GROUP, PC

Doing Business As: UROGYNECOLOGY CENTER OF NORTHERN VIRGINIA

Classification: Urology - 2088F0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

Address:
1860 TOWN CENTER DRIVE, SUITE 225
RESTON, VA
ZIP 20190
Phone: (703) 293-5239
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LOUDOUN MEDICAL GROUP, PC is a female pelvic medicine and reconstructive surgery urology in Reston, VA. The provider is a urologist subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. LOUDOUN MEDICAL GROUP, PC NPI is 1407908817. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Urogynecology Center Of Northern Virginia.

The provider's business location address is:

1860 TOWN CENTER DRIVE, SUITE 225
RESTON, VA
ZIP 20190-905
Phone: (703) 293-5239
Fax: (571) 526-4393

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 enumeration date for this NPI number is 1/17/2007 and was last updated on 11/9/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12088F0040XUrologyFemale Pelvic Medicine and Reconstructive SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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