Provider Type Icon

LOUDOUN MEDICAL GROUP PC NPI 1629520531


NPI Information

NPI: 1629520531
Provider Name: LOUDOUN MEDICAL GROUP, PC

Doing Business As: LEESBURG STERLING FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 49D0223352

Address:
24430 STONE SPRINGS BLVD
SUITE 135
DULLES, VA
ZIP 20166
Phone: (703) 957-1255
Get Directions

LOUDOUN MEDICAL GROUP, PC is a family medicine in Dulles, 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 1629520531. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Leesburg Sterling Family Practice.

The provider's business location address is:

24430 STONE SPRINGS BLVD
SUITE 135
DULLES, VA
ZIP 20166-269
Phone: (703) 957-1255
Fax: (703) 665-2375

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 49D0223352 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2016 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?

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.