Provider Type Icon

LOUDOUN MEDICAL GROUP PC NPI 1811573009


NPI Information

NPI: 1811573009
Provider Name: LOUDOUN MEDICAL GROUP, PC

Doing Business As: DME

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
24430 STONE SPRINGS BLVD UNIT 100
DULLES, VA
ZIP 20166
Phone: (703) 737-3262
Get Directions

LOUDOUN MEDICAL GROUP, PC is an orthopaedic surgery of the spine orthopaedic surgery in Dulles, VA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. LOUDOUN MEDICAL GROUP, PC NPI is 1811573009. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dme.

The provider's business location address is:

24430 STONE SPRINGS BLVD UNIT 100
DULLES, VA
ZIP 20166-269
Phone: (703) 737-3262
Fax: (703) 737-3365

The provider's authorized official is Mary Beth Tamasy .
The authorized official title is Ceo and has the following contact phone number (703) 737-6001.

The enumeration date for this NPI number is 3/19/2021 and was last updated on 8/18/2023.


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
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11679591440MEDICAIDVIRGINIA

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.