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LOUDOUN MEDICAL GROUP PC NPI 1083480925


NPI Information

NPI: 1083480925
Provider Name: LOUDOUN MEDICAL GROUP, PC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
19450 DEERFIELD AVENUE, SUITE 275
LEESBURG, VA
ZIP 20176
Phone: (703) 723-6774
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LOUDOUN MEDICAL GROUP, PC is an orthopaedic surgery of the spine orthopaedic surgery in Leesburg, 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 1083480925. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19450 DEERFIELD AVENUE, SUITE 275
LEESBURG, VA
ZIP 20176-424
Phone: (703) 723-6774
Fax: (703) 723-1494

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 12/1/2023 and was last updated on 12/1/2023.


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

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

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