OrganizationActive
Loudoun Medical Group, PC
NPI 1003583576 · Orthopaedic Surgery of the Spine Physician · Leesburg, VA
Provider details
- NPI number
- 1003583576
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Loudoun Medical Group, PC
- Authorized official
- Mary Beth Tamasy, Ceo
Practice location
19450 Deerfield Ave
Suite 300
Leesburg, VA 20176-6821
Phone: (703) 723-6774
Mailing address
224d Cornwall St Nw Ste 403
Leesburg, VA 20176-2704
Registry dates
- Enumerated
- 2021-08-24
- Last updated
- 2023-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.