OrganizationActive
Loudoun Medical Group, PC
NPI 1235664897 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Reston, VA
Provider details
- NPI number
- 1235664897
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Loudoun Medical Group, PC
- Organization subpart
- Yes
- Authorized official
- Mary Beth Tamasy, Ceo(703) 737-6010
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1860 Town Center Dr, Suite 140
Reston, VA 20190-5898
Phone: (703) 293-5239
Fax: (571) 526-4393
Approximate (ZIP-level) locationGet directions
Mailing address
224-D Cornwall Street, Nw, Suite 403
Leesburg, VA 20176-2700
Other names (DBA / former)
- Doing business as
- Urogynecology Center of Northern Virginia
- Doing business as
- Urogynecology Center of Northern Virginia
Registry dates
- Enumerated
- 2017-04-20
- Last updated
- 2023-04-24
- Certified
- 2023-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.