OrganizationActive
Loudoun Medical Group, PC
NPI 1780450627 · Orthopaedic Surgery of the Spine Physician · Leesburg, VA
Provider details
- NPI number
- 1780450627
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery of the Spine 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
19450 Deerfield Avenue, Suite 275
Leesburg, VA 20176-8424
Phone: (703) 723-6774
Fax: (703) 723-1494
Approximate (ZIP-level) locationGet directions
Mailing address
224 D Cornwall Street Nw
Leesburg, VA 20176
Other names (DBA / former)
- Doing business as
- Dme
Registry dates
- Enumerated
- 2023-12-01
- Last updated
- 2023-12-01
- Certified
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.