Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Loudoun Medical Group, PC

Organization Pediatrics Physician · NPI 1083890404

Loudoun Medical Group, PC is a Pediatrics Physician in Leesburg, Virginia. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

224-D Cornwall St NW Ste 104
Leesburg, VA 20176-2700
Phone: (703) 779-0699
Fax: (703) 779-7712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1083890404
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Pediatric Healthcare
NPI enumeratedJanuary 16, 2008
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing address224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704

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