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

Loudoun Medical Group, PC

Organization Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · NPI 1235664897

Loudoun Medical Group, PC is an Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician in Reston, Virginia. Registered with an NPI since 2017.

In the registry since
2017
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

1860 Town Center Dr Ste 140
Reston, VA 20190-5898
Phone: (703) 293-5239
Fax: (571) 526-4393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (primary) Taxonomy 2088F0040X

Record details

NPI number1235664897
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Urogynecology Center Of Northern Virginia; Urogynecology Center Of Northern Virginia
NPI enumeratedApril 20, 2017
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address224-D Cornwall Street, Nw, Suite 403, Suite 403, Leesburg, VA 20176-2700

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