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

Loudoun Medical Group, PC

Organization Surgery Physician · NPI 1245949411

Loudoun Medical Group, PC is a Surgery Physician in Reston, Virginia. Registered with an NPI since 2022.

In the registry since
2022
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 120
Reston, VA 20190-5898
Phone: (703) 656-5898
Fax: (703) 729-6576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1245949411
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Lmg Comprehensive Breast Center
NPI enumeratedNovember 16, 2022
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022
Mailing address224 D Cornwall Street Nw, Ste 403, Leesburg, VA 20176-2704

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