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

Loudoun Medical Group, PC

Organization MOHS-Micrographic Surgery Physician · NPI 1356465769

Loudoun Medical Group, PC is an MOHS-Micrographic Surgery Physician in Leesburg, Virginia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

19465 Deerfield Ave Ste 401
Leesburg, VA 20176-1707
Phone: (703) 723-5700
Fax: (703) 723-5778
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X

Record details

NPI number1356465769
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Skin Cancer Center Of Northern Virginia; Skin Cancer Center Of Northern Virginia
NPI enumeratedMarch 19, 2007
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704