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 1407908817

Loudoun Medical Group, PC is an Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician in Reston, 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.

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Practice location Address checks out

1860 Town Center Dr Ste 225
Reston, VA 20190-5905
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 number1407908817
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
NPI enumeratedJanuary 17, 2007
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023
Mailing address224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704

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