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

Loudoun Medical Group, PC

Organization Plastic Surgery Physician · NPI 1457646606

Loudoun Medical Group, PC is a Plastic Surgery Physician in Reston, Virginia. Registered with an NPI since 2011.

In the registry since
2011
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 340
Reston, VA 20190-5896
Phone: (703) 858-3208
Fax: (703) 547-9984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1457646606
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Mountcastle Plastic Surgery And Vein Institute; Mountcastle Plastic Surgery And Vein Institute
NPI enumeratedJune 16, 2011
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing addressPo Box 17334, Baltimore, MD 21297-1334

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