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

Loudoun Medical Group, PC

Organization Vascular Surgery Physician · NPI 1588376321

Loudoun Medical Group, PC is a Vascular 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

12005 Sunrise Valley Dr Ste 120
Reston, VA 20191-3469
Phone: (703) 737-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1588376321
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Loudoun Medical Group, Pc 'D
NPI enumeratedDecember 22, 2022
Last updated in NPPESDecember 22, 2022
Certification dateDecember 21, 2022
Mailing address224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2704

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