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

Loudoun Medical Group, PC

Organization Otolaryngology Physician · NPI 1679355440

Loudoun Medical Group, PC is an Otolaryngology Physician in Leesburg, Virginia. Registered with an NPI since 2023.

In the registry since
2023
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

19490 Sandridge Way Ste 70
Leesburg, VA 20176-3472
Phone: (703) 858-5885
Fax: (703) 858-5001
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Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1679355440
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Advanced Ent Specialists
NPI enumeratedOctober 17, 2023
Last updated in NPPESOctober 17, 2023
Certification dateOctober 17, 2023
Mailing address224 D Cornwall Street Nw, Ste 403, Leesburg, VA 20176

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