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

Loudoun Medical Group, PC

Organization Dermatology Physician · NPI 1679591440

Loudoun Medical Group, PC is a Dermatology Physician in Leesburg, Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
15
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

224D Cornwall St NW Ste 403
Leesburg, VA 20176-2700
Phone: (703) 737-6010
Fax: (703) 443-8643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Dermatology Physician Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X
Sleep Medicine (Family Medicine) Physician Taxonomy 207QS1201X
Infectious Disease Physician Taxonomy 207RI0200X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Gynecology Physician Taxonomy 207VG0400X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Pediatric Gastroenterology Physician Taxonomy 2080P0206X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Radiation Oncology Physician Taxonomy 2085R0001X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1679591440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
NPI enumeratedJuly 18, 2006
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing addressPo Box 17334, Baltimore, MD 21297-1334

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