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

Loudoun Medical Group, PC

Organization Surgery Physician · NPI 1730816414

Loudoun Medical Group, PC is a Surgery Physician in Dulles, Virginia. Works from 2 locations. 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

24430 Stone Springs Blvd Ste 215
Dulles, VA 20166-2268
Phone: (703) 858-3200
Fax: (703) 858-3203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 44055 Riverside Parkway, Suite 246, Leesburg, VA 20176-5178 — (703) 858-3200

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1730816414
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Michael Peters, Md; Michael Peters, Md
NPI enumeratedAugust 3, 2022
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176

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