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

Loudoun Medical Group, PC

Organization Surgery Physician · NPI 1790407302

Loudoun Medical Group, PC is a Surgery Physician in Leesburg, 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

19500 Sandridge Way Ste 450
Leesburg, VA 20176-3467
Phone: (703) 724-9474
Fax: (571) 346-1921
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1790407302
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Marry Beth Tamasy — Ceo · (703) 737-6010
Other names Claire Edwards, Md
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 8, 2022
Mailing address224-D Cornwall Street, Nw, Suite 403, Leesburg, VA 20176-2700

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