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

Loudoun Medical Group, PC

Organization Orthopaedic Surgery Physician · NPI 1912183294

Loudoun Medical Group, PC is an Orthopaedic Surgery Physician in Leesburg, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
Specialties on file
2
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

224-D Cornwall St NW Ste 204
Leesburg, VA 20176-2700
Phone: (703) 777-3262
Fax: (703) 777-3365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 0101043432 (VA)

Record details

NPI number1912183294
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Matthew B. Gavin, Md; Matthew B. Gavin, Md
NPI enumeratedJanuary 16, 2008
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address224-D Cornwall St, Nw, Suite 403, Leesburg, VA 20176-2704

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