Organization · Type 2 NPI

Loudoun Medical Group, PC

Orthopaedic Surgery Physician · Leesburg, VA

NPI number 1104584747 Active

Practice location

19450 Deerfield Avenue, Suite 200
Leesburg, VA 20176-6821

Call (703) 777-3262 Map

Fax (703) 777-3365

Mailing address

224-D Cornwall St., NW, Suite 403
Leesburg, VA 20176-2704

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery Physician Primary	207X00000X	None listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

16 other providers at this address

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NPI record

NPI: 1104584747
Entity type: Organization (Type 2)
Issued: Dec 1, 2021
Last updated: Apr 24, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

<unavail>
Matthew B. Gavin, MD · doing business as
Matthew B. Gavin, MD · doing business as

Authorized official

Mary Beth Tamasy
CEO
(703) 737-6010

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104584747

Loudoun Medical Group, PC's National Provider Identifier is 1104584747, issued on Dec 1, 2021. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in Leesburg, VA. The record was last updated on Apr 24, 2023.