Organization · Type 2 NPI

Loudoun Medical Group, PC

Foot & Ankle Surgery Podiatrist · Annandale, VA

NPI number 1174290654 Active

Practice location

7023 Little River Tpke Ste 207
Annandale, VA 22003-5939

Call (703) 379-0700 Map

Fax (703) 941-6963

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Foot & Ankle Surgery Podiatrist Primary	213ES0103X	None listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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NPI record

NPI: 1174290654
Entity type: Organization (Type 2)
Issued: Aug 24, 2021
Last updated: Aug 18, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

<unavail>
Alexandria Podiatry Associates · doing business as
Alexandria Podiatry Associates · doing business as

Authorized official

Karyn Norton
Credentialing Coordinator
(571) 707-2048

Verify this record

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 1174290654

Loudoun Medical Group, PC's National Provider Identifier is 1174290654, issued on Aug 24, 2021. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Annandale, VA. The record was last updated on Aug 18, 2023.