Organization · Type 2 NPI

Loudoun Medical Group, PC

Plastic and Reconstructive Surgery Physician · Ashburn, VA

NPI number 1346517877 Active

Practice location

44095 Pipeline Plaza, Suite 430
Ashburn, VA 20147-7519

Call (703) 858-3208 Map

Fax (571) 291-2289

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

2 other providers at this address

Other plastic and reconstructive surgery physician providers in Ashburn

Loudoun Medical Group, PCPlastic and Reconstructive Surgery Physician Ashburn, VA NPI 1851610984

See all in Ashburn →

NPI record

NPI: 1346517877
Entity type: Organization (Type 2)
Issued: Nov 29, 2011
Last updated: Nov 15, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

<unavail>
Mountcastle Plastic Surgery & Vein Institute · 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 1346517877

Loudoun Medical Group, PC's National Provider Identifier is 1346517877, issued on Nov 29, 2011. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Ashburn, VA. The record was last updated on Nov 15, 2023.