Organization · Type 2 NPI

Loudoun Medical Group, PC

Orthopaedic Surgery of the Spine Physician · Dulles, VA

NPI number 1447916366 Active

Practice location

24430 Stone Springs Blvd., Suite 100
Dulles, VA 20166-2269

Call (703) 723-6774 Map

Fax (703) 723-1494

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Orthopaedic Surgery of the Spine Physician Primary	207XS0117X	None listed

Orthopaedic Surgery of the Spine Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

8 other providers at this address

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NPI record

NPI: 1447916366
Entity type: Organization (Type 2)
Issued: Nov 15, 2021
Last updated: Nov 14, 2023
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

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Orthopaedic & Spine Surgery Institute · doing business as
Orthopaedic & Spine Surgery Institute · doing business as

Authorized official

Mary Beth Tamasy
CEO
(703) 737-6001

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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 1447916366

Loudoun Medical Group, PC's National Provider Identifier is 1447916366, issued on Nov 15, 2021. The primary taxonomy on file is Orthopaedic Surgery of the Spine Physician (207XS0117X), and the practice location is in Dulles, VA. The record was last updated on Nov 14, 2023.