Organization · Type 2 NPI

Loudoun Medical Group, PC

Podiatrist · Leesburg, VA

NPI number 1700535291 Active

Practice location

19440 Golf Vista Plaza, Suite 120
Leesburg, VA 20176-8264

Call (703) 858-7887 Map

Fax (703) 858-7453

Mailing address

224-D Cornwall Street, NW, Suite 403
Leesburg, VA 20176-6010

Specialties and licenses

Taxonomy	Code	License
Podiatrist Primary	213E00000X	None listed

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3 other providers at this address

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NPI record

NPI: 1700535291
Entity type: Organization (Type 2)
Issued: Mar 22, 2022
Last updated: Sep 21, 2022
Status: Active
Subpart: Yes of Loudoun Medical Group, PC

Other names

<unavail>
Lansdowne Foot & Ankle Center · doing business as
Lansdowne Foot & Ankle Center · 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 1700535291

Loudoun Medical Group, PC's National Provider Identifier is 1700535291, issued on Mar 22, 2022. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Leesburg, VA. The record was last updated on Sep 21, 2022.