LOUDOUN MEDICAL GROUP, PC – NPI #1215646468
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

Health Care Provider Taxonomy Code for Clinic/Center

LOUDOUN MEDICAL GROUP, PC is an AHC clinic located in RESTON, VA. NPPES has assigned the NPI number 1215646468 to LOUDOUN MEDICAL GROUP, PC on November 16, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QX0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oncology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOUDOUN MEDICAL GROUP, PC below.

NPI Profile for
LOUDOUN MEDICAL GROUP, PC

NPI Number
1215646468
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LOUDOUN MEDICAL GROUP, PC
Primary location
1860 TOWN CENTER DRIVE, SUITE 120
RESTON, VA 20190-5898
Phone: (703) 656-9805 Fax: (703) 729-6576
Mailing address
224 D CORNWALL STREET NW
STE 403
LEESBURG, VA 20176-2704
Phone: (703) 737-6010 Fax: (703) 443-8643
Organization Subpart
Yes - LOUDOUN MEDICAL GROUP, PC is subpart of another organization.
Authorized Official
MARY BETH TAMASY
CEO
Phone: (703) 737-6010
Updated
Certification Date
Nov 16, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QX0200X
- Clinic/Center / Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.