SKIN CANCER CENTER OF NORTHERN VIRGINIA – NPI #1356465769
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Health Care Provider Taxonomy Code for Dermatology

SKIN CANCER CENTER OF NORTHERN VIRGINIA is a dermatologist located in LEESBURG, VA. NPPES has assigned the NPI number 1356465769 to SKIN CANCER CENTER OF NORTHERN VIRGINIA on March 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SKIN CANCER CENTER OF NORTHERN VIRGINIA” is a dba name, the actual legal business name for this organization is LOUDOUN MEDICAL GROUP, PC. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was previously updated about 3 years ago on Apr 24, 2023. 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 SKIN CANCER CENTER OF NORTHERN VIRGINIA below.

NPI Profile for
LOUDOUN MEDICAL GROUP, PC

NPI Number
1356465769
Enumeration Date

(more than 19 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
Doing Business As (dba): SKIN CANCER CENTER OF NORTHERN VIRGINIA
Primary location
19465 DEERFIELD AVENUE, SUITE 401
LEESBURG, VA 20176-1707
Phone: (703) 723-5700 Fax: (703) 723-5778
Mailing address
224-D CORNWALL STREET, NW, SUITE 403
LEESBURG, VA 20176-2704
Phone: (703) 737-6010 Fax: (703) 443-8643
Organization Subpart
Yes - SKIN CANCER CENTER OF NORTHERN VIRGINIA is subpart of another organization.
Authorized Official
MARY BETH TAMASY
CEO
Phone: (703) 737-6010
Updated
Certification Date
Apr 24, 2023

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
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (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.