LOUDOUN MEDICAL GROUP, PC – NPI #1174110308
Orthopaedic Surgery

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.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

LOUDOUN MEDICAL GROUP, PC is an orthopaedic surgeon located in LEESBURG, VA. NPPES has assigned the NPI number 1174110308 to LOUDOUN MEDICAL GROUP, PC on December 22, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207XS0117X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine

The NPI profile was last updated on Sep 02, 2025. 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
1174110308
Enumeration Date

(more than 5 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
224- D CORNWALL STREET, NW, SUITE 204
LEESBURG, VA 20176-2700
Phone: (703) 925-5115 Fax: (703) 912-0425
Mailing address
224D CORNWALL ST NW STE 403
LEESBURG, VA 20176-2704
Phone: (703) 737-6012 Fax:
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
Apr 26, 2024

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
207XS0117X
- Orthopaedic Surgery / Orthopaedic Surgery of the Spine (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.