Loudoun Medical Group . P.c, NPI 1093339764
Hematology & Oncology Physician in Leesburg, VA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1093339764
NPI Entity Type Organization
Provider Name Loudoun Medical Group . P.c
Subpart of Organization Loudoun Medical Group . P.c
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 19500 Sandridge Way Ste 400, Leesburg, VA, US
Provider Mailing Address 224d Cornwall St Nw Ste 403, Leesburg, VA, US, 201762704
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MBA Heather Stanton
Official Position CREDENTIALING MANAGER
Phone 703-737-6012

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207RH0003X

Taxonomy Name Hematology & Oncology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

Description An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Other Organization Name

Skin Cancer Center of Northern Virginia
Doing Business As

Business Address

Loudoun Medical Group . P.c
19500 Sandridge Way Ste 400

Leesburg, VA, US

Phone: 703-723-5700

Mailing Address

Loudoun Medical Group . P.c
224d Cornwall St Nw Ste 403
Leesburg, VA, US
ZIP 201762704
Phone: 703-737-6000

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
CONNECT Leesburg Leeburg HIE No 19500 Sandridge Way Ste 400, Leesburg, VA, US

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NP-C Teashia Roeske

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