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SKIN CANCER CENTER OF NORTHERN VIRGINIA
NPI 1093339764
Internal Medicine - Hematology & Oncology in Leesburg, VA

Active since May 29, 2020CLIA 49D1031013 · Certificate of Compliance
19500 SANDRIDGE WAY STE 400, LEESBURG, VA 20176(703) 723-5700 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 18, 2023, May 29, 2020 (2 updates tracked since 2020).

About Skin Cancer Center Of Northern Virginia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKIN CANCER CENTER OF NORTHERN VIRGINIA (NPI 1093339764) is a healthcare organization registered as a hematology & oncology in Leesburg, Virginia and active in the NPI registry since May 2020. The organization holds a CLIA Certificate of Compliance certificate valid through July 27, 2027 and lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093339764
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address19500 SANDRIDGE WAY STE 400Leesburg, VA 20176-3691
Mailing Address224d Cornwall St Nw Ste 403Leesburg, VA 20176-2704 · (703) 737-6000
Phone(703) 723-5700
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateMay 29, 2020
Last NPPES UpdateAugust 18, 20232 updates tracked since enumeration
NPPES CertifiedAugust 11, 2021
✔ NPI 1093339764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
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.
19500 SANDRIDGE WAY STE 400, Leesburg, VA 20176
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Other Names 1

Doing Business AsSkin Cancer Center Of Northern Virginia

Other Identifiers 1

Medicaid1675951440VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 49D1031013

Skin Cancer Center Of Northern Virginia · Lansdowne, VA
Active · expires Jul 27, 2027
CLIA Number49D1031013
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorCorey M. Dewitt
Laboratory Phone(703) 723-5700
Laboratory LocationSkin Cancer Center Of Northern Virginia19465 Deerfield Ave, Ste 401, Lansdowne, VA 20176
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loudoun Medical Group, PC's NPI number?

The NPI number for Loudoun Medical Group, PC is 1093339764. It was assigned to this organization in the NPPES registry on May 29, 2020. The provider is doing business as Skin Cancer Center Of Northern Virginia.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 19500 Sandridge Way Ste 400, Leesburg, VA 20176. The listed phone number is (703) 723-5700.

What is Loudoun Medical Group, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Loudoun Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D1031013) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Loudoun Medical Group, PC was last updated on August 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.