ADVANCED ENT SPECIALIST - NPI 1215051693 - Otolaryngology in Leesburg, VA

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

The NPI number for Loudoun Medical Group, PC is 1215051693. It was assigned to this organization in the NPPES registry on March 19, 2007.

Q: What is Loudoun Medical Group, PC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

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About Advanced Ent Specialist NPPES

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

ADVANCED ENT SPECIALIST (NPI 1215051693) is a healthcare organization registered as an otolaryngology in Leesburg, Virginia and active in the NPI registry since March 2007. The organization lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215051693

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameLOUDOUN MEDICAL GROUP, PC

Location Address19490 SANDRIDGE WAY, SUITE 230Leesburg, VA 20176-3467

Mailing Address224d Cornwall St Nw Ste 403Leesburg, VA 20176-2704 · (703) 737-6001 · Fax (703) 443-8643

Phone(703) 858-5885

Fax(703) 858-5001

Organization SubpartYes

Authorized OfficialMary Beth TamasyCeo · (703) 737-6010

Enumeration DateMarch 19, 2007

Last NPPES UpdateNovember 10, 20236 updates tracked since enumeration

NPPES CertifiedNovember 10, 2023

✔ NPI 1215051693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

19490 SANDRIDGE WAY, SUITE 230, Leesburg, VA 20176

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Other Names 1

Doing Business AsAdvanced Ent Specialist

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 Waiver 49D1056449

Advanced Ent Specialists · Leesburg, VA

Expired · Jul 16, 2026

CLIA Number49D1056449

Laboratory TypePhysician Office

Certificate Effective DateJuly 17, 2024

Certificate Expiration DateJuly 16, 2026

Laboratory DirectorMahesh S. Parameswaren, MD

Laboratory Phone(703) 858-5885

Laboratory LocationAdvanced Ent Specialists19490 Sandridge Way, Suite 230, Leesburg, VA 20176

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NIPUN CHHABRA M.D.

Otolaryngology