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UROGYNECOLOGY CENTER OF NORTHERN VIRGINIA
NPI 1235664897
Urology - Urogynecology and Reconstructive Pelvic Surgery in Reston, VA

Active since April 20, 2017CLIA 49D2242944 · Waiver
1860 TOWN CENTER DR, SUITE 140, RESTON, VA 20190(703) 293-5239(571) 526-4393 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 27, 2022, Mar 13, 2022, Aug 17, 2021 and 2 more (5 updates tracked since 2017).

About Urogynecology Center Of Northern Virginia NPPES

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

UROGYNECOLOGY CENTER OF NORTHERN VIRGINIA (NPI 1235664897) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Reston, Virginia and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235664897
Entity TypeOrganization
Primary Taxonomy2088F0040X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address1860 TOWN CENTER DR, SUITE 140Reston, VA 20190-5898
Mailing Address224-d Cornwall Street, Nw, Suite 403, Suite 403Leesburg, VA 20176-2700 · (703) 737-6010 · Fax (703) 443-8643
Phone(703) 293-5239
Fax(571) 526-4393
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateApril 20, 2017
Last NPPES UpdateApril 24, 20235 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1235664897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
1860 TOWN CENTER DR, SUITE 140, Reston, VA 20190
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Other Names 1

Doing Business AsUrogynecology Center Of Northern Virginia

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 49D2242944

Urogynecology Center Of Northern Virginia · Reston, VA
Active · expires Nov 14, 2027
CLIA Number49D2242944
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorMaria Canter
Laboratory Phone(703) 293-5239
Laboratory LocationUrogynecology Center Of Northern Virginia1860 Town Center Dr, Suite 225, Reston, VA 20190
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1235664897. It was assigned to this organization in the NPPES registry on April 20, 2017. The provider is doing business as Urogynecology Center Of Northern Virginia.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 1860 Town Center Dr, Suite 140, Reston, VA 20190. The listed phone number is (703) 293-5239.

What is Loudoun Medical Group, PC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

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

Yes. A Certificate of Waiver (number 49D2242944) is associated with this NPI, valid through November 14, 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 April 24, 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.