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SKIN CANCER CENTER OF NORTHERN VIRGINIA
NPI 1356465769
Dermatology - MOHS-Micrographic Surgery in Leesburg, VA

Active since March 19, 2007
19465 DEERFIELD AVENUE, SUITE 401, LEESBURG, VA 20176(703) 723-5700(703) 723-5778 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2022, Aug 19, 2021 (2 updates tracked since 2021).

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 1356465769) is a healthcare organization registered as a mohs-micrographic surgery 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

NPI1356465769
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address19465 DEERFIELD AVENUE, SUITE 401Leesburg, VA 20176-1707
Mailing Address224-d Cornwall Street, Nw, Suite 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Phone(703) 723-5700
Fax(703) 723-5778
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateMarch 19, 2007
Last NPPES UpdateApril 24, 20232 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1356465769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
19465 DEERFIELD AVENUE, SUITE 401, Leesburg, VA 20176
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Other Names 1

Doing Business AsSkin Cancer 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

Other Providers at the Same Location NPPES 4

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

KAITLYN BURNS
Physician Assistant
19465 DEERFIELD AVENUE, SUITE 401
LEESBURG, VA 20176
Loudoun County (703) 723-5700
MICHAEL FRAYKOR JR. PAC
Physician Assistant
19465 DEERFIELD AVENUE, SUITE 401, STE 403
LEESBURG, VA 20176
Loudoun County (703) 723-5700
COREY DEWITT MD
Dermatology (MOHS-Micrographic Surgery)
19465 DEERFIELD AVENUE, SUITE 401
LEESBURG, VA 20176
Loudoun County (703) 723-5700
LINDSAY ZASTROW SMITH FNP-BC
Nurse Practitioner (Family)
19465 DEERFIELD AVENUE, SUITE 401
LEESBURG, VA 20176
Loudoun County (703) 723-5700

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 1356465769. It was assigned to this organization in the NPPES registry on March 19, 2007. 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 19465 Deerfield Avenue, Suite 401, 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 Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

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.