LOUDOUN DERMATOLOGY ASSOCIATES
NPI 1710001235
Dermatology in Leesburg, VA
- Organization
- Dermatology
- CLIA Number: 49D0943892
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-23-2027
About LOUDOUN DERMATOLOGY ASSOCIATES
This page provides the complete NPI Profile along with additional information for Loudoun Dermatology Associates, a provider established in Leesburg, Virginia operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1710001235 assigned on March 2007. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Loudoun Dermatology Associates operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Loudoun Dermatology Associates. The authorized official of this NPI record is Mary Beth Tamasy (Ceo)
- NPI
- 1710001235 Verify this NPI
- Provider Legal Name
- LOUDOUN MEDICAL GROUP, PC
- Other Organization Name
- LOUDOUN DERMATOLOGY ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 19415 DEERFIELD AVENUE, SUITE 314 LEESBURG, VA 20176
- Location Phone
- (703) 723-7171
- Location Fax
- (703) 723-7176
- Mailing Address
- 224-D CORNWALL STREET, NW, SUITE 403 LEESBURG, VA 20176
- Mailing Phone
- (703) 737-6010
- Mailing Fax
- (703) 443-8643
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-19-2007
- Last Update Date
- 04-24-2023
- Code Navigator
A dermatologist like Loudoun Dermatology Associates is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CG8678 | OTHER (01) | VA | RR MEDICARE PIN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D0943892
- Facility Type
- Physician Office
- Certificate Effective Date
- January 24, 2025
- Certificate Expiration Date
- January 23, 2027
- Laboratory Director
- VAN T. HA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Loudoun Dermatology Associates in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710001235, enumerated as an "organization" on March 19, 2007.
The provider is located at 19415 DEERFIELD AVENUE, SUITE 314 LEESBURG, VA 20176 and the phone number is (703) 723-7171.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.