{"npi":"1710001235","type":"NPI-2","status":"active","name":{"display":"Loudoun Medical Group, PC","other":[],"organization_name":"LOUDOUN MEDICAL GROUP, PC","authorised_official":"Mary Beth Tamasy"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"19415 DEERFIELD AVENUE, SUITE 314","city":"LEESBURG","state":"VA","postal_code":"201768472","country_code":"US","phone":"7037237171","fax":"7037237176"},{"purpose":"MAILING","street_1":"224-D CORNWALL STREET, NW, SUITE 403","city":"LEESBURG","state":"VA","postal_code":"201763346","country_code":"US","phone":"7037376010","fax":"7034438643"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"CG8678","state":"VA","issuer":"RR MEDICARE PIN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-19","last_updated":"2023-04-24","_meta":{"source":"NPPES","snapshot_date":"2023-04-24","doc_url":"https://findmynpi.com/api"}}