Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Loudoun Medical Group, PC

Organization Plastic Surgery Physician · NPI 1457646606

Loudoun Medical Group, PC provides Plastic Surgery Physician services in Reston, Virginia. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1860 Town Center Dr Ste 340
Reston, VA 20190-5896
Phone: (703) 858-3208
Fax: (703) 547-9984
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1457646606
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLoudoun Medical Group, PC
Authorized official Mary Beth Tamasy — Ceo · (703) 737-6010
Other names Mountcastle Plastic Surgery And Vein Institute; Mountcastle Plastic Surgery And Vein Institute
NPI enumeratedJune 16, 2011
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing addressPo Box 17334, Baltimore, MD 21297-1334

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