Organization
LOUDOUN ENDOSCOPY GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MATERNA (DIRECTOR, CREDENTIALING)
(901) 377-8219
Entity
Organization
Contact information
Practice address
19455 DEERFIELD AVE STE 212, LANSDOWNE, VA 20176-8102
(703) 724-9792
(703) 858-7310
Mailing address
ONE GI CREDENTIALING DEPARTMENT, PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2006
Last updated
02/03/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us