NPIMap

Individual provider Active NPI

Jong Wook An, DO

  • Hematology & Oncology Physician
  • Lynchburg, VA
National Provider Identifier
1043419096
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2017-02337 Issued in NC
Practice address
1701 Thomson Dr Ste 200
Lynchburg, VA 24501-1118
Phone
(434) 200-5925
Fax
(434) 200-5929
NPI assigned
Jul 11, 2007
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 0102202174 VA
Hematology & Oncology Physician 207RH0003X 2017-02337 NC Primary

Addresses

Primary practice location

1701 Thomson Dr Ste 200
Lynchburg, VA 24501-1118

Mailing address

2010 Atherholt Rd
Lynchburg, VA 24501-1106
Phone (434) 200-5047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200806000092 NC Practitioner - Hematology/OncologyPractitioner - Internal Medicine 7113350133 Reassigns benefits to 2 organizations
I20210313000037 VA Practitioner - Hematology/Oncology 7113350133 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Philadelphia College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Hematology-Oncology Associates of Fredericksburg IncGroup PAC ID 3577566066, 13 clinicians

Practice addresses (Care Compare)

1280 Main St a
Altavista, VA 24517-1465
Phone (434) 309-1165

1701 Thomson Dr
Lynchburg, VA 24501-1118
Phone (434) 200-4522

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

3300 Rivermont Ave
Lynchburg, VA 24503-2030
Phone (434) 200-5999

4501 Empire CT
Fredericksburg, VA 22408-1949
Phone 5403710079195

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Physician Practices LLC Hematology & Oncology CurrentSince Nov 1, 2021 Accepting new patients
Danville Physician Practices LLC CurrentSince Jul 1, 2022 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Hematology & Oncology CurrentSince Aug 10, 2020 Accepting new patients
Martinsville Physician Practices LLC CurrentSince Nov 1, 2021 Accepting new patients
Danville Physician Practices LLC CurrentSince Jul 1, 2022 Accepting new patients
Centra Medical Group, LLC CurrentSince Sep 1, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
NHCS Physicians Inc CurrentSince Jan 15, 2021 Accepting new patients
Hematology-Oncology Associates of Fredericksburg, Inc. Hematology & Oncology CurrentSince Dec 19, 2020 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Aug 10, 2020 Accepting new patients

Locations

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

140 Vista Centre Dr
Fl 2
Forest, VA 24551
Phone (434) 200-2297

4501 Empire Ct
Fredericksburg, VA 22408
Phone (540) 371-0079

1701 Thomson Dr
Ste 200
Lynchburg, VA 24501
Phone (434) 200-5925

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

2010 Atherholt Rd
Lynchburg, VA 24501
Phone (434) 200-3656

319 Hospital Dr
Ste 107
Martinsville, VA 24112
Phone (276) 632-0944

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1043419096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011106",
            "telephone_number": "434-200-5047",
            "fax_number": "434-200-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 THOMSON DR STE 200",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011118",
            "telephone_number": "434-200-5925",
            "fax_number": "434-200-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AN",
        "first_name": "JONG",
        "middle_name": "WOOK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0102202174",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2017-02337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.