Daniel Jongwon Jeong, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

0001246514 Issued in VA

Practice address

10800 Midlothian Tpke Ste 265
North Chesterfield, VA 23235-4700

Phone

(804) 594-2622

Fax

(804) 594-0915

NPI assigned

Dec 29, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, CO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dogwood Anesthesia Providers LLCGroup PAC ID 2769853084, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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

• Dogwood Anesthesia Providers, LLC

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1982329900
  Medicare reassignment Care Compare group NPD
• US Anesthesia Partners of Colorado Inc.

  • Anesthesiology Physician
  • Greenwood Village, CO
  • NPI 1922365782

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

• Chippenham & Johnston-Willis Hospitals Inc

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1144792227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 MIDLOTHIAN TPKE STE 265",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354700",
            "telephone_number": "804-594-2622",
            "fax_number": "804-594-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 MIDLOTHIAN TPKE STE 265",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354700",
            "telephone_number": "804-594-2622",
            "fax_number": "804-594-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "DANIEL",
        "middle_name": "JONGWON",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0001246514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlie Jeffery, LPC
• Amanda Jeffrey, RDH
• Robyn Lowry Jennings, LPC
• Samantha Jennings, LPC
• Ryanna M Jensen
• Jeremiah Foundation Inc
• Jessica F Summers LCSW LLC
• David S Jevsevar, MD
• Nikole Rohana Jiggetts, LCSW
• Mohit Jindal, M.D.

• Certified Registered Nurse Anesthetist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.