Active NPI
Hwang H. Junn MD Im/Geri PLC
- Medical Specialty Clinic/Center
- Annandale, VA
National Provider Identifier
1356677306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 101242585
- Legal business name
- HWANG H. JUNN MD IM/GERI PLC
- Practice address
- 4216 Evergreen Lane
Suite 111
Annandale, VA 22003-3253 - Phone
- (703) 468-4462
- Fax
- (703) 256-4680
- NPI assigned
- Oct 27, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hwang H Junn, M.D.
- Title
- Doctor
- Phone
- (703) 468-4462
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 101242585 | VA | Primary |
Addresses
Primary practice location
4216 Evergreen Lane
Suite 111
Annandale, VA 22003-3253
Mailing address
4216 Evergreen Lane
Suite 111
Annandale, VA 22003-3253
Phone (703) 468-4462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4216 Evergreen Ln
Ste 111
Annandale, VA 22003
Phone (703) 468-4462
7002 Evergreen Ct
#A
Annandale, VA 22003
Phone (703) 468-4462
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431388800000",
"number": "1356677306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4216 EVERGREEN LANE",
"address_2": "SUITE 111",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033253",
"telephone_number": "703-468-4462",
"fax_number": "703-256-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4216 EVERGREEN LANE",
"address_2": "SUITE 111",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033253",
"telephone_number": "703-468-4462",
"fax_number": "703-256-4680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HWANG H. JUNN MD IM/GERI PLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-27",
"last_updated": "2015-05-12",
"status": "A",
"authorized_official_last_name": "JUNN",
"authorized_official_first_name": "HWANG",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "703-468-4462",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "VA",
"license": "101242585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annandale, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.