Organization Active NPI

Hwang H. Junn MD Im/Geri PLC

  • Medical Specialty Clinic/Center
  • Annandale, VA
National Provider Identifier
1356677306
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
101242585 Issued in VA
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

Updated by the provider on May 12, 2015

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

Authorized official

Name
Hwang H Junn, M.D.NPI 1659539195
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20091103000310 DC Part B Supplier - Clinic/Group Practice 1052458759 Receives reassigned benefits from 1 practitioner
Practice locations: Annandale, VA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.