Active NPI
John Pan, M.D.
- Gynecology Physician
- Washington, DC
National Provider Identifier
1427109735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD6084
- Practice address
- 908 New Hampshire Ave NW
Suite-200
Washington, DC 20037-2346 - Phone
- (202) 833-5055
- Fax
- (202) 833-5755
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD6084 | DC | Primary |
Addresses
Primary practice location
908 New Hampshire Ave NW
Suite-200
Washington, DC 20037-2346
Mailing address
908 New Hampshire Ave NW
Suite-200
Washington, DC 20037-2346
Phone (202) 833-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6084 | DC | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427109735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 NEW HAMPSHIRE AVE NW",
"address_2": "SUITE-200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372346",
"telephone_number": "202-833-5055",
"fax_number": "202-833-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 NEW HAMPSHIRE AVE NW",
"address_2": "SUITE-200",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372346",
"telephone_number": "202-833-5055",
"fax_number": "202-833-5755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAN",
"first_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "DC",
"license": "MD6084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.