Individual provider Active NPI

John David Munyan, PA

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1629349394
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007548 Issued in VA
Practice address
1605 General Booth Blvd
Virginia Beach, VA 23454-5691
Phone
(757) 721-0512
Fax
(410) 293-1190
NPI assigned
Jan 26, 2012
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0110007548 VA Primary

Addresses

Primary practice location

1605 General Booth Blvd
Virginia Beach, VA 23454-5691

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211221000164 VA Practitioner - Physician Assistant 1456742725 Reassigns benefits to 1 organization
I20220720003370 DC Practitioner - Physician Assistant 1456742725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1239 Cedar Rd
Chesapeake, VA 23322-7103
Phone (757) 549-9935

1605 General Booth Blvd
Virginia Beach, VA 23454-5691
Phone (757) 721-0512

2304 W Mercury Blvd
Hampton, VA 23666-3115
Phone (757) 951-1579

2425 Taylor Rd
Chesapeake, VA 23321-2201
Phone (757) 215-1800

332 Newtown Rd
Virginia Beach, VA 23462-1793
Phone (757) 473-8400

3432 Holland Rd
Virginia Beach, VA 23452-4846
Phone (757) 468-1855

5486 Indian River Rd
Virginia Beach, VA 23464-5365
Phone (757) 424-2490

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110007548VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Jun 13, 2022 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Jun 13, 2022 Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

1605 General Booth Blvd
Virginia Beach, VA 23454
Phone (757) 721-0512

Interoperability endpoints

  • Direct secure messaging: vaexchange@patientfirstclinics.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1629349394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 GENERAL BOOTH BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545691",
            "telephone_number": "757-721-0512",
            "fax_number": "410-293-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNYAN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-26",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1605 General Booth Blvd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234545691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.