Active NPI
John Young Jun, M.D.
- Anesthesiology Physician
- McLean, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101252949
- Practice address
- 8008 Westpark Dr
Kaiser Permanente Tysons Corner Medical Center
MC Lean, VA 22102-3109 - Phone
- (703) 287-6400
- NPI assigned
- Dec 12, 2007
- Last updated
- Dec 6, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MT189075 | PA | |
| Anesthesiology Physician | 207L00000X | 0101252949 | VA | Primary |
Addresses
Primary practice location
8008 Westpark Dr
Kaiser Permanente Tysons Corner Medical Center
MC Lean, VA 22102-3109
Mailing address
2101 E Jefferson St
Kaiser Permanente Medicare Enrollment
Rockville, MD 20852-4908
Phone (301) 816-2424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
827 Linden Ave
Baltimore, MD 21201-4606
Phone (667) 214-1616
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT189075 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Anesthesiology Associates,P.a. | Current | Accepting new patients | |
| University of Maryland Anesthesiology Associates, P.a. | Anesthesiology | Current | Accepting new patients |
| Riverside Anesthesia Associates, LTD | Anesthesiology | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
611 S Charles St
Baltimore, MD 21230
Phone (410) 328-6331
827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100
2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500
Interoperability endpoints
- jjun480516@direct.umm.edu
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1720024235
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1396779427
-
- Anesthesiology Physician
- Harrisburg, PA
- NPI 1205827359
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Medical Center Midtown Campus
- General Acute Care Hospital
- Baltimore, MD
- NPI 1669565180
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1639352628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E JEFFERSON ST",
"address_2": "KAISER PERMANENTE MEDICARE ENROLLMENT",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524908",
"telephone_number": "301-816-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8008 WESTPARK DR",
"address_2": "KAISER PERMANENTE TYSONS CORNER MEDICAL CENTER",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023109",
"telephone_number": "703-287-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUN",
"first_name": "JOHN",
"middle_name": "YOUNG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-12",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MT189075",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101252949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
- Phyllis A Jones
- Amber Jordan, BCBA
- Kathryn Murphy Jordan, RBT
- Colleen Anne Joseph, MD
- Hannah Joyce
- Jennifer Aloe Kahler, PSY.D.
- Lisa Kaintoch, RN
- Zhun Li Kaipat
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Tysons Corner Medical Center Ambulatory Surgery Center)
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc (Tysons Corner Medical Center Laboratory)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.