Active NPI
John J Hynes, M.D.
- Pain Medicine (Anesthesiology) Physician
- Fairfax, VA
National Provider Identifier
1720006497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 0101039546
- Practice address
- 3600 Joseph Siewick Dr
Fairfax, VA 22033-1709 - Phone
- (703) 391-3129
- Fax
- (703) 295-9369
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0101039546 | VA | Primary |
Addresses
Primary practice location
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Mailing address
68 S Service Rd
Ste 350
Melville, NY 11747-2358
Phone (703) 295-9360
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054338 | Other | VA | ANTHEM |
| 1720006497 | Medicaid | VA | |
| 297396 | Other | VA | AMERIGROUP |
| 050048566 | Other | VA | RAIL ROAD MEDICARE |
| 4526-8289 | Other | VA | CARE FIRST |
| 493808 | Other | VA | NCPPO |
| K142-0001 | Other | VA | CARE FIRST |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101039546 | VA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Anesthesia Services LLC | Past | Accepting new patients | |
| LH Anesthesia Services LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1427303023
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1720223209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1720006497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 S SERVICE RD",
"address_2": "STE 350",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472358",
"telephone_number": "703-295-9360",
"fax_number": "103-766-9725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 JOSEPH SIEWICK DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331709",
"telephone_number": "703-391-3129",
"fax_number": "703-295-9369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYNES",
"first_name": "JOHN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "0101039546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "054338",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720006497",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "297396",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "050048566",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "4526-8289",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "493808",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "K142-0001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.