Active NPI
Annie Jung Hur, PA-C
- Physician Assistant
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C07650
- Practice address
- 1500 Forest Glen Rd
Silver Spring, MD 20910-1460 - Phone
- (301) 754-7000
- NPI assigned
- Jul 31, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110007371 | VA | |
| Physician Assistant | 363A00000X | C07650 | MD | Primary |
Addresses
Primary practice location
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Mailing address
6201 Greenleigh Ave FL 2
Middle River, MD 21220-2004
Phone (410) 933-2704
Other practice location 1
1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-8893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C07650 | MD | MD | Physician Assistant |
| 0110007371 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services of Holy Cross | Physician Assistant | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Peter D Kim MD PC | Past | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
600 N Wolfe St
Baltimore, MD 21287
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928
6201 Greenleigh Ave
Fl 2
Middle River, MD 21220
Phone (410) 933-2704
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
Interoperability endpoints
- ahur1271003@direct.hopkinsmedicine.org
- ahur1609813@direct.trinity-health.org
Organizations & group practices 8
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.
-
- Health Service Clinic/Center
- Silver Spring, MD
- NPI 1487692828
DC, Physician Assistant
-
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Surgery Physician
- Baltimore, MD
- NPI 1689655219
-
- Health Service Clinic/Center
- Rockville, MD
- NPI 1619787454
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
-
- Family Medicine Physician
- Annandale, VA
- NPI 1134309685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1740899178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE FL 2",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 FOREST GLEN RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101460",
"telephone_number": "301-754-7000"
}
],
"practiceLocations": [
{
"address_1": "1800 Orleans St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870010",
"country_code": "US",
"telephone_number": "410-955-8893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUR",
"first_name": "ANNIE",
"middle_name": "JUNG",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-31",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007371",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C07650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.