Junnan Chen, PHYSICIAN ASSISTANT

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C06976 Issued in MD

Practice address

13330 Clarksville Pike Ste B
Highland, MD 20777-9785

Phone

(443) 535-6616

NPI assigned

Oct 21, 2018

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• White Pebble Dermatology, LLC

  • Dermatology Physician
  • Columbia, MD
  • NPI 1881391670
  Medicare reassignment Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1780150425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 CLARKSVILLE PIKE STE B",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207779785",
            "telephone_number": "443-535-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13330 CLARKSVILLE PIKE STE B",
            "city": "HIGHLAND",
            "state": "MD",
            "postal_code": "207779785",
            "telephone_number": "443-535-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10632 Little Patuxent Pkwy Ste 401",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210446281",
            "country_code": "US",
            "telephone_number": "443-535-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JUNNAN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-21",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006976",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "C06976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Ring Abrams, L. AC., C.A.AC.
• Nicole M Archibald
• Michael Caruso
• Castlebridge Medical Associates, LLC
• Center for Counseling and Psychotherapy
• Hannah Yu Chun, PHARMD
• Sharon Coale, M.S. CCC-SLP
• Sanna Ali Darwish, CCC-SLP
• Designer Audiology, LLC
• Haroldo Edgardo Drachenberg, M.D.

• Dermatology Physician in Highland, MD
• Providers in Highland, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.