Individual provider Active NPI

Jose A. Zuniga Juarez, PA-C

  • Physician Assistant
  • Roanoke, VA
National Provider Identifier
1902473325
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3822 Yellow Mountain Rd SE
Roanoke, VA 24014-5851
Phone
(540) 355-9045
NPI assigned
Jun 4, 2021
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3822 Yellow Mountain Rd SE
Roanoke, VA 24014-5851

Mailing address

3822 Yellow Mountain Rd SE
Roanoke, VA 24014-5851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA2 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
I20220322003102 VA Practitioner - Physician Assistant 8325433642 Reassigns benefits to 2 organizations
I20230601001160 PA Practitioner - Physician Assistant 8325433642 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Bedford Memorial CurrentSince Nov 11, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 17, 2023 Accepting new patients
Upmc Altoona CurrentSince Nov 11, 2024 Accepting new patients
Upmc Bedford Memorial CurrentSince Nov 11, 2024 Accepting new patients
Carilion Medical Center CurrentSince Mar 28, 2022 Accepting new patients
Upmc Altoona CurrentSince Nov 11, 2024 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jul 17, 2023 Accepting new patients
Carilion Medical Center CurrentSince Mar 28, 2022 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Mar 28, 2022 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Mar 28, 2022 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients

Locations

620 Howard Ave
Altoona, PA 16601
Phone (814) 889-2011

10455 Lincoln Hwy
Everett, PA 15537
Phone (814) 623-3550

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

3970 Perkiomen Ave
Ste 102
Reading, PA 19606
Phone (610) 779-1330

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

Interoperability endpoints

  • Direct secure messaging: jzunigajuarez95879@direct.carilionclinic.org

Organizations & group practices 12

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1902473325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3822 YELLOW MOUNTAIN RD SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3822 YELLOW MOUNTAIN RD SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240145851",
            "telephone_number": "540-355-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNIGA JUAREZ",
        "first_name": "JOSE",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.