JOHN DAVOD MUNYAN (NPI# 1629349394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629349394 |
| Entity Type | Individual |
| Full Name | JOHN DAVOD MUNYAN |
| Credential | PA |
| Practice Address |
250 Wood Rd Annapolis MD 21402-1257 |
| Practice Telephone | 4102934378 |
| Practice Fax Number | 4102931190 |
| Mailing Telephone | 4102934378 |
| Mailing Fax Number | 4102931190 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| Street Address |
250 WOOD RD |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21402-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077847 | Jitendrakumar Rajnikant Modi | Pediatrics | 250 Wood Rd, Nhcl Annapolis (pediatrics), Annapolis, MD 21402-1257 | 2005-07-19 |
| 1164776597 | Jennifer Christine Griffeth | Dentist | 250 Wood Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402-1257 | 2012-11-07 |
| 1497004840 | Jan Rainier Anova | Military Health Care Provider | 250 Wood Rd, Annapolis, MD 21402-1257 | 2012-08-30 |
| 1720350135 | Amelia Ross Olson | Physician Assistant | 250 Wood Rd, Annapolis, MD 21402-1257 | 2012-01-31 |
| 1053614891 | Christian Alan Shotwell | Clinical Nurse Specialist | 250 Wood Rd, Annapolis, MD 21402-1257 | 2010-12-17 |
| 1477782480 | Brittany Juree Klass | Optometrist | 250 Wood Rd, Annapolis, MD 21402-1257 | 2009-07-11 |
| 1164578399 | Eileen S Tidd | Internal Medicine | 250 Wood Rd, Annapolis, MD 21402-1257 | 2007-01-29 |
| 1942309364 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 250 Wood Rd, Annapolis, MD 21402-1257 | 2006-09-22 |
| 1528013414 | Naval Health Clinic Annapolis | Clinic/Center | 250 Wood Rd, Annapolis, MD 21402-1257 | 2006-05-23 |
| 1669439519 | Reginald S. Ewing | Pediatrics | 250 Wood Rd, Annapolis, MD 21402-1257 | 2006-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427404656 | Karen Ruth Taylor | Social Worker | Usna - Midshipmen Development Center, Bancroft Hall 8m38a, Annapolis, MD 21402 | 2016-05-06 |
| 1710974902 | Ruben Del Pilar | Family Medicine | Naval Health Clinic Annapolis, 250 Wood Road, Annapolis, MD 21402 | 2005-10-03 |
| 1891789137 | Raymond Donald Chronister | Specialist/Technologist | Physical Education, Field House, U. S. Naval Academy, Annapolis, MD 21402 | 2005-09-01 |
| 1649682162 | Naval Health Clinic Annapolis | Military/U.S. Coast Guard Pharmacy | 695 Kinkaid Rd, Naval Health Clinic Annapolis, Annapolis, MD 21402 | 2014-06-02 |
| 1619303484 | Melanie Cooper Carmody | Pharmacist | 250 Wood Road, Nhc Annapolis, Annapolis, MD 21402 | 2013-09-24 |
| 1770599060 | Collette Stevenson | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-31 |
| 1447272505 | Michelle M. Decker | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-24 |
| 1851313936 | Eunice Smith | Dental Hygienist | 250 Wood Road, Naval Health Clinic, Annapolis, MD 21402 | 2006-07-24 |
| 1316229701 | Shields Vision | Optometrist | 321 Kinkaid Rd, Building 329, Annapolis, MD 21402-1002 | 2011-09-13 |
| 1124259718 | Anchor Eyecare Annapolis | Optometrist | 321 Kinkaid Rd, Building 329, Annapolis, MD 21402-1002 | 2009-07-31 |
| Find all providers in zip 21402 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079604 | Jessica Yvonne Thomas | Military Health Care Provider | 64 Verdant Oak Aly, Clarksburg, MD 20871-3504 | 2020-10-02 |
| 1740801588 | Matildah A Mchatta | Military Health Care Provider | 19902 Sweetgum Cir Apt 42, Germantown, MD 20874-3770 | 2020-05-04 |
| 1851927859 | Samira Wrightson | Military Health Care Provider | 5701 Granby Rd, Derwood, MD 20855-1412 | 2020-03-21 |
| 1578199535 | Ebony Andrea Peterman | Military Health Care Provider | 4915 Hampden Ln Unit 103, Bethesda, MD 20814-3699 | 2020-03-20 |
| 1346723012 | Bivor Shrestha | Military Health Care Provider | 546 Salisbury Pl, Prince Frederick, MD 20678-3152 | 2018-09-10 |
| 1861974990 | Suzanna Hopkins | Military Health Care Provider | 4301 Jones Bridge Rd Rm 1040, Bethesda, MD 20814-4799 | 2018-09-05 |
| 1104346436 | Darrell J Fisher | Military Health Care Provider | 7903 Crows Nest Court, Laurel, MD 20707 | 2017-06-27 |
| 1346760634 | Laura Christine Barba-ruiz | Military Health Care Provider | 8901 Rockville Pike Internal Medicine, Bethesda, MD 20889-0001 | 2017-06-27 |
| 1477936235 | Anna Marie Pepe | Military Health Care Provider | 15601 Barnesville Rd, Boyds, MD 20841-9403 | 2015-06-29 |
| 1487984233 | Suzanne Marie Gillern | Military Health Care Provider | 10157 Sutherland Rd, Silver Spring, MD 20901-2421 | 2009-12-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.