DR. SAMUEL HUISOK YUN (NPI# 1790071694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790071694 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL HUISOK YUN |
| Credential | M.D. |
| Practice Address |
3959 Pender Dr Ste 260 Fairfax VA 22030-6041 |
| Practice Telephone | 3018933484 |
| Practice Fax Number | 3018933481 |
| Mailing Telephone | 3018933484 |
| Mailing Fax Number | 3018933481 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 26407 | WV | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
D0082623 | MD | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
0101261451 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Medical Center Dr, Morgantown, WV 265053220 | 3045986944 | 3045986928 |
| 3959 Pender Dr, Ste 260, Fairfax, VA 220306041 | 3018933484 | 3018933481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922130459 | Samuel S Yun | Dentist | 225 Oak Springs Dr, Suite 101, Warrenton, VA 20186-2105 | 2007-03-11 |
| Street Address |
3959 PENDER DR STE 260 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588610679 | Meier Clinics Foundation | Social Worker | 3959 Pender Dr, Suite 305, Fairfax, VA 22030-6041 | 2006-05-26 |
| 1669860706 | Anne Knabel | Counselor | 3959 Pender Dr, Suite 305, Fairfax, VA 22030-6041 | 2014-12-23 |
| 1053601450 | Learning Alliance, LLC | Community/Behavioral Health | 3959 Pender Dr, Fairfax, VA 22030-6041 | 2011-04-19 |
| 1922322106 | Jennifer Wright | Social Worker | 3959 Pender Dr, Ste. 109, Fairfax, VA 22030-6041 | 2010-03-17 |
| 1306024914 | The Child & Family Counseling Group, Plc | Counselor | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2008-02-06 |
| 1992900799 | Sarah Elizabeth Hardy | Psychologist | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2007-06-20 |
| 1972704575 | Karen N Wires | Speech-Language Pathologist | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2007-05-30 |
| 1811109663 | Laura Denham Robbins | Social Worker | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2007-05-04 |
| 1831301084 | Maureen Gallagher | Social Worker | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2007-05-03 |
| 1518187426 | Patricia Michelle Mullaley | Psychologist | 3959 Pender Dr, #320, Fairfax, VA 22030-6041 | 2007-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902462047 | Amir H Hariri | Ophthalmology | 9702 Stanton Dr, Fairfax, VA 22031-3555 | 2019-05-14 |
| 1467910554 | Samuel H Yun Ophthalmology Plc | Ophthalmology | 3959 Pender Dr Ste 260, Fairfax, VA 22030-6041 | 2019-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993081 | Virginia Retina Consultants, Plc | Ophthalmology | 540 Lew Dewitt Blvd, Suite 5, Waynesboro, VA 22980-1665 | 2014-05-08 |
| 1700976834 | Virginia Retina Consultants, Plc | Ophthalmology | 600 Peter Jefferson Pkwy Ste 350, Charlottesville, VA 22911-8836 | 2006-10-12 |
| 1235172461 | Andy Hay | Ophthalmology | 8717 Digges Road, Manassas, VA 20110 | 2006-06-14 |
| 1770943565 | Virginia Retina Specialists | Ophthalmology | 6400 Arlington Blvd., Suite 600, Falls Church, VA 22042-2349 | 2016-03-07 |
| 1356769731 | Evan M Berger | Ophthalmology | 3235 Academy Ave Ste 200, Portsmouth, VA 23703-3200 | 2014-04-02 |
| 1033485065 | Brittany Elizabeth Powell | Ophthalmology | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2012-03-23 |
| 1275783235 | Advanced Retina Center, Lc | Ophthalmology | 8233 Old Courthouse Rd, Suite 300, Vienna, VA 22182-3816 | 2008-09-26 |
| 1265691141 | Kori A Elkins | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 | 2008-06-05 |
| 1467635862 | Jason P Ruggiero | Ophthalmology | 190 Campus Blvd, Suite 320, Winchester, VA 22601-2872 | 2007-12-10 |
| 1750353140 | John Bocock Carter | Ophthalmology | 190 Campus Blvd, Sute 320, Winchester, VA 22601-2872 | 2006-02-02 |
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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.