Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John R. Lundgren, PA

Individual provider Surgical Physician Assistant · NPI 1124118377

John R. Lundgren, PA is a Physician Assistant in Richmond, Virginia. Qualified in 1986, 40 years ago. Practices with Valley Physician Enterprise Inc, a 190-clinician group and accepts Medicare assignment. Licensed in Delaware and Virginia.

Years since qualifying
40
Licensed in
DE, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7101 Jahnke Rd Ste 500
Richmond, VA 23225-4017
Phone: (804) 320-2751
Fax: (804) 330-3831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 00110003145 (VA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence C5-0001388 (DE)

Record details

NPI number1124118377
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 19, 2022
Certification dateJuly 12, 2022
Mailing address75 W Lee Hwy, Warrenton, VA 20186-2149

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Valley Physician Enterprise Inc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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