PETER E SHIN (NPI# 1083754261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083754261 |
| Entity Type | Individual |
| Full Name | PETER E SHIN |
| Credential | M.D. |
| Practice Address |
1509 Wilson Ter Emergency Dept. - Glendale Adventist Medical Center Glendale CA 91206-4007 |
| Mailing Address |
416 E Broadway #311 Glendale CA 91205-1047 |
| Practice Telephone | 8184098000 |
| Mailing Telephone | 8183964383 |
| Mailing Fax Number | 8183964383 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2012-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
A106933 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568522035 | Peter C. Shin | Neurological Surgery | Msc 10 5615, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-12-12 |
| 1275614737 | Peter Wooski Shin | Dentist | 2112 S Bristol St, Santa Ana, CA 92704 | 2006-10-18 |
| 1194212662 | Peter Shin | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd Ste 1140, Oklahoma City, OK 73104-5036 | 2018-04-19 |
| 1073991626 | Peter Yong Seung Shin | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2015-05-15 |
| 1689950438 | Peter K Shin | Acupuncturist | 32015 1st Ave S, Federal Way, WA 98003-5701 | 2011-10-25 |
| 1780987982 | Peter D Shin | Physical Therapist | 525 E 68th St, New York Presbyterian Hospital Cornell, New York, NY 10065-4870 | 2010-12-09 |
| 1376850917 | Peter Shin | Student in an Organized Health Care Education/Training Program | 525 E 68th St, New York, NY 10065-4870 | 2010-09-02 |
| 1639335060 | Peter Hoon Shin | Hospitalist | 9395 Crown Crest Blvd, Parker, CO 80138-8573 | 2008-08-05 |
| 1194917963 | Peter Young Shin | Internal Medicine | 350 Engle St, Suite 5265, Englewood, NJ 07631-1808 | 2007-08-15 |
| 1770590655 | Peter B Shin | Family Medicine | 23326 Hawthorne Blvd, Suite 140, Torrance, CA 90505-3725 | 2006-08-02 |
| Street Address |
1509 WILSON TER EMERGENCY DEPT. - GLENDALE ADVENTIST MEDICAL CENTER |
| City | GLENDALE |
| State | CA |
| Zip Code | 91206-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952308090 | Larry Ereshefsky | Pharmacist | 1509 Wilson Ter, Wing 55 Main Floor, Glendale, CA 91206-4007 | 2005-07-05 |
| 1235737867 | Linda Lee | Physician Assistant | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-15 |
| 1669079281 | Daniel Trabulus | Marriage & Family Therapist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-10-06 |
| 1437766938 | Lena Linda Mazmanyan | Pharmacist | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-29 |
| 1639784515 | Peter Kwaku Boateng | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-09-09 |
| 1811500945 | Nathaniel Jordan Khoe | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-28 |
| 1720691413 | Miguel A Santiago Cruz | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-24 |
| 1386256188 | Ronda Armatrading | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-21 |
| 1396356465 | Joanne Inawat Lopez | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-08-12 |
| 1093324949 | Tigran Tiraturyan Md Inc | Internal Medicine | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
| 1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
| 1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
| 1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
| 1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
| 1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
| 1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
| 1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
| Find all providers in zip 91206 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336190297 | James K Vincent | Emergency Medicine | 5529 W Aster Dr, Glendale, AZ 85304-1825 | 2006-05-15 |
| 1821065145 | Duane Miller | Emergency Medicine | 7455 N 95th Ave Apt 1022, Glendale, AZ 85305-1352 | 2006-03-06 |
| 1215014980 | Jonathan Wayne Crabb | Emergency Medicine | 1812 Verdugo Blvd, Glendale, CA 91208-1407 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576576 | Thethong P Thepvong | Emergency Medicine | 900 W Belgravia Ave, Fresno, CA 93706-3909 | 2020-10-21 |
| 1003441148 | Heather K Mineo | Emergency Medicine | 1908 Spahn Ln, Placentia, CA 92870-2844 | 2020-03-10 |
| 1407497837 | Jaskaranpreet Kaur Sahota | Emergency Medicine | 426 4th Street, Marysville, CA 95901 | 2019-10-07 |
| 1215493515 | Karla Beatriz Sonnier | Emergency Medicine | 17822 Cardiff Cir, Huntington Beach, CA 92649-4807 | 2019-02-12 |
| 1568992923 | American Specialty Physicians Group Inc | Emergency Medicine | 700 17th St Ste 205, Modesto, CA 95354-1249 | 2017-06-18 |
| 1841659067 | George Michael Savage | Emergency Medicine | 2600 Bridge Parkway, Proteus Digital Health, Redwood City, CA 94065 | 2016-02-16 |
| 1053779553 | Robert Alan Hochman | Emergency Medicine | 526 Firecrest Court, Newbury Park, CA 91320-5022 | 2016-01-29 |
| 1578954319 | Amerco Health Enterprise, Inc | Emergency Medicine | 1006 E Bastanchury Rd, Fullerton, CA 92835-2782 | 2015-02-16 |
| 1134543945 | Francine Vogler | Emergency Medicine | 22631 Pacific Coast Highway, #796, Malibu, CA 90265 | 2014-02-13 |
| 1396081659 | Kent Benedict | Emergency Medicine | 3283 Valencia Ave, Aptos, CA 95003-4122 | 2012-12-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PETER E SHIN.
| 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.