DR. JUSTIN JIN (NPI# 1164800116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164800116 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN JIN |
| Credential | M.D. |
| Practice Address |
2500 Metrohealth Dr Cleveland OH 44109 |
| Mailing Address |
2500 Metrohealth Dr Cleveland OH 44109-1900 |
| Practice Telephone | 2167785906 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35.133264 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710054218 | Justin Sungho Jin | Internal Medicine | 5050 Ne Hoyt St Ste 540, Portland, OR 97213-2985 | 2006-11-29 |
| Street Address |
2500 METROHEALTH DR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102340 | William Robert Roscoe | Optometrist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2005-05-31 |
| 1366041980 | Anthony Rimpf | Pharmacist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-23 |
| 1528667896 | Mary Gut | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-19 |
| 1629676507 | Juyoun Park | Social Worker | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-13 |
| 1245838473 | Afeez Kolawole Adisa | Pediatrics | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-10-10 |
| 1386241867 | Andrew Kociubuk | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-07 |
| 1992311666 | Laura Lynn Posey | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-18 |
| 1508472143 | Yusuf Alawadhi | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-09-18 |
| 1255945424 | Christopher Paul Boutton | Nurse Anesthetist, Certified Registered | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-03 |
| 1992319636 | Ella Mathieson | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694502 | Saneeha Shahid | Pediatrics | Cleveland Clinic Main Campus 9500 Euclid Avenue Na-23, Cleveland, OH 44195-0001 | 2018-06-26 |
| 1518373471 | Reema Ramesh Mathanda | Pediatrics | 6500 Euclid Ave, Cleveland, OH 44195-1041 | 2014-07-10 |
| 1114347523 | Jared David Klein | Pediatrics | Cleveland Clinic Childrens Pediatric 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2014-04-24 |
| 1184043325 | Benjamin Harlan Hammond | Pediatrics | 9500 Euclid Ave # M41-008, Cleveland, OH 44195-0001 | 2014-04-15 |
| 1619240629 | Ilia Nikolaevich Buhtoiarov | Pediatrics | 9500 Euclid Ave # S20, Cleveland, OH 44195-6007 | 2012-02-22 |
| 1073886446 | Nohemie Brevil | Pediatrics | 818 E Sunflower Rd, Cleveland, MS 38732-2824 | 2012-02-16 |
| 1447549944 | Andrew Lee Dodgen | Pediatrics | 11100 Euclid Ave # Ms 6011, Cleveland, OH 44106-1716 | 2011-04-05 |
| 1831416353 | Murdock Pediatric Services Pllc | Pediatrics | 212 N Bonham Ave, Cleveland, TX 77327-4023 | 2010-04-23 |
| 1780865865 | Shawn Robinson | Pediatrics | Cleveland Clinic Foundation C/o Gme Na23, 9500 Euclid Avenue, Cleveland, OH 44195 | 2007-11-17 |
| 1255522447 | Latresha J Mcbride | Pediatrics | 300 E Houston, Ste A, Cleveland, TX 77327 | 2007-08-05 |
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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.