JAE HYUN SHIM


Address: 300 Singleton Ridge Rd, Conway, SC 29526-9142
Phone: 8433478134

JAE HYUN SHIM (NPI# 1174142731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174142731
Entity Type Individual
Full Name JAE HYUN SHIM
Credential MD
Practice Address 300 Singleton Ridge Rd
Conway
SC 29526-9142
Practice Telephone 8433478134
Mailing Telephone 8433478134
Enumeration Date 2020-04-14
Last Update Date 2020-04-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 300 SINGLETON RIDGE RD
City CONWAY
State SC
Zip Code 29526-9142

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467450643 Kathleen M Chance Nurse Anesthetist, Certified Registered 300 Singleton Ridge Rd, Conway, SC 29526-9142 2005-07-12
1588275101 Christina Lauren St Clair Registered Nurse 300 Singleton Ridge Rd, Conway, SC 29526-9142 2020-08-17
1184248569 Evan Samuel Culp Nurse Anesthetist, Certified Registered 300 Singleton Ridge Rd, Conway, SC 29526-9142 2020-06-02
1023637352 Tawsif Nadir Student in an Organized Health Care Education/Training Program 300 Singleton Ridge Rd, Conway, SC 29526-9142 2020-04-16
1427677053 Bennett Leanna Haskin Family Medicine 300 Singleton Ridge Rd, Conway, SC 29526-9142 2020-04-14
1891314449 Eric Yunkwen Choi Student in an Organized Health Care Education/Training Program 300 Singleton Ridge Rd, Conway, SC 29526-9142 2020-04-14
1487273017 Tooba Anum Student in an Organized Health Care Education/Training Program 300 Singleton Ridge Rd, Conway, SC 29526-9142 2020-04-14
1083242960 Noman Ghiasi Family Medicine 300 Singleton Ridge Rd, Conway, SC 29526-9142 2020-03-27
1336775154 Kaila Marnan Robbins Registered Nurse 300 Singleton Ridge Rd, Conway, SC 29526-9142 2020-03-13
1104451483 Tracey Michelle Lewis Registered Nurse 300 Singleton Ridge Rd, Conway, SC 29526-9142 2020-03-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457975237 Terri L Champion Massage Therapist 172 Waccamaw Medical Park Court, Conway, SC 29526 2020-06-08
1689204398 Alayna Defalco Clinical Exercise Physiologist 1320 501 Business, Unit E, Conway, SC 29526 2020-01-22
1124672662 Proxsys Rx - Sc, LLC Pharmacy 300 Singelton Ridge Road, Conway, SC 29526 2019-08-01
1598227431 Surgery Center of Conway Inc Clinic/Center 1405 Main Street, Conway, SC 29526 2019-04-01
1801374962 Trevor James Hess Specialist/Technologist 905 One Landon Loop, Conway, SC 29526 2018-08-01
1851800817 Katherine Ann Nimphius Behavioral Analyst 105 Timberline Dr, Conway, SC 29526 2017-09-21
1922544253 William Houck Specialist/Technologist 925 One Landon Loop, Conway, SC 29526 2017-01-10
1952857278 Courtney Jeanette Smith Counselor 164 Waccamaw Medical Park Dr., Conway, SC 29526 2016-08-28
1336502632 Jebediah S. Christy, D.d.s - Conway, Pllc Dentist 2756 Church St, Conway, SC 29526 2016-04-04
1447615208 Abl Enterprises, LLC Optometrist 113 Citadel Drive, Conway, SC 29526 2015-12-22
Find all providers in zip 29526

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679122998 Baylee Nicole Kimbrell Student in an Organized Health Care Education/Training Program 1018 Clifton St Apt 7, Conway, AR 72034-3988 2019-09-09
1194284364 Tiffany Elise Eastburn Student in an Organized Health Care Education/Training Program 1760 Wysteria Ln, Conway, AR 72034-8444 2019-03-18
1033675814 Sarah Etta Harrison Student in an Organized Health Care Education/Training Program 2912 Celia Dr, Conway, AR 72034-5511 2019-02-15
1235695321 Elizabeth Catherine Speck Student in an Organized Health Care Education/Training Program 3760 Irby Dr, Conway, AR 72034-3381 2019-02-14
1093270746 Stefan Jordan Mckinney Student in an Organized Health Care Education/Training Program 2201 Moix Blvd Apt 411, Conway, AR 72034-6899 2019-02-06
1316435662 Ashley Nolen Student in an Organized Health Care Education/Training Program 835 S Donaghey Ave Apt 411, Conway, AR 72034-7050 2018-04-23
1073014973 Hannah Ashley Thornton Student in an Organized Health Care Education/Training Program 1361b Davis St, Conway, AR 72034-3963 2018-02-26
1699274910 Ja'brea Janay Joiner Student in an Organized Health Care Education/Training Program 1025 S Donaghey Ave Apt 715, Conway, AR 72034-6290 2018-02-02
1790222198 Jordan Gregory Student in an Organized Health Care Education/Training Program 3065 Dave Ward Dr Apt 213, Conway, AR 72034-9411 2017-01-23
1265832661 Chelcie Ford Student in an Organized Health Care Education/Training Program 407 Katie Ln, Conway, AR 72034-7942 2014-09-04
Find all providers in CONWAY

Competitor

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City CONWAY
Zip Code 29526

Improve Information

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Dataset Information

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.

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