DR. BRION B. SHIN (NPI# 1184825283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184825283 |
| Entity Type | Individual |
| Full Name | DR. BRION B. SHIN |
| Credential | M.D. |
| Practice Address |
1915 Lake Ave Plymouth IN 46563-9366 |
| Mailing Address |
100 E Wayne St Ste 510 South Bend IN 46601-2349 |
| Practice Telephone | 5749362585 |
| Practice Fax Number | 5749363887 |
| Mailing Telephone | 5743345390 |
| Mailing Fax Number | 5743345368 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2018-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
01066928A | IN | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
A94346 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200946290 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 East Blvd, Elkhart, IN 465142483 | 8008608100 | 5745237856 |
| Street Address |
1915 LAKE AVE |
| City | PLYMOUTH |
| State | IN |
| Zip Code | 46563-9366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977543 | Guy Kedziora | Radiology | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2005-07-21 |
| 1598387250 | Dana Oberg | Hospitalist | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2020-05-15 |
| 1366905275 | Benjamin Cale Friesen | Registered Nurse | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2019-04-08 |
| 1902345879 | Aimee Clady | Nurse Practitioner | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2017-02-13 |
| 1013384262 | Jessica Cooper | Nurse Practitioner | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2015-08-24 |
| 1093102162 | Saint Joseph Regional Medical Center - Plymouth Campus Inc | Non-Pharmacy Dispensing Site | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2015-04-16 |
| 1821402876 | Saint Joseph Regional Medical Center Plymouth Campus, Inc | Internal Medicine | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2014-06-18 |
| 1144634742 | Christopher A Chesnut | Emergency Medicine | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2014-06-12 |
| 1669800728 | Muhammad M Hussain | Internal Medicine | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2013-10-28 |
| 1033430681 | Monica Esquivel | Dietitian, Registered | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2010-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811547748 | Steven N Wolff | Pharmacist | Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 | 2019-09-12 |
| 1295280923 | Multi-county Ems LLC | Ambulance | 5034 Redwood Road, Plymouth, IN 46563 | 2016-08-23 |
| 1356473060 | Donna Michelle Eggers | Speech-Language Pathologist | 1915 Lake Avenue, Plymouth, IN 46563 | 2007-03-09 |
| 1629103684 | Marshall County Council On Aging | Home Delivered Meals | 1305 W Harrison Street, Plymouth, IN 46563 | 2007-02-22 |
| 1063561272 | Associates In Clinical Psychology PC | Psychiatric Residential Treatment Facility | 317 West Monroe St, Plymouth, IN 46563 | 2007-01-09 |
| 1316005911 | Michiana Eye Center LLC | Optometrist | 320 Meadow Ln, Plymouth, IN 46563 | 2006-12-05 |
| 1487722948 | Allen Edward Reese | Hearing Instrument Specialist | 322 N. Michigan St., Suite C, Plymouth, IN 46563 | 2006-12-01 |
| 1508932252 | Thomas A Miller | Chiropractor | 1071 Lincolnway E, Plymouth, IN 46563 | 2006-11-27 |
| 1679540991 | Mukesh Garg | Internal Medicine | 2349 Lake Ave Ste 99, Plymouth, IN 46563 | 2006-03-06 |
| 1982686242 | Woodlawn Hospital | Skilled Nursing Facility | 9601 Union Rd, Plymouth, IN 46563 | 2005-11-14 |
| Find all providers in zip 46563 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977543 | Guy Kedziora | Radiology | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2005-07-21 |
| 1285910315 | Commonwealth Hematology-oncology, PC | Radiology | 275 Sandwich Street, Club Cancer Center, Plymouth, MA 02360-2401 | 2011-11-03 |
| 1184953283 | Commonwealth Hematology-oncology,pc | Radiology | 275 Sandwich St, Club Cancer Center, Plymouth, MA 02360-2183 | 2009-12-18 |
| 1114030145 | Radiation Oncology Associates of Michiana PC | Radiology | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607555 | Cancer Specialists LLC | Radiology | 600 Vale Park Rd N Unit A, Valparaiso, IN 46383-2546 | 2019-03-06 |
| 1811376759 | Namita Agrawal | Radiology | 3420 Dubois St, West Lafayette, IN 47906-7200 | 2015-05-26 |
| 1194982512 | Jennifer Elizabeth Fisher | Radiology | 1340 N. Madison, Anderson, IN 46011-1216 | 2008-05-22 |
| 1548439938 | Cancer Care Group, P.C. | Radiology | 1600 Lafayette Rd, Crawfordsville, IN 47933-1031 | 2008-02-29 |
| 1659491132 | Cancer Care Group, P.C. | Radiology | 6100 W 96th St Ste 125, Indianapolis, IN 46278-6006 | 2007-03-30 |
| 1851411946 | Cancer Care Group, P.C. | Radiology | 11725 Illinois Street, Suite Ll050, Carmel, IN 46032-3008 | 2007-03-30 |
| 1265527329 | Stanley Scot Givens | Radiology | 8244 East Us 36, Avon, IN 46123 | 2006-10-04 |
| 1598850653 | Robert Howard Liebross | Radiology | 8402 Harcourt Road, Suite 721, Indianapolis, IN 46260 | 2006-10-04 |
| 1205949252 | Heartland Radiation Oncology | Radiology | 1159 W Jefferson St, Franklin, IN 46131-2794 | 2006-08-16 |
| 1356373526 | Eileen F Mcgarvey | Radiology | 621 West St, Madison, IN 47250-3344 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
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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.