DR. JOHN HYOUNGSUB SHIN (NPI# 1295911493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295911493 |
| Entity Type | Individual |
| Full Name | DR. JOHN HYOUNGSUB SHIN |
| Credential | M.D. |
| Practice Address |
1221 Mercantile Ln Upper Marlboro MD 20774-5374 |
| Mailing Address |
2101 E Jefferson St Ste 6w Ppqa Rockville MD 20852-4908 |
| Practice Telephone | 3016185620 |
| Mailing Telephone | (301) 816-5853 |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2017-05-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
D0076066 | MD | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
D0076066 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326281619 | John Shin | Anesthesiology | Ucla Dept of Anesthesiology, 757 Westwood Plaza Suite 3304, Los Angeles, CA 90095-0001 | 2009-04-15 |
| 1255866406 | John Shin | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Suite 7300, Newark, NJ 07103-2425 | 2017-04-25 |
| 1992111520 | John Shin | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-07-02 |
| 1124279443 | John Hong Shin | Neurological Surgery | 15 Parkman St, Wac 745, Boston, MA 02114-3117 | 2008-10-06 |
| 1962672444 | John Sanghyun Shin | Hearing Instrument Specialist | 12902 Brookhurst St, Ste D, Garden Grove, CA 92840-4881 | 2008-03-11 |
| 1396950309 | John Shangkyun Shin | Psychiatry & Neurology | 138 S Steele St, Suite P, Sanford, NC 27330-4201 | 2007-05-12 |
| 1477577682 | John Junghoon Shin | Internal Medicine | 385 Tremont Ave, Veterans Affairs Medical Center, Medical (111), East Orange, NJ 07018-1023 | 2006-07-27 |
| 1114920477 | John C Shin | Specialist | 901 E St, Ste 285, San Rafael, CA 94901-2850 | 2005-05-31 |
| Street Address |
1221 MERCANTILE LN |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099471 | Stephany Venero | Dietitian, Registered | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2020-03-23 |
| 1386127942 | Joan Ife Udejiofor | Nurse Practitioner | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2018-09-10 |
| 1578040002 | Shanique Kimberley James | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2018-07-27 |
| 1174014799 | Katherine Olsen Patel | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2018-05-21 |
| 1992211502 | Isaac Donkoh | Registered Nurse | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2017-12-19 |
| 1770093262 | Crystal Charles | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2017-10-10 |
| 1629507520 | Oluchi Elekwachi | Pharmacist | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2017-06-06 |
| 1992153407 | Malori Monet Callender | Family Medicine | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2016-05-25 |
| 1811353899 | Jennifer Ann Bauder | Physical Therapy Assistant | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2016-01-06 |
| 1457725467 | Anne C Smith | Occupational Therapist | 1221 Mercantile Ln, Dept 402, Upper Marlboro, MD 20774-5374 | 2015-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050090 | Innovative Speciality Health Care | Internal Medicine | 18566 Office Park Drive, Montgomery Village, MD 20886-0586 | 2020-07-08 |
| 1407486293 | Dimensions Health Associates Dba University of Maryland Capital Region | Internal Medicine | 251 National Harbor Blvd Fl 5, Oxon Hill, MD 20745-1052 | 2020-01-21 |
| 1366914681 | Anil K Singh Md Pa | Internal Medicine | 625 Kent Ave Ste 209, Cumberland, MD 21502-3799 | 2018-12-27 |
| 1972084507 | University of Maryland Baltimore Washington Heart Associates LLC | Internal Medicine | 7845 Oakwood Rd Ste 106, Glen Burnie, MD 21061-4256 | 2018-08-22 |
| 1285113704 | Lifebridge Community Physicians, Inc | Internal Medicine | 940 Madison Avenue First Floor, Baltimore, MD 27201 | 2018-08-07 |
| 1972091585 | Sd Cardiology Associates LLC | Internal Medicine | 716 Maiden Choice Ln Ste 202, Catonsville, MD 21228-5952 | 2018-04-30 |
| 1538665906 | Heart Care of Maryland LLC | Internal Medicine | 826 Washington Rd Ste 215, Westminster, MD 21157-5780 | 2018-04-03 |
| 1083125736 | Om Cardiology, LLC | Internal Medicine | 910 Washington Rd Ste A, Westminster, MD 21157-5845 | 2017-10-21 |
| 1922460013 | Heart To Heart Pllc | Internal Medicine | 9824 Oxbridge Way, Bowie, MD 20721-3131 | 2016-03-28 |
| 1235503186 | Nader A Dakak Md | Internal Medicine | 12150 Annapolis Rd Ste 105, Glenn Dale, MD 20769-9183 | 2015-11-16 |
| Find all providers with the same taxonomy | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
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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.