DONG PYO SHIN (NPI# 1306154935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306154935 |
| Entity Type | Individual |
| Full Name | DONG PYO SHIN |
| Credential | L.AC |
| Practice Address |
4500 Satellite Blvd Ste 2370 Duluth GA 30096-5067 |
| Practice Telephone | 6788589644 |
| Mailing Telephone | 6788589644 |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2020-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 386 | GA | Other Service Providers |
| N | 171100000X | Acupuncturist | AC13626 | CA | Other Service Providers |
| Street Address |
4500 SATELLITE BLVD STE 2370 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-5067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190365 | Dong Shin Acupuncture | Acupuncturist | 4500 Satellite Blvd Ste 2370, Duluth, GA 30096-5067 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439195 | Fuzi Gao | Acupuncturist | 2645 N Berkeley Lake Rd Nw Ste 133, Duluth, GA 30096-1461 | 2019-10-19 |
| 1831665033 | Sungtaek Kang | Acupuncturist | 3296 Summit Ridge Pkwy Ste 320, Duluth, GA 30096-6301 | 2018-10-16 |
| 1558848952 | Kevin Lee | Acupuncturist | 3775 Venture Dr Bldg N, Duluth, GA 30096-5102 | 2018-07-27 |
| 1932693306 | Jin Lin | Acupuncturist | 2820 Peachtree Industrial Blvd Ste M, Duluth, GA 30097-8643 | 2018-06-19 |
| 1174013650 | Ella Dongqing Xu | Acupuncturist | 3099 Devauden Ct, Duluth, GA 30096-3534 | 2018-05-10 |
| 1861904062 | Kim Family Acupuncture PC | Acupuncturist | 2005 Boggs Rd Ste 106, Duluth, GA 30096-4602 | 2017-10-27 |
| 1982144986 | Dongbang Herb | Acupuncturist | 2645 N Berkeley Lake Rd Nw # B120, Duluth, GA 30096-3002 | 2017-02-24 |
| 1538613526 | Chong Maeng | Acupuncturist | 2854 Woodstar Ct, Duluth, GA 30096-3827 | 2016-08-08 |
| 1013380641 | Hojun Park | Acupuncturist | 3631 Peachtree Industrial Blvd Ste 106, Duluth, GA 30096-4851 | 2015-11-04 |
| 1306194279 | Jae Hun Lee | Acupuncturist | 1630 Pleasant Hill Rd Ste C2, Duluth, GA 30096-5899 | 2012-08-26 |
| Find all providers in DULUTH | ||||
Please comment or provide details below to improve the information on DONG PYO 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.