JOHN SHANGKYUN SHIN (NPI# 1396950309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396950309 |
Entity Type | Individual |
Full Name | JOHN SHANGKYUN SHIN |
Credential | M.D. |
Practice Address |
138 S Steele St Suite P Sanford NC 27330-4201 |
Practice Telephone | 9197760303 |
Practice Fax Number | 9197760377 |
Mailing Telephone | 9197760303 |
Mailing Fax Number | 9197760377 |
Enumeration Date | 2007-05-12 |
Last Update Date | 2014-06-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
200100279 | NC | 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 |
1295911493 | John Hyoungsub Shin | Internal Medicine | 1221 Mercantile Ln, Upper Marlboro, MD 20774-5374 | 2008-01-17 |
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 |
138 S STEELE ST SUITE P |
City | SANFORD |
State | NC |
Zip Code | 27330-4201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487636098 | Dale M. Simpson | Psychiatry & Neurology | 138 S Steele St, Sanford, NC 27330-4201 | 2005-11-18 |
1588060776 | Thomas Joseph Toscano | Social Worker | 138 S Steele St, Sanford, NC 27330-4201 | 2014-11-14 |
1487054987 | Tania M. Deal | Social Worker | 138 S Steele St, Sanford, NC 27330-4201 | 2014-09-03 |
1508266792 | Enyonam Malaika Hargett | Social Worker | 138 S Steele St, Suite P, Sanford, NC 27330-4201 | 2014-08-26 |
1699013847 | Amanda Jewell | Counselor | 138 S Steele St, Sanford, NC 27330-4201 | 2013-01-23 |
1922354851 | Erin Marie Vasquez | Counselor | 138 S Steele St, Suite P, Sanford, NC 27330-4201 | 2012-07-30 |
1881940005 | April Dawn Anderson | Registered Nurse | 138 S Steele St, Suite P, Sanford, NC 27330-4201 | 2012-07-25 |
1104171610 | Meg M Dobson-genderson | Counselor | 138 S Steele St, Suite P, Sanford, NC 27330-4201 | 2012-07-20 |
1497017347 | Nicholas Grant Lemmon | Social Worker | 138 S Steele St, Sanford, NC 27330-4201 | 2012-06-15 |
1679834485 | Kristin Baysek Vernon | Social Worker | 138 S Steele St, 2nd Floor, Sanford, NC 27330-4201 | 2012-06-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043836232 | Felicia Alston | Chore Provider | 160a Chatham St, Sanford, NC 27330 | 2020-06-23 |
1730727470 | Kathy M Taylor | Homemaker | 1665 Lower Moncure Rd, Sanford, NC 27330 | 2019-12-12 |
1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
1154849719 | Schuyler Karl Behnke | Family Medicine | 125 Chatham Street, Sanford, NC 27330 | 2017-09-05 |
1205375953 | Dlp Central Carolina Medical Group LLC | Surgery | 117 Dennis Dr, Sanford, NC 27330 | 2017-02-14 |
1760921613 | Open Water Medical, Pa | Family Medicine | 109 South Vance St, Sanford, NC 27330 | 2017-02-13 |
1972050458 | Brent Layne | Physician Assistant | 724 South Horner Blvd, Sanford, NC 27330 | 2016-09-01 |
1174977185 | Jennifer Lynn Beard | Physician Assistant | 2412 Wilkins Drive, Sanford, NC 27330 | 2016-04-15 |
1003277252 | North Carolina Wellness | Community/Behavioral Health | 321a Court Square, Sanford, NC 27330 | 2016-03-16 |
1518343573 | The Family Doc Back To Basics Medical Practice, Pllc | General Practice | 1503 Elm Street, Suite C, Sanford, NC 27330 | 2015-07-31 |
Find all providers in zip 27330 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003432121 | North Carolina Neuropsychiatry, P.a. | Psychiatry & Neurology | 2080 Energy Dr, Apex, NC 27502-8722 | 2020-06-24 |
1073067492 | Teresa Tracy | Psychiatry & Neurology | 817 Mill Rd, Goldsboro, NC 27534-8947 | 2016-08-15 |
1659781581 | Il-gyu Cho | Psychiatry & Neurology | 101 Manning Dr. Cb#7160, Unc Department of Psychiatry, Chapel Hill, NC 27599 | 2014-04-30 |
1457770299 | Allison Foroobar | Psychiatry & Neurology | 400 Meadowmont Village Cir Ste 421, Chapel Hill, NC 27517-7505 | 2014-04-09 |
1386089894 | Christina Melissa Cruz | Psychiatry & Neurology | Department of Psychiatry Clb, 101 Manning Drive, Chapel Hill, NC 27599 | 2013-05-10 |
1497098420 | Neuropsychiatric Care Center, Pllc | Psychiatry & Neurology | 445 Dolley Madison Rd Ste 210, Greensboro, NC 27410-5169 | 2013-03-27 |
1033484555 | Jean Gaillard Spaulding | Psychiatry & Neurology | 2400 Pratt St Ste 1500, Box 3644 First Floor, Durham, NC 27705-3976 | 2012-03-16 |
1821366402 | Yvette Figueroa | Psychiatry & Neurology | 3801 Lake Boone Trail, Suite 150, Raleigh, NC 27607 | 2011-12-09 |
1598063307 | Corine's Care Management, Inc. | Psychiatry & Neurology | 369 B C Hwy 13 South, Snow Hill, NC 28580-9515 | 2011-03-02 |
1861705956 | Haven Ministries, Inc. | Psychiatry & Neurology | 3725b Wrightsville Ave, Wilmington, NC 28403-4140 | 2010-07-19 |
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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.