DR. PETER C. SHIN (NPI# 1568522035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568522035 |
| Entity Type | Individual |
| Full Name | DR. PETER C. SHIN |
| Credential | M.D. |
| Practice Address |
Msc 10 5615 1 University of New Mexico Albuquerque NM 87131-0001 |
| Mailing Address |
Msc 10 5615 1 Univeresity of New Mexico Albuquerque NM 87131-0001 |
| Practice Telephone | 5052723401 |
| Practice Fax Number | 5052726091 |
| Mailing Telephone | 5052723401 |
| Mailing Fax Number | 5052726901 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD2013-0879 | NM | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | MD00040264 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L&I NUMBER | 0150866 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275614737 | Peter Wooski Shin | Dentist | 2112 S Bristol St, Santa Ana, CA 92704 | 2006-10-18 |
| 1194212662 | Peter Shin | Student in an Organized Health Care Education/Training Program | 920 Stanton L Young Blvd Ste 1140, Oklahoma City, OK 73104-5036 | 2018-04-19 |
| 1073991626 | Peter Yong Seung Shin | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2015-05-15 |
| 1689950438 | Peter K Shin | Acupuncturist | 32015 1st Ave S, Federal Way, WA 98003-5701 | 2011-10-25 |
| 1780987982 | Peter D Shin | Physical Therapist | 525 E 68th St, New York Presbyterian Hospital Cornell, New York, NY 10065-4870 | 2010-12-09 |
| 1376850917 | Peter Shin | Student in an Organized Health Care Education/Training Program | 525 E 68th St, New York, NY 10065-4870 | 2010-09-02 |
| 1639335060 | Peter Hoon Shin | Hospitalist | 9395 Crown Crest Blvd, Parker, CO 80138-8573 | 2008-08-05 |
| 1194917963 | Peter Young Shin | Internal Medicine | 350 Engle St, Suite 5265, Englewood, NJ 07631-1808 | 2007-08-15 |
| 1083754261 | Peter E Shin | Emergency Medicine | 1509 Wilson Ter, Emergency Dept. - Glendale Adventist Medical Center, Glendale, CA 91206-4007 | 2007-02-07 |
| 1770590655 | Peter B Shin | Family Medicine | 23326 Hawthorne Blvd, Suite 140, Torrance, CA 90505-3725 | 2006-08-02 |
| Street Address |
MSC 10 5615 1 UNIVERSITY OF NEW MEXICO |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87131-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669826921 | Mohammad Abbas | Student in an Organized Health Care Education/Training Program | Msc 10 5615, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-22 |
| 1104245562 | Benjamin Vidalis | Student in an Organized Health Care Education/Training Program | Msc 10 5615, University of New Mexico, Albuquerque, NM 87131-0001 | 2014-04-14 |
| 1811330285 | Omar Saleh Akbik | Student in an Organized Health Care Education/Training Program | Msc 10 5615, University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-16 |
| 1720320070 | Laila Malani Mohammad | Student in an Organized Health Care Education/Training Program | Msc 10 5615, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
| 1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
| 1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
| 1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
| 1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
| 1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
| Find all providers in zip 87131 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929485 | Avra Sophia Saskia Laarakker | Neurological Surgery | Msc Plastic Surgery 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-09-09 |
| 1447639109 | Ross Steven Green | Neurological Surgery | Msc10 5615, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-05-27 |
| 1023315959 | Gerald Nathan Gold | Neurological Surgery | 1509 Harvard Ct Ne, Albuquerque, NM 87106-3712 | 2011-02-10 |
| 1487897542 | Christian Andrew Bowers | Neurological Surgery | Unm Neurosurgery Msc10 5615, Albuquerque, NM 87131-1530 | 2009-04-19 |
| 1609076660 | Patricia L Gando | Neurological Surgery | Graduate Medical Education Msc08 4770, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-07-18 |
| 1730228750 | Hoan Phan Tran | Neurological Surgery | Unm Hospital Neurological Surgery, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2007-02-06 |
| 1386650877 | Paul Turner | Neurological Surgery | 5-north University Hospital, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| 1700806452 | Imran K Alam | Neurological Surgery | Department of Neurosurgery, Msc 10 5615, Albuquerque, NM 87131-0001 | 2006-07-19 |
| 1114924024 | Southwest Neurosurgical Associates PC | Neurological Surgery | 8080 Academy Rd Ne, Suite B, Albuquerque, NM 87111-1159 | 2005-07-07 |
| 1528063161 | Mark Bryniarski | Neurological Surgery | 500 Walters St Ne, Ste 401, Albuquerque, NM 87102-2563 | 2005-06-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87131 |
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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.