Clara C Shin (NPI# 1376516401, PAC ID# 1456447317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1376516401 |
| PAC ID by PECOS | 1456447317 |
| Professional Enrollment ID | I20071023000787 |
| Full Name | Clara C Shin |
| Organization Legal Name | MONTESANO INTERNAL MEDICINE PS |
| Address |
112 E Broadway Ave Montesano WA 98563-3704 |
| Phone Number | 3602494111 |
| Gender | F |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0446140362 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500031 | GRAYS HARBOR COMMUNITY HOSPITAL |
| 501304 | SUMMIT PACIFIC MEDICAL CENTER-SWING BED UNIT |
| 500019 | PROVIDENCE CENTRALIA HOSPITAL |
| 500024 | PROVIDENCE ST PETER HOSPITAL |
| 501336 | MASON GENERAL HOSPITAL & FAMILY OF CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 112 E Broadway Ave, Montesano, WA 98563-3704 | 3602494111 | MONTESANO INTERNAL MEDICINE PS |
| 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 3609237000 | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_113_overall | Colorectal Cancer Screening | 44% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | MONTESANO INTERNAL MEDICINE PS |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen L Arndt | Nurse Practitioner | Montesano Internal Medicine Ps | 112 E Broadway Ave, Montesano, WA 98563-3704 |
| Yong Ki Shin | Internal Medicine | Montesano Internal Medicine Ps | 112 E Broadway Ave, Montesano, WA 98563-3704 |
| Street Address |
112 E BROADWAY AVE |
| City | MONTESANO |
| State | WA |
| Zip | 98563-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen L Arndt | Nurse Practitioner | Montesano Internal Medicine Ps | 112 E Broadway Ave, Montesano, WA 98563-3704 |
| Yong Ki Shin | Internal Medicine | Montesano Internal Medicine Ps | 112 E Broadway Ave, Montesano, WA 98563-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura K Raykowski | Nurse Practitioner | 103 E Broadway Ave, Montesano, WA 98563-3703 | |
| Geoffrey F Wills | Optometry | 118 S Main St, Montesano, WA 98563-3709 | |
| Thomas A Floch | Chiropractic | 330 W Pioneer Ave C, Montesano, WA 98563-4412 | |
| Richard A F Perry | Physician Assistant | Ghch Physician Services, LLC | 319 E Pioneer Ave, Montesano, WA 98563-4601 |
| Jennifer D Hooker | Physician Assistant | Ghch Physician Services, LLC | 319 E Pioneer Ave, Montesano, WA 98563-4601 |
| Duncan L Durr | Physical Therapy | Montesano Physical Therapy Inc. | 508 Pioneer Ave E, Montesano, WA 98563-4606 |
| Joe W Arndt Jr. | Physical Therapy | Montesano Physical Therapy Inc. | 508 Pioneer Ave E, Montesano, WA 98563-4606 |
| City | MONTESANO |
| Zip Code | 98563 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MONTESANO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Clara C Shin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.