Brion B Shin (NPI# 1184825283, PAC ID# 6204988405) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
Nation Provider ID (NPI) | 1184825283 |
PAC ID by PECOS | 6204988405 |
Professional Enrollment ID | I20090720000223 |
Full Name | Brion B Shin |
Organization Legal Name | MICHIANA HEMATOLOGY-ONCOLOGY P C |
Address |
1915 Lake Ave Plymouth IN 46563-9366 |
Phone Number | 5749362585 |
Gender | M |
Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2004 |
Primary Specialty | RADIATION ONCOLOGY |
Group Practice PAC ID | 3375513419 |
Number of Group Practice Members | 22 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
Address | Phone | Organization |
---|---|---|
1915 Lake Ave, Plymouth, IN 46563-9366 | 5749362585 | MICHIANA HEMATOLOGY-ONCOLOGY P C |
Organization Legal Name | MICHIANA HEMATOLOGY-ONCOLOGY P C |
Physicians | 25 |
Name | Specialty | Organization | Address |
---|---|---|---|
Eduardo Braun | Medical Oncology | Michiana Hematology-oncology P C | 1668 S Us Hwy 421, Westville, IN 46391-9523 |
Rafat H Ansari | Medical Oncology | Michiana Hematology-oncology P C | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 |
Mohamed Farhat | Medical Oncology | Michiana Hematology-oncology P C | 1205 S Main St, Suite 301, Crown Point, IN 46307-3677 |
Binh N Tran | Radiation Oncology | Michiana Hematology-oncology P C | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 |
Jody A Adams | Nurse Practitioner | Michiana Hematology-oncology P C | 1205 S Main St, Suite 301, Crown Point, IN 46307-3677 |
Sheila M Fleming | Nurse Practitioner | Michiana Hematology-oncology P C | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 |
Bilal Ansari | Medical Oncology | Michiana Hematology-oncology P C | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 |
Jennifer C Ewing | Nurse Practitioner | Michiana Hematology-oncology P C | 5340 Holy Cross Pkwy, Mishawaka, IN 46545-1470 |
Rolan Allenegui Pascual | Medical Oncology | Michiana Hematology-oncology P C | 500 Arcade Ave, Suite 240, Elkhart, IN 46514-2485 |
Chester Wilson Jr. | Radiation Oncology | Michiana Hematology-oncology P C | 1668 S Us Hwy 421, Westville, IN 46391-9523 |
Street Address |
1915 LAKE AVE |
City | PLYMOUTH |
State | IN |
Zip | 46563-9366 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jessica L Cooper | Nurse Practitioner | Elite Emergency Physicians Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Bruce Shaun Singh | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Benjamin Cale Friesen | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Fatima A Husain | Family Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Bogdan Sima | Internal Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rosalie M Regedanz | Physical Therapy | 440 W Jefferson St, Plymouth, IN 46563-1646 | |
Amber D Trump | Physical Therapy | Robert J Amico Pt Inc | 576 N Oak Dr, Plymouth, IN 46563-1664 |
Nanette M Fredericks | Clinical Social Worker | 322 W Jefferson St, Plymouth, IN 46563-1734 | |
Mary E Schwartz | Podiatry | 116 E Washington St, Plymouth, IN 46563-1744 | |
Jillorna Ann Uceny | Clinical Social Worker | 310 N Michigan St, Suite 208, Plymouth, IN 46563-1753 | |
Rebecca Brice | Pediatric Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Tiffany T Richards | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Jill M Geer | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Dawn Lee Heckathorn | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
Margaret T Snyder | Psychologist, Clinical | 505 Colonial Ct, Plymouth, IN 46563-1860 | |
Find all physicians in zip 46563 |
City | PLYMOUTH |
Zip Code | 46563 |
Specialty | RADIATION ONCOLOGY |
City + Specialty | PLYMOUTH + RADIATION ONCOLOGY |
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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.