Se Jung Shin (NPI# 1881665099, PAC ID# 9436046521) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1881665099 |
| PAC ID by PECOS | 9436046521 |
| Professional Enrollment ID | I20040804000497 |
| Full Name | Se Jung Shin |
| Organization Legal Name | SJS, PLLC |
| Address |
900 Ocean Beach Hwy Suite 110 Longview WA 98632-4171 |
| Phone Number | 3606488860 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1990 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9436413861 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 900 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4171 | 3606488860 | SJS, PLLC |
| Organization Legal Name | SJS, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Johnson | Physician Assistant | Sjs, Pllc | 900 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4171 |
| Susan E Rivard Dibenedetto | Physician Assistant | Sjs, Pllc | 900 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4171 |
| Street Address |
900 OCEAN BEACH HWY SUITE 110 |
| City | LONGVIEW |
| State | WA |
| Zip | 98632-4171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Johnson | Physician Assistant | Sjs, Pllc | 900 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4171 |
| Susan E Rivard Dibenedetto | Physician Assistant | Sjs, Pllc | 900 Ocean Beach Hwy, Suite 110, Longview, WA 98632-4171 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick M Lassen | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| John T Mansfield | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Chad C Chesley | Urology | Longview Urology Pllc | 625 9th Ave, Suite 120, Longview, WA 98632-1607 |
| Jodie E Brewer-peet | Physician Assistant | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Saeyeal K Lee | Obstetrics/gynecology | Peacehealth | 1660 Delaware St, Longview, WA 98632-2310 |
| Riyad Caradog Karmy-jones | General Surgery | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Kim W Stoneking | Family Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Yoon Hee Amy Chang | Internal Medicine | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Peter J Leyzac | Certified Registered Nurse Anesthetist (crna) | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Donna K Lynds | Nurse Practitioner | Peacehealth | 1615 Delaware St, Longview, WA 98632-2310 |
| Find all physicians in zip 98632 | |||
| City | LONGVIEW |
| Zip Code | 98632 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LONGVIEW + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Se Jung 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.