DR. JIN SHIN KWAK (NPI# 1124148317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124148317 |
| Entity Type | Individual |
| Full Name | DR. JIN SHIN KWAK |
| Credential | MD |
| Practice Address |
920 Church Street North Concord NC 28025-2927 |
| Mailing Address |
804 Scott Nixon Memorial Drive Augusta GA 30907-9991 |
| Practice Telephone | 7044031430 |
| Practice Fax Number | 7044031158 |
| Mailing Telephone | 8003944445 |
| Mailing Fax Number | 7066501034 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2014-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 2009-00292 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
920 CHURCH STREET NORTH |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265421523 | Gerald Oscar Malkin | Anesthesiology | 133 Old Road To 9 Acre Cor, Emerson Hospital Department of Anesthesia, Concord, MA 01742-4159 | 2005-10-19 |
| 1023463411 | Pleiades Anesthesia LLC | Anesthesiology | 246 Pleasant St, Suite 105b, Concord, NH 03301-2548 | 2016-05-04 |
| 1801215629 | Isaac Shields | Anesthesiology | 250 Pleasant St, Concord, NH 03301-7539 | 2014-04-09 |
| 1992068233 | Sarah J Mccue | Anesthesiology | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2012-06-21 |
| 1083986616 | James George Korkos | Anesthesiology | 2300 Clayton Rd, Suite 1000, Concord, CA 94520-2100 | 2012-01-27 |
| 1518247733 | Sejal Shah | Anesthesiology | 920 Church St N, Concord, NC 28025-2927 | 2011-08-18 |
| 1952627481 | Rebecca Joy Spencer | Anesthesiology | 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 | 2010-04-08 |
| 1568624005 | Vanita Kumari Jain | Anesthesiology | 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 | 2008-06-26 |
| 1275728529 | Osmund Ugochukwu Agbo | Anesthesiology | 920 Church St N, Concord, NC 28025 | 2007-09-10 |
| 1659561181 | Ajita Amin | Anesthesiology | 1 Pillsbury St, Suite 202, Concord, NH 03301-3556 | 2007-07-31 |
| Find all providers in CONCORD | ||||
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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.