JOHN H SHIM (NPI# 1285626762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285626762 |
| Entity Type | Individual |
| Full Name | JOHN H SHIM |
| Credential | MD |
| Practice Address |
12780 Race Track Rd Ste 200 Tampa FL 33626-1395 |
| Practice Telephone | 8138149251 |
| Practice Fax Number | 8138149261 |
| Mailing Telephone | 8138149251 |
| Mailing Fax Number | 8138149261 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2019-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME0063979 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 373583400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235338112 | John Jaeyoung Shim | Radiology | 1000 W Carson St., Box 29, Harbor-ucla Dept of Radiology, Torrance, CA 90509 | 2007-07-12 |
| 1538236187 | John Y Shim | Orthopaedic Surgery | 3363 Kennedy Boulevard, Jersey City, NJ 07307 | 2006-11-29 |
| Street Address |
12780 RACE TRACK RD STE 200 |
| City | TAMPA |
| State | FL |
| Zip Code | 33626-1395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356545 | Shim Medical, LLC | Orthopaedic Surgery | 12780 Race Track Rd Ste 200, Tampa, FL 33626-1395 | 2019-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028447 | Ezphyzio Pllc | Physical Therapist | 11269 Windsor Place Circle, Tampa, FL 33626 | 2020-09-21 |
| 1831737451 | Emily Anne Desarden | Behavior Technician | 8001 Beaty Gorove Dr., Tampa, FL 33626 | 2019-12-13 |
| 1730747395 | Michael A. Pikos, Dds Pa | Oral & Maxillofacial Surgery | 11940 Sheldon Road, Tampa, FL 33626 | 2019-05-30 |
| 1659841229 | Mariana Alejandra Salgado | Behavior Technician | 8001 Beaty Grove Drive, Tampa, FL 33626 | 2018-11-27 |
| 1528563525 | Amanda Ashley Metzger | Chiropractor | 8377 Gunn Hwy, Tampa, FL 33626 | 2018-03-29 |
| 1568971844 | Lindsey Nicole Miller | Behavior Technician | 12725 Race Track Rd Bldg 5, Tampa, FL 33626 | 2017-09-29 |
| 1003335571 | Tampa Life Counseling, LLC | Counselor | 13035 W. Linebaugh Ave #101 Ste G, Tampa, FL 33626 | 2017-09-15 |
| 1033635149 | Peak Payer Solutions, Inc. | General Practice | 12332 Race Track Road, Tampa, FL 33626 | 2017-08-21 |
| 1578098414 | Alexis Brooke Cross | Speech-Language Pathologist | 11672 Crowned Sparrow Ln, Tampa, FL 33626 | 2017-04-28 |
| 1568904084 | Megan Krone | Assistant Behavior Analyst | 2725 Race Track Rd Building Number 5, Westchase, FL 33626 | 2016-11-15 |
| Find all providers in zip 33626 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497239743 | Orthopedic Assoc of Tampa Bay LLC | Orthopaedic Surgery | 4505 N. Armenia Ave, Suite 102, Tampa, FL 33603-2746 | 2018-09-23 |
| 1417451873 | Tampa Bay Orthopedic Surgery Group | Orthopaedic Surgery | 1100 W Kennedy Blvd, Tampa, FL 33606-1966 | 2018-03-21 |
| 1407212293 | Vincent Michael Tedone | Orthopaedic Surgery | 11303 Carrollwood Dr, Tampa, FL 33618-3703 | 2016-01-08 |
| 1316360456 | David Mayhew | Orthopaedic Surgery | 13739 Chestersall Dr, Tampa, FL 33624-6944 | 2014-01-24 |
| 1285976654 | Sean Michael Lannon | Orthopaedic Surgery | 14547 Bruce B Downs Blvd Ste C, Tampa, FL 33613-2709 | 2013-03-22 |
| 1538420864 | Lutz Heinz Schlicke | Orthopaedic Surgery | 582 Riviera Dr, Tampa, FL 33606 | 2012-06-04 |
| 1417251034 | Steven Knezevich, M.d., P.a. | Orthopaedic Surgery | 3820 Northdale Blvd., Suite 105a, Tampa, FL 33624-1834 | 2010-12-23 |
| 1538322383 | Shaun Michael Felcher | Orthopaedic Surgery | 3250 Zemke Ave # 1078, Tampa, FL 33621-5023 | 2008-07-02 |
| 1376743252 | Gene Jason Hunt | Orthopaedic Surgery | 4450 E Fletcher Ave Ste C, Tampa, FL 33613-4907 | 2007-07-19 |
| 1497887111 | Frank Kenneth Kriz Jr. | Orthopaedic Surgery | 800 W Dr M L King Blvd, Suite 1, Tampa, FL 33603 | 2007-03-09 |
| Find all providers in TAMPA | ||||
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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.