DR. ANDREA S SHIN (NPI# 1316108418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316108418 |
| Entity Type | Individual |
| Full Name | DR. ANDREA S SHIN |
| Credential | MD |
| Practice Address |
11725 N Illinois St. Ste 275 Carmel IN 46032-3009 |
| Mailing Address |
250 N Shadeland Ave Suite 130 - Provider Enrollment Indianapolis IN 46219-4959 |
| Practice Telephone | 3176884864 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2015-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 11014216 | IN | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
54868 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
01070306A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RRMC | P01550970 | 01 |
| IN | 201177530 | 05 |
| Street Address |
11725 N ILLINOIS ST. STE 275 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831345362 | Matthew E Bohm | Internal Medicine | 11725 N Illinois St., Suite 275, Carmel, IN 46032-3009 | 2008-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023037819 | William Tung | Internal Medicine | 672 Stoneleigh Avenue, Carmel, NY 10512-1000 | 2006-07-19 |
| 1639778830 | Health Quest Medical Practice, PC | Internal Medicine | 150 Route 52, Gi Division, Carmel, NY 10512 | 2020-10-20 |
| 1215163688 | Ashley C Gilmore | Internal Medicine | 11725 Illinois St, Ste 275, Carmel, IN 46032-3009 | 2009-05-29 |
| 1336342823 | Gastroenterology of Indianapolis, P.C. | Internal Medicine | 1120 Aaa Way, Suite A, Carmel, IN 46032-3210 | 2007-06-11 |
| 1740298405 | Westchester Putnam Gastroenterology P.C. | Internal Medicine | 667 Stoneleigh Avenue, Suite A201, Carmel, NY 10512 | 2006-08-04 |
| 1215950167 | Paul A Lebwohl | Internal Medicine | 667 Stoneleigh Ave, Suite 117, Carmel, NY 10512-2454 | 2006-07-25 |
| 1235158031 | Sunil Gupta | Internal Medicine | 667 Stoneleigh Ave, Barns Office Center Bldg A201, Carmel, NY 10512-2454 | 2006-07-19 |
| 1750300539 | Michael Stuart Kushner | Internal Medicine | 667 Stoneleigh Ave, Barns Office Center Bldg A201, Carmel, NY 10512-2454 | 2006-07-19 |
| 1235155482 | Louis Aurisicchio | Internal Medicine | 672 Stoneleigh Ave, Carmel, NY 10512-4634 | 2006-07-14 |
| 1902822109 | Robert Mendelsohn | Internal Medicine | 672 Stoneleigh Ave, Carmel, NY 10512-4634 | 2006-07-14 |
| Find all providers in CARMEL | ||||
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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.