DR. SANG O SHIN (NPI# 1649226440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649226440 |
| Entity Type | Individual |
| Full Name | DR. SANG O SHIN |
| Credential | MD |
| Practice Address |
1501 San Pedro Dr Se Albuquerque NM 87108-5180 |
| Mailing Address |
905 Madison St Ne Albuquerque NM 87110-6214 |
| Practice Telephone | 2651711505 |
| Mailing Telephone | 5052399435 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD2013-0642 | NM | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | M-9682 | ID | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 11099 | MT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 10564 | NV | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023354206 | Sang Hee Shin | Acupuncturist | 5451 La Palma Ave., Suite 18, La Palma, CA 90623-1729 | 2012-12-17 |
| 1578799987 | Sang Yun Shin | Acupuncturist | 9446 Garden Grove Blvd, Garden Grove, CA 92844-1453 | 2009-06-01 |
| 1043342959 | Sang Ho Shin | Dentist | 4343 W Camp Wisdom Ste 102, Dallas, TX 75237 | 2007-03-09 |
| 1821140997 | Sang Yoon Shin | Dentist | 205 117th St S, Tacoma, WA 98444-5409 | 2007-01-17 |
| 1205967171 | Sang Y Shin | Dentist | 1501 Presidential Way, Ste #7, West Palm Beach, FL 33401-1800 | 2007-03-09 |
| 1982781944 | Sang Ik Shin | Psychiatry & Neurology | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2006-11-01 |
| 1790764157 | Sang H Shin | Anesthesiology | 701 N 1st St, Springfield, IL 62781-0001 | 2006-01-13 |
| Street Address |
1501 SAN PEDRO DR SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-5180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619964293 | Pamela Walton Mccoy | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2005-09-29 |
| 1750981627 | Mae Maiefski | Speech-Language Pathologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-10-29 |
| 1891300133 | Julianna Nacion | Occupational Therapist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-09-14 |
| 1376155614 | Jeffrey Shaffer | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-18 |
| 1851901490 | Tiffany Le Nguyen | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-07 |
| 1073123063 | Wasan Cartwright Jr. | Nurse Practitioner | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-04 |
| 1083223069 | Denise Lorraine Bennett | Social Worker | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-07-27 |
| 1073139168 | Ryan Charles Warner | Psychologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-24 |
| 1356965321 | Lemont Yazzie | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| 1407470479 | Lamont Yazzie II | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612359 | Adam Michael Tolar | Emergency Medicine | Mcs 11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-04-10 |
| 1538691712 | David Scott Fischman | Emergency Medicine | 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113-8711 | 2017-03-28 |
| 1265895486 | Nedda Fariba Karimi | Emergency Medicine | 4515 Coors Blvd Nw, Albuquerque, NM 87120-3699 | 2016-04-04 |
| 1417310764 | Justin Itty Mathew | Emergency Medicine | Department of Emergency Medicine Msc11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-04 |
| 1639532583 | Amanda Lauren Ventura | Emergency Medicine | Msc Emergency Medicine 1 University of New Mexico, Albuquerque, NM 87131-2364 | 2016-03-29 |
| 1083000178 | David Michael Glass | Emergency Medicine | Emergency Medicine Msc 11 6025, University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-15 |
| 1952797300 | Eleni Marie Bucuvalas | Emergency Medicine | Msc 11-6025, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-04-13 |
| 1225423239 | Joseph Smith Jr. | Emergency Medicine | Msc 11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-06 |
| 1073932471 | Kimberly Marie Ruth Pruett | Emergency Medicine | Unm Department of Emergency Medicine 1 Unm, Albuquerque, NM 87131-4700 | 2014-04-14 |
| 1538509484 | Jason S. Zeller | Emergency Medicine | Msc 11 6025 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-06-25 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
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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.