DR. JAE HYUN SHIN (NPI# 1669620142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669620142 |
| Entity Type | Individual |
| Full Name | DR. JAE HYUN SHIN |
| Credential | M.D. |
| Practice Address |
1300 Jefferson Park Ave Charlottesville VA 22903-3363 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349821700 |
| Practice Fax Number | 4349823268 |
| Mailing Telephone | 4342951000 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
0101264970 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396088803 | Jae Y Shin | Podiatrist | 506 Osigian Blvd Ste 5, Warner Robins, GA 31088-8985 | 2013-04-03 |
| 1376661314 | Jae Kuaen Shin | Pharmacist | 3170 W Olympic Blvd Ste D, Los Angeles, CA 90006-2400 | 2007-03-27 |
| 1922468594 | Jae Shin | Pharmacist | 2100 Pfingsten Rd, Glenview, IL 60026-1301 | 2016-02-25 |
| 1578948725 | Jae Shin | Dentist | 7101 Hoff St Bldg 9240, Fort Benning, GA 31905-5645 | 2015-07-29 |
| 1225439367 | Jae Shin | Dentist | 14-20 Macdade Blvd, Collingdale, PA 19023-1821 | 2014-09-09 |
| 1831443803 | Jae Eun Shin | Marriage & Family Therapist | 3727 W 6th St Ste 411, Los Angeles, CA 90020-5112 | 2012-10-30 |
| 1619064326 | Jae Y Shin | Internal Medicine | 3030 N Rocky Point Dr W, Suite 670, Tampa, FL 33607-5906 | 2006-10-06 |
| Street Address |
1300 JEFFERSON PARK AVE |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555399 | Bruce C Carter | Ophthalmology | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2005-08-11 |
| 1760089981 | Loretta Raiford | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-10-01 |
| 1588270342 | Rachel K Murray | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-09-17 |
| 1992321616 | Kristina Marie Creadore | Optometrist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-06-18 |
| 1215558762 | Allison Gossen | Genetic Counselor, MS | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-05-06 |
| 1508409061 | Molly Stevenson Bailey | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-10-28 |
| 1497398994 | Rebecca Shea Turner | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-10-28 |
| 1215585443 | Katherine Emma Connell | Nurse Practitioner | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-30 |
| 1639724263 | Casey Erin Cavanagh | Psychologist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-09 |
| 1679128482 | Jia Yu Liu | Optometrist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1164758017 | James A. Platts-mills | Internal Medicine | Hospital Drive 5th Dr, Charlottesville, VA 22908-0001 | 2009-10-28 |
| 1104953785 | William A. Petri Jr. | Internal Medicine | Lee Street, 4th Floor, Uva Primary Care Center, Charlottesville, VA 22903 | 2007-02-28 |
| 1043376791 | Margaret Norma Kosek | Internal Medicine | 1300 Jefferson Park Ave Fl 5, Charlottesville, VA 22903 | 2006-12-28 |
| 1760089981 | Loretta Raiford | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-10-01 |
| 1649545872 | Gregory Russell Madden | Internal Medicine | 1215 Lee St, Charlottesville, VA 22908-5400 | 2012-03-21 |
| 1548587835 | Patrick E Jackson | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2010-04-26 |
| 1821256785 | Shannon N. Moonah | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2008-05-28 |
| 1396923173 | Tania A. Thomas | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2008-02-05 |
| 1174641567 | Erik L. Hewlett | Internal Medicine | Uva Primary Care Ctr, Lee Street, 4th Floor, Charlottesville, VA 22908-0001 | 2007-03-26 |
| 1184755217 | Frederick G. Hayden | Internal Medicine | Uva Primary Care Ctr, Lee Street, 4th Floor, Charlottesville, VA 22908-0001 | 2007-03-08 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
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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.