DR. YEO YANG SHIN (NPI# 1760435929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760435929 |
| Entity Type | Individual |
| Full Name | DR. YEO YANG SHIN |
| Credential | MD |
| Practice Address |
385 Main St S Union Square Plaza Building 1 Southbury CT 06488-4240 |
| Practice Telephone | 2032647999 |
| Practice Fax Number | 2032647477 |
| Mailing Telephone | 2032647999 |
| Mailing Fax Number | 2032647477 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2009-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
046883 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BS8294124 | 01 |
| Street Address |
385 MAIN ST S UNION SQUARE PLAZA BUILDING 1 |
| City | SOUTHBURY |
| State | CT |
| Zip Code | 06488-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811961014 | Michael C Trager | Internal Medicine | 385 Main St S, Union Square, Southbury, CT 06488 | 2006-02-14 |
| 1821507229 | Ariana Marie Cusack | Behavioral Analyst | 385 Main St S, Southbury, CT 06488-4240 | 2017-09-28 |
| 1336570357 | Evergreen Prosthodontic Associates, LLC | Dentist | 385 Main St S, Suite 210, Southbury, CT 06488-4240 | 2013-12-01 |
| 1760620678 | Maysoun Richi | Specialist | 385 Main St S, Southbury, CT 06488-4240 | 2009-01-30 |
| 1497956510 | Southbury Smiles, LLC | Dentist | 385 Main St S, Suite 210, Southbury, CT 06488-4240 | 2007-05-29 |
| 1043300338 | Donna M. Leddy | Physical Therapist | 385 Main St S, Suite 212, Southbury, CT 06488-4240 | 2006-10-15 |
| 1275621625 | Jane Hunter | Internal Medicine | 385 Main St S, Suite 106 Union Square, Southbury, CT 06488-4240 | 2006-10-11 |
| 1629165048 | Comprehensive Healthcare LLC | Internal Medicine | 385 Main St S, Suite 106, Southbury, CT 06488-4240 | 2006-10-06 |
| 1245334432 | Maureen Keegan Boyd | Physical Therapist | 385 Main St S, Ste 212, Southbury, CT 06488-4156 | 2006-09-11 |
| 1801909114 | Phase One Physical Therapy PC | Occupational Therapist | 385 Main St S, Ste 212, Southbury, CT 06488-4156 | 2006-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538646229 | Katherine Whalen | Physical Therapist | 655 Main Sreet South, Southbury, CT 06488 | 2018-07-25 |
| 1346779618 | Prestige Companion & Homemakers, LLC | Homemaker | 32 Poverty Rd, Suite F, Southbury, CT 06488 | 2017-06-08 |
| 1407225873 | Mary Synnott | Occupational Therapist | 25 Depot Hill Rd, Southbuty, CT 06488 | 2015-09-16 |
| 1568854735 | Jean Piacenza | Social Worker | 505 Heritage Road, Suite 104, Southbury, CT 06488 | 2015-02-25 |
| 1295174993 | Saeeda Qadri | Internal Medicine | 22 Old Waterbury Rd Ste 108, Southbury, CT 06488 | 2013-06-17 |
| 1538502133 | Hearing Aid Services Inc | Audiologist-Hearing Aid Fitter | 1449 Old Waterbury Rd Ste 303, Southbury, CT 06488 | 2013-04-12 |
| 1992064380 | Maria Hornak-houle | Social Worker | 88 Main St. S, Southbury, CT 06488 | 2012-05-07 |
| 1255641072 | Rebecha Kay Sullivan | Social Worker | 35 Timberland Way, Southbury, CT 06488 | 2010-10-14 |
| 1619115094 | Jennie L Kempf | Counselor | 33 Bullet Hill Rd Ste 204, Southbury, CT 06488 | 2009-01-23 |
| 1891949434 | Kelly Patrice Hochstetler | Occupational Therapist | 22 Old Waterbury Rd., Suite 101, Phys. Med. Ctr. of Southbury, Southbury, CT 06488 | 2008-11-10 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841495330 | Bradley Georges Leypold | Radiology | 385 Main St. South, C/o Nvra Union Square Bldg #1, Southbury, CT 06488 | 2007-06-15 |
| 1619973823 | Bipinchandra Jagjivan | Radiology | 385 Main St South, Union Square Bldg #1 Nvra Imaging Network, Southbury, CT 06488 | 2005-06-22 |
| 1992730212 | Scott Segal | Radiology | 385 Main St S, Union Square Bldg#2, Southbury, CT 06488-4240 | 2006-07-12 |
| 1871527788 | Jeffrey Hawley | Radiology | 385 Main St South, Union Square, Southbury, CT 06488 | 2006-07-10 |
| 1578597308 | Philip Rothfeld | Radiology | 385 Main St South, Union Square, Bldg#1, Southbury, CT 06488 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781236 | Waterford Vascular Associates, P.C. | Radiology | 903 Hartford Tpke Unit 30, Waterford, CT 06385-4264 | 2019-10-11 |
| 1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
| 1356813505 | Northeast Radiology of Connecticut, LLC | Radiology | 40 Old Ridgebury Rd Ste 103, Danbury, CT 06810-5119 | 2018-12-28 |
| 1760964001 | Integrated Health Administrative Services, Inc. | Radiology | 1011 Hope St Ofc E, Stamford, CT 06907-2121 | 2018-09-04 |
| 1538682760 | Christina Prete | Radiology | 350 S Cherry St, Wallingford, CT 06492-4429 | 2017-07-19 |
| 1003361320 | Susan Nally | Radiology | 445 Hogan Rd, Hamden, CT 06518-1927 | 2016-08-16 |
| 1275987802 | Farmington Imaging Center, LLC | Radiology | 399 Farmington Ave Lowr 1, Farmington, CT 06032-1937 | 2016-04-20 |
| 1023498805 | Northeast Radiology of Connecticut, LLC | Radiology | 67 Sand Pit Rd Ste 101, Danbury, CT 06810-4032 | 2015-06-05 |
| 1538550546 | Mandell & Blau Md's PC | Radiology | 201 North Mountain Road, Plainville, CT 06062 | 2015-02-12 |
| 1407268543 | Jason Riley Jones | Radiology | 333 Cedar St., Room Te2, Ynhh- Dept of Radiology, New Haven, CT 06520-8042 | 2014-05-23 |
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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.