EON K SHIN (NPI# 1841228608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841228608 |
| Entity Type | Individual |
| Full Name | EON K SHIN |
| Credential | MD |
| Practice Address |
834 Chestnut St Suite G114 Philadelphia PA 19107-5127 |
| Practice Telephone | 2155213000 |
| Practice Fax Number | 2155213002 |
| Mailing Telephone | 2155213000 |
| Mailing Fax Number | 2155213002 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2010-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 25MA08306100 | NJ | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | MD431878 | PA | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 227333 | MA | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
25MA08306100 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD431878 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | INDEPENDENCE BLUE CROSS/KEYSTONE | 3318492000 | 01 |
| PA | PBS | 2010587 | 01 |
| PA | RR MEDICARE | P00621736 | 01 |
| Street Address |
834 CHESTNUT ST SUITE G114 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710948500 | Niles Nicolo | Dentist | 834 Chestnut St, Suite 415, Philadelphia, PA 19107-5127 | 2006-03-31 |
| 1215471495 | Alisa Hayes | Speech-Language Pathologist | 834 Chestnut St, Ph 206, Philadelphia, PA 19107-5127 | 2016-12-07 |
| 1659735181 | Brent Monseur | Student in an Organized Health Care Education/Training Program | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2016-04-11 |
| 1265896740 | Ryan Edward Austin | Student in an Organized Health Care Education/Training Program | 834 Chestnut St, Suite G-114, Philadelphia, PA 19107-5127 | 2016-04-11 |
| 1750744017 | Cheryl Lynn Godcharles | Obstetrics & Gynecology | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2016-04-03 |
| 1518327063 | Nicole Clement Bieler | Nurse Practitioner | 834 Chestnut St, #306, Philadelphia, PA 19107-5127 | 2016-02-25 |
| 1487034179 | Ariana Mason | Dentist | 834 Chestnut St, Suite 415, Philadelphia, PA 19107-5127 | 2015-06-08 |
| 1508243379 | Juliana Guarente | Student in an Organized Health Care Education/Training Program | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2015-04-30 |
| 1750768792 | Laura Felder | Obstetrics & Gynecology | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2015-04-28 |
| 1639566888 | Shelly Sood | Obstetrics & Gynecology | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2015-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| 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 |
|---|---|---|---|---|
| 1811458656 | Einstein Practice Plan Inc | Orthopaedic Surgery | 9880 Bustleton Ave Ste 220, Philadelphia, PA 19115-2143 | 2019-03-26 |
| 1548670755 | Jessica Intravia | Orthopaedic Surgery | 1015 Walnut St Ste 620, Philadelphia, PA 19107 | 2014-04-28 |
| 1578874715 | Nikolas H. Kazmers | Orthopaedic Surgery | 3400 Spruce, Philadelphia, PA 19104 | 2010-06-22 |
| 1558565044 | Gregg Gabriel Martyak | Orthopaedic Surgery | 1015 Walnut St Ste 801, Philadelphia, PA 19107-5005 | 2007-06-11 |
| 1710092192 | Todd Marc Kelman | Orthopaedic Surgery | 4190 City Ave Ste 503, Philadelphia, PA 19131-1634 | 2006-08-19 |
| 1962817148 | Hannah H Lee | Orthopaedic Surgery | 3737 Market St Fl 6, Philadelphia, PA 19104-5545 | 2014-06-25 |
| 1770926529 | Jacob Eli Tulipan | Orthopaedic Surgery | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107 | 2013-04-11 |
| 1922329572 | Stephen Andrew Refsland | Orthopaedic Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2010-06-17 |
| 1497998561 | Hesham Mahmoud Abdelfattah | Orthopaedic Surgery | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2009-04-19 |
| 1730281270 | Orthopaedic Hand Surgery and Rehabilitation PC | Orthopaedic Surgery | 4190 City Ave Ste 503, Philadelphia, PA 19131-1634 | 2006-09-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on EON K SHIN.
| 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.