DR. JEONGWON SHIN (NPI# 1972917813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972917813 |
| Entity Type | Individual |
| Full Name | DR. JEONGWON SHIN |
| Credential | M.D. |
| Practice Address |
7257 Parkway Dr Ste 250 Hanover MD 21076 |
| Mailing Address |
7257 Parkway Dr Ste 250 Hanover MD 21076-1755 |
| Practice Telephone | 4434929885 |
| Practice Fax Number | 4438203754 |
| Mailing Telephone | 4434929885 |
| Mailing Fax Number | 4438203754 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
D82874 | MD | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D82874 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2324 West Zion Rd., Suite 112, Salisbury, MD 21801 | 8008672395 | |
| 514 Poplar St, Cambridge, MD 216131834 | 8008672395 | 4104430842 |
| 6501 N Charles St, Baltimore, MD 212046819 | 4109383000 | |
| 7257 Parkway Dr Ste 250, Hanover, MD 21076 | 4434929885 | 4438203754 |
| 8737 Brooks Dr Ste 108, Easton, MD 216017474 | 8008672395 | 4104430842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730565466 | Jeongwon Jane Shin | Reflexologist | 922 Hauoli St, Honolulu, HI 96826-2652 | 2015-08-04 |
| Street Address |
7257 PARKWAY DR STE 250 |
| City | HANOVER |
| State | MD |
| Zip Code | 21076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023500766 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7706 Milestone Pkwy, Hanover, MD 21076 | 2018-05-30 |
| 1598287419 | Robert Ehrhardt | Social Worker | 7801 Nauitan Ct, Hanover, MD 21076 | 2017-07-12 |
| 1639699630 | Andrea K Kamara | Registered Nurse | 7566 Teague Road, Hanover, MD 21076 | 2017-06-21 |
| 1093265878 | Maryland Partnership for Prevention Inc | Allergy & Immunology | 7467 New Ridge Road, Suite 130, Hanover, MD 21076 | 2016-10-05 |
| 1720460678 | Michael David Berger | Podiatrist | 7240 Parkway Dr Ste 350, Hanover, MD 21076 | 2015-06-26 |
| 1306254941 | Eyefit Vision Centers | Optometrist | 7550 Teague Road, Suite 114, Hanover, MD 21076 | 2014-07-28 |
| 1487070868 | Tywanna Hamilton | Nurse Practitioner | 7556 Teague Rd Ste 210, Hanover, MD 21076 | 2014-03-10 |
| 1891127866 | Elyce D. Millery | Dentist | 7581 Buckingham Blvd Ste 100, Hanover, MD 21076 | 2013-08-01 |
| 1588990725 | Katoya Lee | Nurse Practitioner | 7698 Dorchester Blvd Ste 204, Hanover, MD 21076 | 2009-10-22 |
| 1629253430 | Farhana Syed | Internal Medicine | 7250 Parkway Drive, Suite 500, Hanover, MD 21076 | 2007-12-31 |
| Find all providers in zip 21076 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558572784 | Donald H. Gent | Psychiatry & Neurology | 303 Deguy Ave, Hanover, PA 17331-1396 | 2007-05-28 |
| 1851454490 | David Gussow | Psychiatry & Neurology | 33 Frederick St, Hanover, PA 17331-3502 | 2006-12-18 |
| 1013018308 | Amr Abdelghany Khalafallah | Psychiatry & Neurology | 1150 Carlisle St, Hanover, PA 17331-1100 | 2006-09-26 |
| 1497761092 | Benita J Walton | Psychiatry & Neurology | 45 Lyme Rd Ste 204a, Hanover, NH 03755-1221 | 2006-08-01 |
| 1144277872 | Ralph S Albertini | Psychiatry & Neurology | 6 E South St, Hanover, NH 03755-2148 | 2006-05-28 |
| 1891746814 | Alfredo R Chan | Psychiatry & Neurology | 105 Webster Street, Webster Place Unit 6, Hanover, MA 02339-1227 | 2006-05-15 |
| 1235109844 | Denise Edgecombe Holland | Psychiatry & Neurology | 1610 Chapel Ridge Ct, Hanover, MD 21076-1763 | 2006-01-25 |
| 1326198391 | Aliya Jamila Carmichael Jones | Psychiatry & Neurology | 7250 Parkway Dr, Suite 420, Hanover, MD 21076-1388 | 2007-01-11 |
| 1982752127 | Helene Eve Garber | Psychiatry & Neurology | 135 Webster St, Hanover, MA 02339-1200 | 2007-01-06 |
| 1689730186 | Carolyn Solzhenitsyn | Psychiatry & Neurology | 23 S Main St, Suite 2b Hanover Psychiatry, Hanover, NH 03755-2075 | 2006-12-29 |
| Find all providers in HANOVER | ||||
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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.