DR. SANG IK SHIN (NPI# 1982781944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982781944 |
| Entity Type | Individual |
| Full Name | DR. SANG IK SHIN |
| Credential | MD |
| Practice Address |
21601 76th Ave W Edmonds WA 98026-7507 |
| Mailing Address |
Po Box 84026 Seattle WA 98124-8426 |
| Practice Telephone | 4256404000 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
7308 | AK | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD60319510 | WA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
248541 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246075 | 05 |
| 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 |
| 1649226440 | Sang O Shin | Emergency Medicine | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2006-05-25 |
| 1790764157 | Sang H Shin | Anesthesiology | 701 N 1st St, Springfield, IL 62781-0001 | 2006-01-13 |
| Street Address |
21601 76TH AVE W |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417954173 | Andrea Ference | Specialist | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2005-07-07 |
| 1811519614 | Kelsey Nicole Gardetto | Pharmacist | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2020-05-14 |
| 1942835087 | Nancy Kelly | Registered Nurse | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2020-03-09 |
| 1003440231 | Selma Tanjo | Registered Nurse | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2020-02-26 |
| 1972147098 | Xin Zhang | Pharmacist | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2019-10-31 |
| 1285278499 | Emily Riley | Pharmacist | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2019-10-30 |
| 1366009185 | Janice Gear | Doula | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2019-05-28 |
| 1437668506 | Margaret S Fischer | Family Medicine | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2017-09-21 |
| 1295192441 | Katherine Bliss Ross | Physician Assistant | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2016-01-19 |
| 1215311212 | Kimberly Iversen | Physician Assistant | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2015-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| 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 |
|---|---|---|---|---|
| 1619449030 | Frances R Goldie | Psychiatry & Neurology | 7410 228th St Sw, Edmonds, WA 98026-8474 | 2018-12-24 |
| 1114065612 | Otis Edd Payne | Psychiatry & Neurology | 21810 76th Ave West, Ste 202, Edmonds, WA 98026 | 2007-02-05 |
| 1912095597 | Anne Marie Elizabeth Arvidson | Psychiatry & Neurology | 307 Bell St, #206, Edmonds, WA 98020-3215 | 2006-10-10 |
| 1164539201 | Katia Susanna Ronay | Psychiatry & Neurology | 7315 212th Street Sw #101, Edmonds, WA 98020-3464 | 2006-08-24 |
| 1477561538 | James Bryan Hughes | Psychiatry & Neurology | 110 James St, Suite 104, Edmonds, WA 98020-8429 | 2006-08-04 |
| 1013961960 | Brian F Smart | Psychiatry & Neurology | 7416 212th St Sw, Edmonds, WA 98026-7609 | 2006-05-22 |
| 1043720535 | George Paris Pllc | Psychiatry & Neurology | 7500 212th St Sw Ste 118, Edmonds, WA 98026-7616 | 2017-10-10 |
| 1356795363 | Kisha M Clune | Psychiatry & Neurology | 21911 76th Ave W Ste 110, Edmonds, WA 98026-7918 | 2016-04-15 |
| 1164884136 | Stephanie Lynne Harper | Psychiatry & Neurology | 7315 212th St Sw Ste 101, Edmonds, WA 98026-7610 | 2016-03-28 |
| 1386998193 | Robert Jay Reichler, Md, Ps | Psychiatry & Neurology | 21827 76th Ave W, Suite 201, Edmonds, WA 98026-7981 | 2012-10-31 |
| Find all providers in EDMONDS | ||||
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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.