STEPHANIE SHIN (NPI# 1992159792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992159792 |
| Entity Type | Individual |
| Full Name | STEPHANIE SHIN |
| Credential | DO |
| Practice Address |
1 Childrens Pl Saint Louis MO 63110-1002 |
| Mailing Address |
8130 Roxburgh Dr Apt 2e Saint Louis MO 63105-2435 |
| Practice Telephone | 3145651247 |
| Mailing Telephone | 3145651247 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MO | Student, Health Care | |
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
2020014035 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1402 S Grand Blvd, M260, Saint Louis, MO 631041004 | 6057862701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649646084 | Stephanie Suhyoung Shin | Dentist | 1303 Packard St Ste 301, Ann Arbor, MI 48104-3874 | 2015-08-20 |
| 1174090088 | Stephanie Shin | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2018-10-29 |
| 1023317286 | Stephanie Shin | Internal Medicine | 320 Santa Fe Dr Ste 107-c, Encinitas, CA 92024-5138 | 2011-03-26 |
| Street Address |
1 CHILDRENS PL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669476495 | William Lee Johnson | Pediatrics | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2005-06-09 |
| 1114527033 | Kristin Kueper | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1081 | 2020-10-29 |
| 1609474055 | Courtney Tompkins | Audiologist | 1 Childrens Pl, Saint Louis, MO 63110-1081 | 2020-10-16 |
| 1164036851 | Andrea Bumb | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-09-01 |
| 1235741513 | Shannon Ries | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-19 |
| 1144832320 | Lacey Bender | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-19 |
| 1699386417 | Kristen Bagby | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-08-14 |
| 1720696115 | Abigail Patricia Klatch | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-07-21 |
| 1518575422 | St Louis Childrens Hospital | Clinical Medical Laboratory | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-07-16 |
| 1730707068 | Alyssa Lavalle | Nurse Practitioner | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2020-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710305651 | Anita Mathew | Anesthesiology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2014-03-28 |
| 1508200775 | Andrew S Oster | Anesthesiology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2013-04-18 |
| 1770866709 | St. Louis University | Anesthesiology | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2011-09-26 |
| 1720377997 | Eduardo Reina | Anesthesiology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2011-03-28 |
| 1376863936 | Preeta George | Anesthesiology | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2010-06-07 |
| 1477701316 | Soumya Mahapatra | Anesthesiology | 660 S Euclid Ave, C B 8054, Saint Louis, MO 63110-1010 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326249475 | Anesthesia Services LLC | Anesthesiology | 11600 Manchester Rd Ste 101, Des Peres, MO 63131-4691 | 2007-05-29 |
| 1184859233 | Daniel Agne | Anesthesiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2009-05-19 |
| 1972703486 | Susan Sajee Lava-parmele | Anesthesiology | One Hospital Dr, Columbia, MO 65212-0001 | 2007-07-23 |
| 1285832196 | Courtnay Scarborough | Anesthesiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-07-03 |
| 1508063397 | Joseph Franklin Banks | Anesthesiology | 2401 Gillham Rd, Anesthesia Department, Kansas City, MO 64108-4619 | 2007-06-27 |
| 1366648453 | Robin Decoursey Jenson | Anesthesiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-06-25 |
| 1639387772 | Jeremy Michael Harnden | Anesthesiology | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2007-05-21 |
| 1962614123 | Nichole Doyle | Anesthesiology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-05-03 |
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on STEPHANIE 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.