Michael J Shin (NPI# 1861479081, PAC ID# 2860565298) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1861479081 |
| PAC ID by PECOS | 2860565298 |
| Professional Enrollment ID | I20101105000588 |
| Full Name | Michael J Shin |
| Organization Legal Name | MINERAL KING RADIOLOGICAL MEDICAL GROUP INC |
| Address |
1700 S Court St Visalia CA 93277-4931 |
| Phone Number | 5597345674 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163321720 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050057 | KAWEAH DELTA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1700 S Court St, Visalia, CA 93277-4931 | 5597345674 | MINERAL KING RADIOLOGICAL MEDICAL GROUP INC |
| 400 W Mineral King Ave, Visalia, CA 93291-6237 | 5596242000 | MINERAL KING RADIOLOGICAL MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% |
| Organization Legal Name | MINERAL KING RADIOLOGICAL MEDICAL GROUP INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glade E Roper | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Jaime C Aguet | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Bharath Surapaneni | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Suite A, Visalia, CA 93277-4931 |
| Bennett K Abe | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Francis R Mccully | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Suite A, Visalia, CA 93277-4931 |
| Douglas N Blume | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Daniel Hightower | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Francisco Eduardo Valles | Interventional Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Suite A, Visalia, CA 93277-4931 |
| Michael C Nussdorfer | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Suite A, Visalia, CA 93277-4931 |
| Ashkan Shahkarami | Interventional Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Street Address |
1700 S COURT ST |
| City | VISALIA |
| State | CA |
| Zip | 93277-4931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glade E Roper | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Jaime C Aguet | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Bharath Surapaneni | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Suite A, Visalia, CA 93277-4931 |
| Bennett K Abe | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Francis R Mccully | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Suite A, Visalia, CA 93277-4931 |
| Douglas N Blume | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Daniel Hightower | Diagnostic Radiology | Mineral King Radiological Medical Group Inc | 1700 S Court St, Visalia, CA 93277-4931 |
| Dean B Levitan | Obstetrics/gynecology | Visalia Women's Specialty Medical Group, Inc | 1700 S Court St, Suite B, Visalia, CA 93277-4931 |
| Andrea B Boone | Obstetrics/gynecology | Visalia Women's Specialty Medical Group, Inc | 1700 S Court St, Suite B, Visalia, CA 93277-4931 |
| Shay Marie Ventura | Nurse Practitioner | Visalia Women's Specialty Medical Group, Inc | 1700 S Court St, Suite B, Visalia, CA 93277-4931 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonard F Liss | Internal Medicine | 4239 W Noble Ave, Visalia, CA 93277-1633 | |
| Roger Haley | Nephrology | Renal Medical Group | 515 S Locust St, Visalia, CA 93277-2616 |
| Maribel Torres | Nurse Practitioner | Tariq Javed Md Inc | 515 S Locust St, Visalia, CA 93277-2616 |
| Stephen Smith Iv | Internal Medicine | Renal Medical Group | 515 S Locust St, Visalia, CA 93277-2616 |
| Patricia Alvarez | Nurse Practitioner | Shyam Bhaskar Md Inc | 231 W Noble Ave, Visalia, CA 93277-2631 |
| Mythili Sundaresan | Neurology | 231 W Noble, Visalia, CA 93277-2631 | |
| Tom Yang | Neurology | 503 S Watson St, Visalia, CA 93277-2641 | |
| Sameh M Nasr | Physical Therapy | Saint Mary Physical Therapy P.C. | 432 S Church St, Visalia, CA 93277-2703 |
| Kusai S Aziz | Cardiovascular Disease (cardiology) | Visalia Cardiovascular and Medical Center, Inc | 101 E Noble Ave, Visalia, CA 93277-2717 |
| Hedeal A Alsalihi | Internal Medicine | Visalia Cardiovascular and Medical Center, Inc | 101 E Noble Ave, Visalia, CA 93277-2717 |
| Find all physicians in zip 93277 | |||
| City | VISALIA |
| Zip Code | 93277 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | VISALIA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael J Shin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.