NPIMap

Organization Active NPI

Wonsock Shin MD, LLC

  • Internal Medicine Physician
  • Cumberland, MD
National Provider Identifier
1073789624
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0055325 Issued in MD
Legal business name
WONSOCK SHIN MD, LLC
Practice address
925 Bishop Walsh Rd
Cumberland, MD 21502-1845
Phone
(301) 759-3800
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wonsock Shin, M.D.NPI 1821098203
Title
Physician
Phone
(301) 759-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0055325 MD Primary

Addresses

Primary practice location

925 Bishop Walsh Rd
Cumberland, MD 21502-1845

Mailing address

925 Bishop Walsh Rd
Cumberland, MD 21502-1845
Phone (301) 759-3800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1073789624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021845",
            "telephone_number": "301-759-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BISHOP WALSH RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215021845",
            "telephone_number": "301-759-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONSOCK SHIN MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "WONSOCK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-759-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0055325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.