Shim Medical, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SHIM MEDICAL, LLC

Practice address

12780 Race Track Rd Ste 200
Tampa, FL 33626-1395

Phone

(813) 814-9251

Fax

(813) 814-9261

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

John H. Shim, MD

Title

President

Phone

(813) 814-9251

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1093356545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 RACE TRACK RD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261395",
            "telephone_number": "813-814-9251",
            "fax_number": "813-814-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 RACE TRACK RD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261395",
            "telephone_number": "813-814-9251",
            "fax_number": "813-814-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIM MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "SHIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-814-9251",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David James Shields, M.S., LMHC
• Terry Obrien Shields
• Jessica Renee Shiffner, PA-C
• Shilo LLC
• Shilo LLC
• William Jungho Shim, M.D.
• Cindy Shimamoto
• William Reed Shimberg, MD
• Jenny Poulin Shimmel, MS,PT
• Eunice Haheun Shin

• Orthopaedic Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.