Dr.Roh & Shin'S Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0023439 Issued in MD

Legal business name

DR.ROH & SHIN'S CLINIC

Practice address

5107 Silver Hill Rd
Suitland, MD 20746-5213

Phone

(301) 568-1784

NPI assigned

Nov 25, 2008

Organization subpart

No

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

Authorized official

Name

Young S Shin

Title

Office Manager

Phone

(301) 568-1784

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Ihn Whan Roh, M.D.

  • Family Medicine Physician
  • Suitland, MD
  • NPI 1558367334
  NPD (past)

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1104071646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 SILVER HILL RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207465213",
            "telephone_number": "301-568-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 SILVER HILL RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207465213",
            "telephone_number": "301-568-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.ROH & SHIN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-568-1784"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0023439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP OF MARYLAND COMMUNITY CARE",
            "identifier": "01034227",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMRIGROUP OF MARYLAND COMMUNITY CARE",
            "identifier": "01160492",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dimensions Healthcare Associates, Inc.
• Dimensions Healthcare Associates, Inc.
• Selwa Jawad Diwani, MD
• Keyante Jaqua Dixon
• Johnny Patrick Dotson Jr., LCSW
• Cydney Monet Dyson, OTD, OTR/L
• Alana Eason Wilhite
• Jewna Bonita Ehlke, LCPC, LPC, LPC
• Ejw Enterprises Dba the Delicate Doula
• Ada Ukpai Emarievbe, M.D

• Family Medicine Physician in Suitland, MD
• Providers in Suitland, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.