Charles C Shin MD Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

35100181 Issued in OH

Legal business name

CHARLES C SHIN MD INC

Practice address

7225 Old Oak Blvd
Suite B312
Middleburg HTS, OH 44130-3377

Phone

(440) 816-2730

Fax

(440) 816-5352

NPI assigned

Jun 9, 2008

Organization subpart

No

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

Authorized official

Name

Charles C Shin, MD

Title

Owner

Phone

(440) 816-2730

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1114186798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE B312",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "441303377",
            "telephone_number": "440-816-2730",
            "fax_number": "440-816-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 OLD OAK BLVD",
            "address_2": "SUITE B312",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "441303377",
            "telephone_number": "440-816-2730",
            "fax_number": "440-816-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES C SHIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-816-2730",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35100181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0387764",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Middleburg HTS, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.