David D Shin, MD PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

DAVID D SHIN, MD PA

Practice address

6550 Fannin St
Suite 2407
Houston, TX 77030-2717

Phone

(713) 790-0000

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

David D Shin, MDNPI 1083614135

Title

Owner

Phone

(713) 790-0000

Specialties & licenses 1

Addresses

Other names 1

• Houston Vein Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• David Dongryun Shin, MD

  • Vascular Surgery Physician
  • Houston, TX
  • NPI 1083614135
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1235560715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770010372",
            "telephone_number": "713-790-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 2407",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-790-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D SHIN, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-790-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Houston Vein Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naval Gustad Daver, MBBS
• David & Ivory Ministies, Inc.
• David Altamira MD PA
• David and Ly, LLC.
• David and Ly, LLC.
• David D. Davila, D.O., P.a.
• David de Jongh DDS
• David E Holsey DDS Inc
• David E. Auer, M.D., P.a.
• David Fairweather MD PA

• Vascular Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.