NPIMap

Organization Active NPI

Edward Shin MD PA

  • Pain Medicine Physician
  • Plano, TX
National Provider Identifier
1336301951
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
L7179 Issued in TX
Legal business name
EDWARD SHIN MD PA
Practice address
4100 W 15TH St Ste 200
Plano, TX 75093-5856
Phone
(972) 596-6700
Fax
(972) 596-2818
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Edward Shin, MD
Title
President
Phone
(972) 772-4539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X L7179 TX Primary

Addresses

Primary practice location

4100 W 15TH St Ste 200
Plano, TX 75093-5856

Mailing address

PO Box 262349
Plano, TX 75026-2349
Phone (972) 772-4539

National Provider Directory

National Provider Directory
Tax ID family
Edward Shin MD PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1336301951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 262349",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750262349",
            "telephone_number": "972-772-4539",
            "fax_number": "972-772-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935856",
            "telephone_number": "972-596-6700",
            "fax_number": "972-596-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD SHIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-772-4539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "L7179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

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