Individual provider Active NPI

Shinsung Yook

  • Medical Physician Assistant
  • Lakewood, WA
National Provider Identifier
1366116238
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
8511 S Tacoma Way Ste 200
Lakewood, WA 98499-6521
Phone
(253) 588-4015
NPI assigned
Aug 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

8511 S Tacoma Way Ste 200
Lakewood, WA 98499-6521

Mailing address

8511 S Tacoma Way Ste 200
Lakewood, WA 98499-6521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230504002099 WA Practitioner - Physician Assistant 5395100804 Reassigns benefits to 3 organizations
I20231212001615 OR Practitioner - Physician Assistant 5395100804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Sleep Centers PLLCGroup PAC ID 6103010392, 5 clinicians

Practice addresses (Care Compare)

260 Lee St SW
Tumwater, WA 98501-4403
Phone (360) 754-3825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC Current Accepting new patients
Icco LLC CurrentSince Dec 4, 2023 Accepting new patients
Innovative Sleep Centers PLLC CurrentSince Nov 23, 2025 Accepting new patients

Locations

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

954 Anderson Dr
Ste 101A
Aberdeen, WA 98520
Phone (360) 612-3069

260 Lee St SW
Tumwater, WA 98501
Phone (360) 459-5900

Interoperability endpoints

  • Direct secure messaging: shinsung.yook.1@17033.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1366116238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 S TACOMA WAY STE 200",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984996521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 S TACOMA WAY STE 200",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984996521",
            "telephone_number": "253-588-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOOK",
        "first_name": "SHINSUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.