Pak Ho Samuel Shih, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

66421 Issued in GA

Practice address

1218 W Paces Ferry Rd NW Ste 204
Atlanta, GA 30327-2308

Phone

(404) 480-4888

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIECCD/Endpoint/AIECCD

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

• Advanced Micro LLC

  • Plastic and Reconstructive Surgery Physician
  • Atlanta, GA
  • NPI 1376177733
  NPD Authorized official
• Paces Surgical LLCC

  • Plastic and Reconstructive Surgery Physician
  • Atlanta, GA
  • NPI 1629689146
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1376696179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 PEACHTREE RD NW STE 188",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052918",
            "telephone_number": "443-939-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 W PACES FERRY RD NW STE 204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272308",
            "telephone_number": "404-480-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIH",
        "first_name": "PAK HO SAMUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "RT1893",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT188919",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "66421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Shifrin, PHARM.D.
• Shifting Perspectives, Inc
• David C Shih, MD
• Edmond Shih, M.D.
• Jennifer Shih, MD
• Tahminah Shikhzeineldin, D.D.S.
• Nataly De Los Angeles Shildt, D.O.
• Phyllis Shanyisa Shiluli
• Jenny Jin Shim, MD
• Tom T Shimabukuro, MD, MPH, MBA

• Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.