Taylor Shin

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5401 S Cardinal St
Gilbert, AZ 85298-8477

Phone

(602) 579-5425

NPI assigned

Dec 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Arizona Pain Specialists, PLLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1700030939
  Medicare reassignment NPD
• John a Gorostiza Villanueva MD, Inc

  • Physical Medicine & Rehabilitation Physician
  • Burbank, CA
  • NPI 1528543394
  Medicare reassignment
• Western Med Group LLC

  • Interventional Pain Medicine Physician
  • Mesa, AZ
  • NPI 1649949322
  NPD
• Arizona Pain Specialists, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Denver, CO
  • NPI 1245682970
  NPD

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1427718766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S CARDINAL ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988477",
            "telephone_number": "602-579-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S CARDINAL ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988477",
            "telephone_number": "602-579-5425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "TAYLOR",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandip Sheth
• Alicia Shields, APRN
• Jeanna Shim
• Sam Reed Shimamoto, M.D.
• Lewis Kie Shin, MD
• Tamar Shindel, LPC
• John Calvin Shipp, PA-C
• Ryan Shipp, DMD
• Khalid M Shirif, M.D.
• Lauren Shirley, OTR/L

• Physician Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.