Active NPI
Baekhyo Shin, M.D.
- Anesthesiology Physician
- Baltimore, MD
National Provider Identifier
1497798805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0014185
- Practice address
- 110 S Paca St
Suite 300 6TH FL
Baltimore, MD 21201-1642 - Phone
- (410) 328-6720
- Fax
- (410) 328-1674
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | D0014185 | MD | |
| Anesthesiology Physician | 207L00000X | D0014185 | MD | Primary |
Addresses
Primary practice location
110 S Paca St
Suite 300 6TH FL
Baltimore, MD 21201-1642
Mailing address
PO Box 64374
Baltimore, MD 21264-4374
Phone (410) 328-6720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0014185 | MD | MD | Critical Care Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1497798805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64374",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644374",
"telephone_number": "410-328-6720",
"fax_number": "410-328-1674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S PACA ST",
"address_2": "SUITE 300 6TH FL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011642",
"telephone_number": "410-328-6720",
"fax_number": "410-328-1674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "BAEKHYO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "MD",
"license": "D0014185",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0014185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.