Mike S. Shin M.D. Inc

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

A975160 Issued in CA

Legal business name

MIKE S. SHIN M.D. INC

Practice address

860 W. Seventh St.
Hanford, CA 93230-4926

Phone

(559) 585-7252

Fax

(559) 585-7253

NPI assigned

Aug 13, 2009

Organization subpart

No

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

Authorized official

Name

Mike S. Shin, M.D.NPI 1992791495

Title

Physican/Owner

Phone

(559) 585-7252

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mike S. Shin, MD

  • Otolaryngology Physician
  • Hanford, CA
  • NPI 1992791495
  Medicare reassignment NPD Authorized official
• Jessica Gutierrez, NP

  • Nurse Practitioner
  • Stanford, CA
  • NPI 1861033870
  Medicare reassignment NPD
• Kelli L. Davenport, AUD

  • Audiologist-Hearing Aid Fitter
  • Hanford, CA
  • NPI 1942224647
  NPD (past)
• Ying-Chien Lee, M.D.

  • Surgery Physician
  • Hanford, CA
  • NPI 1376500249
  NPD (past)

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1497987143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 W. SEVENTH ST.",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304926",
            "telephone_number": "559-585-7252",
            "fax_number": "559-585-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 W. SEVENTH ST.",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304926",
            "telephone_number": "559-585-7252",
            "fax_number": "559-585-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE S. SHIN M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-13",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICAN/OWNER",
        "authorized_official_telephone_number": "559-585-7252",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A975160",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "A975160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Girouard, PHD
• Michael K Lloyd MD Inc
• Michael S. Mayer, OD, an Optometric Corporation
• Michael Thompson MD Inc
• Hannah R Miedema
• Aldea Poisson Miles
• Dennis Keith Miller, D.O.
• Marjorie Ann Miller, RN
• Jillian Taylor Lim Milliken
• Korina Unique Miranda

• Otolaryngology Physician in Hanford, CA
• Providers in Hanford, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.