Organization Active NPI

Mary N. Shinn, M.D., P.a.

  • Plastic Surgery Physician
  • Houston, TX
National Provider Identifier
1528391406
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G8414 Issued in TX
Legal business name
MARY N. SHINN, M.D., P.A.
Practice address
1200 Binz St Ste 1190
Houston, TX 77004-6926
Phone
(713) 522-4411
Fax
(713) 522-5588
NPI assigned
Sep 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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

Authorized official

Name
Mary Natalie Shinn, M.D.NPI 1326130279
Title
Owner/President
Phone
(713) 522-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G8414 TX Primary

Addresses

Primary practice location

1200 Binz St Ste 1190
Houston, TX 77004-6926

Mailing address

1200 Binz St Ste 1190
Houston, TX 77004-6926
Phone (713) 522-4411

Other identifiers 2

IdentifierTypeStateIssuer
00F03TOtherTXMEDICARE
1326130279OtherTXNPI INDIVIDUAL IDENTIFIER

National Provider Directory

National Provider Directory

Locations

1200 Binz St
Ste 1190
Houston, TX 77004
Phone (713) 522-4411

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1528391406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 1190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046926",
            "telephone_number": "713-522-4411",
            "fax_number": "713-522-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BINZ ST STE 1190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046926",
            "telephone_number": "713-522-4411",
            "fax_number": "713-522-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY N. SHINN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "713-522-4411",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "G8414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00F03T",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL IDENTIFIER",
            "identifier": "1326130279",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.