Paul C Shin MD Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAUL C SHIN MD INC

Practice address

2420 Lake Ave
Ashtabula, OH 44004-4954

Phone

(440) 997-6700

Fax

(440) 997-6312

NPI assigned

Apr 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul C Shin, MDNPI 1164425807

Title

Owner

Phone

(440) 997-6700

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul C Shin, MD

  • Interventional Pain Medicine Physician
  • Medina, OH
  • NPI 1164425807
  NPD (past) Authorized official
• Terri K Parker, CRNA

  • Certified Registered Nurse Anesthetist
  • Ashtabula, OH
  • NPI 1609861707
  NPD (past)

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568428118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713832",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432713832",
            "telephone_number": "800-277-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044954",
            "telephone_number": "440-997-6700",
            "fax_number": "440-997-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL C SHIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-997-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikahla Charlene Passmore
• Rajnikant Manibhai Patel, M.D.
• Patrice Jones
• Stacy Patterson
• Nicole Patton
• Stephanie Lea Pavolko, LSW
• Lora Nessa Peaspanen
• Stefanie Lynn Perez
• Veronica Perez, CDCA
• Nicole Perkins

• Pain Medicine (Anesthesiology) Physician in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Pain Medicine (Anesthesiology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.