Eugene Shin MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EUGENE SHIN MD PLLC

Practice address

7455 W Azure Dr Ste 140
Las Vegas, NV 89130-4431

Phone

(310) 953-5029

Fax

(725) 780-4339

NPI assigned

Jan 5, 2022

Last updated

Jan 5, 2022By 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

Dr. Eugene Shin, MDNPI 1306372255

Title

Owner

Phone

(310) 953-5029

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

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.

• Eugene Shin, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1306372255
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1649931304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11833 ALAVA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891384566",
            "telephone_number": "310-953-5029",
            "fax_number": "725-780-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7455 W AZURE DR STE 140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304431",
            "telephone_number": "310-953-5029",
            "fax_number": "725-780-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE SHIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-953-5029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eudaimon Health, LLC
• Adam Eudy, D.O.
• Eudysis Guzman Rojas
• Eugene G. Porreca, MD., LLP
• Eugene Rosenman, MD LTD
• Rizza Deanna Laurena Eugenio, PT
• Zachariah Eukel
• Yuna Eun, RPH
• Eunice Judith Vasquez
• Annali Euredjian

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.