Active NPI
Hyon Christopher Shin, M.D., P.a.
- Surgery Physician
- Austin, TX
National Provider Identifier
1871741900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- HYON CHRISTOPHER SHIN, M.D., P.A.
- Practice address
- 9011 Mountain Ridge Dr Ste 140
Austin, TX 78759-7369 - Phone
- (512) 443-5954
- Fax
- (512) 326-3433
- NPI assigned
- Sep 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hyon-Ho Christopher Shin, M.D.
- Title
- Owner
- Phone
- (512) 443-5954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
9011 Mountain Ridge Dr Ste 140
Austin, TX 78759-7369
Mailing address
9011 Mountain Ridge Dr Ste 140
Austin, TX 78759-7369
Phone (512) 443-5954
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 354064301 | Medicaid | TX | |
| 0007WK | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9011 Mountain Ridge Dr
Ste 140
Austin, TX 78759
Phone (512) 443-0920
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Austin, TX
- NPI 1558469452
-
- Surgery Physician
- Austin, TX
- NPI 1396789764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605225600000",
"number": "1871741900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9011 MOUNTAIN RIDGE DR STE 140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787597369",
"telephone_number": "512-443-5954",
"fax_number": "512-326-3433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9011 MOUNTAIN RIDGE DR STE 140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787597369",
"telephone_number": "512-443-5954",
"fax_number": "512-326-3433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HYON CHRISTOPHER SHIN, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-03",
"last_updated": "2020-11-13",
"certification_date": "2020-11-13",
"status": "A",
"authorized_official_last_name": "SHIN",
"authorized_official_first_name": "HYON-HO",
"authorized_official_middle_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-443-5954",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "354064301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0007WK",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.