NPIMap

Individual provider Active NPI

Alexander Youngjoon Shin, MD

  • Emergency Medicine Physician
  • Harpers Ferry, WV
National Provider Identifier
1912460445
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30021 Issued in WV
Practice address
171 Taylor St
Harpers Ferry, WV 25425-3641
Phone
(304) 535-6343
Fax
(304) 535-6618
NPI assigned
Apr 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 30021 WV Primary

Addresses

Primary practice location

171 Taylor St
Harpers Ferry, WV 25425-3641

Mailing address

171 Taylor St
Harpers Ferry, WV 25425-3641
Phone (304) 535-6343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211026002081 WV Practitioner - Family Practice 9133517022 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Memorial Hospital 33 clinicians

Practice addresses (Care Compare)

300 S Preston St
Ranson, WV 25438-1631
Phone (304) 728-1669

Hospital & facility affiliations

  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30021WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grant Memorial Hospital Inc CurrentSince Jun 6, 2025 Accepting new patients
Grant Memorial Hospital Inc CurrentSince Jun 6, 2025 Accepting new patients
City Hospital, Inc. Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Jefferson Memorial Hospital Current Accepting new patients
Health Care Alliance, Inc. Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Jefferson Memorial Hospital CurrentSince Jan 29, 2023 Accepting new patients
Jefferson Memorial Hospital CurrentSince Jan 29, 2023 Accepting new patients
City Hospital Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

5047 Gerrardstown Rd
Ste 2A
Inwood, WV 25428
Phone (304) 229-2273

20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

117 Hospital Dr
Petersburg, WV 26847
Phone 30497450009312

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Interoperability endpoints

  • Direct secure messaging: ashin134299@direct.wvuhsdirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1912460445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 TAYLOR ST",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254253641",
            "telephone_number": "304-535-6343",
            "fax_number": "304-535-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 TAYLOR ST",
            "city": "HARPERS FERRY",
            "state": "WV",
            "postal_code": "254253641",
            "telephone_number": "304-535-6343",
            "fax_number": "304-535-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ALEXANDER",
        "middle_name": "YOUNGJOON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "30021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harpers Ferry, WV

Sources for this page

Verify at the official NPI Registry.