Shin Medical Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SHIN MEDICAL GROUP

Practice address

400 Shadow LN Ste 205
Las Vegas, NV 89106-4358

Phone

(702) 631-5000

Fax

(702) 631-5002

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Elliot Shin, M.D.

Title

Owner

Phone

(702) 334-6847

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1952794349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11044 SONOMA CREEK CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891444020",
            "telephone_number": "702-334-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOW LN STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064358",
            "telephone_number": "702-631-5000",
            "fax_number": "702-631-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-334-6847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele M K Shimizu, MD
• Yuko Shimizu
• Molly Shimmick
• George Shimoyama
• David Shimp
• Elizabeth Shin, PA-C
• Elliot Shin, MD
• Eugene Shin, M.D.
• Eunsook Shin, DDS
• Grace S Shin, M.D.

• Primary Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.