Wonsock Shin MD LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WONSOCK SHIN MD LLC

Practice address

410 Pine St SE
Suite 200
Vienna, VA 22180-4861

Phone

(703) 865-8615

Fax

(301) 777-7455

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Wonsock Shin, M.D.NPI 1821098203

Title

Medical Director

Phone

(703) 865-8615

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• C H OH MD, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wonsock Shin, M.D.

  • Internal Medicine Physician
  • Vienna, VA
  • NPI 1821098203

  DC

  Medicare reassignment Authorized official
• Chang Hyun Oh, M.D.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1477613941
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1972599249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PINE ST SE",
            "address_2": "SUITE 200",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804861",
            "telephone_number": "703-865-8615",
            "fax_number": "301-777-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PINE ST SE",
            "address_2": "SUITE 200",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804861",
            "telephone_number": "703-865-8615",
            "fax_number": "301-777-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WONSOCK SHIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "WONSOCK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "703-865-8615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI ID",
            "identifier": "891935",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363200800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MD",
            "identifier": "LP49CH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID",
            "identifier": "9795404002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C H OH MD, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Laura Winkler
• Anne C. Witzig, MS, OTR/L
• Matthew S. Wolins, MD
• Womens Center
• Melody Tin-Wun Wong, PT, DPT
• Jung John Woo, M.D.
• Andrea Woodson
• Woody Chang, M.D., P.C.
• World Class Home Health LLC
• Kylie Anne Wright, PMHNP

• Internal Medicine Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.