SE JUNG SHIN MD PROFESSIONAL CORPORATION
SE JUNG SHIN MD PROFESSIONAL CORPORATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1184829244, based in Portland, OR. The organization lists 3 taxonomy classifications, with Emergency Medicine Physician recorded as primary.
Getting there
The practice address on file is 13305 NW CORNELL ROAD, SUITE C, Portland, OR 97229. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 36696 | OR | Emergency Medicine Physician primary |
| 36696 | OR | Emergency Medical Services (Emergency… |
| 36696 | OR | Pediatric Emergency Medicine (Emergency… |
This provider holds licence 36696 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Emergency Medicine covers
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. NUCC Health Care Provider Taxonomy, code 207P00000X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | 36696 | OR | primary |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician Emergency Medical Services | 36696 | OR | |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician Pediatric Emergency Medicine | 36696 | OR |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1184829244 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jun 19, 2007 |
| Last updated | Apr 16, 2015 |
| Status | Active |
| Practice address |
13305 NW CORNELL ROAD, SUITE C Portland, OR 97229 (503) 646-8500 Fax (503) 646-8200 |
| Mailing address |
13305 NW CORNELL RD SUITE C Portland, OR 97229 |
| Other identifiers |
1184829244
· Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 8 | 4 | 8 | 2 | 9 | 2 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 7 | 4 | 7 | 2 | 9 | 2 | 8 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.