CORNELL URGENT CARE – NPI #1184829244
Emergency Medicine

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.

Health Care Provider Taxonomy Code for Emergency Medicine

CORNELL URGENT CARE is a provider located in PORTLAND, OR. NPPES has assigned the NPI number 1184829244 to CORNELL URGENT CARE on June 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CORNELL URGENT CARE” is a dba name, the actual legal business name for this organization is SE JUNG SHIN MD PROFESSIONAL CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 11 years ago on Apr 16, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORNELL URGENT CARE below.

NPI Profile for
SE JUNG SHIN MD PROFESSIONAL CORPORATION

NPI Number
1184829244
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SE JUNG SHIN MD PROFESSIONAL CORPORATION
Doing Business As (dba): CORNELL URGENT CARE
Primary location
13305 NW CORNELL ROAD, SUITE C
PORTLAND, OR 97229
Phone: (503) 646-8500 Fax: (503) 646-8200
Mailing address
13305 NW CORNELL RD
SUITE C
PORTLAND, OR 97229-5987
Phone: (503) 646-8500 Fax: (503) 646-8200
Organization Subpart
No
Authorized Official
SE JUNG SHIN
PRESIDENT
Phone: (503) 646-8500
Updated
Identifiers

Identifiers for CORNELL URGENT CARE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI NUMBER1184829244
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)		 OR 36696
207PP0204X
- Emergency Medicine / Pediatric Emergency Medicine		 OR 36696
207PE0004X
- Emergency Medicine / Emergency Medical Services		 OR 36696

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.