Provider Demographics
NPI:1467440495
Name:SHINN, SARAH B (MD)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:B
Last Name:SHINN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 HOLIDAY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2740
Mailing Address - Country:US
Mailing Address - Phone:412-922-8490
Mailing Address - Fax:412-921-1194
Practice Address - Street 1:651 HOLIDAY DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2740
Practice Address - Country:US
Practice Address - Phone:412-922-8490
Practice Address - Fax:412-921-1194
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045494E207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001750186Medicaid
PA36056OtherBLUE CROSS BLUE SHIELD
PA204289OtherUPMC
PACU5137OtherHEALTH AMERICA HEALTH ASS
PA505947OtherAETNA US HEALTHCARE
PA505947OtherAETNA US HEALTHCARE
C45137Medicare UPIN