Dr. Shine John is a Austin, Texas based male podiatrist with 19 years of experience in Podiatry. He completed his graduation from New York College Of Podiatric Medicine in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Shine John for Podiatric Foot & Ankle Surgery is 1910 in Texas. Dr. Shine John is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Shine John speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
19+ years
Medical School Attended:
New York College Of Podiatric Medicine
Graduation Year:
2005
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
11614 Fm 2244 Rd Ste 150, Austin, Texas, 78738-5471
Phone:
512-399-5711
Fax:
512-399-5707
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5294809133
Enrollment ID:
I20090924000051
NPI Number:
1245407295
NPI Enumeration Date:
09 May, 2008
NPI Last Update On:
16 Aug, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shine John are as mentioned below.
License Number
Specialization
State
Status
1910
Podiatric Foot & Ankle Surgery
Texas
Primary
016005365
Podiatry
Illinois
Secondary
1910
Podiatry
Texas
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Shine John is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Privia Medical Group Gulf Coast Pllc (4688999022)
274
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Shine John such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016005365
Other
Illinois
IL STATE LICENSE
1910
Other
Texas
STATE OF TEXAS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
11614 Fm 2244 Rd Ste 150, Austin, Texas
Zip:
78738-5471
Phone Number:
512-399-5711
Fax Number:
512-399-5707
Patients can reach Dr. Shine John at 11614 Fm 2244 Rd Ste 150, Austin, Texas or can call to book an appointment on 512-399-5711. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.