1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAE HO SHIN
NPI 1386477032
Physician Assistant in Syracuse, NY

Active since August 20, 2024
1419 SALT SPRINGS RD, SYRACUSE, NY 13214(315) 445-4100 Get Directions Write a Review

NPPES record last updated: August 30, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 30, 2026, Aug 20, 2024 (2 updates tracked since 2024).

About Tae Ho Shin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAE HO SHIN (NPI 1386477032) is an individual physician assistant in Syracuse, New York and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1386477032
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTAE HO SHIN
Location Address1419 SALT SPRINGS RDSyracuse, NY 13214-1300
Mailing Address1419 Salt Springs RdSyracuse, NY 13214-1300 · (315) 445-4100
Phone(315) 445-4100
Sole ProprietorNo
Enumeration DateAugust 20, 2024
Last NPPES UpdateAugust 30, 20262 updates tracked since enumeration
NPPES CertifiedAugust 30, 2026
✔ NPI 1386477032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1419 SALT SPRINGS RD, Syracuse, NY 13214
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOGAN MICHEL
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
OLIVIA CREELMAN
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
EMMA BARTELT
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (786) 365-6133
MALACHI XAVIER WILLIAMS
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
ANNA CECELIA BOWYER
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
KELLY MARIE KOHBERGER
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
JODIE CHONG
Physician Assistant
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100
GABRIELLE SWIDER
Student in an Organized Health Care Education/Training Program
1419 SALT SPRINGS RD
SYRACUSE, NY 13214
Onondaga County (315) 445-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tae Ho Shin's NPI number?

The NPI number for Tae Ho Shin is 1386477032. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Tae Ho Shin located?

Tae Ho Shin practices at 1419 Salt Springs Rd, Syracuse, NY 13214. The listed phone number is (315) 445-4100.

What is Tae Ho Shin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Tae Ho Shin was last updated on August 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.