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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

TIMOTHY SHIN CRNA
NPI 1588585509
Nurse Anesthetist, Certified Registered in Columbia, MD

Active since July 24, 2026
9841 BROKEN LAND PKWY STE 310, COLUMBIA, MD 21046(443) 276-7624 Get Directions Write a Review

NPPES record added: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Shin Crna NPPES

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

TIMOTHY SHIN CRNA (NPI 1588585509) is an individual nurse anesthetist, certified registered in Columbia, Maryland, licensed in Maryland (R279158) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1588585509
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTIMOTHY SHINCredential: CRNA
Location Address9841 BROKEN LAND PKWY STE 310Columbia, MD 21046-1169
Mailing Address12222 Merit Dr Ste 600Dallas, TX 75251-3294 · (972) 715-5000
Phone(443) 276-7624
Sole ProprietorNo
Enumeration DateJuly 24, 2026
NPPES CertifiedJuly 24, 2026
✔ NPI 1588585509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MD · R279158
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
9841 BROKEN LAND PKWY STE 310, Columbia, MD 21046
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Other Providers at the Same Location NPPES 3

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

TRACY OYUGI MD
Anesthesiology
9841 BROKEN LAND PKWY STE 310
COLUMBIA, MD 21046
Howard County (443) 276-7624
DR. RAFAY M SYED MD, MS
Anesthesiology
9841 BROKEN LAND PKWY STE 310
COLUMBIA, MD 21046
Howard County (443) 276-7624
FIRST COLONIES ANESTHESIA ASSOCIATES, LLC
Anesthesiology
9841 BROKEN LAND PKWY STE 310
COLUMBIA, MD 21046
Howard County (443) 276-7624

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 Timothy Shin's NPI number?

The NPI number for Timothy Shin is 1588585509. It was assigned to this individual provider in the NPPES registry on July 24, 2026.

Where is Timothy Shin located?

Timothy Shin practices at 9841 Broken Land Pkwy Ste 310, Columbia, MD 21046. The listed phone number is (443) 276-7624.

What is Timothy Shin's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Timothy Shin was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.