Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912220112 Individual Practitioner Male Practitioner

Dr. Sung Ryan Shin , PA-C, DHSC

Physician Assistant • Mc Lean, VA

Professional Overview & Biography Verified Profile Summary

Dr. Sung Shin, PA-C, DHSC is a registered healthcare professional specializing in Physician Assistant in Mc Lean, VA. Practice services are available at 6858 OLD DOMINION DR STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6858 Old Dominion Dr Ste 102

Mc Lean, VA 221013832

Telephone 7038479800
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mc Lean, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.7 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
32 Specialists

Practicing in Mc Lean, VA (4432 Statewide)

Telehealth Adoption Rate
15.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110003258

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0083533 (OH)

Secondary Practice Locations

5249 Duke St Ste 100

Alexandria, VA 223042907

Phone: 7036582650

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Emily Young , PA-C

Family Medicine

NPI 1124589551

Physician Assistant (Certified)

Dr. Lois Bartis , MD

Internal Medicine

NPI 1710054457

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location March 12, 2025

Registered at 6858 OLD DOMINION DR STE 102, MC LEAN, VA 221013832 (Tel: 7038479800)

📍
Updated Practice Location September 29, 2018

Registered at 13880 BRADDOCK RD STE 107, CENTREVILLE, VA 201212460 (Tel: 7039650180)

📍
Updated Business Mailing Address September 29, 2018

Registered at 3833 FARR OAK CIR, FAIRFAX, VA 220302438 (Tel: 5712352828)

👤
Provider Name / Credentials Updated September 29, 2018

Recorded as SUNG SHIN, PA-C, DHSC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2018

Physician Assistant (License #0110003258 in VA)

NPI Profile Active January 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2015

Registered at 3533 SOUTHERN BLVD, SUITE 5350, KETTERING, OH 454291264 (Tel: 9376439299)

📍
Updated Business Mailing Address January 20, 2015

Registered at 1 PRESTIGE PL, SUITE 550, MIAMISBURG, OH 453423794 (Tel: 9377522305)

👤
Provider Name / Credentials Updated January 20, 2015

Recorded as SUNG SHIN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2015

Physician Assistant (License #50.003696 in OH)

🟢
Initial NPI Registration & Enumeration March 02, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912220112
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2010
Last Update: March 12, 2025
Sole Proprietor: No

Mailing Address

3833 Farr Oak Cir

Fairfax, VA 220302438

Phone: 5712352828

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.