CHARLES B SHANE


Address: 205 Sycamore Hills Ct, Louisville, KY 40245-5095
Phone: 5022438330

CHARLES B SHANE (NPI# 1386617298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386617298
Entity Type Individual
Full Name CHARLES B SHANE
Credential M.D.
Practice Address 205 Sycamore Hills Ct
Louisville
KY 40245-5095
Practice Telephone 5022438330
Practice Fax Number 5022438330
Mailing Telephone 5022438330
Mailing Fax Number 5022438330
Enumeration Date 2006-02-10
Last Update Date 2009-06-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
18903 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 64189038 05
KY ANTHEM 000000068700 01

Office Location

Street Address 205 SYCAMORE HILLS CT
City LOUISVILLE
State KY
Zip Code 40245-5095

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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902906092 George M Kudmani Obstetrics & Gynecology 9822 3rd Street Rd, Suite 306, Louisville, KY 40272-2847 2006-09-25
1134147325 Susan P Hertweck Obstetrics & Gynecology 3991 Dutchmans Ln Ste 303, Louisville, KY 40207-4723 2006-07-17
1124011556 Karen H Reed Obstetrics & Gynecology 2355 Poplar Level Rd Ste 304, Louisville, KY 40217-1388 2005-08-31
1306287388 Maggie L Dwiggins Obstetrics & Gynecology 3991 Dutchmans Ln Ste 303, Louisville, KY 40207 2013-07-08
1225303977 George Kudmani Psc Obstetrics & Gynecology 9702 Stonestreet Rd, Suite 306, Louisville, KY 40272-6819 2012-03-14
1255657771 Lousville Urogynecology Pllc Obstetrics & Gynecology 4121 Dutchmans Ln, Suite 401, Louisville, KY 40207-4707 2010-04-08
1861724072 Donald B Katz Md LLC Obstetrics & Gynecology 4121 Dutchmans Ln, Suite 101, Louisville, KY 40207-4707 2010-02-12
1912160797 Jessica A Shepherd Obstetrics & Gynecology 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 2008-07-02
1215067780 Charles B Shane Md Psc Obstetrics & Gynecology 4001 Kresge Way, Suite 315, Louisville, KY 40207-4640 2007-03-06
1588717417 Jeremy J Clark Obstetrics & Gynecology 401 E Chestnut St, Suite 410, Louisville, KY 40202-5700 2007-01-22
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Competitor

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City LOUISVILLE
Zip Code 40245

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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