DR. CHARLES D. SHOOK (NPI# 1457797847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457797847 |
Entity Type | Individual |
Full Name | DR. CHARLES D. SHOOK |
Credential | M. D. |
Practice Address |
718 Glendale Blvd Mansfield OH 44907-2226 |
Practice Telephone | 4197569404 |
Mailing Telephone | 4197569404 |
Enumeration Date | 2013-05-13 |
Last Update Date | 2013-05-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35.028399 | OH | Allopathic & Osteopathic Physicians |
Street Address |
718 GLENDALE BLVD |
City | MANSFIELD |
State | OH |
Zip Code | 44907-2226 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
Find all providers in zip 44907 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255318275 | Sushil M Sethi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 370 Cline Ave, Mansfield, OH 44907-1057 | 2005-12-30 |
1942203153 | Jose Joaquin Norberto | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2005-05-23 |
1558370940 | David A Brown | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2006-08-05 |
1043281181 | Antonio Sortino | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2006-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003371188 | Christina Marie Babbs | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 48 Executive Dr Ste C, Norwalk, OH 44857-2492 | 2019-02-04 |
1265911234 | Andres Jadue | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3312 Aberdeen Rd, Shaker Heights, OH 44120-3328 | 2018-08-10 |
1598259863 | Bhalinder Dhaliwal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Cleveland Clinic 9500, Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2018-06-19 |
1205348307 | Antonio Panza | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Surgery 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-10-30 |
1366972432 | Per Wierup | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave # Deskj4-1, Cleveland, OH 44195-0001 | 2017-06-12 |
1952776247 | Hani Kamal Najm | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave # M41-02, Cleveland, OH 44195-0001 | 2015-12-11 |
1205202967 | Anurag Kaw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27020 Cedar Rd Apt 406, Beachwood, OH 44122-1133 | 2015-08-18 |
1760872659 | John Albers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16 Diplomat Dr, Cincinnati, OH 45215-2073 | 2015-01-29 |
1508205048 | Shrey Patel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave Ste J4-1, Cleveland, OH 44195-1994 | 2013-06-18 |
1629413950 | Patrick Richard Vargo | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9500 Euclid Ave # J41, Cleveland, OH 44195-0001 | 2013-04-30 |
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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.