CHARLES I SHELTON JR. (NPI# 1023111697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023111697 |
| Entity Type | Individual |
| Full Name | CHARLES I SHELTON JR. |
| Other Name | CHARLES I SHELTON |
| Credential | D.O. |
| Practice Address |
1350 Bull Lea Rd Lexington KY 40511-1247 |
| Practice Telephone | 8592468000 |
| Practice Fax Number | 8592468043 |
| Mailing Telephone | 8592468000 |
| Mailing Fax Number | 8592468043 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2014-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
02282 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | LICENSE NUMBER | 02282 | 01 |
| OH | STATE MEDICAL BOARD OF OHIO | 011071 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437192630 | Charles H Shelton IIi | Radiology | 187 Skylar Dr, Lewisburg, WV 24901-9359 | 2006-06-14 |
| 1750362125 | Charles Sylvester Shelton | Dentist | 5418 Park Heights Ave, Baltimore, MD 21215 | 2005-11-10 |
| 1891322947 | Charles Clay Shelton | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2020-03-26 |
| 1275686040 | Charles Edward Shelton Sr. | Dentist | 201 Jones Ave, Suite One, Oak Hill, WV 25901-2906 | 2007-01-18 |
| 1144393422 | Charles J Shelton | Counselor | 224 Great Bridge Blvd, Chesapeake Comm Serv Board, Chesapeake, VA 23320 | 2006-11-16 |
| Street Address |
1350 BULL LEA RD |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40511-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922067677 | Jinny Rae Woodcock | Registered Nurse | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2006-03-21 |
| 1043822810 | Caitlin Crowder | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2020-08-21 |
| 1811508849 | Charley Renee Saleeby | Nurse Practitioner | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2020-08-13 |
| 1841843844 | Katibeth Sharp | Psychologist | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2019-07-18 |
| 1508320078 | Haley Herndon | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2019-01-29 |
| 1730607722 | Thomas J Shaddix | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2017-08-30 |
| 1790200525 | Paige Kelly Juettner | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2017-08-14 |
| 1972054443 | Commonwealth of Kentucky | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2016-10-20 |
| 1326599895 | Commonwealth of Kentucky | Nurse Practitioner | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2016-10-20 |
| 1750831574 | Lauren M Greenman | Physician Assistant | 1350 Bull Lea Rd, Lexington, KY 40511-1247 | 2016-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992278915 | Amy H Ward | Counselor | 1382 Bull Lea Road, Lexington, KY 40511 | 2019-01-03 |
| 1295233104 | Coventry Oak Elementary School | Public Health or Welfare | 2441 Huntly Place, Lexington, KY 40511 | 2018-01-25 |
| 1881192789 | The Stables (school) | Public Health or Welfare | 4089 Iron Works Pike, Lexington, KY 40511 | 2018-01-25 |
| 1124526033 | Garrett Morgan Elementary School | Public Health or Welfare | 1150 Passage Mound Way, Lexington, KY 40511 | 2018-01-25 |
| 1760903520 | Taylor Bowman | Optometrist | 2500 Leestown Road, Lexington, KY 40511 | 2017-07-03 |
| 1982134409 | Amy Beth Powers | Counselor | 455 Park Place, Suite 130, Lexington, KY 40511 | 2017-06-18 |
| 1336695196 | Life Navigation Services, LLC | Community/Behavioral Health | 348 Mcconnells Trace #102, Lexington, KY 40511 | 2016-08-31 |
| 1730545989 | Delmetria Cayson Combs | Counselor | 1374 Bull Lea Road, Lexington, KY 40511 | 2016-01-04 |
| 1720456080 | Lisa Higgins | Case Manager/Care Coordinator | 1351 Newtown Pike #5, Bluegrass, Lexington, KY 40511 | 2015-09-03 |
| 1346500766 | Rachel Elaine Clark | Counselor | 1351 Newtown Pike, Bldg 4, Lexington, KY 40511 | 2012-05-18 |
| Find all providers in zip 40511 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003343518 | Daniella Gavito | Psychiatry & Neurology | 245 Fountain Ct # 225, Lexington, KY 40509-1888 | 2017-05-15 |
| 1407393945 | Lexington Psychiatry LLC | Psychiatry & Neurology | 1666 Mass Ave, Floor 2 Suite 3, Lexington, MA 02420-5317 | 2017-01-23 |
| 1639532534 | Chelsea Ann Atwater | Psychiatry & Neurology | 245 Fountain Ct # P225, Lexington, KY 40509 | 2016-03-30 |
| 1093108474 | National Behavioral Health | Psychiatry & Neurology | 3793 Everetts Dl, Lexington, KY 40514-1190 | 2015-03-10 |
| 1285053058 | Tms Center of Lexington, Pllc | Psychiatry & Neurology | 1000 Monarch St Ste 280, Lexington, KY 40513-1494 | 2014-04-09 |
| 1447698063 | Emily Flier Matteodo | Psychiatry & Neurology | 35 Bedford Street, Suite #6, Lexington, MA 02420 | 2013-06-05 |
| 1558601823 | Gregory Theodore Kotonias | Psychiatry & Neurology | 401 Katahdin Dr, Lexington, MA 02421-6445 | 2013-02-25 |
| 1831464072 | Gurvinder Singh Arora | Psychiatry & Neurology | 35 Bedford St Ste 8, Lexington, MA 02420-4320 | 2012-03-21 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1386951366 | Beth T. Housman, Md, Pllc | Psychiatry & Neurology | 121 Walton Ave # 125, Lexington, KY 40508-2315 | 2010-09-11 |
| Find all providers in LEXINGTON | ||||
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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.