CHARLES H SHAW (NPI# 1982623583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982623583 |
| Entity Type | Individual |
| Full Name | CHARLES H SHAW |
| Credential | M.D. |
| Practice Address |
370 Cline Avenue Mansfield OH 44907 |
| Mailing Address |
4457 Possum Run Road Bellville OH 44813 |
| Practice Telephone | 4197568511 |
| Practice Fax Number | 4197568513 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35-04-5931 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0563840 | 05 | |
| OH | ANTHEM | 000000025568 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851633044 | Charles Shaw | Psychologist | 4118 Blossom St, Houston, TX 77007-5711 | 2013-03-26 |
| 1134456924 | Charles Neal Shaw | Chiropractor | 110 Hampden Rd, Rochester, NY 14610-1036 | 2009-11-16 |
| 1316008857 | Charles Holmes Shaw | Orthopaedic Surgery | 7257 Nw 4th Blvd # 9, Gainesville, FL 32607 | 2006-12-12 |
| 1538123831 | Charles J Shaw | Family Medicine | 3413 Brookend Ct, Oklahoma City, OK 73120-5007 | 2006-04-13 |
| 1720086960 | Charles T Shaw | Internal Medicine | 6187 S Archer Ave, Suite 103, Chicago, IL 60638-2605 | 2005-07-12 |
| 1952915308 | Charles L Shaw | Pharmacist | 101 Doug Baker Blvd, Birmingham, AL 35242 | 2020-09-03 |
| 1922664432 | Charles Wells Shaw V | Social Worker | 10-42 Mitchell Ave, Binghamton, NY 13903-1617 | 2019-05-10 |
| 1376982405 | Charles Thomas Shaw | Pharmacist | 4521 Oleander Dr, Wilmington, NC 28403-5011 | 2013-06-21 |
| 1417100223 | Charles Philip Shaw | Family Medicine | 1054 Center Dr Ste 2, Richmond, KY 40475-3851 | 2008-10-24 |
| Street Address |
370 CLINE AVENUE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881898880 | Donald Daniel Degenso | Dentist | 370 Cline Avenue, Mansfield, OH 44907-1057 | 2007-06-13 |
| 1609097955 | Morris Walter Wasylenki | Dentist | 370 Cline Avenue, Mansfield, OH 44907 | 2007-05-02 |
| 1619010535 | Central Ohio Neurology Inc | Psychiatry & Neurology | 370 Cline Avenue, Ste C5, Mansfield, OH 44907-1057 | 2007-02-14 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518494723 | Mansfield Orthopedic Associates | Specialist | 4503 Blue Grass Ct, Mansfield, TX 76063-1877 | 2017-05-18 |
| 1740681030 | Amy Burns | Specialist | 1291 Lexwood Rd, Mansfield, OH 44907-2923 | 2014-09-06 |
| 1376844456 | Mark A. Bishara, Md, Pa | Specialist | 550 N Walnut Creek Dr, Suite 120, Mansfield, TX 76063-3223 | 2010-11-05 |
| 1871820423 | Breast Diagnostics, Pa | Specialist | 1750 Broad Park Cir S, Suite 300, Mansfield, TX 76063-7822 | 2009-11-03 |
| 1730335076 | David R Williams | Specialist | 1020 Chasemore Ct, Mansfield, TX 76063-2654 | 2008-08-18 |
| 1720259104 | Mid-ohio Neurosurgical Care, Inc. | Specialist | 39 Wood St, Mansfield, OH 44903-2210 | 2008-03-13 |
| 1447378567 | Columbus Physician Resources Inc | Specialist | 380 Cline Ave Ste 1, Mansfield, OH 44907-1056 | 2007-03-27 |
| 1942394309 | Eye Surgery Consultants Inc. | Specialist | 240 West Cook Road, Mansfield, OH 44907 | 2006-10-02 |
| 1124128491 | Alfred Granson Jr. | Specialist | 70 Madison Rd, Mansfield, OH 44905-2831 | 2006-09-25 |
| 1851337018 | Helen Malone | Specialist | 250 East St, Mansfield, MA 02048-2526 | 2006-06-22 |
| Find all providers in MANSFIELD | ||||
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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.