Charles H. Shaw, M.D., Inc.

LBN: Charles H. Shaw, M.D., Inc.
Charles H. Shaw, M.D., Inc. is an health care organization with primary practice located at 370 Cline Ave , Mansfield OH 44907-1057. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Charles H. Shaw, M.D., Inc. can be contacted via phone (419) 756-8511, or through Shaw, Charles H. via phone (419) 756-8511.

Contact Information

Primary practice address
370 Cline Ave Mansfield OH 44907-1057
Phone: (419) 756-8511
Fax: (419) 756-8513
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Charles H. Doctor of Medicine (MD)
Phone: (419) 756-8511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Ohio
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X Ohio

Profile Details

NPI number 1750426730
LBN Legal business name Charles H. Shaw, M.D., Inc.
DBA Doing business as
Authorized official Shaw, Charles H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Feb 28th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750426730 NPPES
Ohio MEDICAID 0563840

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