Organization Active NPI

Charles B Shuey Jr MD PA

  • Pulmonary Disease Physician
  • Dallas, TX
National Provider Identifier
1144544149
Registry record updated Nov 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C9136 Issued in TX
Legal business name
CHARLES B SHUEY JR MD PA
Practice address
3600 Gaston Ave
Suite 210
Dallas, TX 75246-1800
Phone
(214) 796-3439
Fax
(877) 720-0539
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles B. Shuey, M.D.
Title
President
Phone
(214) 384-3734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X C9136 TX Primary

Addresses

Primary practice location

3600 Gaston Ave
Suite 210
Dallas, TX 75246-1800

Mailing address

3701 Junius St # B010
Dallas, TX 75246-2026
Phone (214) 796-3439

Other identifiers 2

IdentifierTypeStateIssuer
120409101MedicaidTX
TXB112955OtherTXMEDICARE BILLING PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322352000000",
    "number": "1144544149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 JUNIUS ST # B010",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462026",
            "telephone_number": "214-796-3439",
            "fax_number": "877-720-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-796-3439",
            "fax_number": "877-720-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES B SHUEY JR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2011-11-27",
        "status": "A",
        "authorized_official_last_name": "SHUEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-384-3734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "C9136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120409101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING PTAN",
            "identifier": "TXB112955",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.