Shockwave Systems, LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

SHOCKWAVE SYSTEMS, LLC

Practice address

5653 Williamsburg Cir
Hudson, OH 44236-3761

Phone

(330) 533-5954

Fax

(330) 533-0384

NPI assigned

Jun 10, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Cathleen M Shaffer

Title

Owner

Phone

(330) 608-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1164742375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1476",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442360976",
            "telephone_number": "330-533-5954",
            "fax_number": "330-533-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 WILLIAMSBURG CIR",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363761",
            "telephone_number": "330-533-5954",
            "fax_number": "330-533-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOCKWAVE SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-608-0900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisheva Schwersenski, LPCC
• Margo Seibert, M.S.
• Clayton W Seiple, DO
• Kelly Shaw
• Isabella Marie Sherban, MS, BCBA
• Julie Z Shott, M.D.
• Craig Anthony Siesel, M.D.
• Corey James Sievers, MD
• Jeanine Patrice Signs, BCBA
• Lajour Sims

• Surgical Technologist in Hudson, OH
• Providers in Hudson, OH by specialty
• Surgical Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.