NPIMap

Organization Active NPI

Charles E Shearer

  • Durable Medical Equipment & Medical Supplies
  • Mishawaka, IN
National Provider Identifier
1306016365
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
18001872B Issued in IN
Legal business name
CHARLES E SHEARER
Practice address
517 Lincolnway E
Mishawaka, IN 46544-2211
Phone
(574) 255-6363
Fax
(574) 255-4182
NPI assigned
Mar 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Beth Taylor
Title
Insurance
Phone
(574) 255-3180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 18001872B IN Primary

Addresses

Primary practice location

517 Lincolnway E
Mishawaka, IN 46544-2211

Mailing address

517 Lincolnway E
Mishawaka, IN 46544-2211
Phone (574) 255-6363

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1306016365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 LINCOLNWAY E",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442211",
            "telephone_number": "574-255-6363",
            "fax_number": "574-255-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 LINCOLNWAY E",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465442211",
            "telephone_number": "574-255-6363",
            "fax_number": "574-255-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E SHEARER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "574-255-3180"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": "18001872B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.