Charles T Shine, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN217919/NA01171 Issued in OH

Practice address

4100 W 3Rd St
Dayton, OH 45428-9000

Phone

(937) 258-6511

Fax

(937) 267-3998

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sandusky Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Circleville, OH
  • NPI 1770907859

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Group Practice, Inc

  • Anesthesiology Physician
  • Montgomery, OH
  • NPI 1417951948

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Anesthesiology Services Network LTD

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1821076779
  NPD (past)
• Consolidated Anesthesiologists Inc

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1952377798

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346250180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E RAHN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454295424",
            "telephone_number": "937-434-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454289000",
            "telephone_number": "937-258-6511",
            "fax_number": "937-267-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINE",
        "first_name": "CHARLES",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN217919/NA01171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Elaine Shields, CNS
• Shiloh Family Medicine LLC
• Shiloh Optometric Center Inc
• Megan Elizabeth Shilt
• Joon Shim, M.D.
• Najee Shine
• Nekema Shine
• Alexandra Shipley, DPT
• Luciana Shipp
• Grant C Shirley, MD

• Certified Registered Nurse Anesthetist in Dayton, OH
• Providers in Dayton, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.