Active NPI
Charles S Sheldon, D.O.
- Internal Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34003664
- Practice address
- 2213 Cherry St Unit 2B
Toledo, OH 43608-2603 - Phone
- (419) 251-5155
- Fax
- (419) 251-5160
- NPI assigned
- May 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34003664 | OH | Primary |
Addresses
Primary practice location
2213 Cherry St Unit 2B
Toledo, OH 43608-2603
Mailing address
2200 Jefferson Ave FL 5
Toledo, OH 43604-7102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0565731 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3664 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians-North LLC | Internal Medicine | Current | Accepting new patients |
| Mercy Health Physicians - North, LLC | Current | Accepting new patients | |
| Mercy Health System Northern | Past | Accepting new patients | |
| Mercy Health - St Vincent Medical Center LLC | Past | Accepting new patients |
Locations
1103 Village Square Dr
Ste 100
Perrysburg, OH 43551
Phone (419) 872-3213
1103 Village Square Dr
Perrysburg, OH 43551
Phone (419) 861-4022
2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826
2213 Cherry St
Unit 2B
Toledo, OH 43608
Phone (419) 251-5155
2200 Jefferson Ave
Fl 4
Toledo, OH 43604
Phone (419) 251-1400
2213 Franklin Ave
Toledo, OH 43620
Phone (419) 251-2053
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1609000769
Internal Medicine
-
- Customized Equipment (DME)
- Perrysburg, OH
- NPI 1992358766
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
-
- Pediatric Cardiology Physician
- Toledo, OH
- NPI 1992748743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1568465425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE FL 5",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 CHERRY ST UNIT 2B",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082603",
"telephone_number": "419-251-5155",
"fax_number": "419-251-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELDON",
"first_name": "CHARLES",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34003664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0565731",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.