Charles H. Shaw, M.D., Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CHARLES H. SHAW, M.D., INC.

Practice address

370 Cline Ave
Mansfield, OH 44907-1057

Phone

(419) 756-8511

Fax

(419) 756-8513

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Charles H. Shaw, M.D.

Title

Owner

Phone

(419) 756-8511

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1750426730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CLINE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071057",
            "telephone_number": "419-756-8511",
            "fax_number": "419-756-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CLINE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071057",
            "telephone_number": "419-756-8511",
            "fax_number": "419-756-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES H. SHAW, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-756-8511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0563840",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David L. Chan, M.D.
• Alexander Andrew Chapman, M.D.
• Aubrey B Chapman
• Crystal Chapman, LPN
• Scott Andrew Chappell, PT, DPT
• Shelbi Charley
• Tatiana Cheathem
• Lawrence M Cheng, MD
• Sholom-Ber Chernyak, DO
• Children'S Community Practices, LLC

• Pediatrics Physician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.