Charles Shoetan MD a Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N6999 Issued in TX

Legal business name

CHARLES SHOETAN MD A MEDICAL CORPORATION

Practice address

7048 Bissonnet St
Houston, TX 77074-6010

Phone

(713) 776-3906

Fax

(713) 776-0150

NPI assigned

Feb 1, 2011

Organization subpart

No

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

Authorized official

Name

Charles Shoetan, M.D.

Title

M.D.

Phone

(713) 776-3906

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1861798357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7048 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770746010",
            "telephone_number": "713-776-3906",
            "fax_number": "713-776-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7048 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770746010",
            "telephone_number": "713-776-3906",
            "fax_number": "713-776-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES SHOETAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "SHOETAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "713-776-3906",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N6999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "N6999",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Ho DDS PLLC
• Charles Joseph Guidry Jr
• Charles M Moore MD PA
• Charles M. Hill, MD, PA
• Charles S Moser DDS PA
• Charles Wessel
• Joann Pauline Charles-Babb, NP
• Staceyanne Charles-Polycarpe, LCSW
• Alisha Charles
• Angelia N/a Charles

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.