Active NPI
Ohio Valley Surgeons Inc
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Saint Clairsville, OH
National Provider Identifier
1902864770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- OHIO VALLEY SURGEONS INC
- Practice address
- 46150 National Rd W
Saint Clairsville, OH 43950-8715 - Phone
- (740) 695-2443
- NPI assigned
- May 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Howard L Shackelford, M.D.
- Title
- President
- Phone
- (740) 695-2443
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | |||
| Trauma Surgery Physician | 2086S0127X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
46150 National Rd W
Saint Clairsville, OH 43950-8715
Mailing address
PO Box 6824
Wheeling, WV 26003-0921
Phone (304) 233-2455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0143295 | Medicaid | OH | |
| 4000269000 | Medicaid | WV |
National Provider Directory
National Provider Directory- Tax ID family
- Ohio Valley Surgeons Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgical Assistant
- Saint Clairsville, OH
- NPI 1295137420
Locations
2115 Chapline St
#108
Wheeling, WV 26003
Phone (304) 233-5937
2115 Chapline St
Ste 203
Wheeling, WV 26003
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgical Physician Assistant
- Saint Clairsville, OH
- NPI 1386794378
-
- Surgical Physician Assistant
- Saint Clairsville, OH
- NPI 1447658927
-
- Physician Assistant
- Orlando, FL
- NPI 1972653160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391990400000",
"number": "1902864770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6824",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030921",
"telephone_number": "304-233-2455",
"fax_number": "304-233-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46150 NATIONAL RD W",
"city": "SAINT CLAIRSVILLE",
"state": "OH",
"postal_code": "439508715",
"telephone_number": "740-695-2443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO VALLEY SURGEONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-02",
"last_updated": "2014-02-10",
"status": "A",
"authorized_official_last_name": "SHACKELFORD",
"authorized_official_first_name": "HOWARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "740-695-2443",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0143295",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4000269000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clairsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.