James Shackson MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

35062208 Issued in OH

Legal business name

JAMES SHACKSON MD

Practice address

9525 Kenwood Rd
Suite 16-382
Cincinnati, OH 45242-6176

Phone

(513) 721-3504

Fax

(513) 345-6281

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Shackson, MDNPI 1831185545

Title

President

Phone

(513) 721-3504

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James B Shackson, M.D.

  • Psychiatry Physician
  • Columbus, OH
  • NPI 1831185545
  NPD (past) Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1962565408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L 6122",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452706122",
            "telephone_number": "513-721-3504",
            "fax_number": "513-345-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 KENWOOD RD",
            "address_2": "SUITE 16-382",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426176",
            "telephone_number": "513-721-3504",
            "fax_number": "513-345-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES SHACKSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SHACKSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-721-3504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35062208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "934725",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00381869",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200084400B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James J. Keesling
• James M Katz DDS Inc
• James N Kaya, MD
• James R Hawkins MD & Associates
• James R Weber DDS, Inc
• James T Lutz MD and Associates Inc
• Ariel James, DO
• Brady Davis James, DO
• Bruce E James
• Caroletta James, FNP

• Geriatric Psychiatry Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Geriatric Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.