CHARLES B SHANE MD PSC
NPI 1215067780
Obstetrics & Gynecology - Gynecology in Louisville, KY

Q: What is Charles B Shane MD Psc's NPI number?

The NPI number for Charles B Shane MD Psc is 1215067780. It was assigned to this organization in the NPPES registry on March 6, 2007.

Q: What is Charles B Shane MD Psc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Active since March 06, 2007

4001 KRESGE WAY, SUITE 315, LOUISVILLE, KY 40207(502) 895-7445(502) 895-6638 Get Directions Write a Review

NPPES record last updated: February 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Charles B Shane Md Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES B SHANE MD PSC (NPI 1215067780) is a healthcare organization registered as a gynecology in Louisville, Kentucky and active in the NPI registry since March 2007. The organization lists Charles B Shane, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1215067780

Entity TypeOrganization

Primary Taxonomy207VG0400X

Legal Business NameCHARLES B SHANE MD PSC

Location Address4001 KRESGE WAY, SUITE 315Louisville, KY 40207-4640

Mailing Address4001 Kresge Way, Suite 315Louisville, KY 40207-4640 · (502) 895-7445 · Fax (502) 895-6638

Phone(502) 895-7445

Fax(502) 895-6638

Organization SubpartNo

Authorized OfficialCharles B ShaneOwner Physician · (502) 895-7445

Enumeration DateMarch 6, 2007

Last NPPES UpdateFebruary 24, 2009

✔ NPI 1215067780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207VG0400X

License✔ Licensed in KY · 18903

Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

4001 KRESGE WAY, Louisville, KY 40207

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Other Identifiers 2

Other000000068700KY · Anthem

Medicaid64189038KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WYGAL & NEWMAN LLC

Specialist

4001 KRESGE WAY, SUITE 324
LOUISVILLE, KY 40207

Jefferson County (502) 894-4408

JANET L HONCHELL MD

Obstetrics & Gynecology

4001 KRESGE WAY, SUITE 324
LOUISVILLE, KY 40207

Jefferson County (502) 894-4408

DR. ANDREW D. BAILEY M.D.

Internal Medicine (Gastroenterology)

4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207

Jefferson County (502) 896-8447

DR. REID B BROWN M.D.

Orthopaedic Surgery

4001 KRESGE WAY, SUITE 100
LOUISVILLE, KY 40207

Jefferson County (502) 897-6579

ANDREW D BAILEY MD

Internal Medicine (Gastroenterology)

4001 KRESGE WAY, SUITE 130
LOUISVILLE, KY 40207

Jefferson County (502) 896-8447

JOHN M WEETER MD

Surgery (Plastic and Reconstructive Surgery)

4001 KRESGE WAY, STE 220
LOUISVILLE, KY 40207

Jefferson County (502) 895-5466

MRS. ELLEN JEAN JOFFE PA-C

Physician Assistant (Surgical)

4001 KRESGE WAY, SUITE 200
LOUISVILLE, KY 40207

Jefferson County (502) 895-1995

ORTHOPAEDIC SPECIALISTS PLLC

Specialist

4001 KRESGE WAY, SUITE 330
LOUISVILLE, KY 40207

Jefferson County (502) 212-2663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles B Shane MD Psc's NPI number?

The NPI number for Charles B Shane MD Psc is 1215067780. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Charles B Shane MD Psc located?

Charles B Shane MD Psc is located at 4001 Kresge Way Suite 315, Louisville, KY 40207. The listed phone number is (502) 895-7445.

What is Charles B Shane MD Psc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Charles B Shane MD Psc was last updated on February 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.