CHARLES B SHANE M.D.
NPI 1386617298
Obstetrics & Gynecology - Gynecology in Louisville, KY

Active since February 10, 2006
205 SYCAMORE HILLS CT, LOUISVILLE, KY 40245(502) 243-8330(502) 243-8330 Get Directions Write a Review

NPPES record last updated: June 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles B Shane M.d. NPPES

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

CHARLES B SHANE M.D. (NPI 1386617298) is an individual gynecology provider in Louisville, Kentucky, licensed in Kentucky (18903) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1386617298
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameCHARLES B SHANECredential: M.D.
Location Address205 SYCAMORE HILLS CTLouisville, KY 40245-5095
Mailing Address205 Sycamore Hills CtLouisville, KY 40245-5095 · (502) 243-8330 · Fax (502) 243-8330
Fax(502) 243-8330
Sole ProprietorYes
Enumeration DateFebruary 10, 2006
Last NPPES UpdateJune 18, 2009
NPI 1386617298 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

205 SYCAMORE HILLS CT, Louisville, KY 40245

Other Identifiers 5

Medicaid64189038KY
Medicare PIN406163932
Other000000068700KY · Anthem
Medicare PIN1209501KY
Medicare UPINC71599KY

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 Shane's NPI number?

The NPI number for Charles Shane is 1386617298. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Charles Shane located?

Charles Shane practices at 205 Sycamore Hills Ct, Louisville, KY 40245. The listed phone number is (502) 243-8330.

What is Charles Shane'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 Shane was last updated on June 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.