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Charles B Shane MD Psc

Gynecology Physician in Louisville, KY · enumerated 2007 · authorized official Charles Shane, Owner Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215067780

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Registry record

Entity type Organization (Type 2)
Legal business name Charles B Shane MD Psc
Practice address 4001 Kresge Way, Suite 315, Louisville, KY, 40207
Phone (502) 895-7445
Fax (502) 895-6638
Enumeration date Mar 6, 2007
Last updated in NPPES Feb 24, 2009

Taxonomy & classification

207VG0400X Gynecology Physician Allopathic & Osteopathic Physicians · License 18903 (KY) Primary

Authorized official

Name Charles Shane
Title Owner Physician
Phone (502) 895-7445

Other identifiers

Identifier Type State Issuer
64189038 Medicaid KY -
000000068700 Other KY ANTHEM

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Charles B Shane MD Psc?
The NPI for Charles B Shane MD Psc is 1215067780, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Charles B Shane MD Psc?
NPPES lists Charles Shane (Owner Physician) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-24.