Charles J Shanley MD PC
Charles J Shanley MD PC is a healthcare organization registered as Vascular Surgery Physician in Grosse Pointe, MI, holding Type 2 (organization) NPI 1942561428 since 2012. The authorized official on file is Charles Shanley, Physician Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1942561428 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Charles J Shanley MD PC |
| Practice address | 1001 AUDUBON RD, Grosse Pointe, MI, 48230 |
| Phone | 3132687391 |
| Enumeration date | 2012-05-31 |
| Last updated in NPPES | 2012-05-31 |
Authorized official
| Name | Charles Shanley |
|---|---|
| Title | Physician Owner |
| Phone | 3132687391 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2086S0129X | Vascular Surgery Physician | Primary | 4301051382 | MI |
Copy-ready billing details
Provider: Charles J Shanley MD PC NPI: 1942561428 Taxonomy: 2086S0129X (Vascular Surgery Physician) Address: 1001 AUDUBON RD, Grosse Pointe, MI, 48230
Verify this record
Cross-check NPI 1942561428 against the authoritative CMS record: view Charles J Shanley MD PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Charles J Shanley MD PC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-05-31.