OrganizationActive
Charles B Shane MD Psc
NPI 1215067780 · Gynecology Physician · Louisville, KY
Charles B Shane MD Psc is a Gynecology Physician organization in Louisville, KY (NPI 1215067780).
Provider details
- NPI number
- 1215067780
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Shane, Owner Physician(502) 895-7445
- License
- 18903 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4001 Kresge Way
Suite 315
Louisville, KY 40207-4640
Phone: (502) 895-7445
Fax: (502) 895-6638
Street-level locationGet directions
Mailing address
4001 Kresge Way
Louisville, KY 40207-4640
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2009-02-24
Frequently asked questions
- What is Charles B Shane MD Psc's NPI number?
- Charles B Shane MD Psc's National Provider Identifier (NPI) is 1215067780, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Charles B Shane MD Psc?
- Charles B Shane MD Psc is classified in the NPPES registry as Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Charles B Shane MD Psc located?
- Charles B Shane MD Psc's practice location on file with NPPES is 4001 Kresge Way, Louisville, KY 40207-4640.
- What is Charles B Shane MD Psc's phone number?
- The practice phone number listed in the NPPES registry for Charles B Shane MD Psc is (502) 895-7445.
- Who is the authorized official for Charles B Shane MD Psc?
- The authorized official listed on Charles B Shane MD Psc's NPPES record is Charles Shane, Owner Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Charles B Shane MD Psc's NPI active?
- Yes — Charles B Shane MD Psc's NPI (1215067780) is active in the NPPES registry as of the last update on 2009-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.