OrganizationActive
Charles J Shanley MD PC
NPI 1942561428 · Vascular Surgery Physician · Grosse Pointe, MI
Provider details
- NPI number
- 1942561428
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Shanley, Physician Owner(313) 268-7391
- License
- 4301051382 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1001 Audubon Rd
Grosse Pointe, MI 48230-1406
Phone: (313) 268-7391
Street-level locationGet directions
Mailing address
1001 Audubon Rd
Grosse Pointe, MI 48230-1406
Registry dates
- Enumerated
- 2012-05-31
- Last updated
- 2012-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.