Charles J Shanley MD PC
NPI 1942561428ActiveOrganization· Surgery, Vascular Surgery· Grosse Pointe, MI
Surgery, Vascular Surgery in Grosse Pointe, Michigan, registered in NPPES in May 2012. The authorized official on file is Charles J. Shanley, MD, Physician Owner.
Overview
| NPI | 1942561428 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 31, 2012 |
| Last updated in NPPES | May 31, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | 4301051382 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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