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Contact Information

NATHAN SHANE, DPM
8591 CROSSROADS DRIVE
YOUNGSTOWN, OH44514
 Phone: 330-758-0577
 Fax: 330-758-0466
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for NATHAN SHANE · (Male)

NPI # 1043606247
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/14/2015
Last updated 01/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 016005776
  • IN License # 07001318A
  • OH License # 36.004061
  • WI License # 111825
Hospital affiliation(s)
  • ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC - (Acute Care)
    11130 PARKVIEW CIRCLE DR
    FORT WAYNE, IN 46845
  • PARKVIEW NOBLE HOSPITAL - (Acute Care)
    401 SAWYER RD
    KENDALLVILLE, IN 46755
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
  • PARKVIEW WHITLEY HOSPITAL - (Acute Care)
    1260 E SR 205
    COLUMBIA CITY, IN 46725
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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