# OHIO VALLEY SURGEONS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902864770
- **Authorized official:** HOWARD L SHACKELFORD M.D. (PRESIDENT)
- **Authorized official phone:** (740) 695-2443

## Contact information

- **Practice address:** 46150 NATIONAL RD W, SAINT CLAIRSVILLE, OH 43950-8715
- **Practice address phone:** (740) 695-2443
- **Mailing address:** PO BOX 6824, WHEELING, WV 26003-0921
- **Mailing address phone:** (304) 233-2455
- **Mailing address fax:** (304) 233-6073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0127X | Trauma Surgery Physician | — | NULL | — |
| 2086S0127X | Trauma Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 02/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0143295 | — | OH |
| 05 | — | 4000269000 | — | WV |