Organization
PARK VIEW PSYCHIATRIC SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R. SHELTON M.D. (PRESIDENT)
(812) 282-1888
Entity
Organization
Contact information
Practice address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Mailing address
510 SPRING ST, JEFFERSONVILLE, IN 47130-3554
(812) 282-1888
(812) 218-9318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
50003891A
IN
2084P0800X
Psychiatry Physician
Primary
50003891A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
50003891A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0676401
STEVE SHELTON'S KY MEDICARE #
KY
01
—
0676412
KELLY BUTLER'S KY MEDICARE #
KY
01
—
0676429
ASAD ISMAIL'S KY MEDICARE #
KY
01
—
0676466
ELLEN KNOX'S KY MEDICARE #
KY
05
—
100386460
—
IN
01
—
160780I
STEVE SHELTON'S IN MEDICARE #
IN
01
—
160780J
KELLY BUTLER'S IN MEDICARE #
IN
01
—
160780Q
ASAD ISMAIL'S IN MEDICARE #
IN
01
—
160780W
ELLEN KNOX'S IN MEDICARE #
IN
01
—
160860
MEDICARE
IN
01
—
2444451000
PASSPORT ADVANTAGE
KY
01
—
50002992
PASSPORT HEALTH PLAN GROUP #
—
01
—
50010129
PASSPORT HEALTH PLAN # FOR ISMAIL
—
01
—
50010173
PASSPORT HEALTH PLAN # FOR KNOX
—
01
—
50010499
PASSPORT HEALTH PLAN # FOR BUTLER
—
01
—
5002993
PASSPORT HEALTH PLAN # FOR SHELTON
—
05
—
64100142
—
KY
05
—
65927857
—
KY
01
—
CG3623
MEDICARE RAILROAD
IN
01
—
CK2274
MEDICARE RAILROAD
KY
Enumeration date
05/23/2005
Last updated
10/14/2015
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