Healthcare Provider Details

I. General information

NPI: 1710005970
Provider Name (Legal Business Name): DANIEL SHATS M.D., M.B.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46898 NATIONAL RD
SAINT CLAIRSVILLE OH
43950-8764
US

IV. Provider business mailing address

109 MOUNT WOOD RD STE 1
WHEELING WV
26003-2632
US

V. Phone/Fax

Practice location:
  • Phone: 740-449-2196
  • Fax: 740-449-2198
Mailing address:
  • Phone: 304-233-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMA-85003
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA-85003
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD440935
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number35098773
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: