Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Raymond Shideman, MD, PHD

Individual provider Radiation Oncology Physician · NPI 1841466026

Charles Raymond Shideman, MD, PHD is a Radiation Oncology in Saint Paul, Minnesota. Graduated from University of Minnesota Medical School in 2007, 19 years ago. Practices with Minneapolis Radiation Oncology PA, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
19
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-2039
Fax: (651) 254-9333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 54992 (MN)

Record details

NPI number1841466026
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedMay 7, 2008
Last updated in NPPESOctober 3, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice Minneapolis Radiation Oncology Pa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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