Provider Type Icon

DR. JAMIE DAVID SHUTTER MD NPI 1902852239


NPI Information

NPI: 1902852239
Provider Name: DR. JAMIE DAVID SHUTTER, MD
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

PECOS Registration: Yes

Address:
5481 W WATERS AVE STE 111
TAMPA, FL
ZIP 33634
Phone: (813) 577-4686
Get Directions

DR. Jamie David Shutter, MD is an anatomic pathology and clinical pathology pathology in Tampa, FL with 23 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Jamie David Shutter, MD NPI is 1902852239. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduation Year:2001

The provider's business location address is:

5481 W WATERS AVE STE 111
TAMPA, FL
ZIP 33634-256
Phone: (813) 577-4686
Fax: (813) 577-4688

The NPI 1902852239 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)

The enumeration date for this NPI number is 5/26/2006 and was last updated on 6/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyD0091999MARYLANDYes
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyR9435TEXASNo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyME 98596FLORIDANo
4207ZP0102XPathologyAnatomic Pathology & Clinical Pathology2011-00052NORTH CAROLINANo
5207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMD036095DISTRICT OF COLUMBIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101299OTHERFLORIDABLUE CROSS BLUE SHIELD
2278431900MEDICAIDFLORIDA
35916767MEDICAIDNORTH CAROLINA
4162VJOTHERNORTH CAROLINABCBSNC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.