BRANDY LYNNE SHATTUCK (NPI# 1851659064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851659064 |
Entity Type | Individual |
Full Name | BRANDY LYNNE SHATTUCK |
Credential | M. D. |
Practice Address |
1322 E Michigan Ave Lansing MI 48912-2199 |
Mailing Address |
4000 Mountain Glade Dr Apartment 4 Holt MI 48842-7738 |
Practice Telephone | 5173643963 |
Mailing Telephone | 5185421097 |
Enumeration Date | 2012-04-25 |
Last Update Date | 2013-07-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
4301097773 | MI | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2012019898 | MO | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
4301097773 | MI | Allopathic & Osteopathic Physicians |
Street Address |
1322 E MICHIGAN AVE |
City | LANSING |
State | MI |
Zip Code | 48912-2199 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083669881 | Edward W. Sparrow Hospital Association | Family Medicine | 1322 E Michigan Ave, Suite 220, Lansing, MI 48912-2199 | 2006-05-23 |
1205458452 | Pavel Volkov | Physical Medicine & Rehabilitation | 1322 E Michigan Ave, Lansing, MI 48912-2199 | 2020-05-11 |
1629410725 | Thomas W Keaveney | General Practice | 1322 E Michigan Ave, Suite 101, Lansing, MI 48912-2199 | 2013-07-18 |
1396076691 | Edward W. Sparrow Hospital | Taxi | 1322 E Michigan Ave, Suite 220, Lansing, MI 48912-2199 | 2010-01-26 |
1760610455 | Joyce Dejong | Pathology | 1322 E Michigan Ave, Suite 118, Lansing, MI 48912-2199 | 2009-07-01 |
1225265754 | Susrap Song | Obstetrics & Gynecology | 1322 E Michigan Ave, Lansing, MI 48912-2199 | 2009-06-11 |
1861639791 | John Michael Clarkson | General Practice | 1322 E Michigan Ave, Suite 101, Lansing, MI 48912-2199 | 2009-01-14 |
1770750325 | Stayner Haller | Dentist | 1322 E Michigan Ave, Sparrow Medical Arts Builing Suite 302, Lansing, MI 48912-2176 | 2008-05-13 |
1841479052 | Jennifer Hawkins | Obstetrics & Gynecology | 1322 E Michigan Ave, Suite 220, Lansing, MI 48912-2199 | 2007-10-24 |
1447470497 | Lynn Marie Laitinen Kloss | Preventive Medicine | 1322 E Michigan Ave, Suite 101, Lansing, MI 48912-2199 | 2007-05-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
1568087237 | Ahmed Mohamed Haggag | Student in an Organized Health Care Education/Training Program | 1215 East Michigan Avenue 3rd Floor, Lansing, MI 48912 | 2020-06-09 |
1467074773 | Craig Hargurkirat Malli | Family Medicine | 1215 E Michigan Avenue Suite 245, Lansing, MI 48912 | 2020-05-08 |
1215558945 | Temmy J. Brotherson | Family Medicine | Sparrow Health Systems, 1200 E Michigan Avenues, Suite 245, Lansing, MI 48912 | 2020-05-05 |
1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
1316418841 | Andrea Mcswain Do PC | Obstetrics & Gynecology | 1909 E. Michigan Ave, Lansing, MI 48912 | 2018-12-10 |
1215386115 | Michael Vernon Hollis | Student in an Organized Health Care Education/Training Program | 1500 E Michigan Ave, Suite 655, Lansing, MI 48912 | 2016-06-10 |
1518333970 | Eastside Community Action Center | Social Worker | 1001 Dakin Street, Suite B, Lansing, MI 48912 | 2015-08-19 |
1649667403 | Cheryl Ann Wade | Counselor | 1712 E Michigan Ave., Lansing, MI 48912 | 2015-04-20 |
1083006134 | Carol Pratt | Occupational Therapist | 1200 E. Michigan Ave, Outpatient Rehab - Lower Level, Lansing, MI 48912 | 2015-02-26 |
Find all providers in zip 48912 |
Taxonomy Code | 207ZF0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Forensic Pathology |
A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649673849 | Michael Alan Markey | Pathology | 1215 E Michigan Ave, Sparrow Hospital, Lansing, MI 48912-1811 | 2014-10-01 |
1760610455 | Joyce Dejong | Pathology | 1322 E Michigan Ave, Suite 118, Lansing, MI 48912-2199 | 2009-07-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033731559 | Patrick Cho | Pathology | 1991 Chanter Rd, Jackson, MI 49201-9865 | 2020-05-07 |
1447458476 | Werner Uri Spitz | Pathology | 23001 Greater Mack Ave, Saint Clair Shores, MI 48080-1901 | 2007-07-11 |
1972064061 | Lois Rose Goslinoski | Pathology | 415 3rd St, Manistee, MI 49660-1624 | 2019-03-29 |
1053683417 | Daniel Joseph Spitz | Pathology | 34051 S Gratiot Ave, Suite 202, Clinton Township, MI 48035-3592 | 2012-02-01 |
1598033201 | Francisco J Diaz | Pathology | 1500 E Medical Center Drive, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2011-12-08 |
1356628481 | Leigh Hlavaty | Pathology | 1500 E Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2011-11-03 |
1063734838 | Chantel Njiwaji | Pathology | 1500 East Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2010-02-22 |
1619206976 | Bader J Cassin | Pathology | 1500 E Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2009-12-16 |
1962633297 | Kilak N Kesha | Pathology | 1500 East Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2009-08-04 |
1003024639 | Lokman Sung | Pathology | 1500 E Medical Center Dr, 2nd Floor University Hospital Recp Pathology, Ann Arbor, MI 48109-5054 | 2007-05-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.