BRANDY LYNNE SHATTUCK


Address: 1322 E Michigan Ave, Lansing, MI 48912-2199
Phone: 5173643963

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1322 E MICHIGAN AVE
City LANSING
State MI
Zip Code 48912-2199

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207ZF0201X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Forensic Pathology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City LANSING
Zip Code 48912

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Dataset Information

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.

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