MR. RICHARD DAVID SHULTS (NPI# 1902025109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902025109 |
Entity Type | Individual |
Full Name | MR. RICHARD DAVID SHULTS |
Credential | PA-C |
Practice Address |
1300 Innovation Pkwy Greenwood IN 46143-3625 |
Mailing Address |
250 W 96th St # 520 Indianapolis IN 46260-1316 |
Practice Telephone | 3178794800 |
Enumeration Date | 2007-04-25 |
Last Update Date | 2018-11-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 10000348A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
10000358A | IN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
2244 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1300 INNOVATION PKWY |
City | GREENWOOD |
State | IN |
Zip Code | 46143-3625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831593045 | Lynn C Little | Nurse Practitioner | 1300 Innovation Pkwy, Greenwood, IN 46143-3625 | 2014-10-17 |
1154536175 | Monica Porter | Nurse Practitioner | 1300 Innovation Pkwy, Greenwood, IN 46143-3625 | 2007-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
Find all providers in zip 46143 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154933810 | Matthew Dean Anderson | Physician Assistant | 313 Main St Ste A, Greenwood, SC 29646-2757 | 2020-08-23 |
1578080008 | Amirah Butler | Physician Assistant | 223 S State Road 135, Greenwood, IN 46142 | 2017-08-25 |
1578965364 | Sara Kennedy Velky | Physician Assistant | 1325 Spring St, Greenwood, SC 29646-3860 | 2014-09-23 |
1356756605 | Allison Massey | Physician Assistant | 1001 N Madison Ave, Greenwood, IN 46142-4135 | 2014-06-25 |
1093873697 | Virginia F Wilson | Physician Assistant | 1325 Spring St, Greenwood, SC 29646-3860 | 2006-12-05 |
1275600991 | Carrie Anne Turner | Physician Assistant | 103 Liner Dr, Greenwood, SC 29646-2311 | 2006-11-29 |
1902983364 | Lona Kile | Physician Assistant | 1325 Spring St, Greenwood, SC 29646-3860 | 2006-11-01 |
1801840947 | Janelle M. Tabet | Physician Assistant | 533 E County Line Rd, Suite 203, Greenwood, IN 46143-1073 | 2006-05-22 |
1346232980 | Kenneth R Murphy IIi | Physician Assistant | 421 Epting Ave, Greenwood, SC 29646-4041 | 2005-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063019289 | Timothy Jeffirs | Physician Assistant | 10662 12th Rd, Argos, IN 46501-9551 | 2020-10-01 |
1093321788 | April Marie Przyborski | Physician Assistant | 1701 S Creasy Ln Ste 2j20, Lafayette, IN 47905-4972 | 2020-09-18 |
1124634936 | Brilyn Michelle Banister | Physician Assistant | 8443 Cabin Creek Dr Apt G, Indianapolis, IN 46237-6330 | 2020-09-17 |
1386290625 | Douglas R Day | Physician Assistant | 1701 N Senate Blvd # Ag373a, Indianapolis, IN 46202-1239 | 2019-08-13 |
1841851409 | Rachel Jagrowski | Physician Assistant | 1801 N Senate Blvd Ste 700, Indianapolis, IN 46202-1177 | 2019-06-25 |
1366003154 | Jimmy Garala | Physician Assistant | 101 E 87th Ave Fl A3, Merrillville, IN 46410-7335 | 2019-06-24 |
1407311814 | William Peter Thompson | Physician Assistant | 1801 N Capitol Ave # Npe120, Indianapolis, IN 46202-1217 | 2019-02-11 |
1669954475 | Erika Vanelle Marin | Physician Assistant | 2680 Escalade Way, Warsaw, IN 46582 | 2018-08-29 |
1225518228 | Jie Xu | Physician Assistant | 2072 E Commercial Ave, Lowell, IN 46356-2116 | 2018-08-19 |
1912492679 | Katherine Barrett Tenbarge | Physician Assistant | 1800 N Capitol Ave # E140, Indianapolis, IN 46202-1218 | 2018-06-26 |
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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.