MR. RICHARD DAVID SHULTS


Address: 1300 Innovation Pkwy, Greenwood, IN 46143-3625
Phone: 3178794800

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1300 INNOVATION PKWY
City GREENWOOD
State IN
Zip Code 46143-3625

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City GREENWOOD
Zip Code 46143

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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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