Brandon George Shutty (NPI# 1598020059, PAC ID# 0941594915) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1598020059 |
| PAC ID by PECOS | 0941594915 |
| Professional Enrollment ID | I20170731001180 |
| Full Name | Brandon George Shutty |
| Organization Legal Name | PALM HARBOR DERMATOLOGY PA |
| Address |
4197 Woodlands Pkwy 2nd Floor Palm Harbor FL 34685-3493 |
| Phone Number | 7277863810 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4789758558 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 | 7277863810 | PALM HARBOR DERMATOLOGY PA |
| Organization Legal Name | PALM HARBOR DERMATOLOGY PA |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott F Lindsey | Dermatology | Palm Harbor Dermatology Pa | 621 Medical Care Dr, Brandon, FL 33511-5942 |
| Ashlee F Kirkland | Physician Assistant | Palm Harbor Dermatology Pa | 11601 Sheldon Rd, Tampa, FL 33626-4306 |
| Henry E Wiley | Dermatology | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Juliette Marie Pistorino | Physician Assistant | Palm Harbor Dermatology Pa | 120 Medical Blvd, Suite 100, Spring Hill, FL 34609-0221 |
| Hilarie Blythe Reinders | Physician Assistant | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Timothy F Kelly | Dermatology | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Anna K Shaw | Nurse Practitioner | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Sarah Croft | Dermatology | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Audrey F Ford | Physician Assistant | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Isaac Zamora | Dermatology | Palm Harbor Dermatology Pa | 1219 S E Ave, Suite 310, Sarasota, FL 34239-2356 |
| Street Address |
4197 WOODLANDS PKWY 2ND FLOOR |
| City | PALM HARBOR |
| State | FL |
| Zip | 34685-3493 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry E Wiley | Dermatology | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Hilarie Blythe Reinders | Physician Assistant | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Timothy F Kelly | Dermatology | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Anna K Shaw | Nurse Practitioner | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Sarah Croft | Dermatology | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Audrey F Ford | Physician Assistant | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Thomas J Sultenfuss | Dermatology | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Margaret Rinker | Dermatology | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Amy S Ross | Dermatology | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Amanda Brooke Sergay | Dermatology | Palm Harbor Dermatology Pa | 4197 Woodlands Pkwy, 2nd Floor, Palm Harbor, FL 34685-3493 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia A Meinke | Clinical Social Worker | 1555 Windmill Pointe Rd, Palm Harbor, FL 34685-1318 | |
| Amra A Resic | Family Medicine | Baycare Medical Group, Inc. | 4962 Ridgemoor Blvd, Palm Harbor, FL 34685-1744 |
| Julie M Claar | Diagnostic Radiology | Sheridan Radiology Services of West Florida Inc | 2643 Hawks Landing Blvd, Palm Harbor, FL 34685-1751 |
| James W Adkins | Otolaryngology | James W. Adkins, Md Pa | 800 Tarpon Woods Blvd D, Palm Harbor, FL 34685-2000 |
| Jose A Berrios | Otolaryngology | Gulfcoast Ear Nose and Throat Associates Pa | 800 Tarpon Woods Blvd, Suite D, Palm Harbor, FL 34685-2000 |
| Dionne C Murphy | Qualified Audiologist | Gulfcoast Ear Nose and Throat Associates Pa | 800 Tarpon Woods Blvd, Suite D, Palm Harbor, FL 34685-2000 |
| Paul V Mc Bride | Chiropractic | 800 Tarpon Woods Blvd, Suite F5, Palm Harbor, FL 34685-2000 | |
| Carolyn K Puckett | Physical Therapy | Bliss Myofascial Release | 800 Tarpon Woods Blvd, Suite F1, Palm Harbor, FL 34685-2000 |
| Raul J Serrano | Chiropractic | 2661 E Lake Rd, Palm Harbor, FL 34685-2034 | |
| Tara Rusoff | Optometry | 3434 E Lake Rd, Suite 3, Palm Harbor, FL 34685-2403 | |
| Find all physicians in zip 34685 | |||
| City | PALM HARBOR |
| Zip Code | 34685 |
| Specialty | DERMATOLOGY |
| City + Specialty | PALM HARBOR + DERMATOLOGY |
Please comment or provide details below to improve the information on Brandon George Shutty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.