MEDICARE: BARBARA SHUTE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD032337E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0134440	OTHER	PA	HIGHMARK BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	P002863	OTHER	PA	GATEWAY
5	419615	OTHER	PA	UPMC
6	1658149	OTHER	PA	MARYLAND BC/BS
7	30142132	OTHER	PA	AMERIHEALTH MERCY - WMG

General Provider Information

NPI Number	:	1811988272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA SHUTE MD

Provider Business Mailing Address
First Line	:	5009 ZEIGLERS CHURCH RD
Second Line	:
City	:	SPRING GROVE
State	:	PA
Zip	:	17362-7574
Country	:	US
Telephone Number	:	717-225-0493
Fax Number	:

Provider Business Practice Location Address
First Line	:	5009 ZEIGLERS CHURCH RD
Second Line	:
City	:	SPRING GROVE
State	:	PA
Zip	:	17362-7574
Country	:	US
Telephone Number	:	717-225-0493
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	06/08/2015

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Directions to “ BARBARA SHUTE MD” Practice Location

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