Provider Demographics
NPI:1811988272
Name:SHUTE, BARBARA (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:SHUTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 ZEIGLERS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:SPRING GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:17362-7574
Mailing Address - Country:US
Mailing Address - Phone:717-225-0493
Mailing Address - Fax:
Practice Address - Street 1:5009 ZEIGLERS CHURCH RD
Practice Address - Street 2:
Practice Address - City:SPRING GROVE
Practice Address - State:PA
Practice Address - Zip Code:17362-7574
Practice Address - Country:US
Practice Address - Phone:717-225-0493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032337E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP002863Medicaid
PA0134440OtherHIGHMARK BLUE SHIELD
PA001085138Medicaid
PAP002863OtherGATEWAY
PA419615OtherUPMC
PA1658149OtherMARYLAND BC/BS
PA30142132OtherAMERIHEALTH MERCY - WMG
PA0134440OtherHIGHMARK BLUE SHIELD
PA419615OtherUPMC
PAB038083Medicare UPIN
PAP002863Medicaid
PA134440Medicare PIN