Brandon Bassian Shetuni, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME134029 Issued in FL

Practice address

760 Airport Rd
Panama City, FL 32405-4003

Phone

(850) 763-0260

NPI assigned

Jun 18, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Pathology

Education

Ohio State University College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Pathologists, PAGroup PAC ID 8123176245, 21 clinicians

Bay Pathology Associates PAGroup PAC ID 7113978032, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075
• Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
• South Florida Baptist Hospital Hospital, Plant City, FL, CCN 100132
• Baycare Hospital Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100362
• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandon.shetunimd.p1@direct.ddc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Associated Pathologists, P.a.

  • Anatomic Pathology & Clinical Pathology Physician
  • Tampa, FL
  • NPI 1194740787
  Medicare reassignment Care Compare group NPD
• Bay Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Panama City, FL
  • NPI 1053329375
  Medicare reassignment Care Compare group NPD
• Digestive Diseases Center of Florida, PLLC

  • Specialist
  • Panama City, FL
  • NPI 1548205651
  Medicare reassignment NPD
• Mercy Health System Corporation

  • Multi-Specialty Clinic/Center
  • Janesville, WI
  • NPI 1598718603
  Medicare reassignment
• Bay Pharmacokinetic Associates LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Panama City, FL
  • NPI 1841200094
  NPD
• Vivid Pathology PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Pensacola, FL
  • NPI 1447227590
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baycare Pasco, Inc.

  • General Acute Care Hospital
  • Wesley Chapel, FL
  • NPI 1518604693
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• South Florida Baptist Hospital Inc

  • General Acute Care Hospital
  • Plant City, FL
  • NPI 1548205883
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1154558963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 AIRPORT RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054003",
            "telephone_number": "850-763-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 AIRPORT RD",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054003",
            "telephone_number": "850-763-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 E Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606114296",
            "country_code": "US",
            "telephone_number": "312-503-8223",
            "fax_number": "312-503-8249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETUNI",
        "first_name": "BRANDON",
        "middle_name": "BASSIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME134029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "125056581",
            "identifier": "125056581",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Amanda Lee Shoemaker, LCSW
• Shoreline Medical Solutions & DME, LLC

• Anatomic Pathology & Clinical Pathology Physician in Panama City, FL
• Providers in Panama City, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.