NPIMap

Organization Active NPI

Thomas G. Shetter, M.D.

  • Internal Medicine Physician
  • Butler, PA
National Provider Identifier
1609914795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD029550E Issued in PA
Legal business name
THOMAS G. SHETTER, M.D.
Practice address
480 E Jefferson St
Butler, PA 16001-4780
Phone
(724) 282-1530
Fax
(724) 282-0902
NPI assigned
Feb 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas G. Shetter, M.D.NPI 1598756371
Title
Physician
Phone
(724) 282-1530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD029550E PA Primary

Addresses

Primary practice location

480 E Jefferson St
Butler, PA 16001-4780

Mailing address

480 E Jefferson St
Butler, PA 16001-4780
Phone (724) 282-1530

Other identifiers 1

IdentifierTypeStateIssuer
0009739640004MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
John R Rocchi MD7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609914795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 E JEFFERSON ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014780",
            "telephone_number": "724-282-1530",
            "fax_number": "724-282-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E JEFFERSON ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014780",
            "telephone_number": "724-282-1530",
            "fax_number": "724-282-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. SHETTER, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHETTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-282-1530",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD029550E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009739640004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.