Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jamie David Shutter, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1902852239

Dr. Jamie David Shutter, MD is a Pathology in Las Vegas, Nevada. Graduated from State University of Ny Upstate Medical University in 2001, 25 years ago. Practices with Mid-Atlantic Womens Care PLC, a 154-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in District of Columbia, Florida, Maryland and North Carolina and 2 more.

Years since qualifying
25
Trained at
State University of Ny Upstate Medical University
Licensed in
DC, FL, MD, NC, NV, TX
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6250 N Durango Dr
Las Vegas, NV 89149-3916
Phone: (702) 342-9990
Fax: (702) 485-2372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5481 W Waters Ave Ste 111, Tampa, FL 33634-1256 — (813) 577-4686

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 25728 (NV)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence D0091999 (MD)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 2011-00052 (NC)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MD036095 (DC)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence R9435 (TX)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence ME 98596 (FL)

Record details

NPI number1902852239
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2001 (25 years in practice)
Group practice Mid-Atlantic Womens Care Plc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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