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

Dr. Theodore G Shattuck, MD

Individual provider Otolaryngology Physician · NPI 1558361444

Dr. Theodore G Shattuck, MD is an Otolaryngology Physician in Rutland, Vermont. Licensed in Vermont. Registered with an NPI since 2005.

Licensed in
VT
In the registry since
2005
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

69 Allen St Ste 4
Rutland, VT 05701-4564
Phone: (802) 775-3314
Fax: (802) 775-9617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 042-0006143 (VT)

Record details

NPI number1558361444
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 21, 2005
Last updated in NPPESJuly 13, 2026

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