Individual
DR. SHANE A. SCHUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 192ND ST, ELKHORN, NE 68022-5363
(402) 390-4111
(402) 390-4115
Mailing address
8005 FARNAM DR, STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 399-8455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25923
NE
207X00000X
Orthopaedic Surgery Physician
94-06441
KS
207X00000X
Orthopaedic Surgery Physician
M10971
ID
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
25923
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780735340
—
IA
05
—
47068731742
—
NE
05
—
47068731751
—
NE
Enumeration date
01/12/2007
Last updated
12/13/2023
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