GLADE VALLEY FAMILY PRACTICE
NPI 1114923729
Family Medicine in Walkersville, MD

Active since June 28, 2005
15 E FREDERICK ST, WALKERSVILLE, MD 21793(301) 898-5200(301) 898-5230 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020, Jun 20, 2018 (3 updates tracked since 2018).

About Glade Valley Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLADE VALLEY FAMILY PRACTICE (NPI 1114923729) is a healthcare organization registered as a family medicine in Walkersville, Maryland and active in the NPI registry since June 2005. The organization lists John A Shutta, President, as its authorized official.

NPPES Registry Identity

NPI1114923729
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN A SHUTTA, MD, PA
Location Address15 E FREDERICK STWalkersville, MD 21793-8234
Mailing Address15 E Frederick St, Po Box 310Walkersville, MD 21793-8234 · (301) 898-5200 · Fax (301) 898-5230
Fax(301) 898-5230
Organization SubpartNo
Authorized OfficialJohn A ShuttaPresident · (301) 898-5200
Enumeration DateJune 28, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1114923729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15 E FREDERICK ST, Walkersville, MD 21793

Other Names 1

Doing Business AsGlade Valley Family Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Nurse Practitioner (Family)
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Physician Assistant
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Family Medicine
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Physician Assistant
15 E FREDERICK ST
WALKERSVILLE, MD 21793
Physician Assistant
15 E FREDERICK ST
WALKERSVILLE, MD 21793

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John A Shutta, MD, PA's NPI number?

The NPI number for John A Shutta, MD, PA is 1114923729. It was assigned to this organization in the NPPES registry on June 28, 2005. The provider is doing business as Glade Valley Family Practice.

Where is John A Shutta, MD, PA located?

John A Shutta, MD, PA is located at 15 E Frederick St, Walkersville, MD 21793. The listed phone number is (301) 898-5200.

What is John A Shutta, MD, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for John A Shutta, MD, PA was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.