SHANE IZON DATUGAN
NPI 1538817036
Physician Assistant in Quantico, VA

Active since March 14, 2022
3259 CATLIN AVE, QUANTICO, VA 22134(703) 784-1725 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shane Izon Datugan NPPES

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

SHANE IZON DATUGAN (NPI 1538817036) is an individual physician assistant in Quantico, Virginia and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1538817036
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHANE IZON DATUGAN
Location Address3259 CATLIN AVEQuantico, VA 22134-5109
Mailing Address4106 Rosewood Drive, Unit 2Joint Base Andrews, MD 20746
Sole ProprietorYes
Enumeration DateMarch 14, 2022
NPPES CertifiedFebruary 28, 2022
NPI 1538817036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3259 CATLIN AVE, Quantico, VA 22134

Other Providers at the Same Location NPPES 20

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

Pharmacist
3259 CATLIN AVE
QUANTICO, VA 22134
Dentist (Dental Public Health)
3259 CATLIN AVE
QUANTICO, VA 22134
Nurse Practitioner (Family)
3259 CATLIN AVE
QUANTICO, VA 22134
Registered Nurse
3259 CATLIN AVE
QUANTICO, VA 22134
Family Medicine
3259 CATLIN AVE, NAVAL HEALTH CLINIC
QUANTICO, VA 22134
Clinic/Center (Health Service)
3259 CATLIN AVE
QUANTICO, VA 22134
Psychiatry & Neurology (Psychiatry)
3259 CATLIN AVE
QUANTICO, VA 22134
Dentist (General Practice)
3259 CATLIN AVE
QUANTICO, VA 22134

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 Shane Datugan's NPI number?

The NPI number for Shane Datugan is 1538817036. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Shane Datugan located?

Shane Datugan practices at 3259 Catlin Ave, Quantico, VA 22134. The listed phone number is (703) 784-1725.

What is Shane Datugan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shane Datugan was last updated on March 14, 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.