BENJAMIN SHETTELL, MD
NPI 1689944530
General Practice in Redding, CA

Active since January 10, 2012
2632 EDITH AVE STE B, REDDING, CA 96001(530) 242-1227(530) 242-6078 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Benjamin Shettell, Md NPPES

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

BENJAMIN SHETTELL, MD (NPI 1689944530) is a healthcare organization registered as a general practice in Redding, California and active in the NPI registry since January 2012. The organization lists Amanda Kaye Harris, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1689944530
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBENJAMIN SHETTELL, MD
Location Address2632 EDITH AVE STE BRedding, CA 96001-3031
Mailing Address2632 Edith Ave Ste BRedding, CA 96001-3031 · (530) 242-1227 · Fax (530) 242-6078
Fax(530) 242-6078
Organization SubpartNo
Authorized OfficialAmanda Kaye HarrisOffice Manager · (530) 242-1227
Enumeration DateJanuary 10, 2012
NPI 1689944530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A106932
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2632 EDITH AVE STE B, Redding, CA 96001

Other Identifiers 2

OtherDX169AMedicare Ptan
Other5774539CA · Medi-cal Pin Number

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

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

Internal Medicine (Gastroenterology)
2632 EDITH AVE STE B
REDDING, CA 96001

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 Benjamin Shettell, MD's NPI number?

The NPI number for Benjamin Shettell, MD is 1689944530. It was assigned to this organization in the NPPES registry on January 10, 2012.

Where is Benjamin Shettell, MD located?

Benjamin Shettell, MD is located at 2632 Edith Ave Ste B, Redding, CA 96001. The listed phone number is (530) 242-1227.

What is Benjamin Shettell, MD's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Shettell, MD was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.