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SHATTUCK FAMILY PHYSICIANS PLLC
NPI 1801251194
Internal Medicine in Caro, MI

Active since December 31, 2015CLIA 23D2254374 · Waiver
1525 W CARO RD, CARO, MI 48723(989) 860-0088 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2020, Feb 5, 2020, Feb 7, 2019 and 2 more (5 updates tracked since 2015).

About Shattuck Family Physicians Pllc NPPES

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

SHATTUCK FAMILY PHYSICIANS PLLC (NPI 1801251194) is a healthcare organization registered as an internal medicine in Caro, Michigan and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through March 2, 2028 and lists Naveed Mahfooz, Owner, as its authorized official.

NPPES Registry Identity

NPI1801251194
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHATTUCK FAMILY PHYSICIANS PLLC
Location Address1525 W CARO RDCaro, MI 48723-9686
Mailing Address1525 W Caro RdCaro, MI 48723-9686 · (989) 865-9958
Phone(989) 860-0088
Organization SubpartNo
Authorized OfficialNaveed MahfoozOwner · (989) 672-2100
Enumeration DateDecember 31, 2015
Last NPPES UpdateAugust 27, 20205 updates tracked since enumeration
NPPES CertifiedAugust 27, 2020
✔ NPI 1801251194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1525 W CARO RD, Caro, MI 48723
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2254374

Shattuck Family Physicians · Caro, MI
Active · expires Mar 2, 2028
CLIA Number23D2254374
Laboratory TypePhysician Office
Certificate Effective DateMarch 3, 2026
Certificate Expiration DateMarch 2, 2028
Laboratory DirectorNaveed Mahfooz
Laboratory Phone(989) 402-7528
Laboratory LocationShattuck Family Physicians1525 W Caro Road, Caro, MI 48723
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

MCHUGH COUNSELING SERVICES LLC
Social Worker
1525 W CARO RD
CARO, MI 48723
Tuscola County (989) 553-1313
AHMED SAEED MOHAMMED YEDDI M.D
Internal Medicine
1525 W CARO RD
CARO, MI 48723
Tuscola County (989) 860-0088
IAN M SMITH PTA
Physical Therapy Assistant
1525 W CARO RD
CARO, MI 48723
Tuscola County (989) 672-0866
COURTNEY LYNN TOPP FNP-BC
Nurse Practitioner (Family)
1525 W CARO RD
CARO, MI 48723
Tuscola County (989) 660-9272
HILDA MBIDZO NP
Nurse Practitioner
1525 W CARO RD
CARO, MI 48723
Tuscola County (989) 860-0088
JEREMY SPENCER NURSE PRACTITIONER
Nurse Practitioner (Gerontology)
1525 W CARO RD
CARO, MI 48723
Tuscola County (989) 672-2100
HARMONY HEALTH DIAGNOSTICS LLC
Physiological Laboratory
1525 W CARO RD
CARO, MI 48723
Tuscola County (989) 672-2100
JONATHAN HOLLIS F-NP
Nurse Practitioner (Gerontology)
1525 W CARO RD
CARO, MI 48723
Tuscola County (989) 672-2100

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 Shattuck Family Physicians PLLC's NPI number?

The NPI number for Shattuck Family Physicians PLLC is 1801251194. It was assigned to this organization in the NPPES registry on December 31, 2015.

Where is Shattuck Family Physicians PLLC located?

Shattuck Family Physicians PLLC is located at 1525 W Caro Rd, Caro, MI 48723. The listed phone number is (989) 860-0088.

What is Shattuck Family Physicians PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Shattuck Family Physicians PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2254374) is associated with this NPI, valid through March 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shattuck Family Physicians PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shattuck Family Physicians PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shattuck Family Physicians PLLC was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.