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MITRA S. SHULTZ PA-C
NPI 1831600667
Physician Assistant in Granite City, IL

Active since October 19, 2017
2044 MADISON AVE STE 6, GRANITE CITY, IL 62040(618) 798-3475(618) 798-3868 Get Directions Write a Review

NPPES record last updated: October 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitra S. Shultz Pa-c NPPES

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

MITRA S. SHULTZ PA-C (NPI 1831600667) is an individual physician assistant in Granite City, Illinois, licensed in Illinois (085006383) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1831600667
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMITRA S. SHULTZCredential: PA-C
Location Address2044 MADISON AVE STE 6Granite City, IL 62040-4659
Mailing Address2044 Madison Ave Ste 6Granite City, IL 62040-4659
Phone(618) 798-3475
Fax(618) 798-3868
Sole ProprietorNo
Enumeration DateOctober 19, 2017
✔ NPI 1831600667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085006383
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.
2044 MADISON AVE STE 6, Granite City, IL 62040
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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 Mitra Shultz's NPI number?

The NPI number for Mitra Shultz is 1831600667. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Mitra Shultz located?

Mitra Shultz practices at 2044 Madison Ave Ste 6, Granite City, IL 62040. The listed phone number is (618) 798-3475.

What is Mitra Shultz'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 Mitra Shultz was last updated on October 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.