Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538817036 Individual Practitioner Male Practitioner

Shane Izon Datugan

Physician Assistant • Quantico, VA

Professional Overview & Biography Verified Profile Summary

Shane Datugan is a registered healthcare professional specializing in Physician Assistant in Quantico, VA. Practice services are available at 3259 CATLIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3259 Catlin Ave

Quantico, VA 221345109

Telephone 7037841725
Associated Practice Facility / Clinic
🏢 Nhc Quantico Facility NPI 1508839903

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Quantico, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Quantico, VA (4432 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-02-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
NPI 1053384016

Doctor of Medicine (M.D.)

Dr. Ashley Voss , DO

Psychiatry & Neurology - Psychiatry

NPI 1063823847

Doctor of Osteopathic Medicine (D.O.)

Joseph Zagame , RPH

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1144424474

Registered Pharmacist

Dr. Charles Simerman , DO

Internal Medicine

NPI 1164848222

Doctor of Osteopathic Medicine (D.O.)

Dr. Han Bui , MD

Family Medicine

NPI 1225002058

Doctor of Medicine (M.D.)

Judy Palmer , PA-C

Physician Assistant

NPI 1366604985

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 14, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2022

Registered at 3259 CATLIN AVE, QUANTICO, VA 221345109 (Tel: 7037841725)

📍
Updated Business Mailing Address March 14, 2022

Registered at 4106 ROSEWOOD DRIVE, UNIT 2, JOINT BASE ANDREWS, MD 20746

👤
Provider Name / Credentials Updated March 14, 2022

Recorded as SHANE DATUGAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration March 14, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538817036
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2022
Last Update: March 14, 2022
Sole Proprietor: Yes

Mailing Address

4106 Rosewood Drive, Unit 2

Joint Base Andrews, MD 20746

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.