Individual Healthcare Provider
Emily Christine Shattuck
Provider's NPPES record last updated: December 15, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1235775800
- Primary Specialty
- Anesthesiologist Assistant
- Practice Location
- Greenville, South Carolina
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 21, 2026, 7:38 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Anesthesiologist Assistant
Physician Assistants & Advanced Practice Nursing Providers
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Taxonomy code 367H00000X
Provider-Reported License Information
- Anesthesiologist Assistant (Ohio)
- 67.000468
- Anesthesiologist Assistant (Indiana)
- 7500057A
- Anesthesiologist Assistant (South Carolina)
- 131
Practice Locations
Practice Location
7 Independence PT Fl 4
Greenville, South Carolina 29615-4566
Phone: (864) 522-3700
Additional Practice Location
2139 Auburn Ave
Cincinnati, Ohio 45219-2906
Phone: (513) 585-2000
Additional Practice Location
11141 Parkview Plaza Dr Ste 200
Fort Wayne, Indiana 46845-1714
Phone: (260) 425-6030
Fax: (260) 425-6028
Record Information
- Enumeration Date
- November 19, 2019
- Provider's NPPES Record Last Updated
- December 15, 2025
- Certification Date
- December 15, 2025
- NPISignal NPPES Dataset
- August 2026
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