NPI 1558252924

Shane Michael Pittman, EMTM

Practitioner Independent Duty Medical Technicians Indianapolis, IN

Practice location

Address: 8520 Allison Pointe Blvd STE 223 Pmb 99753, Indianapolis, IN 46250
Phone: (317) 525-2520

Registered specialties (3)

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X Licence 3251-2416-8453 (IN)

Other Military Health Care Provider providers in Indiana →

Independent Duty Corpsman

Other Service Providers Taxonomy 1710I1002X Licence 3521-2416-8453 (IN)

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 30018103 (IN)

Other Emergency Medicine providers in Indiana →

Registry record

NPI: 1558252924
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jul 2025
Record last updated: 28 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.