NPI age
19 years
Enumerated 2007-02-01
● Active
Type 1 · Individual
Richard C Schutt, PAC
Schutt is 1 of 41 physician assistant providers in Carrollton and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-03-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Practice location
4780 N Josey Lane
Carrollton, TX 75010
Mailing address
4780 N Josey Lane
Carrollton, TX 75010
Specialties
-
Physician Assistant PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (IL) | 0739010002 | MEDICARE NSC |
| 01 (TX) | 6484850003 | MEDICARE NSC - EFFECT 02/01/2011 |
| 01 (IL) | 0739010003 | MEDICARE NSC |
| 01 (IL) | 208592 | MEDICARE LOCALITY 99 |
| 01 (TX) | 835N08 | BC/BS TX - EFFECT 02/01/2011 |
| 01 (TX) | 8Y9532 | BLUE CROSS BLUE SHIELD |
| 01 (IL) | P00477787 | RAILROAD MEDICARE PTAN |
| 01 (IL) | 208887 | MEDICARE LOCALITY 15 |
| 01 (TX) | P00935332 | RAILROAD MEDICARE |
| 01 (IL) | 0739010008 | MEDICARE NSC |
| 01 (IL) | 0739010006 | MEDICARE NSC |
| 01 (IL) | CD4744 | RAILROAD MEDICARE GROUP # |
| 01 (IL) | 0739010001 | MEDICARE NSC |
| 01 (IL) | 0739010004 | MEDICARE NSC |
| 01 (IL) | 0739010005 | MEDICARE NSC |
| 01 (IL) | 0739010010 | MEDICARE NSC |
| 01 (TX) | TXB128138 | MEDICARE PART B - EFFECT. 05/03/2011 |
| 01 (IL) | 085002869 | ST. OF IL LICENSE |
| 01 (IL) | 385001696 | CONTROLLED SUBSTANCE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new physician assistant providers have been added in Carrollton in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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