Michael Shutak in Kinston - Physician Assistant
Michael Shutak - NPI 1366557472
Michael Shutak is a Physician Assistant in Kinston, North Carolina. Michael Shutak practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Michael Shutak is 1366557472. The last update date is 2014-01-14.
Michael Shutak's current location address is 2601 N Herritage St, Kinston, North Carolina. You can contact this provider via phone number 2522087800. The mailing address for Michael Shutak is 2601 N Herritage St, Kinston, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Shutak |
|---|---|
| Address | 2601 N Herritage St, Kinston, North Carolina |
| Phone Number | 2522087800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366557472 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2014-01-14 |
Provider Mailing Address Detail
| Address | 2601 N Herritage St |
|---|---|
| City | Kinston |
| State | North Carolina (NC) |
| Post Code | 285011502 |
| Phone Number | 2522087800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 101798 |
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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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12410017 | CAQH |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Shutak by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Shutak has been assigned the NPI (National Provider Identifier) 1366557472. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Michael Shutak located?
The Michael Shutak is located at 2601 N Herritage St, Kinston, NC 285011502.
What is Michael Shutak's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael Shutak's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1366557472 to Michael Shutak?
The Centers for Medicare & Medicaid Services assigned the 1366557472 to Michael Shutak on 2006-08-20.
As of what date was the information pertaining to Michael Shutak, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Shutak, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-01-14.
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