MR. MICHAEL SHUTAK II PA-C
NPI 1366557472
Physician Assistant in Kinston, NC

Active since August 20, 2006
2601 N HERRITAGE ST, KINSTON, NC 28501(252) 208-7800 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael Shutak Ii Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL SHUTAK II PA-C (NPI 1366557472) is an individual physician assistant in Kinston, North Carolina, licensed in North Carolina (101798) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1366557472
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL SHUTAK IICredential: PA-C
Location Address2601 N HERRITAGE STKinston, NC 28501-1502
Mailing Address2601 N Herritage StKinston, NC 28501-1502 · (252) 208-7800
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateJanuary 14, 2014
NPI 1366557472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 101798
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 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.
2601 N HERRITAGE ST, Kinston, NC 28501

Other Identifiers 1

Other12410017Caqh

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2601 N HERRITAGE ST
KINSTON, NC 28501
Chiropractor
2601 N HERRITAGE ST
KINSTON, NC 28501
Chiropractor
2601 N HERRITAGE ST
KINSTON, NC 28501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Shutak's NPI number?

The NPI number for Michael Shutak is 1366557472. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Michael Shutak located?

Michael Shutak practices at 2601 N Herritage St, Kinston, NC 28501. The listed phone number is (252) 208-7800.

What is Michael Shutak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Michael Shutak was last updated on January 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.