Charles Pitluck, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

OS5052 Issued in FL

Practice address

301 Northwest 82ND Ave
Columbia Outpatient Surgical Services
Plantation, FL 33324

Phone

(954) 424-1766

Fax

(954) 370-1533

NPI assigned

Nov 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Millennium Anesthesia PA

  • Anesthesiology Physician
  • Sunrise, FL
  • NPI 1285741322

  Anesthesiology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1235217522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17347",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333187347",
            "telephone_number": "954-370-1053",
            "fax_number": "954-370-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTHWEST 82ND AVE",
            "address_2": "COLUMBIA OUTPATIENT SURGICAL SERVICES",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33324",
            "telephone_number": "954-424-1766",
            "fax_number": "954-370-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITLUCK",
        "first_name": "CHARLES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS5052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80240",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Home Care of the Palm Beaches, LLC.
• Pinnicale Medcial Partners LLC
• Venice Pinnock, APRN
• Rachel Pires, LCSW
• Valerie N Pitaluga, MS, CCC-SLP
• Jordyn Pitter
• Lawrence Jay Pizik, RPH
• Andrea Castaneda Pla, MS, LMHC
• Andy S. Plaisir, PA-C
• Melissa Marie Plana-Barnes, OD

• All providers in Plantation, FL
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.