Active NPI
Howard Charles Pitluk, M.D.
- Public Health & General Preventive Medicine Physician
- Phoenix, AZ
National Provider Identifier
1386848547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 23149
- Practice address
- 2211 E Camelback Rd
#804
Phoenix, AZ 85016-9033 - Phone
- (602) 665-6143
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 23149 | AZ | Primary |
| Surgery Physician | 208600000X | 23149 | AZ |
Addresses
Primary practice location
2211 E Camelback Rd
#804
Phoenix, AZ 85016-9033
Mailing address
2211 E Camelback Rd
#804
Phoenix, AZ 85016-9033
Phone (602) 665-6143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23149 | AZ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Rio Santa Cruz Neighborhood Health Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1598457525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1386848547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 E CAMELBACK RD",
"address_2": "#804",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850169033",
"telephone_number": "602-665-6143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 E CAMELBACK RD",
"address_2": "#804",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850169033",
"telephone_number": "602-665-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITLUK",
"first_name": "HOWARD",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "AZ",
"license": "23149",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "23149",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.