Active NPI
Eric Williams Pittman, MD
- Anatomic Pathology & Clinical Pathology Physician
- Hickory, NC
National Provider Identifier
1518914837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 15155
- Practice address
- 1899 Tate Blvd SE
Suite 1105
Hickory, NC 28602-4200 - Phone
- (828) 322-3821
- Fax
- (828) 261-2057
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 15155 | NC | Primary |
Addresses
Primary practice location
1899 Tate Blvd SE
Suite 1105
Hickory, NC 28602-4200
Mailing address
1899 Tate Blvd SE
Suite 1105
Hickory, NC 28602-4200
Phone (828) 322-3821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8967873 | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518914837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1899 TATE BLVD SE",
"address_2": "SUITE 1105",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024200",
"telephone_number": "828-322-3821",
"fax_number": "828-261-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 TATE BLVD SE",
"address_2": "SUITE 1105",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024200",
"telephone_number": "828-322-3821",
"fax_number": "828-261-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "ERIC",
"middle_name": "WILLIAMS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NC",
"license": "15155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8967873",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.