Mary Jo Pitko, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102745 Issued in NC

Practice address

221A Professional Cir
Morehead City, NC 28557-4303

Phone

(252) 726-5767

Fax

(252) 726-7573

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1659467710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 A PROFESSIONAL CIRCLE",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574303",
            "telephone_number": "252-726-5767",
            "fax_number": "252-726-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221A PROFESSIONAL CIR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574303",
            "telephone_number": "252-726-5767",
            "fax_number": "252-726-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITKO",
        "first_name": "MARY JO",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuc Phan
• Deborah B Phillips, C-FNP
• John W Phillips
• Michele Garland Phillips
• Melanie Rebecca Pietrowiak, LCSWA
• Susan Anne Pittman, LCSW
• Renee Irma Pitzele, M.D.
• Brandy-Paula Michelle Pjanic, LCSWA
• Alisha Erin Plescher, MS, CCC-SLP
• Heather Marie Plourde

• Medical Physician Assistant in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.