David G. Pitonzo, P.A.-C., PH.D.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2008-0056 Issued in NM

Practice address

2400 Tucker NE
MSC 09 5040
Albuquerque, NM 87131-0001

Phone

(505) 272-1402

Fax

(505) 272-9828

NPI assigned

Jan 7, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: dpitonzo613177@direct.ochin.org

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1790922128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRADBURY DR SE",
            "address_2": "SUITE 2222",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064374",
            "telephone_number": "505-272-3120",
            "fax_number": "505-272-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 TUCKER NE",
            "address_2": "MSC 09 5040",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-1402",
            "fax_number": "505-272-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITONZO",
        "first_name": "DAVID",
        "middle_name": "G.",
        "name_prefix": "Prof.",
        "credential": "P.A.-C., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-07",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2008-0056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Pitcher III, M.D.
• Shannon Pitcher, RPH
• Virginia L. Pitchford, PHARM.D.
• Robert Pitera, MD
• Joseph Edward Pitluck III, DDS
• Bryce Anne Pittenger, LPCC
• Scout Rae Pittman, LMSW
• Karoline Pitts
• Shannon Pitvorec, ATC, LAT, CEAS II
• Karen R Pitzen, LCSW

• Medical Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.