Tyler Cade Pittman, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2019-02592 Issued in NC

Practice address

100 Medical Dr
Elizabeth City, NC 27909-3361

Phone

(252) 384-2600

Fax

(252) 335-2731

NPI assigned

Oct 29, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1477699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1881146470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-384-2600",
            "fax_number": "252-335-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-384-2600",
            "fax_number": "252-335-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093361",
            "country_code": "US",
            "telephone_number": "252-384-2600",
            "fax_number": "252-335-2731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247013306",
            "country_code": "US",
            "telephone_number": "304-327-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "TYLER",
        "middle_name": "CADE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-29",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-02592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarkten Alexander Pharr, MD,RVT
• Tina K Pharr, LPC
• Jessica Mae Phelps, FNP-C
• Tracey C Phelps, MPT
• Brittnay Phthisic, FNP-BC
• Anne Mary Pokorny, RD, LD, MHA
• Jeffrey John Pokorny, M.D.
• Lacey Pollard, LCSW
• Port Health Services
• Port Human Services

• Family Medicine Physician in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.