Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael Shutak II, PA-C

Individual provider Physician Assistant · NPI 1366557472

Mr. Michael Shutak II, PA-C is a Physician Assistant in Kinston, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2601 N Herritage St
Kinston, NC 28501-1502
Phone: (252) 208-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 101798 (NC)

Record details

NPI number1366557472
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJanuary 14, 2014

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