Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paige Eleanora Pitynski, PA-C

Individual provider Dermatology Physician · NPI 1407695000

Paige Eleanora Pitynski, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2023, 3 years ago. Practices with Dermatology at Midtowne PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
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

555 Midtowne St NE # 301
Grand Rapids, MI 49503-5729
Phone: (616) 248-8864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 5601012290 (MI)

Record details

NPI number1407695000
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 22, 2024
Last updated in NPPESMay 22, 2024
Certification dateMay 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dermatology At Midtowne Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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