Individual provider · Type 1 NPI

Michael Shutak Ii, PA-C

Physician Assistant · Kinston, NC

NPI number 1366557472 Active

Practice location

2601 N Herritage St
Kinston, NC 28501-1502

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X101798 (NC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1366557472

Michael Shutak Ii, PA-C's National Provider Identifier is 1366557472, issued on Aug 20, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Kinston, NC. The record was last updated on Nov 1, 2026.