Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 26858 | NC |
NPI | 1437266277 |
---|---|
Provider Name | Dr. Donald Edward Pittaway SR. |
First Address | Winston Salem, NC 27103-5661 |
Second Address | Winston Salem, NC 27103-5661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
458 | PARTNERS (01) | |
67838 | BLUE CROSS/BLUE SHIELD (01) | NC |
74-07470 | UNITED HEALTHCARE (01) | |
81281 | MEDCOST (01) | |
8967838 | (05) | NC |
9690706 | CIGNA (01) | |
C86002 | (02) | NC |