MR. CLYDE JUNIOR PITCAN


Address: 2401 E Street Nw, Sa-1 (office of Medical Services U.S. Dept of State), Washington, DC 20522-0001
Phone: 9546301114

MR. CLYDE JUNIOR PITCAN (NPI# 1285846311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285846311
Entity Type Individual
Full Name MR. CLYDE JUNIOR PITCAN
Credential PA-C, MPAS
Practice Address 2401 E Street Nw
Sa-1 (office of Medical Services U.S. Dept of State)
Washington
DC 20522-0001
Mailing Address 5385 Red Leaf Ct
Oviedo
FL 32765-5019
Practice Telephone 9546301114
Practice Fax Number 9546301155
Mailing Telephone 9546301114
Mailing Fax Number 9546301155
Enumeration Date 2007-05-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA9101860 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2401 E STREET NW
SA-1 (OFFICE OF MEDICAL SERVICES U.S. DEPT OF STATE)
City WASHINGTON
State DC
Zip Code 20522-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063482784 Nicholas John Riesland Family Medicine 2401 E Street Nw, Office of Medical Services, Us Department of State, Washington, DC 20522-0102 2006-01-25
1851522510 Lindy Lou Nester Physician Assistant 2401 E Street Nw, L209, Washington, DC 20002 2009-07-29
1245417690 Chris Curtis Perez Physician Assistant 2401 E Street Nw, M/med/qi, Sa-1, Washington, DC 20522-0001 2008-01-29
1306028196 Catherine Jungsun Kim Nurse Practitioner 2401 E Street Nw, Washington, DC 20522-0001 2007-12-04
1184812760 Susan Houck Nurse Practitioner 2401 E Street Nw, Us Dept of State M/med/qi, Washington, DC 20522-0102 2007-10-09
1093915290 Marilyn Prekup Physician Assistant 2401 E Street Nw, U.S.dept of State M/med/qi, Washington, DC 20522-0102 2007-07-25
1316149230 Richard Allen Bienia Internal Medicine 2401 E Street Nw, Washington, DC 20520-0001 2007-06-04
1295955839 Terese Hermione Thomas Specialist 2401 E Street Nw, Washington, DC 20522-0001 2007-04-26
1225256480 U.S. Department of State Public Health or Welfare 2401 E Street Nw, M-med-qi, Sa-1, Washington, DC 20522-0001 2007-04-23
1770709669 Ayan Hussein Ahmed Noor Emergency Medicine 2401 E Street Nw, Washington, DC 20522 2007-04-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669663209 Melissa Susan Williams Family Medicine 2401 E Street N.w., Room L224, Sa-1, U.S. Department Of, Washington, DC 20522 2007-08-08
1972736908 Katherine Fountain Niles Physician Assistant Us Dept of State 2401 E St Nw, M/med/qi, Sa-1, Washington, DC 20522-0001 2009-08-25
1407017494 Jane Shadwell Li Internal Medicine Us Deot of State, M/med/qi, Sa-1, Washington, DC 20522-0001 2008-06-23
1902086457 Raul E. Isturiz Internal Medicine Us Dept of State M/med/qi Sa1, 2401 E Street Nw, Washington, DC 20522-0001 2007-11-13
1760675912 Nancy L Alsace Nurse Practitioner Department of State Med Us Embassy Santiago, 2401 E Street Nw, Washington, DC 20522-0001 2007-08-21
1104027705 Kristin Allison Nurse Practitioner State Office Med Services 2401 E St Nw, Sa 1, Room L209, Washington, DC 20522-0001 2007-05-30
1417163890 Thu-hang T Tran Internal Medicine Of Medical Services-dept of State, Columbia Plaza Sa-1, 2401 E St, Nw, Washington, DC 20522-0001 2007-05-15
1659493823 Peter T Guerin Family Medicine Us Dept of State Office of Med Services Quality Improve, 2401 E Street Nw, Washington, DC 20522-0001 2007-04-06
1578685400 Kathleen Mary Thomas Glaser Nurse Practitioner Quality Improvement Us Dept of State, 2401 E Street Nw M Med Qi, Sa-1, Washington, DC 20522-0001 2007-04-03
1801915111 Emil Von Arx IIi Family Medicine Medical Services Dept of State, 2401 E Street Nw, Washington, DC 20522-0001 2007-03-28
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487254306 Zane T Mcguire Physician Assistant 378 W Chestnut St Ste 103, Washington, PA 15301-4661 2020-10-29
1609487370 Rachel Alexis Solomon Physician Assistant 1920 L St Nw Ste 350, Washington, DC 20036-5004 2020-08-14
1740805175 Alexandra Fraser Physician Assistant 1125 11th St Nw Apt 204, Washington, DC 20001-6420 2020-06-11
1699399162 Enrique Manriquez Physician Assistant 2413 39th Pl Nw, Washington, DC 20007-1702 2020-06-01
1710510565 Peter Bourland Physician Assistant 130 M St Ne Apt 1113, Washington, DC 20002-7925 2020-02-20
1619517950 Jaclyn Finley Physician Assistant 57103 Curtis St, Washington, MI 48094-3844 2020-01-15
1033770755 Lauren Taylor Parrish Physician Assistant 3800 Reservoir Rd Nw # 2phc, Washington, DC 20007-2113 2019-06-24
1821654617 Connor James Butz Physician Assistant 2311 M St Nw Ste 401, Washington, DC 20037-1495 2019-05-16
1164087482 Lisa Chuong Physician Assistant 110 Irving St Nw # 3b19, Washington, DC 20010-3017 2019-05-02
1932660362 Matthew Joseph Moon Physician Assistant Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 2019-03-28
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Competitor

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City WASHINGTON
Zip Code 20522

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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