Healthcare Provider Details

I. General information

NPI: 1821245333
Provider Name (Legal Business Name): MICHAEL STIRANKA PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2008
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N SANDHILLS BLVD
ABERDEEN NC
28315-2336
US

IV. Provider business mailing address

PO BOX 34876
SEATTLE WA
98124-1876
US

V. Phone/Fax

Practice location:
  • Phone: 910-724-2334
  • Fax: 910-246-0952
Mailing address:
  • Phone: 425-656-5412
  • Fax: 425-656-4096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-12832
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: