DR. MICHAEL ANTHONY PETRILLO (NPI# 1073946745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073946745 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ANTHONY PETRILLO |
| Credential | PA |
| Practice Address |
157 William Hilton Pkwy Hilton Head Island SC 29926-5218 |
| Mailing Address |
Po Box 21372 Hilton Head Island SC 29925-1372 |
| Practice Telephone | 8438422273 |
| Mailing Telephone | 4384222738 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1966 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | SOUTH CAROLINA BOARD OF MEDICAL EXAMINER | 1966 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 907 Lamar Alexander Pkwy, Maryville, TN 378045015 | 8659774602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407069420 | Michael A Petrillo | Dentist | 2019 Industrial Dr, Bethlehem, PA 18017-2160 | 2007-05-07 |
| 1205060779 | Michael Petrillo | Marriage & Family Therapist | 17183 Retrac Way, Christian Encounter Ministries, Grass Valley, CA 95949-9795 | 2009-05-12 |
| Street Address |
157 WILLIAM HILTON PKWY |
| City | HILTON HEAD ISLAND |
| State | SC |
| Zip Code | 29926-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184678435 | David Edward Dorsner | Family Medicine | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2006-05-20 |
| 1902382963 | Omega Primary Care, LLC | Clinic/Center | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2018-07-12 |
| 1639422892 | The Clinic | Clinical Nurse Specialist | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2012-10-24 |
| 1265752588 | La Clinica | Nurse Practitioner | 157 William Hilton Pkwy, Hilton Head Island, SC 29926-5218 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447728795 | Island Imaging, LLC | Radiology | 40 Palmetto Parkway, Hilton Head Island, SC 29926 | 2018-11-05 |
| 1134608805 | Optim Orthopedics, LLC | Orthopaedic Surgery | 25 Hospital Center Blvd Ste 100, Hilton Head, SC 29926 | 2018-08-13 |
| 1114443728 | Rehabcare Group East, LLC | Clinic/Center | 421 Squire Pope Rd, Hilton Head Island, SC 29926 | 2017-08-15 |
| 1043734429 | Laura Ann Elizabeth Mccall | Nurse Practitioner | Dba Ltc Health Solutions, 110 Gardner Dr, Hilton Head Island, SC 29926 | 2017-07-27 |
| 1508286014 | Johan Schutz | Pharmacist | 20 Hanahan Ln, Hilton Head Island, SC 29926 | 2014-04-23 |
| 1740614460 | Tcg Medical Specialists LLC | Emergency Medicine | 19 Moss Creek Village Ste. B4, St. Joseph's/candler Hyperbarics and Wound Care, Hilton Head Island, SC 29926 | 2013-08-29 |
| 1215288790 | Collin George | Physical Therapist | 250 Ladyslipper Lane, Hilton Head, SC 29926 | 2012-09-25 |
| 1508136698 | Podiatry Associates of Hilton Head Pa | Podiatrist | 88 D Main Street, Hilton Head Island, SC 29926 | 2012-01-05 |
| 1467689646 | Moss Creek Sport & Spine Institute Promp Care, LLC | Clinic/Center | 15 Moss Creek Village, Hilton Head, SC 29926 | 2009-06-16 |
| 1245487545 | Kathleen M Shea | Audiologist | 1401 F Main St, Hilton Head Island, SC 29926 | 2008-08-19 |
| Find all providers in zip 29926 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790234524 | Lauren Regan | Physician Assistant | 22 Lighthouse Rd, Unit 515, Hilton Head Island, SC 29928-4399 | 2016-09-21 |
| 1245769850 | Kristen Ann Clark | Physician Assistant | 15 Hospital Center Blvd Ste 1, Hilton Head Island, SC 29926-2760 | 2017-06-07 |
| 1326399809 | Jacqueline Nicole Woodcock | Physician Assistant | 35 Bill Fries Dr, Bldg L, Hilton Head Island, SC 29926-2730 | 2012-09-25 |
| 1851694905 | Nikki L Newman | Physician Assistant | 845 William Hilton Pkwy, Hilton Head Island, SC 29928-3404 | 2010-12-13 |
| 1780603985 | Kristina Ann Ford | Physician Assistant | 25 Hospital Center Common, Suite 200, Hilton Head Island, SC 29926 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770712 | Hannah Jenkins | Physician Assistant | 780 Windrow Dr, Sumter, SC 29150-5318 | 2020-11-04 |
| 1255931283 | Sterling Simmons Capotosti | Physician Assistant | 1813 Joseph Cir, Florence, SC 29501-6339 | 2020-10-28 |
| 1538768098 | Hristos Stamatopoulos | Physician Assistant | 149 Independent Ln, Walterboro, SC 29488-6218 | 2020-10-25 |
| 1053910596 | Sarah Xiao Jing Jarema | Physician Assistant | 1211 Hadley Cir Unit 4301, Myrtle Beach, SC 29577-8219 | 2020-10-24 |
| 1063011062 | Sara Chmielewski | Physician Assistant | 283 Blvd De France, Parris Island, SC 29905 | 2020-10-21 |
| 1487252367 | Hannah Beddingfield | Physician Assistant | 200 Drury Ln, Mauldin, SC 29662-2228 | 2020-10-13 |
| 1275131054 | Ethan Brody Clontz | Physician Assistant | 1953 Pinehurst Ave, Charleston, SC 29414-6483 | 2020-10-13 |
| 1790383719 | Kaytlin Blake Hollingsworth | Physician Assistant | 2774 Shadow Ln, North Charleston, SC 29406-9065 | 2020-10-12 |
| 1487261509 | Reilly Kilpatrick | Physician Assistant | 1518 Blaze Ln, Charleston, SC 29412-8652 | 2020-09-24 |
| 1144836461 | Michael Joseph Haven | Physician Assistant | 221 Bayfront Dr Unit 224, Mount Pleasant, SC 29464-1825 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | HILTON HEAD ISLAND |
| Zip Code | 29926 |
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| 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.