DR. KATHLEEN MARIE PETILLO


Address: 31 Roche Bros Way, North Easton, MA 02356
Phone: 5088948760

DR. KATHLEEN MARIE PETILLO (NPI# 1093949232) 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) 1093949232
Entity Type Individual
Full Name DR. KATHLEEN MARIE PETILLO
Credential D.O.
Practice Address 31 Roche Bros Way
North Easton
MA 02356
Mailing Address 31 Roche Bros Way
North Easton
MA 02356-1032
Practice Telephone 5088948760
Practice Fax Number 5088948762
Mailing Telephone 5088948760
Mailing Fax Number 5088948762
Enumeration Date 2009-05-01
Last Update Date 2019-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 253293 MA Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics 263552 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1800 Maple Rd, Williamsville, NY 142212749 7166365437
430 Liberty St, Hanson, MA 023411113 7812933838 7812933639

Office Location

Street Address 31 ROCHE BROS WAY
City NORTH EASTON
State MA
Zip Code 02356

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730186693 Padraic D Mccahill Urology 31 Roche Bros Way, Ste. 100, North Easton, MA 02356-1032 2005-07-06
1194374751 Jennifer S Goldblatt Nurse Practitioner 31 Roche Bros Way, North Easton, MA 02356-1032 2019-09-06
1275064909 Gbu Steward LLC Urology 31 Roche Bros Way, Unit 100, North Easton, MA 02356-1032 2017-03-24
1508312562 Kerri Liska Physician Assistant 31 Roche Bros Way, Suite 200, North Easton, MA 02356-1032 2016-08-30
1902287998 Yiran Xu Obstetrics & Gynecology 31 Roche Bros Way, North Easton, MA 02356-1032 2015-06-15
1477855237 Greater Boston Urology, LLC Urology 31 Roche Bros Way, Suite 100, North Easton, MA 02356-1032 2010-11-30
1083933550 Leena Mayuresh Rajwadkar Pediatrics 31 Roche Bros Way, North Easton, MA 02356-1032 2010-05-24
1184851826 Lindsay Eminger Dermatology 31 Roche Bros Way, Suite 200, North Easton, MA 02356-1032 2009-06-21
1558526194 Huma Masood Internal Medicine 31 Roche Bros Way, North Easton, MA 02356-1032 2008-07-23
1992972574 Ryan E Frankel Urology 31 Roche Bros Way, Suite 100, North Easton, MA 02356-1032 2008-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174005110 Easton Eye Consultants, PC Optometrist Easton Eye Consultants, 15 Roche Bros Way Suite 100, North Easton, MA 02356 2018-09-06
1366932386 Thomas Joseph Clarke Psychologist 171 Poquanticut Avenue, North Easton, MA 02356 2018-05-15
1821509985 Ariel Hovland Physical Therapist 2 Belmont Street, Easton, MA 02356 2017-10-17
1326109968 Gregory Peter Perron Chiropractor 990 Pleasant St, Brockton, MA 02356 2006-12-13
1326116153 Linda J Mcgettigan Acupuncturist The Village Acupuncturist, 115 Main St. Suite 2c, North Easton, MA 02356 2006-12-01
1841306198 Thomas Francis Herlihy Iv Dentist 191 Washington St, North Easton, MA 02356 2006-08-21
1801864335 Thane Nolan Turner Family Medicine 3 Washington St Ste 220, North Easton, MA 02356 2006-03-10
1942283577 Judith S Colandreo Physical Therapist 15 Roche Bros. Way, North Easton, MA 02356 2005-11-29
1275514143 Stanley M Leitzes Orthopaedic Surgery 15 Roche Bros Way, Orthopedic Care Specialists, Inc, North Easton, MA 02356 2005-11-08
1689144214 Sarah Beth Krajewski Advanced Practice Midwife 31 Roche Brothers Way, North Easton, MA 02356 2018-11-27
Find all providers in zip 02356

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851372726 Lisa R Natkin Pediatrics 31 Roche Brothers Way, Two Washington Place, North Easton, MA 02356-1032 2005-11-08
1083933550 Leena Mayuresh Rajwadkar Pediatrics 31 Roche Bros Way, North Easton, MA 02356-1032 2010-05-24
1255312120 Jordan H Leff Pediatrics 31 Roche Brothers Way, Two Washington Place, North Easton, MA 02356-1032 2005-11-08
1649251513 Jan E Paradise Pediatrics 31 Roche Bros Way, Suite 210, North Easton, MA 02356-1032 2005-11-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265030720 Mebe Massachusetts Pediatrics 51 Pleasant St # 1002, Malden, MA 02148-4904 2020-10-15
1801407564 Catherine M. Vu Morrissey Pediatrics 451 Centre St, Milton, MA 02186-4118 2020-08-14
1962025379 Elizabeth Mary Messineo Pediatrics 40 Greenhill Rd, Westwood, MA 02090-2704 2020-05-20
1639790280 Allison Seats Pediatrics 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 2020-05-05
1154957132 Katherine Erin Douglas Pediatrics 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 2020-03-21
1346871183 Pm Pediatrics of New England Pediatrics 99 Commerce Way, Woburn, MA 01801-5199 2020-01-30
1346871381 Heather Mccaslin Kempczinski Pediatrics 360 Beacon St Apt 1, Boston, MA 02116-1063 2020-01-29
1396388278 Taylor Cinelli Pediatrics 203 John Scott Blvd, Norton, MA 02766-2616 2019-10-23
1972145290 Lauren Nicole Mabe Pediatrics 45 Gordon St Apt 3, Allston, MA 02134-2458 2019-10-09
1417508946 Devin Veronica Parker Pediatrics 2 Crescent St, Plympton, MA 02367-1400 2019-09-25
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Competitor

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City NORTH EASTON
Zip Code 02356

Improve Information

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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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