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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
1800 Maple Rd, Williamsville, NY 142212749 | 7166365437 | |
430 Liberty St, Hanson, MA 023411113 | 7812933838 | 7812933639 |
Street Address |
31 ROCHE BROS WAY |
City | NORTH EASTON |
State | MA |
Zip Code | 02356 |
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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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 Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
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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City | NORTH EASTON |
Zip Code | 02356 |
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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.