MR. STEVEN ROBERT PETRILLO (NPI# 1134440407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134440407 |
| Entity Type | Individual |
| Full Name | MR. STEVEN ROBERT PETRILLO |
| Credential | R.PH. REGISTERED PHA |
| Practice Address |
200 Springs Rd Bedford MA 01730-1114 |
| Practice Telephone | 7816872180 |
| Mailing Telephone | 7816872180 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
23960 | MA | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
3143 | NH | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 183500000X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477095800 | Steven Petrillo | Physical Therapy Assistant | 101 E State St, Kennett Square, PA 19348-3109 | 2016-11-16 |
| Street Address |
200 SPRINGS RD |
| City | BEDFORD |
| State | MA |
| Zip Code | 01730-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
| 1740889161 | Elias Mbogo | Licensed Practical Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-10-19 |
| 1740898089 | Hillary Elizabeth Silvia | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-22 |
| 1669099131 | Robert Jurgens Parker | Nurse Practitioner | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-01 |
| 1962029314 | Philip Tah | Licensed Practical Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-07-01 |
| 1396368387 | Douglas Allen | Optometrist | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-05-25 |
| 1407476963 | Stacy Kathy Tsionis | Registered Nurse | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-04-24 |
| 1063040962 | Garret Sacco | Psychologist | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-03-28 |
| 1770123838 | Hannah Murphy | Social Worker | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-01-07 |
| 1164062220 | Spencer Logan Diehl | Social Worker | 200 Springs Rd, Bedford, MA 01730-1114 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779614 | Access Physical Therapy, LLC | Physical Therapist | 158 Great Rd Unit J, #661, Bedford, MA 01730 | 2019-09-16 |
| 1578113478 | Holly Babineau | Counselor | Building 7, Springs Rd, Bedford, MA 01730 | 2019-09-13 |
| 1205318656 | Ella Bitman | Social Worker | 9 Mudge Way, Bedford, MA 01730 | 2018-09-02 |
| 1578045928 | Abaigeal Doherty | Counselor | 205 Burlington Road, Bedford, MA 01730 | 2018-09-02 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1609369701 | Katharine Smidt | Psychologist | 61 Springs Rd, Bedford, MA 01730 | 2018-06-13 |
| 1043702053 | Bethel Care International Inc | Home Health Aide | 114 Page Rd, Bedford, MA 01730 | 2018-06-05 |
| 1689187064 | Lori Merlo | Physical Therapist | 6 Paul Revere Road, Bedford, MA 01730 | 2017-11-08 |
| 1093268260 | Patriot Urgent Care Professionals, PC | Clinic/Center | 160 Great Road, Unit 4a, Bedford, MA 01730 | 2016-07-25 |
| 1568839991 | Amy Bonneau | Social Worker | 59 Grenier St, Bldg 1509, Hanscom Afb, MA 01730 | 2015-09-02 |
| Find all providers in zip 01730 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151946 | Sima Sheth Patel | Pharmacist | 112 Pine Hill Rd, Bedford, MA 01730-1658 | 2020-07-09 |
| 1215537139 | Tracy Blyeth | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-9153 | 2020-10-29 |
| 1093315988 | Brian Scott Darnell | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-9153 | 2020-10-29 |
| 1255931432 | Michelle Lynn Goldsberry | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-9153 | 2020-10-28 |
| 1265032262 | Bhavinkumar Patel | Pharmacist | 1126 E Lynchburg Salem Tpke, Bedford, VA 24523-3446 | 2020-10-28 |
| 1174123152 | Rebecca L Jones | Pharmacist | 3200 John Williams Blvd, Bedford, IN 47421-6085 | 2020-10-28 |
| 1942808365 | Rex Gueffroy | Pharmacist | 2109 Harwood Rd, Bedford, TX 76021-4705 | 2020-10-16 |
| 1194351486 | Joanne Meyer | Pharmacist | 21 Ferris Ln, Bedford, NY 10506-1715 | 2020-03-18 |
| 1831723279 | Corinne Renee Pruett | Pharmacist | 1206 16th St, Bedford, IN 47421-3707 | 2020-02-25 |
| 1366073025 | David D Saunders | Pharmacist | 2109 Harwood Rd, Bedford, TX 76021-4705 | 2020-01-31 |
| Find all providers in BEDFORD | ||||
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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.