WILLIAM J PETRAIUOLO (NPI# 1144336470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144336470 |
| Entity Type | Individual |
| Full Name | WILLIAM J PETRAIUOLO |
| Credential | MD |
| Practice Address |
36060 Euclid Ave Suite 204 Willoughby OH 44094 |
| Mailing Address |
Po Box 714328 Columbus OH 43271-4328 |
| Practice Telephone | 4406026553 |
| Practice Fax Number | 4406026566 |
| Mailing Telephone | 8003541985 |
| Mailing Fax Number | 4403504938 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35061722 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0836975 | 05 |
| Street Address |
36060 EUCLID AVE SUITE 204 |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252743 | Jaye E Benjamin | Dermatology | 36060 Euclid Ave, Suite 202, Willoughby, OH 44094-4656 | 2005-11-16 |
| 1700350923 | Amelia Ann Wilmot | Physician Assistant | 36060 Euclid Ave, Willoughby, OH 44094-4656 | 2019-01-22 |
| 1629575329 | Diana Lee Mackensen | Nurse Practitioner | 36060 Euclid Ave, Willoughby, OH 44094-4656 | 2018-04-09 |
| 1528494531 | Sherry Nicole Palmer | Nurse Practitioner | 36060 Euclid Ave, Suite 204, Willoughby, OH 44094-4656 | 2013-09-23 |
| 1518224906 | Matthew M Keum, M.d., Inc | Pain Medicine | 36060 Euclid Ave, Suite 101, Willoughby, OH 44094-4656 | 2012-04-23 |
| 1720389380 | Institute for Spine Inc | Orthopaedic Surgery | 36060 Euclid Ave, Ste# 101, Willoughby, OH 44094-4656 | 2010-11-12 |
| 1932434289 | Outreach Professional Services, Inc. | Surgery | 36060 Euclid Ave, Suite 107, Willoughby, OH 44094-4656 | 2009-10-05 |
| 1508028135 | Helge Ulrich Simon M.d | Internal Medicine | 36060 Euclid Ave, 107, Willoughby, OH 44094-4656 | 2008-06-25 |
| 1003090689 | Lake Hospital System, Inc. | Orthopaedic Surgery | 36060 Euclid Ave, Suite 203, Willoughby, OH 44094-4656 | 2007-12-19 |
| 1194747451 | Steven P Combs | Orthopaedic Surgery | 36060 Euclid Ave, Suite 104, Willoughby, OH 44094-4656 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447696059 | Sean Mcphillips | Surgery | 5734 Amber Ct, Willoughby, OH 44094-3062 | 2013-05-22 |
| 1821280223 | Patrick Daniel Huck | Surgery | 5105 Som Center Rd # 107, Willoughby, OH 44094-4203 | 2007-08-10 |
| 1417028556 | Aviv Ben-meir | Surgery | 36100 Euclid Ave Ste 170, Willoughby, OH 44094-4475 | 2006-11-12 |
| 1447220025 | Boris Vinogradsky | Surgery | 36100 Euclid Ave Ste 330b, Willoughby, OH 44094-4489 | 2006-01-25 |
| 1427310168 | Cleveland Advanced Surgical LLC | Surgery | 36100 Euclid Ave, Suite 330b, Willoughby, OH 44094-4456 | 2012-06-08 |
| 1073839783 | Boris Vinogradsky Md Inc | Surgery | 36100 Euclid Ave, Willoughby, OH 44094-4456 | 2010-04-20 |
| 1932434289 | Outreach Professional Services, Inc. | Surgery | 36060 Euclid Ave, Suite 107, Willoughby, OH 44094-4656 | 2009-10-05 |
| 1124255278 | Lake Hospital System, Inc. | Surgery | 36001 Euclid Ave, B-3, Willoughby, OH 44094-4643 | 2009-06-16 |
| 1508800426 | Lake Hospital System Inc | Surgery | 36060 Euclid Ave, Suite 204, Willoughby, OH 44094-4656 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.