AMY M. PETRILLO (NPI# 1174874846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174874846 |
| Entity Type | Individual |
| Full Name | AMY M. PETRILLO |
| Credential | C.N.P. |
| Practice Address |
1302 W Main St Ste. A Louisville OH 44641-1114 |
| Practice Telephone | 3308755544 |
| Practice Fax Number | 3308758150 |
| Mailing Telephone | 3308755544 |
| Mailing Fax Number | 3308758150 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2016-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA 13890-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0073609 | 05 |
| Street Address |
1302 W MAIN ST STE. A |
| City | LOUISVILLE |
| State | OH |
| Zip Code | 44641-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467439232 | William Joseph Lago | Family Medicine | 1302 W Main St, Suite A, Louisville, OH 44641-1114 | 2005-12-22 |
| 1477920106 | Alexa Matsui | Nurse Practitioner | 1302 W Main St, Ste. A, Louisville, OH 44641-1114 | 2015-08-28 |
| 1164678298 | Brady Scott Steineck | Family Medicine | 1302 W Main St, Suite A, Louisville, OH 44641-1114 | 2008-08-08 |
| 1326097288 | Philip Leigh Withnell | Family Medicine | 1302 W Main St, Suite A, Louisville, OH 44641-1114 | 2006-05-09 |
| 1871550756 | Karen Sue Miller | Nurse Practitioner | 1302 W Main St, Ste. A, Louisville, OH 44641-1114 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497382329 | Wesley A Weisel | Home Health Aide | 6291 Joliat Avenue, Louisville, OH 44641 | 2020-03-23 |
| 1437313475 | Alliance Pulmonary Associates Inc | Internal Medicine | 5860 Louisville Street Ne, Louisville, OH 44641 | 2008-07-17 |
| 1710176516 | Jerry Duane Weber | Counselor | 1520 California Ave, Louisville, OH 44641 | 2007-10-17 |
| 1811184419 | Mark Allen Schrader | Chiropractor | 4055 Beck Ave, Louisville, OH 44641 | 2007-09-27 |
| 1962570804 | Tanja Mccoy | Licensed Practical Nurse | 1630 2 East Main Street, Louisville, OH 44641 | 2006-11-30 |
| 1619043239 | Michael Joseph Fomich | Dentist | 125 E Main St., Louisville, OH 44641 | 2006-11-27 |
| 1043287501 | Lynette M Rennecker | Internal Medicine | 1909 Williamsburg Way Nw, Louisville, OH 44641 | 2006-03-03 |
| 1902020530 | Daren M Harsh | Physical Therapy Assistant | 1421 S Nickelplate, Louisville, OH 44641 | 2007-04-13 |
| 1710092291 | Lamberto T Galang Md, Inc. | Family Medicine | 1010 W Main St, Louisville, OH 44641 | 2006-08-21 |
| 1609981190 | Zenaida A Chugtai Md Inc | Pediatrics | 1012 W Main St, Louisville, OH 44641 | 2006-08-21 |
| Find all providers in zip 44641 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 44641 |
Please comment or provide details below to improve the information on AMY M. PETRILLO.
| 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.