Kristin Petruziello (NPI# 1336577410, PAC ID# 5294967402) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336577410 |
| PAC ID by PECOS | 5294967402 |
| Professional Enrollment ID | I20140422000689 |
| Full Name | Kristin Petruziello |
| Organization Legal Name | GARY B KAPLAN MD INC |
| Address |
36001 Euclid Ave Suite C19 Willoughby OH 44094-4643 |
| Phone Number | 4409460053 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234177197 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360098 | LAKE HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 | 4409460053 | GARY B KAPLAN MD INC |
| Organization Legal Name | GARY B KAPLAN MD INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary B Kaplan | Pulmonary Disease | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Lisa A Kuhen | Nurse Practitioner | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Russell A Blair | Hospitalist | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Jennifer L Kriessler | Nurse Practitioner | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Pamela Joyce Petro | Nurse Practitioner | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Andre M Fabien | Pulmonary Disease | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Street Address |
36001 EUCLID AVE SUITE C19 |
| City | WILLOUGHBY |
| State | OH |
| Zip | 44094-4643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary B Kaplan | Pulmonary Disease | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Frederic J Levine | Urology | Drs Levine Reigle and Schneider Inc | 36001 Euclid Ave, Suite C14, Willoughby, OH 44094-4643 |
| Lisa A Kuhen | Nurse Practitioner | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Melissa D Reigle | Urology | Drs Levine Reigle and Schneider Inc | 36001 Euclid Ave, Suite C14, Willoughby, OH 44094-4643 |
| Russell A Blair | Hospitalist | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Shewanna K Burns | Nurse Practitioner | Andrew Brobbey, M.d., Inc | 36001 Euclid Ave, B16, Willoughby, OH 44094-4643 |
| Jennifer L Kriessler | Nurse Practitioner | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Shannon Bailey | Nurse Practitioner | Andrew Brobbey, M.d., Inc | 36001 Euclid Ave, B16, Willoughby, OH 44094-4643 |
| Marinela Turc | Internal Medicine | 36001 Euclid Ave, Suite 11, Willoughby, OH 44094-4651 | |
| Pamela Joyce Petro | Nurse Practitioner | Gary B Kaplan Md Inc | 36001 Euclid Ave, Suite C19, Willoughby, OH 44094-4643 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Lauren Mistur | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Lisa E Meek | Internal Medicine | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Kirsten T Lynch | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Christi D Woods | Emergency Medicine | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Mikhenan M Horvath | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Miesha Merati | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Meredith S Reimer | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Lydia Parker | Dermatology | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Gregory P Kezele | Family Medicine | Parker Skin and Aesthetic Clinic Inc | 4212 Chillicothe Rd, Suite 200, Willoughby, OH 44094 |
| Michelle Ann Lieb | Optometry | For Your Eyes Only, Inc | 5900 Som Ctr Rd, Suite 19, Willoughby, OH 44094-3044 |
| Find all physicians in zip 44094 | |||
| City | WILLOUGHBY |
| Zip Code | 44094 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILLOUGHBY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristin Petruziello.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.