Michael Robert Centilli (NPI# 1215223326, PAC ID# 9739490731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1215223326 |
| PAC ID by PECOS | 9739490731 |
| Professional Enrollment ID | I20181002003869 |
| Full Name | Michael Robert Centilli |
| Organization Legal Name | DERMATOLOGY AND SKIN CANCER CENTER OF SOUTH CAROLINA PC |
| Address |
8683 Ocean Hwy Pawleys Island SC 29585-7160 |
| Phone Number | 8436684104 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4082848718 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5046 Hwy 17 S Byp 103, Myrtle Beach, SC 29588-4503 | 8436884104 | DERMATOLOGY AND SKIN CANCER CENTER OF SOUTH CAROLINA PC |
| 8683 Ocean Hwy, Pawleys Island, SC 29585-7160 | 8436684104 | DERMATOLOGY AND SKIN CANCER CENTER OF SOUTH CAROLINA PC |
| Organization Legal Name | DERMATOLOGY AND SKIN CANCER CENTER OF SOUTH CAROLINA PC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth M Duffy | Physician Assistant | Dermatology and Skin Cancer Center of South Carolina PC | 5046 Hwy 17 S Byp 103, Myrtle Beach, SC 29588-4503 |
| Matthew Janowicz | Physician Assistant | Dermatology and Skin Cancer Center of South Carolina PC | 5046 Hwy 17 S Byp 103, Myrtle Beach, SC 29588-4503 |
| Ann L Griffin | Physician Assistant | Dermatology and Skin Cancer Center of South Carolina PC | 5046 Hwy 17 S Byp 103, Myrtle Beach, SC 29588-4503 |
| Christopher Francis Buthorn | Physician Assistant | Dermatology and Skin Cancer Center of South Carolina PC | 5046 Hwy 17 S Byp 103, Myrtle Beach, SC 29588-4503 |
| Ashley G Parker | Nurse Practitioner | Dermatology and Skin Cancer Center of South Carolina PC | 8683 Ocean Hwy, Pawleys Island, SC 29585-7160 |
| Street Address |
8683 OCEAN HWY |
| City | PAWLEYS ISLAND |
| State | SC |
| Zip | 29585-7160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley G Parker | Nurse Practitioner | Dermatology and Skin Cancer Center of South Carolina PC | 8683 Ocean Hwy, Pawleys Island, SC 29585-7160 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas S Rives | General Practice | Palmetto Primary Care Physicians | 14866 Ocean Hwy, Pawleys Island, SC 29585-4801 |
| Sara B Thacker | Nurse Practitioner | Palmetto Primary Care Physicians | 14866 Ocean Hwy, Pawleys Island, SC 29585-4801 |
| Nancy N Rubillo | Clinical Social Worker | 14323 Ocean Hwy, Suite 4111, Pawleys Island, SC 29585-4817 | |
| Martha L White | Psychologist, Clinical | 14323 Ocean Hwy 4111, Pawleys Island, SC 29585-4817 | |
| Charles Garner | General Surgery | Winyah Surgical Specialists Pa | 14490 Ocean Hwy, Pawleys Island, SC 29585-4821 |
| Anthony De Haas | Vascular Surgery | Winyah Surgical Specialists Pa | 14490 Ocean Hwy, Pawleys Island, SC 29585-4821 |
| Caroline P Ford | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 10317 Ocean Hwy, Pawleys Island, SC 29585-6520 |
| Jessica Elaine Marzolf | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 10317 Ocean Hwy, Pawleys Island, SC 29585-6520 |
| Christine N Paschal Sierra | Nurse Practitioner | Minuteclinic Diagnostic South Carolina LLC | 10317 Ocean Hwy, Pawleys Island, SC 29585-6520 |
| Rebecca Ann Turner | Nurse Practitioner | Coastal Urgent Care and Family Medicine | 201 Business Ctr Dr, Pawleys Island, SC 29585-6522 |
| Find all physicians in zip 29585 | |||
| City | PAWLEYS ISLAND |
| Zip Code | 29585 |
| Specialty | DERMATOLOGY |
| City + Specialty | PAWLEYS ISLAND + DERMATOLOGY |
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| 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.