DONATO J BORRILLO (NPI# 1104822170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104822170 |
| Entity Type | Individual |
| Full Name | DONATO J BORRILLO |
| Credential | M.D. |
| Practice Address |
615 Johnnie Dodds Blvd Ste 102 Mount Pleasant SC 29464-3082 |
| Mailing Address |
11100 Airport Hwy Swanton OH 43558-9374 |
| Practice Telephone | 8439366451 |
| Practice Fax Number | 8439366451 |
| Mailing Telephone | 4194665512 |
| Mailing Fax Number | 4197107035 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 40559 | SC | Allopathic & Osteopathic Physicians |
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
35062153 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO RAILROAD MEDICARE | 840000277 | 01 |
| OH | ANTHEM COMMERICAL | 000000212144 | 01 |
| OH | ANTHEM MEDICAID | 000000212144 | 01 |
| MI | MI MEDICAID | 0847454 | 01 |
| OH | 0847454 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 606 Jacqueline Ct, Holland, OH 435288491 | 4194665512 | 4197103075 |
| Street Address |
615 JOHNNIE DODDS BLVD STE 102 |
| City | MOUNT PLEASANT |
| State | SC |
| Zip Code | 29464-3082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285287516 | Stephanie R Donovan | Nurse Practitioner | 615 Johnnie Dodds Blvd Ste 102, Mount Pleasant, SC 29464-3082 | 2019-07-16 |
| 1336699917 | Low Country Male LLC | Preventive Medicine | 615 Johnnie Dodds Blvd Ste 102, Mount Pleasant, SC 29464-3082 | 2016-10-07 |
| 1326034729 | Michael Bauerschmidt | Emergency Medicine | 615 Johnnie Dodds Blvd Ste 102, Mount Pleasant, SC 29464-3082 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811548241 | Bradley Paul Anuszkiewicz | Chiropractor | 1501 Johnnie Dodds Blvd, Suite C, Mount Pleasant, SC 29464 | 2019-09-26 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1912461807 | Independent Optical | Optometrist | 1710 Shoremead Rd, Suite 420, Mount Pleasant, SC 29464 | 2019-01-25 |
| 1417446204 | Michael Adam Sugarman | Clinical Neuropsychologist | 1459 Stuart Engals Blvd Ste 204a, Mt Pleasant, SC 29464 | 2018-05-07 |
| 1578064192 | Ancillary Specialists LLC | Durable Medical Equipment & Medical Supplies | 636 Long Point Road, Unit G, #19, Mount Pleasant, SC 29464 | 2018-02-28 |
| 1346769015 | Christin Solomon Zerega | Counselor | Lowcountry Psychiatry Group, 913 Bowman Rd, #4, Mount Pleasant, SC 29464 | 2017-09-14 |
| 1336660315 | Charleston Neuropsychology LLC | Psychologist | 1459 Stuart Engals Blvd., Suite 204a, Mount Pleasant, SC 29464 | 2017-06-29 |
| 1790219970 | Adam Hudepohl | Family Medicine | 1400 Ben Sawyer Blvd, Mt Pleasant, SC 29464 | 2017-04-14 |
| 1386181204 | Alicia Taylor | Speech-Language Pathologist | 381 Stonewall Ct Apt 6207, Mount Pleasant, SC 29464 | 2017-01-30 |
| 1285181941 | Tara Lynn Mast | Physical Therapist | 1400 Caliper Oak Circle, Apt 316, Mount Pleasant, SC 29464 | 2016-09-09 |
| Find all providers in zip 29464 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629055298 | Bryan J Funke | Preventive Medicine | 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152-5100 | 2005-12-27 |
| 1386034627 | Paul Mitchell Bell | Preventive Medicine | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2015-01-26 |
| 1437594363 | Brian C Wolf | Preventive Medicine | 411 Meadowlark St, Shaw Afb, SC 29152 | 2013-05-06 |
| 1316231285 | Scott Aaron Cygan | Preventive Medicine | 2660 Reidville Rd Unit 1, Spartanburg, SC 29301-3512 | 2011-06-07 |
| 1376503516 | James Edwin Boyd | Preventive Medicine | 204 W Hill Blvd, Charleston Afb, SC 29404-4704 | 2006-03-23 |
| 1679559132 | Mark Nicholas Flanagan | Preventive Medicine | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2005-12-16 |
| City | MOUNT PLEASANT |
| Zip Code | 29464 |
Please comment or provide details below to improve the information on DONATO J BORRILLO.
| 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.