ENRICO PETRILLO (NPI# 1629217807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629217807 |
| Entity Type | Individual |
| Full Name | ENRICO PETRILLO |
| Credential | M.D. |
| Practice Address |
Cb Health Ventures, L.L.C. 800 Boylston St . Suite 1585 Boston MA 02199 |
| Mailing Address |
12 Stafford Rd Lynnfield MA 01940-1462 |
| Practice Telephone | 6174509800 |
| Mailing Telephone | 6174509800 |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 49975 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
CB HEALTH VENTURES , L.L.C. 800 BOYLSTON ST . SUITE 1585 |
| City | BOSTON |
| State | MA |
| Zip Code | 02199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568856953 | Dental Delights PC | Dentist | 770 Boylston Street, Apt#4d, Boston, MA 02199 | 2015-03-24 |
| 1811206444 | Amy Boyce | Dietitian, Registered | 800 Boylston St., Fitcorp, Prudential Center, Boston, MA 02199 | 2010-09-30 |
| 1053465542 | Minaj Naimi | Dentist | 800 Boyston Street, Suite 200, Boston, MA 02199 | 2007-01-22 |
| 1578617163 | Michael O Toole | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-01-22 |
| 1609952555 | Laurie Kaslow | Social Worker | 56 Dimock Street, Roxbury, MA 02199 | 2006-10-31 |
| 1073088241 | And Still We Rise, LLC | Community/Behavioral Health | 800 Boylston St, Floor 16, Boston, MA 02199 | 2018-10-03 |
| 1598029084 | Brad Shattuck | Psychiatry & Neurology | 800 Boylston St., 16th Floor, Boston, MA 02199 | 2012-06-28 |
| 1518007392 | Charles M Travring | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-02-08 |
| 1790824985 | Maria E Cardenas | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-02-05 |
| 1144368507 | James H Sowles | Dentist | 800 Boylston Street, Suite 200, Boston, MA 02199 | 2007-02-01 |
| Find all providers in zip 02199 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
| 1831726595 | James Dotimas | Internal Medicine | 801 Massachusetts Ave Ste 6c, Boston, MA 02118-2605 | 2020-03-24 |
| 1487291100 | Evolvd Health | Internal Medicine | 85 Brainerd Rd Apt 108, Boston, MA 02134-4529 | 2019-12-01 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| 1699237081 | Steven Lynn St Peter | Internal Medicine | 43 Union Park Apt 2, Boston, MA 02118-3702 | 2019-04-03 |
| 1083174478 | Kevin Stirling | Internal Medicine | Shapiro Primary Care 725 Albany Street, 5b/c Precepting Room, Boston, MA 02118 | 2019-03-21 |
| 1477042737 | Theofanis Kalathas | Internal Medicine | 725 Albany Street, Shapiro 5d6, Boston, MA 02118 | 2018-05-02 |
| 1801309521 | Firefly Health | Internal Medicine | 361 Newbury St Fl 5, Boston, MA 02115-2738 | 2017-11-16 |
| 1104346527 | Jodian Amor Pinkney | Internal Medicine | 55 Fruit St # 130, Boston, MA 02114-2621 | 2017-06-27 |
| 1568982502 | Priyanka Ballal | Internal Medicine | 725 Albany Street, Shapiro 586, Boston, MA 02118-2526 | 2017-06-21 |
| Find all providers in BOSTON | ||||
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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.