Anthony George Cerullo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

913 Issued in CO

Practice address

4386 Trail Boss Dr
Castle Rock, CO 80104-7512

Phone

(303) 688-8666

Fax

(303) 688-8260

NPI assigned

Jul 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: anthony.cerullo.1@2609.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KC Medical PC

  dba Founders Family Medical Center and Urgent Care

  • Family Medicine Physician
  • Castle Rock, CO
  • NPI 1578594727
  Medicare reassignment
• Cherry Creek Family Practice PLLC

  • Specialist
  • Denver, CO
  • NPI 1588758650
  NPD (past)
• Founders - Centura Medical Group LLC

  • Family Medicine Physician
  • Castle Rock, CO
  • NPI 1396207767
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346271210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4386 TRAIL BOSS DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "303-688-8666",
            "fax_number": "303-688-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4386 TRAIL BOSS DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "303-688-8666",
            "fax_number": "303-688-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERULLO",
        "first_name": "ANTHONY",
        "middle_name": "GEORGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailee Rae Cawthon
• Rozelle Cawthorn
• Center for Autism and Related Disorders
• Center for Plastic Surgery at Castle Rock, PC
• Center Pointe Family Medical Group LLC
• April Chamberlin, PMHNP-BC
• Barbara Rae Chandler, MT-BC, NMT
• Virginia Soojin Chang
• Zoe Chang, PA-C
• Kelli Chapman, PA-C

• Medical Physician Assistant in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.