Anthony John Cilluffo, MS, AT, ATC, CEIS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2200 Dendrinos Dr
Ste 102
Traverse City, MI 49684-8895

Phone

(616) 331-5700

Fax

(616) 331-5999

NPI assigned

Nov 20, 2013

Last updated

Jun 11, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1629408091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAMPUS DR",
            "address_2": "2015 JAMES H. ZUMBERGE HALL",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019403",
            "telephone_number": "616-331-5700",
            "fax_number": "616-331-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 DENDRINOS DR",
            "address_2": "STE 102",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848895",
            "telephone_number": "616-331-5700",
            "fax_number": "616-331-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Benzie Hwy",
            "address_purpose": "LOCATION",
            "city": "Benzonia",
            "state": "MI",
            "postal_code": "496169710",
            "country_code": "US",
            "telephone_number": "231-753-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5376 N Long Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496858217",
            "country_code": "US",
            "telephone_number": "231-933-7519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "821 Hastings St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496863467",
            "country_code": "US",
            "telephone_number": "231-753-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 S East Street",
            "address_2": "ATTN: Athletic Trainer",
            "address_purpose": "LOCATION",
            "city": "Boyne City",
            "state": "MI",
            "postal_code": "49712",
            "country_code": "US",
            "telephone_number": "231-753-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496011857",
            "country_code": "US",
            "telephone_number": "231-753-8004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CILLUFFO",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "credential": "MS, AT, ATC, CEIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-20",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001019",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Robert Chuinard, M.D.
• David Church
• William Ruggles Church, MD
• Rachel Ciarkowski, PT, DPT
• Teresa Cieslinski, LMSW
• John Marino Cilluffo, MD
• Macrina Ann Cipa
• City of Traverse City
• Kathryn A Cizek, O.D.
• Tyler Clack, CRNA

• Physician Assistant in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.