Angela Fiorillo
Individual provider Active NPI Medical Physician Assistant · Muskegon, MI
NPI 1972934693 · NPPES record last updated Dec 5, 2013
Key facts
- NPI
- 1972934693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5601006888 (MI)
- Practice address
- 1500 E Sherman Blvd
Muskegon, MI 49444-1849 - Phone
- (231) 672-6246
- NPI assigned
- Dec 5, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Synanon Inc
Iha Health Services Corporation
Practice addresses (Care Compare)
1091 S Beacon Blvd
Grand Haven, MI 49417-2607
Phone (616) 842-3600
1670 E Sherman Blvd
Suite 100
Muskegon, MI 49444-1863
Phone (231) 672-3600
2006 Holton Rd
Suite 500
Muskegon, MI 49445-1505
Phone (231) 370-1280
2305 Genoa Bus Park Dr
Brighton, MI 48114-7005
Hospital & facility affiliations
- Trinity Health Grand Haven Hospital
- Trinity Health Muskegon Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140324000701 | MI | Practitioner - Physician Assistant | 1254562994 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601006888 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Methodist Hospital | Physician Assistant | Current |
Accepting new patients |
| Iha Health Services Corporation | Current |
Accepting new patients | |
| Mercy Health Partners | Current |
Accepting new patients | |
| Iha Health Service Corporation | Current |
Accepting new patients | |
| Innovation Medicine, PLLC | Past | Accepting new patients | |
| Emergency Health Partners-Lakeshore, PLC | Past | Accepting new patients | |
| Emergency Health Partners Muskegon | Past | Accepting new patients | |
| Mercy Health Partners | Past | Accepting new patients |
Locations
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
6220 W Main St
Kalamazoo, MI 49009
Phone (269) 276-4744
Interoperability endpoints
- afiorillo36805@direct.trinity-health.org
- angela.fiorillo.1@22386.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601006888 | MI | Yes |
Addresses
Primary practice location
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Mailing address
3320 Van Zandt Rd
Waterford, MI 48329-3260
Phone (248) 884-2975
Other providers in Muskegon, MI
- Karl Feuerstein
- Bianca Fields
- Clarissa Marie Fields
- Christian Figueroa-Johnson
- Shawna Nikole Finos
- Jessica Lee Firestone
- Jacob Fischer
- Joshua Logan Fischer
- Michael John Fischer
- Kersten Delynn Fisher
All providers in Muskegon, MI · Medical Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.