NPIMap

Individual provider Active NPI

Angela Fiorillo

  • Medical Physician Assistant
  • Muskegon, MI
National Provider Identifier
1972934693
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006888 Issued in MI
Practice address
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone
(231) 672-6246
NPI assigned
Dec 5, 2013
Last updated
Dec 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601006888 MI Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140324000701 MI Practitioner - Physician Assistant 1254562994 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synanon IncGroup PAC ID 6204899172, 7 clinicians
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006888MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital Physician Assistant CurrentSince Aug 15, 2015 Accepting new patients
Iha Health Services Corporation CurrentSince Dec 1, 2023 Accepting new patients
Mercy Health Partners CurrentSince Dec 1, 2022 Accepting new patients
Iha Health Service Corporation CurrentSince Dec 1, 2023 Accepting new patients
Emergency Health Partners Muskegon Past Accepting new patients
Emergency Health Partners-Lakeshore, PLC Past Accepting new patients
Innovation Medicine, PLLC Past Accepting new patients
Mercy Health Partners Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 647-5871

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

  • Direct secure messaging: afiorillo36805@direct.trinity-health.org
  • Direct secure messaging: angela.fiorillo.1@22386.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1972934693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 VAN ZANDT RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483293260",
            "telephone_number": "248-884-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441849",
            "telephone_number": "231-672-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORILLO",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.