Dr. Anthony Petruso
MD | Pediatrics | Male
Dr. Anthony Petruso, MD is a Greenville, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Anthony Petruso is
300 E Mcbee Ave Fl 4, Greenville, South Carolina - 29601-2842. He can be contacted on phone at
864-522-8603.
Dr. Anthony Petruso is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Anthony Petruso is
1174847800 which was assigned by NPPES on 24 Mar, 2010 and it was last updated on 10 Feb, 2023.
Dr. Anthony Petruso license number is
87497 for Pediatrics (208000000X) in South Carolina.
Dr. Anthony Petruso is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Anthony Petruso basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Anthony Petruso |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Anthony Petruso address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
|---|
| Phone Number : | 864-522-8603 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1174847800 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 24 Mar, 2010 |
|---|
| Last Updated On : | 10 Feb, 2023 |
|---|
Medicare Participation:
Dr. Anthony Petruso participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6800013640 |
|---|
| Medicare Enrollment ID : | I20220909001270 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Ohio State University College Of Medicine |
|---|
| Graduation Year : | 2010 |
|---|
| Accepts Medicare? | May accept. Dr. Anthony Petruso may accepts medicare insurance. |
|---|
Group Practice Association:
Dr. Anthony Petruso is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Anthony Petruso is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Prisma Health Urgent Care Of South Carolina Pc | 1254703788 | 37 | 1305 S Suber Rd
Greer, SC - 296500944
Ph: 8649894609 | May accept |
| Prisma Health University Medical Group | 8325950983 | 2133 | 1809 Wade Hampton Blvd
Suite 120
Greenville, SC - 296094050
Ph: 8645225000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Anthony Petruso are as mentioned. Primary taxonomy code for Dr. Anthony Petruso, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 266779 | NY |
| 208000000X | Pediatrics | Yes | 87497 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Anthony Petruso such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 03887198 | MEDICAID | NY | |
| 874977 | MEDICAID | SC | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
224 ALEXANDER ST STE 4000,
ROCHESTER, NY, 14607-4000
United States | ROCHESTER, NY | 585-922-8070 |
1809 WADE HAMPTON BLVD STE 120,
GREENVILLE, SC, 29609-4050
United States | GREENVILLE, SC | 864-522-5000 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 E Stone Ave
Greenville, SC, 29609-5619
United States |
|---|
| Phone Number : | 864-522-6500 |
|---|
| Fax Number : | 864-522-6505 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Anthony Petruso practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.