MEDICARE: ANTHONY GEORGE CERULLO PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	913	CO

General Provider Information

NPI Number	:	1346271210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY GEORGE CERULLO PA-C

Provider Business Mailing Address
First Line	:	4386 TRAIL BOSS DR
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-7512
Country	:	US
Telephone Number	:	303-688-8666
Fax Number	:	303-688-8260

Provider Business Practice Location Address
First Line	:	4386 TRAIL BOSS DR
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80104-7512
Country	:	US
Telephone Number	:	303-688-8666
Fax Number	:	303-688-8260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1861474751 — DR. DORIS ANDREA KLEINERT M.D.
Practice Location Address:

4386 TRAIL BOSS DR
CASTLE ROCK, CO
80104-7512

Practice Phone: 303-688-8666
Practice Fax: 303-688-8260

1053373415 — DR. JOHN THOMAS CAMPBELL II M.D.
Practice Location Address:

4386 TRAIL BOSS DR , SUITE A
CASTLE ROCK, CO
80104-7512

Practice Phone: 303-688-8666
Practice Fax: 303-688-8260

1689624348 — DR. DEREK SCOTT VAUGHN D.C.
Practice Location Address:

4284 TRAIL BOSS DR , SUITE 120
CASTLE ROCK, CO
80104-7512

Practice Phone: 303-688-0454
Practice Fax: 303-688-9998

1225089980 — CHRISTINE B WALDEN MD
Practice Location Address:

4318 TRAIL BOSS DR , SUITE 100
CASTLE ROCK, CO
80104-7512

Practice Phone: 303-338-4545
Practice Fax:

1801840319 — OPTIMAL HEALTH CHIROPRACTIC INC.
Practice Location Address:

4284 TRAIL BOSS DR , SUITE 120
CASTLE ROCK, CO
80104-7512

Practice Phone: 303-688-0454
Practice Fax: 303-688-9998

1467492090 — DR. DEBORAH LYNN FROMM MD
Practice Location Address:

4318 TRAIL BOSS DR , SUITE 100
CASTLE ROCK, CO
80104-7512

Practice Phone: 303-338-4545
Practice Fax:

Directions to “ ANTHONY GEORGE CERULLO PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.