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ANTHONY JOHN CILLUFFO MS, AT, ATC, CEIS
NPI 1629408091
Physician Assistant in Traverse City, MI

Active since November 20, 2013
2200 DENDRINOS DR, STE 102, TRAVERSE CITY, MI 49684(616) 331-5700(616) 331-5999 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Jan 20, 2022, Aug 24, 2016 (3 updates tracked since 2016).

About Anthony John Cilluffo Ms, At, Atc, Ceis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY JOHN CILLUFFO MS, AT, ATC, CEIS (NPI 1629408091) is an individual physician assistant in Traverse City, Michigan and active in the NPI registry since November 2013. He maintains 5 additional practice locations.

NPPES Registry Identity

NPI1629408091
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameANTHONY JOHN CILLUFFOCredential: MS, AT, ATC, CEIS
Location Address2200 DENDRINOS DR, STE 102Traverse City, MI 49684-8895
Mailing Address1 Campus Dr, 2015 James H. Zumberge HallAllendale, MI 49401-9403 · (616) 331-5700 · Fax (616) 331-5999
Phone(616) 331-5700
Fax(616) 331-5999
Sole ProprietorNo
Enumeration DateNovember 20, 2013
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1629408091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 2601001019 (MI)
2200 DENDRINOS DR, Traverse City, MI 49684
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1330 Chestnut StCadillac, MI 49601-1857 · Phone (231) 753-8004
Location 22700 Benzie HwyBenzonia, MI 49616-9710 · Phone (231) 753-8004
Location 39 S East Street, ATTN: Athletic TrainerBoyne City, MI 49712 · Phone (231) 753-8004
Location 45376 N Long Lake RdTraverse City, MI 49685-8217 · Phone (231) 933-7519
Location 5821 Hastings St Ste 1Traverse City, MI 49686-3467 · Phone (231) 753-8004

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRIA GABRYELLA DUBOIS PA
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700
EAN FRITCH PA
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700
KRISTEN JENAE LAPAN PA
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700
ERICA COUSINEAU
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5999
KAITLYN ELIZABETH BOETTGER
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700
MR. DAVID RICHARD BUCHANAN JR.
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 866-6037
LAUREN VANDER HILL
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 313-5700
MR. MATTHEW DAVID PURTEE PA
Physician Assistant
2200 DENDRINOS DR, SUITE 102
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Cilluffo's NPI number?

The NPI number for Anthony Cilluffo is 1629408091. It was assigned to this individual provider in the NPPES registry on November 20, 2013.

Where is Anthony Cilluffo located?

Anthony Cilluffo practices at 2200 Dendrinos Dr Ste 102, Traverse City, MI 49684. The listed phone number is (616) 331-5700.

What is Anthony Cilluffo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Anthony Cilluffo was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.