EDMUND STEPHEN PETRILLI, M.D., P.C. – NPI #1407037500
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

EDMUND STEPHEN PETRILLI, M.D., P.C. is a provider located in MANASSAS, VA. NPPES has assigned the NPI number 1407037500 to EDMUND STEPHEN PETRILLI, M.D., P.C. on November 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 19 years ago on Nov 19, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EDMUND STEPHEN PETRILLI, M.D., P.C. below.

NPI Profile for
EDMUND STEPHEN PETRILLI, M.D., P.C.

NPI Number
1407037500
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EDMUND STEPHEN PETRILLI, M.D., P.C.
Primary location
8650 SUDLEY RD
SUITE 200
MANASSAS, VA 20110-4419
Phone: (703) 392-5157 Fax: (703) 392-1347
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDMUND PETRILLI
PRESIDENT
Phone: (703) 830-8403
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)
VA 0101022700
207VG0400X
- Obstetrics & Gynecology / Gynecology
VA 0101022700

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.