Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629408091 Individual Practitioner Male Practitioner

Anthony John Cilluffo , MS, AT, ATC, CEIS

Physician Assistant • Traverse City, MI

Professional Overview & Biography Verified Profile Summary

Anthony Cilluffo, MS, AT, ATC, CEIS is a registered healthcare professional specializing in Physician Assistant in Traverse City, MI. Practice services are available at 2200 DENDRINOS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2200 Dendrinos Dr
Ste 102

Traverse City, MI 496848895

Telephone 6163315700
Fax 6163315999
Associated Practice Facility / Clinic
🏢 Grand Valley State University Facility NPI 1689064610

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Traverse City, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
144 Specialists

Practicing in Traverse City, MI (7057 Statewide)

Telehealth Adoption Rate
17.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

State License MI 2601001019

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Secondary Practice Locations

330 Chestnut St

Cadillac, MI 496011857

Phone: 2317538004

2700 Benzie Hwy

Benzonia, MI 496169710

Phone: 2317538004

821 Hastings St Ste 1

Traverse City, MI 496863467

Phone: 2317538004

5376 N Long Lake Rd

Traverse City, MI 496858217

Phone: 2319337519

9 S East Street, Attn: Athletic Trainer

Boyne City, MI 49712

Phone: 2317538004

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013731124
Gurmehak Bhullar , PA-C

Physician Assistant

NPI 1033004940

Physician Assistant (Certified)

Ally Cavataio , PA-C

Physician Assistant

NPI 1053206953

Physician Assistant (Certified)

Alexandria Walz , PA

Physician Assistant

NPI 1053206961

Physician Assistant

Amelia Bock

Physician Assistant

NPI 1053260737
Alexandria Dubois , PA

Physician Assistant

NPI 1073408977

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 11, 2025

Registered at 2200 DENDRINOS DR, STE 102, TRAVERSE CITY, MI 496848895 (Tel: 6163315700)

📍
Updated Business Mailing Address June 11, 2025

Registered at 1 CAMPUS DR, 2015 JAMES H. ZUMBERGE HALL, ALLENDALE, MI 494019403 (Tel: 6163315700)

📍
Updated Practice Location January 20, 2022

Registered at 821 HASTINGS ST STE 1, TRAVERSE CITY, MI 496863467 (Tel: 2317538004)

📍
Updated Business Mailing Address January 20, 2022

Registered at 5376 N LONG LAKE RD, TRAVERSE CITY, MI 496858217 (Tel: 2319337519)

👤
Provider Name / Credentials Updated January 20, 2022

Recorded as ANTHONY CILLUFFO, MS, AT, ATC, CEIS

NPI Profile Active August 24, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2016

Registered at 109 N BIRCH ST, KALKASKA, MI 496468343 (Tel: 2312589167)

📍
Updated Business Mailing Address August 24, 2016

Registered at 109 N BIRCH ST, KALKASKA, MI 496468343 (Tel: 2312589167)

👤
Provider Name / Credentials Updated August 24, 2016

Recorded as ANTHONY CILLUFFO, BS, AT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2016

Specialist/Technologist (License #2601001019 in MI)

🟢
Initial NPI Registration & Enumeration November 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1629408091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2013
Last Update: June 11, 2025
Sole Proprietor: No

Mailing Address

1 Campus Dr, 2015 James H. Zumberge Hall

Allendale, MI 494019403

Phone: 6163315700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.