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Contact Information

MICHAEL S CICCHILLO, MD
3 RICHLAND MEDICAL PARK DR STE 3320
COLUMBIA, SC29203-6849
 Phone: 803-434-7100
 Fax: 803-434-6889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for MICHAEL S CICCHILLO · (Male)

NPI # 1922033901
Status Active
Credentials MD
Entity Individual
Enumeration date 07/11/2006
Last updated 12/19/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • OH License # 35093033
  • SC License # 29174
Hospital affiliation(s)
  • ST ELIZABETH BOARDMAN HEALTH CENTER - (Acute Care)
    8401 MARKET STREET
    BOARDMAN, OH 44512
  • ST ELIZABETH HEALTH CENTER - (Acute Care)
    1044 BELMONT AVENUE
    YOUNGSTOWN, OH 44501
  • SURGICAL HOSPITAL AT SOUTHWOODS - (Acute Care)
    7630 SOUTHERN BLVD
    YOUNGSTOWN, OH 44512
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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