ASHLEY JOEL PILGRIM (NPI# 1902169071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902169071 |
| Entity Type | Individual |
| Full Name | ASHLEY JOEL PILGRIM |
| Credential | M.D. |
| Practice Address |
1 Medical Plaza Dr Roseville CA 95661-3037 |
| Practice Telephone | 9167811800 |
| Practice Fax Number | 9167811802 |
| Mailing Telephone | 9167811800 |
| Mailing Fax Number | 9167811802 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2016-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A127027 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 MEDICAL PLAZA DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578560389 | Angela Bell | Emergency Medicine | 1 Medical Plaza Dr, Department of Emergency Medicine, Roseville, CA 95661-3037 | 2005-07-07 |
| 1942814744 | Steven Michael Decristofaro | Counselor | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-08-31 |
| 1083228886 | Dawn K Krakover | Counselor | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-08-31 |
| 1659900579 | Lacy Danielle Couchot | Nurse's Aide | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-04-02 |
| 1326670571 | Veronica Marie Kennedy | Marriage & Family Therapist | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2020-02-05 |
| 1417595760 | William Murray | Physician Assistant | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-12-17 |
| 1649813015 | Jennifer Eloise Amaro | Social Worker | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-10-17 |
| 1851959720 | Kyi Zin M.d.,inc. | Internal Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-06-04 |
| 1730613951 | Benjamin Palmer | Internal Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2017-04-13 |
| 1467812800 | Mitchell Morta | Nurse Practitioner | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2016-02-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346537867 | Michael Sean Morrissey | Emergency Medicine | 1298 Antelope Creek Dr, Unit 622, Roseville, CA 95678-3607 | 2011-07-05 |
| 1518120591 | Kara Lynn Tomlinson | Emergency Medicine | 221 Mccarrons St, Roseville, MN 55113-6922 | 2008-07-09 |
| 1518007418 | Norman Label | Emergency Medicine | 3300 Douglas Blvd Ste 200, Roseville, CA 95661-3845 | 2007-02-08 |
| 1043298854 | Alexandra E Straight | Emergency Medicine | 2085 Rice St, Roseville, MN 55113-6807 | 2006-01-03 |
| 1578560389 | Angela Bell | Emergency Medicine | 1 Medical Plaza Dr, Department of Emergency Medicine, Roseville, CA 95661-3037 | 2005-07-07 |
| 1164803151 | Zinmar Ma | Emergency Medicine | 700 Sunrise Ave, Roseville, CA 95661-4561 | 2015-06-15 |
| 1013396118 | John Paul Youssry Kelada | Emergency Medicine | 680 Sunrise Ave, Roseville, CA 95661 | 2015-05-21 |
| 1215346382 | Terrence Horan | Emergency Medicine | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2014-08-04 |
| 1700204575 | Brett Trullender | Emergency Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2014-03-30 |
| 1578851655 | Shelena Dawn Laws | Emergency Medicine | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2011-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.