MR. CHARLES ANTHONY PILGRIM (NPI# 1235361734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235361734 |
| Entity Type | Individual |
| Full Name | MR. CHARLES ANTHONY PILGRIM |
| Practice Address |
1338 Greencliff Dr Southaven MS 38671-5950 |
| Practice Telephone | 9016527687 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437407574 | Charles Hc Pilgrim | Surgery | 9200 W Wisconsin Ave, Surgical Oncology, Milwaukee, WI 53226-3522 | 2012-08-21 |
| Street Address |
1338 GREENCLIFF DR |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-5950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932331451 | Jenny Farrenkopf | Specialist/Technologist, Other | 1338 Greencliff Dr, Southaven, MS 38671-5950 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932331451 | Jenny Farrenkopf | Specialist/Technologist, Other | 1338 Greencliff Dr, Southaven, MS 38671-5950 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178954 | Melissa Ann Ranson | Specialist/Technologist, Other | 14200 Deneen Rd, Vancleave, MS 39565-6704 | 2020-03-04 |
| 1093376998 | Latrice R Spivey | Specialist/Technologist, Other | 9444 Mclemore Cv, Walls, MS 38680-9782 | 2019-06-22 |
| 1700440732 | Cessalee Nell Williams | Specialist/Technologist, Other | 1905 E Mchenry Rd, Perkinston, MS 39573-3453 | 2019-04-25 |
| 1164999009 | James Roy Sanderson | Specialist/Technologist, Other | 223 Myrtle St W, Philadelphia, MS 39350-3037 | 2018-10-29 |
| 1932682879 | Nathan Ladner | Specialist/Technologist, Other | 24816 Saucier Advance Rd, Saucier, MS 39574-8164 | 2018-09-06 |
| 1497233324 | Kimberly S Evans | Specialist/Technologist, Other | 7016 Oak Cove Dr, Biloxi, MS 39532-5013 | 2018-08-02 |
| 1740719491 | Lindsay Runnels | Specialist/Technologist, Other | 1000 Highland Colony Pkwy Ste 27202, Ridgeland, MS 39157-2073 | 2017-06-07 |
| 1396289203 | Keneen Childress | Specialist/Technologist, Other | 12035 Springridge Rd, Terry, MS 39170-8105 | 2016-12-12 |
| 1013382910 | April Jones | Specialist/Technologist, Other | 11117 Johns Bayou Rd, Vancleave, MS 39565-8857 | 2015-12-03 |
| 1093102394 | Destini Jones | Specialist/Technologist, Other | 1151 Old Highway 26, Perkinston, MS 39573-5844 | 2015-04-24 |
| Find all providers with the same taxonomy | ||||
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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.