JOEL CRAWFORD (NPI# 1760882401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760882401 |
| Entity Type | Individual |
| Full Name | JOEL CRAWFORD |
| Credential | M.D. |
| Practice Address |
3 Medical Plaza Dr Ste 130 Roseville CA 95661-3088 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 9167338750 |
| Enumeration Date | 2014-08-31 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD463921 | PA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 25MA10302700 | NJ | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 287637 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A169661 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Lyons Ave # Nbimce-3, Newark, NJ 07112 | 9739267528 | |
| 23 S Howell Ave Ste G, Centereach, NY 117204445 | 6314441279 |
| Street Address |
3 MEDICAL PLAZA DR STE 130 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-3088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366424095 | Thomas Michael Polidore | Surgery | 3 Medical Plaza Dr Ste 130, Roseville, CA 95661-3088 | 2005-11-17 |
| 1114341732 | Shumaila Syed | Surgery | 3 Medical Plaza Dr Ste 130, Roseville, CA 95661 | 2014-02-18 |
| 1033346465 | Sterling Humphrey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3 Medical Plaza Dr Ste 130, Roseville, CA 95661-3088 | 2009-06-11 |
| 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 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295223998 | Limb Preservation Group, Pllc | Surgery | 25990 Kelly Rd, Roseville, MI 48066-4483 | 2018-04-27 |
| 1457785065 | Samantha N Stradleigh | Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2013-08-30 |
| 1457513442 | Radiological Associates of Sacramento Medical Group | Surgery | 5 Medical Plaza Dr, 180, Roseville, CA 95661-2865 | 2008-06-30 |
| 1205093176 | Dmitri V Gelfand | Surgery | 3 Medical Plaza Dr, #130, Roseville, CA 95661-3087 | 2008-05-19 |
| 1497805204 | Reid A. Towery | Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2007-01-12 |
| 1861570590 | Lee O. Halvorsen | Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1578641247 | Richard M. Florio | Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1669550398 | Addison Lee Mcmurtry | Surgery | 1600 Eureka Rd, Roseville, CA 95661-3027 | 2006-11-01 |
| 1982788980 | Francisco J. Rodriguez Md PC | Surgery | 25710 Kelly Rd, Suite 2, Roseville, MI 48066-4959 | 2006-10-25 |
| 1689757049 | Jung J Lim | Surgery | 5 Medical Plaza Drive, Suite 200, Roseville, CA 95661-2867 | 2006-10-21 |
| Find all providers in ROSEVILLE | ||||
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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.