DR. GREGORY R. ROSELLINI (NPI# 1942224092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942224092 |
| Entity Type | Individual |
| Full Name | DR. GREGORY R. ROSELLINI |
| Credential | M.D. |
| Practice Address |
9041 Bridgewater Ct Elk Grove CA 95624-3132 |
| Practice Telephone | 9167143280 |
| Practice Fax Number | 9167143280 |
| Mailing Telephone | 9167143280 |
| Mailing Fax Number | 9167143280 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A061075 | CA | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
A61075 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA MEDICAL LICESE | A61075 | 01 |
| Street Address |
9041 BRIDGEWATER CT |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95624-3132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194363721 | Sanam Adela Baidar | Behavior Technician | 9170 Dino Dr, Ste 170, Elk Grove, CA 95624 | 2019-12-13 |
| 1134686041 | Hannah Marie Hamm | Behavior Technician | 9701 Dino Drive, Suite 170, Elk Grove, CA 95624 | 2019-02-27 |
| 1538624259 | Amnah Sattar | Assistant Behavior Analyst | 9701 Dino Dr, Elk Grove, CA 95624 | 2019-02-06 |
| 1740793470 | Sheena Maharaj | Marriage & Family Therapist | 9008 Elk Grove Blvd Ste 11, Elk Grove, CA 95624 | 2017-11-16 |
| 1598285595 | Jessica Russo | Behavior Technician | 8672 Cycladic Ct, Elk Grove, CA 95624 | 2017-06-21 |
| 1982137568 | Jamie Kofoed | Behavioral Analyst | 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624 | 2017-04-10 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1447635529 | David Johnson | Student in an Organized Health Care Education/Training Program | 9666 Kent St, Elk Grove, CA 95624 | 2015-07-30 |
| 1760862437 | Harpreet Singh | Student in an Organized Health Care Education/Training Program | 8617 Orison Ct, Elk Grove, CA 95624 | 2015-06-08 |
| 1942698253 | Noah Shapiro | Social Worker | 9140 Bradshaw Rd, Elf Grove, CA 95624 | 2015-01-08 |
| Find all providers in zip 95624 | ||||
| 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 |
|---|---|---|---|---|
| 1851557722 | Gerry M. Vander Velde | Emergency Medicine | 9630 Bruceville Rd, Ste 106-186, Elk Grove, CA 95757-5512 | 2008-07-31 |
| 1619085586 | Quinn Li | Emergency Medicine | 9045 Bruceville Rd Ste 100, Elk Grove, CA 95758-5950 | 2006-08-29 |
| 1306804554 | Samantha Spencer | Emergency Medicine | 800 Bisterfield Road, Alexian Brothers Medical Center, Elk Grove, IL 60007 | 2006-05-03 |
| 1841271814 | Allen I Lin | Emergency Medicine | 2912 Buckminster Drive, Elk Grove, CA 95758-7625 | 2005-11-08 |
| 1932107646 | Michael Patrick Sotak | Emergency Medicine | 8170 Laguna Blvd, Suite 114, Elk Grove, CA 95758-7902 | 2005-07-07 |
| 1093763666 | John M Ortinau | Emergency Medicine | 800 Bisterfield Rd, Alexian Brothers Medical Center, Elk Grove, IL 60007 | 2006-05-05 |
| 1518915065 | Mark J Gordon | Emergency Medicine | 800 Bisterfield Road, Alexian Brothers Medical Center, Elk Grove, IL 60007 | 2006-05-05 |
| 1770531147 | Tighe M Zimmers | Emergency Medicine | 800 Bisterfield Rd, Alexian Brothers Medical Center, Elk Grove, IL 60007 | 2006-05-05 |
| 1073597142 | Vera Helena Masutti | Emergency Medicine | 800 Biesterfield Rd, Alexian Brothers Medical Center, Elk Grove, IL 60007 | 2005-12-02 |
| 1578556841 | Mea Elk Grove LLC | Emergency Medicine | 800 Biesterfield Rd, Alexian Brothers Medical Center, Elk Grove, IL 60007 | 2005-08-23 |
| Find all providers in ELK GROVE | ||||
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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.