| Emory Medical Care Foundation Inc | |
|
80 Jesse Hill Jr Drive, Emcf, Atlanta, GA 30303 | |
| (404) 778-7717 | |
| Not Available |
| Full Name | Emory Medical Care Foundation Inc |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 80 Jesse Hill Jr Drive, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063452381 | NPI | - | NPPES |
| Provider Name | Sepehr Panah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144297326 PECOS PAC ID: 5193638484 Enrollment ID: I20031112000217 |
| Provider Name | Gail L Peters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588631774 PECOS PAC ID: 5799681284 Enrollment ID: I20031208000193 |
| Provider Name | Craig M Spector |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033148416 PECOS PAC ID: 6103722525 Enrollment ID: I20031208000846 |
| Provider Name | Khusrow A Niazi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215949961 PECOS PAC ID: 7214836311 Enrollment ID: I20040107000911 |
| Provider Name | Gretchen Diaz-lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447304316 PECOS PAC ID: 3476453770 Enrollment ID: I20040112000389 |
| Provider Name | Monica B Umpierrez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730167925 PECOS PAC ID: 6800799107 Enrollment ID: I20040202000368 |
| Provider Name | Felicia Caren Goldstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508961459 PECOS PAC ID: 9436045556 Enrollment ID: I20040226001101 |
| Provider Name | Emily Lynn Hirsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588688675 PECOS PAC ID: 5294622981 Enrollment ID: I20040227000847 |
| Provider Name | Mahsheed Khajavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114945979 PECOS PAC ID: 2769370873 Enrollment ID: I20040310000027 |
| Provider Name | Keith D Herr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306865969 PECOS PAC ID: 3678463718 Enrollment ID: I20040319001182 |
| Provider Name | Dong M Shin |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740398395 PECOS PAC ID: 8820980428 Enrollment ID: I20040329000158 |
| Provider Name | Francis E Levert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871553487 PECOS PAC ID: 0941292031 Enrollment ID: I20040331000011 |
| Provider Name | Steven M Roser |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1235143389 PECOS PAC ID: 3870586480 Enrollment ID: I20040407001164 |
| Provider Name | Allen L Dollar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720040918 PECOS PAC ID: 1355338831 Enrollment ID: I20040427001141 |
| Provider Name | Monica U Rizzo |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1114949237 PECOS PAC ID: 1759378680 Enrollment ID: I20040430000510 |
| Provider Name | James V Little |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710935614 PECOS PAC ID: 8426046020 Enrollment ID: I20040503001485 |
| Provider Name | Gabriela M Oprea |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356399265 PECOS PAC ID: 7214927946 Enrollment ID: I20040514000850 |
| Provider Name | Marina B Mosunjac |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487602397 PECOS PAC ID: 3375534894 Enrollment ID: I20040521001064 |
| Provider Name | Timothy S Hanes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804301 PECOS PAC ID: 5395726111 Enrollment ID: I20040527000608 |
| Provider Name | Mario Mosunjac |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558319467 PECOS PAC ID: 8921080177 Enrollment ID: I20040602001148 |
| Provider Name | Gary Joseph Rzeznik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942239058 PECOS PAC ID: 2163405200 Enrollment ID: I20040610000520 |
| Provider Name | Ruth M O'regan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215981238 PECOS PAC ID: 0648254136 Enrollment ID: I20040614000960 |
| Provider Name | James G Greene |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346351533 PECOS PAC ID: 6709863954 Enrollment ID: I20040706000674 |
| Provider Name | John J Doran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1003826942 PECOS PAC ID: 1850379611 Enrollment ID: I20040709000245 |
| Provider Name | Jiong Yan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992741938 PECOS PAC ID: 0648259283 Enrollment ID: I20040716000468 |
| Provider Name | Christopher J Dente |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033291539 PECOS PAC ID: 1951372465 Enrollment ID: I20040805001098 |
| Provider Name | Brooks L Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114931201 PECOS PAC ID: 4486627007 Enrollment ID: I20040812001449 |
| Provider Name | Israel B Orija |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790780278 PECOS PAC ID: 9830163922 Enrollment ID: I20040824000893 |
| Provider Name | Joshua N Wallenstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295758167 PECOS PAC ID: 9931173846 Enrollment ID: I20040825000448 |
| Provider Name | Joan E Cain |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043495732 PECOS PAC ID: 7618942442 Enrollment ID: I20040826000583 |
| Provider Name | Taylor B Harrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447358767 PECOS PAC ID: 8123093952 Enrollment ID: I20040826000608 |
| Provider Name | Max A Shapiro |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770768780 PECOS PAC ID: 7810962412 Enrollment ID: I20040827000501 |
| Provider Name | Robin E Rutherford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598777377 PECOS PAC ID: 8426024621 Enrollment ID: I20040909000010 |
| Provider Name | Denise J Jamieson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851445274 PECOS PAC ID: 5991772592 Enrollment ID: I20040914000136 |
| Provider Name | Margaret E Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093774424 PECOS PAC ID: 9931176450 Enrollment ID: I20040914000964 |
| Provider Name | Denise Claxton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881779056 PECOS PAC ID: 2567439698 Enrollment ID: I20040916000660 |
| Provider Name | Haimanot Wasse |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1760412563 PECOS PAC ID: 7517853567 Enrollment ID: I20040917000677 |
| Provider Name | James T Someren |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982614905 PECOS PAC ID: 2769450329 Enrollment ID: I20040921000993 |
| Provider Name | Ricardo Martinez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285648493 PECOS PAC ID: 4981663747 Enrollment ID: I20041007000132 |
| Provider Name | David M Schuster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265497176 PECOS PAC ID: 6002875671 Enrollment ID: I20041008000267 |
| Provider Name | Linton W Eberhardt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386618130 PECOS PAC ID: 6103894845 Enrollment ID: I20041008000529 |
| Provider Name | Oluwayemisi O Ibraheem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649296039 PECOS PAC ID: 9234199373 Enrollment ID: I20041013001074 |
| Provider Name | Claudia M Testa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245265461 PECOS PAC ID: 0042270761 Enrollment ID: I20041015000820 |
| Provider Name | Antonio Guasch |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508876509 PECOS PAC ID: 8224099783 Enrollment ID: I20041019001048 |
| Provider Name | Carlos E Franco Paredes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770595977 PECOS PAC ID: 9739141383 Enrollment ID: I20041027000522 |
| Provider Name | Michael D Clark |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528028925 PECOS PAC ID: 7214990951 Enrollment ID: I20041104000503 |
| Provider Name | Jose Navarrete |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952312837 PECOS PAC ID: 9032176615 Enrollment ID: I20041215000498 |
| Provider Name | Satyanarayan K Reddy |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1831192236 PECOS PAC ID: 2668430315 Enrollment ID: I20041229000005 |
| Provider Name | Amy Wyrzykowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841360625 PECOS PAC ID: 1355399981 Enrollment ID: I20050110000947 |
| Provider Name | Sagar Lonial |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487762118 PECOS PAC ID: 3173571551 Enrollment ID: I20050112000544 |
| Provider Name | Amelia A Langston |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1346357019 PECOS PAC ID: 5698723088 Enrollment ID: I20050112000576 |
| Provider Name | George B Hubbard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740397520 PECOS PAC ID: 4789634528 Enrollment ID: I20050128000506 |
| Provider Name | William C Small |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700842473 PECOS PAC ID: 4082666243 Enrollment ID: I20050216000001 |
| Provider Name | William E Torres |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376578542 PECOS PAC ID: 2264484427 Enrollment ID: I20050216000007 |
| Provider Name | Stefan Tigges |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922033745 PECOS PAC ID: 0042262073 Enrollment ID: I20050217000453 |
| Provider Name | Lisa B Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720184831 PECOS PAC ID: 8426003187 Enrollment ID: I20050315000754 |
| Provider Name | Stewart A Factor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942316815 PECOS PAC ID: 4284689902 Enrollment ID: I20050316000040 |
| Provider Name | Brandon Kang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871561803 PECOS PAC ID: 1254386568 Enrollment ID: I20050321000233 |
| Provider Name | Arun R Krishnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568403210 PECOS PAC ID: 7315992443 Enrollment ID: I20050322000274 |
| Provider Name | Jeffrey D Schultz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003920794 PECOS PAC ID: 4183662596 Enrollment ID: I20050418000440 |
| Provider Name | Ethan Michael Meisel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013029511 PECOS PAC ID: 3375582653 Enrollment ID: I20050426001309 |
| Provider Name | Chad Ashley Holder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912920653 PECOS PAC ID: 8224077938 Enrollment ID: I20050502000491 |
| Provider Name | Joyce T Lee |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1033153671 PECOS PAC ID: 0345289963 Enrollment ID: I20050503000200 |
| Provider Name | Terri R Pruitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154345700 PECOS PAC ID: 3072553783 Enrollment ID: I20050511000781 |
| Provider Name | Melissa H White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013927938 PECOS PAC ID: 2961444260 Enrollment ID: I20050526000533 |
| Provider Name | Lisa R Mack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235153990 PECOS PAC ID: 7719929884 Enrollment ID: I20050531000123 |
| Provider Name | David C Ziemer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700834330 PECOS PAC ID: 1456393321 Enrollment ID: I20050601000866 |
| Provider Name | Adam Klein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679527519 PECOS PAC ID: 1355315250 Enrollment ID: I20050614000603 |
| Provider Name | Christine Luise Kempton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1699882431 PECOS PAC ID: 2668449521 Enrollment ID: I20050623000930 |
| Provider Name | Michael K Lindsay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609809581 PECOS PAC ID: 9739124975 Enrollment ID: I20050628000275 |
| Provider Name | Michael K Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386633238 PECOS PAC ID: 5395781579 Enrollment ID: I20050629000090 |
| Provider Name | Jane E Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497792154 PECOS PAC ID: 9931145794 Enrollment ID: I20050701000090 |
| Provider Name | Omar M Lattouf |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1730278490 PECOS PAC ID: 5597792838 Enrollment ID: I20050719000673 |
| Provider Name | Michelle D Reid |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821180811 PECOS PAC ID: 1850328097 Enrollment ID: I20050720000203 |
| Provider Name | Dawn D Smiley-byrd |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134238827 PECOS PAC ID: 9931136959 Enrollment ID: I20050721000423 |
| Provider Name | Mark Mullins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437107109 PECOS PAC ID: 3375570393 Enrollment ID: I20050721000438 |
| Provider Name | Nirmala Natarajan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225050297 PECOS PAC ID: 2264469287 Enrollment ID: I20050721000464 |
| Provider Name | Gregory S Martin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639180995 PECOS PAC ID: 9537196050 Enrollment ID: I20050726000672 |
| Provider Name | Kathleen T Odonnell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952346207 PECOS PAC ID: 9133156862 Enrollment ID: I20050727000592 |
| Provider Name | Mark Rosing |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336113687 PECOS PAC ID: 6002882735 Enrollment ID: I20050801000535 |
| Provider Name | David L Jaye |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932167202 PECOS PAC ID: 4981632601 Enrollment ID: I20050802001347 |
| Provider Name | Salathiel Kendrick-allwood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679552798 PECOS PAC ID: 1658260609 Enrollment ID: I20050805000388 |
| Provider Name | Keith A Delman |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1124030390 PECOS PAC ID: 2062314966 Enrollment ID: I20050826000343 |
| Provider Name | Nancy Rampell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417057621 PECOS PAC ID: 5799672556 Enrollment ID: I20050909000658 |
| Provider Name | Habib Samady |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043287832 PECOS PAC ID: 2860471877 Enrollment ID: I20050920000567 |
| Provider Name | Mark A Chastain |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1790756138 PECOS PAC ID: 6305870353 Enrollment ID: I20050920000784 |
| Provider Name | Christine D Esper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225044050 PECOS PAC ID: 1456385772 Enrollment ID: I20050926000294 |
| Provider Name | Elizabeth M Burns |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1972569853 PECOS PAC ID: 2062447964 Enrollment ID: I20050929000312 |
| Provider Name | Gregory J Cox |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306803796 PECOS PAC ID: 1254366156 Enrollment ID: I20050930000326 |
| Provider Name | Viraj Master |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982632089 PECOS PAC ID: 0749215374 Enrollment ID: I20051003000043 |
| Provider Name | Justin-barry J Jerome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891785077 PECOS PAC ID: 0749215044 Enrollment ID: I20051005000333 |
| Provider Name | Mary K Rhee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205844990 PECOS PAC ID: 0840215091 Enrollment ID: I20051007000068 |
| Provider Name | Sheryl G Gabram |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1376567339 PECOS PAC ID: 0345279980 Enrollment ID: I20051007000169 |
| Provider Name | Chandanreddy M Devireddy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356378301 PECOS PAC ID: 8325064496 Enrollment ID: I20051018000736 |
| Provider Name | Michael A Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376649962 PECOS PAC ID: 7012933237 Enrollment ID: I20051020000396 |
| Provider Name | Svathi M Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528179124 PECOS PAC ID: 1951327782 Enrollment ID: I20051020000494 |
| Provider Name | James Capes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093731200 PECOS PAC ID: 7012979933 Enrollment ID: I20051109000535 |
| Provider Name | Stephanie S Winn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275618365 PECOS PAC ID: 4183642945 Enrollment ID: I20051110000034 |
| Provider Name | Shelly Ann Fluker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699876789 PECOS PAC ID: 9436139177 Enrollment ID: I20051110000547 |
| Provider Name | Eric Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467472589 PECOS PAC ID: 7911928973 Enrollment ID: I20051219000219 |
| Provider Name | John Henry Burson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588637144 PECOS PAC ID: 5991614018 Enrollment ID: I20060104000049 |
| Provider Name | Arthur Stillman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932126885 PECOS PAC ID: 7618861196 Enrollment ID: I20060104000240 |
| Provider Name | Raghuveer K Halkar |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1114952645 PECOS PAC ID: 5496779332 Enrollment ID: I20060119000024 |
| Provider Name | William Arthur Cooper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669561452 PECOS PAC ID: 9931118775 Enrollment ID: I20060406000249 |
| Provider Name | Douglas Lundy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336122746 PECOS PAC ID: 8224924287 Enrollment ID: I20060519000026 |
| Provider Name | Jason E Liebzeit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043264500 PECOS PAC ID: 1850302290 Enrollment ID: I20060522000006 |
| Provider Name | Irwin M Best |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700854734 PECOS PAC ID: 3476597543 Enrollment ID: I20060530000130 |
| Provider Name | Vandana D Niyyar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588619472 PECOS PAC ID: 5193737005 Enrollment ID: I20060614000200 |
| Provider Name | Ashesh B Jani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1346280575 PECOS PAC ID: 8426060815 Enrollment ID: I20060630000021 |
| Provider Name | Matthew Wheatley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902846975 PECOS PAC ID: 1254343650 Enrollment ID: I20060630000097 |
| Provider Name | Gary F Bouloux |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1750335733 PECOS PAC ID: 5294748455 Enrollment ID: I20060711000340 |
| Provider Name | Bisan A Salhi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538195250 PECOS PAC ID: 8628081585 Enrollment ID: I20060718000078 |
| Provider Name | Blaine E Cribbs |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609821214 PECOS PAC ID: 8820001563 Enrollment ID: I20060724000196 |
| Provider Name | Iyesatta Massaquoi Emeli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376580829 PECOS PAC ID: 2062425713 Enrollment ID: I20060724000231 |
| Provider Name | Frederic F Rahbari Oskoui |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295766335 PECOS PAC ID: 3274546676 Enrollment ID: I20060802000290 |
| Provider Name | David A Krakow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295754083 PECOS PAC ID: 9436152477 Enrollment ID: I20060814000194 |
| Provider Name | Ugochi K Ohuabunwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811922487 PECOS PAC ID: 3072516822 Enrollment ID: I20060816000240 |
| Provider Name | Heather L Bloom |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235165119 PECOS PAC ID: 9335142132 Enrollment ID: I20060817000104 |
| Provider Name | Ravi Kumar Veeraswamy |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225068471 PECOS PAC ID: 5698778405 Enrollment ID: I20060817000119 |
| Provider Name | Ryan M Christie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801857909 PECOS PAC ID: 9436153558 Enrollment ID: I20060905000012 |
| Provider Name | Andrea L Shane |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811959356 PECOS PAC ID: 7416951546 Enrollment ID: I20060905000041 |
| Provider Name | John S Douglas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669482022 PECOS PAC ID: 6507860558 Enrollment ID: I20060905000292 |
| Provider Name | Martha L Arellano |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952310500 PECOS PAC ID: 0345244356 Enrollment ID: I20060906000297 |
| Provider Name | Sheila Goel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851328512 PECOS PAC ID: 2860496643 Enrollment ID: I20060911000068 |
| Provider Name | Kimberly K Kubricht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437169539 PECOS PAC ID: 5496765232 Enrollment ID: I20061004000344 |
| Provider Name | Vasilis C Babaliaros |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205884525 PECOS PAC ID: 7416953542 Enrollment ID: I20061013000114 |
| Provider Name | Michael M. Johns |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780782854 PECOS PAC ID: 8628076718 Enrollment ID: I20061128000477 |
| Provider Name | B. Denise Raynor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871522573 PECOS PAC ID: 3971501065 Enrollment ID: I20061128000489 |
| Provider Name | Barry D Silverman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104810621 PECOS PAC ID: 3274532049 Enrollment ID: I20061208000367 |
| Provider Name | Srilatha Edupuganti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144300369 PECOS PAC ID: 3173522695 Enrollment ID: I20061212000016 |
| Provider Name | Aparna R Kakarala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801864186 PECOS PAC ID: 9335113844 Enrollment ID: I20070106000072 |
| Provider Name | Jean M Armand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770641102 PECOS PAC ID: 9436177540 Enrollment ID: I20070110000240 |
| Provider Name | Syed T Rab |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619983988 PECOS PAC ID: 9638170624 Enrollment ID: I20070117000350 |
| Provider Name | Iris A Castro Revoredo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801984562 PECOS PAC ID: 1052312311 Enrollment ID: I20070130000046 |
| Provider Name | Miriam B Vos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588629703 PECOS PAC ID: 0042212102 Enrollment ID: I20070202000433 |
| Provider Name | Cynthia L Trotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922027549 PECOS PAC ID: 2062414923 Enrollment ID: I20070206000005 |
| Provider Name | Robin A Hitchcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740374321 PECOS PAC ID: 6305948597 Enrollment ID: I20070219000219 |
| Provider Name | Hui Cai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740248822 PECOS PAC ID: 1254327547 Enrollment ID: I20070221000214 |
| Provider Name | Saliem F Ruffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710035001 PECOS PAC ID: 2062515349 Enrollment ID: I20070306000519 |
| Provider Name | Joung Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043312390 PECOS PAC ID: 9739283235 Enrollment ID: I20070322000218 |
| Provider Name | Norman W Todd |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134100969 PECOS PAC ID: 3476657750 Enrollment ID: I20070326000428 |
| Provider Name | Gregory C Robertson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598776809 PECOS PAC ID: 6305941550 Enrollment ID: I20070417000096 |
| Provider Name | Joseph D Weissman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912931205 PECOS PAC ID: 2567568553 Enrollment ID: I20070508000609 |
| Provider Name | Crystal R Szczepanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972626281 PECOS PAC ID: 2860599446 Enrollment ID: I20070515000612 |
| Provider Name | Robert T Elliott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396889861 PECOS PAC ID: 8224136023 Enrollment ID: I20070601000196 |
| Provider Name | Leslie P Lawley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1700905932 PECOS PAC ID: 8628176484 Enrollment ID: I20070604000090 |
| Provider Name | Chad W Ritenour |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1851318778 PECOS PAC ID: 2769419423 Enrollment ID: I20070604000427 |
| Provider Name | Robert A Swerlick |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1487610846 PECOS PAC ID: 9739288697 Enrollment ID: I20070619000369 |
| Provider Name | Diana R Senior-crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790802015 PECOS PAC ID: 2567561921 Enrollment ID: I20070626000217 |
| Provider Name | Rebecca M Almand |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376570747 PECOS PAC ID: 4183723372 Enrollment ID: I20070629000126 |
| Provider Name | Richard E Paul |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134125248 PECOS PAC ID: 8022118066 Enrollment ID: I20070705000361 |
| Provider Name | Amelia B Zelnak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679697791 PECOS PAC ID: 2466552401 Enrollment ID: I20070705000376 |
| Provider Name | Paul G Espy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1215158092 PECOS PAC ID: 4688774466 Enrollment ID: I20070709000441 |
| Provider Name | Anne L Dunlop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841395688 PECOS PAC ID: 2365542685 Enrollment ID: I20070716000038 |
| Provider Name | Mark J Holzberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669456661 PECOS PAC ID: 6709788086 Enrollment ID: I20070717000164 |
| Provider Name | Eva H Lathrop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699882860 PECOS PAC ID: 6800996034 Enrollment ID: I20070717000271 |
| Provider Name | Nelson Mobolanle Oyesiku |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104871730 PECOS PAC ID: 4385744531 Enrollment ID: I20070717000451 |
| Provider Name | Leon Bernal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942336920 PECOS PAC ID: 6901907781 Enrollment ID: I20070724000071 |
| Provider Name | Eugene A Berkowitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134252182 PECOS PAC ID: 8224139035 Enrollment ID: I20070724000326 |
| Provider Name | Koba A Lomashvili |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881639003 PECOS PAC ID: 1052412871 Enrollment ID: I20070724000416 |
| Provider Name | Irina M Knudsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265563803 PECOS PAC ID: 5799886198 Enrollment ID: I20070730000561 |
| Provider Name | Belise L Livingston-burns |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740289545 PECOS PAC ID: 8022100304 Enrollment ID: I20070816000074 |
| Provider Name | Ezra J Barzilay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205927241 PECOS PAC ID: 0941392146 Enrollment ID: I20070817000216 |
| Provider Name | Benjamin C Stong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356547749 PECOS PAC ID: 0840382537 Enrollment ID: I20070827000242 |
| Provider Name | Michael T Osipow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093910457 PECOS PAC ID: 8628160314 Enrollment ID: I20070827000269 |
| Provider Name | Alexander M Mason |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275758039 PECOS PAC ID: 6901998582 Enrollment ID: I20070828000214 |
| Provider Name | Morgan L Mclemore |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790703312 PECOS PAC ID: 1658471396 Enrollment ID: I20070914000266 |
| Provider Name | Wendy Suzanne Armstrong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083678783 PECOS PAC ID: 4789696733 Enrollment ID: I20070926000118 |
| Provider Name | Danielle Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811011372 PECOS PAC ID: 0143315655 Enrollment ID: I20070928000261 |
| Provider Name | Michael Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811957723 PECOS PAC ID: 3173547353 Enrollment ID: I20070928000420 |
| Provider Name | Antoine R Trammell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477752632 PECOS PAC ID: 7113012410 Enrollment ID: I20071002000262 |
| Provider Name | Cameron C Kersey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902933229 PECOS PAC ID: 5092702225 Enrollment ID: I20071004000495 |
| Provider Name | Jamie B Mackelfresh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639202757 PECOS PAC ID: 3577658467 Enrollment ID: I20071008000310 |
| Provider Name | Wanda Barfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720062409 PECOS PAC ID: 2365431640 Enrollment ID: I20071010000436 |
| Provider Name | Negah Rassouli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225150105 PECOS PAC ID: 6406942903 Enrollment ID: I20071015000207 |
| Provider Name | Jeffrey Nicholas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942382445 PECOS PAC ID: 0941396931 Enrollment ID: I20071023000096 |
| Provider Name | Dheera Ananthakrishnan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780768192 PECOS PAC ID: 4486558954 Enrollment ID: I20071023000608 |
| Provider Name | Kiery A Braithwaite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811031073 PECOS PAC ID: 0042307951 Enrollment ID: I20071024000442 |
| Provider Name | Jonathan S Weiss |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1619913712 PECOS PAC ID: 4486758273 Enrollment ID: I20071029000127 |
| Provider Name | Mazen A Abdalla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467420893 PECOS PAC ID: 7416957840 Enrollment ID: I20071107000243 |
| Provider Name | Adam C Webb |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174726749 PECOS PAC ID: 7517054547 Enrollment ID: I20071107000413 |
| Provider Name | Jeremy D Ackerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942406483 PECOS PAC ID: 9931291499 Enrollment ID: I20071119000284 |
| Provider Name | Seth D Force |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184713984 PECOS PAC ID: 0547358731 Enrollment ID: I20071126000216 |
| Provider Name | Modele O Ogunniyi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972650794 PECOS PAC ID: 2769572437 Enrollment ID: I20071218000474 |
| Provider Name | Robert S Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710069521 PECOS PAC ID: 0345321543 Enrollment ID: I20080114000554 |
| Provider Name | Naomi K Tepper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083783690 PECOS PAC ID: 0547246613 Enrollment ID: I20080114000604 |
| Provider Name | John F Sweeney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013097351 PECOS PAC ID: 4082796669 Enrollment ID: I20080205000320 |
| Provider Name | Grant M Hogan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689765547 PECOS PAC ID: 2769565084 Enrollment ID: I20080211000188 |
| Provider Name | Neil S Lava |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013900919 PECOS PAC ID: 6507949823 Enrollment ID: I20080211000237 |
| Provider Name | Melvin R Moore |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1871571562 PECOS PAC ID: 4284531070 Enrollment ID: I20080226000469 |
| Provider Name | Christopher K Sadlack |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790978104 PECOS PAC ID: 0244315364 Enrollment ID: I20080312000638 |
| Provider Name | Betti J Steele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407951049 PECOS PAC ID: 4284711276 Enrollment ID: I20080401000464 |
| Provider Name | Kelley Marshall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962475582 PECOS PAC ID: 2264519347 Enrollment ID: I20080422000538 |
| Provider Name | Janice W Johnston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548200793 PECOS PAC ID: 5799781480 Enrollment ID: I20080422000847 |
| Provider Name | Thai D Trinh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730152323 PECOS PAC ID: 6305923491 Enrollment ID: I20080423000064 |
| Provider Name | Susan Palasis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639142227 PECOS PAC ID: 7618054792 Enrollment ID: I20080423000087 |
| Provider Name | Stephen B Little |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972577336 PECOS PAC ID: 3173600251 Enrollment ID: I20080423000535 |
| Provider Name | Philip H Shayne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669480075 PECOS PAC ID: 0547349250 Enrollment ID: I20080507000115 |
| Provider Name | Lekha Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215950258 PECOS PAC ID: 7517962699 Enrollment ID: I20080512000671 |
| Provider Name | Ashley L Slappy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902884810 PECOS PAC ID: 1759450661 Enrollment ID: I20080519000484 |
| Provider Name | Ebrahim Haroon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417980798 PECOS PAC ID: 7517902737 Enrollment ID: I20080520000441 |
| Provider Name | Jaffar Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053581579 PECOS PAC ID: 3678642238 Enrollment ID: I20080522000069 |
| Provider Name | Drew M Locandro |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790786911 PECOS PAC ID: 8628034162 Enrollment ID: I20080527000607 |
| Provider Name | Terry Feng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750443800 PECOS PAC ID: 5991875320 Enrollment ID: I20080528000398 |
| Provider Name | Carol A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902083025 PECOS PAC ID: 8527138767 Enrollment ID: I20080530000639 |
| Provider Name | Jennifer Snowden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720067093 PECOS PAC ID: 6709956261 Enrollment ID: I20080610000511 |
| Provider Name | Mitzi Joi Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356461248 PECOS PAC ID: 3476624669 Enrollment ID: I20080616000398 |
| Provider Name | Peter B H Doubler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629038476 PECOS PAC ID: 0042244063 Enrollment ID: I20080624000774 |
| Provider Name | Anwar D Osborne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538330725 PECOS PAC ID: 5991877458 Enrollment ID: I20080630000052 |
| Provider Name | Michael D Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194990408 PECOS PAC ID: 3971675240 Enrollment ID: I20080701000384 |
| Provider Name | Gerald Beltran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346361615 PECOS PAC ID: 2860564168 Enrollment ID: I20080702000047 |
| Provider Name | Ziad N Kazzi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215919592 PECOS PAC ID: 2860423399 Enrollment ID: I20080703000314 |
| Provider Name | Joseph D Walrath |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720109853 PECOS PAC ID: 7719059922 Enrollment ID: I20080703000333 |
| Provider Name | Lana Cankovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639110877 PECOS PAC ID: 2163410754 Enrollment ID: I20080703000399 |
| Provider Name | George Shambaugh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831392364 PECOS PAC ID: 3072685197 Enrollment ID: I20080708000038 |
| Provider Name | Bruce Barron |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1184665846 PECOS PAC ID: 2567445760 Enrollment ID: I20080716000011 |
| Provider Name | Jason Lam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073559894 PECOS PAC ID: 6204909856 Enrollment ID: I20080716000051 |
| Provider Name | Shatul L Parikh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447434915 PECOS PAC ID: 3577636133 Enrollment ID: I20080716000139 |
| Provider Name | Jesse B Cannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497918288 PECOS PAC ID: 3375616873 Enrollment ID: I20080716000555 |
| Provider Name | Gary L Margolias |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659390805 PECOS PAC ID: 1153494265 Enrollment ID: I20080723000378 |
| Provider Name | Jerry D Thomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730197096 PECOS PAC ID: 8820161870 Enrollment ID: I20080723000834 |
| Provider Name | Amit M Saindane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407051543 PECOS PAC ID: 6800960659 Enrollment ID: I20080729000089 |
| Provider Name | Dawn M Manning-williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063439537 PECOS PAC ID: 4688748015 Enrollment ID: I20080804000337 |
| Provider Name | Taryn Renee Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841255080 PECOS PAC ID: 4082620851 Enrollment ID: I20080805000385 |
| Provider Name | Emily B Graubart |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013064450 PECOS PAC ID: 4880768795 Enrollment ID: I20080811000103 |
| Provider Name | Phoebe D Lenhart |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568667913 PECOS PAC ID: 7416021308 Enrollment ID: I20080812000055 |
| Provider Name | Thanayi B Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336217058 PECOS PAC ID: 7618042599 Enrollment ID: I20080813000108 |
| Provider Name | Barbara T Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245417401 PECOS PAC ID: 3173698701 Enrollment ID: I20080818000144 |
| Provider Name | Jonathan Loewen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659564078 PECOS PAC ID: 3274615687 Enrollment ID: I20080820000531 |
| Provider Name | Amy K Hutchinson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821052077 PECOS PAC ID: 5698840668 Enrollment ID: I20080826000728 |
| Provider Name | Joseph A Hilinski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649212077 PECOS PAC ID: 0345316204 Enrollment ID: I20080829000481 |
| Provider Name | David C Brandon |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1891999868 PECOS PAC ID: 4385729748 Enrollment ID: I20080902000446 |
| Provider Name | Mohammed Singapuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619195732 PECOS PAC ID: 0749360261 Enrollment ID: I20080904000100 |
| Provider Name | Michael Cantrell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972627875 PECOS PAC ID: 2668415639 Enrollment ID: I20080910000498 |
| Provider Name | Stanley Paul Riepe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922262658 PECOS PAC ID: 7012083397 Enrollment ID: I20080910000567 |
| Provider Name | Thomas S Wingo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922284181 PECOS PAC ID: 3274609581 Enrollment ID: I20080911000183 |
| Provider Name | Annette M Esper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285661389 PECOS PAC ID: 6204902422 Enrollment ID: I20080911000348 |
| Provider Name | Samuel B Graitcer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245415975 PECOS PAC ID: 9335217215 Enrollment ID: I20081006000060 |
| Provider Name | Andre R Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356519482 PECOS PAC ID: 5496823262 Enrollment ID: I20081007000102 |
| Provider Name | Omer Kucuk |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255388948 PECOS PAC ID: 1153337472 Enrollment ID: I20081007000563 |
| Provider Name | April Y Maa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629271556 PECOS PAC ID: 6709954415 Enrollment ID: I20081008000463 |
| Provider Name | Nicole F Fobi Nunga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457523508 PECOS PAC ID: 1850469263 Enrollment ID: I20081010000697 |
| Provider Name | Jennifer P Wootten |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356456685 PECOS PAC ID: 8022177351 Enrollment ID: I20081031000365 |
| Provider Name | Carrie A Cwiak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750313680 PECOS PAC ID: 5991864183 Enrollment ID: I20081103000315 |
| Provider Name | Chiemi A Ura |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255589305 PECOS PAC ID: 5799844981 Enrollment ID: I20081103000342 |
| Provider Name | Manuel A Davila |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760496210 PECOS PAC ID: 8022195254 Enrollment ID: I20081105000675 |
| Provider Name | Dacian Viorel Bonta |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1326185299 PECOS PAC ID: 9032278510 Enrollment ID: I20081113000066 |
| Provider Name | Sean Robert Dariushnia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851594931 PECOS PAC ID: 4486621877 Enrollment ID: I20081113000080 |
| Provider Name | Rana Chakraborty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649453119 PECOS PAC ID: 2466512835 Enrollment ID: I20081117000087 |
| Provider Name | Markus G Klass |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669404166 PECOS PAC ID: 7517027899 Enrollment ID: I20081117000215 |
| Provider Name | Kreton Mavromatis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912933524 PECOS PAC ID: 6305906371 Enrollment ID: I20081120000407 |
| Provider Name | John S White |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245205178 PECOS PAC ID: 3072673078 Enrollment ID: I20081120000664 |
| Provider Name | Susan A Primo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245263607 PECOS PAC ID: 7810057593 Enrollment ID: I20081126000022 |
| Provider Name | Annette L Giangiacomo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912929019 PECOS PAC ID: 5395780613 Enrollment ID: I20081201000345 |
| Provider Name | Kathryn E Stack |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326081969 PECOS PAC ID: 4587727292 Enrollment ID: I20090107000124 |
| Provider Name | John P Horton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619144334 PECOS PAC ID: 0648333989 Enrollment ID: I20090113000071 |
| Provider Name | David Loring |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699790345 PECOS PAC ID: 9436196680 Enrollment ID: I20090113000414 |
| Provider Name | John W Eley |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1851408702 PECOS PAC ID: 3779646914 Enrollment ID: I20090114000068 |
| Provider Name | John R Pittman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770607343 PECOS PAC ID: 3274696430 Enrollment ID: I20090114000207 |
| Provider Name | Allison C Eckard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922212968 PECOS PAC ID: 6709949969 Enrollment ID: I20090114000228 |
| Provider Name | Allan Pickens |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437165610 PECOS PAC ID: 1355399312 Enrollment ID: I20090114000236 |
| Provider Name | Shanthi Srinivasan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578575270 PECOS PAC ID: 8123181328 Enrollment ID: I20090114000605 |
| Provider Name | Mylin A Torres |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326214479 PECOS PAC ID: 7012070212 Enrollment ID: I20090114000619 |
| Provider Name | Susan M Ray |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063512465 PECOS PAC ID: 8426111543 Enrollment ID: I20090115000000 |
| Provider Name | Elvira O Gosmanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437379989 PECOS PAC ID: 0244393171 Enrollment ID: I20090120000345 |
| Provider Name | Theodore M Johnson |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265494983 PECOS PAC ID: 2961565841 Enrollment ID: I20090121000023 |
| Provider Name | Eugene W Farber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619037538 PECOS PAC ID: 4688738495 Enrollment ID: I20090122000588 |
| Provider Name | John Henry Lloyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013963917 PECOS PAC ID: 4486553443 Enrollment ID: I20090128000153 |
| Provider Name | Douglas S Ander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184643652 PECOS PAC ID: 3779529904 Enrollment ID: I20090130000150 |
| Provider Name | Denise S Lawe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881618585 PECOS PAC ID: 0941364087 Enrollment ID: I20090204000247 |
| Provider Name | Brent W Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396759064 PECOS PAC ID: 8729142872 Enrollment ID: I20090204000286 |
| Provider Name | Nadine J Kaslow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487766572 PECOS PAC ID: 1254496292 Enrollment ID: I20090209000114 |
| Provider Name | George William C Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295850386 PECOS PAC ID: 1850456526 Enrollment ID: I20090212000130 |
| Provider Name | Mary K Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730281940 PECOS PAC ID: 8224195219 Enrollment ID: I20090318000413 |
| Provider Name | Hyder A Jinnah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477500635 PECOS PAC ID: 3971651415 Enrollment ID: I20090511000354 |
| Provider Name | Jeffery Trad Wadsworth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578531216 PECOS PAC ID: 8628004942 Enrollment ID: I20090513000449 |
| Provider Name | Sridhar V Basavaraju |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497942817 PECOS PAC ID: 4981753357 Enrollment ID: I20090514000540 |
| Provider Name | John G Pattaras |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619905965 PECOS PAC ID: 6507915766 Enrollment ID: I20090518000295 |
| Provider Name | Abeer N Abouyabis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427235613 PECOS PAC ID: 3779632526 Enrollment ID: I20090527000344 |
| Provider Name | Phuong-anh Duong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841342144 PECOS PAC ID: 5092706051 Enrollment ID: I20090527000413 |
| Provider Name | Jason A Hoover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225215486 PECOS PAC ID: 1052462199 Enrollment ID: I20090630000489 |
| Provider Name | Rebecca L Seidel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558547257 PECOS PAC ID: 8224189378 Enrollment ID: I20090630000589 |
| Provider Name | Tanvi Dhere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790961662 PECOS PAC ID: 0143371237 Enrollment ID: I20090701000263 |
| Provider Name | Julia F Massaad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437335288 PECOS PAC ID: 6709937808 Enrollment ID: I20090701000345 |
| Provider Name | David N Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295911808 PECOS PAC ID: 5799836896 Enrollment ID: I20090701000352 |
| Provider Name | Alton Farris |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942336771 PECOS PAC ID: 0042381196 Enrollment ID: I20090701000533 |
| Provider Name | Kristen L Baugnon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629254321 PECOS PAC ID: 4789735713 Enrollment ID: I20090702000000 |
| Provider Name | Anne Spaulding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164630281 PECOS PAC ID: 9436200490 Enrollment ID: I20090702000278 |
| Provider Name | Bela D Bhatia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770509523 PECOS PAC ID: 4183775091 Enrollment ID: I20090706000157 |
| Provider Name | Ashley H Aiken |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538221270 PECOS PAC ID: 4284636846 Enrollment ID: I20090706000420 |
| Provider Name | Robin Ray |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306006226 PECOS PAC ID: 9234280116 Enrollment ID: I20090707000011 |
| Provider Name | Stella Chung-nga Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437232188 PECOS PAC ID: 8527152636 Enrollment ID: I20090707000157 |
| Provider Name | Hisam S Goueli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639382906 PECOS PAC ID: 3870644776 Enrollment ID: I20090707000221 |
| Provider Name | Courtney Moreno |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649474743 PECOS PAC ID: 4789756453 Enrollment ID: I20090707000530 |
| Provider Name | Michael E Halkos |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801071501 PECOS PAC ID: 5698826451 Enrollment ID: I20090708000195 |
| Provider Name | Sherif G Nour Abdalla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508890518 PECOS PAC ID: 4981669553 Enrollment ID: I20090708000269 |
| Provider Name | David M Berkowitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356526883 PECOS PAC ID: 9537115506 Enrollment ID: I20090708000399 |
| Provider Name | Michael C Mcdaniel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720264765 PECOS PAC ID: 4587715370 Enrollment ID: I20090708000400 |
| Provider Name | Jill R Wells |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225246192 PECOS PAC ID: 3870644750 Enrollment ID: I20090710000018 |
| Provider Name | Michael Dale Sarradet |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1346355633 PECOS PAC ID: 4385796028 Enrollment ID: I20090710000254 |
| Provider Name | Felicia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568590156 PECOS PAC ID: 7416009980 Enrollment ID: I20090714000376 |
| Provider Name | Joanna M Bonsall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316125552 PECOS PAC ID: 7012069446 Enrollment ID: I20090716000291 |
| Provider Name | Maura R George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265619688 PECOS PAC ID: 8224181995 Enrollment ID: I20090728000340 |
| Provider Name | Jinu P Kamdar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477526309 PECOS PAC ID: 9739232349 Enrollment ID: I20090729000776 |
| Provider Name | Lisa Haddad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285789545 PECOS PAC ID: 1850444209 Enrollment ID: I20090801000029 |
| Provider Name | Clementino Arturo Solares |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033307111 PECOS PAC ID: 7012068133 Enrollment ID: I20090805000551 |
| Provider Name | Krisztina Z Hanley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578656765 PECOS PAC ID: 0244383438 Enrollment ID: I20090805000752 |
| Provider Name | Timothy G Buchman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144259987 PECOS PAC ID: 0042202905 Enrollment ID: I20090807000570 |
| Provider Name | Shishir K Maithel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750540233 PECOS PAC ID: 3375696321 Enrollment ID: I20090808000057 |
| Provider Name | Vincent C Marconi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275511594 PECOS PAC ID: 0042364077 Enrollment ID: I20090811000117 |
| Provider Name | Elliott F Winton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659489235 PECOS PAC ID: 9537213152 Enrollment ID: I20090817000727 |
| Provider Name | Steven T Levy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902993223 PECOS PAC ID: 8820142458 Enrollment ID: I20090818000013 |
| Provider Name | Michael Arthur Cohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831268457 PECOS PAC ID: 4981623550 Enrollment ID: I20090820000207 |
| Provider Name | Jacques E Dion |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578512570 PECOS PAC ID: 8224183181 Enrollment ID: I20090831000019 |
| Provider Name | Bijal B Shah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235269424 PECOS PAC ID: 3173679875 Enrollment ID: I20090922000466 |
| Provider Name | Marian L Evatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801803234 PECOS PAC ID: 0042357279 Enrollment ID: I20091021000172 |
| Provider Name | Frank C Tong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659392231 PECOS PAC ID: 8022155902 Enrollment ID: I20091026000420 |
| Provider Name | John Louis Ugbo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902083629 PECOS PAC ID: 5890847511 Enrollment ID: I20091030000460 |
| Provider Name | Maureen Nwaokolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710150941 PECOS PAC ID: 5991843203 Enrollment ID: I20091106000199 |
| Provider Name | David Greene |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962421685 PECOS PAC ID: 1456490259 Enrollment ID: I20091208000742 |
| Provider Name | Raymond E Faught |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497799134 PECOS PAC ID: 0648310458 Enrollment ID: I20091229000341 |
| Provider Name | Cesar A Santana |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1366628232 PECOS PAC ID: 7113069790 Enrollment ID: I20100120000266 |
| Provider Name | Lisa M Barbiero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831140649 PECOS PAC ID: 5395756456 Enrollment ID: I20100120000500 |
| Provider Name | John G Heller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528025228 PECOS PAC ID: 2466594841 Enrollment ID: I20100122000606 |
| Provider Name | Garrett E Alexander |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316966898 PECOS PAC ID: 0345383105 Enrollment ID: I20100203000000 |
| Provider Name | Lisa C Flowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669571295 PECOS PAC ID: 0941344311 Enrollment ID: I20100223000543 |
| Provider Name | Suma P Shankar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427266055 PECOS PAC ID: 7113062977 Enrollment ID: I20100304000096 |
| Provider Name | Erica D Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982764841 PECOS PAC ID: 5294635124 Enrollment ID: I20100304000142 |
| Provider Name | Richard Gitomer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821193699 PECOS PAC ID: 2567597651 Enrollment ID: I20100315000533 |
| Provider Name | Frank W Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760405211 PECOS PAC ID: 4082749098 Enrollment ID: I20100316000736 |
| Provider Name | Cathleen Provins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578892071 PECOS PAC ID: 2365577822 Enrollment ID: I20100323000312 |
| Provider Name | Sareeta R Parker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922114974 PECOS PAC ID: 5799810255 Enrollment ID: I20100323000331 |
| Provider Name | Bandupriya P Vidanagama |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164523254 PECOS PAC ID: 9739215922 Enrollment ID: I20100326000499 |
| Provider Name | Jeanne E Hendrickson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326005059 PECOS PAC ID: 7012043219 Enrollment ID: I20100326000598 |
| Provider Name | David M Guidot |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144258369 PECOS PAC ID: 6204962111 Enrollment ID: I20100330001159 |
| Provider Name | Janna Harris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700813581 PECOS PAC ID: 1456487008 Enrollment ID: I20100407000415 |
| Provider Name | Monsurat M Adebayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609065267 PECOS PAC ID: 2961539531 Enrollment ID: I20100430000109 |
| Provider Name | Scott D Boden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134234990 PECOS PAC ID: 7113055336 Enrollment ID: I20100510000382 |
| Provider Name | David E Sugerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427194224 PECOS PAC ID: 2163551631 Enrollment ID: I20100520000740 |
| Provider Name | Michael R Frankel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700893146 PECOS PAC ID: 7719016914 Enrollment ID: I20100526000912 |
| Provider Name | John D Vega |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1063501633 PECOS PAC ID: 2668501701 Enrollment ID: I20100527000365 |
| Provider Name | Michael Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285703421 PECOS PAC ID: 8729114343 Enrollment ID: I20100629000929 |
| Provider Name | Tamara R Espinoza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376709220 PECOS PAC ID: 7012048242 Enrollment ID: I20100701000398 |
| Provider Name | George G Birdsong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518915552 PECOS PAC ID: 5890826051 Enrollment ID: I20100701000719 |
| Provider Name | Kyle T Bradley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1023294071 PECOS PAC ID: 5294866463 Enrollment ID: I20100702000043 |
| Provider Name | Mikaela L Chilstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588805303 PECOS PAC ID: 2062567449 Enrollment ID: I20100706000175 |
| Provider Name | Chanda C Graves |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912238007 PECOS PAC ID: 0446381511 Enrollment ID: I20100706000798 |
| Provider Name | William Reisman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891971610 PECOS PAC ID: 3274684089 Enrollment ID: I20100712000458 |
| Provider Name | Carolyn S Katzen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255399044 PECOS PAC ID: 1850423740 Enrollment ID: I20100712000530 |
| Provider Name | Douglas C Parker |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952350373 PECOS PAC ID: 0143352831 Enrollment ID: I20100715000547 |
| Provider Name | Talaat S Tadros |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184674541 PECOS PAC ID: 8022140722 Enrollment ID: I20100715000591 |
| Provider Name | Sharon W Weiss |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730138298 PECOS PAC ID: 9032241732 Enrollment ID: I20100715000707 |
| Provider Name | Muta M Issa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669406757 PECOS PAC ID: 2163554734 Enrollment ID: I20100716000488 |
| Provider Name | Patricia M Lantis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053361618 PECOS PAC ID: 5991837536 Enrollment ID: I20100719000272 |
| Provider Name | Philip T Ramsay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396866869 PECOS PAC ID: 9931231297 Enrollment ID: I20100722000014 |
| Provider Name | Aixa Silvera Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770674152 PECOS PAC ID: 4385659879 Enrollment ID: I20100806000274 |
| Provider Name | Niels Engberding |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700064342 PECOS PAC ID: 5496888745 Enrollment ID: I20100806000375 |
| Provider Name | Cang T Huynh |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1548446594 PECOS PAC ID: 1759414956 Enrollment ID: I20100809000086 |
| Provider Name | Aaron M Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326255605 PECOS PAC ID: 3274666417 Enrollment ID: I20100809000527 |
| Provider Name | Minhly T Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326142894 PECOS PAC ID: 7618001827 Enrollment ID: I20100810000413 |
| Provider Name | Daniel E Huddleston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497913503 PECOS PAC ID: 5890829857 Enrollment ID: I20100813000095 |
| Provider Name | Subhashini Ramesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124225792 PECOS PAC ID: 0143354910 Enrollment ID: I20100816000400 |
| Provider Name | Kenneth Ogan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477584423 PECOS PAC ID: 1153455944 Enrollment ID: I20100816000631 |
| Provider Name | Dimitri C Cassimatis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598737421 PECOS PAC ID: 4082748645 Enrollment ID: I20100818000167 |
| Provider Name | David W Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477564334 PECOS PAC ID: 4385778992 Enrollment ID: I20100818000876 |
| Provider Name | Erica D Brownfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326132465 PECOS PAC ID: 3173657632 Enrollment ID: I20100819000201 |
| Provider Name | Terry A Jacobson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457456089 PECOS PAC ID: 7911031489 Enrollment ID: I20100819000288 |
| Provider Name | Jada C Bussey-jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114022472 PECOS PAC ID: 8628102191 Enrollment ID: I20100819000313 |
| Provider Name | Kimberly D Manning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457456972 PECOS PAC ID: 1951435429 Enrollment ID: I20100819000373 |
| Provider Name | Michael F Lubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578572418 PECOS PAC ID: 3779617287 Enrollment ID: I20100819000794 |
| Provider Name | Neil H Winawer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740202951 PECOS PAC ID: 0446384853 Enrollment ID: I20100819000892 |
| Provider Name | Tara C Jatlaoui |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184809469 PECOS PAC ID: 5991839318 Enrollment ID: I20100819000996 |
| Provider Name | Penny A Castellano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356457907 PECOS PAC ID: 4587565064 Enrollment ID: I20100819001027 |
| Provider Name | Heather Gatcombe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457538944 PECOS PAC ID: 0547394819 Enrollment ID: I20100823000671 |
| Provider Name | Nurcan Ilksoy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659389625 PECOS PAC ID: 4284758582 Enrollment ID: I20100824000045 |
| Provider Name | Lorenzo Difrancesco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134149735 PECOS PAC ID: 7214051598 Enrollment ID: I20100824000966 |
| Provider Name | Stacy M Higgins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215033766 PECOS PAC ID: 5991829152 Enrollment ID: I20100825000855 |
| Provider Name | Jason S Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831208412 PECOS PAC ID: 5496879660 Enrollment ID: I20100825000931 |
| Provider Name | Natia Esiashvili |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306803051 PECOS PAC ID: 4183748148 Enrollment ID: I20100826001130 |
| Provider Name | Athanasios N Tiliakos |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023270576 PECOS PAC ID: 9234253261 Enrollment ID: I20100827000657 |
| Provider Name | Alexander P Isakov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255355350 PECOS PAC ID: 2062536469 Enrollment ID: I20100907000604 |
| Provider Name | Tammie E Quest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992719595 PECOS PAC ID: 9830213289 Enrollment ID: I20100908000057 |
| Provider Name | Daniel T Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255342150 PECOS PAC ID: 0648394031 Enrollment ID: I20100908000565 |
| Provider Name | Chad P Huot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033132154 PECOS PAC ID: 5496870891 Enrollment ID: I20100908000800 |
| Provider Name | Melissa J Lamberson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508880386 PECOS PAC ID: 4183749559 Enrollment ID: I20100909000495 |
| Provider Name | Colleen F Kelley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922282490 PECOS PAC ID: 1052436433 Enrollment ID: I20100909000547 |
| Provider Name | Christopher P Ho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396953444 PECOS PAC ID: 5799837498 Enrollment ID: I20100909000598 |
| Provider Name | Matthew T Keadey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811911399 PECOS PAC ID: 8224153507 Enrollment ID: I20100909000680 |
| Provider Name | Lekshmi Kumar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558551200 PECOS PAC ID: 8729133970 Enrollment ID: I20100909000736 |
| Provider Name | Bryan F Mcnally |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699799197 PECOS PAC ID: 6507981891 Enrollment ID: I20100909000825 |
| Provider Name | Stephen F Simoneaux |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730114695 PECOS PAC ID: 7517082811 Enrollment ID: I20100909000945 |
| Provider Name | Christine M Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023334364 PECOS PAC ID: 9133244437 Enrollment ID: I20100909000976 |
| Provider Name | Laura Ellen Patrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679597132 PECOS PAC ID: 9830214139 Enrollment ID: I20100909001020 |
| Provider Name | Paul Harkey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013124924 PECOS PAC ID: 3375668684 Enrollment ID: I20100909001044 |
| Provider Name | Miguel Fernandez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184708034 PECOS PAC ID: 4587789896 Enrollment ID: I20100909001123 |
| Provider Name | Hee Joon Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679804876 PECOS PAC ID: 7113042458 Enrollment ID: I20100910000114 |
| Provider Name | Matthew E Zygmont |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134307705 PECOS PAC ID: 5799800041 Enrollment ID: I20100910000349 |
| Provider Name | Martina L Badell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285811315 PECOS PAC ID: 5799800967 Enrollment ID: I20100910000621 |
| Provider Name | Paula N Dickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720094709 PECOS PAC ID: 7810012002 Enrollment ID: I20100910000864 |
| Provider Name | Melissa Mccarty Statham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154522944 PECOS PAC ID: 4486715778 Enrollment ID: I20100914000088 |
| Provider Name | Anitha E Mathew |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649502873 PECOS PAC ID: 0244355238 Enrollment ID: I20100914001099 |
| Provider Name | Kimberly A Workowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588676712 PECOS PAC ID: 9335264233 Enrollment ID: I20100915001154 |
| Provider Name | James P Steinberg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1720090954 PECOS PAC ID: 0749305597 Enrollment ID: I20100916000609 |
| Provider Name | Lynn E Schlanger |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447283387 PECOS PAC ID: 6507981362 Enrollment ID: I20100916000727 |
| Provider Name | Henry M Blumberg |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508950254 PECOS PAC ID: 4880719657 Enrollment ID: I20100916000827 |
| Provider Name | Janice I Lea |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750391769 PECOS PAC ID: 2769507540 Enrollment ID: I20100916000857 |
| Provider Name | Sung S Lim |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366558744 PECOS PAC ID: 1759406531 Enrollment ID: I20100916000869 |
| Provider Name | John D Merlino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821005570 PECOS PAC ID: 3577688365 Enrollment ID: I20100916001044 |
| Provider Name | Andrew L Smith |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1760492110 PECOS PAC ID: 2860599727 Enrollment ID: I20100916001146 |
| Provider Name | Jonathan Waltuck |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1992714448 PECOS PAC ID: 6305961103 Enrollment ID: I20100916001171 |
| Provider Name | Sara R Cavazos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871817320 PECOS PAC ID: 8921123720 Enrollment ID: I20100916001188 |
| Provider Name | James L Bailey |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508897877 PECOS PAC ID: 9133244882 Enrollment ID: I20100917000610 |
| Provider Name | Stuart Brooker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356378616 PECOS PAC ID: 0446375109 Enrollment ID: I20100920000058 |
| Provider Name | Milan Mehta |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1427232990 PECOS PAC ID: 5597880120 Enrollment ID: I20100920000217 |
| Provider Name | Jeff M Sands |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174552509 PECOS PAC ID: 5395860928 Enrollment ID: I20100920000238 |
| Provider Name | Qiang Cai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932112653 PECOS PAC ID: 7113042755 Enrollment ID: I20100920000345 |
| Provider Name | Carlos C Del Rio |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780628982 PECOS PAC ID: 4082739644 Enrollment ID: I20100920000542 |
| Provider Name | Sharon M Graves |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669482931 PECOS PAC ID: 2860517430 Enrollment ID: I20100920000608 |
| Provider Name | Gulliermo E Umpierrez |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174626063 PECOS PAC ID: 8426173956 Enrollment ID: I20100921000338 |
| Provider Name | Jeffrey L Lennox |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548376254 PECOS PAC ID: 4880719368 Enrollment ID: I20100921000921 |
| Provider Name | Nanette K Wenger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033214622 PECOS PAC ID: 2769507250 Enrollment ID: I20100921001095 |
| Provider Name | Kathleen R Gundry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760416788 PECOS PAC ID: 6608992177 Enrollment ID: I20100922000570 |
| Provider Name | Clifford J Gunthel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609961184 PECOS PAC ID: 5890811236 Enrollment ID: I20100923000328 |
| Provider Name | Melody P Palmore |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467547075 PECOS PAC ID: 4587780853 Enrollment ID: I20100923000789 |
| Provider Name | Jessica L Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477739837 PECOS PAC ID: 7618093709 Enrollment ID: I20100927000428 |
| Provider Name | Seena M Dehkharghani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093989105 PECOS PAC ID: 8325035264 Enrollment ID: I20100927000828 |
| Provider Name | Carolyn N Freeman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124226261 PECOS PAC ID: 6608992722 Enrollment ID: I20100927000868 |
| Provider Name | Paul L Desandre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255483756 PECOS PAC ID: 0042298135 Enrollment ID: I20100928000488 |
| Provider Name | Sona S Arora |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336326396 PECOS PAC ID: 1456477397 Enrollment ID: I20100928000992 |
| Provider Name | Jason Weiden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235379017 PECOS PAC ID: 8628121670 Enrollment ID: I20100928001245 |
| Provider Name | Arthur H Yancey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720099633 PECOS PAC ID: 6103018411 Enrollment ID: I20101005000837 |
| Provider Name | Susan M Wall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477627586 PECOS PAC ID: 1355533522 Enrollment ID: I20101006000312 |
| Provider Name | Scott H Edelman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205840535 PECOS PAC ID: 9133311343 Enrollment ID: I20101006000891 |
| Provider Name | Bruce V Hershatter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477597656 PECOS PAC ID: 9234321456 Enrollment ID: I20101006001019 |
| Provider Name | Ibironke Apata |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265699797 PECOS PAC ID: 7911199054 Enrollment ID: I20101007001379 |
| Provider Name | Daniel D Dressler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750305454 PECOS PAC ID: 2264624212 Enrollment ID: I20101008000136 |
| Provider Name | Eva R Rimler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568649655 PECOS PAC ID: 1153513114 Enrollment ID: I20101008000298 |
| Provider Name | Sangwook T Yoon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992810105 PECOS PAC ID: 4284826215 Enrollment ID: I20101008001179 |
| Provider Name | Nancy J Newman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902863707 PECOS PAC ID: 8820280787 Enrollment ID: I20101011000294 |
| Provider Name | Gary R Mcgillivary |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003918707 PECOS PAC ID: 2769592930 Enrollment ID: I20101011000528 |
| Provider Name | Jeffrey Scott Miller |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1740246586 PECOS PAC ID: 1355533233 Enrollment ID: I20101011000595 |
| Provider Name | Lesley S Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245341668 PECOS PAC ID: 2668664558 Enrollment ID: I20101011000671 |
| Provider Name | John M Rhee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134221872 PECOS PAC ID: 6305038209 Enrollment ID: I20101011000800 |
| Provider Name | Rami I Calis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770685463 PECOS PAC ID: 1254523178 Enrollment ID: I20101011001025 |
| Provider Name | Greg A Erens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295761450 PECOS PAC ID: 2264427749 Enrollment ID: I20101012000209 |
| Provider Name | Duoc Chung |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306962592 PECOS PAC ID: 3971795741 Enrollment ID: I20101012000677 |
| Provider Name | Wendy Y Nunlee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336172832 PECOS PAC ID: 8022200831 Enrollment ID: I20101012001161 |
| Provider Name | Michael Joseph Connor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437335577 PECOS PAC ID: 4981896636 Enrollment ID: I20101013000355 |
| Provider Name | Docile Donna Saguan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336254028 PECOS PAC ID: 5092854604 Enrollment ID: I20101013000405 |
| Provider Name | Steven Kent Macheers |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1760447783 PECOS PAC ID: 4789577404 Enrollment ID: I20101014000605 |
| Provider Name | Cathrin Buetefisch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225129109 PECOS PAC ID: 9537126453 Enrollment ID: I20101014001059 |
| Provider Name | Victoria L Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477650273 PECOS PAC ID: 2062605678 Enrollment ID: I20101014001276 |
| Provider Name | Ann Md Chahroudi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801093273 PECOS PAC ID: 2466645080 Enrollment ID: I20101014001358 |
| Provider Name | Zandraetta L Tims-cook |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538216338 PECOS PAC ID: 9234322710 Enrollment ID: I20101015000803 |
| Provider Name | James Bradley Randleman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548371099 PECOS PAC ID: 3779776299 Enrollment ID: I20101018000050 |
| Provider Name | Cederic M Pimentel-farias |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528217742 PECOS PAC ID: 1355534884 Enrollment ID: I20101018000138 |
| Provider Name | Allen D Beck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902913429 PECOS PAC ID: 8527251057 Enrollment ID: I20101018000145 |
| Provider Name | Kenneth J Rosengren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942226469 PECOS PAC ID: 2365635836 Enrollment ID: I20101018000679 |
| Provider Name | Valerie Biousse |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144248972 PECOS PAC ID: 8022201482 Enrollment ID: I20101019000488 |
| Provider Name | Anastasios P Costarides |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689785230 PECOS PAC ID: 5799978060 Enrollment ID: I20101019000724 |
| Provider Name | Ted H Wojno |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205886728 PECOS PAC ID: 5597958876 Enrollment ID: I20101019000878 |
| Provider Name | Patrick J Amar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033285077 PECOS PAC ID: 5496948770 Enrollment ID: I20101019000895 |
| Provider Name | Daniel Refai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912092800 PECOS PAC ID: 5092869289 Enrollment ID: I20101019000913 |
| Provider Name | Evan R Gedzelman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700951829 PECOS PAC ID: 8224221510 Enrollment ID: I20101019001022 |
| Provider Name | Laura S Johnson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407014319 PECOS PAC ID: 4486847779 Enrollment ID: I20101019001058 |
| Provider Name | Ruth L Lamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972624302 PECOS PAC ID: 3274726583 Enrollment ID: I20101019001226 |
| Provider Name | Anna P Kho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760427736 PECOS PAC ID: 3577756741 Enrollment ID: I20101020000489 |
| Provider Name | Jessica C Arluck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598793648 PECOS PAC ID: 1052504255 Enrollment ID: I20101020000912 |
| Provider Name | Mary K Spraker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760599641 PECOS PAC ID: 5294928404 Enrollment ID: I20101020000975 |
| Provider Name | Douglas E Mattox |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215048442 PECOS PAC ID: 5597958710 Enrollment ID: I20101020001094 |
| Provider Name | John M Delgaudio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104937861 PECOS PAC ID: 2860515103 Enrollment ID: I20101020001127 |
| Provider Name | Stacie Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275703902 PECOS PAC ID: 0648463547 Enrollment ID: I20101025000182 |
| Provider Name | Neil E Whicker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053412171 PECOS PAC ID: 4789877598 Enrollment ID: I20101025000380 |
| Provider Name | Sanjay M Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700952785 PECOS PAC ID: 3072706803 Enrollment ID: I20101025000620 |
| Provider Name | Ann C Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063525095 PECOS PAC ID: 5092908749 Enrollment ID: I20101026000798 |
| Provider Name | George E Wright |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821193368 PECOS PAC ID: 0446443139 Enrollment ID: I20101026001364 |
| Provider Name | Maria E Aaron |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588775548 PECOS PAC ID: 4981898632 Enrollment ID: I20101027000553 |
| Provider Name | Nicholas D Fletcher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205983178 PECOS PAC ID: 5597959007 Enrollment ID: I20101028001132 |
| Provider Name | David A Kooby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417960931 PECOS PAC ID: 9931393451 Enrollment ID: I20101028001163 |
| Provider Name | Nicole M Franks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508884651 PECOS PAC ID: 0042404170 Enrollment ID: I20101102000811 |
| Provider Name | Andrew C Furman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205902277 PECOS PAC ID: 2466646518 Enrollment ID: I20101102001020 |
| Provider Name | Rishi Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447202163 PECOS PAC ID: 3072412428 Enrollment ID: I20101102001306 |
| Provider Name | Suchita Pakkala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205013794 PECOS PAC ID: 0143414110 Enrollment ID: I20101103000973 |
| Provider Name | Ana Gabriela Antun |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447437538 PECOS PAC ID: 5890989883 Enrollment ID: I20101103001199 |
| Provider Name | Anita Sethna |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801072459 PECOS PAC ID: 5698828440 Enrollment ID: I20101103001233 |
| Provider Name | David S Yu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043367865 PECOS PAC ID: 0941494942 Enrollment ID: I20101103001238 |
| Provider Name | Jack L Arbiser |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710092648 PECOS PAC ID: 0042404816 Enrollment ID: I20101105000326 |
| Provider Name | Jessica W Yuen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760547863 PECOS PAC ID: 6406907070 Enrollment ID: I20101105000484 |
| Provider Name | Carter Go Co |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164547022 PECOS PAC ID: 3072708775 Enrollment ID: I20101108000792 |
| Provider Name | Peter W Thompson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194902288 PECOS PAC ID: 7113112814 Enrollment ID: I20101108000870 |
| Provider Name | Frehiywot Ayele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699925586 PECOS PAC ID: 1052506318 Enrollment ID: I20101111001173 |
| Provider Name | Samir Belagaje |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316158603 PECOS PAC ID: 5991870040 Enrollment ID: I20101116000034 |
| Provider Name | Evelyn Maria Cason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235458233 PECOS PAC ID: 3274729181 Enrollment ID: I20101117001541 |
| Provider Name | Namita Khanna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912118324 PECOS PAC ID: 8628264033 Enrollment ID: I20101124000931 |
| Provider Name | Tamar Gabelaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588697395 PECOS PAC ID: 8820092638 Enrollment ID: I20101206000247 |
| Provider Name | Edward Robert Jackson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710129408 PECOS PAC ID: 8820112402 Enrollment ID: I20101207000538 |
| Provider Name | Asif Taufiq |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1659391019 PECOS PAC ID: 7113114588 Enrollment ID: I20101210000432 |
| Provider Name | Ruth M Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548354673 PECOS PAC ID: 9335336627 Enrollment ID: I20101213000888 |
| Provider Name | Farah Husain |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962473132 PECOS PAC ID: 5395933527 Enrollment ID: I20110103000595 |
| Provider Name | Jamlik Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528060449 PECOS PAC ID: 5991709974 Enrollment ID: I20110105000978 |
| Provider Name | Jeffrey J Olson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043239478 PECOS PAC ID: 3476742123 Enrollment ID: I20110111000490 |
| Provider Name | Cletus Arciero |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1780746289 PECOS PAC ID: 5991778920 Enrollment ID: I20110121000086 |
| Provider Name | Herschel W Lawson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033389671 PECOS PAC ID: 6305025131 Enrollment ID: I20110126000631 |
| Provider Name | Raphael Y Gershon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912075680 PECOS PAC ID: 5092994764 Enrollment ID: I20110126001185 |
| Provider Name | Roger Pancoast Simon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740205889 PECOS PAC ID: 5193906188 Enrollment ID: I20110223001238 |
| Provider Name | Jean Kunjummen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356502751 PECOS PAC ID: 7416021274 Enrollment ID: I20110309000942 |
| Provider Name | Gerald Rodts |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811944861 PECOS PAC ID: 0749302438 Enrollment ID: I20110314000916 |
| Provider Name | Edidiong Ikpe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265684716 PECOS PAC ID: 1254520083 Enrollment ID: I20110404000462 |
| Provider Name | Iris Krishna |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235316639 PECOS PAC ID: 3870778350 Enrollment ID: I20110427000204 |
| Provider Name | Charles Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841516630 PECOS PAC ID: 6800071184 Enrollment ID: I20110502000326 |
| Provider Name | Kellie S Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992006506 PECOS PAC ID: 1759568744 Enrollment ID: I20110531000154 |
| Provider Name | Ratna Vadlamudi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487839122 PECOS PAC ID: 5698953719 Enrollment ID: I20110620000624 |
| Provider Name | La Urshalar B Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073764981 PECOS PAC ID: 5395923452 Enrollment ID: I20110621000325 |
| Provider Name | Jeffrey N Siegelman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184824880 PECOS PAC ID: 5395923361 Enrollment ID: I20110621000589 |
| Provider Name | Michael K Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386633238 PECOS PAC ID: 5395781579 Enrollment ID: I20110622000628 |
| Provider Name | Melissa Adams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629230354 PECOS PAC ID: 6002094976 Enrollment ID: I20110623000321 |
| Provider Name | Constantine Zachary Zaharis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255594115 PECOS PAC ID: 4082892963 Enrollment ID: I20110623000364 |
| Provider Name | Sierra Beck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275796815 PECOS PAC ID: 5991992059 Enrollment ID: I20110623000374 |
| Provider Name | Maria Piraner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598096745 PECOS PAC ID: 2567594724 Enrollment ID: I20110623000683 |
| Provider Name | Jennifer Goodrich Bromley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740487131 PECOS PAC ID: 9436337342 Enrollment ID: I20110623000725 |
| Provider Name | Joseph W Shelton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093990350 PECOS PAC ID: 9133307945 Enrollment ID: I20110627000431 |
| Provider Name | Tamara Taylor Ball |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699977389 PECOS PAC ID: 8123206950 Enrollment ID: I20110627000701 |
| Provider Name | Bradley G Leshnower |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235286170 PECOS PAC ID: 3173701901 Enrollment ID: I20110627000754 |
| Provider Name | Andres F Camacho-gonzalez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174735526 PECOS PAC ID: 8820276579 Enrollment ID: I20110628000277 |
| Provider Name | Brian E Costello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821144163 PECOS PAC ID: 4587762927 Enrollment ID: I20110628000407 |
| Provider Name | Christopher M Horn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386842284 PECOS PAC ID: 3274619143 Enrollment ID: I20110628000484 |
| Provider Name | Tarek N Hanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417133927 PECOS PAC ID: 7416135181 Enrollment ID: I20110628000486 |
| Provider Name | Laura Delong Aspey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598860116 PECOS PAC ID: 0547448227 Enrollment ID: I20110628000568 |
| Provider Name | Maria A Silva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134306640 PECOS PAC ID: 6709064488 Enrollment ID: I20110628000601 |
| Provider Name | Stephanie N Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215190772 PECOS PAC ID: 8527246222 Enrollment ID: I20110628000860 |
| Provider Name | Luke Brewster |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1174783450 PECOS PAC ID: 0345428041 Enrollment ID: I20110628000866 |
| Provider Name | Ajay K Nooka |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801000260 PECOS PAC ID: 9830377407 Enrollment ID: I20110629000828 |
| Provider Name | John P Lemos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720241300 PECOS PAC ID: 4486832789 Enrollment ID: I20110708000207 |
| Provider Name | Elizabeth M Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457537029 PECOS PAC ID: 5395923635 Enrollment ID: I20110711000008 |
| Provider Name | Michael R Silver |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952567901 PECOS PAC ID: 6507044880 Enrollment ID: I20110711000466 |
| Provider Name | Casey L Hall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407031024 PECOS PAC ID: 0941478143 Enrollment ID: I20110713000779 |
| Provider Name | Albert Jesse Schuette |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1558549295 PECOS PAC ID: 6901074111 Enrollment ID: I20110713000834 |
| Provider Name | Bryan D Riggeal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104023308 PECOS PAC ID: 9638347719 Enrollment ID: I20110714000838 |
| Provider Name | Jennifer Verani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467750398 PECOS PAC ID: 2668492570 Enrollment ID: I20110719000121 |
| Provider Name | Brandon Bowman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134391170 PECOS PAC ID: 9739357476 Enrollment ID: I20110722000526 |
| Provider Name | Eric B Friedberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932218625 PECOS PAC ID: 8921038852 Enrollment ID: I20110722000667 |
| Provider Name | George C Leach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043496979 PECOS PAC ID: 1355472432 Enrollment ID: I20110725000178 |
| Provider Name | Keith Michael |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033385679 PECOS PAC ID: 4284802851 Enrollment ID: I20110726000550 |
| Provider Name | Vivekananda Pattabiraman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467649830 PECOS PAC ID: 1658402482 Enrollment ID: I20110726000739 |
| Provider Name | Doris Olukemi Fadoju |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487825055 PECOS PAC ID: 4880862465 Enrollment ID: I20110726000742 |
| Provider Name | Prem A Kandiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972684082 PECOS PAC ID: 9234307810 Enrollment ID: I20110726000746 |
| Provider Name | Yazan Duwayri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487819132 PECOS PAC ID: 4082883483 Enrollment ID: I20110801000377 |
| Provider Name | Stephanie Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548271539 PECOS PAC ID: 9638186349 Enrollment ID: I20110801000906 |
| Provider Name | Benjamin K Stoff |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518175918 PECOS PAC ID: 2668641879 Enrollment ID: I20110804000217 |
| Provider Name | Bradley C Carthon |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700907276 PECOS PAC ID: 1658434766 Enrollment ID: I20110804000366 |
| Provider Name | Kyle Minor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306001227 PECOS PAC ID: 7719163823 Enrollment ID: I20110805000531 |
| Provider Name | Gina Northington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033264098 PECOS PAC ID: 3577531201 Enrollment ID: I20110805000589 |
| Provider Name | Deborah Racheal Karp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366451478 PECOS PAC ID: 7113952649 Enrollment ID: I20110805000617 |
| Provider Name | Ravi M Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659571628 PECOS PAC ID: 3577732684 Enrollment ID: I20110805000753 |
| Provider Name | Virginia O Shaffer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396921813 PECOS PAC ID: 9436328549 Enrollment ID: I20110805000807 |
| Provider Name | Jason Cobb |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407026818 PECOS PAC ID: 0941479901 Enrollment ID: I20110808000635 |
| Provider Name | Vishal N Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255548319 PECOS PAC ID: 0042489056 Enrollment ID: I20110809000281 |
| Provider Name | Carla I Haack |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659557403 PECOS PAC ID: 4981873916 Enrollment ID: I20110809000602 |
| Provider Name | Patrick B Sullivan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1790969780 PECOS PAC ID: 0749304731 Enrollment ID: I20110809000816 |
| Provider Name | Clemlyn-ann A Pollydore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861678484 PECOS PAC ID: 7012186976 Enrollment ID: I20110810000132 |
| Provider Name | Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841451077 PECOS PAC ID: 0345419099 Enrollment ID: I20110815000118 |
| Provider Name | Joanna M Schindler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013193747 PECOS PAC ID: 5496924193 Enrollment ID: I20110815000721 |
| Provider Name | Aarti K Sekhar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720212582 PECOS PAC ID: 4486823085 Enrollment ID: I20110817000257 |
| Provider Name | Sowmya S Mohan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508811340 PECOS PAC ID: 8820093370 Enrollment ID: I20110818000933 |
| Provider Name | Sheetal Kandiah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275588139 PECOS PAC ID: 1557374709 Enrollment ID: I20110819000232 |
| Provider Name | Russell Kempker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750566865 PECOS PAC ID: 3577733997 Enrollment ID: I20110823000167 |
| Provider Name | Mohammad K Khan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1487823654 PECOS PAC ID: 8325218605 Enrollment ID: I20110823001013 |
| Provider Name | Robert Cotes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275751554 PECOS PAC ID: 9234263088 Enrollment ID: I20110824000126 |
| Provider Name | Karen Lee-lin Law |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306020805 PECOS PAC ID: 1557531852 Enrollment ID: I20110824000166 |
| Provider Name | Kristin Higgins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730353327 PECOS PAC ID: 1557531894 Enrollment ID: I20110824000668 |
| Provider Name | Sanaz B Devlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225019912 PECOS PAC ID: 0345410601 Enrollment ID: I20110824000859 |
| Provider Name | Nga Thi Thuy Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770879041 PECOS PAC ID: 8820268030 Enrollment ID: I20110825000656 |
| Provider Name | Charles J Lewinstein |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669446605 PECOS PAC ID: 7113197070 Enrollment ID: I20110901000109 |
| Provider Name | Heather F Silver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578722427 PECOS PAC ID: 9638200421 Enrollment ID: I20110902000406 |
| Provider Name | Joseph I Zarge |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528006525 PECOS PAC ID: 4284804931 Enrollment ID: I20110907001041 |
| Provider Name | Susmita Parashar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891854592 PECOS PAC ID: 9133399819 Enrollment ID: I20110907001397 |
| Provider Name | Millard Andrew Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790073872 PECOS PAC ID: 7113197716 Enrollment ID: I20110908001806 |
| Provider Name | Ijeoma Akaelu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518267251 PECOS PAC ID: 5799956272 Enrollment ID: I20110913000408 |
| Provider Name | Brian J Cartin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548420318 PECOS PAC ID: 9537330022 Enrollment ID: I20110913000498 |
| Provider Name | Mukesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295902419 PECOS PAC ID: 8628144672 Enrollment ID: I20110913000507 |
| Provider Name | David J Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518011808 PECOS PAC ID: 0244253680 Enrollment ID: I20110914000602 |
| Provider Name | Gautam Kumar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1437375391 PECOS PAC ID: 5395830913 Enrollment ID: I20110914000631 |
| Provider Name | Alex D Truong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1598950172 PECOS PAC ID: 6901077304 Enrollment ID: I20110915000110 |
| Provider Name | Mark H Rapaport |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194709998 PECOS PAC ID: 8325946478 Enrollment ID: I20110923000094 |
| Provider Name | Naymee Velez Ruiz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982878815 PECOS PAC ID: 3577687268 Enrollment ID: I20110923000108 |
| Provider Name | Heidi E Karpen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518047877 PECOS PAC ID: 5092996744 Enrollment ID: I20110923000615 |
| Provider Name | Anna Holbrook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558590588 PECOS PAC ID: 0143351049 Enrollment ID: I20110926000697 |
| Provider Name | Elma Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972754190 PECOS PAC ID: 0143414243 Enrollment ID: I20110927000214 |
| Provider Name | Ron Feldman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316123821 PECOS PAC ID: 3779762224 Enrollment ID: I20110928000730 |
| Provider Name | Anandi Nayan Sheth |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467571182 PECOS PAC ID: 8820269558 Enrollment ID: I20110928000804 |
| Provider Name | Mehul N Tejani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861653461 PECOS PAC ID: 5597937136 Enrollment ID: I20111004000459 |
| Provider Name | Henry K Blair |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1912165721 PECOS PAC ID: 8921270372 Enrollment ID: I20111007000550 |
| Provider Name | Ivy F Forkner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629229018 PECOS PAC ID: 9032381306 Enrollment ID: I20111010000260 |
| Provider Name | Mark W El-deiry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093752719 PECOS PAC ID: 9234141029 Enrollment ID: I20111010000531 |
| Provider Name | Tina Baker Paulk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568753754 PECOS PAC ID: 0840462982 Enrollment ID: I20111013000316 |
| Provider Name | Shannon Tucker Kahn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275710899 PECOS PAC ID: 6608053459 Enrollment ID: I20111013000393 |
| Provider Name | Carolyn B Hebson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508042268 PECOS PAC ID: 4981876042 Enrollment ID: I20111013000535 |
| Provider Name | Dana Meaney-delman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518254762 PECOS PAC ID: 4587837349 Enrollment ID: I20111024000508 |
| Provider Name | Wissam Jaber |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053390427 PECOS PAC ID: 2163405309 Enrollment ID: I20111026000800 |
| Provider Name | Tommy T Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760502975 PECOS PAC ID: 8022281534 Enrollment ID: I20111028000189 |
| Provider Name | Joan Kramer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407804032 PECOS PAC ID: 1254343700 Enrollment ID: I20111031000277 |
| Provider Name | Sofia Shaheen Chaudhary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790947430 PECOS PAC ID: 7315110640 Enrollment ID: I20111102000644 |
| Provider Name | Eric Fishman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952448342 PECOS PAC ID: 3779756978 Enrollment ID: I20111103000675 |
| Provider Name | Bhavin Adhyaru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366600926 PECOS PAC ID: 5890968838 Enrollment ID: I20111107000837 |
| Provider Name | Robert Lucaj |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1366605602 PECOS PAC ID: 7315115441 Enrollment ID: I20111108000522 |
| Provider Name | Jeranfel Hernandez |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1255494472 PECOS PAC ID: 9739233511 Enrollment ID: I20111108000554 |
| Provider Name | Shawnte R. James |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700046661 PECOS PAC ID: 9436322336 Enrollment ID: I20111108000802 |
| Provider Name | Michael Lowe |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1013193507 PECOS PAC ID: 6800060815 Enrollment ID: I20111130000621 |
| Provider Name | Thomas F Dodson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093731713 PECOS PAC ID: 0345357760 Enrollment ID: I20111213000324 |
| Provider Name | Ighovwerha Ofotokun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104918556 PECOS PAC ID: 4587830369 Enrollment ID: I20111228000440 |
| Provider Name | Sidney Stein |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1366486011 PECOS PAC ID: 8729100698 Enrollment ID: I20120104000331 |
| Provider Name | Natasha Travis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447202700 PECOS PAC ID: 7911939830 Enrollment ID: I20120104000469 |
| Provider Name | William Read |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1720011257 PECOS PAC ID: 6608771381 Enrollment ID: I20120104000547 |
| Provider Name | Shiyong Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295793909 PECOS PAC ID: 9335175744 Enrollment ID: I20120106000602 |
| Provider Name | Thomas Wichmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487761045 PECOS PAC ID: 6709053945 Enrollment ID: I20120111000712 |
| Provider Name | Sheryl Heron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326073651 PECOS PAC ID: 8123910601 Enrollment ID: I20120119000434 |
| Provider Name | Yun Ping Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538358197 PECOS PAC ID: 5991846487 Enrollment ID: I20120207000273 |
| Provider Name | Kathryn L Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629345798 PECOS PAC ID: 6608033220 Enrollment ID: I20120208000855 |
| Provider Name | Katherine C Barnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689942104 PECOS PAC ID: 4183882475 Enrollment ID: I20120215000658 |
| Provider Name | Kiera L Vonbesser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790984037 PECOS PAC ID: 0941469365 Enrollment ID: I20120305000367 |
| Provider Name | Walter B Mcclelland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790962488 PECOS PAC ID: 4880854520 Enrollment ID: I20120404000505 |
| Provider Name | Phyllis Rosen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316061278 PECOS PAC ID: 3274794797 Enrollment ID: I20120410000612 |
| Provider Name | Ignacio Sanz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780601872 PECOS PAC ID: 7517041098 Enrollment ID: I20120417000528 |
| Provider Name | Olga E Lazar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326128067 PECOS PAC ID: 7618138520 Enrollment ID: I20120419000283 |
| Provider Name | Shreya Mukund Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699933226 PECOS PAC ID: 3274795059 Enrollment ID: I20120425000167 |
| Provider Name | Matthew J Schniederjan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104001668 PECOS PAC ID: 5597927111 Enrollment ID: I20120427000132 |
| Provider Name | Audrea O Vaughan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023339355 PECOS PAC ID: 6305009135 Enrollment ID: I20120515000313 |
| Provider Name | Lakesha M Davison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154565950 PECOS PAC ID: 1052574449 Enrollment ID: I20120522001307 |
| Provider Name | Tanicia C Daley Jean-pierre |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821253436 PECOS PAC ID: 1355504531 Enrollment ID: I20120525000517 |
| Provider Name | Laura F Slivka-villalon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831344340 PECOS PAC ID: 5799809687 Enrollment ID: I20120606000729 |
| Provider Name | Liang Gu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427232966 PECOS PAC ID: 8729242482 Enrollment ID: I20120608000016 |
| Provider Name | Kiesha Fraser Doh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730167040 PECOS PAC ID: 5193705747 Enrollment ID: I20120611000287 |
| Provider Name | Abhijit P Datir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679703656 PECOS PAC ID: 5597929158 Enrollment ID: I20120611000448 |
| Provider Name | Hasmukh Jagdishbhai Prajapati |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1548492325 PECOS PAC ID: 2365606944 Enrollment ID: I20120611000619 |
| Provider Name | Gaurav P Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992963557 PECOS PAC ID: 7618131293 Enrollment ID: I20120611000635 |
| Provider Name | Maa-ohul Quarmyne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669637880 PECOS PAC ID: 2264696731 Enrollment ID: I20120613000218 |
| Provider Name | Stephanie L Crickenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992094130 PECOS PAC ID: 0840455986 Enrollment ID: I20120622000412 |
| Provider Name | Douglas J Freiberger |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588849020 PECOS PAC ID: 4385809136 Enrollment ID: I20120629000431 |
| Provider Name | Kimberly J Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891094835 PECOS PAC ID: 8628233210 Enrollment ID: I20120705000334 |
| Provider Name | Jeremy K Jones |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700045119 PECOS PAC ID: 4688839293 Enrollment ID: I20120705000493 |
| Provider Name | Arif N Ali |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962686238 PECOS PAC ID: 9931364544 Enrollment ID: I20120705000509 |
| Provider Name | Erin B Bowman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104099969 PECOS PAC ID: 0840455457 Enrollment ID: I20120705000510 |
| Provider Name | Darren James Hunt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316153604 PECOS PAC ID: 0840455374 Enrollment ID: I20120706000180 |
| Provider Name | Kiran Maddu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538472543 PECOS PAC ID: 0648435172 Enrollment ID: I20120706000202 |
| Provider Name | Abdel Aziz A Jaffan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871799304 PECOS PAC ID: 2264584747 Enrollment ID: I20120706000508 |
| Provider Name | Jennifer E Gillis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629273719 PECOS PAC ID: 3870758337 Enrollment ID: I20120706000537 |
| Provider Name | Elizabeth Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134306616 PECOS PAC ID: 9133384696 Enrollment ID: I20120706000545 |
| Provider Name | Andrew M Pendley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306159512 PECOS PAC ID: 5991960494 Enrollment ID: I20120709000325 |
| Provider Name | Daniel A Wood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154563583 PECOS PAC ID: 2668637182 Enrollment ID: I20120709000501 |
| Provider Name | Matthew K Whalin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538327119 PECOS PAC ID: 4284899618 Enrollment ID: I20120710000019 |
| Provider Name | Anuj Mohan Tewari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629258066 PECOS PAC ID: 0345405783 Enrollment ID: I20120710000064 |
| Provider Name | Maulik S Zaveri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780848937 PECOS PAC ID: 8921263377 Enrollment ID: I20120710000154 |
| Provider Name | Anika L Backster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205099751 PECOS PAC ID: 9032374483 Enrollment ID: I20120710000227 |
| Provider Name | John Chenevey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598949570 PECOS PAC ID: 7810152154 Enrollment ID: I20120711000414 |
| Provider Name | Amy D Kuhmichel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083889661 PECOS PAC ID: 7214192400 Enrollment ID: I20120714000028 |
| Provider Name | Jason H Peragallo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861790826 PECOS PAC ID: 4789862780 Enrollment ID: I20120714000047 |
| Provider Name | Pankajavalli Ramakrishnan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811169352 PECOS PAC ID: 7719145523 Enrollment ID: I20120716000097 |
| Provider Name | Don T Bui |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932313483 PECOS PAC ID: 9032375241 Enrollment ID: I20120716000310 |
| Provider Name | Jason Linefsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720288624 PECOS PAC ID: 9739271883 Enrollment ID: I20120717000189 |
| Provider Name | Lizzette Hernaiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669773669 PECOS PAC ID: 0749446888 Enrollment ID: I20120718000388 |
| Provider Name | Demetrius L Woods |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124399423 PECOS PAC ID: 6608032750 Enrollment ID: I20120718000518 |
| Provider Name | Roger A Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457593832 PECOS PAC ID: 2769648740 Enrollment ID: I20120718000842 |
| Provider Name | Michelle A Glasgow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184882524 PECOS PAC ID: 9133385925 Enrollment ID: I20120723000952 |
| Provider Name | Emad S Qayed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013195809 PECOS PAC ID: 6103082870 Enrollment ID: I20120724000818 |
| Provider Name | Agena Davenport-nicholson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710140330 PECOS PAC ID: 8426214107 Enrollment ID: I20120724000975 |
| Provider Name | Jonathan M.c. Threadgill |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1093881021 PECOS PAC ID: 3779749361 Enrollment ID: I20120726000126 |
| Provider Name | Cassandra B Donnelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023245388 PECOS PAC ID: 2769648179 Enrollment ID: I20120730000059 |
| Provider Name | Evan J Anderson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427250661 PECOS PAC ID: 5991897498 Enrollment ID: I20120730000598 |
| Provider Name | Jacqueline L Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992948046 PECOS PAC ID: 4486810702 Enrollment ID: I20120731000552 |
| Provider Name | Saurabh Chawla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679759906 PECOS PAC ID: 4789840018 Enrollment ID: I20120731000647 |
| Provider Name | Melissa Halliday Gittinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710114681 PECOS PAC ID: 5597926667 Enrollment ID: I20120731000867 |
| Provider Name | Amir Rezvan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538328679 PECOS PAC ID: 3173789450 Enrollment ID: I20120801000357 |
| Provider Name | Karim Ali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295979656 PECOS PAC ID: 9234385543 Enrollment ID: I20120801000775 |
| Provider Name | Jennifer E Bracey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265618003 PECOS PAC ID: 3274684352 Enrollment ID: I20120802000301 |
| Provider Name | Manila Gaddh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598902140 PECOS PAC ID: 4486800521 Enrollment ID: I20120806000779 |
| Provider Name | Francois G Rollin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245474162 PECOS PAC ID: 2163678020 Enrollment ID: I20120808000390 |
| Provider Name | Timothy N Udoji |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255488060 PECOS PAC ID: 3577719434 Enrollment ID: I20120808000451 |
| Provider Name | Maria C Russell |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1689852774 PECOS PAC ID: 2961535778 Enrollment ID: I20120808000776 |
| Provider Name | Dustin Rochestie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285898080 PECOS PAC ID: 4688820442 Enrollment ID: I20120809000640 |
| Provider Name | Lyle C Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194979427 PECOS PAC ID: 7517113293 Enrollment ID: I20120813000300 |
| Provider Name | Thad J Dean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417148065 PECOS PAC ID: 9133306566 Enrollment ID: I20120813000657 |
| Provider Name | Marlen Leon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699935320 PECOS PAC ID: 8123274842 Enrollment ID: I20120813000720 |
| Provider Name | Kenneth Cardona |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1467638130 PECOS PAC ID: 9931355450 Enrollment ID: I20120815000537 |
| Provider Name | Bartosz Wojewnik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093974669 PECOS PAC ID: 2860648391 Enrollment ID: I20120815000630 |
| Provider Name | Colin Gable Crosby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558565036 PECOS PAC ID: 0345496840 Enrollment ID: I20120816000568 |
| Provider Name | Ajani Nugent |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144406877 PECOS PAC ID: 9537316948 Enrollment ID: I20120820000813 |
| Provider Name | Alexis T Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093079477 PECOS PAC ID: 3375790645 Enrollment ID: I20120822000442 |
| Provider Name | Sofie R Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801021456 PECOS PAC ID: 6800043795 Enrollment ID: I20120828000851 |
| Provider Name | Michele L Sumler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700094752 PECOS PAC ID: 8820122963 Enrollment ID: I20120829000306 |
| Provider Name | Sean M Lowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679716559 PECOS PAC ID: 6406003292 Enrollment ID: I20120830000089 |
| Provider Name | Angela Cheng |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821222308 PECOS PAC ID: 8022288588 Enrollment ID: I20120830000818 |
| Provider Name | Vivian Robinson-womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528378577 PECOS PAC ID: 6901053685 Enrollment ID: I20120831000344 |
| Provider Name | Kalinda D Woods |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093841132 PECOS PAC ID: 8921160672 Enrollment ID: I20120904000051 |
| Provider Name | Claudia Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578659074 PECOS PAC ID: 7315028370 Enrollment ID: I20120905000510 |
| Provider Name | Leah M Habib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174782692 PECOS PAC ID: 7719134238 Enrollment ID: I20120905000537 |
| Provider Name | Nadia Maria Fadli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497029326 PECOS PAC ID: 4385891811 Enrollment ID: I20120905000645 |
| Provider Name | Sadhna B Nandwana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497996813 PECOS PAC ID: 6406004753 Enrollment ID: I20120912000322 |
| Provider Name | Jonah E Fox |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750593661 PECOS PAC ID: 6901054253 Enrollment ID: I20120912000372 |
| Provider Name | Robert C Fang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750538500 PECOS PAC ID: 8224286588 Enrollment ID: I20120912000426 |
| Provider Name | Brandon Boyd Johnson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386806693 PECOS PAC ID: 9830347848 Enrollment ID: I20120917000850 |
| Provider Name | Nathaniel W Lytle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205031895 PECOS PAC ID: 8820246838 Enrollment ID: I20120917000858 |
| Provider Name | Patricia L Denning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518901537 PECOS PAC ID: 6103074091 Enrollment ID: I20120918000947 |
| Provider Name | Tamara Z Haynes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285802934 PECOS PAC ID: 5395993133 Enrollment ID: I20120919000683 |
| Provider Name | Andrea G Hill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750676060 PECOS PAC ID: 7012166630 Enrollment ID: I20120925000568 |
| Provider Name | Sanjit D Peter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255511267 PECOS PAC ID: 0143479477 Enrollment ID: I20121002000512 |
| Provider Name | Rachel J Friedman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1851578405 PECOS PAC ID: 6103075379 Enrollment ID: I20121003000340 |
| Provider Name | Aarti Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447269956 PECOS PAC ID: 2466556303 Enrollment ID: I20121003000552 |
| Provider Name | Geetha D Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1104036524 PECOS PAC ID: 7315011160 Enrollment ID: I20121012000241 |
| Provider Name | Ankit D Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316121684 PECOS PAC ID: 2567612260 Enrollment ID: I20121015000365 |
| Provider Name | Carlton Dennis Dampier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083665566 PECOS PAC ID: 7810989837 Enrollment ID: I20121015000611 |
| Provider Name | Joshua N Freedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144433806 PECOS PAC ID: 3072763705 Enrollment ID: I20121015000641 |
| Provider Name | Martha C Ward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316123177 PECOS PAC ID: 0749430908 Enrollment ID: I20121024000276 |
| Provider Name | Amy Harrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568620136 PECOS PAC ID: 3173774916 Enrollment ID: I20121105000035 |
| Provider Name | Willard Kasoff |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225214166 PECOS PAC ID: 7618128455 Enrollment ID: I20121105000038 |
| Provider Name | Arezou Khosroshahi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164586251 PECOS PAC ID: 8426143025 Enrollment ID: I20121112000184 |
| Provider Name | Todd Andrew Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902098916 PECOS PAC ID: 3375698251 Enrollment ID: I20121112000193 |
| Provider Name | David S Hirsh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1437349594 PECOS PAC ID: 7719138015 Enrollment ID: I20121114000518 |
| Provider Name | Sheena L Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073714846 PECOS PAC ID: 0446401756 Enrollment ID: I20121114000647 |
| Provider Name | Tenisha Nicole Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326391491 PECOS PAC ID: 0143472506 Enrollment ID: I20121211000058 |
| Provider Name | Andrew M Hendrick |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174741045 PECOS PAC ID: 9032240338 Enrollment ID: I20121212000499 |
| Provider Name | Brenda Ann Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336490937 PECOS PAC ID: 5799938627 Enrollment ID: I20121231000151 |
| Provider Name | Carmen D Sulton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265617567 PECOS PAC ID: 3577617315 Enrollment ID: I20130108000177 |
| Provider Name | Jenny Han |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083824890 PECOS PAC ID: 1658446406 Enrollment ID: I20130109000780 |
| Provider Name | Kristin Weinschenk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245417344 PECOS PAC ID: 5193978708 Enrollment ID: I20130110000219 |
| Provider Name | Sanjay Gupta |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1760499529 PECOS PAC ID: 5991958209 Enrollment ID: I20130118000223 |
| Provider Name | Ameeta S Kalokhe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407032998 PECOS PAC ID: 6800040619 Enrollment ID: I20130201000509 |
| Provider Name | Latoya Britt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437403979 PECOS PAC ID: 0244485621 Enrollment ID: I20130311000320 |
| Provider Name | Paula W Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891080594 PECOS PAC ID: 6406001791 Enrollment ID: I20130313000401 |
| Provider Name | Laura J Martin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1790883767 PECOS PAC ID: 4385889633 Enrollment ID: I20130314000484 |
| Provider Name | Susan Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992046007 PECOS PAC ID: 5799921441 Enrollment ID: I20130424001007 |
| Provider Name | Foad Nahai |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1083634398 PECOS PAC ID: 9638316904 Enrollment ID: I20130503000283 |
| Provider Name | Charles E Moore |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588775712 PECOS PAC ID: 7012176779 Enrollment ID: I20130509000351 |
| Provider Name | Angela S Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487896825 PECOS PAC ID: 4284871203 Enrollment ID: I20130513000067 |
| Provider Name | Amber R Samuel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114123429 PECOS PAC ID: 6406093434 Enrollment ID: I20130513000144 |
| Provider Name | Khaalisha Bintu Ajala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841428679 PECOS PAC ID: 7416194279 Enrollment ID: I20130515000160 |
| Provider Name | Linsheng Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194923367 PECOS PAC ID: 7012155435 Enrollment ID: I20130524000207 |
| Provider Name | Michael Aho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477729051 PECOS PAC ID: 8022271568 Enrollment ID: I20130604000122 |
| Provider Name | Ingrid Bloom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548587975 PECOS PAC ID: 9739327628 Enrollment ID: I20130605000280 |
| Provider Name | Heather J Kaneda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477792182 PECOS PAC ID: 2668610569 Enrollment ID: I20130605000384 |
| Provider Name | Martin Sanda |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710093679 PECOS PAC ID: 6305738915 Enrollment ID: I20130612000678 |
| Provider Name | Blake M Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245587575 PECOS PAC ID: 0648419127 Enrollment ID: I20130612000697 |
| Provider Name | Reena Blanco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912169939 PECOS PAC ID: 5799924163 Enrollment ID: I20130614000264 |
| Provider Name | Carrie E Flanagan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104962851 PECOS PAC ID: 6002051877 Enrollment ID: I20130617000641 |
| Provider Name | Valeria Cantos-lucio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033422753 PECOS PAC ID: 9638319478 Enrollment ID: I20130628000147 |
| Provider Name | Sarita A Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528201027 PECOS PAC ID: 9739329210 Enrollment ID: I20130703000519 |
| Provider Name | Korrin Scott Ford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316106719 PECOS PAC ID: 4385884451 Enrollment ID: I20130712000661 |
| Provider Name | Jehangir M Meer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699729087 PECOS PAC ID: 5799717443 Enrollment ID: I20130715000316 |
| Provider Name | Tiffany Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659697803 PECOS PAC ID: 1759521768 Enrollment ID: I20130715000478 |
| Provider Name | Justin T Cheeley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952628471 PECOS PAC ID: 8820238868 Enrollment ID: I20130715000744 |
| Provider Name | Aliu O Sanni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629226758 PECOS PAC ID: 8527208560 Enrollment ID: I20130715000765 |
| Provider Name | Frank Edward Corrigan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932348885 PECOS PAC ID: 6406096445 Enrollment ID: I20130715000801 |
| Provider Name | Beatrice Yvette Brewington |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861486110 PECOS PAC ID: 9234207382 Enrollment ID: I20130716000173 |
| Provider Name | Elnaz Jafarimehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083934954 PECOS PAC ID: 3072751759 Enrollment ID: I20130716000200 |
| Provider Name | Cecile D Lahiri |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497931398 PECOS PAC ID: 7416197470 Enrollment ID: I20130716000249 |
| Provider Name | Patrick Meloy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538471339 PECOS PAC ID: 0547400525 Enrollment ID: I20130716000465 |
| Provider Name | Neha Vaitha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154642130 PECOS PAC ID: 5890935878 Enrollment ID: I20130716000497 |
| Provider Name | Jonathan A Grossberg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174740344 PECOS PAC ID: 4587804570 Enrollment ID: I20130716000565 |
| Provider Name | Hernan D Urrego |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316107253 PECOS PAC ID: 5991945990 Enrollment ID: I20130716000737 |
| Provider Name | Lillian K Ivansco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043478605 PECOS PAC ID: 5991945859 Enrollment ID: I20130717000616 |
| Provider Name | Pamela D Vohra Khullar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285816017 PECOS PAC ID: 5193893808 Enrollment ID: I20130718000607 |
| Provider Name | Steven M Lindsey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780900043 PECOS PAC ID: 5395986012 Enrollment ID: I20130723000531 |
| Provider Name | Samir Vira |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679725550 PECOS PAC ID: 9436309549 Enrollment ID: I20130723000762 |
| Provider Name | Jessica K Mccool |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215234687 PECOS PAC ID: 8426299090 Enrollment ID: I20130724000174 |
| Provider Name | Katherine E Kohler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790946762 PECOS PAC ID: 0042451619 Enrollment ID: I20130724000193 |
| Provider Name | Raymond Albert Higginbotham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700034501 PECOS PAC ID: 5698916286 Enrollment ID: I20130724000426 |
| Provider Name | Michelle Dumler Lall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114101417 PECOS PAC ID: 3577636943 Enrollment ID: I20130724000688 |
| Provider Name | Manjari Devidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407172448 PECOS PAC ID: 8527209147 Enrollment ID: I20130724000740 |
| Provider Name | Erica T Piduru |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659557338 PECOS PAC ID: 9436390960 Enrollment ID: I20130726000145 |
| Provider Name | Christopher J Knudson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104114628 PECOS PAC ID: 8123269404 Enrollment ID: I20130729000987 |
| Provider Name | Elrond Y Teo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124230750 PECOS PAC ID: 8325289556 Enrollment ID: I20130730000672 |
| Provider Name | Neela D Goswami |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952577793 PECOS PAC ID: 1759522956 Enrollment ID: I20130731000439 |
| Provider Name | Andrew B Lemmon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811156086 PECOS PAC ID: 3577704774 Enrollment ID: I20130731000443 |
| Provider Name | Margaret R Zelasko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225355613 PECOS PAC ID: 8628219821 Enrollment ID: I20130731000494 |
| Provider Name | Shipra Arya |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952517476 PECOS PAC ID: 3072754142 Enrollment ID: I20130801000400 |
| Provider Name | Angela M Fusaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932335296 PECOS PAC ID: 9537316534 Enrollment ID: I20130802000087 |
| Provider Name | Akanksha Mehta |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962621615 PECOS PAC ID: 7416135520 Enrollment ID: I20130802000182 |
| Provider Name | Alyssa M Krasinskas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568436996 PECOS PAC ID: 8628266095 Enrollment ID: I20130802000289 |
| Provider Name | Lindsay S Kibuyaga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144546508 PECOS PAC ID: 7214178276 Enrollment ID: I20130802000470 |
| Provider Name | Cara Cimmino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275704652 PECOS PAC ID: 5294990008 Enrollment ID: I20130806000353 |
| Provider Name | Laurel Vuong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649504523 PECOS PAC ID: 3870735731 Enrollment ID: I20130806000703 |
| Provider Name | Gregory Abram Tayrose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093989030 PECOS PAC ID: 1355583212 Enrollment ID: I20130806000789 |
| Provider Name | Brett M Jakaitis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255592523 PECOS PAC ID: 0941442776 Enrollment ID: I20130807000761 |
| Provider Name | Thomas J Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134306152 PECOS PAC ID: 4385886902 Enrollment ID: I20130812000392 |
| Provider Name | Harris S Slone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417118365 PECOS PAC ID: 1951543495 Enrollment ID: I20130812000738 |
| Provider Name | Joshua H Winer |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1922185909 PECOS PAC ID: 3375711815 Enrollment ID: I20130812000814 |
| Provider Name | Dimple R Majumder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306162748 PECOS PAC ID: 1254577851 Enrollment ID: I20130815000357 |
| Provider Name | Christina H Halter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134568157 PECOS PAC ID: 4284876319 Enrollment ID: I20130820000167 |
| Provider Name | Jennifer Lom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619135282 PECOS PAC ID: 0345412722 Enrollment ID: I20130820000643 |
| Provider Name | Keren A Bashan-gilzenrat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700047784 PECOS PAC ID: 7012159197 Enrollment ID: I20130820000830 |
| Provider Name | Xiaoxian Li |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871748319 PECOS PAC ID: 0840432936 Enrollment ID: I20130820000963 |
| Provider Name | Jason T Bariteau |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740482850 PECOS PAC ID: 2769647908 Enrollment ID: I20130827000167 |
| Provider Name | Debra A Glasheen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417298795 PECOS PAC ID: 6507009347 Enrollment ID: I20130827000565 |
| Provider Name | Valeria M Moncayo |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1447432471 PECOS PAC ID: 3173766615 Enrollment ID: I20130830000377 |
| Provider Name | Eric Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588808034 PECOS PAC ID: 1557504826 Enrollment ID: I20130905000741 |
| Provider Name | Oluwatoke Adeyemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134373947 PECOS PAC ID: 6507006814 Enrollment ID: I20130906000417 |
| Provider Name | William B Keeling |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275632705 PECOS PAC ID: 6305024159 Enrollment ID: I20130909000210 |
| Provider Name | Carmen C Polito |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558531285 PECOS PAC ID: 9638313893 Enrollment ID: I20130910000654 |
| Provider Name | Oswaldo Henriquez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689850810 PECOS PAC ID: 6103072285 Enrollment ID: I20130911000274 |
| Provider Name | Alaina R Steck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972746378 PECOS PAC ID: 3870737885 Enrollment ID: I20130912000768 |
| Provider Name | Stephen M Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407014186 PECOS PAC ID: 0840454070 Enrollment ID: I20130912000805 |
| Provider Name | Gustavo Pradilla |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659425916 PECOS PAC ID: 4284878232 Enrollment ID: I20130913000367 |
| Provider Name | Jamika L Hallman Cooper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114116480 PECOS PAC ID: 2567596091 Enrollment ID: I20130917000683 |
| Provider Name | Sarah S Milla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902914229 PECOS PAC ID: 3870684392 Enrollment ID: I20130924000372 |
| Provider Name | David Scott Wolf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255534228 PECOS PAC ID: 8123213691 Enrollment ID: I20130930000414 |
| Provider Name | Lisa C Flachbarth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265865257 PECOS PAC ID: 7416181672 Enrollment ID: I20131002000241 |
| Provider Name | Esther X Vivas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932330495 PECOS PAC ID: 0345474292 Enrollment ID: I20131008000326 |
| Provider Name | Cliff C Lin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689963282 PECOS PAC ID: 3476787326 Enrollment ID: I20131008000499 |
| Provider Name | Mohamed Y Al Sawaf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982049292 PECOS PAC ID: 8022242833 Enrollment ID: I20131010000993 |
| Provider Name | Jennifer D Wingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275967200 PECOS PAC ID: 3577797398 Enrollment ID: I20131010001306 |
| Provider Name | Neena Lal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760707731 PECOS PAC ID: 5496980849 Enrollment ID: I20131021001151 |
| Provider Name | Salma De La Feld |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639307887 PECOS PAC ID: 2264678937 Enrollment ID: I20131024001679 |
| Provider Name | Maisha Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366874927 PECOS PAC ID: 8729213798 Enrollment ID: I20131028002026 |
| Provider Name | Diane Payne |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1952568198 PECOS PAC ID: 9830125475 Enrollment ID: I20131104001340 |
| Provider Name | Kristal J Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811320575 PECOS PAC ID: 8224264684 Enrollment ID: I20131113002269 |
| Provider Name | Javacia Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508294349 PECOS PAC ID: 2769618644 Enrollment ID: I20131125000265 |
| Provider Name | Susan M Shafii |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154570851 PECOS PAC ID: 5698909000 Enrollment ID: I20131206000704 |
| Provider Name | Shelly Abramowicz |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1619130259 PECOS PAC ID: 7416015672 Enrollment ID: I20131206000800 |
| Provider Name | Anju A Oommen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861657835 PECOS PAC ID: 6709013634 Enrollment ID: I20131220000310 |
| Provider Name | Edward Lin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235155961 PECOS PAC ID: 1951539014 Enrollment ID: I20140116001879 |
| Provider Name | Asha Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164851150 PECOS PAC ID: 4385873595 Enrollment ID: I20140211001380 |
| Provider Name | Melissa Catherine Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750512521 PECOS PAC ID: 4587894373 Enrollment ID: I20140221001375 |
| Provider Name | Omar Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043531254 PECOS PAC ID: 2567692635 Enrollment ID: I20140311001828 |
| Provider Name | Jonathan Maurice Wortham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386940146 PECOS PAC ID: 1557592466 Enrollment ID: I20140318000623 |
| Provider Name | Fuad El Rassi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1174787352 PECOS PAC ID: 5991937963 Enrollment ID: I20140407001941 |
| Provider Name | Oluremi Onifade |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821421421 PECOS PAC ID: 8325270127 Enrollment ID: I20140409002054 |
| Provider Name | Robert Vardaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467876193 PECOS PAC ID: 7315179017 Enrollment ID: I20140411000854 |
| Provider Name | Patrick J Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437570637 PECOS PAC ID: 2264664770 Enrollment ID: I20140416001293 |
| Provider Name | Sophia Hussen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134285695 PECOS PAC ID: 0345472783 Enrollment ID: I20140416002484 |
| Provider Name | Shontreka Akisha Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134541097 PECOS PAC ID: 8224260450 Enrollment ID: I20140422001247 |
| Provider Name | Ursula A Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417171240 PECOS PAC ID: 6204900533 Enrollment ID: I20140424000811 |
| Provider Name | Francisco Pasquel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417117003 PECOS PAC ID: 2062645161 Enrollment ID: I20140424002223 |
| Provider Name | Jane L Gilmore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770687923 PECOS PAC ID: 0648361410 Enrollment ID: I20140506001405 |
| Provider Name | Jessica Scott Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508280249 PECOS PAC ID: 0244453553 Enrollment ID: I20140513002112 |
| Provider Name | Neil Amin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760625362 PECOS PAC ID: 4284858838 Enrollment ID: I20140620002111 |
| Provider Name | Douglas W Chesson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407145774 PECOS PAC ID: 8729202379 Enrollment ID: I20140620002141 |
| Provider Name | Soham S Mahadevia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821222894 PECOS PAC ID: 9537383187 Enrollment ID: I20140620002201 |
| Provider Name | Scott Hamlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407099039 PECOS PAC ID: 5395969950 Enrollment ID: I20140623000217 |
| Provider Name | Gokul Narayan Kumar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225267867 PECOS PAC ID: 0042451593 Enrollment ID: I20140623001679 |
| Provider Name | Jamil Stetler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669615548 PECOS PAC ID: 9133343635 Enrollment ID: I20140623002051 |
| Provider Name | Meredith H Redden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154553980 PECOS PAC ID: 6204050842 Enrollment ID: I20140623002404 |
| Provider Name | Sujata Gill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982838371 PECOS PAC ID: 7719101260 Enrollment ID: I20140624001240 |
| Provider Name | Mayura Gujarathi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720237290 PECOS PAC ID: 9739304247 Enrollment ID: I20140625001071 |
| Provider Name | Megan Cloutier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639469786 PECOS PAC ID: 3274758636 Enrollment ID: I20140627001668 |
| Provider Name | Clifford Hawkins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922273861 PECOS PAC ID: 1759506785 Enrollment ID: I20140708001681 |
| Provider Name | Elisavet Paplomata |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891927687 PECOS PAC ID: 9234354143 Enrollment ID: I20140709002250 |
| Provider Name | Ngoc Ha T Gunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447540091 PECOS PAC ID: 8527283324 Enrollment ID: I20140711001165 |
| Provider Name | Alvin Jay Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407019607 PECOS PAC ID: 9830315910 Enrollment ID: I20140725000872 |
| Provider Name | Mark Griffiths |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376753392 PECOS PAC ID: 2062563588 Enrollment ID: I20140725001558 |
| Provider Name | Joshua Osbun |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1316139793 PECOS PAC ID: 0749406791 Enrollment ID: I20140728001425 |
| Provider Name | Mark P Flajole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508907312 PECOS PAC ID: 7719163252 Enrollment ID: I20140728001686 |
| Provider Name | Leslie Coryn Ghisletta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851553705 PECOS PAC ID: 3274759246 Enrollment ID: I20140728001960 |
| Provider Name | Adeniyi Fisayo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164741260 PECOS PAC ID: 8628294600 Enrollment ID: I20140728002454 |
| Provider Name | Jacob M Budny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508008665 PECOS PAC ID: 0648496570 Enrollment ID: I20140729001846 |
| Provider Name | Christopher Roy Stelton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013234624 PECOS PAC ID: 4082830922 Enrollment ID: I20140729001946 |
| Provider Name | David Sackel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235459512 PECOS PAC ID: 3971729872 Enrollment ID: I20140730000968 |
| Provider Name | Vinita Singh |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1114153806 PECOS PAC ID: 7315183514 Enrollment ID: I20140731000885 |
| Provider Name | Christopher David Killion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891756169 PECOS PAC ID: 0547313538 Enrollment ID: I20140820001448 |
| Provider Name | Ruth S Hwu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972780138 PECOS PAC ID: 6709919202 Enrollment ID: I20140820001517 |
| Provider Name | Jeanne L. Hatcher |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801061247 PECOS PAC ID: 3274774468 Enrollment ID: I20140822001740 |
| Provider Name | Manu Sancheti |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770803199 PECOS PAC ID: 4981822442 Enrollment ID: I20140825001111 |
| Provider Name | Rachael Y Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386887362 PECOS PAC ID: 4082832555 Enrollment ID: I20140825001434 |
| Provider Name | Kiran Valiani |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659660934 PECOS PAC ID: 7911125430 Enrollment ID: I20140826000308 |
| Provider Name | Natalie Weil |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124331376 PECOS PAC ID: 5395963847 Enrollment ID: I20140826001375 |
| Provider Name | Andres A Rodriguez-ruiz |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1053560441 PECOS PAC ID: 9436377884 Enrollment ID: I20140826001646 |
| Provider Name | Diogo C Haussen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396993531 PECOS PAC ID: 6507084951 Enrollment ID: I20140826001725 |
| Provider Name | Denise S. Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073820759 PECOS PAC ID: 0749408193 Enrollment ID: I20140826001835 |
| Provider Name | Osarenoma Olomu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386849164 PECOS PAC ID: 5496984114 Enrollment ID: I20140826001955 |
| Provider Name | Dare Adewumi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265605091 PECOS PAC ID: 9133347446 Enrollment ID: I20140828001401 |
| Provider Name | Brian P. Bobzien |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750515938 PECOS PAC ID: 6406074541 Enrollment ID: I20140902001571 |
| Provider Name | Laura M Scorr |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104146364 PECOS PAC ID: 1254559313 Enrollment ID: I20140902002191 |
| Provider Name | Andrea L Crowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770809626 PECOS PAC ID: 6709004864 Enrollment ID: I20140902002212 |
| Provider Name | Seema Tekwani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457626913 PECOS PAC ID: 7113145210 Enrollment ID: I20140903001226 |
| Provider Name | Priyathama Vellanki |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134382153 PECOS PAC ID: 6204988355 Enrollment ID: I20140904001687 |
| Provider Name | Kyle P James |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184914459 PECOS PAC ID: 4082832050 Enrollment ID: I20140904001926 |
| Provider Name | Yousuf Mohamed Khalifa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104907963 PECOS PAC ID: 6406920081 Enrollment ID: I20140905001001 |
| Provider Name | Maryam Hosseini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356667471 PECOS PAC ID: 3274751102 Enrollment ID: I20140905001290 |
| Provider Name | Juvonda Hodge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831144260 PECOS PAC ID: 5991834608 Enrollment ID: I20140905001458 |
| Provider Name | Pardis Javadi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932361169 PECOS PAC ID: 3971730565 Enrollment ID: I20140905001682 |
| Provider Name | Keriann Marie Vannostrand |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821251406 PECOS PAC ID: 3870727589 Enrollment ID: I20140908001038 |
| Provider Name | Elizabeth Iledare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093007528 PECOS PAC ID: 5294954186 Enrollment ID: I20140908001394 |
| Provider Name | Monica M Ward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518283332 PECOS PAC ID: 4284853128 Enrollment ID: I20140908002655 |
| Provider Name | Abby Britt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245671817 PECOS PAC ID: 3577782457 Enrollment ID: I20140909001247 |
| Provider Name | Mihir R Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487874244 PECOS PAC ID: 7719127893 Enrollment ID: I20140912000943 |
| Provider Name | Nikrad Shahnavaz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972761534 PECOS PAC ID: 6507085198 Enrollment ID: I20140912001652 |
| Provider Name | John D Prologo |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1558308379 PECOS PAC ID: 7113924127 Enrollment ID: I20140916001877 |
| Provider Name | Gayatri Joshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831351980 PECOS PAC ID: 4385885789 Enrollment ID: I20140916001988 |
| Provider Name | Hima Bindu Reddy Avutu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053541771 PECOS PAC ID: 2860611969 Enrollment ID: I20140923001460 |
| Provider Name | Rebecca Matthews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306086376 PECOS PAC ID: 3274710850 Enrollment ID: I20140924000410 |
| Provider Name | Karima Benameur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295912350 PECOS PAC ID: 6305027178 Enrollment ID: I20140924001995 |
| Provider Name | Jeffrey P Marino |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295962868 PECOS PAC ID: 2668692567 Enrollment ID: I20140926001894 |
| Provider Name | Rebecca D Sanders |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326338435 PECOS PAC ID: 2769602531 Enrollment ID: I20140929001570 |
| Provider Name | Luis N Pinzon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083936520 PECOS PAC ID: 5991974081 Enrollment ID: I20140929001707 |
| Provider Name | Saurabh Rohatgi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891928917 PECOS PAC ID: 7416115779 Enrollment ID: I20141001001629 |
| Provider Name | Goo Lee |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639312374 PECOS PAC ID: 8729208376 Enrollment ID: I20141001002660 |
| Provider Name | Ross Fasano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790951325 PECOS PAC ID: 3779648316 Enrollment ID: I20141002001961 |
| Provider Name | Rebecca K Burger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376705624 PECOS PAC ID: 7416109269 Enrollment ID: I20141003000549 |
| Provider Name | Angela P Leon-hernandez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568627123 PECOS PAC ID: 4284854712 Enrollment ID: I20141006001717 |
| Provider Name | Selin Caglar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669685848 PECOS PAC ID: 5597838326 Enrollment ID: I20141009000289 |
| Provider Name | Jocelyn Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851700074 PECOS PAC ID: 6901026145 Enrollment ID: I20141009002248 |
| Provider Name | Tiffany Davis Watts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578854469 PECOS PAC ID: 3678794740 Enrollment ID: I20141015001345 |
| Provider Name | Yoo M. Shin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356632426 PECOS PAC ID: 4486875499 Enrollment ID: I20141016000581 |
| Provider Name | Dipan C Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396963104 PECOS PAC ID: 5799911616 Enrollment ID: I20141020000613 |
| Provider Name | Richard Lee Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225297237 PECOS PAC ID: 4688813223 Enrollment ID: I20141021001477 |
| Provider Name | Jay Naresh Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497989164 PECOS PAC ID: 6709007453 Enrollment ID: I20141021001933 |
| Provider Name | Joshua Robinson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770741381 PECOS PAC ID: 8820253834 Enrollment ID: I20141021002131 |
| Provider Name | Kael A. Rogers |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1083873871 PECOS PAC ID: 2961623327 Enrollment ID: I20141028002005 |
| Provider Name | Aley G Kalapila |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043449622 PECOS PAC ID: 3173744372 Enrollment ID: I20141030002238 |
| Provider Name | Marissa R Shams |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1033343439 PECOS PAC ID: 0143441329 Enrollment ID: I20141103000340 |
| Provider Name | William Hsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578854725 PECOS PAC ID: 1557583754 Enrollment ID: I20141103001792 |
| Provider Name | John D Lyons |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801187844 PECOS PAC ID: 8022230275 Enrollment ID: I20141104001024 |
| Provider Name | Rabeea Janjua |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568686194 PECOS PAC ID: 8729156880 Enrollment ID: I20141104001446 |
| Provider Name | Kara K Prickett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619139425 PECOS PAC ID: 8921220104 Enrollment ID: I20141104002116 |
| Provider Name | Andre L Holder |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1033381900 PECOS PAC ID: 1052595121 Enrollment ID: I20141104002312 |
| Provider Name | Lisa G Hofler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457662694 PECOS PAC ID: 6305068370 Enrollment ID: I20141106000452 |
| Provider Name | Lawrence Lea Cockroft Gilliland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912109018 PECOS PAC ID: 5294859344 Enrollment ID: I20141106001164 |
| Provider Name | Shirley N Codada |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1962466870 PECOS PAC ID: 0446308480 Enrollment ID: I20141106001721 |
| Provider Name | Eliot H Blum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396030268 PECOS PAC ID: 6507097151 Enrollment ID: I20141111001222 |
| Provider Name | Paulina Rebolledo Esteinou |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255517025 PECOS PAC ID: 2668694365 Enrollment ID: I20141113000839 |
| Provider Name | Jeehea S Haw |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902049976 PECOS PAC ID: 4385866615 Enrollment ID: I20141120001770 |
| Provider Name | Andrea M Boucher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780950055 PECOS PAC ID: 0648426015 Enrollment ID: I20141124001669 |
| Provider Name | Mark Joseph Hinrichs |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376632794 PECOS PAC ID: 3072547363 Enrollment ID: I20141201002345 |
| Provider Name | Jane L Meisel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1831358076 PECOS PAC ID: 7012188055 Enrollment ID: I20141208001896 |
| Provider Name | Lauren Kubik Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902205057 PECOS PAC ID: 5496077000 Enrollment ID: I20141210002103 |
| Provider Name | Maneesha Agarwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083872444 PECOS PAC ID: 4880719509 Enrollment ID: I20141217002651 |
| Provider Name | Srikant Rangaraju |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225262140 PECOS PAC ID: 6103149067 Enrollment ID: I20141229001324 |
| Provider Name | Anne L Engelhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326440520 PECOS PAC ID: 6901129428 Enrollment ID: I20150107002536 |
| Provider Name | Quratulain Syed |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1821234147 PECOS PAC ID: 8325172877 Enrollment ID: I20150114001397 |
| Provider Name | Tonya R Selfridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538577945 PECOS PAC ID: 1557685898 Enrollment ID: I20150115001227 |
| Provider Name | Abimbola Faloye |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104068311 PECOS PAC ID: 8426372582 Enrollment ID: I20150120000775 |
| Provider Name | Bassam Husam Rimawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437436854 PECOS PAC ID: 5890953871 Enrollment ID: I20150202000320 |
| Provider Name | Grayson S Norquist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386681633 PECOS PAC ID: 0648207902 Enrollment ID: I20150211001333 |
| Provider Name | Faiz U Ahmad |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285876946 PECOS PAC ID: 6103141841 Enrollment ID: I20150220001502 |
| Provider Name | Lee Hampton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760666804 PECOS PAC ID: 4183941875 Enrollment ID: I20150317001549 |
| Provider Name | Sarah S Chisolm |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255592127 PECOS PAC ID: 0749422640 Enrollment ID: I20150318002433 |
| Provider Name | Travis Blalock |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1710195003 PECOS PAC ID: 9739353400 Enrollment ID: I20150319002133 |
| Provider Name | Deborah Marinca Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730356775 PECOS PAC ID: 6901043173 Enrollment ID: I20150323000633 |
| Provider Name | Jonathan J Ratcliff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558523753 PECOS PAC ID: 7416113972 Enrollment ID: I20150325001234 |
| Provider Name | Keerthi Gogineni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326101718 PECOS PAC ID: 2668503780 Enrollment ID: I20150327001601 |
| Provider Name | Andrea L Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548658677 PECOS PAC ID: 6800113986 Enrollment ID: I20150330001748 |
| Provider Name | Romy Hoque |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770793457 PECOS PAC ID: 3678674256 Enrollment ID: I20150408002806 |
| Provider Name | Steven L Goudy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366539488 PECOS PAC ID: 6709806045 Enrollment ID: I20150409001122 |
| Provider Name | Towanda S Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790175123 PECOS PAC ID: 2961720602 Enrollment ID: I20150409001326 |
| Provider Name | Ashley K Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225050446 PECOS PAC ID: 2860710456 Enrollment ID: I20150410001166 |
| Provider Name | Amy Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811385222 PECOS PAC ID: 2860710480 Enrollment ID: I20150410002047 |
| Provider Name | Steven T Releford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194124677 PECOS PAC ID: 0941528566 Enrollment ID: I20150410002069 |
| Provider Name | Stephanie Keller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932393915 PECOS PAC ID: 9739407388 Enrollment ID: I20150413000714 |
| Provider Name | Hannah B Crow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083935431 PECOS PAC ID: 1153649603 Enrollment ID: I20150413000852 |
| Provider Name | Nieraj Jain |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306962774 PECOS PAC ID: 7911179395 Enrollment ID: I20150414000768 |
| Provider Name | Mitzi B Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538559315 PECOS PAC ID: 7315265857 Enrollment ID: I20150414001468 |
| Provider Name | Bryan Philbrook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851466510 PECOS PAC ID: 9830417377 Enrollment ID: I20150414001605 |
| Provider Name | Judson T Eidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255722377 PECOS PAC ID: 9133447584 Enrollment ID: I20150414002298 |
| Provider Name | Chan Hee Han |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003258138 PECOS PAC ID: 2062730195 Enrollment ID: I20150421001233 |
| Provider Name | Janelle Naomi Williams Holder |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659505105 PECOS PAC ID: 1456403161 Enrollment ID: I20150422000612 |
| Provider Name | Aaron M Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033351200 PECOS PAC ID: 9032437058 Enrollment ID: I20150422002364 |
| Provider Name | Christina M Faya |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497082416 PECOS PAC ID: 7113174533 Enrollment ID: I20150427000241 |
| Provider Name | Robert J Geller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104823160 PECOS PAC ID: 9335468230 Enrollment ID: I20150427001438 |
| Provider Name | Howard B Fleishon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407845464 PECOS PAC ID: 2062401615 Enrollment ID: I20150504001452 |
| Provider Name | Deepa Ranganathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083752851 PECOS PAC ID: 4688994296 Enrollment ID: I20150521002697 |
| Provider Name | Kohilavani Velayudam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386819381 PECOS PAC ID: 4587790456 Enrollment ID: I20150526001477 |
| Provider Name | Patricia A Loftus |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1497071336 PECOS PAC ID: 6901127869 Enrollment ID: I20150603001967 |
| Provider Name | Natalie D Brill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376939686 PECOS PAC ID: 4082935846 Enrollment ID: I20150604001574 |
| Provider Name | Joash T Lazarus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720374754 PECOS PAC ID: 1254652829 Enrollment ID: I20150608001888 |
| Provider Name | Travis Arnold Lloyd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164747390 PECOS PAC ID: 8820319403 Enrollment ID: I20150609001622 |
| Provider Name | Daniel A Krieger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235372392 PECOS PAC ID: 5991016677 Enrollment ID: I20150622002228 |
| Provider Name | Anne E Gill |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114160884 PECOS PAC ID: 5294046868 Enrollment ID: I20150623002500 |
| Provider Name | Stewart G Neill |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093959686 PECOS PAC ID: 4284945882 Enrollment ID: I20150624000353 |
| Provider Name | Deepa M Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922393628 PECOS PAC ID: 5890006308 Enrollment ID: I20150624000785 |
| Provider Name | John C Watson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174919500 PECOS PAC ID: 7315258829 Enrollment ID: I20150624000875 |
| Provider Name | Frank William Sanchez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013977743 PECOS PAC ID: 7113906173 Enrollment ID: I20150624002776 |
| Provider Name | Matthew Ryan Reynolds |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811150394 PECOS PAC ID: 7416187760 Enrollment ID: I20150625000636 |
| Provider Name | Mihir M Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063701746 PECOS PAC ID: 6608187026 Enrollment ID: I20150625001299 |
| Provider Name | Mikhail Akbashev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811253172 PECOS PAC ID: 3476864836 Enrollment ID: I20150625002249 |
| Provider Name | Andrew Ip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306102934 PECOS PAC ID: 4981916285 Enrollment ID: I20150629002511 |
| Provider Name | Naseem Taaha Shakir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821265182 PECOS PAC ID: 0446484265 Enrollment ID: I20150702001622 |
| Provider Name | Paul M Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922319052 PECOS PAC ID: 1456663442 Enrollment ID: I20150706000494 |
| Provider Name | Jennifer Wilkinson Carlisle |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1548556467 PECOS PAC ID: 5991933871 Enrollment ID: I20150706001767 |
| Provider Name | Olatunji B Alese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053631010 PECOS PAC ID: 7517279466 Enrollment ID: I20150706002571 |
| Provider Name | Lauren Hudak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508127093 PECOS PAC ID: 2668784489 Enrollment ID: I20150708001820 |
| Provider Name | Stephen Kyle Gonzales |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487947305 PECOS PAC ID: 3779720719 Enrollment ID: I20150709000646 |
| Provider Name | Justin D Schrager |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144586157 PECOS PAC ID: 1759694284 Enrollment ID: I20150713002397 |
| Provider Name | Tiffany Hailstorks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497049225 PECOS PAC ID: 2466765748 Enrollment ID: I20150715001428 |
| Provider Name | Matthew Hunter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518250117 PECOS PAC ID: 9537472709 Enrollment ID: I20150716001691 |
| Provider Name | Alexis L Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982945424 PECOS PAC ID: 7315178639 Enrollment ID: I20150720003018 |
| Provider Name | Lisa Cranmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750572889 PECOS PAC ID: 4880819705 Enrollment ID: I20150721001895 |
| Provider Name | Elizabeth B. Chahine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740252428 PECOS PAC ID: 6305034927 Enrollment ID: I20150722006414 |
| Provider Name | Isabelle P Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740678507 PECOS PAC ID: 3173837762 Enrollment ID: I20150727000780 |
| Provider Name | Jeromy Patterson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770877953 PECOS PAC ID: 0941514574 Enrollment ID: I20150727002476 |
| Provider Name | Erica A O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740660885 PECOS PAC ID: 3678887205 Enrollment ID: I20150727002479 |
| Provider Name | Travis J Langley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043536139 PECOS PAC ID: 6800100447 Enrollment ID: I20150727002688 |
| Provider Name | Peter A Harri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235451659 PECOS PAC ID: 0143534792 Enrollment ID: I20150728003214 |
| Provider Name | Raluca L Cozmuta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285861658 PECOS PAC ID: 1355655762 Enrollment ID: I20150729009160 |
| Provider Name | Maya Fayfman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851612956 PECOS PAC ID: 6406160811 Enrollment ID: I20150729009302 |
| Provider Name | Meredith Ashooh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235516303 PECOS PAC ID: 5991019234 Enrollment ID: I20150731014351 |
| Provider Name | Katharine B Simmons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508008624 PECOS PAC ID: 4385881531 Enrollment ID: I20150731015151 |
| Provider Name | Jennifer Spicer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679839401 PECOS PAC ID: 5092029223 Enrollment ID: I20150803000051 |
| Provider Name | Sheela Hanasoge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598080913 PECOS PAC ID: 6709190804 Enrollment ID: I20150803002566 |
| Provider Name | Bashar S Staitieh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376745109 PECOS PAC ID: 6305150418 Enrollment ID: I20150803002746 |
| Provider Name | Jordan A Kempker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407033822 PECOS PAC ID: 0244544369 Enrollment ID: I20150804003079 |
| Provider Name | Lydia Josephs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194989970 PECOS PAC ID: 2466686175 Enrollment ID: I20150805007414 |
| Provider Name | Amanda Celii |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073822847 PECOS PAC ID: 1355655010 Enrollment ID: I20150810000139 |
| Provider Name | Jonathan A Colasanti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417117797 PECOS PAC ID: 5294903878 Enrollment ID: I20150810000251 |
| Provider Name | Harry M Baddour |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578880100 PECOS PAC ID: 5092020743 Enrollment ID: I20150811003498 |
| Provider Name | Abiodun T Kukoyi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225325822 PECOS PAC ID: 5294985651 Enrollment ID: I20150811004192 |
| Provider Name | Kimberly D Pringle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215165360 PECOS PAC ID: 3072828110 Enrollment ID: I20150818005116 |
| Provider Name | Marshall Fleurant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225244635 PECOS PAC ID: 1254477391 Enrollment ID: I20150819009210 |
| Provider Name | Rachel W Linnemann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538396007 PECOS PAC ID: 5294992574 Enrollment ID: I20150825003862 |
| Provider Name | Mahmoud Obideen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952579815 PECOS PAC ID: 7214250463 Enrollment ID: I20150825004512 |
| Provider Name | Alexander Maybury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871884551 PECOS PAC ID: 1759697444 Enrollment ID: I20150825005966 |
| Provider Name | Geoffrey L Southmayd |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356609457 PECOS PAC ID: 7416263165 Enrollment ID: I20150826001736 |
| Provider Name | Jaime L Bellamy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548420458 PECOS PAC ID: 1557504107 Enrollment ID: I20150826002007 |
| Provider Name | Gerty Jean-louis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093703365 PECOS PAC ID: 8628003977 Enrollment ID: I20150826002021 |
| Provider Name | Sheyan Jamshid Armaghani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619294329 PECOS PAC ID: 8426364183 Enrollment ID: I20150826002057 |
| Provider Name | Dejuan T White |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174766356 PECOS PAC ID: 4880900554 Enrollment ID: I20150826002397 |
| Provider Name | Sarah Cook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487944450 PECOS PAC ID: 9931415528 Enrollment ID: I20150827000736 |
| Provider Name | Nicolas A Bianchi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629270848 PECOS PAC ID: 7416127113 Enrollment ID: I20150901003333 |
| Provider Name | Kristopher K Ford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659661080 PECOS PAC ID: 5496994980 Enrollment ID: I20150902001652 |
| Provider Name | Michael Gottschalk |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1659513307 PECOS PAC ID: 4688980568 Enrollment ID: I20150909000778 |
| Provider Name | Preeti D Subhedar |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1487898276 PECOS PAC ID: 8628385507 Enrollment ID: I20150910001418 |
| Provider Name | Katina C Tsagaris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720212228 PECOS PAC ID: 7517274269 Enrollment ID: I20150914001804 |
| Provider Name | Vikas Gupta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467695502 PECOS PAC ID: 8729395363 Enrollment ID: I20150915002486 |
| Provider Name | Samantha Suthar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285876292 PECOS PAC ID: 5799949244 Enrollment ID: I20150915002745 |
| Provider Name | Mara L Schenker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225290794 PECOS PAC ID: 6406070663 Enrollment ID: I20150917000977 |
| Provider Name | Spencer T Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705978 PECOS PAC ID: 2365759628 Enrollment ID: I20150918000445 |
| Provider Name | Nancy L Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215226758 PECOS PAC ID: 9537476890 Enrollment ID: I20150918000463 |
| Provider Name | Christopher Griffith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679877278 PECOS PAC ID: 9537476858 Enrollment ID: I20150919000103 |
| Provider Name | Lara R Harik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043403827 PECOS PAC ID: 6901993385 Enrollment ID: I20150922001797 |
| Provider Name | Bree R Eaton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861629107 PECOS PAC ID: 8729207287 Enrollment ID: I20150922001962 |
| Provider Name | Wendy R Greene |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184652000 PECOS PAC ID: 9335035229 Enrollment ID: I20150922002585 |
| Provider Name | Mustafa Kendi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376779900 PECOS PAC ID: 9436466455 Enrollment ID: I20150923001080 |
| Provider Name | Adam M Sunderland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609196872 PECOS PAC ID: 6406089697 Enrollment ID: I20150923001402 |
| Provider Name | Brianda F Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598148637 PECOS PAC ID: 9032426085 Enrollment ID: I20150923002136 |
| Provider Name | Elaime Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922410885 PECOS PAC ID: 2466760483 Enrollment ID: I20150924001566 |
| Provider Name | Brandon Green |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275867715 PECOS PAC ID: 9032427059 Enrollment ID: I20150924001779 |
| Provider Name | James Timothy O'shea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487912309 PECOS PAC ID: 3678881620 Enrollment ID: I20150924002579 |
| Provider Name | Mark W Mcdonald |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1144408287 PECOS PAC ID: 7113070590 Enrollment ID: I20150925001422 |
| Provider Name | Ashima A Lal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518258441 PECOS PAC ID: 2860700226 Enrollment ID: I20151005001008 |
| Provider Name | David R Martin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467743641 PECOS PAC ID: 8921316399 Enrollment ID: I20151005001143 |
| Provider Name | Kristen Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003102948 PECOS PAC ID: 5496063869 Enrollment ID: I20151005001511 |
| Provider Name | Maneesha Sabharwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154611614 PECOS PAC ID: 8820306210 Enrollment ID: I20151005002140 |
| Provider Name | Janice May Newsome |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1760533517 PECOS PAC ID: 7012803596 Enrollment ID: I20151006002635 |
| Provider Name | Jane E Stremming |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194081935 PECOS PAC ID: 8325356561 Enrollment ID: I20151007002503 |
| Provider Name | Jean M Hoffman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538455423 PECOS PAC ID: 0244548402 Enrollment ID: I20151007003378 |
| Provider Name | Angela Ashley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104921261 PECOS PAC ID: 2163730243 Enrollment ID: I20151009001980 |
| Provider Name | Daniel Hunt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215917034 PECOS PAC ID: 5092731778 Enrollment ID: I20151012002391 |
| Provider Name | Lisa S Cassani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952577389 PECOS PAC ID: 8820307978 Enrollment ID: I20151012002481 |
| Provider Name | Ghazala A O Keefe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093954000 PECOS PAC ID: 2567686850 Enrollment ID: I20151014001796 |
| Provider Name | Amanda L Dempsey |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1346474004 PECOS PAC ID: 7416266382 Enrollment ID: I20151014003355 |
| Provider Name | Zachary L Bercu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669795340 PECOS PAC ID: 0648589416 Enrollment ID: I20151016001906 |
| Provider Name | Sara Turbow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356607360 PECOS PAC ID: 0143539924 Enrollment ID: I20151016002124 |
| Provider Name | Rashmi R Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326364993 PECOS PAC ID: 7012226806 Enrollment ID: I20151016002321 |
| Provider Name | Daniel Winkel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114245834 PECOS PAC ID: 5597074385 Enrollment ID: I20151019000163 |
| Provider Name | Adrienne G Van Curen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437387743 PECOS PAC ID: 5991961211 Enrollment ID: I20151019000994 |
| Provider Name | George Deeb |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932180379 PECOS PAC ID: 8325078173 Enrollment ID: I20151022000626 |
| Provider Name | Kavita Dedhia |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851523583 PECOS PAC ID: 9931329729 Enrollment ID: I20151022001369 |
| Provider Name | Nadja Kadom |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740374925 PECOS PAC ID: 5799787339 Enrollment ID: I20151023001531 |
| Provider Name | Mark Witcher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568606747 PECOS PAC ID: 6800105016 Enrollment ID: I20151028001998 |
| Provider Name | Helen H Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811917891 PECOS PAC ID: 1658554860 Enrollment ID: I20151029000372 |
| Provider Name | Sivan Ben-moshe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518285956 PECOS PAC ID: 1759691918 Enrollment ID: I20151030001751 |
| Provider Name | Dona Tsihwa Wu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265689301 PECOS PAC ID: 7517006836 Enrollment ID: I20151102002001 |
| Provider Name | Chadwick William Stouffer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1073737656 PECOS PAC ID: 0244425304 Enrollment ID: I20151104000619 |
| Provider Name | Sashana T Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609253483 PECOS PAC ID: 1254641160 Enrollment ID: I20151105000575 |
| Provider Name | Elias Tsirakoglou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861897423 PECOS PAC ID: 9739499666 Enrollment ID: I20151105001256 |
| Provider Name | Elaine Flanagan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205060498 PECOS PAC ID: 3870803521 Enrollment ID: I20151109000704 |
| Provider Name | Rajni Gunnala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881091361 PECOS PAC ID: 1557671187 Enrollment ID: I20151110001976 |
| Provider Name | Anthony C Gregory |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467784389 PECOS PAC ID: 4981914553 Enrollment ID: I20151111000590 |
| Provider Name | Theresa E Vettese |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1316966906 PECOS PAC ID: 1254410756 Enrollment ID: I20151111001483 |
| Provider Name | Dellys Mariel Soler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316269764 PECOS PAC ID: 8527378942 Enrollment ID: I20151113001206 |
| Provider Name | Sherishe Lytton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770867939 PECOS PAC ID: 2567762818 Enrollment ID: I20151118002224 |
| Provider Name | Lokesh Guglani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740579507 PECOS PAC ID: 9638354145 Enrollment ID: I20151120000000 |
| Provider Name | Jeffrey Lance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902281132 PECOS PAC ID: 5597065516 Enrollment ID: I20151124000870 |
| Provider Name | Ryan J Chesnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245607308 PECOS PAC ID: 2365742939 Enrollment ID: I20151203002324 |
| Provider Name | Christopher Dudley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497011084 PECOS PAC ID: 6507166022 Enrollment ID: I20151204001012 |
| Provider Name | Hillary Farrah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063779890 PECOS PAC ID: 4385944826 Enrollment ID: I20151204001584 |
| Provider Name | Ellen W Richter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104143676 PECOS PAC ID: 1254632250 Enrollment ID: I20151216002133 |
| Provider Name | Nitin Rajkumar Mariwalla |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1033378161 PECOS PAC ID: 7911208764 Enrollment ID: I20151221000427 |
| Provider Name | William D Jordan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134159668 PECOS PAC ID: 1254465255 Enrollment ID: I20151222000527 |
| Provider Name | Alice Amara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477824894 PECOS PAC ID: 9436319803 Enrollment ID: I20151228001579 |
| Provider Name | Anam Qureshi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932491297 PECOS PAC ID: 0244531721 Enrollment ID: I20151229001718 |
| Provider Name | Byron F Stephens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568788974 PECOS PAC ID: 8527369008 Enrollment ID: I20151229001976 |
| Provider Name | Kevin Lee Ju |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205157443 PECOS PAC ID: 5395903579 Enrollment ID: I20151230000931 |
| Provider Name | Matthew Gary |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689833329 PECOS PAC ID: 5597067025 Enrollment ID: I20151230001052 |
| Provider Name | Jacquelyn A O Banion |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003040262 PECOS PAC ID: 4789827858 Enrollment ID: I20160119001455 |
| Provider Name | Wilson Cueva |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366608713 PECOS PAC ID: 4486839008 Enrollment ID: I20160122001462 |
| Provider Name | Maureen Njoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700258506 PECOS PAC ID: 2466755590 Enrollment ID: I20160125001351 |
| Provider Name | Michael Dattilo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043503923 PECOS PAC ID: 1355644055 Enrollment ID: I20160128002355 |
| Provider Name | Andrea Braden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891995379 PECOS PAC ID: 6305023730 Enrollment ID: I20160208000877 |
| Provider Name | Immaculata C Okere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124490438 PECOS PAC ID: 2264736586 Enrollment ID: I20160208000896 |
| Provider Name | Victoria Joan Teodorescu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1558337345 PECOS PAC ID: 1052306347 Enrollment ID: I20160217001243 |
| Provider Name | Cyasha Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932567682 PECOS PAC ID: 9537464672 Enrollment ID: I20160226001072 |
| Provider Name | Kimille E Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972971364 PECOS PAC ID: 4385949304 Enrollment ID: I20160229001415 |
| Provider Name | Ronald K Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225493646 PECOS PAC ID: 2264737204 Enrollment ID: I20160229001890 |
| Provider Name | Karen Wasilewski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487604443 PECOS PAC ID: 9436462025 Enrollment ID: I20160302002521 |
| Provider Name | Lauren Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821364811 PECOS PAC ID: 2365748134 Enrollment ID: I20160304001885 |
| Provider Name | Munish Luthra |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407002843 PECOS PAC ID: 2264651553 Enrollment ID: I20160307001851 |
| Provider Name | Ryan Brent Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023251790 PECOS PAC ID: 9830495316 Enrollment ID: I20160309001114 |
| Provider Name | Pamela Carty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629438007 PECOS PAC ID: 4789981812 Enrollment ID: I20160404002335 |
| Provider Name | Rosetta Goodson-redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508222993 PECOS PAC ID: 0749587889 Enrollment ID: I20160405000034 |
| Provider Name | Sandeep Arepally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366738387 PECOS PAC ID: 2567760648 Enrollment ID: I20160406002183 |
| Provider Name | Amy E Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235597808 PECOS PAC ID: 2264730159 Enrollment ID: I20160408001100 |
| Provider Name | Greta Russler Mcclintock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134574338 PECOS PAC ID: 9436458346 Enrollment ID: I20160427001965 |
| Provider Name | Carrie Nicole Hoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770601882 PECOS PAC ID: 6901950336 Enrollment ID: I20160511000766 |
| Provider Name | Kiran Perkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629241708 PECOS PAC ID: 2860658671 Enrollment ID: I20160513000822 |
| Provider Name | Neil Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811214133 PECOS PAC ID: 5890084776 Enrollment ID: I20160516002328 |
| Provider Name | Heather Hipp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467695007 PECOS PAC ID: 9638469067 Enrollment ID: I20160526000541 |
| Provider Name | Kuhali Kundu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225383367 PECOS PAC ID: 4587954334 Enrollment ID: I20160607000626 |
| Provider Name | Brenda Oiyemhonlan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568726677 PECOS PAC ID: 2668762295 Enrollment ID: I20160609001333 |
| Provider Name | Jason A Ellis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629244884 PECOS PAC ID: 4880984434 Enrollment ID: I20160609001878 |
| Provider Name | David R Goldsmith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013273440 PECOS PAC ID: 6204130545 Enrollment ID: I20160615001460 |
| Provider Name | Carlos S Kase |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588626626 PECOS PAC ID: 8022077007 Enrollment ID: I20160617000703 |
| Provider Name | Stephanie Ambrose |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093011249 PECOS PAC ID: 6002055563 Enrollment ID: I20160617001380 |
| Provider Name | Anastasia-stefania Alexopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134560543 PECOS PAC ID: 2062715915 Enrollment ID: I20160621001260 |
| Provider Name | Olivia A Groover |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548559826 PECOS PAC ID: 3173814282 Enrollment ID: I20160621001675 |
| Provider Name | Jordan P Kaylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598028094 PECOS PAC ID: 6002111952 Enrollment ID: I20160622000684 |
| Provider Name | Nataisia Terry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184988289 PECOS PAC ID: 0143511014 Enrollment ID: I20160623001471 |
| Provider Name | Heeeun Kang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003159781 PECOS PAC ID: 6204138449 Enrollment ID: I20160623001935 |
| Provider Name | Margaret Whitney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043576127 PECOS PAC ID: 0749424752 Enrollment ID: I20160627000029 |
| Provider Name | Mehmet A Bilen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598085193 PECOS PAC ID: 1153612965 Enrollment ID: I20160627001154 |
| Provider Name | Joseph R Keen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386960896 PECOS PAC ID: 7012208754 Enrollment ID: I20160627002570 |
| Provider Name | Anjni Patel Joiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861758401 PECOS PAC ID: 8820393275 Enrollment ID: I20160628002132 |
| Provider Name | Ronnie Ramadan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508024035 PECOS PAC ID: 4688965288 Enrollment ID: I20160628002210 |
| Provider Name | Jennifer J Cheng |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942474929 PECOS PAC ID: 4082862602 Enrollment ID: I20160630001418 |
| Provider Name | Aaron H Lay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225277593 PECOS PAC ID: 0244472058 Enrollment ID: I20160701000029 |
| Provider Name | Challyn N Malone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821352568 PECOS PAC ID: 9133418890 Enrollment ID: I20160701000801 |
| Provider Name | Usama Khalid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851735138 PECOS PAC ID: 6103118310 Enrollment ID: I20160708001039 |
| Provider Name | Xiao Jing Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134462468 PECOS PAC ID: 0244534519 Enrollment ID: I20160712001308 |
| Provider Name | Jeffrey Hedley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457795411 PECOS PAC ID: 1456655570 Enrollment ID: I20160715001109 |
| Provider Name | Amish Dilip Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912292830 PECOS PAC ID: 9739471475 Enrollment ID: I20160715001841 |
| Provider Name | Maria S Klimenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316384423 PECOS PAC ID: 6204130792 Enrollment ID: I20160718001065 |
| Provider Name | Kiarash Jahed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063736858 PECOS PAC ID: 4385800945 Enrollment ID: I20160718001467 |
| Provider Name | Eleza T Golden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366676959 PECOS PAC ID: 3375836026 Enrollment ID: I20160719000763 |
| Provider Name | Stephen Mark Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649418294 PECOS PAC ID: 1759535842 Enrollment ID: I20160719001678 |
| Provider Name | Arinbjorn Jonsson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922398429 PECOS PAC ID: 2264725738 Enrollment ID: I20160720002042 |
| Provider Name | Emad Allam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649566480 PECOS PAC ID: 4082916432 Enrollment ID: I20160722000197 |
| Provider Name | Lindsey Marie Hartsell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891089108 PECOS PAC ID: 3375782782 Enrollment ID: I20160722000298 |
| Provider Name | Adam Prater |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992021075 PECOS PAC ID: 6002109428 Enrollment ID: I20160722001347 |
| Provider Name | Shamie Das |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629311121 PECOS PAC ID: 2466756184 Enrollment ID: I20160725000498 |
| Provider Name | Brent Derek Weinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669602991 PECOS PAC ID: 9436460128 Enrollment ID: I20160726001334 |
| Provider Name | Saima Muzahir |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1982996971 PECOS PAC ID: 5799921763 Enrollment ID: I20160726001840 |
| Provider Name | Jay Girish Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225328339 PECOS PAC ID: 4587967765 Enrollment ID: I20160726002229 |
| Provider Name | Tracey L Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710279955 PECOS PAC ID: 9537380183 Enrollment ID: I20160726003240 |
| Provider Name | Taki A Zaidi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417232711 PECOS PAC ID: 6608169727 Enrollment ID: I20160727001938 |
| Provider Name | Misti Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669730453 PECOS PAC ID: 7012173958 Enrollment ID: I20160727001964 |
| Provider Name | Chinedu Okpukpara |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891012100 PECOS PAC ID: 0446543300 Enrollment ID: I20160729001182 |
| Provider Name | Fang Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861792715 PECOS PAC ID: 9133399025 Enrollment ID: I20160801001359 |
| Provider Name | Monica Lynn Vielkind |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821331216 PECOS PAC ID: 7113210956 Enrollment ID: I20160801001439 |
| Provider Name | Lisa Mabry Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912298498 PECOS PAC ID: 6406092295 Enrollment ID: I20160802000437 |
| Provider Name | Laura Oh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699978296 PECOS PAC ID: 3870776362 Enrollment ID: I20160803001869 |
| Provider Name | Peter S Gutierrez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134449143 PECOS PAC ID: 0446549935 Enrollment ID: I20160803002672 |
| Provider Name | Rachel Mather |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487910584 PECOS PAC ID: 4082914684 Enrollment ID: I20160805002127 |
| Provider Name | Joseph Graves |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881987972 PECOS PAC ID: 6901190453 Enrollment ID: I20160808000444 |
| Provider Name | Nitya Bakshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174764252 PECOS PAC ID: 7911297635 Enrollment ID: I20160808001291 |
| Provider Name | Elizabeth Sewell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629395298 PECOS PAC ID: 4688968050 Enrollment ID: I20160808001489 |
| Provider Name | Benjamin Hinrichs |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861718603 PECOS PAC ID: 7911291398 Enrollment ID: I20160808001605 |
| Provider Name | Jonathan G Martin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609197425 PECOS PAC ID: 3577857911 Enrollment ID: I20160809000550 |
| Provider Name | Alejandro Sardi-freitez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962610774 PECOS PAC ID: 2466640073 Enrollment ID: I20160809001680 |
| Provider Name | Mckenzie Hollon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366733677 PECOS PAC ID: 7416241724 Enrollment ID: I20160809003335 |
| Provider Name | Bradley Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942543624 PECOS PAC ID: 8123322377 Enrollment ID: I20160810001235 |
| Provider Name | Nikhila P Raol |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205074010 PECOS PAC ID: 0749574903 Enrollment ID: I20160810001836 |
| Provider Name | James Edward Schwendinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821100876 PECOS PAC ID: 0749574952 Enrollment ID: I20160811000637 |
| Provider Name | Onkar V Khullar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1194991703 PECOS PAC ID: 4789986951 Enrollment ID: I20160811000842 |
| Provider Name | Tatiana C Vladimirovna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639516495 PECOS PAC ID: 6800190174 Enrollment ID: I20160811001326 |
| Provider Name | Brandi Gunn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154764348 PECOS PAC ID: 2466754478 Enrollment ID: I20160811001361 |
| Provider Name | Chukwuemeka I Ibekwe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265707582 PECOS PAC ID: 8628373347 Enrollment ID: I20160812001924 |
| Provider Name | Andrew Hill Milby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396063640 PECOS PAC ID: 9830497411 Enrollment ID: I20160815000528 |
| Provider Name | Andrea Fels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497114540 PECOS PAC ID: 2062706062 Enrollment ID: I20160815001632 |
| Provider Name | Phindile Erika Milensu Chowa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306112511 PECOS PAC ID: 9931351954 Enrollment ID: I20160815001959 |
| Provider Name | Damian E Berezovsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144653437 PECOS PAC ID: 8224272539 Enrollment ID: I20160816001382 |
| Provider Name | Mathew Cyriac |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184915118 PECOS PAC ID: 3375838014 Enrollment ID: I20160819002059 |
| Provider Name | Nehal P Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053754200 PECOS PAC ID: 2163717620 Enrollment ID: I20160823000667 |
| Provider Name | Joanne G Kuntz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1902820558 PECOS PAC ID: 8628267382 Enrollment ID: I20160823002404 |
| Provider Name | Farah O Gulaid |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366827800 PECOS PAC ID: 5395030811 Enrollment ID: I20160823002493 |
| Provider Name | Christine Gisness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265524425 PECOS PAC ID: 5294020723 Enrollment ID: I20160823002873 |
| Provider Name | Susan Wallis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316065493 PECOS PAC ID: 0345301677 Enrollment ID: I20160824001439 |
| Provider Name | Monica Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538503081 PECOS PAC ID: 5092019943 Enrollment ID: I20160825002187 |
| Provider Name | Claire N Abramoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316380009 PECOS PAC ID: 2365745676 Enrollment ID: I20160826001362 |
| Provider Name | Huda Sayed |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932522174 PECOS PAC ID: 0446470900 Enrollment ID: I20160830001084 |
| Provider Name | Jason Michael Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437476769 PECOS PAC ID: 3375849870 Enrollment ID: I20160902001008 |
| Provider Name | Ryan A Marten |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174866560 PECOS PAC ID: 6406150093 Enrollment ID: I20160907001705 |
| Provider Name | Nikhil Goyal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215106539 PECOS PAC ID: 5496826646 Enrollment ID: I20160908002096 |
| Provider Name | Leanne M Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720450380 PECOS PAC ID: 3476856279 Enrollment ID: I20160914001118 |
| Provider Name | Christina M Smith-winfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821359845 PECOS PAC ID: 2163718362 Enrollment ID: I20160914003056 |
| Provider Name | Latifat B Asemota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275918781 PECOS PAC ID: 3476840562 Enrollment ID: I20160916001079 |
| Provider Name | Jeiran Razavi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770949869 PECOS PAC ID: 0941504815 Enrollment ID: I20160921001790 |
| Provider Name | Joshua M Levy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447577044 PECOS PAC ID: 7214256684 Enrollment ID: I20160927002570 |
| Provider Name | Robert Kelley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093957334 PECOS PAC ID: 9638466154 Enrollment ID: I20160928000395 |
| Provider Name | Gerald Lee |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1942474648 PECOS PAC ID: 3274711775 Enrollment ID: I20160929002372 |
| Provider Name | Ranliang Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659698611 PECOS PAC ID: 7911166459 Enrollment ID: I20161005002506 |
| Provider Name | Jennifer Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679898068 PECOS PAC ID: 7618118365 Enrollment ID: I20161007001765 |
| Provider Name | Clifford Song |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487912721 PECOS PAC ID: 8123316908 Enrollment ID: I20161011001384 |
| Provider Name | Erica Heiman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912273400 PECOS PAC ID: 3971812306 Enrollment ID: I20161012002833 |
| Provider Name | Merry E Sebelik |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871599332 PECOS PAC ID: 5395632616 Enrollment ID: I20161017000254 |
| Provider Name | Jeffrey Javidfar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366682577 PECOS PAC ID: 6901194463 Enrollment ID: I20161017000506 |
| Provider Name | Meredith Lora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134428386 PECOS PAC ID: 2163710492 Enrollment ID: I20161019001125 |
| Provider Name | Christina S Wu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1770637191 PECOS PAC ID: 1759553761 Enrollment ID: I20161019001510 |
| Provider Name | Clifton G Meals |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1144531211 PECOS PAC ID: 9133407356 Enrollment ID: I20161024000246 |
| Provider Name | Katherine T Fay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184967812 PECOS PAC ID: 5496033623 Enrollment ID: I20161024000336 |
| Provider Name | Neel G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366738502 PECOS PAC ID: 4183870009 Enrollment ID: I20161025000553 |
| Provider Name | Tresa Nesbitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609154483 PECOS PAC ID: 9638499817 Enrollment ID: I20161025001077 |
| Provider Name | Ololade Akintoye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578889721 PECOS PAC ID: 7214215763 Enrollment ID: I20161103001357 |
| Provider Name | Chelsea A Hickerson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851659049 PECOS PAC ID: 5698079226 Enrollment ID: I20161107001010 |
| Provider Name | Dimy Fluyau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578812723 PECOS PAC ID: 9234356650 Enrollment ID: I20161107002024 |
| Provider Name | Kathryn E Woeber |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881617462 PECOS PAC ID: 3173802501 Enrollment ID: I20161108000485 |
| Provider Name | Rachel J Ammirati |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306251376 PECOS PAC ID: 6608155031 Enrollment ID: I20161108000603 |
| Provider Name | Brian Thomas Cabaniss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780998229 PECOS PAC ID: 9830328715 Enrollment ID: I20161108001151 |
| Provider Name | Danielle L Gainor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396060232 PECOS PAC ID: 9032423611 Enrollment ID: I20161110002592 |
| Provider Name | Michael J Hoch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669601605 PECOS PAC ID: 7517246499 Enrollment ID: I20161116002834 |
| Provider Name | Alexander Millman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114242013 PECOS PAC ID: 1456631985 Enrollment ID: I20161129001698 |
| Provider Name | Ngozi D Nwaise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649622952 PECOS PAC ID: 4486934882 Enrollment ID: I20161130002035 |
| Provider Name | Elizabeth C Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386197457 PECOS PAC ID: 5496035677 Enrollment ID: I20161205001393 |
| Provider Name | Diane E Hindman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447694450 PECOS PAC ID: 9335432574 Enrollment ID: I20161212000913 |
| Provider Name | Jolinta Lin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023301082 PECOS PAC ID: 2466751441 Enrollment ID: I20161214001919 |
| Provider Name | Lava Y Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982984977 PECOS PAC ID: 5092096388 Enrollment ID: I20161228000964 |
| Provider Name | Nigel P Pedersen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801023742 PECOS PAC ID: 3870722556 Enrollment ID: I20161228002367 |
| Provider Name | Jose L Fernandez-gerena |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285921171 PECOS PAC ID: 2961783295 Enrollment ID: I20161228002445 |
| Provider Name | Jaime Benarroch Gampel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1487892147 PECOS PAC ID: 9436370475 Enrollment ID: I20161229001572 |
| Provider Name | Moses D Elam |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023196938 PECOS PAC ID: 4587621917 Enrollment ID: I20170105000277 |
| Provider Name | Megan Lawley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134494479 PECOS PAC ID: 8224319975 Enrollment ID: I20170111002851 |
| Provider Name | Edward J Richer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871704825 PECOS PAC ID: 9234385592 Enrollment ID: I20170124001020 |
| Provider Name | Mitali A Pakvasa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235453994 PECOS PAC ID: 3375826688 Enrollment ID: I20170213000556 |
| Provider Name | Sara C Auld |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376734491 PECOS PAC ID: 8628102811 Enrollment ID: I20170213001642 |
| Provider Name | Felix Gonzalez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891011805 PECOS PAC ID: 9032430632 Enrollment ID: I20170214002131 |
| Provider Name | Gagandeep Kaur Kooner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174926562 PECOS PAC ID: 2466735543 Enrollment ID: I20170215002584 |
| Provider Name | Kevin Michael Chatham Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538359583 PECOS PAC ID: 6709959174 Enrollment ID: I20170216001072 |
| Provider Name | Daisy-scarlett Maccallum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508120924 PECOS PAC ID: 8628205705 Enrollment ID: I20170223002549 |
| Provider Name | Ta Ressa Kenyetta Wills |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245553486 PECOS PAC ID: 1557593621 Enrollment ID: I20170228002066 |
| Provider Name | Yasmin Farouk Tootla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447544903 PECOS PAC ID: 5092099390 Enrollment ID: I20170306001781 |
| Provider Name | Emily Petersen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174753495 PECOS PAC ID: 1658521406 Enrollment ID: I20170309000892 |
| Provider Name | Sandhya Sasi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548394992 PECOS PAC ID: 1658446356 Enrollment ID: I20170309002182 |
| Provider Name | Amanda D Brandino |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841649498 PECOS PAC ID: 2163707191 Enrollment ID: I20170314000889 |
| Provider Name | Cortney Ballengee Menchini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851690325 PECOS PAC ID: 1557590239 Enrollment ID: I20170314001054 |
| Provider Name | Sarah Anne Mbaeyi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023270964 PECOS PAC ID: 3072898840 Enrollment ID: I20170316002069 |
| Provider Name | Marcos Coutinho Schechter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578875662 PECOS PAC ID: 8820233976 Enrollment ID: I20170411001216 |
| Provider Name | Jamison Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134594187 PECOS PAC ID: 9931401932 Enrollment ID: I20170411001964 |
| Provider Name | Thomas R Hammett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598206922 PECOS PAC ID: 3375820087 Enrollment ID: I20170508000298 |
| Provider Name | Kelly Rose Peronti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477098564 PECOS PAC ID: 7416224480 Enrollment ID: I20170522002849 |
| Provider Name | Mark Weng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245673383 PECOS PAC ID: 0840567277 Enrollment ID: I20170606001700 |
| Provider Name | William Oconnell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770926156 PECOS PAC ID: 8224256813 Enrollment ID: I20170613001030 |
| Provider Name | Vijay Agarwal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902123128 PECOS PAC ID: 1355636739 Enrollment ID: I20170613002284 |
| Provider Name | Spencer Maddox |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518385830 PECOS PAC ID: 4183926256 Enrollment ID: I20170614001747 |
| Provider Name | John R Macon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386198455 PECOS PAC ID: 2769750710 Enrollment ID: I20170614002850 |
| Provider Name | Romeo Regi Galang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841515012 PECOS PAC ID: 3476710823 Enrollment ID: I20170619001049 |
| Provider Name | Phillip Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457882755 PECOS PAC ID: 3274801105 Enrollment ID: I20170619002245 |
| Provider Name | Brian Matthew Howard |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1154640282 PECOS PAC ID: 4688942410 Enrollment ID: I20170619002514 |
| Provider Name | Catherine Bartnik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548688773 PECOS PAC ID: 1658649306 Enrollment ID: I20170621001117 |
| Provider Name | Jennifer Ann Reeves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306289640 PECOS PAC ID: 4082918719 Enrollment ID: I20170626001712 |
| Provider Name | Katherine Nugent |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669730016 PECOS PAC ID: 7113296237 Enrollment ID: I20170705003535 |
| Provider Name | Thomas Madaelil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144513177 PECOS PAC ID: 7719116375 Enrollment ID: I20170711002233 |
| Provider Name | Tricia Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689088320 PECOS PAC ID: 7315268885 Enrollment ID: I20170711003526 |
| Provider Name | Tyler Peck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841618345 PECOS PAC ID: 3476822172 Enrollment ID: I20170712002501 |
| Provider Name | Lisa Daniels |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811250178 PECOS PAC ID: 3173769163 Enrollment ID: I20170712003041 |
| Provider Name | Mack D Drake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114160629 PECOS PAC ID: 1759524903 Enrollment ID: I20170712003208 |
| Provider Name | Dilini Daswatta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1982992293 PECOS PAC ID: 8426271941 Enrollment ID: I20170713001398 |
| Provider Name | Jessica Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497185441 PECOS PAC ID: 2668603895 Enrollment ID: I20170713003184 |
| Provider Name | Cynthia K Manos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609168483 PECOS PAC ID: 1355619669 Enrollment ID: I20170714002000 |
| Provider Name | Rocio Carolina Garcia Santibanez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073800348 PECOS PAC ID: 7012227622 Enrollment ID: I20170714002901 |
| Provider Name | Christopher Mcadams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659634301 PECOS PAC ID: 1254601776 Enrollment ID: I20170717001428 |
| Provider Name | Paige Sharp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730441593 PECOS PAC ID: 2163725680 Enrollment ID: I20170717003403 |
| Provider Name | Sherveen Shayegan Salek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316240641 PECOS PAC ID: 0345494548 Enrollment ID: I20170717003523 |
| Provider Name | Ila Sethi |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1447541362 PECOS PAC ID: 8729380456 Enrollment ID: I20170718000333 |
| Provider Name | Christopher Paul Deibert |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518263466 PECOS PAC ID: 4587934971 Enrollment ID: I20170718000999 |
| Provider Name | Randi N Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447411475 PECOS PAC ID: 0941479505 Enrollment ID: I20170719000685 |
| Provider Name | Olivia Minkhorst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376962787 PECOS PAC ID: 5991095390 Enrollment ID: I20170719002248 |
| Provider Name | Amanda Burrage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023452984 PECOS PAC ID: 6608004692 Enrollment ID: I20170721000595 |
| Provider Name | Lauren Middlebrooks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689965808 PECOS PAC ID: 6800192261 Enrollment ID: I20170724001003 |
| Provider Name | Abby Mutic |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518104769 PECOS PAC ID: 7416012018 Enrollment ID: I20170724002155 |
| Provider Name | Robin M Rathe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962847848 PECOS PAC ID: 5092932012 Enrollment ID: I20170725001435 |
| Provider Name | Christina Ann Mikosz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891921722 PECOS PAC ID: 2961534599 Enrollment ID: I20170731000421 |
| Provider Name | Caitlin Moran |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558650192 PECOS PAC ID: 4284905936 Enrollment ID: I20170731000648 |
| Provider Name | Katie Leigh Bullinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295026664 PECOS PAC ID: 2769753433 Enrollment ID: I20170731001379 |
| Provider Name | Mona Vakil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841584547 PECOS PAC ID: 2567753866 Enrollment ID: I20170801001991 |
| Provider Name | Diego Remolina |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1952557977 PECOS PAC ID: 0941330872 Enrollment ID: I20170801002282 |
| Provider Name | Andrew A Mccue |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851719116 PECOS PAC ID: 9931470416 Enrollment ID: I20170801003397 |
| Provider Name | Peter Filev |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578820593 PECOS PAC ID: 4284937699 Enrollment ID: I20170802002114 |
| Provider Name | Terry Singhapricha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346650181 PECOS PAC ID: 7810291515 Enrollment ID: I20170807000967 |
| Provider Name | Manish Bajaj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962843292 PECOS PAC ID: 5597907725 Enrollment ID: I20170807001729 |
| Provider Name | Tal Eliram Berkowitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437389426 PECOS PAC ID: 4486806221 Enrollment ID: I20170808003777 |
| Provider Name | Keneeshia Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942437363 PECOS PAC ID: 8224309059 Enrollment ID: I20170811002395 |
| Provider Name | Anna Yaffee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831457597 PECOS PAC ID: 9436447224 Enrollment ID: I20170814003326 |
| Provider Name | Mayur Deepak Mody |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255751277 PECOS PAC ID: 5193028884 Enrollment ID: I20170815002671 |
| Provider Name | Albert Diehl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629334487 PECOS PAC ID: 9234401928 Enrollment ID: I20170815003061 |
| Provider Name | Howa Yeung |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1013353317 PECOS PAC ID: 7618249913 Enrollment ID: I20170822001407 |
| Provider Name | Christopher Jordan Dela Houssaye |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851688063 PECOS PAC ID: 6901190446 Enrollment ID: I20170822002044 |
| Provider Name | Oren Goltzer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316213788 PECOS PAC ID: 5092087288 Enrollment ID: I20170823001767 |
| Provider Name | Matthew Gittinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851528756 PECOS PAC ID: 9234389719 Enrollment ID: I20170824000838 |
| Provider Name | Ifeoma O Ezenekwe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487811550 PECOS PAC ID: 0042443061 Enrollment ID: I20170826000092 |
| Provider Name | Dan Day Tucker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053738401 PECOS PAC ID: 6608148515 Enrollment ID: I20170826000246 |
| Provider Name | Jessica Hammett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710140124 PECOS PAC ID: 9436467230 Enrollment ID: I20170828001734 |
| Provider Name | Michelle Anne Romej |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437492014 PECOS PAC ID: 4486956778 Enrollment ID: I20170828001903 |
| Provider Name | Amanda Sanders Ma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851704696 PECOS PAC ID: 3577785450 Enrollment ID: I20170828002130 |
| Provider Name | Monica Dhakar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528348281 PECOS PAC ID: 2365743762 Enrollment ID: I20170828003424 |
| Provider Name | Amir Davarpanahfakhr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841503869 PECOS PAC ID: 6204157274 Enrollment ID: I20170830004033 |
| Provider Name | Krystal Archer-arroyo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437208246 PECOS PAC ID: 3274694534 Enrollment ID: I20170831002877 |
| Provider Name | Vaidehi Avadhani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588943856 PECOS PAC ID: 2466725841 Enrollment ID: I20170906003371 |
| Provider Name | Heewon Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861722191 PECOS PAC ID: 9638328412 Enrollment ID: I20170907000664 |
| Provider Name | Katherine Pyburn Dureau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851711352 PECOS PAC ID: 5890073175 Enrollment ID: I20170908002071 |
| Provider Name | Andrew Lawson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073877908 PECOS PAC ID: 0143593384 Enrollment ID: I20170908002955 |
| Provider Name | Lauren Horton King |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336568245 PECOS PAC ID: 5991078198 Enrollment ID: I20170911002009 |
| Provider Name | Sydney Spangler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598778045 PECOS PAC ID: 9234294687 Enrollment ID: I20170918001513 |
| Provider Name | Marc Thames |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437155074 PECOS PAC ID: 6800792912 Enrollment ID: I20170918001608 |
| Provider Name | Soummala Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629506571 PECOS PAC ID: 3375817026 Enrollment ID: I20170920000812 |
| Provider Name | Anna Kristin Cherry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205212776 PECOS PAC ID: 2961776422 Enrollment ID: I20170921001878 |
| Provider Name | Erica L Riedesel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528004728 PECOS PAC ID: 8820212053 Enrollment ID: I20170921002505 |
| Provider Name | Kimberly Lauren Norris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528355880 PECOS PAC ID: 9234356882 Enrollment ID: I20170925002428 |
| Provider Name | Yuko Nakajima |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043530355 PECOS PAC ID: 4385866243 Enrollment ID: I20171002002080 |
| Provider Name | Christopher Gordon Yheulon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770894602 PECOS PAC ID: 5092090589 Enrollment ID: I20171003006849 |
| Provider Name | Tricia Moss |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477730752 PECOS PAC ID: 4082991302 Enrollment ID: I20171004001161 |
| Provider Name | Cleo Stafford |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1962765321 PECOS PAC ID: 1355646191 Enrollment ID: I20171004002536 |
| Provider Name | Jessica Shantha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033403258 PECOS PAC ID: 0042505240 Enrollment ID: I20171009002450 |
| Provider Name | Samantha Strickler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437383916 PECOS PAC ID: 8022252659 Enrollment ID: I20171010001813 |
| Provider Name | Lindley Kent |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992138788 PECOS PAC ID: 5092080424 Enrollment ID: I20171010002932 |
| Provider Name | Leann Linam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396701462 PECOS PAC ID: 9638180623 Enrollment ID: I20171016001246 |
| Provider Name | Angeline Jane Ti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952657074 PECOS PAC ID: 1456672443 Enrollment ID: I20171016001300 |
| Provider Name | Alison Michelle Gizinski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1801933189 PECOS PAC ID: 4082706171 Enrollment ID: I20171016001709 |
| Provider Name | Michael Maceroli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316236615 PECOS PAC ID: 7911292305 Enrollment ID: I20171016002840 |
| Provider Name | Alexandra Migdal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821382565 PECOS PAC ID: 0547536781 Enrollment ID: I20171016003083 |
| Provider Name | Harold Sullivan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376832667 PECOS PAC ID: 5799051975 Enrollment ID: I20171017001229 |
| Provider Name | Erika Heard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134413750 PECOS PAC ID: 8527334408 Enrollment ID: I20171019003223 |
| Provider Name | Tomina Jean Schwenke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871980383 PECOS PAC ID: 9335414564 Enrollment ID: I20171023002619 |
| Provider Name | Silanath Terpenning |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447493580 PECOS PAC ID: 1951565092 Enrollment ID: I20171024003333 |
| Provider Name | George Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700152279 PECOS PAC ID: 5698085751 Enrollment ID: I20171025000749 |
| Provider Name | Joseph Edward Carpenter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982041448 PECOS PAC ID: 1658699319 Enrollment ID: I20171030000137 |
| Provider Name | Kajal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003235060 PECOS PAC ID: 6709142011 Enrollment ID: I20171101003607 |
| Provider Name | Robert Crawford |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033372610 PECOS PAC ID: 4789864133 Enrollment ID: I20171102000843 |
| Provider Name | Brent T Wise |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114217320 PECOS PAC ID: 9436444866 Enrollment ID: I20171106000514 |
| Provider Name | James K Smith |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295832004 PECOS PAC ID: 6103711783 Enrollment ID: I20171107002256 |
| Provider Name | Jennifer Brandt |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679831929 PECOS PAC ID: 2668774027 Enrollment ID: I20171108002183 |
| Provider Name | Terrah J Paul Olson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1285899104 PECOS PAC ID: 4688807837 Enrollment ID: I20171108002994 |
| Provider Name | William Matthew Linam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215144472 PECOS PAC ID: 5698737203 Enrollment ID: I20171115003674 |
| Provider Name | Yuri A Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043739477 PECOS PAC ID: 5294092144 Enrollment ID: I20171130001670 |
| Provider Name | Josephine Finazzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619935152 PECOS PAC ID: 2961394879 Enrollment ID: I20171130003361 |
| Provider Name | Prateek Chandrashekar Gandiga |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619193844 PECOS PAC ID: 7810034394 Enrollment ID: I20171204001284 |
| Provider Name | Reena Hemrajani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245447424 PECOS PAC ID: 1850442989 Enrollment ID: I20171207001550 |
| Provider Name | Wesley Adam Glick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629344825 PECOS PAC ID: 1456630656 Enrollment ID: I20171211001929 |
| Provider Name | Jessica Nicole Bentley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598084394 PECOS PAC ID: 6305152828 Enrollment ID: I20171211002805 |
| Provider Name | Jacqueline Vaughn Kraft |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588924070 PECOS PAC ID: 4880827500 Enrollment ID: I20171213002364 |
| Provider Name | Nicol P Morsby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952813156 PECOS PAC ID: 3971861105 Enrollment ID: I20171218001467 |
| Provider Name | Brett Grane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790294775 PECOS PAC ID: 0749548899 Enrollment ID: I20171218002961 |
| Provider Name | Stephanie J Drew |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780649202 PECOS PAC ID: 2961409511 Enrollment ID: I20171219001628 |
| Provider Name | Ofer Sadan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164848966 PECOS PAC ID: 9234497116 Enrollment ID: I20171226000383 |
| Provider Name | James Thaddeus Felker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821316134 PECOS PAC ID: 6103193206 Enrollment ID: I20171229001161 |
| Provider Name | Lynn Ellen Comerford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598835084 PECOS PAC ID: 3173881794 Enrollment ID: I20180102002773 |
| Provider Name | Inho Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609001080 PECOS PAC ID: 7214151844 Enrollment ID: I20180105000811 |
| Provider Name | John Edward Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497706931 PECOS PAC ID: 6305742503 Enrollment ID: I20180110003209 |
| Provider Name | Robert D Vichich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780983569 PECOS PAC ID: 7517117278 Enrollment ID: I20180111000840 |
| Provider Name | Deborah Bloch-goldstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811337660 PECOS PAC ID: 9931468261 Enrollment ID: I20180112001752 |
| Provider Name | Kenya Askale Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902279680 PECOS PAC ID: 7719246792 Enrollment ID: I20180119001784 |
| Provider Name | Georgia Davis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972869899 PECOS PAC ID: 9739448598 Enrollment ID: I20180124001407 |
| Provider Name | Kate R Woodworth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548526379 PECOS PAC ID: 9133408297 Enrollment ID: I20180129001227 |
| Provider Name | Adam J. Dsouza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396008629 PECOS PAC ID: 8729348388 Enrollment ID: I20180131000902 |
| Provider Name | Erin Elizabeth Cook Grady |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1396945937 PECOS PAC ID: 7810160751 Enrollment ID: I20180131000943 |
| Provider Name | Wendy Ann Neveu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851683072 PECOS PAC ID: 1052613353 Enrollment ID: I20180131001045 |
| Provider Name | Tony Y Eng |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275640260 PECOS PAC ID: 5092815845 Enrollment ID: I20180212000191 |
| Provider Name | Derek L West |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548273642 PECOS PAC ID: 9133198633 Enrollment ID: I20180213001094 |
| Provider Name | Heather H Panciera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366955544 PECOS PAC ID: 9739449604 Enrollment ID: I20180214001943 |
| Provider Name | Kendra Krieg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528594314 PECOS PAC ID: 4880954601 Enrollment ID: I20180215001835 |
| Provider Name | Erica Monique Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417214552 PECOS PAC ID: 2769632793 Enrollment ID: I20180219001728 |
| Provider Name | Anika Nina Watson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073776126 PECOS PAC ID: 2062668064 Enrollment ID: I20180330000449 |
| Provider Name | Christina Allen Rostad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952628679 PECOS PAC ID: 7113215245 Enrollment ID: I20180404002560 |
| Provider Name | German F Barbosa-hernandez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396918090 PECOS PAC ID: 3476773409 Enrollment ID: I20180427000909 |
| Provider Name | Leonidas Panagiotakopoulos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831499409 PECOS PAC ID: 8325332307 Enrollment ID: I20180502002727 |
| Provider Name | Scott Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710492574 PECOS PAC ID: 1658635214 Enrollment ID: I20180507001605 |
| Provider Name | Christopher D'antoni Martinborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932608882 PECOS PAC ID: 2466717657 Enrollment ID: I20180517000008 |
| Provider Name | Alexa Bodman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861783144 PECOS PAC ID: 1850656323 Enrollment ID: I20180604001976 |
| Provider Name | Beth L Schissel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134180938 PECOS PAC ID: 7810910064 Enrollment ID: I20180605000637 |
| Provider Name | Megan Jean Boissonneault |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487049490 PECOS PAC ID: 5890099576 Enrollment ID: I20180615001405 |
| Provider Name | Nirav Ravindra Bhatt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982044582 PECOS PAC ID: 5799030318 Enrollment ID: I20180621001580 |
| Provider Name | Marc Allard-ratick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235524216 PECOS PAC ID: 7214282722 Enrollment ID: I20180622002452 |
| Provider Name | Jeffrey M Collins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982993002 PECOS PAC ID: 0749415974 Enrollment ID: I20180625000256 |
| Provider Name | Kendra Janel Grubb |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265688006 PECOS PAC ID: 3173787025 Enrollment ID: I20180629002466 |
| Provider Name | Priyanka Sood |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538346093 PECOS PAC ID: 9133393713 Enrollment ID: I20180702003518 |
| Provider Name | Gina Allison Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982022455 PECOS PAC ID: 2365799756 Enrollment ID: I20180717000077 |
| Provider Name | Adriana Karen Sunara-waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831464817 PECOS PAC ID: 1850648221 Enrollment ID: I20180717003469 |
| Provider Name | Evelyn Mojirade Adesanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821513607 PECOS PAC ID: 0840547030 Enrollment ID: I20180718004251 |
| Provider Name | Melissa A Piotrowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699984401 PECOS PAC ID: 0143391326 Enrollment ID: I20180718004279 |
| Provider Name | Saurabh Ganeshkumar Shukla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013295187 PECOS PAC ID: 8224385448 Enrollment ID: I20180719000860 |
| Provider Name | Brian P. Vickery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558559906 PECOS PAC ID: 4981770823 Enrollment ID: I20180719002688 |
| Provider Name | Allison Thomas Rose |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790028553 PECOS PAC ID: 2668769050 Enrollment ID: I20180720000999 |
| Provider Name | Sherita Lynn Holmes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740514157 PECOS PAC ID: 8123319340 Enrollment ID: I20180720002264 |
| Provider Name | Richard Benjamin Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568698934 PECOS PAC ID: 8527315571 Enrollment ID: I20180720002576 |
| Provider Name | Jennifer M Collier-madon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770690703 PECOS PAC ID: 8022382167 Enrollment ID: I20180725001130 |
| Provider Name | Omayma Amin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629462007 PECOS PAC ID: 2062714223 Enrollment ID: I20180725001998 |
| Provider Name | Robert S Attia |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750607024 PECOS PAC ID: 5496975500 Enrollment ID: I20180725003647 |
| Provider Name | Brittany L Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841426111 PECOS PAC ID: 8426207622 Enrollment ID: I20180730001272 |
| Provider Name | Traci Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912365164 PECOS PAC ID: 3072861624 Enrollment ID: I20180730003194 |
| Provider Name | Bolanle Tokunbo Akinsola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447415096 PECOS PAC ID: 4082904677 Enrollment ID: I20180731000486 |
| Provider Name | Manali Ajay Bhave |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1699069880 PECOS PAC ID: 0547549099 Enrollment ID: I20180809005752 |
| Provider Name | Tae Il Han |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811138746 PECOS PAC ID: 0941298079 Enrollment ID: I20180813002482 |
| Provider Name | Sar Medoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235526161 PECOS PAC ID: 3274836259 Enrollment ID: I20180814001261 |
| Provider Name | James Hamilton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245675735 PECOS PAC ID: 0941423297 Enrollment ID: I20180814004012 |
| Provider Name | Emily Poppens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386039766 PECOS PAC ID: 4385948611 Enrollment ID: I20180814004111 |
| Provider Name | Sagar B Amin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912273483 PECOS PAC ID: 5294963484 Enrollment ID: I20180816000849 |
| Provider Name | Nima Kokabi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932495298 PECOS PAC ID: 2860795887 Enrollment ID: I20180816001105 |
| Provider Name | Kevin T Goelz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831534346 PECOS PAC ID: 4981838265 Enrollment ID: I20180816003320 |
| Provider Name | Andrew T Tkaczuk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154663748 PECOS PAC ID: 6103124540 Enrollment ID: I20180817002136 |
| Provider Name | Jonathan Jeffrey Suarez |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588954770 PECOS PAC ID: 3274834387 Enrollment ID: I20180818000138 |
| Provider Name | Rohini Komarla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982047858 PECOS PAC ID: 4284937103 Enrollment ID: I20180821002419 |
| Provider Name | Karina Rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982947354 PECOS PAC ID: 5193028017 Enrollment ID: I20180821003084 |
| Provider Name | William A Stokes |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811330731 PECOS PAC ID: 6608019807 Enrollment ID: I20180821003247 |
| Provider Name | Sharika S Seabrooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952809501 PECOS PAC ID: 9830448034 Enrollment ID: I20180821003934 |
| Provider Name | Stan Cheul Sonu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992091417 PECOS PAC ID: 4486955044 Enrollment ID: I20180822003346 |
| Provider Name | Lauren Anne Vigil Orenstein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1457790529 PECOS PAC ID: 6204135452 Enrollment ID: I20180824001988 |
| Provider Name | Laura Katherine Findeiss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518004076 PECOS PAC ID: 2163448887 Enrollment ID: I20180824002530 |
| Provider Name | Anant Mandawat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932461456 PECOS PAC ID: 3971757402 Enrollment ID: I20180828000884 |
| Provider Name | Adam Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447750559 PECOS PAC ID: 1052660818 Enrollment ID: I20180828001599 |
| Provider Name | Anna M Kirsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467849570 PECOS PAC ID: 7315246832 Enrollment ID: I20180828004270 |
| Provider Name | Brittany Allyce Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235638768 PECOS PAC ID: 2769732346 Enrollment ID: I20180830003587 |
| Provider Name | Neeti Rajendra Bagadiya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205270816 PECOS PAC ID: 6002166659 Enrollment ID: I20180904000290 |
| Provider Name | Leanne Stunkel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588079107 PECOS PAC ID: 1153542188 Enrollment ID: I20180904002395 |
| Provider Name | Joshua Guttman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821403890 PECOS PAC ID: 1557587003 Enrollment ID: I20180905002387 |
| Provider Name | Krishna B Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477972412 PECOS PAC ID: 2466750229 Enrollment ID: I20180906003497 |
| Provider Name | Sarah Henn Koumtouzoua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760878854 PECOS PAC ID: 4284938507 Enrollment ID: I20180909000008 |
| Provider Name | Emily A Kiernan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306256995 PECOS PAC ID: 3971727900 Enrollment ID: I20180911001705 |
| Provider Name | Kristina Cossen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942576848 PECOS PAC ID: 6901152172 Enrollment ID: I20180912002832 |
| Provider Name | Gary M Woods |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568624351 PECOS PAC ID: 0648585521 Enrollment ID: I20180913000195 |
| Provider Name | Sobenna George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437443678 PECOS PAC ID: 5698992378 Enrollment ID: I20180913002336 |
| Provider Name | Ayushi Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134480288 PECOS PAC ID: 3779854872 Enrollment ID: I20180917001767 |
| Provider Name | Dominic Papandria |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003077249 PECOS PAC ID: 1951696673 Enrollment ID: I20180917001861 |
| Provider Name | Ajay Kamireddi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720266695 PECOS PAC ID: 9234394412 Enrollment ID: I20180918001387 |
| Provider Name | Jennifer Renee Coben |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639580798 PECOS PAC ID: 4688982515 Enrollment ID: I20180918001459 |
| Provider Name | Colin Michael Segovis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124311212 PECOS PAC ID: 9234369935 Enrollment ID: I20180918001620 |
| Provider Name | Kenneth Emeka Ike |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336582816 PECOS PAC ID: 9335418862 Enrollment ID: I20180918003507 |
| Provider Name | Graysan Kirk Southern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316358484 PECOS PAC ID: 5294026274 Enrollment ID: I20180919000550 |
| Provider Name | Scot Hamilton Sherwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487677605 PECOS PAC ID: 5890796841 Enrollment ID: I20180919001430 |
| Provider Name | Philip Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295172351 PECOS PAC ID: 0244464717 Enrollment ID: I20180919001689 |
| Provider Name | Duncan Berry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326488560 PECOS PAC ID: 1951535590 Enrollment ID: I20180919003199 |
| Provider Name | Loretta Z Reyes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467708206 PECOS PAC ID: 1153564158 Enrollment ID: I20180919004158 |
| Provider Name | Alexander C Barnes |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538587936 PECOS PAC ID: 7012268683 Enrollment ID: I20180920000927 |
| Provider Name | John Benjamin Marshall |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568701498 PECOS PAC ID: 5294086872 Enrollment ID: I20180920001405 |
| Provider Name | David Taylor Pearce |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790129088 PECOS PAC ID: 4587915178 Enrollment ID: I20180920001771 |
| Provider Name | Pranay Prabhakar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942696471 PECOS PAC ID: 9830440445 Enrollment ID: I20180920002261 |
| Provider Name | Brian Boyce |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598196594 PECOS PAC ID: 7315174372 Enrollment ID: I20180920003494 |
| Provider Name | Catherine Lynn Postema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992246557 PECOS PAC ID: 2163794934 Enrollment ID: I20180924001901 |
| Provider Name | Morgan James Whitmore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518220755 PECOS PAC ID: 0143523183 Enrollment ID: I20180924003753 |
| Provider Name | Karen Sijie Zheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851633572 PECOS PAC ID: 4082917620 Enrollment ID: I20180925001812 |
| Provider Name | Lakesha N Legree |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316100951 PECOS PAC ID: 0143469809 Enrollment ID: I20180926003522 |
| Provider Name | Idil Kore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720469000 PECOS PAC ID: 3577878628 Enrollment ID: I20180926003532 |
| Provider Name | Jonathan Katz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447678487 PECOS PAC ID: 4587915731 Enrollment ID: I20180926004061 |
| Provider Name | Elizabeth Anne Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932527579 PECOS PAC ID: 2567681851 Enrollment ID: I20180927001489 |
| Provider Name | Monideep Dutt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285925917 PECOS PAC ID: 3274766332 Enrollment ID: I20180928000938 |
| Provider Name | Rachel Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598183972 PECOS PAC ID: 3678798642 Enrollment ID: I20180928001887 |
| Provider Name | Anna Kathryn Deal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457688392 PECOS PAC ID: 8921308321 Enrollment ID: I20181001001267 |
| Provider Name | Isaac Marco Chocron Kaswan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194138461 PECOS PAC ID: 1951652999 Enrollment ID: I20181001002892 |
| Provider Name | Prethy Rao |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982967998 PECOS PAC ID: 1759512015 Enrollment ID: I20181002001420 |
| Provider Name | Hari Mrugesh Trivedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982966305 PECOS PAC ID: 7113296856 Enrollment ID: I20181003001356 |
| Provider Name | Eric R Wagner |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1619263241 PECOS PAC ID: 9638326168 Enrollment ID: I20181003001989 |
| Provider Name | Harry William Schroeder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477816551 PECOS PAC ID: 7618104316 Enrollment ID: I20181005002539 |
| Provider Name | Elijah Robinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962820654 PECOS PAC ID: 8820210495 Enrollment ID: I20181008002274 |
| Provider Name | Zainab Fakoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548718653 PECOS PAC ID: 7315299039 Enrollment ID: I20181008003127 |
| Provider Name | Suzana Alex John |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770922072 PECOS PAC ID: 1456603018 Enrollment ID: I20181009001815 |
| Provider Name | Kara Elizabeth Meleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801386180 PECOS PAC ID: 7719239391 Enrollment ID: I20181009002861 |
| Provider Name | William Hudson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659647345 PECOS PAC ID: 2769785690 Enrollment ID: I20181009003854 |
| Provider Name | Lucian Thomas Marts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194018184 PECOS PAC ID: 0941552483 Enrollment ID: I20181010002048 |
| Provider Name | Carlo Nicola De Cecco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750763157 PECOS PAC ID: 3870845381 Enrollment ID: I20181011000822 |
| Provider Name | Jim Zhong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417391962 PECOS PAC ID: 8527360312 Enrollment ID: I20181012001045 |
| Provider Name | Frazier Keitt |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1063830743 PECOS PAC ID: 2961724729 Enrollment ID: I20181015000993 |
| Provider Name | Charles Adam Lorentz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144664673 PECOS PAC ID: 1052616778 Enrollment ID: I20181015001590 |
| Provider Name | Jeffrey D Neitlich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730171075 PECOS PAC ID: 2466555248 Enrollment ID: I20181015002385 |
| Provider Name | Kelly Elyse Kaysen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790120509 PECOS PAC ID: 7719239094 Enrollment ID: I20181015003130 |
| Provider Name | Elaine Foley Bromberek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689060618 PECOS PAC ID: 1355693631 Enrollment ID: I20181015003163 |
| Provider Name | Jawad Shahid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699194597 PECOS PAC ID: 8224307046 Enrollment ID: I20181015003268 |
| Provider Name | Nicholas Au Yong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407146772 PECOS PAC ID: 4587916770 Enrollment ID: I20181017000664 |
| Provider Name | Azeem Salim Kaka |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205181351 PECOS PAC ID: 0547497620 Enrollment ID: I20181018002735 |
| Provider Name | Keith Della Grotta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235505611 PECOS PAC ID: 9931452836 Enrollment ID: I20181023001562 |
| Provider Name | Kahra Docia Manji Nix |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346636107 PECOS PAC ID: 2062715857 Enrollment ID: I20181029000282 |
| Provider Name | Alexandra L Silverton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942647227 PECOS PAC ID: 3072894716 Enrollment ID: I20181031000624 |
| Provider Name | Antoinette Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255698072 PECOS PAC ID: 1052606647 Enrollment ID: I20181031000763 |
| Provider Name | Ilan Sondheimer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639599210 PECOS PAC ID: 1557614948 Enrollment ID: I20181101001600 |
| Provider Name | William John Knaus |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1336379288 PECOS PAC ID: 0244502839 Enrollment ID: I20181101003428 |
| Provider Name | Sahar Taghvaei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881072015 PECOS PAC ID: 2961755194 Enrollment ID: I20181105002282 |
| Provider Name | Marissa Heather Platner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467743096 PECOS PAC ID: 7719299189 Enrollment ID: I20181105002403 |
| Provider Name | Christopher R Ramos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740507425 PECOS PAC ID: 1557666559 Enrollment ID: I20181106000920 |
| Provider Name | David Adam Gimbel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275765729 PECOS PAC ID: 8729359955 Enrollment ID: I20181106003134 |
| Provider Name | Sagar Anil Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861830234 PECOS PAC ID: 5092095893 Enrollment ID: I20181107003087 |
| Provider Name | Ashishkumar Kanaiyalal Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144545609 PECOS PAC ID: 8921234295 Enrollment ID: I20181109000303 |
| Provider Name | Alainia N Morgan-james |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275822470 PECOS PAC ID: 5193005775 Enrollment ID: I20181110000399 |
| Provider Name | Emma Katherine Sizemore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053706051 PECOS PAC ID: 6901100767 Enrollment ID: I20181112001670 |
| Provider Name | Michael J Carr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669892618 PECOS PAC ID: 0244509305 Enrollment ID: I20181113001988 |
| Provider Name | Charisma N Manley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851735328 PECOS PAC ID: 3971805250 Enrollment ID: I20181115000207 |
| Provider Name | Tina Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598008971 PECOS PAC ID: 6406129097 Enrollment ID: I20181115002759 |
| Provider Name | Andres M. Patino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477970424 PECOS PAC ID: 6507087426 Enrollment ID: I20181116002364 |
| Provider Name | Bernardo Liberato |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083100234 PECOS PAC ID: 8123080033 Enrollment ID: I20181119001996 |
| Provider Name | Federico Jose Serrot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386906550 PECOS PAC ID: 1153693064 Enrollment ID: I20181119002650 |
| Provider Name | Nisha Sara Joseph |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1285990309 PECOS PAC ID: 8628322161 Enrollment ID: I20181119002720 |
| Provider Name | Khaliah Aesha Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902013451 PECOS PAC ID: 9537356787 Enrollment ID: I20181120003305 |
| Provider Name | Deepika Koganti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548527450 PECOS PAC ID: 6103136858 Enrollment ID: I20181127001927 |
| Provider Name | Chinonye Nnaji |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518370634 PECOS PAC ID: 5193069045 Enrollment ID: I20181203003217 |
| Provider Name | Patricia Elizabeth Zerra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073755864 PECOS PAC ID: 1850542598 Enrollment ID: I20181206002578 |
| Provider Name | Tamer Sayed Mahmoud Aly Attia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164659892 PECOS PAC ID: 1850635301 Enrollment ID: I20181210003441 |
| Provider Name | Shabnam Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164468591 PECOS PAC ID: 6709176324 Enrollment ID: I20181211003507 |
| Provider Name | Sarah Debrey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376963413 PECOS PAC ID: 1951646082 Enrollment ID: I20181218003209 |
| Provider Name | Ellis M. Knight |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699716340 PECOS PAC ID: 2365584646 Enrollment ID: I20181226000799 |
| Provider Name | Elizabeth Madeline Hechenbleikner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538393921 PECOS PAC ID: 7517223464 Enrollment ID: I20181227001205 |
| Provider Name | Elizabeth Marie Jelnicky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932683976 PECOS PAC ID: 8921344300 Enrollment ID: I20190104002495 |
| Provider Name | Randy Lamar Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699033449 PECOS PAC ID: 6800035882 Enrollment ID: I20190105000000 |
| Provider Name | Zarinah Y Mahmoud-deen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598134454 PECOS PAC ID: 5890096762 Enrollment ID: I20190107001128 |
| Provider Name | Thomas G. Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417096447 PECOS PAC ID: 3375707722 Enrollment ID: I20190111001329 |
| Provider Name | Wissam S Jaber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396922878 PECOS PAC ID: 5496901225 Enrollment ID: I20190116001250 |
| Provider Name | Joshua Charles Appelstein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508029612 PECOS PAC ID: 8325356967 Enrollment ID: I20190116001406 |
| Provider Name | Michael H Greenwald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407892797 PECOS PAC ID: 6608166400 Enrollment ID: I20190124000632 |
| Provider Name | Katherine E Fleming-dutra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548447477 PECOS PAC ID: 5991094419 Enrollment ID: I20190212001764 |
| Provider Name | Nova Thomas John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194073932 PECOS PAC ID: 4981918034 Enrollment ID: I20190215000765 |
| Provider Name | Erin Walker Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205182722 PECOS PAC ID: 1759500838 Enrollment ID: I20190228001026 |
| Provider Name | Letitia Mcdowell Mobley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073676938 PECOS PAC ID: 8325387525 Enrollment ID: I20190306001089 |
| Provider Name | Monique Antoinette Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972922474 PECOS PAC ID: 8729360292 Enrollment ID: I20190306002358 |
| Provider Name | Andrew Jay Patterson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477695054 PECOS PAC ID: 8123126331 Enrollment ID: I20190311000989 |
| Provider Name | Bill Majdalany |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083737563 PECOS PAC ID: 3072664564 Enrollment ID: I20190311001233 |
| Provider Name | Elsie M Allen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831232396 PECOS PAC ID: 3779823570 Enrollment ID: I20190313002816 |
| Provider Name | Obsinet Tadesse Merid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619231461 PECOS PAC ID: 8921248998 Enrollment ID: I20190315001191 |
| Provider Name | Jennifer Towles Mcclellan Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841517463 PECOS PAC ID: 0648510032 Enrollment ID: I20190321001530 |
| Provider Name | Katrina Annette Gipson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376803759 PECOS PAC ID: 2163787821 Enrollment ID: I20190322001145 |
| Provider Name | Faramarz Edalat |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528295854 PECOS PAC ID: 0244532273 Enrollment ID: I20190405000559 |
| Provider Name | Hannah Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295115061 PECOS PAC ID: 7416255179 Enrollment ID: I20190405000655 |
| Provider Name | Srikrishna Vidyadhar Patnana |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134478662 PECOS PAC ID: 6901125681 Enrollment ID: I20190411002174 |
| Provider Name | Adam Gregory De La Garza |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609805522 PECOS PAC ID: 2264436492 Enrollment ID: I20190415000582 |
| Provider Name | Srikant B Iyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811923600 PECOS PAC ID: 4082618889 Enrollment ID: I20190415002215 |
| Provider Name | William Bradley Wainright |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336407253 PECOS PAC ID: 9032402995 Enrollment ID: I20190418001413 |
| Provider Name | Neil Resnick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386614337 PECOS PAC ID: 6507094208 Enrollment ID: I20190422001661 |
| Provider Name | Mani Ali Daneshmand |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1962676700 PECOS PAC ID: 5597905190 Enrollment ID: I20190426001729 |
| Provider Name | Christin Lynn Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285103721 PECOS PAC ID: 0042552622 Enrollment ID: I20190501000644 |
| Provider Name | Digvijaya Navalkele |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366778961 PECOS PAC ID: 9830404680 Enrollment ID: I20190503000670 |
| Provider Name | Holly C Gooding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750430393 PECOS PAC ID: 7810031168 Enrollment ID: I20190506001041 |
| Provider Name | Michael Woodworth |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629335856 PECOS PAC ID: 8426349119 Enrollment ID: I20190513001732 |
| Provider Name | Jason Daniel Sciarretta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205043122 PECOS PAC ID: 1850541541 Enrollment ID: I20190514000596 |
| Provider Name | John C Lisko |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114314762 PECOS PAC ID: 0648513531 Enrollment ID: I20190516000705 |
| Provider Name | Arturo Gilberto Torres |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871657221 PECOS PAC ID: 4587980057 Enrollment ID: I20190606000039 |
| Provider Name | Manpreet Singh Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174835557 PECOS PAC ID: 6103068739 Enrollment ID: I20190607002644 |
| Provider Name | Emily Barrow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508284597 PECOS PAC ID: 6305149188 Enrollment ID: I20190617002269 |
| Provider Name | Joshua Mcalister Barnett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093102949 PECOS PAC ID: 4486956406 Enrollment ID: I20190620003387 |
| Provider Name | Anagha Loharikar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063704609 PECOS PAC ID: 7911146873 Enrollment ID: I20190621001209 |
| Provider Name | Morgan Booher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245611839 PECOS PAC ID: 4486988649 Enrollment ID: I20190624000217 |
| Provider Name | Justin Palanci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689069072 PECOS PAC ID: 5698070365 Enrollment ID: I20190624000627 |
| Provider Name | Nicholas Dickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902224017 PECOS PAC ID: 5698009702 Enrollment ID: I20190624002639 |
| Provider Name | John Coghlan Allen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679969935 PECOS PAC ID: 2466786421 Enrollment ID: I20190625001497 |
| Provider Name | Aisha Harun |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346507589 PECOS PAC ID: 7416106729 Enrollment ID: I20190625003161 |
| Provider Name | Sonya Habib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174186050 PECOS PAC ID: 2365776267 Enrollment ID: I20190626003362 |
| Provider Name | David James Bower |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528094505 PECOS PAC ID: 1456685361 Enrollment ID: I20190626003893 |
| Provider Name | Vanessa Fields |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265896591 PECOS PAC ID: 7315271970 Enrollment ID: I20190702000759 |
| Provider Name | James Wong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013362433 PECOS PAC ID: 0941534416 Enrollment ID: I20190703001013 |
| Provider Name | Samuel Key |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770901530 PECOS PAC ID: 6204056062 Enrollment ID: I20190717003174 |
| Provider Name | Kevin Crawford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467871715 PECOS PAC ID: 6608170071 Enrollment ID: I20190718002076 |
| Provider Name | Yoram Samuel Baum |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1427443852 PECOS PAC ID: 7719212398 Enrollment ID: I20190718002818 |
| Provider Name | Vivek Saroha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053701268 PECOS PAC ID: 3870829468 Enrollment ID: I20190718003417 |
| Provider Name | Christopher Travis Watterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598028367 PECOS PAC ID: 6305196031 Enrollment ID: I20190719001586 |
| Provider Name | Daria Marie Abolghasemi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265847636 PECOS PAC ID: 2365778925 Enrollment ID: I20190719002695 |
| Provider Name | Naima Thavory Joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801161252 PECOS PAC ID: 2567616329 Enrollment ID: I20190719002854 |
| Provider Name | James Tseryuan Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073976536 PECOS PAC ID: 7911233580 Enrollment ID: I20190719003110 |
| Provider Name | Ariane Martinez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326466814 PECOS PAC ID: 9739450743 Enrollment ID: I20190720000056 |
| Provider Name | Gul Ehican |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568826832 PECOS PAC ID: 8921393109 Enrollment ID: I20190722000131 |
| Provider Name | Krithika Shanmugasundaram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295199800 PECOS PAC ID: 9436441177 Enrollment ID: I20190722000911 |
| Provider Name | Dinesh Vinayak Jillella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649684887 PECOS PAC ID: 3870815327 Enrollment ID: I20190722000940 |
| Provider Name | Justin White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689093833 PECOS PAC ID: 9931425436 Enrollment ID: I20190722001345 |
| Provider Name | Michelle Teplis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205397999 PECOS PAC ID: 3779819289 Enrollment ID: I20190722002051 |
| Provider Name | Amelia Anne Keaton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932499589 PECOS PAC ID: 5799038881 Enrollment ID: I20190722002287 |
| Provider Name | Bhargavi Guddanti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205277340 PECOS PAC ID: 0042508921 Enrollment ID: I20190722002894 |
| Provider Name | Okezika C Kanu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558617704 PECOS PAC ID: 6608102132 Enrollment ID: I20190722003010 |
| Provider Name | Michael John Zdradzinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134582596 PECOS PAC ID: 9537453295 Enrollment ID: I20190722003369 |
| Provider Name | Akanksha Vaidya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649633934 PECOS PAC ID: 2961796347 Enrollment ID: I20190722003503 |
| Provider Name | Lance T Hall |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1295798429 PECOS PAC ID: 8628963063 Enrollment ID: I20190722003553 |
| Provider Name | Michael Lee Williford |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306256706 PECOS PAC ID: 4385868017 Enrollment ID: I20190723000410 |
| Provider Name | Manohar Kuruva |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1104267525 PECOS PAC ID: 6103142740 Enrollment ID: I20190723002227 |
| Provider Name | James Sikora |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679899884 PECOS PAC ID: 8527286004 Enrollment ID: I20190724001988 |
| Provider Name | Samina Kazmi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356449714 PECOS PAC ID: 1052203908 Enrollment ID: I20190724003058 |
| Provider Name | Stacey Michelle Watkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841687357 PECOS PAC ID: 4486975497 Enrollment ID: I20190724003080 |
| Provider Name | Abesh Niroula |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871856468 PECOS PAC ID: 1254588916 Enrollment ID: I20190725000151 |
| Provider Name | Chengcheng Ye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497100671 PECOS PAC ID: 6800122094 Enrollment ID: I20190725002015 |
| Provider Name | Jihoon Lim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609126028 PECOS PAC ID: 9739308412 Enrollment ID: I20190725003199 |
| Provider Name | Abigail Charlotte Watts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710333174 PECOS PAC ID: 0840526901 Enrollment ID: I20190726001038 |
| Provider Name | Babusai Bharadwaj Rapaka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346604113 PECOS PAC ID: 0749516854 Enrollment ID: I20190727000043 |
| Provider Name | Daku Siewe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346668191 PECOS PAC ID: 7416256847 Enrollment ID: I20190727000090 |
| Provider Name | Judy Wawira Gichoya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174963557 PECOS PAC ID: 4284876830 Enrollment ID: I20190727000416 |
| Provider Name | Michelle R Kress |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083054845 PECOS PAC ID: 3173767258 Enrollment ID: I20190729000774 |
| Provider Name | Teralyn Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598064792 PECOS PAC ID: 4082935101 Enrollment ID: I20190729003168 |
| Provider Name | Bradley Goetz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356761548 PECOS PAC ID: 2062715881 Enrollment ID: I20190730004184 |
| Provider Name | Lauren Marie Gensler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164840153 PECOS PAC ID: 4082940978 Enrollment ID: I20190730004681 |
| Provider Name | Deniz Sarhaddi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1538505250 PECOS PAC ID: 6204130784 Enrollment ID: I20190802003114 |
| Provider Name | Bryce Buchowicz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699155663 PECOS PAC ID: 4486966553 Enrollment ID: I20190805000311 |
| Provider Name | Douglas Stanley Weinberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770927279 PECOS PAC ID: 1759618366 Enrollment ID: I20190805003403 |
| Provider Name | Sherri Bogard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609221936 PECOS PAC ID: 8527395193 Enrollment ID: I20190806002035 |
| Provider Name | Ozlem Bilen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073879573 PECOS PAC ID: 7012244684 Enrollment ID: I20190806002208 |
| Provider Name | Ann Marie Defnet |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215298872 PECOS PAC ID: 7315240124 Enrollment ID: I20190806004307 |
| Provider Name | Allison Vale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447739628 PECOS PAC ID: 3678806544 Enrollment ID: I20190807001676 |
| Provider Name | Kristine Vanijcharoenkarn |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669891636 PECOS PAC ID: 2567799968 Enrollment ID: I20190807003657 |
| Provider Name | Margo Nicole Carlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578970471 PECOS PAC ID: 4789911181 Enrollment ID: I20190807003976 |
| Provider Name | Cynthia Romero |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285021485 PECOS PAC ID: 4082917919 Enrollment ID: I20190808001575 |
| Provider Name | Irfan Husain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699161703 PECOS PAC ID: 2062767890 Enrollment ID: I20190808004201 |
| Provider Name | Adam Hesney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336559046 PECOS PAC ID: 2163648692 Enrollment ID: I20190809001377 |
| Provider Name | Alison Lynn Brantley Ulbrandt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588083810 PECOS PAC ID: 6709175151 Enrollment ID: I20190809002027 |
| Provider Name | Stephanie Klein Lynch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447632450 PECOS PAC ID: 8325351711 Enrollment ID: I20190812001622 |
| Provider Name | Priya Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043698749 PECOS PAC ID: 5799079398 Enrollment ID: I20190812003092 |
| Provider Name | Paul Cronin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841370723 PECOS PAC ID: 3577607456 Enrollment ID: I20190812003945 |
| Provider Name | Nisha Verma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588046965 PECOS PAC ID: 3678800745 Enrollment ID: I20190812004091 |
| Provider Name | Summer Elshenawy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083926349 PECOS PAC ID: 6800037243 Enrollment ID: I20190813000013 |
| Provider Name | Jesse Ann Soodalter |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366671711 PECOS PAC ID: 1153625041 Enrollment ID: I20190819001033 |
| Provider Name | Aine Marie Kelly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417038662 PECOS PAC ID: 7618018912 Enrollment ID: I20190819003525 |
| Provider Name | Amy Josephine Zeidan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932528122 PECOS PAC ID: 9638477524 Enrollment ID: I20190820000040 |
| Provider Name | Christopher H Hsu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134382906 PECOS PAC ID: 6709114309 Enrollment ID: I20190820004060 |
| Provider Name | Kristan Paula Alfonso |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649615766 PECOS PAC ID: 2769790351 Enrollment ID: I20190820004183 |
| Provider Name | Shikha Nigam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992151468 PECOS PAC ID: 0446544258 Enrollment ID: I20190826000724 |
| Provider Name | Gargi Mukherjee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851754949 PECOS PAC ID: 0840524484 Enrollment ID: I20190826001504 |
| Provider Name | Nandini Govil |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1689019580 PECOS PAC ID: 5890023030 Enrollment ID: I20190826001583 |
| Provider Name | Jonathan Scott Ebelhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770947673 PECOS PAC ID: 8921336199 Enrollment ID: I20190826002868 |
| Provider Name | Alison Ward |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083930812 PECOS PAC ID: 5193053312 Enrollment ID: I20190827001431 |
| Provider Name | Bhargav Sai Charan Marthambadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124475595 PECOS PAC ID: 5193081784 Enrollment ID: I20190827002545 |
| Provider Name | Katherine Michelle Gartin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457700494 PECOS PAC ID: 2264710375 Enrollment ID: I20190828002372 |
| Provider Name | Andres Su |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194164624 PECOS PAC ID: 2365792942 Enrollment ID: I20190828004213 |
| Provider Name | Tristan Michael Stani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1477811826 PECOS PAC ID: 3678728490 Enrollment ID: I20190829000010 |
| Provider Name | Hardeep Singh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609287085 PECOS PAC ID: 4486973658 Enrollment ID: I20190829003613 |
| Provider Name | George Ghareeb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528403235 PECOS PAC ID: 4587807318 Enrollment ID: I20190830003013 |
| Provider Name | Loren D Krueger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1548641764 PECOS PAC ID: 2062716715 Enrollment ID: I20190831000179 |
| Provider Name | Elizabeth Peacock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023468170 PECOS PAC ID: 8325377138 Enrollment ID: I20190904000806 |
| Provider Name | Shreyas Joshi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295028884 PECOS PAC ID: 1850681974 Enrollment ID: I20190904000939 |
| Provider Name | John Jacob Eager |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437576386 PECOS PAC ID: 6800125659 Enrollment ID: I20190904002645 |
| Provider Name | Jerad Allen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952745952 PECOS PAC ID: 2860711645 Enrollment ID: I20190905001357 |
| Provider Name | Daniel Matthew Schachter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508279134 PECOS PAC ID: 1557652328 Enrollment ID: I20190905003030 |
| Provider Name | Tayseer Chowdhry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750720660 PECOS PAC ID: 5193967289 Enrollment ID: I20190909001797 |
| Provider Name | Kushal Nandam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003221482 PECOS PAC ID: 5294056198 Enrollment ID: I20190909002119 |
| Provider Name | Karin Dill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164494340 PECOS PAC ID: 0648292797 Enrollment ID: I20190912003282 |
| Provider Name | Nichelle Warren |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760869051 PECOS PAC ID: 6800170184 Enrollment ID: I20190912003456 |
| Provider Name | Neil U Lall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528295599 PECOS PAC ID: 0749404408 Enrollment ID: I20190913002342 |
| Provider Name | Brendan Browne |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063772770 PECOS PAC ID: 3577892678 Enrollment ID: I20190916002441 |
| Provider Name | Jeffrey Bradley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699793232 PECOS PAC ID: 8729113717 Enrollment ID: I20190917002582 |
| Provider Name | Anibal Molina Lugo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396053708 PECOS PAC ID: 5890003537 Enrollment ID: I20190918002135 |
| Provider Name | Afshan Idrees |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982961249 PECOS PAC ID: 7012247091 Enrollment ID: I20190918002635 |
| Provider Name | Emberlynn Liang Liu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164842910 PECOS PAC ID: 6901183318 Enrollment ID: I20190918002713 |
| Provider Name | Kimberly Bojanwoski Hoang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093071029 PECOS PAC ID: 7618232794 Enrollment ID: I20190919003338 |
| Provider Name | Adam Dickey |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1649680844 PECOS PAC ID: 4981934692 Enrollment ID: I20190924000084 |
| Provider Name | Caitlin Akard Bradley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255759353 PECOS PAC ID: 9931401957 Enrollment ID: I20190924001870 |
| Provider Name | Gabriel Santamarina |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942667654 PECOS PAC ID: 2769742139 Enrollment ID: I20190927001390 |
| Provider Name | Rashieda Timpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053859140 PECOS PAC ID: 9537414594 Enrollment ID: I20191009001436 |
| Provider Name | Gaetano Paone |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275630741 PECOS PAC ID: 5294786463 Enrollment ID: I20191014000249 |
| Provider Name | Hebist W Berhane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013327600 PECOS PAC ID: 2163717026 Enrollment ID: I20191014001839 |
| Provider Name | Aparna Hemant Kesarwala |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1235399692 PECOS PAC ID: 3173854650 Enrollment ID: I20191015000680 |
| Provider Name | Joo Yup Cho |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215219621 PECOS PAC ID: 4789980087 Enrollment ID: I20191015001537 |
| Provider Name | Candace E Hobson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821319963 PECOS PAC ID: 3971805029 Enrollment ID: I20191017001645 |
| Provider Name | Anish S Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437504131 PECOS PAC ID: 8224360326 Enrollment ID: I20191022002877 |
| Provider Name | Brian Christopher Zanoni |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740548312 PECOS PAC ID: 7810125838 Enrollment ID: I20191024000149 |
| Provider Name | Cierra Medori Moss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104192905 PECOS PAC ID: 2961703913 Enrollment ID: I20191024003366 |
| Provider Name | Gretchen Evangeline Bell |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932596061 PECOS PAC ID: 7315234911 Enrollment ID: I20191029000209 |
| Provider Name | Radha Samtani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144882044 PECOS PAC ID: 1052643772 Enrollment ID: I20191030001853 |
| Provider Name | Marisa Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235524877 PECOS PAC ID: 3678805991 Enrollment ID: I20191105002795 |
| Provider Name | Roberto Carlos Hernandez-irizarry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093143497 PECOS PAC ID: 9335571546 Enrollment ID: I20191108001572 |
| Provider Name | Anand Subhash Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073870358 PECOS PAC ID: 4880940022 Enrollment ID: I20191114003114 |
| Provider Name | Beatrice Elizabeth Gee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316947872 PECOS PAC ID: 1254672876 Enrollment ID: I20191115001873 |
| Provider Name | Malavika Kapuria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417304064 PECOS PAC ID: 6901238559 Enrollment ID: I20191119003463 |
| Provider Name | Jonathan David De Olano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801231089 PECOS PAC ID: 2163717224 Enrollment ID: I20191121000583 |
| Provider Name | Jacinta Edwina Cooper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629337886 PECOS PAC ID: 9931428315 Enrollment ID: I20191122002720 |
| Provider Name | Autumn Paige Hines |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932495249 PECOS PAC ID: 6002107182 Enrollment ID: I20191125003129 |
| Provider Name | Kathryn Miele |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205175643 PECOS PAC ID: 5395065635 Enrollment ID: I20191208000004 |
| Provider Name | Elizabeth Mccord |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124415591 PECOS PAC ID: 9537592274 Enrollment ID: I20191210002449 |
| Provider Name | Nicole J Battaglioli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295173730 PECOS PAC ID: 5890085682 Enrollment ID: I20191212002585 |
| Provider Name | Ana R Fernandes Longuino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851796270 PECOS PAC ID: 7618300187 Enrollment ID: I20191215000014 |
| Provider Name | Lu Li |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528555778 PECOS PAC ID: 6709132301 Enrollment ID: I20191216003102 |
| Provider Name | Kara Eve Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639731144 PECOS PAC ID: 9234563628 Enrollment ID: I20191217002616 |
| Provider Name | Joshua Paul Degrandpre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942855663 PECOS PAC ID: 9739513185 Enrollment ID: I20191218001754 |
| Provider Name | Warren Maurice Perry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063850006 PECOS PAC ID: 8820309065 Enrollment ID: I20191220002083 |
| Provider Name | Cheryl Lynn Maier |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811254311 PECOS PAC ID: 3072947274 Enrollment ID: I20191220002327 |
| Provider Name | Tarannum Rupani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083171235 PECOS PAC ID: 0244664217 Enrollment ID: I20191227001563 |
| Provider Name | Akshat Chandrakant Pujara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093075194 PECOS PAC ID: 3870890379 Enrollment ID: I20191228000300 |
| Provider Name | Yvonne Okereke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932556313 PECOS PAC ID: 7810321502 Enrollment ID: I20200106002614 |
| Provider Name | Nichelle Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972154722 PECOS PAC ID: 6901231729 Enrollment ID: I20200123002478 |
| Provider Name | Alyssa Nolan Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932364684 PECOS PAC ID: 2961782313 Enrollment ID: I20200124002399 |
| Provider Name | Yvonne Celestine Atherly-john |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295803468 PECOS PAC ID: 4688741911 Enrollment ID: I20200202000005 |
| Provider Name | Terri Marie Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922640960 PECOS PAC ID: 2062848039 Enrollment ID: I20200211001578 |
| Provider Name | Ebonique Moment |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730306408 PECOS PAC ID: 0840337838 Enrollment ID: I20200212002863 |
| Provider Name | Bonnie Proulx |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366499808 PECOS PAC ID: 9436194206 Enrollment ID: I20200306002353 |
| Provider Name | William Jay Nicholson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861435406 PECOS PAC ID: 8628071982 Enrollment ID: I20200314000337 |
| Provider Name | Jasmine Forte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326468349 PECOS PAC ID: 6204264856 Enrollment ID: I20200316000333 |
| Provider Name | Zahraa Hasan Abd Ali Rabeeah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720531692 PECOS PAC ID: 6002147865 Enrollment ID: I20200316001046 |
| Provider Name | Ashish Patel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083758635 PECOS PAC ID: 2365598976 Enrollment ID: I20200316002025 |
| Provider Name | Meagan E Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528524758 PECOS PAC ID: 7911248794 Enrollment ID: I20200402003535 |
| Provider Name | Carolina Medeiros |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275997843 PECOS PAC ID: 4082962378 Enrollment ID: I20200407001604 |
| Provider Name | Srinija Konduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548671191 PECOS PAC ID: 9931471620 Enrollment ID: I20200409003116 |
| Provider Name | Shinban Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598144511 PECOS PAC ID: 6204265317 Enrollment ID: I20200410000100 |
| Provider Name | Jean Park |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508229832 PECOS PAC ID: 7911285077 Enrollment ID: I20200410002134 |
| Provider Name | Jay Shah |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528328937 PECOS PAC ID: 8820424492 Enrollment ID: I20200416000000 |
| Provider Name | James A Blair |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881856110 PECOS PAC ID: 7416197603 Enrollment ID: I20200417000203 |
| Provider Name | Paul M Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851778542 PECOS PAC ID: 1557656097 Enrollment ID: I20200421003078 |
| Provider Name | Mike M Supplice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689000101 PECOS PAC ID: 9830493949 Enrollment ID: I20200429000935 |
| Provider Name | Joseph Mathias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841672789 PECOS PAC ID: 8921311556 Enrollment ID: I20200504000389 |
| Provider Name | Lucy Shufan Sun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245684364 PECOS PAC ID: 4789015967 Enrollment ID: I20200504002909 |
| Provider Name | Michael Gallagher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710414974 PECOS PAC ID: 1759651540 Enrollment ID: I20200506003097 |
| Provider Name | Brittany Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548518756 PECOS PAC ID: 8921394677 Enrollment ID: I20200508000389 |
| Provider Name | Jeanne Fell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255468484 PECOS PAC ID: 6002183357 Enrollment ID: I20200511002281 |
| Provider Name | Elna Saah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316042617 PECOS PAC ID: 9830117530 Enrollment ID: I20200511003561 |
| Provider Name | Jesse Marie Conyers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801282066 PECOS PAC ID: 8820429392 Enrollment ID: I20200518000500 |
| Provider Name | Timothy J Machen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013303353 PECOS PAC ID: 2668778226 Enrollment ID: I20200518000734 |
| Provider Name | Hassan Chami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861912552 PECOS PAC ID: 3274964770 Enrollment ID: I20200518001944 |
| Provider Name | Patrick S. Zakka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538690615 PECOS PAC ID: 1052681723 Enrollment ID: I20200519002537 |
| Provider Name | Mark A Arnold |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730576638 PECOS PAC ID: 2264779875 Enrollment ID: I20200520000813 |
| Provider Name | Michael Alan Winkler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003846692 PECOS PAC ID: 1052382256 Enrollment ID: I20200520002087 |
| Provider Name | Matthew Schimmel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114345105 PECOS PAC ID: 3870716640 Enrollment ID: I20200521000985 |
| Provider Name | Bassel Nazha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215349964 PECOS PAC ID: 8820369846 Enrollment ID: I20200527001819 |
| Provider Name | Hena Joshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275928749 PECOS PAC ID: 9234550203 Enrollment ID: I20200528003418 |
| Provider Name | Jonathan Mallen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396132478 PECOS PAC ID: 5092028555 Enrollment ID: I20200529000001 |
| Provider Name | Nirav Bharatkumar Joshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841675642 PECOS PAC ID: 2961823992 Enrollment ID: I20200529002710 |
| Provider Name | Lakshmi Suma Tummala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932333549 PECOS PAC ID: 8022439991 Enrollment ID: I20200601001973 |
| Provider Name | Roozbeh Akhtari |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669829610 PECOS PAC ID: 5294028122 Enrollment ID: I20200606000056 |
| Provider Name | Adam Goldman-yassen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030351 PECOS PAC ID: 3577809367 Enrollment ID: I20200608002799 |
| Provider Name | Judson Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609831411 PECOS PAC ID: 9032409933 Enrollment ID: I20200609000146 |
| Provider Name | Barbara Niklinska-schirtz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538587142 PECOS PAC ID: 9032442785 Enrollment ID: I20200610001687 |
| Provider Name | Breanna Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710529318 PECOS PAC ID: 7315369766 Enrollment ID: I20200612000913 |
| Provider Name | Thaddeus D Hollingsworth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750776183 PECOS PAC ID: 6103248588 Enrollment ID: I20200614000035 |
| Provider Name | Janel Schneider |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720002694 PECOS PAC ID: 3072547082 Enrollment ID: I20200615001172 |
| Provider Name | Soumon Rudra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801282850 PECOS PAC ID: 4688096852 Enrollment ID: I20200616001640 |
| Provider Name | Maria E Barbian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124463922 PECOS PAC ID: 0042502601 Enrollment ID: I20200617002292 |
| Provider Name | Hardik Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295103414 PECOS PAC ID: 6800123910 Enrollment ID: I20200620000065 |
| Provider Name | Brenda Poindexter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811091341 PECOS PAC ID: 2163744988 Enrollment ID: I20200622001800 |
| Provider Name | Christopher G Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174985196 PECOS PAC ID: 7618241332 Enrollment ID: I20200622002417 |
| Provider Name | Jeffrey F Linzer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508937863 PECOS PAC ID: 8820388648 Enrollment ID: I20200623002401 |
| Provider Name | Laura M Ruch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184070690 PECOS PAC ID: 2567758790 Enrollment ID: I20200625000757 |
| Provider Name | David Young |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588041586 PECOS PAC ID: 7315249224 Enrollment ID: I20200626002233 |
| Provider Name | Christopher Massad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033640115 PECOS PAC ID: 7911277793 Enrollment ID: I20200629000360 |
| Provider Name | Heather Gold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417303686 PECOS PAC ID: 2961756861 Enrollment ID: I20200629001719 |
| Provider Name | Sana Waheed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841523818 PECOS PAC ID: 4880844786 Enrollment ID: I20200629003390 |
| Provider Name | Shahein Tajmir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316351323 PECOS PAC ID: 1557677309 Enrollment ID: I20200629003516 |
| Provider Name | Michael Aguilar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770978454 PECOS PAC ID: 2163738568 Enrollment ID: I20200701000014 |
| Provider Name | Mallory Lynn Youngstrom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871956870 PECOS PAC ID: 8729401294 Enrollment ID: I20200701001226 |
| Provider Name | Guneesh Singh Uberoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427579085 PECOS PAC ID: 7719300144 Enrollment ID: I20200701003646 |
| Provider Name | Amit Surapaneni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699162776 PECOS PAC ID: 5991008674 Enrollment ID: I20200702001006 |
| Provider Name | Nicole C Schmitt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336258086 PECOS PAC ID: 8820237555 Enrollment ID: I20200706002755 |
| Provider Name | Mio Yanagisawa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376955831 PECOS PAC ID: 3971926148 Enrollment ID: I20200706003147 |
| Provider Name | Alison R Goldenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407233836 PECOS PAC ID: 9032455886 Enrollment ID: I20200707000798 |
| Provider Name | Rakesh Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225415805 PECOS PAC ID: 8921315771 Enrollment ID: I20200707000970 |
| Provider Name | Arin Swerlick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255746186 PECOS PAC ID: 0840418042 Enrollment ID: I20200707001851 |
| Provider Name | Joshua Michael Rosenblum |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588954820 PECOS PAC ID: 4183928997 Enrollment ID: I20200708002620 |
| Provider Name | Elena Mary James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194251132 PECOS PAC ID: 7012330046 Enrollment ID: I20200709002889 |
| Provider Name | Rafael De Ayala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497195275 PECOS PAC ID: 1658794516 Enrollment ID: I20200710000341 |
| Provider Name | Xiao Tian Li |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346656972 PECOS PAC ID: 4587087457 Enrollment ID: I20200710000977 |
| Provider Name | Homaira Hossain |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558590398 PECOS PAC ID: 9436392354 Enrollment ID: I20200710001166 |
| Provider Name | Christopher Nickel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194111963 PECOS PAC ID: 1759704570 Enrollment ID: I20200710003181 |
| Provider Name | Amanda Kaye Haan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528599461 PECOS PAC ID: 8921421744 Enrollment ID: I20200710003211 |
| Provider Name | Peter Ju Park |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1699015792 PECOS PAC ID: 0648572859 Enrollment ID: I20200720001916 |
| Provider Name | Sandra Hobson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265859540 PECOS PAC ID: 8820323553 Enrollment ID: I20200721003204 |
| Provider Name | James E Bates |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659767739 PECOS PAC ID: 3870887201 Enrollment ID: I20200723000125 |
| Provider Name | Alexander Prewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982135018 PECOS PAC ID: 4880964543 Enrollment ID: I20200724000009 |
| Provider Name | Aqueel Pabaney |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275763591 PECOS PAC ID: 7416189014 Enrollment ID: I20200803003479 |
| Provider Name | Christopher Hillhouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417311044 PECOS PAC ID: 0446675615 Enrollment ID: I20200805000396 |
| Provider Name | Zachary Scott Buchwald |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1497140552 PECOS PAC ID: 4486079480 Enrollment ID: I20200807002367 |
| Provider Name | Feras Akbik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861805798 PECOS PAC ID: 1153615430 Enrollment ID: I20200811002493 |
| Provider Name | Aamne Dianne Bell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598178642 PECOS PAC ID: 2860796463 Enrollment ID: I20200811002520 |
| Provider Name | Ritu Gupta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487944567 PECOS PAC ID: 3072862689 Enrollment ID: I20200811003884 |
| Provider Name | Rachel Rebecca Koval |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285167668 PECOS PAC ID: 0244504512 Enrollment ID: I20200813003547 |
| Provider Name | Elizabeth Benjamin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801911300 PECOS PAC ID: 9537269261 Enrollment ID: I20200813003777 |
| Provider Name | Yamal Taha Sobeh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518321108 PECOS PAC ID: 0749613453 Enrollment ID: I20200819003656 |
| Provider Name | Mohammed Loya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174940266 PECOS PAC ID: 8224375787 Enrollment ID: I20200820002644 |
| Provider Name | Geoffrey Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811239130 PECOS PAC ID: 1052553617 Enrollment ID: I20200820003089 |
| Provider Name | Nariman Nezami |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619381506 PECOS PAC ID: 3476833989 Enrollment ID: I20200822000037 |
| Provider Name | Mithilesh Siddu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174907521 PECOS PAC ID: 0547550642 Enrollment ID: I20200824000866 |
| Provider Name | Pradnya Mhatre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700831187 PECOS PAC ID: 9830126127 Enrollment ID: I20200824003447 |
| Provider Name | Amol Madan Takalkar |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1619931060 PECOS PAC ID: 2961431234 Enrollment ID: I20200824003551 |
| Provider Name | Shaheen Fatima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740630979 PECOS PAC ID: 0244526655 Enrollment ID: I20200824003743 |
| Provider Name | Jamil A Shaikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831456813 PECOS PAC ID: 7719259100 Enrollment ID: I20200826003789 |
| Provider Name | Jung Mi Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679004873 PECOS PAC ID: 0648697391 Enrollment ID: I20200826003943 |
| Provider Name | Kristen D Starbuck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205155348 PECOS PAC ID: 9537478748 Enrollment ID: I20200828001674 |
| Provider Name | Vikram Madhavan Narayan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336582782 PECOS PAC ID: 8921304486 Enrollment ID: I20200828002011 |
| Provider Name | Jeeyon Grace Rim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699216994 PECOS PAC ID: 9032489752 Enrollment ID: I20200828002476 |
| Provider Name | Esther Hwang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659752442 PECOS PAC ID: 3971863762 Enrollment ID: I20200828002507 |
| Provider Name | Gina Nicole Tundo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003293887 PECOS PAC ID: 0042518235 Enrollment ID: I20200828002842 |
| Provider Name | Emily Perdoncin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740574557 PECOS PAC ID: 1153631536 Enrollment ID: I20200901001192 |
| Provider Name | Pedro Gonzalez Jimenez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013394345 PECOS PAC ID: 4284909821 Enrollment ID: I20200901002919 |
| Provider Name | Sameer Sandhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528488673 PECOS PAC ID: 8921228495 Enrollment ID: I20200902000564 |
| Provider Name | Karim Mahmoud |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346716412 PECOS PAC ID: 1557695384 Enrollment ID: I20200902003433 |
| Provider Name | Andrew J Bowman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427402577 PECOS PAC ID: 3678990785 Enrollment ID: I20200902003472 |
| Provider Name | Rishin Jatin Kadakia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134546625 PECOS PAC ID: 8820415938 Enrollment ID: I20200903000001 |
| Provider Name | Jules Ryan Tabilona |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215463344 PECOS PAC ID: 3072930148 Enrollment ID: I20200903001954 |
| Provider Name | Adam Schell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003202086 PECOS PAC ID: 7618272394 Enrollment ID: I20200903002216 |
| Provider Name | Shubha Gadam Setty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174941827 PECOS PAC ID: 3577831551 Enrollment ID: I20200904000666 |
| Provider Name | Molly Melhem |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801328380 PECOS PAC ID: 2567736036 Enrollment ID: I20200904000886 |
| Provider Name | Ronine Zamor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619237732 PECOS PAC ID: 7719291012 Enrollment ID: I20200905000112 |
| Provider Name | Sean Spencer Evans |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255759494 PECOS PAC ID: 7315170750 Enrollment ID: I20200908000387 |
| Provider Name | Nikhil Sebastian |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306231477 PECOS PAC ID: 3375852577 Enrollment ID: I20200909001894 |
| Provider Name | Bhagya Sannananja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417326752 PECOS PAC ID: 4789932310 Enrollment ID: I20200909002363 |
| Provider Name | Therese Kirsch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861666869 PECOS PAC ID: 6103065040 Enrollment ID: I20200910000861 |
| Provider Name | Leah Amelia Rondon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629431689 PECOS PAC ID: 1557625845 Enrollment ID: I20200910002935 |
| Provider Name | Sunil William Dutta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1902291990 PECOS PAC ID: 4789002528 Enrollment ID: I20200910003287 |
| Provider Name | Michelle Chevalier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255865465 PECOS PAC ID: 5294153847 Enrollment ID: I20200914001242 |
| Provider Name | Raynusha Pillai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407488679 PECOS PAC ID: 2567880883 Enrollment ID: I20200917001659 |
| Provider Name | Komal Paladugu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437511839 PECOS PAC ID: 3577850601 Enrollment ID: I20200922000888 |
| Provider Name | Lisha A Lansberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932699436 PECOS PAC ID: 0244587368 Enrollment ID: I20200922002534 |
| Provider Name | Alexandra Monroe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871975227 PECOS PAC ID: 6507173580 Enrollment ID: I20200923001188 |
| Provider Name | Lauren Postlewait |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376809947 PECOS PAC ID: 9436583945 Enrollment ID: I20200923001363 |
| Provider Name | Paul Ghareeb |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215370432 PECOS PAC ID: 2466755434 Enrollment ID: I20200923001988 |
| Provider Name | Woodrow Farrington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659637361 PECOS PAC ID: 0244481687 Enrollment ID: I20200924002202 |
| Provider Name | Sibo Tian |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861887317 PECOS PAC ID: 3971892738 Enrollment ID: I20200925000507 |
| Provider Name | Jacob J Gissy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366805392 PECOS PAC ID: 2769752476 Enrollment ID: I20200928000004 |
| Provider Name | Lisette Tanner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356617435 PECOS PAC ID: 7719209576 Enrollment ID: I20200928000147 |
| Provider Name | Daniel Viox |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073902664 PECOS PAC ID: 2961735691 Enrollment ID: I20200928001421 |
| Provider Name | Mark Anthony Bittles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922111020 PECOS PAC ID: 9931296639 Enrollment ID: I20200929003128 |
| Provider Name | Kayla Sondria Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891319091 PECOS PAC ID: 4789003369 Enrollment ID: I20200930003713 |
| Provider Name | Alexandra Marie Arges |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710374756 PECOS PAC ID: 3577873983 Enrollment ID: I20201001000386 |
| Provider Name | Abhisake Kole |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346635414 PECOS PAC ID: 6002116845 Enrollment ID: I20201001003219 |
| Provider Name | Jill Remick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073992038 PECOS PAC ID: 2567768054 Enrollment ID: I20201001003354 |
| Provider Name | Sarah Tapp Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265967053 PECOS PAC ID: 0840562047 Enrollment ID: I20201001003417 |
| Provider Name | Ruth Lauren Sacks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063822393 PECOS PAC ID: 5991124364 Enrollment ID: I20201005000705 |
| Provider Name | Lauren Frances Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578981023 PECOS PAC ID: 2961774492 Enrollment ID: I20201005000776 |
| Provider Name | Jade Jones |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1487064432 PECOS PAC ID: 8729387352 Enrollment ID: I20201013000731 |
| Provider Name | Tricia Lee |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1841432457 PECOS PAC ID: 8820413842 Enrollment ID: I20201014000145 |
| Provider Name | Thaer Idrees |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295122745 PECOS PAC ID: 7012216740 Enrollment ID: I20201015003167 |
| Provider Name | Allison Frances Linden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598926503 PECOS PAC ID: 5294916334 Enrollment ID: I20201016001269 |
| Provider Name | Karman Duchon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962943282 PECOS PAC ID: 5294006920 Enrollment ID: I20201019000133 |
| Provider Name | Frank Minja |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760650055 PECOS PAC ID: 1052470267 Enrollment ID: I20201020001592 |
| Provider Name | Elissa K Ortolani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881012631 PECOS PAC ID: 6709208051 Enrollment ID: I20201021001732 |
| Provider Name | Jennifer Gross |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851705966 PECOS PAC ID: 2062633787 Enrollment ID: I20201023002166 |
| Provider Name | Cara Ann Iorianni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548656200 PECOS PAC ID: 3577983881 Enrollment ID: I20201026000849 |
| Provider Name | Meghan Lilly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386999753 PECOS PAC ID: 1153548847 Enrollment ID: I20201026001282 |
| Provider Name | Shruthi Arora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679990832 PECOS PAC ID: 1850716978 Enrollment ID: I20201027000408 |
| Provider Name | Kevin Kalinsky |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669430310 PECOS PAC ID: 2062567902 Enrollment ID: I20201029001445 |
| Provider Name | Lauren Abern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851528467 PECOS PAC ID: 8729237722 Enrollment ID: I20201103000866 |
| Provider Name | Susan Angeline Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568826493 PECOS PAC ID: 0042620809 Enrollment ID: I20201105001661 |
| Provider Name | Anthony Brian Law |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1164865184 PECOS PAC ID: 7416259015 Enrollment ID: I20201106000298 |
| Provider Name | Kristi Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972831857 PECOS PAC ID: 4082852363 Enrollment ID: I20201117000466 |
| Provider Name | Cassie Grimsley Ackerley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558628818 PECOS PAC ID: 4688806540 Enrollment ID: I20201117003520 |
| Provider Name | Michael Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891735700 PECOS PAC ID: 1951313766 Enrollment ID: I20201119000619 |
| Provider Name | Kathryn P. Goggin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124245204 PECOS PAC ID: 4082747340 Enrollment ID: I20201201000620 |
| Provider Name | Shenita D Freeney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477928505 PECOS PAC ID: 8527361963 Enrollment ID: I20201201001686 |
| Provider Name | Lindsay Ordower |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144755372 PECOS PAC ID: 3678984101 Enrollment ID: I20201204000738 |
| Provider Name | Melissa Kay Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568923522 PECOS PAC ID: 1658783832 Enrollment ID: I20201211001006 |
| Provider Name | Mia Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881229201 PECOS PAC ID: 9638581838 Enrollment ID: I20201211001666 |
| Provider Name | Edjah Nduom |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285802801 PECOS PAC ID: 3476777673 Enrollment ID: I20201211002098 |
| Provider Name | Kartik Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265793236 PECOS PAC ID: 2668704784 Enrollment ID: I20201214002552 |
| Provider Name | Lawson J.r. Marcewicz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932423704 PECOS PAC ID: 0244642114 Enrollment ID: I20201217001270 |
| Provider Name | Clarice Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245659713 PECOS PAC ID: 0749529436 Enrollment ID: I20201226000072 |
| Provider Name | Brianna Glover |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538600978 PECOS PAC ID: 8820413214 Enrollment ID: I20201228001492 |
| Provider Name | Anthony Andres Depalma |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184068959 PECOS PAC ID: 8729334776 Enrollment ID: I20201231000781 |
| Provider Name | Geetika Khanna |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477541324 PECOS PAC ID: 6103898127 Enrollment ID: I20210106003229 |
| Provider Name | Maria Diab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003259045 PECOS PAC ID: 3072884915 Enrollment ID: I20210107002752 |
| Provider Name | Lauren Ann Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962026682 PECOS PAC ID: 5597178640 Enrollment ID: I20210108001357 |
| Provider Name | Maria Creel Bulos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205219045 PECOS PAC ID: 3577877448 Enrollment ID: I20210111002617 |
| Provider Name | Suchitra Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811197767 PECOS PAC ID: 8325265077 Enrollment ID: I20210121000713 |
| Provider Name | Gregg M. Helland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902066251 PECOS PAC ID: 7416126917 Enrollment ID: I20210202001178 |
| Provider Name | Aliza M Machefsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841646908 PECOS PAC ID: 6305134818 Enrollment ID: I20210209001234 |
| Provider Name | Warren W Jarrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598365421 PECOS PAC ID: 2466867171 Enrollment ID: I20210210001407 |
| Provider Name | Vivien A Sheehan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306054812 PECOS PAC ID: 7517377559 Enrollment ID: I20210211002236 |
| Provider Name | Maurice D Selby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306253844 PECOS PAC ID: 1658619390 Enrollment ID: I20210212000429 |
| Provider Name | Alexis Mcgowin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952862641 PECOS PAC ID: 5890101752 Enrollment ID: I20210302000438 |
| Provider Name | Thuy Ha Bao Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477172641 PECOS PAC ID: 5092121806 Enrollment ID: I20210302002624 |
| Provider Name | Valesha Turner Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598243586 PECOS PAC ID: 9032458062 Enrollment ID: I20210303000659 |
| Provider Name | Arianna Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104436484 PECOS PAC ID: 6608282389 Enrollment ID: I20210303002395 |
| Provider Name | Marla Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811262371 PECOS PAC ID: 2961645015 Enrollment ID: I20210308002430 |
| Provider Name | Brooke Schlairet Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861098436 PECOS PAC ID: 3072920560 Enrollment ID: I20210330000661 |
| Provider Name | Gabriela Cohen |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1730785676 PECOS PAC ID: 0941617252 Enrollment ID: I20210405001132 |
| Provider Name | Shannon Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871055707 PECOS PAC ID: 3971911975 Enrollment ID: I20210412001564 |
| Provider Name | Robert O Calvert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912508540 PECOS PAC ID: 4183032436 Enrollment ID: I20210426002263 |
| Provider Name | Marisa Ann Ryan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346567369 PECOS PAC ID: 9931414034 Enrollment ID: I20210429000510 |
| Provider Name | Amalia Jonsson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912392499 PECOS PAC ID: 8224447156 Enrollment ID: I20210506000007 |
| Provider Name | Dylan Mathieu-henri Baker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346743150 PECOS PAC ID: 2163773391 Enrollment ID: I20210511000696 |
| Provider Name | Patricia Balthazar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598147001 PECOS PAC ID: 4981003134 Enrollment ID: I20210520002422 |
| Provider Name | Monica Sheron Branch |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154852036 PECOS PAC ID: 8820497738 Enrollment ID: I20210526001485 |
| Provider Name | Jaime Wicks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164801346 PECOS PAC ID: 9537479795 Enrollment ID: I20210526002668 |
| Provider Name | Charles Marcus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164817680 PECOS PAC ID: 5698060366 Enrollment ID: I20210527000744 |
| Provider Name | Tra Pham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073045449 PECOS PAC ID: 6507136793 Enrollment ID: I20210527001398 |
| Provider Name | Pranavi Ravichandran |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437751922 PECOS PAC ID: 7810396546 Enrollment ID: I20210528000743 |
| Provider Name | Randi Connor-schuler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700271319 PECOS PAC ID: 6103115100 Enrollment ID: I20210601002840 |
| Provider Name | Shawn Jay Sethi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417487067 PECOS PAC ID: 4981003589 Enrollment ID: I20210602001925 |
| Provider Name | Kartik Viswanathan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396191417 PECOS PAC ID: 5193062016 Enrollment ID: I20210603000482 |
| Provider Name | Nitya Nair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558780742 PECOS PAC ID: 6901174994 Enrollment ID: I20210603002272 |
| Provider Name | Thomas M Large |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407825318 PECOS PAC ID: 7416005699 Enrollment ID: I20210610001767 |
| Provider Name | Eshani Sheth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417306655 PECOS PAC ID: 0840690913 Enrollment ID: I20210610001889 |
| Provider Name | Jasmine Nicole Locklin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992184709 PECOS PAC ID: 2668769613 Enrollment ID: I20210610002021 |
| Provider Name | Dustin S Hanos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962850651 PECOS PAC ID: 4082014014 Enrollment ID: I20210614002040 |
| Provider Name | Muhammad Naeem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487035812 PECOS PAC ID: 3274848999 Enrollment ID: I20210614002196 |
| Provider Name | James Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326496225 PECOS PAC ID: 7911293550 Enrollment ID: I20210615000931 |
| Provider Name | Matthew Jason Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043714785 PECOS PAC ID: 8224389887 Enrollment ID: I20210615001033 |
| Provider Name | Lakshmi Bhavani Katta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275036014 PECOS PAC ID: 4587913892 Enrollment ID: I20210615001856 |
| Provider Name | Susan De Witt Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831583061 PECOS PAC ID: 4284944612 Enrollment ID: I20210615001939 |
| Provider Name | Jason M Stevenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902301815 PECOS PAC ID: 9436559267 Enrollment ID: I20210615002426 |
| Provider Name | Hernan Bello Velez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518353259 PECOS PAC ID: 1557761293 Enrollment ID: I20210616003091 |
| Provider Name | David Ned Booy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194253435 PECOS PAC ID: 7113327883 Enrollment ID: I20210617000446 |
| Provider Name | Catherine S W Albin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043623119 PECOS PAC ID: 8426276965 Enrollment ID: I20210617001860 |
| Provider Name | Satoshi Kamidani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346621810 PECOS PAC ID: 3678886660 Enrollment ID: I20210617002208 |
| Provider Name | Vishnu Kuttappan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336528017 PECOS PAC ID: 5294028338 Enrollment ID: I20210621000445 |
| Provider Name | Natalia G Philpott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437654472 PECOS PAC ID: 7315295516 Enrollment ID: I20210623000198 |
| Provider Name | Duaa Sharfi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629509237 PECOS PAC ID: 2466723952 Enrollment ID: I20210623000455 |
| Provider Name | Leah Raj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053730044 PECOS PAC ID: 1951605617 Enrollment ID: I20210628002512 |
| Provider Name | Hannah Elise Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871188854 PECOS PAC ID: 0143621128 Enrollment ID: I20210628003442 |
| Provider Name | Pratik B Sandesara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033452354 PECOS PAC ID: 0244535417 Enrollment ID: I20210630003603 |
| Provider Name | Jordan K Leumas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255837084 PECOS PAC ID: 4082967708 Enrollment ID: I20210702002028 |
| Provider Name | James Statler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407242712 PECOS PAC ID: 5294167623 Enrollment ID: I20210702002300 |
| Provider Name | Adejimi Adeniji |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750349676 PECOS PAC ID: 2163455221 Enrollment ID: I20210706000686 |
| Provider Name | Christopher Adam Rees |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730422999 PECOS PAC ID: 3971846817 Enrollment ID: I20210706003280 |
| Provider Name | William Wyatt Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083143515 PECOS PAC ID: 1456620269 Enrollment ID: I20210707002618 |
| Provider Name | Anna Valentinovna Trofimova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316316607 PECOS PAC ID: 6901208248 Enrollment ID: I20210709000940 |
| Provider Name | Lisa Katherine Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700220977 PECOS PAC ID: 4183912058 Enrollment ID: I20210713001225 |
| Provider Name | Trae Steven Mayeux |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316332174 PECOS PAC ID: 9931522232 Enrollment ID: I20210719001081 |
| Provider Name | Juan Diego Guerrero-calderon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679922603 PECOS PAC ID: 3678859097 Enrollment ID: I20210720003229 |
| Provider Name | Toby Dylan Terwilliger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174058275 PECOS PAC ID: 1759784242 Enrollment ID: I20210721001846 |
| Provider Name | Lissette Gomez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306233937 PECOS PAC ID: 3577966001 Enrollment ID: I20210721003367 |
| Provider Name | Nilbhi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689162273 PECOS PAC ID: 7517211717 Enrollment ID: I20210722002170 |
| Provider Name | Marcus Tedder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407467038 PECOS PAC ID: 4183034176 Enrollment ID: I20210722004051 |
| Provider Name | Nadine Najjar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831693571 PECOS PAC ID: 8426451733 Enrollment ID: I20210723003041 |
| Provider Name | Karma Ziad Salem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841652179 PECOS PAC ID: 4981974623 Enrollment ID: I20210729000468 |
| Provider Name | Eleni Antzoulatos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275952137 PECOS PAC ID: 4082907506 Enrollment ID: I20210730001699 |
| Provider Name | Camille Elise Beecher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619464351 PECOS PAC ID: 0143579284 Enrollment ID: I20210803000649 |
| Provider Name | Christopher William Reeves |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164819017 PECOS PAC ID: 5799108700 Enrollment ID: I20210804002565 |
| Provider Name | Lindsay Anne Sternad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588050884 PECOS PAC ID: 7012311632 Enrollment ID: I20210805000047 |
| Provider Name | Kareem Nicholas Royes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972008589 PECOS PAC ID: 1153725593 Enrollment ID: I20210809000231 |
| Provider Name | James Goldstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962095059 PECOS PAC ID: 1456755719 Enrollment ID: I20210809001387 |
| Provider Name | Daniel Gray Nelson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558895227 PECOS PAC ID: 5597035451 Enrollment ID: I20210809002329 |
| Provider Name | Rosa Mariela Pasculli |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700310067 PECOS PAC ID: 0648504134 Enrollment ID: I20210809002445 |
| Provider Name | Taylor Stavely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104322064 PECOS PAC ID: 9931452828 Enrollment ID: I20210809002495 |
| Provider Name | Nathalie Maitre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033324819 PECOS PAC ID: 5395807671 Enrollment ID: I20210810000432 |
| Provider Name | Sandra Gjorgova Gjeorgjievski |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518342120 PECOS PAC ID: 2668706581 Enrollment ID: I20210810003184 |
| Provider Name | Julian Gabriel Lugo Pico |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811398035 PECOS PAC ID: 3072917269 Enrollment ID: I20210810003407 |
| Provider Name | David Sean Thylur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225492200 PECOS PAC ID: 9032489968 Enrollment ID: I20210811000951 |
| Provider Name | Iheoma Alinnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164927174 PECOS PAC ID: 5799189858 Enrollment ID: I20210811002356 |
| Provider Name | Jocelyn Ou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912393810 PECOS PAC ID: 7719382597 Enrollment ID: I20210817000775 |
| Provider Name | Vaishali Rathee |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366979783 PECOS PAC ID: 8224300108 Enrollment ID: I20210819000171 |
| Provider Name | Colin Vincent Washington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245771450 PECOS PAC ID: 6103248422 Enrollment ID: I20210819002452 |
| Provider Name | John Bordlee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215390364 PECOS PAC ID: 3375837032 Enrollment ID: I20210820000188 |
| Provider Name | Hannah Elizabeth Bergbower |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497354054 PECOS PAC ID: 2860897337 Enrollment ID: I20210820002200 |
| Provider Name | Shea Ellen Cochi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659733806 PECOS PAC ID: 6608161039 Enrollment ID: I20210825001121 |
| Provider Name | Nabil Calisi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407274319 PECOS PAC ID: 5597067496 Enrollment ID: I20210826000545 |
| Provider Name | Adam R Boissonneault |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952796344 PECOS PAC ID: 2668776873 Enrollment ID: I20210826001711 |
| Provider Name | David Alan Frank |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457328957 PECOS PAC ID: 8426095407 Enrollment ID: I20210826002137 |
| Provider Name | Jacqueline Theresa Brown |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1932527694 PECOS PAC ID: 0840419776 Enrollment ID: I20210826002784 |
| Provider Name | Bruce Michael Aldred |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194187484 PECOS PAC ID: 8123312279 Enrollment ID: I20210830000369 |
| Provider Name | Olumide Babajide Gbolahan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568727907 PECOS PAC ID: 8325351612 Enrollment ID: I20210831000007 |
| Provider Name | Darragh S Brady |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447417696 PECOS PAC ID: 3274835889 Enrollment ID: I20210831000611 |
| Provider Name | Jessica Nicole Williams |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740661909 PECOS PAC ID: 8426362682 Enrollment ID: I20210831001327 |
| Provider Name | Mariam Basil Mati |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1568094951 PECOS PAC ID: 7416353255 Enrollment ID: I20210902001997 |
| Provider Name | Joseph Jonathan William Langham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295120087 PECOS PAC ID: 3577806215 Enrollment ID: I20210903000173 |
| Provider Name | Rosalie Yu Yan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265887640 PECOS PAC ID: 0941591267 Enrollment ID: I20210903000393 |
| Provider Name | Meredith Kendall Greer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831509868 PECOS PAC ID: 2466876677 Enrollment ID: I20210903002515 |
| Provider Name | Nicole Zelenski |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1366862492 PECOS PAC ID: 3678809340 Enrollment ID: I20210907001176 |
| Provider Name | Jason Yu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821434911 PECOS PAC ID: 8426356155 Enrollment ID: I20210907001263 |
| Provider Name | Heather Faulkner |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457550881 PECOS PAC ID: 6800019381 Enrollment ID: I20210908002857 |
| Provider Name | Elizabeth Jordan Traore |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629423454 PECOS PAC ID: 9931505252 Enrollment ID: I20210910001734 |
| Provider Name | Rebecca Yuen Shi Wong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174986194 PECOS PAC ID: 6800187915 Enrollment ID: I20210913001291 |
| Provider Name | Salome E Defore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245736172 PECOS PAC ID: 0840541561 Enrollment ID: I20210913003031 |
| Provider Name | Tamika J Bryant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295996312 PECOS PAC ID: 1355630302 Enrollment ID: I20210920001579 |
| Provider Name | Nina Suh |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1447506183 PECOS PAC ID: 9436383957 Enrollment ID: I20210921000673 |
| Provider Name | Carolina Adams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841743127 PECOS PAC ID: 7315232188 Enrollment ID: I20210921000852 |
| Provider Name | Jimmy Le Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548723265 PECOS PAC ID: 3971831322 Enrollment ID: I20210923000765 |
| Provider Name | Meredith Christina Mason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891058509 PECOS PAC ID: 0244563468 Enrollment ID: I20210923001267 |
| Provider Name | Rosette James Chakkalakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407033632 PECOS PAC ID: 2769639905 Enrollment ID: I20210929002181 |
| Provider Name | Sagar Dave |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639523251 PECOS PAC ID: 9537452883 Enrollment ID: I20210929002882 |
| Provider Name | Christabell C Ndibe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033506548 PECOS PAC ID: 7113221664 Enrollment ID: I20211001000949 |
| Provider Name | Christian Allison Fauria-robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760652408 PECOS PAC ID: 7618014796 Enrollment ID: I20211005003346 |
| Provider Name | Elizabeth Wechter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720407356 PECOS PAC ID: 3375894009 Enrollment ID: I20211007002830 |
| Provider Name | Ramesh Swamiappan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770915308 PECOS PAC ID: 4284987652 Enrollment ID: I20211011000756 |
| Provider Name | Hearns Charles |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1851356463 PECOS PAC ID: 8921027822 Enrollment ID: I20211011002768 |
| Provider Name | Erica Perets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932577632 PECOS PAC ID: 0345543468 Enrollment ID: I20211014002077 |
| Provider Name | Lisa Wen Tang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760915318 PECOS PAC ID: 1153691118 Enrollment ID: I20211019003064 |
| Provider Name | Michael Goodman |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1710197520 PECOS PAC ID: 8527456714 Enrollment ID: I20211020001299 |
| Provider Name | Michael Nasr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609307990 PECOS PAC ID: 8628347036 Enrollment ID: I20211027000026 |
| Provider Name | Ji Sun Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891465951 PECOS PAC ID: 9032507892 Enrollment ID: I20211027001860 |
| Provider Name | Yvonne Little |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982139549 PECOS PAC ID: 9436547239 Enrollment ID: I20211028000138 |
| Provider Name | Sara K Levy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609295617 PECOS PAC ID: 2961750294 Enrollment ID: I20211029000052 |
| Provider Name | Carrie Ng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003108309 PECOS PAC ID: 1153621370 Enrollment ID: I20211103001963 |
| Provider Name | Aws Hamid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639523756 PECOS PAC ID: 5294027223 Enrollment ID: I20211103002700 |
| Provider Name | Di Ai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225320849 PECOS PAC ID: 9133518863 Enrollment ID: I20211117002819 |
| Provider Name | Thomas Schneider |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528355476 PECOS PAC ID: 6103244124 Enrollment ID: I20211203002347 |
| Provider Name | Kamran Mohammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770088106 PECOS PAC ID: 5991057861 Enrollment ID: I20211207000055 |
| Provider Name | Tomas Garzon-muvdi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841570835 PECOS PAC ID: 7214186071 Enrollment ID: I20211208002021 |
| Provider Name | Lindsay Elise Holmstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548938574 PECOS PAC ID: 9436549177 Enrollment ID: I20211211000026 |
| Provider Name | Briana R Gibson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942643226 PECOS PAC ID: 9830338912 Enrollment ID: I20220124002459 |
| Provider Name | Omega Ellison Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245875012 PECOS PAC ID: 1850784620 Enrollment ID: I20220201000063 |
| Provider Name | Esteban David Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518541002 PECOS PAC ID: 2860885464 Enrollment ID: I20220203000141 |
| Provider Name | Nikoloz Shekiladze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568845147 PECOS PAC ID: 1557650769 Enrollment ID: I20220203001353 |
| Provider Name | Susan Modesitt |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1427070598 PECOS PAC ID: 1052301645 Enrollment ID: I20220207000378 |
| Provider Name | Jennifer E Nathan-forero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366692717 PECOS PAC ID: 8022286996 Enrollment ID: I20220207000863 |
| Provider Name | Karen Hacker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922075431 PECOS PAC ID: 4284680133 Enrollment ID: I20220209001188 |
| Provider Name | Ashley Lance Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053083501 PECOS PAC ID: 8426441650 Enrollment ID: I20220210000214 |
| Provider Name | Eva Melo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528538915 PECOS PAC ID: 4880085745 Enrollment ID: I20220211001474 |
| Provider Name | Demetre Daskalakis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952463937 PECOS PAC ID: 2567440530 Enrollment ID: I20220218000187 |
| Provider Name | Cassandra R Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851863930 PECOS PAC ID: 1254679004 Enrollment ID: I20220301001572 |
| Provider Name | Joseph John Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316605587 PECOS PAC ID: 4688068604 Enrollment ID: I20220308000961 |
| Provider Name | Marianne Cesarotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629461611 PECOS PAC ID: 4880088855 Enrollment ID: I20220309000002 |
| Provider Name | Gaboy Jupiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033656715 PECOS PAC ID: 0648554758 Enrollment ID: I20220309000909 |
| Provider Name | Van Nguyen Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114685484 PECOS PAC ID: 4082009519 Enrollment ID: I20220321001832 |
| Provider Name | Hannah Hooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275291635 PECOS PAC ID: 1557756723 Enrollment ID: I20220325000313 |
| Provider Name | Kelsey M Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578224242 PECOS PAC ID: 4486040185 Enrollment ID: I20220406000251 |
| Provider Name | Elizabeth L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073834693 PECOS PAC ID: 3072755651 Enrollment ID: I20220413001801 |
| Provider Name | Kortney L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730830431 PECOS PAC ID: 6204223290 Enrollment ID: I20220421000692 |
| Provider Name | Adora Tricia Santos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881040426 PECOS PAC ID: 7810384625 Enrollment ID: I20220426002014 |
| Provider Name | Emily Fuson Horowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508495151 PECOS PAC ID: 9032506753 Enrollment ID: I20220428000289 |
| Provider Name | Stephanie Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871034587 PECOS PAC ID: 3678844040 Enrollment ID: I20220428002372 |
| Provider Name | Sydney Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598011520 PECOS PAC ID: 9436546850 Enrollment ID: I20220503001035 |
| Provider Name | Danielle Goldstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801556055 PECOS PAC ID: 9638556400 Enrollment ID: I20220517000604 |
| Provider Name | Mary L. Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326448093 PECOS PAC ID: 6103148408 Enrollment ID: I20220518002696 |
| Provider Name | Jonathan Yu Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457810624 PECOS PAC ID: 8426441023 Enrollment ID: I20220520001351 |
| Provider Name | Ravi Chandran |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043496235 PECOS PAC ID: 2466686266 Enrollment ID: I20220524002943 |
| Provider Name | Jessica Menke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730722489 PECOS PAC ID: 2668850991 Enrollment ID: I20220527000961 |
| Provider Name | Daniel Spielman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790218097 PECOS PAC ID: 4688912579 Enrollment ID: I20220614001573 |
| Provider Name | Dan Isaac Georges Cohen-addad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013463801 PECOS PAC ID: 6204215304 Enrollment ID: I20220621000873 |
| Provider Name | Jason Bowman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396278065 PECOS PAC ID: 3577820687 Enrollment ID: I20220621002209 |
| Provider Name | Hussein Rami Asad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184074924 PECOS PAC ID: 4981992039 Enrollment ID: I20220621002638 |
| Provider Name | Emily M Eichenberger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861810442 PECOS PAC ID: 2062768914 Enrollment ID: I20220622001232 |
| Provider Name | Neha Agrawal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093058562 PECOS PAC ID: 4587929278 Enrollment ID: I20220622003243 |
| Provider Name | Lauren Elizabeth Sigler |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841781432 PECOS PAC ID: 5092060269 Enrollment ID: I20220623002825 |
| Provider Name | Kasra Moazzami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699160622 PECOS PAC ID: 6800275645 Enrollment ID: I20220624000307 |
| Provider Name | Eric Christopher Lawson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053843508 PECOS PAC ID: 7416227822 Enrollment ID: I20220627000604 |
| Provider Name | Nathan Russell Steele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558820852 PECOS PAC ID: 9436486883 Enrollment ID: I20220629002122 |
| Provider Name | Marie-helene Gagnon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902253966 PECOS PAC ID: 8628360484 Enrollment ID: I20220629003223 |
| Provider Name | Andrew F Fischer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831693191 PECOS PAC ID: 9739438540 Enrollment ID: I20220629003335 |
| Provider Name | Caroline Barrow Maness |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417480674 PECOS PAC ID: 5890065635 Enrollment ID: I20220630001366 |
| Provider Name | Allison R Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295282903 PECOS PAC ID: 6406101062 Enrollment ID: I20220705000707 |
| Provider Name | Benson Steven Ku |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427554336 PECOS PAC ID: 8820347107 Enrollment ID: I20220705000787 |
| Provider Name | Xiu L Mckenzie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790218659 PECOS PAC ID: 8022388289 Enrollment ID: I20220705001126 |
| Provider Name | Elizabeth A Grier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376961136 PECOS PAC ID: 1052615945 Enrollment ID: I20220705001485 |
| Provider Name | Megha Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518498864 PECOS PAC ID: 3779963921 Enrollment ID: I20220705003043 |
| Provider Name | Ninad V Salastekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609226851 PECOS PAC ID: 9739569997 Enrollment ID: I20220706000239 |
| Provider Name | Paul B Mcgeorge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720510456 PECOS PAC ID: 1355611385 Enrollment ID: I20220706002245 |
| Provider Name | Madeleine Goldstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992155485 PECOS PAC ID: 4880074988 Enrollment ID: I20220707001221 |
| Provider Name | Mark F Morel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720584329 PECOS PAC ID: 7113278771 Enrollment ID: I20220707001735 |
| Provider Name | Bryan Kindya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154718427 PECOS PAC ID: 9830579879 Enrollment ID: I20220707002876 |
| Provider Name | Jenna Marie Gorbatkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740741628 PECOS PAC ID: 2961739578 Enrollment ID: I20220708000465 |
| Provider Name | Sonya Alitzia Kheshti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043673056 PECOS PAC ID: 8820321458 Enrollment ID: I20220710000131 |
| Provider Name | Geetha Jagannathan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134583909 PECOS PAC ID: 4183916836 Enrollment ID: I20220711000355 |
| Provider Name | Gbenga Adeyemi Shogbesan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588169171 PECOS PAC ID: 5193105963 Enrollment ID: I20220711002217 |
| Provider Name | Boghuma Kabisen Titanji |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518310085 PECOS PAC ID: 0345620142 Enrollment ID: I20220711003113 |
| Provider Name | Karina Bostwick |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609267681 PECOS PAC ID: 6103206859 Enrollment ID: I20220712001305 |
| Provider Name | Jackson Ross Vuncannon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841723756 PECOS PAC ID: 8123408895 Enrollment ID: I20220712002056 |
| Provider Name | Elizabeth G Thayer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518464874 PECOS PAC ID: 7517214307 Enrollment ID: I20220712003511 |
| Provider Name | Valerie Jeanneret Lopez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881127181 PECOS PAC ID: 9537430517 Enrollment ID: I20220713002442 |
| Provider Name | Michael Mcdonald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457892879 PECOS PAC ID: 5395014146 Enrollment ID: I20220713003954 |
| Provider Name | Bradley Jordan Scher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588104673 PECOS PAC ID: 2062782139 Enrollment ID: I20220713004195 |
| Provider Name | David S Greenky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194189498 PECOS PAC ID: 4486984770 Enrollment ID: I20220718002619 |
| Provider Name | Ronald Zagoria |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558345777 PECOS PAC ID: 0749340826 Enrollment ID: I20220718002754 |
| Provider Name | Taejin Lance Min |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033572425 PECOS PAC ID: 8224419569 Enrollment ID: I20220719000725 |
| Provider Name | Puja Parikh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831620178 PECOS PAC ID: 4981085131 Enrollment ID: I20220719001509 |
| Provider Name | Nader F Elkabbani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639531809 PECOS PAC ID: 8325312390 Enrollment ID: I20220719002360 |
| Provider Name | Travis Bruce Banta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265964548 PECOS PAC ID: 5294009320 Enrollment ID: I20220719003192 |
| Provider Name | Odessa Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700314382 PECOS PAC ID: 8729359807 Enrollment ID: I20220719003405 |
| Provider Name | Hassan Shahzada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447781182 PECOS PAC ID: 2466726336 Enrollment ID: I20220721000187 |
| Provider Name | Devon L Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164942942 PECOS PAC ID: 0547539405 Enrollment ID: I20220721001785 |
| Provider Name | Reema Dedania |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689051609 PECOS PAC ID: 3779873997 Enrollment ID: I20220721002447 |
| Provider Name | Erika J Sigman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780031377 PECOS PAC ID: 0042505224 Enrollment ID: I20220722000098 |
| Provider Name | Nashayla Charmien Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437612504 PECOS PAC ID: 4587046388 Enrollment ID: I20220726002319 |
| Provider Name | Bianca Rickesha Waters |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255867131 PECOS PAC ID: 4688945223 Enrollment ID: I20220727001578 |
| Provider Name | Semere Tesfamariam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609432566 PECOS PAC ID: 8224363536 Enrollment ID: I20220801000340 |
| Provider Name | Ben A Strickland |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003232802 PECOS PAC ID: 1456609270 Enrollment ID: I20220802002040 |
| Provider Name | Emily Pinto Taylor |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053799544 PECOS PAC ID: 0547572760 Enrollment ID: I20220804002649 |
| Provider Name | Sarah Couch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326401886 PECOS PAC ID: 9032400478 Enrollment ID: I20220804002719 |
| Provider Name | Sudheer Balakrishnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770803983 PECOS PAC ID: 5698999712 Enrollment ID: I20220806000203 |
| Provider Name | Evan Wolff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942748868 PECOS PAC ID: 6800171497 Enrollment ID: I20220808000388 |
| Provider Name | Alyson Becca Goodman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336307024 PECOS PAC ID: 0143602128 Enrollment ID: I20220808002129 |
| Provider Name | Joshua L. Chan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1083020275 PECOS PAC ID: 2365746328 Enrollment ID: I20220808002302 |
| Provider Name | Ronald Warren Hoard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932521036 PECOS PAC ID: 3577850551 Enrollment ID: I20220809001306 |
| Provider Name | Diana Jimena Murcia Salazar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730530080 PECOS PAC ID: 1254713126 Enrollment ID: I20220809003016 |
| Provider Name | Sara Tedla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457748527 PECOS PAC ID: 3779982103 Enrollment ID: I20220811001747 |
| Provider Name | Nicole Liza Freedman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780038547 PECOS PAC ID: 4880091032 Enrollment ID: I20220812000366 |
| Provider Name | Alex Patrick Galloway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457810772 PECOS PAC ID: 2264815968 Enrollment ID: I20220812001589 |
| Provider Name | Kamil Arif |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922460997 PECOS PAC ID: 4284902263 Enrollment ID: I20220814000080 |
| Provider Name | Krishna Harshad Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053852384 PECOS PAC ID: 1254714827 Enrollment ID: I20220815000658 |
| Provider Name | Nkele Alpha Davis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346701927 PECOS PAC ID: 0042693640 Enrollment ID: I20220815002132 |
| Provider Name | Karli Saige Okeson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801258173 PECOS PAC ID: 1951784552 Enrollment ID: I20220815002134 |
| Provider Name | Phillip Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336535202 PECOS PAC ID: 6002299567 Enrollment ID: I20220816001385 |
| Provider Name | Mary Lauren Neel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194019927 PECOS PAC ID: 1850519554 Enrollment ID: I20220816003654 |
| Provider Name | Kristen Solomon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083174593 PECOS PAC ID: 6800121617 Enrollment ID: I20220817000871 |
| Provider Name | Deepak Ravindranathan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1467807719 PECOS PAC ID: 8325421738 Enrollment ID: I20220817004063 |
| Provider Name | Nicole Paige Herbst |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962896381 PECOS PAC ID: 1850608043 Enrollment ID: I20220818003199 |
| Provider Name | Charlotte Van Hale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417319591 PECOS PAC ID: 2264815497 Enrollment ID: I20220819001865 |
| Provider Name | Damian Dyckman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952538381 PECOS PAC ID: 5890045595 Enrollment ID: I20220820000060 |
| Provider Name | Kevin Ferenchak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417368648 PECOS PAC ID: 9638462930 Enrollment ID: I20220821000062 |
| Provider Name | Michael Heit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336143031 PECOS PAC ID: 3375539380 Enrollment ID: I20220821000155 |
| Provider Name | Jeffrey Okonye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689020612 PECOS PAC ID: 9830480995 Enrollment ID: I20220823000010 |
| Provider Name | Eunice Elise Antoinette Radcliff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619323094 PECOS PAC ID: 5890082747 Enrollment ID: I20220823002805 |
| Provider Name | Parth Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013476357 PECOS PAC ID: 6901134212 Enrollment ID: I20220823003989 |
| Provider Name | Salvador Rafael Arceo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063946580 PECOS PAC ID: 1850661695 Enrollment ID: I20220824000113 |
| Provider Name | Daniel John Mcandrews |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407386949 PECOS PAC ID: 7214311224 Enrollment ID: I20220824003782 |
| Provider Name | David Wade Redick |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770078859 PECOS PAC ID: 1951648393 Enrollment ID: I20220825001350 |
| Provider Name | Kudret Iman Usmani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205337508 PECOS PAC ID: 8022492081 Enrollment ID: I20220825001747 |
| Provider Name | Suzanne Marie Parets |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083143309 PECOS PAC ID: 8820472889 Enrollment ID: I20220825001810 |
| Provider Name | Maria Micaela Schachter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477083343 PECOS PAC ID: 4082985791 Enrollment ID: I20220825002761 |
| Provider Name | Lisa Jane Sudmeier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306379409 PECOS PAC ID: 1557745403 Enrollment ID: I20220826001785 |
| Provider Name | Bryan Edward Buster |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881089050 PECOS PAC ID: 6507240397 Enrollment ID: I20220828000100 |
| Provider Name | Hanna Alemayehu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578903480 PECOS PAC ID: 2466746730 Enrollment ID: I20220831001169 |
| Provider Name | Ronnye Christina Rutledge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316441884 PECOS PAC ID: 0446507149 Enrollment ID: I20220831003744 |
| Provider Name | Kelsey C Schmidt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134617707 PECOS PAC ID: 4486903168 Enrollment ID: I20220901000524 |
| Provider Name | Amy Mehollin-ray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811163256 PECOS PAC ID: 6608938535 Enrollment ID: I20220901000571 |
| Provider Name | Matthew R Bigelow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275996316 PECOS PAC ID: 8325382856 Enrollment ID: I20220902001982 |
| Provider Name | Parul Dutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184289167 PECOS PAC ID: 8224428115 Enrollment ID: I20220906000695 |
| Provider Name | Sruthi Arepalli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659799773 PECOS PAC ID: 1456616044 Enrollment ID: I20220907002514 |
| Provider Name | Mack Sheraton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023320868 PECOS PAC ID: 7416187026 Enrollment ID: I20220907003686 |
| Provider Name | Vishal Ramesh Dhere |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568995223 PECOS PAC ID: 5193109395 Enrollment ID: I20220908000111 |
| Provider Name | Bryson Hauck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720433543 PECOS PAC ID: 0042502296 Enrollment ID: I20220909000009 |
| Provider Name | Daniel Cuzzone |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316171572 PECOS PAC ID: 3779815824 Enrollment ID: I20220909001319 |
| Provider Name | Pan S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508422072 PECOS PAC ID: 9234463332 Enrollment ID: I20220909001479 |
| Provider Name | Patricia Chungmen Cheung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699234930 PECOS PAC ID: 1850629890 Enrollment ID: I20220909003027 |
| Provider Name | Dhyana Sankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088072 PECOS PAC ID: 3779968839 Enrollment ID: I20220910000435 |
| Provider Name | Lauren Albor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386175024 PECOS PAC ID: 2062897143 Enrollment ID: I20220912000501 |
| Provider Name | Liezl De La Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730820317 PECOS PAC ID: 4587049523 Enrollment ID: I20220912003312 |
| Provider Name | Sonia Phadke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851823157 PECOS PAC ID: 1254680465 Enrollment ID: I20220912003910 |
| Provider Name | Thomas Berk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811586621 PECOS PAC ID: 9638578800 Enrollment ID: I20220913000417 |
| Provider Name | Amy Rebecca Long Rule |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942526199 PECOS PAC ID: 4789904137 Enrollment ID: I20220913002075 |
| Provider Name | Kelsey Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942658547 PECOS PAC ID: 4284912395 Enrollment ID: I20220913002409 |
| Provider Name | Latania Logan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558517144 PECOS PAC ID: 6204981178 Enrollment ID: I20220913003077 |
| Provider Name | Yoon Qiu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679005714 PECOS PAC ID: 8022354372 Enrollment ID: I20220913003114 |
| Provider Name | Thao-phuong Christy Hallett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316366644 PECOS PAC ID: 3971895269 Enrollment ID: I20220914000429 |
| Provider Name | Michelle-marie Pena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750792156 PECOS PAC ID: 8628349123 Enrollment ID: I20220914003616 |
| Provider Name | Ashanda Esdaille |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982081436 PECOS PAC ID: 8325462930 Enrollment ID: I20220916000080 |
| Provider Name | Megan Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194144915 PECOS PAC ID: 4688892755 Enrollment ID: I20220919000238 |
| Provider Name | Dheepa Sekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578925251 PECOS PAC ID: 9830424738 Enrollment ID: I20220919001820 |
| Provider Name | Ollya Fromal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396236220 PECOS PAC ID: 6901153634 Enrollment ID: I20220920003212 |
| Provider Name | Laura Cristina Ramirez-caban |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902291065 PECOS PAC ID: 4082918107 Enrollment ID: I20220921000007 |
| Provider Name | Shub Agrawal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578022877 PECOS PAC ID: 9436544152 Enrollment ID: I20220922000399 |
| Provider Name | Ling Chen Chien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932555117 PECOS PAC ID: 9133504491 Enrollment ID: I20220922002074 |
| Provider Name | Rahel M Gizaw |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558924944 PECOS PAC ID: 9032448477 Enrollment ID: I20220922002588 |
| Provider Name | John Dennison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619339058 PECOS PAC ID: 0840586798 Enrollment ID: I20220923002419 |
| Provider Name | Jennifer Lyn Grant |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710475389 PECOS PAC ID: 5890044853 Enrollment ID: I20220926002515 |
| Provider Name | John Diehl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962905737 PECOS PAC ID: 6608125976 Enrollment ID: I20220926003793 |
| Provider Name | Mario Moreno |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871957308 PECOS PAC ID: 6901209337 Enrollment ID: I20220927002267 |
| Provider Name | Humza Mujib Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629568803 PECOS PAC ID: 3678829074 Enrollment ID: I20220927002634 |
| Provider Name | Hetal J Ray |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669976031 PECOS PAC ID: 9638414675 Enrollment ID: I20220929000535 |
| Provider Name | Abdl-rawf Al-nowaylati |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1770921983 PECOS PAC ID: 9234521550 Enrollment ID: I20220930000911 |
| Provider Name | Kingsley Njoku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710416862 PECOS PAC ID: 0941552897 Enrollment ID: I20221007000897 |
| Provider Name | Bhavna V Paryani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275086803 PECOS PAC ID: 5799073300 Enrollment ID: I20221009000073 |
| Provider Name | Christopher Alexander Mora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639675333 PECOS PAC ID: 1557612827 Enrollment ID: I20221012000779 |
| Provider Name | Rebecca Neustein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821521519 PECOS PAC ID: 6800295973 Enrollment ID: I20221013002831 |
| Provider Name | Anita Srinivasan Sundaramoorthy |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1598296717 PECOS PAC ID: 1951777044 Enrollment ID: I20221013003776 |
| Provider Name | Iyare Ehimwenma Izevbaye |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720212814 PECOS PAC ID: 2365613924 Enrollment ID: I20221013003805 |
| Provider Name | Smit Jayesh Jani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093246738 PECOS PAC ID: 3274805619 Enrollment ID: I20221014000083 |
| Provider Name | Barbara Amakye |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356780902 PECOS PAC ID: 9830453034 Enrollment ID: I20221015000057 |
| Provider Name | Elliot Sumner Bishop |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154769008 PECOS PAC ID: 2163725961 Enrollment ID: I20221017001574 |
| Provider Name | Georgina Maria Medina Agramonte |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679078083 PECOS PAC ID: 0244606010 Enrollment ID: I20221019001216 |
| Provider Name | Carlos Alberto Lopez |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1639556145 PECOS PAC ID: 3678949237 Enrollment ID: I20221022000180 |
| Provider Name | Manuel Garcia-toca |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437377280 PECOS PAC ID: 2062605751 Enrollment ID: I20221027000404 |
| Provider Name | Thuy-van Tina Pham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538522958 PECOS PAC ID: 9830477702 Enrollment ID: I20221028001119 |
| Provider Name | Ellen Caparosa |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1710374848 PECOS PAC ID: 6305165846 Enrollment ID: I20221103003035 |
| Provider Name | Jinsuh Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144218017 PECOS PAC ID: 0042248247 Enrollment ID: I20221107000954 |
| Provider Name | Ashley Urrutia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902365109 PECOS PAC ID: 8527395581 Enrollment ID: I20221107001458 |
| Provider Name | Shervin Sani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376006833 PECOS PAC ID: 4284023409 Enrollment ID: I20221108000983 |
| Provider Name | Bryan Swilley |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013357904 PECOS PAC ID: 2365685070 Enrollment ID: I20221109003418 |
| Provider Name | Jaydevsinh Dolia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437562980 PECOS PAC ID: 4587988100 Enrollment ID: I20221113000004 |
| Provider Name | Matthew Mackowsky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104276542 PECOS PAC ID: 2769850031 Enrollment ID: I20221116003293 |
| Provider Name | Zarna Sanjaykumar Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316406598 PECOS PAC ID: 8820323546 Enrollment ID: I20221118000480 |
| Provider Name | Kanika Kalra |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164841953 PECOS PAC ID: 7214305408 Enrollment ID: I20221118001878 |
| Provider Name | Nourhan Ismaeel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073049359 PECOS PAC ID: 7113395344 Enrollment ID: I20221119000570 |
| Provider Name | Kimberly Voight Parsons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710185590 PECOS PAC ID: 9133314545 Enrollment ID: I20221121001874 |
| Provider Name | Brooke Maclean Blum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629668736 PECOS PAC ID: 7214305283 Enrollment ID: I20221122003034 |
| Provider Name | Melisa M Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770961039 PECOS PAC ID: 0749592483 Enrollment ID: I20221123000318 |
| Provider Name | Shazia Bhombal Kazi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396897070 PECOS PAC ID: 4183889645 Enrollment ID: I20221130003683 |
| Provider Name | Anita Satish Deshpande |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396130837 PECOS PAC ID: 1557664240 Enrollment ID: I20221202000616 |
| Provider Name | Jean Sun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265759716 PECOS PAC ID: 3577879535 Enrollment ID: I20221205001824 |
| Provider Name | Sarah Monahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194310383 PECOS PAC ID: 0345619367 Enrollment ID: I20221214002519 |
| Provider Name | Iris K Evans |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043600703 PECOS PAC ID: 6002117140 Enrollment ID: I20221230000520 |
| Provider Name | Charles Horres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982067278 PECOS PAC ID: 4688070808 Enrollment ID: I20230109001821 |
| Provider Name | Mark C Zaros |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639393093 PECOS PAC ID: 1254495666 Enrollment ID: I20230109002188 |
| Provider Name | Marianne Celano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376649467 PECOS PAC ID: 3274903125 Enrollment ID: I20230110002189 |
| Provider Name | Jessica Walsh O'sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053975854 PECOS PAC ID: 0244600039 Enrollment ID: I20230112002284 |
| Provider Name | Malak Althgafi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760620355 PECOS PAC ID: 6709257520 Enrollment ID: I20230113001195 |
| Provider Name | Alexander Leong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578039210 PECOS PAC ID: 1951639350 Enrollment ID: I20230123002209 |
| Provider Name | Fadumo Nasir Warsame |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982164547 PECOS PAC ID: 5092186155 Enrollment ID: I20230127001159 |
| Provider Name | Shobhit Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417299413 PECOS PAC ID: 2567694391 Enrollment ID: I20230131000191 |
| Provider Name | Reshma Jagsi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376512954 PECOS PAC ID: 6002919198 Enrollment ID: I20230202000865 |
| Provider Name | Kaitlin L Hufstetler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740784164 PECOS PAC ID: 0042563827 Enrollment ID: I20230302002242 |
| Provider Name | Sarah Dilley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1053677591 PECOS PAC ID: 4284889742 Enrollment ID: I20230303000413 |
| Provider Name | Samad Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356787840 PECOS PAC ID: 1658675772 Enrollment ID: I20230307000444 |
| Provider Name | Taylor Danielle Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750038436 PECOS PAC ID: 9234503319 Enrollment ID: I20230314000776 |
| Provider Name | Hadley Eichengreen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336602754 PECOS PAC ID: 9830425404 Enrollment ID: I20230317000530 |
| Provider Name | Safiyah Abdullah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497200851 PECOS PAC ID: 4981940731 Enrollment ID: I20230327001945 |
| Provider Name | Abdulrahman Masrani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285097352 PECOS PAC ID: 9830481639 Enrollment ID: I20230328000504 |
| Provider Name | Melissa House |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124312087 PECOS PAC ID: 9830316397 Enrollment ID: I20230403000610 |
| Provider Name | Jed Peter Mangal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205251006 PECOS PAC ID: 5799019808 Enrollment ID: I20230407001943 |
| Provider Name | Jun Man Kim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932559747 PECOS PAC ID: 0648671453 Enrollment ID: I20230410000834 |
| Provider Name | Preeti Jaggi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477514917 PECOS PAC ID: 0547267122 Enrollment ID: I20230502002231 |
| Provider Name | Sumera Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699038547 PECOS PAC ID: 3375869886 Enrollment ID: I20230511002329 |
| Provider Name | Kelly Barrus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467170084 PECOS PAC ID: 2163887449 Enrollment ID: I20230512001571 |
| Provider Name | Rebecca J Chancey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003080078 PECOS PAC ID: 4587833975 Enrollment ID: I20230512002023 |
| Provider Name | Charlie Fortin-leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871015065 PECOS PAC ID: 7416371240 Enrollment ID: I20230515000664 |
| Provider Name | Steven Shifeng Wu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750812467 PECOS PAC ID: 7517236144 Enrollment ID: I20230515002665 |
| Provider Name | Marianna Zagurovskaya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639305618 PECOS PAC ID: 4880836881 Enrollment ID: I20230518001696 |
| Provider Name | Alvaro Ceballos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528695434 PECOS PAC ID: 8325461148 Enrollment ID: I20230522001344 |
| Provider Name | Mattie Feasel Wolf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831552900 PECOS PAC ID: 6709242514 Enrollment ID: I20230522001860 |
| Provider Name | Deanna Gill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538796495 PECOS PAC ID: 6507284890 Enrollment ID: I20230522002642 |
| Provider Name | Meng Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477044501 PECOS PAC ID: 3072979723 Enrollment ID: I20230522003524 |
| Provider Name | Martin Luther Campbell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528695475 PECOS PAC ID: 7416370176 Enrollment ID: I20230523000055 |
| Provider Name | Sydney Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306592886 PECOS PAC ID: 2264898824 Enrollment ID: I20230524001025 |
| Provider Name | Kanesha Raquel Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124730924 PECOS PAC ID: 7719343235 Enrollment ID: I20230525000432 |
| Provider Name | Trista A Perez Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831524651 PECOS PAC ID: 3476878414 Enrollment ID: I20230531000701 |
| Provider Name | Chrissy Liu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285194266 PECOS PAC ID: 0042677668 Enrollment ID: I20230613000652 |
| Provider Name | Ghiara Alexandra Lugo Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356870745 PECOS PAC ID: 1850759465 Enrollment ID: I20230614000481 |
| Provider Name | Elias Kikano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639530546 PECOS PAC ID: 2668765025 Enrollment ID: I20230614001529 |
| Provider Name | Prashant Rajan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760987986 PECOS PAC ID: 7618232364 Enrollment ID: I20230614002604 |
| Provider Name | Noor Fatima Majeed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932621265 PECOS PAC ID: 1557729134 Enrollment ID: I20230614003365 |
| Provider Name | Kody Bolk |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669976023 PECOS PAC ID: 9234486697 Enrollment ID: I20230614003393 |
| Provider Name | Scott Hong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952891871 PECOS PAC ID: 8224384466 Enrollment ID: I20230615000390 |
| Provider Name | Marco Amaral |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225532872 PECOS PAC ID: 8628306933 Enrollment ID: I20230616001400 |
| Provider Name | Lukas Dale Meadows |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437654654 PECOS PAC ID: 3971857913 Enrollment ID: I20230619000519 |
| Provider Name | Michael Vincent Frazier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881198711 PECOS PAC ID: 1658739990 Enrollment ID: I20230620001149 |
| Provider Name | Katherine Gielissen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871868182 PECOS PAC ID: 0446557052 Enrollment ID: I20230621000133 |
| Provider Name | Ezequiel Gleichgerrcht |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851779318 PECOS PAC ID: 9436466406 Enrollment ID: I20230621002195 |
| Provider Name | Kera Mcnelis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164784104 PECOS PAC ID: 8820236771 Enrollment ID: I20230622001245 |
| Provider Name | Mari Freedberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235665001 PECOS PAC ID: 7416226022 Enrollment ID: I20230623000767 |
| Provider Name | Mary Weirich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518427780 PECOS PAC ID: 7214265503 Enrollment ID: I20230626000616 |
| Provider Name | Andrew Pilling |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558920249 PECOS PAC ID: 0446618227 Enrollment ID: I20230627001340 |
| Provider Name | John Morgan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396206504 PECOS PAC ID: 6204162456 Enrollment ID: I20230628001603 |
| Provider Name | Rahul Kishore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699267401 PECOS PAC ID: 3678811361 Enrollment ID: I20230630002687 |
| Provider Name | Seema Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699302547 PECOS PAC ID: 6507289824 Enrollment ID: I20230705000973 |
| Provider Name | Anisa Lakhani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750813929 PECOS PAC ID: 5991070898 Enrollment ID: I20230710001223 |
| Provider Name | Nadi Nina Kaonga |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205395365 PECOS PAC ID: 2769710938 Enrollment ID: I20230710002748 |
| Provider Name | Michael Neblett |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578925723 PECOS PAC ID: 8123311529 Enrollment ID: I20230710003819 |
| Provider Name | Daniele M. Bourget |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821385881 PECOS PAC ID: 3072738491 Enrollment ID: I20230712000177 |
| Provider Name | Michelle Honda |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881188373 PECOS PAC ID: 6709132574 Enrollment ID: I20230713000246 |
| Provider Name | Keia Faison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043831431 PECOS PAC ID: 4789006990 Enrollment ID: I20230713003181 |
| Provider Name | Yannie Susan Li |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043717358 PECOS PAC ID: 7911367529 Enrollment ID: I20230714000149 |
| Provider Name | Chelsea Brooks Dennison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891035424 PECOS PAC ID: 4082040480 Enrollment ID: I20230718001948 |
| Provider Name | Richard Wawrose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184157414 PECOS PAC ID: 3274910963 Enrollment ID: I20230719000157 |
| Provider Name | William Conrad Pipkin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154825610 PECOS PAC ID: 9234599564 Enrollment ID: I20230719000422 |
| Provider Name | Juanmarco Gutierrez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1366899775 PECOS PAC ID: 7315307535 Enrollment ID: I20230720000414 |
| Provider Name | Lynea Ibidun Bull |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497374763 PECOS PAC ID: 8022478247 Enrollment ID: I20230720000480 |
| Provider Name | Nathan Scheiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326541160 PECOS PAC ID: 7719237304 Enrollment ID: I20230720001406 |
| Provider Name | Siddhartha Kosaraju |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942733597 PECOS PAC ID: 6204106123 Enrollment ID: I20230721000021 |
| Provider Name | Yuk Ming Liu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730341553 PECOS PAC ID: 0648499236 Enrollment ID: I20230721001481 |
| Provider Name | Naomi Premila Newton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689197964 PECOS PAC ID: 1153781117 Enrollment ID: I20230721002590 |
| Provider Name | Jonathan David Hester |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700382694 PECOS PAC ID: 8729334396 Enrollment ID: I20230724000817 |
| Provider Name | Carlos Saldana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841710373 PECOS PAC ID: 4688943590 Enrollment ID: I20230724000989 |
| Provider Name | James Jeong |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1750736112 PECOS PAC ID: 1456730795 Enrollment ID: I20230725001327 |
| Provider Name | Tyler Halle |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629500087 PECOS PAC ID: 0749551430 Enrollment ID: I20230725002315 |
| Provider Name | Bayley Bennett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811523947 PECOS PAC ID: 9830512672 Enrollment ID: I20230726000127 |
| Provider Name | Melinda Rathkopf |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1336130020 PECOS PAC ID: 5496754517 Enrollment ID: I20230727000524 |
| Provider Name | Aakriti Alisha Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134756950 PECOS PAC ID: 4587025267 Enrollment ID: I20230727001560 |
| Provider Name | Aline Camargo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467974766 PECOS PAC ID: 3072974724 Enrollment ID: I20230728000628 |
| Provider Name | Meredith Lilly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225534993 PECOS PAC ID: 0648520353 Enrollment ID: I20230728001001 |
| Provider Name | Donald Maberry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881190205 PECOS PAC ID: 6608128566 Enrollment ID: I20230728003312 |
| Provider Name | Nathan Joseph Siesener |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295239804 PECOS PAC ID: 7719216423 Enrollment ID: I20230731000155 |
| Provider Name | Kyle Rives |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841784899 PECOS PAC ID: 6800147646 Enrollment ID: I20230731000260 |
| Provider Name | Edward Alexander Dent |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245765015 PECOS PAC ID: 2264893890 Enrollment ID: I20230731000856 |
| Provider Name | Haben Debessai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093274995 PECOS PAC ID: 2062873698 Enrollment ID: I20230731000940 |
| Provider Name | Megan Lameka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114416500 PECOS PAC ID: 2668833203 Enrollment ID: I20230731001147 |
| Provider Name | Jonathan Poggi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871940718 PECOS PAC ID: 2769761444 Enrollment ID: I20230731001345 |
| Provider Name | Jed Kendall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538657374 PECOS PAC ID: 9830437136 Enrollment ID: I20230731001991 |
| Provider Name | Elizabeth Wellings |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770088510 PECOS PAC ID: 7810246121 Enrollment ID: I20230731003316 |
| Provider Name | Kathryn Danielle Dwight |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548797103 PECOS PAC ID: 5890156376 Enrollment ID: I20230731003419 |
| Provider Name | Danyal Fer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104203843 PECOS PAC ID: 4688952740 Enrollment ID: I20230801000101 |
| Provider Name | Jessica Harris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396239703 PECOS PAC ID: 0648526517 Enrollment ID: I20230801000674 |
| Provider Name | Vidya Menon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194353383 PECOS PAC ID: 1850752395 Enrollment ID: I20230801001916 |
| Provider Name | Ashley Whitlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205380805 PECOS PAC ID: 0143501734 Enrollment ID: I20230802000239 |
| Provider Name | Jasmine K Kang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174020127 PECOS PAC ID: 1254678428 Enrollment ID: I20230802001949 |
| Provider Name | James Su |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023506557 PECOS PAC ID: 1951630698 Enrollment ID: I20230803001678 |
| Provider Name | Aleksander W Krazinski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811492267 PECOS PAC ID: 8527397140 Enrollment ID: I20230803004021 |
| Provider Name | Shalwa Mohidul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811429657 PECOS PAC ID: 9537433578 Enrollment ID: I20230804002086 |
| Provider Name | Seth Concors |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629489653 PECOS PAC ID: 4981903564 Enrollment ID: I20230807001181 |
| Provider Name | Kenneth Kennedy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841653581 PECOS PAC ID: 5395019285 Enrollment ID: I20230808000792 |
| Provider Name | Jameka Shavone Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093465874 PECOS PAC ID: 1850750639 Enrollment ID: I20230808001093 |
| Provider Name | Elissa Trieu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922568781 PECOS PAC ID: 2466814488 Enrollment ID: I20230808002316 |
| Provider Name | Tiffany Li-ling Huang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275037202 PECOS PAC ID: 0446508139 Enrollment ID: I20230808003025 |
| Provider Name | Alan Chalil |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013617687 PECOS PAC ID: 2668834607 Enrollment ID: I20230808003084 |
| Provider Name | Sathya Ram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245686898 PECOS PAC ID: 6103161351 Enrollment ID: I20230808004287 |
| Provider Name | Dehra Anne Mcguire |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457857625 PECOS PAC ID: 8729440680 Enrollment ID: I20230810000090 |
| Provider Name | Brian Goh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629508866 PECOS PAC ID: 1254604903 Enrollment ID: I20230810002859 |
| Provider Name | Lori Gentile |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669739793 PECOS PAC ID: 1254581671 Enrollment ID: I20230811002824 |
| Provider Name | Luke Buffardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922627736 PECOS PAC ID: 4880017276 Enrollment ID: I20230811003068 |
| Provider Name | Jeanne Ho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225665201 PECOS PAC ID: 9133542848 Enrollment ID: I20230814000365 |
| Provider Name | Olivia Cheng |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972007458 PECOS PAC ID: 1153783881 Enrollment ID: I20230814000476 |
| Provider Name | Christine Roth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386625291 PECOS PAC ID: 6204872583 Enrollment ID: I20230815002219 |
| Provider Name | Amber Nicole Himmler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730533654 PECOS PAC ID: 2163802901 Enrollment ID: I20230816001963 |
| Provider Name | Joshua M Eisenberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891289351 PECOS PAC ID: 3577819325 Enrollment ID: I20230816002167 |
| Provider Name | Billy Holcombe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801343835 PECOS PAC ID: 7012250202 Enrollment ID: I20230816002866 |
| Provider Name | Ami Makwana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164869210 PECOS PAC ID: 8628363769 Enrollment ID: I20230816003832 |
| Provider Name | Joseph Rodrigo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922054618 PECOS PAC ID: 4688852957 Enrollment ID: I20230817001483 |
| Provider Name | Alicia Marie Bonanno |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225455355 PECOS PAC ID: 4486874054 Enrollment ID: I20230818000595 |
| Provider Name | Tamara Arnautovic |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366971087 PECOS PAC ID: 0547539041 Enrollment ID: I20230821000508 |
| Provider Name | John Deppe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922539162 PECOS PAC ID: 5597017301 Enrollment ID: I20230821003173 |
| Provider Name | Adil Malek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275982845 PECOS PAC ID: 2062793227 Enrollment ID: I20230822002689 |
| Provider Name | Alexander Thomas Matelski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437786902 PECOS PAC ID: 7618390683 Enrollment ID: I20230825000137 |
| Provider Name | Jonathan Robert Zurcher |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528452091 PECOS PAC ID: 2163731282 Enrollment ID: I20230825002369 |
| Provider Name | Christian Alberto Leal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730648551 PECOS PAC ID: 6608239413 Enrollment ID: I20230828000821 |
| Provider Name | Arijit Chakraborty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376032607 PECOS PAC ID: 8729441548 Enrollment ID: I20230828001131 |
| Provider Name | Caroline Kimberly Fiser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508360363 PECOS PAC ID: 1355704024 Enrollment ID: I20230828003905 |
| Provider Name | Ahmed Al-khafaji |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1497289599 PECOS PAC ID: 0244508554 Enrollment ID: I20230829000605 |
| Provider Name | Stephen R Selverian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376032052 PECOS PAC ID: 3971849233 Enrollment ID: I20230829000689 |
| Provider Name | Tina Sankhla |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1396276499 PECOS PAC ID: 8729441365 Enrollment ID: I20230829003665 |
| Provider Name | Tai Lam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245735471 PECOS PAC ID: 4385909860 Enrollment ID: I20230829003809 |
| Provider Name | Jacqueline Junn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831458322 PECOS PAC ID: 5496058349 Enrollment ID: I20230830000090 |
| Provider Name | Kyley Wyss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225534027 PECOS PAC ID: 1052675279 Enrollment ID: I20230831001159 |
| Provider Name | Andrew Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881122471 PECOS PAC ID: 3375815269 Enrollment ID: I20230831002984 |
| Provider Name | Brandon Z Lei |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1013340728 PECOS PAC ID: 6002156494 Enrollment ID: I20230831003747 |
| Provider Name | Tucker Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164047346 PECOS PAC ID: 2062837057 Enrollment ID: I20230905000636 |
| Provider Name | Nathan Palmer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285088286 PECOS PAC ID: 0941664148 Enrollment ID: I20230906002752 |
| Provider Name | Nino Kvantaliani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093292427 PECOS PAC ID: 6103280086 Enrollment ID: I20230911003189 |
| Provider Name | David Chou |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003357203 PECOS PAC ID: 1153669833 Enrollment ID: I20230914000653 |
| Provider Name | Kimberly Herard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528697018 PECOS PAC ID: 3779906599 Enrollment ID: I20230922001132 |
| Provider Name | Ryan Fransman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902352107 PECOS PAC ID: 9335497676 Enrollment ID: I20230922001164 |
| Provider Name | Marta Rowh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760743322 PECOS PAC ID: 5698089035 Enrollment ID: I20230927003899 |
| Provider Name | Samantha Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023452406 PECOS PAC ID: 2466675947 Enrollment ID: I20230928002419 |
| Provider Name | Ariana Metchik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477000271 PECOS PAC ID: 6901250679 Enrollment ID: I20230928002727 |
| Provider Name | Liliana Ogden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033616818 PECOS PAC ID: 8820442312 Enrollment ID: I20231003001026 |
| Provider Name | Robert M Grell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437680956 PECOS PAC ID: 7618390642 Enrollment ID: I20231003002772 |
| Provider Name | Heather Hechter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982165478 PECOS PAC ID: 9931430865 Enrollment ID: I20231004003940 |
| Provider Name | Malcolm D Carson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164925947 PECOS PAC ID: 7214289321 Enrollment ID: I20231006000265 |
| Provider Name | Andres Manuel De Leon-benedetti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477094639 PECOS PAC ID: 6901206796 Enrollment ID: I20231006000978 |
| Provider Name | Adesuwa Ighodaro Akhetuamhen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336670991 PECOS PAC ID: 3375814601 Enrollment ID: I20231006001769 |
| Provider Name | Michael Sylvester |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245767383 PECOS PAC ID: 7113294117 Enrollment ID: I20231009000316 |
| Provider Name | Betsey M Chambers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598704173 PECOS PAC ID: 6800809989 Enrollment ID: I20231009001528 |
| Provider Name | Shaan Vijay Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841827631 PECOS PAC ID: 1557784873 Enrollment ID: I20231010002012 |
| Provider Name | Courtney Lee Devin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649667700 PECOS PAC ID: 7517276736 Enrollment ID: I20231010002091 |
| Provider Name | Stewart Richardson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033560891 PECOS PAC ID: 3476847112 Enrollment ID: I20231010002885 |
| Provider Name | Agni Chandora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558894360 PECOS PAC ID: 5799050720 Enrollment ID: I20231012001964 |
| Provider Name | Suniah Ayub |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457761462 PECOS PAC ID: 7315165420 Enrollment ID: I20231012002115 |
| Provider Name | Sumeyye Calp Inal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952671067 PECOS PAC ID: 1658602016 Enrollment ID: I20231013000564 |
| Provider Name | Mark Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164059960 PECOS PAC ID: 3072936038 Enrollment ID: I20231016002555 |
| Provider Name | Stephanie Fontin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730610114 PECOS PAC ID: 3274921804 Enrollment ID: I20231017002208 |
| Provider Name | Adrian Umpierrez De Reguero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083920128 PECOS PAC ID: 0941441398 Enrollment ID: I20231017002323 |
| Provider Name | Katelyn Peloza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043835093 PECOS PAC ID: 4183046634 Enrollment ID: I20231019000197 |
| Provider Name | Lindsay Jaeger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356769012 PECOS PAC ID: 3678807583 Enrollment ID: I20231024003406 |
| Provider Name | Ofego Okpobrisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790104024 PECOS PAC ID: 5294037123 Enrollment ID: I20231025001440 |
| Provider Name | Rewa K Choudhary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639673031 PECOS PAC ID: 2668729211 Enrollment ID: I20231027002014 |
| Provider Name | Kyle Pate |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1427580919 PECOS PAC ID: 9335419167 Enrollment ID: I20231027003179 |
| Provider Name | Kathleen Marie Waters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578096590 PECOS PAC ID: 6204282080 Enrollment ID: I20231031001115 |
| Provider Name | Isaiah Jarell Rolle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780188912 PECOS PAC ID: 1951656404 Enrollment ID: I20231106000626 |
| Provider Name | Mohamed Abbas |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1811407141 PECOS PAC ID: 0345599775 Enrollment ID: I20231108000507 |
| Provider Name | Shelbi Swyden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710516414 PECOS PAC ID: 7113374299 Enrollment ID: I20231110001481 |
| Provider Name | Summer Okimoto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710299862 PECOS PAC ID: 7416145131 Enrollment ID: I20231110001903 |
| Provider Name | Grzegorz Danielczok |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073002333 PECOS PAC ID: 5092062257 Enrollment ID: I20231113003472 |
| Provider Name | Karen Danielle Solano Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457971186 PECOS PAC ID: 3375990294 Enrollment ID: I20231114001311 |
| Provider Name | Kristin Ann Ward |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720585482 PECOS PAC ID: 9537417522 Enrollment ID: I20231115002526 |
| Provider Name | Matthew Paul Guttman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285322388 PECOS PAC ID: 1850748658 Enrollment ID: I20231116001422 |
| Provider Name | Fatemeh Ardeshir Larijani |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1861923500 PECOS PAC ID: 8123396751 Enrollment ID: I20231116002923 |
| Provider Name | Krishan Jignesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225665094 PECOS PAC ID: 7416370234 Enrollment ID: I20231119000093 |
| Provider Name | Elizabeth Sakach |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629509583 PECOS PAC ID: 9739537408 Enrollment ID: I20231120001333 |
| Provider Name | Christina Kay Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184251761 PECOS PAC ID: 9537582317 Enrollment ID: I20231120001802 |
| Provider Name | Anahit Keshishyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457914517 PECOS PAC ID: 0547618902 Enrollment ID: I20231122002627 |
| Provider Name | Cristina Vellozzi-averhoff |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164981403 PECOS PAC ID: 7911232889 Enrollment ID: I20231129000390 |
| Provider Name | Luke Dong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700204518 PECOS PAC ID: 3577878206 Enrollment ID: I20231129003262 |
| Provider Name | Natalie Ann Ridge |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265929426 PECOS PAC ID: 8628427267 Enrollment ID: I20231208000411 |
| Provider Name | Jamie Prince |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306402359 PECOS PAC ID: 7012344377 Enrollment ID: I20231212003364 |
| Provider Name | Beatrice Tabitha Bassier Preti |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1790481760 PECOS PAC ID: 0244689461 Enrollment ID: I20231213003530 |
| Provider Name | Stephanie Lagoldia Cox |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205472313 PECOS PAC ID: 0941650857 Enrollment ID: I20231219000623 |
| Provider Name | Josephine Evelyn W Gathura |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982139853 PECOS PAC ID: 1456698828 Enrollment ID: I20231229000405 |
| Provider Name | Nicholas Kurtzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245760024 PECOS PAC ID: 9133540917 Enrollment ID: I20231229000631 |
| Provider Name | Max Michael Schubert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205333218 PECOS PAC ID: 8628328218 Enrollment ID: I20240102000505 |
| Provider Name | Paige Elizabeth Nichols |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083070932 PECOS PAC ID: 8022365964 Enrollment ID: I20240112000180 |
| Provider Name | Annemarie Cardell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992191126 PECOS PAC ID: 7113278441 Enrollment ID: I20240116000598 |
| Provider Name | Jennifer Louise Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538593298 PECOS PAC ID: 7416187018 Enrollment ID: I20240122002895 |
| Provider Name | Elizabeth Stulpin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790244028 PECOS PAC ID: 2567796311 Enrollment ID: I20240201000976 |
| Provider Name | Tierra Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063942928 PECOS PAC ID: 8123390689 Enrollment ID: I20240207000962 |
| Provider Name | Drew Williamson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689167074 PECOS PAC ID: 4183973928 Enrollment ID: I20240209001344 |
| Provider Name | Kawanda Swafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730558347 PECOS PAC ID: 1557664943 Enrollment ID: I20240209002528 |
| Provider Name | Errol Inci |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750734349 PECOS PAC ID: 9133495203 Enrollment ID: I20240213000086 |
| Provider Name | Kathleen Williams Nissman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962606269 PECOS PAC ID: 5193849628 Enrollment ID: I20240214000613 |
| Provider Name | Andrew Joseph Ebner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073001871 PECOS PAC ID: 9638428758 Enrollment ID: I20240219001843 |
| Provider Name | Eric T Elwood |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1033151162 PECOS PAC ID: 7911897467 Enrollment ID: I20240220000251 |
| Provider Name | Paul Jong Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437612066 PECOS PAC ID: 7214371129 Enrollment ID: I20240220000447 |
| Provider Name | Prabhava Bagla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922437375 PECOS PAC ID: 6305076001 Enrollment ID: I20240222002540 |
| Provider Name | Jazmine Monique Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871288977 PECOS PAC ID: 5294170676 Enrollment ID: I20240226000365 |
| Provider Name | Chukwudubem Obiora Okeke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902302078 PECOS PAC ID: 3375880164 Enrollment ID: I20240305001488 |
| Provider Name | Ruwaydah Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992200489 PECOS PAC ID: 2062763758 Enrollment ID: I20240311000140 |
| Provider Name | Adekemi Omosalewa Egunsola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285053223 PECOS PAC ID: 5890110746 Enrollment ID: I20240312002901 |
| Provider Name | Dylan Charles Koundakjian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245816024 PECOS PAC ID: 2264833474 Enrollment ID: I20240314000304 |
| Provider Name | Nancy Larson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851076301 PECOS PAC ID: 0446695951 Enrollment ID: I20240314001619 |
| Mailing Address | Practice Location Address |
|---|---|
| Emory Medical Care Foundation Inc 2201 Henderson Mill Rd Ne Ste 160, Atlanta, GA 30345-2711 Ph: (404) 778-5294 | Emory Medical Care Foundation Inc 80 Jesse Hill Jr Drive, Emcf, Atlanta, GA 30303 Ph: (404) 778-7717 |