| Sanford | |
|
7951 Jacks Way, Horace, ND 58047-9002 | |
| (701) 234-8830 | |
| (701) 417-7501 |
| Full Name | Sanford |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 7951 Jacks Way, Horace, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184917924 | NPI | - | NPPES |
| DR6518 | Other | MN | RR MEDICARE |
| DR6521 | Other | ND | RR MEDICARE |
| 370579402 | Other | ND | FEDERAL WORKERS COMP |
| Provider Name | Stefanie Ulrike Hanisch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447350400 PECOS PAC ID: 9436062601 Enrollment ID: I20031112000639 |
| Provider Name | Lara N Lunde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992722664 PECOS PAC ID: 6103730734 Enrollment ID: I20031118000061 |
| Provider Name | Matthew G Friederichs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790703338 PECOS PAC ID: 9537063805 Enrollment ID: I20031120000150 |
| Provider Name | Christian M Matthews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982620282 PECOS PAC ID: 5496651713 Enrollment ID: I20031209000220 |
| Provider Name | Sean S Russell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750493052 PECOS PAC ID: 3375449549 Enrollment ID: I20031209000546 |
| Provider Name | Panjini M Sivanna |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1013948116 PECOS PAC ID: 7315843596 Enrollment ID: I20031209000581 |
| Provider Name | Douglas D Schauer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578661229 PECOS PAC ID: 9830095546 Enrollment ID: I20031211000722 |
| Provider Name | Brady J Ness |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518079011 PECOS PAC ID: 8426954140 Enrollment ID: I20031211000755 |
| Provider Name | Jeffrey R Cave |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730109885 PECOS PAC ID: 3476459041 Enrollment ID: I20031212000412 |
| Provider Name | John D Collins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417977463 PECOS PAC ID: 2860399110 Enrollment ID: I20031216000240 |
| Provider Name | Mohamed Sanaullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588685705 PECOS PAC ID: 5395647549 Enrollment ID: I20040127000287 |
| Provider Name | Neeraj B Chepuri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740231364 PECOS PAC ID: 4880506047 Enrollment ID: I20040129000164 |
| Provider Name | Jenny A Stenehjem |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821010489 PECOS PAC ID: 3577459015 Enrollment ID: I20040223001058 |
| Provider Name | Steven W Lantz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457381212 PECOS PAC ID: 7315833860 Enrollment ID: I20040223001111 |
| Provider Name | Lidia D Krasniewska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003833773 PECOS PAC ID: 9830085224 Enrollment ID: I20040224000141 |
| Provider Name | Travis J Mattern |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376561977 PECOS PAC ID: 4486541869 Enrollment ID: I20040301000999 |
| Provider Name | Paul J Carson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013935717 PECOS PAC ID: 7315936267 Enrollment ID: I20040507000143 |
| Provider Name | Rajendra C Potluri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679562953 PECOS PAC ID: 2264421742 Enrollment ID: I20040510001022 |
| Provider Name | Steffen P Christensen Iii |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336167063 PECOS PAC ID: 4587573969 Enrollment ID: I20040520000356 |
| Provider Name | Jon C Ulven |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114948452 PECOS PAC ID: 1456342161 Enrollment ID: I20040521000042 |
| Provider Name | David M Beard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053376079 PECOS PAC ID: 7113918566 Enrollment ID: I20040524000384 |
| Provider Name | Eric Swensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679669139 PECOS PAC ID: 6800877796 Enrollment ID: I20040526001304 |
| Provider Name | Anu G Gaba |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922025907 PECOS PAC ID: 6103807920 Enrollment ID: I20040527000617 |
| Provider Name | Joffrey G Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780655845 PECOS PAC ID: 1355253733 Enrollment ID: I20040624000712 |
| Provider Name | David M Schall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932170057 PECOS PAC ID: 7416869805 Enrollment ID: I20040624000764 |
| Provider Name | William M Bellas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487672184 PECOS PAC ID: 3476539990 Enrollment ID: I20040625000725 |
| Provider Name | Syed W Zaidi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467486969 PECOS PAC ID: 6709862055 Enrollment ID: I20040628000076 |
| Provider Name | Swati S Swami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215984950 PECOS PAC ID: 0042296964 Enrollment ID: I20040629001312 |
| Provider Name | Katherine Olson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1164512273 PECOS PAC ID: 6709863947 Enrollment ID: I20040706000637 |
| Provider Name | Jennifer D Bellas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346262938 PECOS PAC ID: 0345211181 Enrollment ID: I20040804000906 |
| Provider Name | Aaron D Jost |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598783151 PECOS PAC ID: 2163494659 Enrollment ID: I20040806000005 |
| Provider Name | Vijay K Gaba |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952328817 PECOS PAC ID: 5890769087 Enrollment ID: I20040824000170 |
| Provider Name | David J Lien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194743765 PECOS PAC ID: 3870568199 Enrollment ID: I20040831000496 |
| Provider Name | Sheri Lou Krogstad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134129042 PECOS PAC ID: 4688640311 Enrollment ID: I20040903000638 |
| Provider Name | Tosha Faith Ulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205857547 PECOS PAC ID: 3870561624 Enrollment ID: I20040920001237 |
| Provider Name | Katherine S Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740208396 PECOS PAC ID: 5991774903 Enrollment ID: I20040927001059 |
| Provider Name | Linda M Bartholomay |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568480267 PECOS PAC ID: 7012976996 Enrollment ID: I20041006000926 |
| Provider Name | Charles R Gasser |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023105020 PECOS PAC ID: 9335100403 Enrollment ID: I20041021000872 |
| Provider Name | Allen Booth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568562098 PECOS PAC ID: 8628039492 Enrollment ID: I20041025000711 |
| Provider Name | Sarah Lien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750309324 PECOS PAC ID: 5496717753 Enrollment ID: I20041028001051 |
| Provider Name | Susan L Scarberry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023039245 PECOS PAC ID: 4082676044 Enrollment ID: I20041102000052 |
| Provider Name | Susan Michelle Maxwell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477570919 PECOS PAC ID: 2961466222 Enrollment ID: I20041116000860 |
| Provider Name | Genevieve M Goven |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033136999 PECOS PAC ID: 4385608660 Enrollment ID: I20041116000934 |
| Provider Name | Bhanu Odedra Mistry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194742668 PECOS PAC ID: 6406811074 Enrollment ID: I20041123000245 |
| Provider Name | Gregory D Pfennig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932126414 PECOS PAC ID: 4880659820 Enrollment ID: I20041201000467 |
| Provider Name | Adrianne Loree Swick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225055189 PECOS PAC ID: 1355306317 Enrollment ID: I20041201000639 |
| Provider Name | Gregory G Orson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932130036 PECOS PAC ID: 3375509227 Enrollment ID: I20041202000918 |
| Provider Name | Heeraimangalore S Manjunath |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1366472441 PECOS PAC ID: 5193782951 Enrollment ID: I20041213001000 |
| Provider Name | Bangalore S Vijayalakshmi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003843574 PECOS PAC ID: 0446217210 Enrollment ID: I20041213001025 |
| Provider Name | Joshua Wynne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376565960 PECOS PAC ID: 6800860479 Enrollment ID: I20041220000440 |
| Provider Name | Mouhamad G Jamil |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841226305 PECOS PAC ID: 8123085313 Enrollment ID: I20041220000664 |
| Provider Name | Andrew J Hvidston |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477505725 PECOS PAC ID: 4486559317 Enrollment ID: I20041220000893 |
| Provider Name | Susan I Farkas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275568933 PECOS PAC ID: 5395729677 Enrollment ID: I20050127000942 |
| Provider Name | Teresa M Reinholz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043231269 PECOS PAC ID: 0547254542 Enrollment ID: I20050216000787 |
| Provider Name | Rup Kumar Nagala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336138601 PECOS PAC ID: 3072500412 Enrollment ID: I20050223000334 |
| Provider Name | Miriam Lim Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780605022 PECOS PAC ID: 5890749311 Enrollment ID: I20050308000946 |
| Provider Name | Michael J Carr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104844802 PECOS PAC ID: 6901851062 Enrollment ID: I20050322000450 |
| Provider Name | Brad C Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649298381 PECOS PAC ID: 2466407556 Enrollment ID: I20050322000683 |
| Provider Name | Matthew J Nelsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699727958 PECOS PAC ID: 0648175471 Enrollment ID: I20050329000603 |
| Provider Name | John G Mickelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497773097 PECOS PAC ID: 9133176746 Enrollment ID: I20050406000267 |
| Provider Name | Tricia C Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528085065 PECOS PAC ID: 9335196849 Enrollment ID: I20050406001130 |
| Provider Name | Rebecca S Preussler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497776736 PECOS PAC ID: 6406893684 Enrollment ID: I20050408000930 |
| Provider Name | Lorraine A Swan Kremeier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093736217 PECOS PAC ID: 9739126939 Enrollment ID: I20050408001067 |
| Provider Name | Howard Thomas Berglund |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831141175 PECOS PAC ID: 4486559382 Enrollment ID: I20050427000293 |
| Provider Name | David J Clardy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063430791 PECOS PAC ID: 3375583511 Enrollment ID: I20050506000757 |
| Provider Name | Eric C Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003835984 PECOS PAC ID: 7719914217 Enrollment ID: I20050726000487 |
| Provider Name | Michael S Kruger |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801811971 PECOS PAC ID: 7315974813 Enrollment ID: I20050726000517 |
| Provider Name | Abdulhamid Alkhalaf |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043237035 PECOS PAC ID: 2365471554 Enrollment ID: I20050808001069 |
| Provider Name | Osama B Naseer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346267887 PECOS PAC ID: 8628007671 Enrollment ID: I20050810000104 |
| Provider Name | Charles J Breen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114944113 PECOS PAC ID: 2668402660 Enrollment ID: I20050819000059 |
| Provider Name | Debra J Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396903654 PECOS PAC ID: 3577450824 Enrollment ID: I20050824000954 |
| Provider Name | Jennifer L Kringlie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235151721 PECOS PAC ID: 8224942495 Enrollment ID: I20050824001099 |
| Provider Name | Cheri J Berge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073535662 PECOS PAC ID: 3375574205 Enrollment ID: I20050830000633 |
| Provider Name | Darin Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780602342 PECOS PAC ID: 2769414655 Enrollment ID: I20050831000157 |
| Provider Name | David A Bailey |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1639197338 PECOS PAC ID: 0547292344 Enrollment ID: I20050831000947 |
| Provider Name | Louis H Geeraerts |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770500639 PECOS PAC ID: 5193797413 Enrollment ID: I20050914000316 |
| Provider Name | Thomas A Haldis |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588681449 PECOS PAC ID: 6305748260 Enrollment ID: I20050920000772 |
| Provider Name | Patricia L Laqua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588690903 PECOS PAC ID: 1557395829 Enrollment ID: I20050926000769 |
| Provider Name | Miranda L Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548246630 PECOS PAC ID: 0446213094 Enrollment ID: I20051017000881 |
| Provider Name | Sheri L Triepke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750303327 PECOS PAC ID: 1658391362 Enrollment ID: I20051123000653 |
| Provider Name | Thomas Jarrad Matzke |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639121304 PECOS PAC ID: 1456304104 Enrollment ID: I20051129001060 |
| Provider Name | Ahmed T Robbie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801826052 PECOS PAC ID: 9931173903 Enrollment ID: I20051209000303 |
| Provider Name | Tammy A Hoganson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669499521 PECOS PAC ID: 6608898093 Enrollment ID: I20051229000139 |
| Provider Name | Mahendra K Gupta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508899139 PECOS PAC ID: 2466475447 Enrollment ID: I20060104000995 |
| Provider Name | Nicole D Abrahamson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851319529 PECOS PAC ID: 1456374842 Enrollment ID: I20060111001192 |
| Provider Name | Scott B Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003901356 PECOS PAC ID: 4789698861 Enrollment ID: I20060127000240 |
| Provider Name | Darla J Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497862049 PECOS PAC ID: 7810901907 Enrollment ID: I20060127000306 |
| Provider Name | David J Tupa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952323529 PECOS PAC ID: 8426062068 Enrollment ID: I20060202000526 |
| Provider Name | Gregory J Bjerke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023036753 PECOS PAC ID: 0345254785 Enrollment ID: I20060206000520 |
| Provider Name | Julie Ann Blehm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760409767 PECOS PAC ID: 8325054687 Enrollment ID: I20060224000137 |
| Provider Name | Jon Edwin Bradbury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679514285 PECOS PAC ID: 8123034907 Enrollment ID: I20060502000453 |
| Provider Name | Edward L Adams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346287554 PECOS PAC ID: 2961390471 Enrollment ID: I20060605000206 |
| Provider Name | Jennifer S Goetz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760439061 PECOS PAC ID: 8527071893 Enrollment ID: I20060803000422 |
| Provider Name | Kenneth J Stone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992739262 PECOS PAC ID: 8729081427 Enrollment ID: I20060818000391 |
| Provider Name | Kamilla L Lucht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326080656 PECOS PAC ID: 4486658853 Enrollment ID: I20060828000336 |
| Provider Name | Sudhir K Chavour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891710604 PECOS PAC ID: 1052315728 Enrollment ID: I20060912000136 |
| Provider Name | Ajay K Bhora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538184023 PECOS PAC ID: 1759385453 Enrollment ID: I20060912000340 |
| Provider Name | Steven E Briggs |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063423895 PECOS PAC ID: 4284669409 Enrollment ID: I20060912000374 |
| Provider Name | Michelle L Mayfield Jorgensen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588777569 PECOS PAC ID: 3173527702 Enrollment ID: I20060912000635 |
| Provider Name | Nabil Abouchala |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265450233 PECOS PAC ID: 8527062157 Enrollment ID: I20060912000649 |
| Provider Name | Al M Shana |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205889748 PECOS PAC ID: 6608872692 Enrollment ID: I20061016000110 |
| Provider Name | Chetan P Maingi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952408809 PECOS PAC ID: 1254338551 Enrollment ID: I20061030000462 |
| Provider Name | Joel H Blanchard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356368021 PECOS PAC ID: 2365449311 Enrollment ID: I20061103000424 |
| Provider Name | Kevin M Faber |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1720095482 PECOS PAC ID: 2466459375 Enrollment ID: I20061106000488 |
| Provider Name | Cedric Masa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558386466 PECOS PAC ID: 5395700645 Enrollment ID: I20061114000438 |
| Provider Name | Augusto Alonto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700833845 PECOS PAC ID: 4385607753 Enrollment ID: I20061204000062 |
| Provider Name | Laurie A Senn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407933989 PECOS PAC ID: 9436159852 Enrollment ID: I20070109000575 |
| Provider Name | Joseph M Kreklau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760566467 PECOS PAC ID: 3779583091 Enrollment ID: I20070110000057 |
| Provider Name | Jeffrey B Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184701856 PECOS PAC ID: 8729088042 Enrollment ID: I20070110000116 |
| Provider Name | John W Hutchison |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912937111 PECOS PAC ID: 5092716332 Enrollment ID: I20070129000669 |
| Provider Name | Jason M Asheim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780693424 PECOS PAC ID: 8628077872 Enrollment ID: I20070206000077 |
| Provider Name | Jay K See |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184670812 PECOS PAC ID: 3476564568 Enrollment ID: I20070223000107 |
| Provider Name | Kirsten D Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285636423 PECOS PAC ID: 6406950757 Enrollment ID: I20070327000419 |
| Provider Name | Joy M Quitberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477583466 PECOS PAC ID: 2264430099 Enrollment ID: I20070328000179 |
| Provider Name | Hasrat Khan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699752964 PECOS PAC ID: 8921032962 Enrollment ID: I20070511000075 |
| Provider Name | Jennifer D Raum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306821038 PECOS PAC ID: 5799719969 Enrollment ID: I20070511000107 |
| Provider Name | Rebecca L Caillier |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427265271 PECOS PAC ID: 9830298256 Enrollment ID: I20070626000779 |
| Provider Name | Gary A Matthys |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922025568 PECOS PAC ID: 4082514765 Enrollment ID: I20070731000128 |
| Provider Name | Shannon Jean Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144208976 PECOS PAC ID: 0345268579 Enrollment ID: I20070816000408 |
| Provider Name | Eric Michael Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043242290 PECOS PAC ID: 7911811526 Enrollment ID: I20070824000415 |
| Provider Name | Eram Shahira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578762548 PECOS PAC ID: 1052403672 Enrollment ID: I20070827000600 |
| Provider Name | Terry L Breidenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902098031 PECOS PAC ID: 0345333886 Enrollment ID: I20070829000703 |
| Provider Name | Timothy M Nyarandi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124222351 PECOS PAC ID: 5092808360 Enrollment ID: I20070831000195 |
| Provider Name | Craig D Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275602740 PECOS PAC ID: 7214021864 Enrollment ID: I20070913000533 |
| Provider Name | Fadel E Nammour |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922039684 PECOS PAC ID: 7113967993 Enrollment ID: I20070921000558 |
| Provider Name | Julie A Kurtz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215124573 PECOS PAC ID: 8123116076 Enrollment ID: I20071112000076 |
| Provider Name | Christopher H Tiongson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821010406 PECOS PAC ID: 0042308181 Enrollment ID: I20071126000733 |
| Provider Name | Kevin C Buettner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942480629 PECOS PAC ID: 2163511254 Enrollment ID: I20071127000436 |
| Provider Name | Maren A Krueger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952581530 PECOS PAC ID: 9638268295 Enrollment ID: I20071204000626 |
| Provider Name | Bruce E Piatt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972532240 PECOS PAC ID: 7618066283 Enrollment ID: I20071208000156 |
| Provider Name | Shelby A Terstriep |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578536728 PECOS PAC ID: 5496730210 Enrollment ID: I20071211000029 |
| Provider Name | Amie C Haugo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609855873 PECOS PAC ID: 3678590270 Enrollment ID: I20071211000109 |
| Provider Name | William K Hutchison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427092238 PECOS PAC ID: 5092781617 Enrollment ID: I20071217000561 |
| Provider Name | Ahmer H Qarni |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518997691 PECOS PAC ID: 4880780600 Enrollment ID: I20071227000009 |
| Provider Name | Michelle L Resler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619003381 PECOS PAC ID: 7416038021 Enrollment ID: I20080121000111 |
| Provider Name | Jamey Chase Jessen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982643219 PECOS PAC ID: 5193711208 Enrollment ID: I20080211000106 |
| Provider Name | Nina C Sjoquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831110055 PECOS PAC ID: 0648372896 Enrollment ID: I20080226000072 |
| Provider Name | Peter Van Eerden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851397509 PECOS PAC ID: 6901894849 Enrollment ID: I20080227000712 |
| Provider Name | Tara L Hilscher Decker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962517227 PECOS PAC ID: 2567467061 Enrollment ID: I20080501000540 |
| Provider Name | Lisa Jo Jamsa Tollefson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962627398 PECOS PAC ID: 4789754870 Enrollment ID: I20080602000223 |
| Provider Name | Robert A Edwards |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508903253 PECOS PAC ID: 0547351686 Enrollment ID: I20080604000264 |
| Provider Name | Tanya L Harlow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740498104 PECOS PAC ID: 4082705389 Enrollment ID: I20080610000412 |
| Provider Name | Tricia M Fossum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629099858 PECOS PAC ID: 4082669379 Enrollment ID: I20080626000105 |
| Provider Name | David M Montes |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1407952609 PECOS PAC ID: 8426133836 Enrollment ID: I20080710000658 |
| Provider Name | Robert Peter Sticca |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1568526119 PECOS PAC ID: 4385717354 Enrollment ID: I20080724000069 |
| Provider Name | Sarah L Schatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144317744 PECOS PAC ID: 3173697927 Enrollment ID: I20080729000086 |
| Provider Name | Michael S Bouton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356336358 PECOS PAC ID: 0941284426 Enrollment ID: I20080805000391 |
| Provider Name | Stephanie M Hanson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548227846 PECOS PAC ID: 7810061942 Enrollment ID: I20080807000041 |
| Provider Name | Amanda M Diamond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093932212 PECOS PAC ID: 5698849727 Enrollment ID: I20080807000090 |
| Provider Name | Mohamed Samir Toumeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598920969 PECOS PAC ID: 1052485125 Enrollment ID: I20080807000317 |
| Provider Name | Janel Vania Pender |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588614614 PECOS PAC ID: 9739173550 Enrollment ID: I20080812000761 |
| Provider Name | Mia M Kozojed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124281043 PECOS PAC ID: 1759456627 Enrollment ID: I20080813000054 |
| Provider Name | Amit W Panwalkar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043426034 PECOS PAC ID: 5698840247 Enrollment ID: I20080818000279 |
| Provider Name | Erin E Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932364650 PECOS PAC ID: 6709952773 Enrollment ID: I20080828000203 |
| Provider Name | Sarah L Myron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235141698 PECOS PAC ID: 3072613637 Enrollment ID: I20080903000203 |
| Provider Name | Amy M Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225294747 PECOS PAC ID: 9436225018 Enrollment ID: I20080904000706 |
| Provider Name | Diane A Fjelstad Kjelstrup |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306036017 PECOS PAC ID: 9032285226 Enrollment ID: I20080912000242 |
| Provider Name | Ryan C Stromme |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639192479 PECOS PAC ID: 2466430194 Enrollment ID: I20081008000329 |
| Provider Name | Brendan S Kelly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689873275 PECOS PAC ID: 3870687148 Enrollment ID: I20081020000217 |
| Provider Name | Kent C Moser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710138375 PECOS PAC ID: 9537228457 Enrollment ID: I20081107000094 |
| Provider Name | Brenda Kaye Thurlow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033130372 PECOS PAC ID: 7719048537 Enrollment ID: I20081211000189 |
| Provider Name | Nicole Marie Welsch |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184642738 PECOS PAC ID: 3072676626 Enrollment ID: I20090108000574 |
| Provider Name | Casie L Coulter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740426568 PECOS PAC ID: 6406919877 Enrollment ID: I20090112000151 |
| Provider Name | Sara M Vandrovec |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1881765915 PECOS PAC ID: 4284798851 Enrollment ID: I20090126000657 |
| Provider Name | Melissa M Zuel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629214184 PECOS PAC ID: 7719041342 Enrollment ID: I20090127000422 |
| Provider Name | Bradley A Braunagel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396762399 PECOS PAC ID: 8022172493 Enrollment ID: I20090129000436 |
| Provider Name | Faysal Yousefi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366642191 PECOS PAC ID: 0143389718 Enrollment ID: I20090203000623 |
| Provider Name | Chad M Vandrovec |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790856839 PECOS PAC ID: 9234221425 Enrollment ID: I20090218000207 |
| Provider Name | Patrick E Emery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144247008 PECOS PAC ID: 7618037060 Enrollment ID: I20090316000169 |
| Provider Name | Bradly M Skari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376747030 PECOS PAC ID: 4688722176 Enrollment ID: I20090515000006 |
| Provider Name | Margaret R Diehl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548288335 PECOS PAC ID: 4789740572 Enrollment ID: I20090527000599 |
| Provider Name | Molly Kathleen Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942455258 PECOS PAC ID: 1557412020 Enrollment ID: I20090623000349 |
| Provider Name | Jeffrey Matthew Tiongson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578537460 PECOS PAC ID: 5496743932 Enrollment ID: I20090707000570 |
| Provider Name | Robert A Raad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588874788 PECOS PAC ID: 7517018369 Enrollment ID: I20090708000086 |
| Provider Name | Matthew Trefz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376735035 PECOS PAC ID: 9739230590 Enrollment ID: I20090708000152 |
| Provider Name | Erik G Fetner |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1033302062 PECOS PAC ID: 6901957760 Enrollment ID: I20090708000160 |
| Provider Name | Enej Gasevic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376753459 PECOS PAC ID: 8527119387 Enrollment ID: I20090708000180 |
| Provider Name | Karla M Lund |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659506186 PECOS PAC ID: 2860543659 Enrollment ID: I20090708000397 |
| Provider Name | Aruna Aravapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710139068 PECOS PAC ID: 4688726748 Enrollment ID: I20090721000303 |
| Provider Name | Jaroslaw Mateuszczyk |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003997230 PECOS PAC ID: 0941191134 Enrollment ID: I20090723000063 |
| Provider Name | Bonnie S Kvistad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659491090 PECOS PAC ID: 4385735794 Enrollment ID: I20090729000322 |
| Provider Name | David S Chou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710926878 PECOS PAC ID: 3072417500 Enrollment ID: I20090806000168 |
| Provider Name | Brent R Williams |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710125893 PECOS PAC ID: 8921151093 Enrollment ID: I20090806000731 |
| Provider Name | Jonathan Ross Fish |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629117890 PECOS PAC ID: 6103979836 Enrollment ID: I20090812000148 |
| Provider Name | Eric Arash Pezhman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154531366 PECOS PAC ID: 1153475074 Enrollment ID: I20090812000223 |
| Provider Name | Khaled S Zreik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437320710 PECOS PAC ID: 6406929587 Enrollment ID: I20090818000837 |
| Provider Name | David L Hochhalter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669583183 PECOS PAC ID: 4688736051 Enrollment ID: I20090821000598 |
| Provider Name | Melissa Marie Horner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477672921 PECOS PAC ID: 1355434093 Enrollment ID: I20090821000629 |
| Provider Name | Daniel W Louvar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912984923 PECOS PAC ID: 0345143293 Enrollment ID: I20090825000230 |
| Provider Name | Shane J Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669693982 PECOS PAC ID: 7113071291 Enrollment ID: I20090825000261 |
| Provider Name | Jordan H Coauette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457471880 PECOS PAC ID: 7810042819 Enrollment ID: I20090826000861 |
| Provider Name | Arundhati B Goswami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225250715 PECOS PAC ID: 4587719083 Enrollment ID: I20090904000550 |
| Provider Name | Waseem Altaf |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770500761 PECOS PAC ID: 8628049335 Enrollment ID: I20090928000794 |
| Provider Name | Naeem A Adhami |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407081169 PECOS PAC ID: 7911059084 Enrollment ID: I20090928000795 |
| Provider Name | David Mark Muhs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114945797 PECOS PAC ID: 4587710835 Enrollment ID: I20090929000036 |
| Provider Name | Stephanie J Nilles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598997199 PECOS PAC ID: 1658417597 Enrollment ID: I20091007000610 |
| Provider Name | Amy Jo Holman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538492921 PECOS PAC ID: 1153469069 Enrollment ID: I20091113000388 |
| Provider Name | Megan E Bolda |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1609054337 PECOS PAC ID: 8628116308 Enrollment ID: I20091118000177 |
| Provider Name | Joann Almen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952530156 PECOS PAC ID: 2062551609 Enrollment ID: I20091120000311 |
| Provider Name | Denise J Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669707964 PECOS PAC ID: 4385783711 Enrollment ID: I20091125000019 |
| Provider Name | Tonya M Holzer-voss |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710211800 PECOS PAC ID: 3577603067 Enrollment ID: I20091214000574 |
| Provider Name | Jennifer A Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295926145 PECOS PAC ID: 1557376506 Enrollment ID: I20100127000104 |
| Provider Name | Gwen Witzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720026768 PECOS PAC ID: 5799827846 Enrollment ID: I20100127000732 |
| Provider Name | Jodee L Blaze |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093955593 PECOS PAC ID: 6305997131 Enrollment ID: I20100212000139 |
| Provider Name | Steven K Anderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518991678 PECOS PAC ID: 9032155841 Enrollment ID: I20100309000857 |
| Provider Name | James E Stevenson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417286683 PECOS PAC ID: 9436294824 Enrollment ID: I20100310000487 |
| Provider Name | Mark Allen Lundeen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730130493 PECOS PAC ID: 0345145231 Enrollment ID: I20100311000238 |
| Provider Name | Rebecca A Meyerson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487688933 PECOS PAC ID: 9234117094 Enrollment ID: I20100323000989 |
| Provider Name | Jane D Ostlie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063672749 PECOS PAC ID: 4880721463 Enrollment ID: I20100430000224 |
| Provider Name | Hani M Lababidi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417286097 PECOS PAC ID: 7214064898 Enrollment ID: I20100430000251 |
| Provider Name | Christopher G Kallenbach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649460551 PECOS PAC ID: 3870645492 Enrollment ID: I20100602000198 |
| Provider Name | Woei Yeang Gary Eng |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1154513018 PECOS PAC ID: 8729119938 Enrollment ID: I20100705000014 |
| Provider Name | Ross R Meidinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043420722 PECOS PAC ID: 9638200843 Enrollment ID: I20100705000015 |
| Provider Name | Mark M Gitau |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225073661 PECOS PAC ID: 0547391757 Enrollment ID: I20100705000016 |
| Provider Name | Gregory S Vigesaa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639346653 PECOS PAC ID: 8123151065 Enrollment ID: I20100729000514 |
| Provider Name | Leslie A Koltes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467771758 PECOS PAC ID: 2466576442 Enrollment ID: I20100827000007 |
| Provider Name | Dubert M Guerrero |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811103989 PECOS PAC ID: 1153445598 Enrollment ID: I20100907001142 |
| Provider Name | Mandy L Sorlie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649478090 PECOS PAC ID: 0143385203 Enrollment ID: I20100908000250 |
| Provider Name | Brian D Hass |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770510414 PECOS PAC ID: 7618910076 Enrollment ID: I20100909000330 |
| Provider Name | Andrew L Bakke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659597714 PECOS PAC ID: 5294851606 Enrollment ID: I20100922001187 |
| Provider Name | Rebekah Am Tompkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871783704 PECOS PAC ID: 8729104138 Enrollment ID: I20100922001204 |
| Provider Name | Rebecca J Bakke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841456324 PECOS PAC ID: 6406972835 Enrollment ID: I20100923000244 |
| Provider Name | Sean E Roesler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750303392 PECOS PAC ID: 8426174244 Enrollment ID: I20100929000331 |
| Provider Name | Timothy P Uglem |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396766630 PECOS PAC ID: 4183740913 Enrollment ID: I20100929000412 |
| Provider Name | Pamela M Antoniuk |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366513970 PECOS PAC ID: 3072639848 Enrollment ID: I20100929000982 |
| Provider Name | Lindsey Dahl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962529446 PECOS PAC ID: 9335200864 Enrollment ID: I20101007000592 |
| Provider Name | Michael L Sand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154343705 PECOS PAC ID: 1456543438 Enrollment ID: I20101008000532 |
| Provider Name | Paul J Lindquist |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962424457 PECOS PAC ID: 1759573751 Enrollment ID: I20101008000728 |
| Provider Name | Kevin A Dahl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356551089 PECOS PAC ID: 7517010580 Enrollment ID: I20101008001128 |
| Provider Name | Bhargav M Mistry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033136676 PECOS PAC ID: 5597957407 Enrollment ID: I20101011000914 |
| Provider Name | Matthew J Tinguely |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548348410 PECOS PAC ID: 2466552815 Enrollment ID: I20101012000929 |
| Provider Name | Benjamin L Dahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558565762 PECOS PAC ID: 1850583519 Enrollment ID: I20101013000404 |
| Provider Name | Parvin Christine Dorostkar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962412056 PECOS PAC ID: 9931181567 Enrollment ID: I20101013000453 |
| Provider Name | Kari L Joachim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669422770 PECOS PAC ID: 6507058278 Enrollment ID: I20101013000654 |
| Provider Name | Qasim K Durrani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336462886 PECOS PAC ID: 8729270756 Enrollment ID: I20101014001425 |
| Provider Name | Roxanne V Newman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033146543 PECOS PAC ID: 2769391143 Enrollment ID: I20101019000395 |
| Provider Name | David J Glatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467489039 PECOS PAC ID: 8123937505 Enrollment ID: I20101020000007 |
| Provider Name | Yassar Almanaseer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467585349 PECOS PAC ID: 4183658594 Enrollment ID: I20101020000044 |
| Provider Name | Randall A Kenninger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013934785 PECOS PAC ID: 2961695218 Enrollment ID: I20101020000050 |
| Provider Name | Deanna M Balvitsch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124045117 PECOS PAC ID: 9133312275 Enrollment ID: I20101020001522 |
| Provider Name | Misty K Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417109760 PECOS PAC ID: 1456544246 Enrollment ID: I20101025001395 |
| Provider Name | Neville M Alberto |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1225055213 PECOS PAC ID: 0749304525 Enrollment ID: I20101026000625 |
| Provider Name | Thomas A Noah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720005275 PECOS PAC ID: 1658565247 Enrollment ID: I20101027001166 |
| Provider Name | Mike D Traynor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841212412 PECOS PAC ID: 5991832669 Enrollment ID: I20101027001216 |
| Provider Name | Gary M Kubalak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649297318 PECOS PAC ID: 5698969202 Enrollment ID: I20101027001381 |
| Provider Name | Richard E Arness |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902824600 PECOS PAC ID: 1658565171 Enrollment ID: I20101028001183 |
| Provider Name | Kimberly A Gilbertson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306863261 PECOS PAC ID: 3274727714 Enrollment ID: I20101028001498 |
| Provider Name | Brenda M Gross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467470013 PECOS PAC ID: 3678767068 Enrollment ID: I20101029000756 |
| Provider Name | Leonid Vilenski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750302097 PECOS PAC ID: 6608060009 Enrollment ID: I20101029000866 |
| Provider Name | Gerald G Gross |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013935667 PECOS PAC ID: 3072707488 Enrollment ID: I20101029000970 |
| Provider Name | Charlene C Card |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487671483 PECOS PAC ID: 7012101439 Enrollment ID: I20101029001034 |
| Provider Name | James A Volk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902828593 PECOS PAC ID: 6800923574 Enrollment ID: I20101029001076 |
| Provider Name | Paula J Bergloff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306863303 PECOS PAC ID: 4486848819 Enrollment ID: I20101029001141 |
| Provider Name | Bruce J Klosterman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740207414 PECOS PAC ID: 6002834850 Enrollment ID: I20101029001155 |
| Provider Name | Luis A Garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104844752 PECOS PAC ID: 3971797309 Enrollment ID: I20101029001218 |
| Provider Name | Rhonda K Blickensderfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407877749 PECOS PAC ID: 3870787906 Enrollment ID: I20101102000798 |
| Provider Name | Curtis C Nyhus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639197213 PECOS PAC ID: 7113820473 Enrollment ID: I20101102000821 |
| Provider Name | Janine L Carson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295752293 PECOS PAC ID: 9436343571 Enrollment ID: I20101102000899 |
| Provider Name | Jon D Dangerfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245258896 PECOS PAC ID: 2860686904 Enrollment ID: I20101102000950 |
| Provider Name | Theodore J Sawchuk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1629090261 PECOS PAC ID: 2668596446 Enrollment ID: I20101102001019 |
| Provider Name | Warren J Hintz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841217700 PECOS PAC ID: 0547454696 Enrollment ID: I20101102001031 |
| Provider Name | Steven D Berndt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205854932 PECOS PAC ID: 1759575806 Enrollment ID: I20101102001122 |
| Provider Name | Ronald Miles Burd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750308755 PECOS PAC ID: 0143267252 Enrollment ID: I20101102001224 |
| Provider Name | Kenneth Christianson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154349884 PECOS PAC ID: 6103010277 Enrollment ID: I20101102001272 |
| Provider Name | James E Halvorson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972521524 PECOS PAC ID: 6103994926 Enrollment ID: I20101103000705 |
| Provider Name | Heather M Mattson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346559523 PECOS PAC ID: 7517151582 Enrollment ID: I20101103000965 |
| Provider Name | Kara Denae Eickman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710160379 PECOS PAC ID: 8022161983 Enrollment ID: I20101104001289 |
| Provider Name | John P Eickman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114106820 PECOS PAC ID: 5092909895 Enrollment ID: I20101104001322 |
| Provider Name | Richard C Bailly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215954201 PECOS PAC ID: 1557555380 Enrollment ID: I20101104001588 |
| Provider Name | Ranelle I Turman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760403000 PECOS PAC ID: 4587858311 Enrollment ID: I20101104001668 |
| Provider Name | Eric R Promersberger |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669490264 PECOS PAC ID: 7012101892 Enrollment ID: I20101105000469 |
| Provider Name | William K Mcmillan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831117415 PECOS PAC ID: 0446445241 Enrollment ID: I20101105000789 |
| Provider Name | Mary Krupich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730106402 PECOS PAC ID: 2961697768 Enrollment ID: I20101105000828 |
| Provider Name | Dennis E Bier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114945847 PECOS PAC ID: 5193910719 Enrollment ID: I20101109000921 |
| Provider Name | Weimin Hao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205853165 PECOS PAC ID: 3375738917 Enrollment ID: I20101109001175 |
| Provider Name | Paul R Bilstad |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033136031 PECOS PAC ID: 7618162272 Enrollment ID: I20101109001375 |
| Provider Name | Elizabeth T Osowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730497660 PECOS PAC ID: 6305031857 Enrollment ID: I20101110001068 |
| Provider Name | Thomas P Solien |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578585113 PECOS PAC ID: 4486849825 Enrollment ID: I20101111000770 |
| Provider Name | Christopher L Pierce |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932127537 PECOS PAC ID: 4385839729 Enrollment ID: I20101111000789 |
| Provider Name | Sumit Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336452572 PECOS PAC ID: 2264627553 Enrollment ID: I20101111001581 |
| Provider Name | Meredith Kelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417932823 PECOS PAC ID: 0749475903 Enrollment ID: I20101112000835 |
| Provider Name | Robert Joseph Olson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518985118 PECOS PAC ID: 4981890829 Enrollment ID: I20101118000296 |
| Provider Name | Susan K Hofland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265453492 PECOS PAC ID: 0042406902 Enrollment ID: I20101118000487 |
| Provider Name | Todd M Marsh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750308383 PECOS PAC ID: 7012103971 Enrollment ID: I20101118000523 |
| Provider Name | Andrea J Haugen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346268992 PECOS PAC ID: 3971799842 Enrollment ID: I20101118000589 |
| Provider Name | Donald J Stallman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386665503 PECOS PAC ID: 4880889880 Enrollment ID: I20101118000689 |
| Provider Name | Jason P Huber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467470104 PECOS PAC ID: 3072709948 Enrollment ID: I20101118000699 |
| Provider Name | Ardell E Olson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790703395 PECOS PAC ID: 3870789753 Enrollment ID: I20101118000743 |
| Provider Name | Kathy J Tehven |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215958558 PECOS PAC ID: 7810183696 Enrollment ID: I20101118000923 |
| Provider Name | Lori K Scholz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386662948 PECOS PAC ID: 1456547249 Enrollment ID: I20101118000944 |
| Provider Name | Troy C Schaff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740202381 PECOS PAC ID: 2365458528 Enrollment ID: I20101129000770 |
| Provider Name | Susan E Wojcik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144241480 PECOS PAC ID: 8224067889 Enrollment ID: I20101201001082 |
| Provider Name | Blaine G Zieman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043231384 PECOS PAC ID: 0143259317 Enrollment ID: I20101201001113 |
| Provider Name | Summer Lee Schauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679883680 PECOS PAC ID: 0345437398 Enrollment ID: I20101203000326 |
| Provider Name | Melissa A Vanmatre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588974596 PECOS PAC ID: 6507053550 Enrollment ID: I20101203000361 |
| Provider Name | Linda C Levee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144242637 PECOS PAC ID: 6507053493 Enrollment ID: I20101203000897 |
| Provider Name | Angela Joy Wood |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235237439 PECOS PAC ID: 5496751695 Enrollment ID: I20101208000691 |
| Provider Name | James E Boatman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1285615724 PECOS PAC ID: 1153313275 Enrollment ID: I20101208001147 |
| Provider Name | Ann M Baumeister |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851318844 PECOS PAC ID: 6507053063 Enrollment ID: I20101209000419 |
| Provider Name | Sarah L Matcha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891944013 PECOS PAC ID: 7416017041 Enrollment ID: I20101215000659 |
| Provider Name | Amanda J Gross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609184043 PECOS PAC ID: 0143418053 Enrollment ID: I20101220000457 |
| Provider Name | Mary Ann B Donaldson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417974379 PECOS PAC ID: 9133317613 Enrollment ID: I20101228000533 |
| Provider Name | Patrick J Indergaard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114944881 PECOS PAC ID: 1153519640 Enrollment ID: I20101228000636 |
| Provider Name | Ahmed Abdullah |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1457353690 PECOS PAC ID: 8729011358 Enrollment ID: I20110103000686 |
| Provider Name | Christina A Tinguely |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740333079 PECOS PAC ID: 5092871848 Enrollment ID: I20110111000313 |
| Provider Name | Cornelius M Dyke |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245226083 PECOS PAC ID: 1355395591 Enrollment ID: I20110112000440 |
| Provider Name | Vincent O Rokke |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447308051 PECOS PAC ID: 4284823741 Enrollment ID: I20110113001137 |
| Provider Name | Nageswararao V Chalasani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184672891 PECOS PAC ID: 0840387163 Enrollment ID: I20110117000020 |
| Provider Name | Kelly E Kadlec |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750308425 PECOS PAC ID: 7810186178 Enrollment ID: I20110118001081 |
| Provider Name | Erik M Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205145794 PECOS PAC ID: 7214126580 Enrollment ID: I20110118001152 |
| Provider Name | Stephen Patrick Garrity |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1033137682 PECOS PAC ID: 6901957570 Enrollment ID: I20110118001186 |
| Provider Name | Todd D Underdahl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023039369 PECOS PAC ID: 8123208584 Enrollment ID: I20110202000620 |
| Provider Name | Ronald J Borowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588681589 PECOS PAC ID: 8325228521 Enrollment ID: I20110204000595 |
| Provider Name | Mazen Kherallah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922025691 PECOS PAC ID: 6406905322 Enrollment ID: I20110208001056 |
| Provider Name | Maximo Brito |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356455901 PECOS PAC ID: 3870584733 Enrollment ID: I20110211000713 |
| Provider Name | Billie J Grieve |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598700882 PECOS PAC ID: 1254344575 Enrollment ID: I20110216001057 |
| Provider Name | Megan M Dallman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336440924 PECOS PAC ID: 4688861768 Enrollment ID: I20110318000742 |
| Provider Name | Emuejevoke Okoh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013970482 PECOS PAC ID: 2567645484 Enrollment ID: I20110330000237 |
| Provider Name | Bonnie Lee Groth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407151921 PECOS PAC ID: 4486837275 Enrollment ID: I20110401000278 |
| Provider Name | Michael A Berg |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396763025 PECOS PAC ID: 9133303571 Enrollment ID: I20110411000196 |
| Provider Name | Sharon R Cannon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578580577 PECOS PAC ID: 6507807609 Enrollment ID: I20110411000508 |
| Provider Name | Yongsheng Ren |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770510828 PECOS PAC ID: 1850395617 Enrollment ID: I20110414000919 |
| Provider Name | Shawn L Mcneally |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689691222 PECOS PAC ID: 2567646524 Enrollment ID: I20110415000337 |
| Provider Name | Ashley Jensen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992729230 PECOS PAC ID: 3870596380 Enrollment ID: I20110503000118 |
| Provider Name | Steven Daniels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710905450 PECOS PAC ID: 9830374008 Enrollment ID: I20110503000658 |
| Provider Name | Heidi Lynn Saarinen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104123298 PECOS PAC ID: 1759567563 Enrollment ID: I20110512000022 |
| Provider Name | Mary O Aaland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568463321 PECOS PAC ID: 8729078480 Enrollment ID: I20110615000678 |
| Provider Name | Patrick J Welle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487675724 PECOS PAC ID: 3678751872 Enrollment ID: I20110616000555 |
| Provider Name | Arif M Shaik |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700047057 PECOS PAC ID: 0446374011 Enrollment ID: I20110720000741 |
| Provider Name | Timothy A Wenstrom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326069667 PECOS PAC ID: 3476721218 Enrollment ID: I20110721000178 |
| Provider Name | Kirk Dillon Stevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811164205 PECOS PAC ID: 5991856825 Enrollment ID: I20110722000456 |
| Provider Name | Kerry A Stevens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891934311 PECOS PAC ID: 1153472048 Enrollment ID: I20110722000551 |
| Provider Name | Stephen J Tinguely |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215969415 PECOS PAC ID: 1759559396 Enrollment ID: I20110726000271 |
| Provider Name | Niyutchai Chaithongdi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952502700 PECOS PAC ID: 0749458388 Enrollment ID: I20110726000280 |
| Provider Name | Peggy A Sheldon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104857200 PECOS PAC ID: 7517154784 Enrollment ID: I20110726000286 |
| Provider Name | David J Theige |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245252816 PECOS PAC ID: 4385812924 Enrollment ID: I20110726000288 |
| Provider Name | Aaron Charles Gunderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922026574 PECOS PAC ID: 7517135114 Enrollment ID: I20110726000858 |
| Provider Name | Eric D Wiest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285898031 PECOS PAC ID: 1850569245 Enrollment ID: I20110801000186 |
| Provider Name | Monali Y Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417111303 PECOS PAC ID: 0749458131 Enrollment ID: I20110801000208 |
| Provider Name | Tochukwu Onuora |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558447961 PECOS PAC ID: 6901091404 Enrollment ID: I20110802000038 |
| Provider Name | Dinesh Bande |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1083866339 PECOS PAC ID: 9335318492 Enrollment ID: I20110805000140 |
| Provider Name | Ann L Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952696049 PECOS PAC ID: 6406025345 Enrollment ID: I20110809000776 |
| Provider Name | Stephen Neale Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720006307 PECOS PAC ID: 8628105392 Enrollment ID: I20110817000817 |
| Provider Name | Kirsten Catheleen S Juhl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902092620 PECOS PAC ID: 1951571470 Enrollment ID: I20110818000905 |
| Provider Name | Gopikrishna Paladugu |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1710140843 PECOS PAC ID: 5799955928 Enrollment ID: I20110826000170 |
| Provider Name | Ethan Bruehl Foster |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679693147 PECOS PAC ID: 5496925570 Enrollment ID: I20110829000116 |
| Provider Name | Maria L Weller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285656868 PECOS PAC ID: 3375713365 Enrollment ID: I20110830000744 |
| Provider Name | Jon A Machayya |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1437323557 PECOS PAC ID: 6608047212 Enrollment ID: I20110912000234 |
| Provider Name | Mohamed W Mohamed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568612968 PECOS PAC ID: 0749451227 Enrollment ID: I20110913000462 |
| Provider Name | Amber Lyn Szczepanski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073760237 PECOS PAC ID: 3779651559 Enrollment ID: I20110913000524 |
| Provider Name | Melissa A Kunkel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336334606 PECOS PAC ID: 9436320793 Enrollment ID: I20110915000894 |
| Provider Name | Derek M Brickner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346405602 PECOS PAC ID: 6002088325 Enrollment ID: I20111011000250 |
| Provider Name | Jason C Myrmoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003076894 PECOS PAC ID: 4183897887 Enrollment ID: I20111025000225 |
| Provider Name | Vijay Neelamegam Premnath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285834614 PECOS PAC ID: 0648443283 Enrollment ID: I20111027000259 |
| Provider Name | Elson T Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144510389 PECOS PAC ID: 5799958278 Enrollment ID: I20111027000867 |
| Provider Name | Daniel Wallace Dahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285884767 PECOS PAC ID: 8921271164 Enrollment ID: I20111102000947 |
| Provider Name | Mary M Nybakken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013163963 PECOS PAC ID: 1355514498 Enrollment ID: I20111104000338 |
| Provider Name | Andrea M Beiseker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023390663 PECOS PAC ID: 1052585619 Enrollment ID: I20111116000238 |
| Provider Name | Dharmesh R Mehta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992918023 PECOS PAC ID: 0840328167 Enrollment ID: I20111130000382 |
| Provider Name | Danial S Sturgill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992859664 PECOS PAC ID: 7113043340 Enrollment ID: I20111201000353 |
| Provider Name | Joellen M Kohlman Petrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114985454 PECOS PAC ID: 6103091129 Enrollment ID: I20111202000218 |
| Provider Name | Elizabeth Ann G Magee |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831473263 PECOS PAC ID: 3375718901 Enrollment ID: I20111209000732 |
| Provider Name | Susan M Wood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669777561 PECOS PAC ID: 2961678438 Enrollment ID: I20120104000763 |
| Provider Name | Lindsay J Hines |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568759868 PECOS PAC ID: 4880860212 Enrollment ID: I20120105000615 |
| Provider Name | Bryan C Cannon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942380373 PECOS PAC ID: 2163592619 Enrollment ID: I20120105000794 |
| Provider Name | Ariane Marie Getz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588945919 PECOS PAC ID: 6204003130 Enrollment ID: I20120118000330 |
| Provider Name | Sara J Skatvold |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770860322 PECOS PAC ID: 6305004383 Enrollment ID: I20120222000332 |
| Provider Name | Tracie J Christensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063785327 PECOS PAC ID: 7416115043 Enrollment ID: I20120228000393 |
| Provider Name | Thomas D Nagle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255359832 PECOS PAC ID: 6103084751 Enrollment ID: I20120228000574 |
| Provider Name | Sara B Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144592486 PECOS PAC ID: 3072772508 Enrollment ID: I20120302000026 |
| Provider Name | Brooke S Maatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760759302 PECOS PAC ID: 9739348640 Enrollment ID: I20120313000684 |
| Provider Name | Julie Mae Mears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508136003 PECOS PAC ID: 2163681883 Enrollment ID: I20120315000196 |
| Provider Name | John Christopher Asleson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114190493 PECOS PAC ID: 1254404536 Enrollment ID: I20120328000640 |
| Provider Name | Nina Rose Wentz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407128135 PECOS PAC ID: 1456512961 Enrollment ID: I20120410000490 |
| Provider Name | Jeffrey Reynald Keim |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639259310 PECOS PAC ID: 5092976522 Enrollment ID: I20120410000721 |
| Provider Name | Jana Suder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639442411 PECOS PAC ID: 7214198761 Enrollment ID: I20120411000102 |
| Provider Name | Kurt J Mathiason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073871141 PECOS PAC ID: 3072776558 Enrollment ID: I20120521000115 |
| Provider Name | Tracie T Newman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699967810 PECOS PAC ID: 0143484485 Enrollment ID: I20120618000054 |
| Provider Name | Michael S Currie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588743561 PECOS PAC ID: 4183625692 Enrollment ID: I20120725000604 |
| Provider Name | Justin M Horner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326169061 PECOS PAC ID: 3971696618 Enrollment ID: I20120725000904 |
| Provider Name | Stephanie Jean Corneliussen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255605762 PECOS PAC ID: 8628234192 Enrollment ID: I20120727000339 |
| Provider Name | Samuel Odame Anim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053514844 PECOS PAC ID: 3779739917 Enrollment ID: I20120803000467 |
| Provider Name | Rekha Kallamadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437483823 PECOS PAC ID: 3072769215 Enrollment ID: I20120803000540 |
| Provider Name | Kenneth D Grosz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821226887 PECOS PAC ID: 4082870951 Enrollment ID: I20120809000871 |
| Provider Name | Krishna Talluri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023246824 PECOS PAC ID: 4385890185 Enrollment ID: I20120810000125 |
| Provider Name | David W Newman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770759227 PECOS PAC ID: 5799968962 Enrollment ID: I20120810000131 |
| Provider Name | Viktorija Overiene |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952500803 PECOS PAC ID: 9436306719 Enrollment ID: I20120821000538 |
| Provider Name | Chelsey J Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992068555 PECOS PAC ID: 5193972065 Enrollment ID: I20120828000589 |
| Provider Name | Todd David Reil |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154355311 PECOS PAC ID: 6103894464 Enrollment ID: I20120829000551 |
| Provider Name | Maria Caroline Bell |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174529929 PECOS PAC ID: 0941102024 Enrollment ID: I20120831000549 |
| Provider Name | Stacy L Roers Irmen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578723789 PECOS PAC ID: 6608024930 Enrollment ID: I20120912000149 |
| Provider Name | Chantee S Gruenhagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457615155 PECOS PAC ID: 6204084189 Enrollment ID: I20120918000806 |
| Provider Name | Andrew M Bakken |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376648113 PECOS PAC ID: 2163556267 Enrollment ID: I20120921000058 |
| Provider Name | Ismail L Bekdash |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386814044 PECOS PAC ID: 8820246507 Enrollment ID: I20120921000509 |
| Provider Name | Ryan Douglas Reynolds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568662252 PECOS PAC ID: 2668621186 Enrollment ID: I20120927000100 |
| Provider Name | Bradley W Kohoutek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649406703 PECOS PAC ID: 4688823388 Enrollment ID: I20121011000917 |
| Provider Name | Benjamin C Noonan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326222514 PECOS PAC ID: 5890945208 Enrollment ID: I20121020000025 |
| Provider Name | Christine Marie Keup |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083876361 PECOS PAC ID: 4880844299 Enrollment ID: I20121020000035 |
| Provider Name | Gracia Erickson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356439053 PECOS PAC ID: 1052561271 Enrollment ID: I20121024000870 |
| Provider Name | Jason M Erpelding |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1013131325 PECOS PAC ID: 8628228798 Enrollment ID: I20121025000661 |
| Provider Name | Yulia K Khan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1386808368 PECOS PAC ID: 0244384022 Enrollment ID: I20121031000133 |
| Provider Name | Melanie A Noonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619238078 PECOS PAC ID: 9335390137 Enrollment ID: I20121102000320 |
| Provider Name | Paul B Lamb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386769404 PECOS PAC ID: 6901061043 Enrollment ID: I20121102000340 |
| Provider Name | Anthony N Brown |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053348755 PECOS PAC ID: 1052362175 Enrollment ID: I20121102000369 |
| Provider Name | Cheryl A Hysjulien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750330338 PECOS PAC ID: 2567613292 Enrollment ID: I20121106000437 |
| Provider Name | Julie A Kenien Erpelding |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538387253 PECOS PAC ID: 9133370695 Enrollment ID: I20121108000604 |
| Provider Name | Stacy Lynn Krueger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285980565 PECOS PAC ID: 0345491650 Enrollment ID: I20121114000662 |
| Provider Name | Brianna K Srnsky |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750632352 PECOS PAC ID: 5395996565 Enrollment ID: I20121115000618 |
| Provider Name | Ashley A Woitzel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184972275 PECOS PAC ID: 2466604368 Enrollment ID: I20121128000318 |
| Provider Name | Cheri B Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215287495 PECOS PAC ID: 4284886193 Enrollment ID: I20121128000330 |
| Provider Name | Jedidiah J Perkerewicz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548469208 PECOS PAC ID: 4688846108 Enrollment ID: I20121128000381 |
| Provider Name | Carrie M Brower- Breitwieser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811231962 PECOS PAC ID: 2466604426 Enrollment ID: I20121220000431 |
| Provider Name | Kurt R Eeg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558542738 PECOS PAC ID: 5092897991 Enrollment ID: I20130124000165 |
| Provider Name | Leif N Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437495447 PECOS PAC ID: 7517111867 Enrollment ID: I20130214000106 |
| Provider Name | Sunita Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457650566 PECOS PAC ID: 5991950719 Enrollment ID: I20130228000453 |
| Provider Name | Gregory Gerald Ausmus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437202496 PECOS PAC ID: 7315091188 Enrollment ID: I20130306000426 |
| Provider Name | Jeremy A Herbrandson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124366216 PECOS PAC ID: 5193960375 Enrollment ID: I20130315000352 |
| Provider Name | Heather K Ouradnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851665814 PECOS PAC ID: 1254596612 Enrollment ID: I20130403000234 |
| Provider Name | Jennifer A Hoggarth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104167402 PECOS PAC ID: 8123264413 Enrollment ID: I20130410000551 |
| Provider Name | Rachel Kvasager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134468192 PECOS PAC ID: 1456598499 Enrollment ID: I20130510000074 |
| Provider Name | Jessica L Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659617173 PECOS PAC ID: 7618115270 Enrollment ID: I20130521000718 |
| Provider Name | Joyoti Saha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851624944 PECOS PAC ID: 6608042809 Enrollment ID: I20130523000199 |
| Provider Name | Shawna L Rode |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407071400 PECOS PAC ID: 6800034844 Enrollment ID: I20130603000166 |
| Provider Name | Eugeniu Muntean |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407017882 PECOS PAC ID: 4981758083 Enrollment ID: I20130605000462 |
| Provider Name | Lacey L Armstrong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942520325 PECOS PAC ID: 8628218658 Enrollment ID: I20130715000639 |
| Provider Name | Luis Casas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679541841 PECOS PAC ID: 5597796938 Enrollment ID: I20130716000915 |
| Provider Name | Clifford T Mauriello |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366604878 PECOS PAC ID: 7517107428 Enrollment ID: I20130716000919 |
| Provider Name | Vitaliy Starosta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336443233 PECOS PAC ID: 1153562053 Enrollment ID: I20130718000231 |
| Provider Name | Devendranath R Mannuru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023273273 PECOS PAC ID: 1456539931 Enrollment ID: I20130723000828 |
| Provider Name | Laura A Davis Keppen |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1356394324 PECOS PAC ID: 0547231078 Enrollment ID: I20130723000856 |
| Provider Name | Avish Nagpal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922250273 PECOS PAC ID: 2668598178 Enrollment ID: I20130730000255 |
| Provider Name | Adam Wesley Jackson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881801694 PECOS PAC ID: 0244481042 Enrollment ID: I20130731000423 |
| Provider Name | Karim B Rashid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720311921 PECOS PAC ID: 5698916708 Enrollment ID: I20130731000700 |
| Provider Name | Samy M Heshmat |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124218664 PECOS PAC ID: 9234370354 Enrollment ID: I20130731000799 |
| Provider Name | Jantey Y Carey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396181509 PECOS PAC ID: 2466693585 Enrollment ID: I20130731000826 |
| Provider Name | Shahmohammed F Parves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538394838 PECOS PAC ID: 8123269255 Enrollment ID: I20130801000037 |
| Provider Name | Leah M Hochstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457799652 PECOS PAC ID: 5799926838 Enrollment ID: I20130801000155 |
| Provider Name | Ryan J Agema |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124214366 PECOS PAC ID: 2062544364 Enrollment ID: I20130812000390 |
| Provider Name | Alicia A Glynn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437364155 PECOS PAC ID: 0143465567 Enrollment ID: I20130819000208 |
| Provider Name | Kari A Casas |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1497723662 PECOS PAC ID: 9234117938 Enrollment ID: I20130819000700 |
| Provider Name | Chris L Cleveland |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1982693875 PECOS PAC ID: 6901052471 Enrollment ID: I20130826000422 |
| Provider Name | April A Hess |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932408812 PECOS PAC ID: 0547403495 Enrollment ID: I20130826000582 |
| Provider Name | Kara J Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578708228 PECOS PAC ID: 6800946013 Enrollment ID: I20130826001014 |
| Provider Name | Jennifer Lynn Mullally |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871814863 PECOS PAC ID: 6709059074 Enrollment ID: I20130828000639 |
| Provider Name | Bruce T Amundson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679602999 PECOS PAC ID: 9739322173 Enrollment ID: I20130903000821 |
| Provider Name | Jeremy F Brudevold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699094748 PECOS PAC ID: 7214170620 Enrollment ID: I20130904000896 |
| Provider Name | Matthew J Mcleod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477870681 PECOS PAC ID: 3274704648 Enrollment ID: I20130910000414 |
| Provider Name | James G Kappenman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235369604 PECOS PAC ID: 2769626670 Enrollment ID: I20130916000342 |
| Provider Name | Kristine E Martens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477867943 PECOS PAC ID: 6507000247 Enrollment ID: I20130918000565 |
| Provider Name | Alissa Jo Hoban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861830275 PECOS PAC ID: 0244474823 Enrollment ID: I20130920000732 |
| Provider Name | Syed Hassan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1063638989 PECOS PAC ID: 7416191739 Enrollment ID: I20130926000151 |
| Provider Name | Mian Mansoor Javaid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184960452 PECOS PAC ID: 3173757101 Enrollment ID: I20131007001316 |
| Provider Name | Peter Biegler |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164683363 PECOS PAC ID: 8325111537 Enrollment ID: I20131009000561 |
| Provider Name | Taylor F Dowsley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518926534 PECOS PAC ID: 8426063124 Enrollment ID: I20131021001529 |
| Provider Name | Jill M Briggs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730198946 PECOS PAC ID: 2860496650 Enrollment ID: I20131023001581 |
| Provider Name | Ravinda Samaraweera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053573287 PECOS PAC ID: 5294960860 Enrollment ID: I20131107000438 |
| Provider Name | Darin T Leetun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225080476 PECOS PAC ID: 8729074331 Enrollment ID: I20131111000604 |
| Provider Name | Andrea Leigh Nettermoe Kaster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033150024 PECOS PAC ID: 9638072259 Enrollment ID: I20131111001264 |
| Provider Name | Amber D Strobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972938843 PECOS PAC ID: 0244466647 Enrollment ID: I20131113000456 |
| Provider Name | Katherine Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396184123 PECOS PAC ID: 1951537869 Enrollment ID: I20131125001239 |
| Provider Name | Richelle M Knudson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1811149156 PECOS PAC ID: 3375689805 Enrollment ID: I20131126001031 |
| Provider Name | Kari J Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356770036 PECOS PAC ID: 9335376482 Enrollment ID: I20131216001589 |
| Provider Name | Jau-shin Lou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669489597 PECOS PAC ID: 4183785017 Enrollment ID: I20131219001907 |
| Provider Name | Seth A Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528210879 PECOS PAC ID: 9133367998 Enrollment ID: I20131220000820 |
| Provider Name | Robyn Maley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609205988 PECOS PAC ID: 6800023599 Enrollment ID: I20140109000222 |
| Provider Name | Lenae R Frolek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134393135 PECOS PAC ID: 6507945953 Enrollment ID: I20140228001319 |
| Provider Name | Rebecca Ann Kiecker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043599277 PECOS PAC ID: 2466623673 Enrollment ID: I20140414000436 |
| Provider Name | Mentor Ahmeti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831386077 PECOS PAC ID: 3274766803 Enrollment ID: I20140505002313 |
| Provider Name | Stephen S Devaney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841381589 PECOS PAC ID: 4385603497 Enrollment ID: I20140515002134 |
| Provider Name | Jennifer J Cross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689098717 PECOS PAC ID: 9335362193 Enrollment ID: I20140523000050 |
| Provider Name | April Alisa Qualley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770849911 PECOS PAC ID: 2163653619 Enrollment ID: I20140528002311 |
| Provider Name | Arveity R Setty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174755615 PECOS PAC ID: 2769623032 Enrollment ID: I20140609002422 |
| Provider Name | Cody Chathams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528485141 PECOS PAC ID: 0143444893 Enrollment ID: I20140619000526 |
| Provider Name | Jerrod Hann |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760511752 PECOS PAC ID: 0840415394 Enrollment ID: I20140625002661 |
| Provider Name | Andrew M Terrell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720285323 PECOS PAC ID: 3779747134 Enrollment ID: I20140814001939 |
| Provider Name | Abiola Victoria Fashanu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457582074 PECOS PAC ID: 6901023878 Enrollment ID: I20140818000458 |
| Provider Name | David Saxon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689607418 PECOS PAC ID: 6800843848 Enrollment ID: I20140818002695 |
| Provider Name | Marleigh M Lybeck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063827558 PECOS PAC ID: 5597983049 Enrollment ID: I20140826001271 |
| Provider Name | Ashley G Huot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700291895 PECOS PAC ID: 6103044474 Enrollment ID: I20140828000035 |
| Provider Name | Mariah D Laver Juanto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629401567 PECOS PAC ID: 5294953352 Enrollment ID: I20140902002021 |
| Provider Name | Erica L Argall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770899981 PECOS PAC ID: 2860610839 Enrollment ID: I20140904001713 |
| Provider Name | Monique B Nchotu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336475979 PECOS PAC ID: 6709005648 Enrollment ID: I20140908002782 |
| Provider Name | Andrew J Burgard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922391515 PECOS PAC ID: 4486899143 Enrollment ID: I20140909000005 |
| Provider Name | Jason M Van Valkenburg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093001042 PECOS PAC ID: 5395964118 Enrollment ID: I20140909002855 |
| Provider Name | Chandra S Thondapi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073811287 PECOS PAC ID: 9739308214 Enrollment ID: I20140915002699 |
| Provider Name | Scott A Engum |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194705806 PECOS PAC ID: 9133133572 Enrollment ID: I20140916000022 |
| Provider Name | Nils-erik J Juanto Laver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306274600 PECOS PAC ID: 3476772708 Enrollment ID: I20140917003166 |
| Provider Name | Christopher G Pribula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902197080 PECOS PAC ID: 8426277708 Enrollment ID: I20140918001506 |
| Provider Name | Cindy Sondag |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598050189 PECOS PAC ID: 5799904926 Enrollment ID: I20140919001053 |
| Provider Name | Donald R Gullicks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619288602 PECOS PAC ID: 4183851041 Enrollment ID: I20140919001731 |
| Provider Name | Arslan Arshad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538582911 PECOS PAC ID: 4789803941 Enrollment ID: I20140919002317 |
| Provider Name | Dane A Breker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750519153 PECOS PAC ID: 0749424463 Enrollment ID: I20140924001299 |
| Provider Name | Samantha J Perleberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083992002 PECOS PAC ID: 8628291366 Enrollment ID: I20140924002630 |
| Provider Name | Amer A Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477862563 PECOS PAC ID: 5496975203 Enrollment ID: I20140930000481 |
| Provider Name | Lacey J Krebsbach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205148673 PECOS PAC ID: 0345479101 Enrollment ID: I20140930002950 |
| Provider Name | Matthew Walter Miller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942416714 PECOS PAC ID: 5496909566 Enrollment ID: I20141008001926 |
| Provider Name | Rishi Seth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962790832 PECOS PAC ID: 0840411658 Enrollment ID: I20141020002830 |
| Provider Name | Thaslim Kassim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518116680 PECOS PAC ID: 1456502590 Enrollment ID: I20141021000014 |
| Provider Name | Allison J Clapp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366694614 PECOS PAC ID: 2264587369 Enrollment ID: I20141021003230 |
| Provider Name | Tong Yang |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427169788 PECOS PAC ID: 7810139987 Enrollment ID: I20141022002350 |
| Provider Name | Kayla Burchill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720217425 PECOS PAC ID: 3577784941 Enrollment ID: I20141028002170 |
| Provider Name | Lakshmi Kant Pathak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467616128 PECOS PAC ID: 7113198706 Enrollment ID: I20141028002410 |
| Provider Name | Michael David Manchak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265674873 PECOS PAC ID: 6305067711 Enrollment ID: I20141029000844 |
| Provider Name | Jaimie J Deraney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629096367 PECOS PAC ID: 3476528001 Enrollment ID: I20141031001897 |
| Provider Name | Jacob A Fish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093003212 PECOS PAC ID: 5193958668 Enrollment ID: I20141110000476 |
| Provider Name | Denise E Erlandson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104231901 PECOS PAC ID: 2163644808 Enrollment ID: I20141112001193 |
| Provider Name | Brittany N Gannarelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083021059 PECOS PAC ID: 0143442749 Enrollment ID: I20141114002320 |
| Provider Name | Amanda R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982011979 PECOS PAC ID: 1153643861 Enrollment ID: I20141209000611 |
| Provider Name | Joshua T Kindelan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538222104 PECOS PAC ID: 5193941292 Enrollment ID: I20141226000017 |
| Provider Name | Adrienne M Carlsson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598168601 PECOS PAC ID: 9436472479 Enrollment ID: I20141226000558 |
| Provider Name | Roxanne V Newman |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1033146543 PECOS PAC ID: 2769391143 Enrollment ID: I20141229000038 |
| Provider Name | John Tinjum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093953366 PECOS PAC ID: 3173846086 Enrollment ID: I20141230000908 |
| Provider Name | Kari L Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336542562 PECOS PAC ID: 0749503258 Enrollment ID: I20150107002384 |
| Provider Name | Melinda Sue Picard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407140460 PECOS PAC ID: 8921241431 Enrollment ID: I20150108000368 |
| Provider Name | Patricia Jean Moos |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275826810 PECOS PAC ID: 2769630813 Enrollment ID: I20150109001899 |
| Provider Name | Dagny M Oliver |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306173703 PECOS PAC ID: 5395792410 Enrollment ID: I20150127000479 |
| Provider Name | Brennan M Forward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659663557 PECOS PAC ID: 5092936096 Enrollment ID: I20150312002586 |
| Provider Name | Amanda M Oney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205240900 PECOS PAC ID: 7810117876 Enrollment ID: I20150317000071 |
| Provider Name | Marissa Weingarten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447649819 PECOS PAC ID: 3375860687 Enrollment ID: I20150326000216 |
| Provider Name | Tyler Mark Hagen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508127812 PECOS PAC ID: 4284886300 Enrollment ID: I20150409002005 |
| Provider Name | Alison N Erickson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386034940 PECOS PAC ID: 3476871542 Enrollment ID: I20150422000019 |
| Provider Name | Giles W Mcneill |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1417022716 PECOS PAC ID: 5597861989 Enrollment ID: I20150521000857 |
| Provider Name | Jennie Cornell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437380763 PECOS PAC ID: 3173662046 Enrollment ID: I20150603001735 |
| Provider Name | Leann M Cimbura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194045963 PECOS PAC ID: 0345561031 Enrollment ID: I20150605002670 |
| Provider Name | Krunal K Talati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871889220 PECOS PAC ID: 5698098689 Enrollment ID: I20150605002878 |
| Provider Name | Megan H Askelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740692482 PECOS PAC ID: 2264757442 Enrollment ID: I20150625001039 |
| Provider Name | Trudy Shady |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417940354 PECOS PAC ID: 0840194718 Enrollment ID: I20150710002523 |
| Provider Name | Richard M Penney |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1992949325 PECOS PAC ID: 8022149806 Enrollment ID: I20150723006572 |
| Provider Name | Ryan James Smart |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1386849446 PECOS PAC ID: 2264695279 Enrollment ID: I20150729007956 |
| Provider Name | Jonathan C Olivas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942599048 PECOS PAC ID: 5698918977 Enrollment ID: I20150812009286 |
| Provider Name | Abhishek Matta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760738678 PECOS PAC ID: 5395050546 Enrollment ID: I20150817001984 |
| Provider Name | Brian J Hamm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952542995 PECOS PAC ID: 4981919016 Enrollment ID: I20150818004711 |
| Provider Name | Christopher P Irmen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093078479 PECOS PAC ID: 8325272123 Enrollment ID: I20150819009429 |
| Provider Name | Stephanie Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891179701 PECOS PAC ID: 0042525867 Enrollment ID: I20150821014201 |
| Provider Name | Rachael L Niemeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598148918 PECOS PAC ID: 3577879378 Enrollment ID: I20150824002159 |
| Provider Name | Raul Ruiz Esponda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629304738 PECOS PAC ID: 8325296791 Enrollment ID: I20150824002407 |
| Provider Name | Tamara J Jacobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952696320 PECOS PAC ID: 6204083074 Enrollment ID: I20150825005458 |
| Provider Name | Chad Ficek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629324793 PECOS PAC ID: 8527374289 Enrollment ID: I20150826002314 |
| Provider Name | Vanessa Skolness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710321526 PECOS PAC ID: 1759697352 Enrollment ID: I20150827001157 |
| Provider Name | Peter Joachim Niemann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669602918 PECOS PAC ID: 1557517950 Enrollment ID: I20150828001148 |
| Provider Name | Taryn N Boom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669855151 PECOS PAC ID: 1153637665 Enrollment ID: I20150828001800 |
| Provider Name | Miran J Blanchard |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629369830 PECOS PAC ID: 4385813294 Enrollment ID: I20150831001720 |
| Provider Name | Soamsiri Niwattisaiwong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396056123 PECOS PAC ID: 0446566756 Enrollment ID: I20150901003071 |
| Provider Name | Cyd C Sanchez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225419872 PECOS PAC ID: 4688980907 Enrollment ID: I20150901003270 |
| Provider Name | Timothy S Bischof |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871607945 PECOS PAC ID: 7618971516 Enrollment ID: I20150903001621 |
| Provider Name | Bruce Grant Lyman Bishop |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174693733 PECOS PAC ID: 5395638142 Enrollment ID: I20150908000054 |
| Provider Name | Alexander Drofa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568805927 PECOS PAC ID: 3072820992 Enrollment ID: I20150909002699 |
| Provider Name | Brent G Nichols |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275858714 PECOS PAC ID: 0345557278 Enrollment ID: I20150909003069 |
| Provider Name | Teresa L Rittenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679956635 PECOS PAC ID: 6305153164 Enrollment ID: I20150911001070 |
| Provider Name | Angela M Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821472143 PECOS PAC ID: 6406163187 Enrollment ID: I20150911002189 |
| Provider Name | John P Naughton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487917340 PECOS PAC ID: 1850608597 Enrollment ID: I20150914001495 |
| Provider Name | Jennifer L Brottlund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114288933 PECOS PAC ID: 4183862154 Enrollment ID: I20150917002243 |
| Provider Name | Tiffany Ann Doyle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023370061 PECOS PAC ID: 8628385713 Enrollment ID: I20150922003234 |
| Provider Name | Natalie M Aughinbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629453444 PECOS PAC ID: 2062729049 Enrollment ID: I20150923003250 |
| Provider Name | Stephanie A Hakel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487972386 PECOS PAC ID: 3577871391 Enrollment ID: I20150928003059 |
| Provider Name | Brody R Dreger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619268042 PECOS PAC ID: 7719295427 Enrollment ID: I20150930000329 |
| Provider Name | Johanna R Askegard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083694608 PECOS PAC ID: 7517990658 Enrollment ID: I20150930001185 |
| Provider Name | Benjamin A Holten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629468582 PECOS PAC ID: 8527388446 Enrollment ID: I20151001002563 |
| Provider Name | Sandra E Vause |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1720150600 PECOS PAC ID: 3577515667 Enrollment ID: I20151002000505 |
| Provider Name | Laura M Nichols |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831465269 PECOS PAC ID: 1355659764 Enrollment ID: I20151005003281 |
| Provider Name | Brian W Richard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043601883 PECOS PAC ID: 2668784737 Enrollment ID: I20151019001481 |
| Provider Name | Daniel M Tuvin |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1174785984 PECOS PAC ID: 7618110909 Enrollment ID: I20151020000277 |
| Provider Name | Caroline Wangui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881061786 PECOS PAC ID: 7315256807 Enrollment ID: I20151023000894 |
| Provider Name | Stephanie H Critchley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851422398 PECOS PAC ID: 3476657412 Enrollment ID: I20151120000481 |
| Provider Name | Nicole Ann Kiewel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437521366 PECOS PAC ID: 0446550610 Enrollment ID: I20151120001009 |
| Provider Name | Carolyn C Klehr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578829032 PECOS PAC ID: 0345497798 Enrollment ID: I20151203003240 |
| Provider Name | Glenn R Figueroa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437149408 PECOS PAC ID: 1052338571 Enrollment ID: I20151221000778 |
| Provider Name | Kara A Richardson-cline |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447656723 PECOS PAC ID: 3173849114 Enrollment ID: I20151222001045 |
| Provider Name | Sharri M Lacher |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316315385 PECOS PAC ID: 5890097307 Enrollment ID: I20151230000325 |
| Provider Name | Jeffrey T Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245641760 PECOS PAC ID: 9931401478 Enrollment ID: I20151230001111 |
| Provider Name | Graham J Andrist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447679733 PECOS PAC ID: 8022233089 Enrollment ID: I20160108001261 |
| Provider Name | Jerry R Rittenhouse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831124916 PECOS PAC ID: 8921075607 Enrollment ID: I20160119001331 |
| Provider Name | Heather L Marcella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174930309 PECOS PAC ID: 1355663022 Enrollment ID: I20160128002551 |
| Provider Name | Puneet Sharma |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184808354 PECOS PAC ID: 6507012119 Enrollment ID: I20160219001425 |
| Provider Name | Tyler Scott Kunkel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154788503 PECOS PAC ID: 7719283423 Enrollment ID: I20160307001269 |
| Provider Name | Tuan G Bui |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1548385065 PECOS PAC ID: 5092989301 Enrollment ID: I20160314001750 |
| Provider Name | Sarah L Rumpf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477956357 PECOS PAC ID: 3577885870 Enrollment ID: I20160314002260 |
| Provider Name | Patricia C Nelson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093944225 PECOS PAC ID: 5193044576 Enrollment ID: I20160315000731 |
| Provider Name | Amanda M Lausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679933345 PECOS PAC ID: 8224334354 Enrollment ID: I20160315002414 |
| Provider Name | Peter W Levasseur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093729519 PECOS PAC ID: 7719932466 Enrollment ID: I20160328000672 |
| Provider Name | Nicole M Nelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346609229 PECOS PAC ID: 5890092274 Enrollment ID: I20160330001069 |
| Provider Name | Gabriel M Garber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588632830 PECOS PAC ID: 4688632953 Enrollment ID: I20160330001286 |
| Provider Name | Amy L Ochsendorf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831346873 PECOS PAC ID: 8527222645 Enrollment ID: I20160331002470 |
| Provider Name | Aaron Roy Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043650302 PECOS PAC ID: 6507163664 Enrollment ID: I20160405000996 |
| Provider Name | Richard Lowell Hardcastle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952308769 PECOS PAC ID: 9537139373 Enrollment ID: I20160411002226 |
| Provider Name | Brooke J Keller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245692680 PECOS PAC ID: 6709184195 Enrollment ID: I20160419001144 |
| Provider Name | Brianna J Crawford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285005991 PECOS PAC ID: 8729398276 Enrollment ID: I20160421002016 |
| Provider Name | Douglas Marlin Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700856911 PECOS PAC ID: 5799672663 Enrollment ID: I20160425002368 |
| Provider Name | Bridgette A Bumann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447613021 PECOS PAC ID: 2365741956 Enrollment ID: I20160503002173 |
| Provider Name | Donald A Jurivich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184737009 PECOS PAC ID: 5092875955 Enrollment ID: I20160504001147 |
| Provider Name | Amanda L Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831543388 PECOS PAC ID: 0446549687 Enrollment ID: I20160511002278 |
| Provider Name | Jennifer Blais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326438649 PECOS PAC ID: 5395061949 Enrollment ID: I20160516001462 |
| Provider Name | Christa Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275908196 PECOS PAC ID: 8426347261 Enrollment ID: I20160517001968 |
| Provider Name | Evgueni Kouznetsov |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790150332 PECOS PAC ID: 0042509572 Enrollment ID: I20160523001105 |
| Provider Name | Katie A Prothero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801258280 PECOS PAC ID: 1557652062 Enrollment ID: I20160613002571 |
| Provider Name | Israr A Sheikh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396038162 PECOS PAC ID: 4082905468 Enrollment ID: I20160614002423 |
| Provider Name | Jared R Gervais |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578872651 PECOS PAC ID: 9739307406 Enrollment ID: I20160630000532 |
| Provider Name | Mario Matos-cruz |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1588868616 PECOS PAC ID: 9931011293 Enrollment ID: I20160630000911 |
| Provider Name | Ashley N Rogers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881043768 PECOS PAC ID: 4284926528 Enrollment ID: I20160707001394 |
| Provider Name | Molly A Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285081323 PECOS PAC ID: 2567754393 Enrollment ID: I20160714001067 |
| Provider Name | Jacqueline Materi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881088383 PECOS PAC ID: 8820319833 Enrollment ID: I20160715001578 |
| Provider Name | Diane K Woolsey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285716571 PECOS PAC ID: 1254624976 Enrollment ID: I20160718002405 |
| Provider Name | Joanne R Montgomery |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1609040427 PECOS PAC ID: 2860661519 Enrollment ID: I20160719001385 |
| Provider Name | Zulfiqar Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558677310 PECOS PAC ID: 2466745930 Enrollment ID: I20160720002312 |
| Provider Name | Ashley Ruesink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730535386 PECOS PAC ID: 5890088769 Enrollment ID: I20160729001620 |
| Provider Name | Michael S Nillas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649282658 PECOS PAC ID: 8729084157 Enrollment ID: I20160801001567 |
| Provider Name | Manisha Balhara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457594079 PECOS PAC ID: 5496901001 Enrollment ID: I20160805000804 |
| Provider Name | Elizabeth J Roeber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457791352 PECOS PAC ID: 2860786266 Enrollment ID: I20160808002511 |
| Provider Name | Nicholee J Roesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144671645 PECOS PAC ID: 1052605466 Enrollment ID: I20160808002797 |
| Provider Name | Alison Hornyak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295051670 PECOS PAC ID: 4082914262 Enrollment ID: I20160809000506 |
| Provider Name | Carlos D Miranda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235446865 PECOS PAC ID: 4981913068 Enrollment ID: I20160810002545 |
| Provider Name | Eric Patrick Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962729327 PECOS PAC ID: 3375850332 Enrollment ID: I20160815001100 |
| Provider Name | Chelsea R Traverse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235576661 PECOS PAC ID: 6002056488 Enrollment ID: I20160815002740 |
| Provider Name | Thomas Philip Kennedy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881985182 PECOS PAC ID: 0345474185 Enrollment ID: I20160815002907 |
| Provider Name | Jason A Clark |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295983427 PECOS PAC ID: 4688826613 Enrollment ID: I20160817001495 |
| Provider Name | Carla Aberle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275984635 PECOS PAC ID: 5698060432 Enrollment ID: I20160818001520 |
| Provider Name | Alexander Ernest |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952387078 PECOS PAC ID: 9032233952 Enrollment ID: I20160819000541 |
| Provider Name | Justin Jackson Rosenau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275973091 PECOS PAC ID: 7113243064 Enrollment ID: I20160823001266 |
| Provider Name | Carla A Grossoli |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568778991 PECOS PAC ID: 0244542801 Enrollment ID: I20160826001546 |
| Provider Name | Adam D Currier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487882395 PECOS PAC ID: 3375785983 Enrollment ID: I20160829002741 |
| Provider Name | Amanda Helmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043660954 PECOS PAC ID: 0143516161 Enrollment ID: I20160831000183 |
| Provider Name | Rohit Mahajan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720371602 PECOS PAC ID: 6608162664 Enrollment ID: I20160831001652 |
| Provider Name | Erica Leigh Martin-macintosh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124344858 PECOS PAC ID: 0648441741 Enrollment ID: I20160831002295 |
| Provider Name | Jessica Anne Silveri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194175422 PECOS PAC ID: 9032405972 Enrollment ID: I20160901001305 |
| Provider Name | Carrie Pfaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265885867 PECOS PAC ID: 2264728773 Enrollment ID: I20160909001246 |
| Provider Name | Jody N Huber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558564567 PECOS PAC ID: 5991955304 Enrollment ID: I20160916001838 |
| Provider Name | Stephanie R Antony |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568705002 PECOS PAC ID: 5496985160 Enrollment ID: I20160920002049 |
| Provider Name | Amy Joy Bro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114314093 PECOS PAC ID: 8123336708 Enrollment ID: I20160921000940 |
| Provider Name | Joshua E Jost |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164834289 PECOS PAC ID: 1658668314 Enrollment ID: I20160922002690 |
| Provider Name | Kyle David Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588959472 PECOS PAC ID: 1557681277 Enrollment ID: I20160923000555 |
| Provider Name | Allison L Hetland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336412352 PECOS PAC ID: 9537387576 Enrollment ID: I20160929001986 |
| Provider Name | Jessie S Lindemann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427492677 PECOS PAC ID: 0042520199 Enrollment ID: I20161003001658 |
| Provider Name | Jean Marie Mcgowan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083046916 PECOS PAC ID: 0345538997 Enrollment ID: I20161013001727 |
| Provider Name | Mojgan Arashvand |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487669859 PECOS PAC ID: 9436154234 Enrollment ID: I20161025001070 |
| Provider Name | Melanie A Chihak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124342662 PECOS PAC ID: 4789826645 Enrollment ID: I20161028000571 |
| Provider Name | David Francis Moore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477742906 PECOS PAC ID: 3577747138 Enrollment ID: I20161104001623 |
| Provider Name | William Ma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396854345 PECOS PAC ID: 3476518382 Enrollment ID: I20161108000685 |
| Provider Name | Toni Sturman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134678675 PECOS PAC ID: 8527347020 Enrollment ID: I20161123001408 |
| Provider Name | Mariah N Fevig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871042036 PECOS PAC ID: 0547540734 Enrollment ID: I20161205001559 |
| Provider Name | Veronika Lanoue |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558803148 PECOS PAC ID: 0941580187 Enrollment ID: I20161206001056 |
| Provider Name | Jordan L Rohrich |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316330350 PECOS PAC ID: 2163742545 Enrollment ID: I20161208002006 |
| Provider Name | Cheryl Ellen Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558813048 PECOS PAC ID: 8527348499 Enrollment ID: I20161212000488 |
| Provider Name | Tiffany J Eblen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174981831 PECOS PAC ID: 5092011601 Enrollment ID: I20161215001219 |
| Provider Name | George S Davis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225339856 PECOS PAC ID: 2567612302 Enrollment ID: I20170109000740 |
| Provider Name | Jean A Hinrichsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255786281 PECOS PAC ID: 4880976489 Enrollment ID: I20170113002338 |
| Provider Name | Sadie R Becher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922558170 PECOS PAC ID: 6103108253 Enrollment ID: I20170125000497 |
| Provider Name | Thomas C Herrmann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134664048 PECOS PAC ID: 4587946322 Enrollment ID: I20170131001386 |
| Provider Name | Kayla Dawn Stiles |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689110553 PECOS PAC ID: 8729361514 Enrollment ID: I20170201000873 |
| Provider Name | Katelynn Ryan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861939639 PECOS PAC ID: 3072896026 Enrollment ID: I20170216002667 |
| Provider Name | Steffany K. Moen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659696896 PECOS PAC ID: 5395987317 Enrollment ID: I20170228000723 |
| Provider Name | Grant D Syverson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316033749 PECOS PAC ID: 7315125432 Enrollment ID: I20170301001803 |
| Provider Name | Jordan Idso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023555174 PECOS PAC ID: 8527342609 Enrollment ID: I20170309001771 |
| Provider Name | Cara Schagunn Lere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871603167 PECOS PAC ID: 4082999065 Enrollment ID: I20170315001028 |
| Provider Name | Julie A Honeyman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013454818 PECOS PAC ID: 6901181551 Enrollment ID: I20170321002638 |
| Provider Name | Kathy M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285170530 PECOS PAC ID: 4981989597 Enrollment ID: I20170322002108 |
| Provider Name | Ivan Martic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336686898 PECOS PAC ID: 0749565257 Enrollment ID: I20170324001125 |
| Provider Name | Tracey Dillon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295288926 PECOS PAC ID: 7012203037 Enrollment ID: I20170403002241 |
| Provider Name | Aretas Braziunas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265681258 PECOS PAC ID: 0547320947 Enrollment ID: I20170407000931 |
| Provider Name | Andrea M Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245772359 PECOS PAC ID: 4688950504 Enrollment ID: I20170407001129 |
| Provider Name | Autumn R Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770037368 PECOS PAC ID: 4082990668 Enrollment ID: I20170413002027 |
| Provider Name | Marcus F Keep |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164438743 PECOS PAC ID: 8022902402 Enrollment ID: I20170419001625 |
| Provider Name | Julie A Thompson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962462085 PECOS PAC ID: 7416947288 Enrollment ID: I20170420001311 |
| Provider Name | Yoftahe Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396156881 PECOS PAC ID: 6800172040 Enrollment ID: I20170424001743 |
| Provider Name | Sarah K Underhill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871024919 PECOS PAC ID: 5890072243 Enrollment ID: I20170511002883 |
| Provider Name | Sheryl M Sahr |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1912178948 PECOS PAC ID: 4284705682 Enrollment ID: I20170616002234 |
| Provider Name | Richard J Bartl |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316018906 PECOS PAC ID: 6608962204 Enrollment ID: I20170713001593 |
| Provider Name | Luc Dupont Jasmin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083623193 PECOS PAC ID: 1355360256 Enrollment ID: I20170717001545 |
| Provider Name | Jagila Minso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336569185 PECOS PAC ID: 0143591206 Enrollment ID: I20170808001204 |
| Provider Name | Radha Krishna Rao Vegunta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750669214 PECOS PAC ID: 0244534949 Enrollment ID: I20170815002797 |
| Provider Name | Jacqueline L Berglund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538589163 PECOS PAC ID: 9234359274 Enrollment ID: I20170816001863 |
| Provider Name | Madalyn C Muldoon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558895664 PECOS PAC ID: 0345527024 Enrollment ID: I20170821003572 |
| Provider Name | Adisa Jones |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043430010 PECOS PAC ID: 4284890237 Enrollment ID: I20170823004086 |
| Provider Name | Thomas Raymond Lovas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1245233584 PECOS PAC ID: 9537148424 Enrollment ID: I20170824002826 |
| Provider Name | Emily S Greenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205364403 PECOS PAC ID: 5597038257 Enrollment ID: I20170831003061 |
| Provider Name | Frederick Meyer Kieley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306263868 PECOS PAC ID: 7517265267 Enrollment ID: I20170901002586 |
| Provider Name | Venkatkiran Kanchustambham |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851602999 PECOS PAC ID: 3678870508 Enrollment ID: I20170905002387 |
| Provider Name | Rebecca Schreier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992123954 PECOS PAC ID: 7719250943 Enrollment ID: I20170908002328 |
| Provider Name | Jenna R Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093236572 PECOS PAC ID: 2769755990 Enrollment ID: I20170908002532 |
| Provider Name | Cynthia Vingelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033630231 PECOS PAC ID: 1759654916 Enrollment ID: I20170911000029 |
| Provider Name | Jason T Lehr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558700435 PECOS PAC ID: 0547403073 Enrollment ID: I20170911002216 |
| Provider Name | Abdallah Abou Zahr |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982917506 PECOS PAC ID: 9234402223 Enrollment ID: I20170913003908 |
| Provider Name | Lori R Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245753177 PECOS PAC ID: 4486928348 Enrollment ID: I20170916000418 |
| Provider Name | Sheila R Greseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689197162 PECOS PAC ID: 3375817182 Enrollment ID: I20170918001925 |
| Provider Name | Tara R Mertz-hack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641489 PECOS PAC ID: 9234455080 Enrollment ID: I20170918003795 |
| Provider Name | Kari Lynn Hektner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700307170 PECOS PAC ID: 9830463512 Enrollment ID: I20170919002077 |
| Provider Name | Ellen D Vogels |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417255191 PECOS PAC ID: 1850696105 Enrollment ID: I20171003007581 |
| Provider Name | Michael A White |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477846749 PECOS PAC ID: 3072828631 Enrollment ID: I20171004000798 |
| Provider Name | Rachel M Wanzek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821404260 PECOS PAC ID: 2567683089 Enrollment ID: I20171004002928 |
| Provider Name | Natalie F Dvorak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760801187 PECOS PAC ID: 6204101181 Enrollment ID: I20171004003463 |
| Provider Name | Lorna C Campbell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679830855 PECOS PAC ID: 0648545145 Enrollment ID: I20171010001288 |
| Provider Name | Katherine M Klipfel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992056410 PECOS PAC ID: 6103191416 Enrollment ID: I20171011003353 |
| Provider Name | Brooke Rh Hills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144662719 PECOS PAC ID: 4880829480 Enrollment ID: I20171019000795 |
| Provider Name | Abbyjo Mae Gilje |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265950075 PECOS PAC ID: 1557627643 Enrollment ID: I20171106001557 |
| Provider Name | Amy Iva Stevahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053548107 PECOS PAC ID: 6204982051 Enrollment ID: I20171107000084 |
| Provider Name | Kevin D Hinshaw |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215151097 PECOS PAC ID: 1951589845 Enrollment ID: I20171113003143 |
| Provider Name | Nicole L Erasmus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881986180 PECOS PAC ID: 6002172723 Enrollment ID: I20171114001673 |
| Provider Name | Meghan Marie Scheibe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346549508 PECOS PAC ID: 9537455936 Enrollment ID: I20171201000876 |
| Provider Name | Amilyn Taplin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295027472 PECOS PAC ID: 0648539130 Enrollment ID: I20180108002403 |
| Provider Name | Amanda R Banker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538689294 PECOS PAC ID: 8628337888 Enrollment ID: I20180115000679 |
| Provider Name | Mackenze J Cimbura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093035867 PECOS PAC ID: 5193084309 Enrollment ID: I20180116001984 |
| Provider Name | Serge B Pierrecharles |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609167980 PECOS PAC ID: 3375850852 Enrollment ID: I20180118001052 |
| Provider Name | Leonard H Armstrong |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1538314695 PECOS PAC ID: 6002967221 Enrollment ID: I20180131003230 |
| Provider Name | Amanda J Storey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336508274 PECOS PAC ID: 1951609932 Enrollment ID: I20180205001241 |
| Provider Name | Jon D Larson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508884172 PECOS PAC ID: 1355323635 Enrollment ID: I20180206000770 |
| Provider Name | Abbey Lee Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891215836 PECOS PAC ID: 7719250497 Enrollment ID: I20180220003248 |
| Provider Name | P Renae Griffin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548283153 PECOS PAC ID: 6507766177 Enrollment ID: I20180227002030 |
| Provider Name | Ruby A Valencia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104271345 PECOS PAC ID: 2163717836 Enrollment ID: I20180309000792 |
| Provider Name | Todd D Sekundiak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780634568 PECOS PAC ID: 7719901982 Enrollment ID: I20180312001641 |
| Provider Name | Kayla M Quinn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558879940 PECOS PAC ID: 3375805278 Enrollment ID: I20180312002180 |
| Provider Name | Eric Heiden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124526470 PECOS PAC ID: 5890057418 Enrollment ID: I20180320000962 |
| Provider Name | Marissa M Leese |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285184879 PECOS PAC ID: 4880974922 Enrollment ID: I20180321001704 |
| Provider Name | Melisha Ann Vannett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740789726 PECOS PAC ID: 8527320803 Enrollment ID: I20180326002913 |
| Provider Name | Ashish Vijayakumar Regulagadda |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053559906 PECOS PAC ID: 8022296904 Enrollment ID: I20180411002601 |
| Provider Name | Shauna Marie Fellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023511664 PECOS PAC ID: 2567725864 Enrollment ID: I20180419002539 |
| Provider Name | Nicole A Fischer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780189928 PECOS PAC ID: 4981967023 Enrollment ID: I20180424001413 |
| Provider Name | Karel A Deleeuw |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1225013022 PECOS PAC ID: 0042110348 Enrollment ID: I20180502000673 |
| Provider Name | Ronald R Robinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932107315 PECOS PAC ID: 2860571742 Enrollment ID: I20180504000334 |
| Provider Name | Ashley Heule |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013413756 PECOS PAC ID: 3072877786 Enrollment ID: I20180504001581 |
| Provider Name | Brian R Sauer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093005902 PECOS PAC ID: 9436446366 Enrollment ID: I20180508002023 |
| Provider Name | Baha Al-abid |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386908747 PECOS PAC ID: 9234361080 Enrollment ID: I20180523002031 |
| Provider Name | Kristin A Hogg-korderas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932494325 PECOS PAC ID: 2365716420 Enrollment ID: I20180613001077 |
| Provider Name | Yashraj Akshay Chauhan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346669082 PECOS PAC ID: 6204138399 Enrollment ID: I20180625001496 |
| Provider Name | Katherine L Byron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255469284 PECOS PAC ID: 4486758075 Enrollment ID: I20180625002961 |
| Provider Name | Abraham Ernest Sabersky |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841563186 PECOS PAC ID: 3476780982 Enrollment ID: I20180710002947 |
| Provider Name | Patrick J Kane |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578904777 PECOS PAC ID: 8527315969 Enrollment ID: I20180717002434 |
| Provider Name | Raimantas Drublionis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942305206 PECOS PAC ID: 7911933742 Enrollment ID: I20180720003240 |
| Provider Name | Darshan S Khangura |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013357573 PECOS PAC ID: 4284869355 Enrollment ID: I20180725003518 |
| Provider Name | Damon Lee Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184731952 PECOS PAC ID: 7911905856 Enrollment ID: I20180731002893 |
| Provider Name | Katlyn A Dobberstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275027641 PECOS PAC ID: 9638427701 Enrollment ID: I20180806002248 |
| Provider Name | Breana B Ritchie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740651421 PECOS PAC ID: 5294083143 Enrollment ID: I20180808003266 |
| Provider Name | Laura K Rupp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629562541 PECOS PAC ID: 4183972045 Enrollment ID: I20180808003755 |
| Provider Name | Kristina Jean Gresh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457844581 PECOS PAC ID: 3274881172 Enrollment ID: I20180809003921 |
| Provider Name | Tatsiana Aleksandrovich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942682851 PECOS PAC ID: 5597013201 Enrollment ID: I20180810002858 |
| Provider Name | Bradley A Smith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790002913 PECOS PAC ID: 0244471449 Enrollment ID: I20180816002851 |
| Provider Name | Sadie J Schmidt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861888588 PECOS PAC ID: 9931407343 Enrollment ID: I20180817002973 |
| Provider Name | Javier Bolivar Rojas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235559667 PECOS PAC ID: 5496004731 Enrollment ID: I20180821000842 |
| Provider Name | Timothy A Blaufuss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245597384 PECOS PAC ID: 6305145848 Enrollment ID: I20180824002803 |
| Provider Name | John Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083637086 PECOS PAC ID: 8325043938 Enrollment ID: I20180912001008 |
| Provider Name | Morgan R Rinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154807741 PECOS PAC ID: 4789935545 Enrollment ID: I20180918003991 |
| Provider Name | Amanda E Skiftun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649682253 PECOS PAC ID: 4981821139 Enrollment ID: I20180927001322 |
| Provider Name | Kayla M Weigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629571443 PECOS PAC ID: 1254682461 Enrollment ID: I20180927002080 |
| Provider Name | Eric A Schommer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295179687 PECOS PAC ID: 2062646250 Enrollment ID: I20180927002427 |
| Provider Name | Rebecca Pulkrabek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538647722 PECOS PAC ID: 1850643834 Enrollment ID: I20181003001570 |
| Provider Name | Timothy R Beiswenger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588681571 PECOS PAC ID: 8628087707 Enrollment ID: I20181005002842 |
| Provider Name | Deanna J Weiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871079541 PECOS PAC ID: 1456603968 Enrollment ID: I20181011001099 |
| Provider Name | Allison Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467948455 PECOS PAC ID: 8123371226 Enrollment ID: I20181018002251 |
| Provider Name | Amanda Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821583873 PECOS PAC ID: 3173876232 Enrollment ID: I20181019001694 |
| Provider Name | Kristin E Brandt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710392238 PECOS PAC ID: 6507157971 Enrollment ID: I20181019002664 |
| Provider Name | Brianna C Leigh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952665838 PECOS PAC ID: 6709022668 Enrollment ID: I20181023000589 |
| Provider Name | Udit Agarwal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568753606 PECOS PAC ID: 9739327990 Enrollment ID: I20181101003106 |
| Provider Name | Parth A Vyas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083981567 PECOS PAC ID: 4082845029 Enrollment ID: I20181101003280 |
| Provider Name | Raghavesh Pullalarevu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1689985079 PECOS PAC ID: 0446408868 Enrollment ID: I20181102002187 |
| Provider Name | Roza Y Glessing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073966776 PECOS PAC ID: 1658625678 Enrollment ID: I20181109002556 |
| Provider Name | Enrique Tobias Pader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295099836 PECOS PAC ID: 4789990367 Enrollment ID: I20181112000047 |
| Provider Name | Crystal M Krapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578045456 PECOS PAC ID: 5193079051 Enrollment ID: I20181112001556 |
| Provider Name | Michele M Pasierb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023308632 PECOS PAC ID: 9436461340 Enrollment ID: I20181114000850 |
| Provider Name | Teresa Frey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336536291 PECOS PAC ID: 4981910395 Enrollment ID: I20181114000958 |
| Provider Name | Sarah A Kennelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962981845 PECOS PAC ID: 8820342470 Enrollment ID: I20181116001568 |
| Provider Name | Behzad S Sabit |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205377793 PECOS PAC ID: 5597036814 Enrollment ID: I20181120001770 |
| Provider Name | Andrew Aoshima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831578665 PECOS PAC ID: 9436403847 Enrollment ID: I20181120002552 |
| Provider Name | Denise R Geringer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033148853 PECOS PAC ID: 1951655349 Enrollment ID: I20181121002832 |
| Provider Name | Joann Delane Trader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902382260 PECOS PAC ID: 9032463344 Enrollment ID: I20181126000843 |
| Provider Name | Sugong Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487972972 PECOS PAC ID: 9436388220 Enrollment ID: I20181126002120 |
| Provider Name | Kelsey Kent |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568706349 PECOS PAC ID: 8224382577 Enrollment ID: I20181126003410 |
| Provider Name | Ephraim E Nsien |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982718433 PECOS PAC ID: 1456378066 Enrollment ID: I20181205000467 |
| Provider Name | Amna Masood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063825685 PECOS PAC ID: 4587908371 Enrollment ID: I20181205001536 |
| Provider Name | James W Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730135070 PECOS PAC ID: 0941271456 Enrollment ID: I20181228002395 |
| Provider Name | Amanda Nack |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770058232 PECOS PAC ID: 6002151636 Enrollment ID: I20181231001178 |
| Provider Name | Emily J Swenson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366575250 PECOS PAC ID: 5496090086 Enrollment ID: I20190102000115 |
| Provider Name | Jenna M Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225504731 PECOS PAC ID: 3678819109 Enrollment ID: I20190104000163 |
| Provider Name | Adam Lewis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891134219 PECOS PAC ID: 0042581936 Enrollment ID: I20190111001233 |
| Provider Name | Kirsten G Crawford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992221907 PECOS PAC ID: 7517228026 Enrollment ID: I20190116001370 |
| Provider Name | Caitlin A Hemquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598232183 PECOS PAC ID: 5395081103 Enrollment ID: I20190116001554 |
| Provider Name | Kaira L Schefter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831663699 PECOS PAC ID: 0446599500 Enrollment ID: I20190307000502 |
| Provider Name | Joseph J Lennon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427514165 PECOS PAC ID: 8628318284 Enrollment ID: I20190318000896 |
| Provider Name | Cody Crawford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437623535 PECOS PAC ID: 0345580676 Enrollment ID: I20190322000453 |
| Provider Name | Rebecca Matthews |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306086376 PECOS PAC ID: 3274710850 Enrollment ID: I20190322000620 |
| Provider Name | Parveen Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558522003 PECOS PAC ID: 0143498550 Enrollment ID: I20190325001334 |
| Provider Name | Victoria F Huseby |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700343076 PECOS PAC ID: 6002156114 Enrollment ID: I20190327000418 |
| Provider Name | Shelby L Frye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710323399 PECOS PAC ID: 3375851207 Enrollment ID: I20190327002391 |
| Provider Name | Kimberly A Moon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083172969 PECOS PAC ID: 5799026530 Enrollment ID: I20190404002225 |
| Provider Name | Nabil Y Khawand |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366455719 PECOS PAC ID: 1456489624 Enrollment ID: I20190413000028 |
| Provider Name | Steven D Pletcher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467429613 PECOS PAC ID: 4385682244 Enrollment ID: I20190426001424 |
| Provider Name | Daniel T Fox |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073568648 PECOS PAC ID: 6406758796 Enrollment ID: I20190501002136 |
| Provider Name | Sharon Seyfried |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699234989 PECOS PAC ID: 6901149723 Enrollment ID: I20190520000836 |
| Provider Name | Chelsey Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841764180 PECOS PAC ID: 5092058420 Enrollment ID: I20190528000892 |
| Provider Name | Ahmed M Kassem |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033572698 PECOS PAC ID: 4587935044 Enrollment ID: I20190603002364 |
| Provider Name | Mikayla Marlo Mohs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154887750 PECOS PAC ID: 8921333261 Enrollment ID: I20190710000002 |
| Provider Name | Desiree G Froslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578127080 PECOS PAC ID: 6204162589 Enrollment ID: I20190724001886 |
| Provider Name | Diana R Slivensky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437715166 PECOS PAC ID: 4183950363 Enrollment ID: I20190725001591 |
| Provider Name | John T Bassett |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982684130 PECOS PAC ID: 2860476942 Enrollment ID: I20190816000689 |
| Provider Name | Carissa Abigail Monique Lawrence |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891265757 PECOS PAC ID: 2961730908 Enrollment ID: I20190828003389 |
| Provider Name | Roseanne Raphael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316309982 PECOS PAC ID: 5991099566 Enrollment ID: I20190830001504 |
| Provider Name | Farid Saei Hamedani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629412648 PECOS PAC ID: 2961712179 Enrollment ID: I20190912002005 |
| Provider Name | Dori Renae Garrett Baesler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477115095 PECOS PAC ID: 9739419862 Enrollment ID: I20191002002352 |
| Provider Name | Daaron A Mcfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306045984 PECOS PAC ID: 5092018705 Enrollment ID: I20191003001909 |
| Provider Name | Erik C Heitkamp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477077980 PECOS PAC ID: 9335470335 Enrollment ID: I20191004002336 |
| Provider Name | Joel M Erickson |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1982018198 PECOS PAC ID: 6406101328 Enrollment ID: I20191004002818 |
| Provider Name | Dillon Grose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457912529 PECOS PAC ID: 8527399476 Enrollment ID: I20191008002703 |
| Provider Name | Morgan Anne Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518511799 PECOS PAC ID: 6204167943 Enrollment ID: I20191011000405 |
| Provider Name | Gaurav Parmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982011763 PECOS PAC ID: 0244450773 Enrollment ID: I20191011000879 |
| Provider Name | Yu Ting Wung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376925958 PECOS PAC ID: 7012244890 Enrollment ID: I20191015001557 |
| Provider Name | Brian Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649683798 PECOS PAC ID: 7911238225 Enrollment ID: I20191016003519 |
| Provider Name | Jessica M Otten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568016806 PECOS PAC ID: 5294067302 Enrollment ID: I20191022003165 |
| Provider Name | Bryn Putbrese |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134462716 PECOS PAC ID: 7416188081 Enrollment ID: I20191025000555 |
| Provider Name | Brady Lee Junes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760911101 PECOS PAC ID: 9436423324 Enrollment ID: I20191025000886 |
| Provider Name | Jeremiah J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710548862 PECOS PAC ID: 3274865183 Enrollment ID: I20191025002050 |
| Provider Name | Ann L Breen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285298240 PECOS PAC ID: 3870821358 Enrollment ID: I20191030000671 |
| Provider Name | Amy M Heim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518510718 PECOS PAC ID: 3072845668 Enrollment ID: I20191031001759 |
| Provider Name | Kayla R Lorsung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093369316 PECOS PAC ID: 1557693157 Enrollment ID: I20191031002041 |
| Provider Name | Brandon Meyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457702227 PECOS PAC ID: 9234421330 Enrollment ID: I20191101000631 |
| Provider Name | Kayla Estepp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184142747 PECOS PAC ID: 1153653639 Enrollment ID: I20191102000305 |
| Provider Name | Jessica M Smolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003477894 PECOS PAC ID: 4486984093 Enrollment ID: I20191106001301 |
| Provider Name | Sommer R Nurkic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205247913 PECOS PAC ID: 7911212758 Enrollment ID: I20191106002332 |
| Provider Name | Melanie A Fylling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487208526 PECOS PAC ID: 5597197855 Enrollment ID: I20191107002022 |
| Provider Name | James Reed Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942262290 PECOS PAC ID: 7113972753 Enrollment ID: I20191108001016 |
| Provider Name | Dana M Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902458383 PECOS PAC ID: 6002147683 Enrollment ID: I20191108001855 |
| Provider Name | Sadie M Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003472317 PECOS PAC ID: 9638501703 Enrollment ID: I20191111001440 |
| Provider Name | Robert K Mcmillan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528486792 PECOS PAC ID: 7618309709 Enrollment ID: I20191111002031 |
| Provider Name | Kristopher W Holaday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780035543 PECOS PAC ID: 4688969389 Enrollment ID: I20191112002819 |
| Provider Name | Jeffrey M Wiisanen |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1306282025 PECOS PAC ID: 1658519301 Enrollment ID: I20191112003141 |
| Provider Name | Amanda B Reber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821657388 PECOS PAC ID: 7719319730 Enrollment ID: I20191113001854 |
| Provider Name | Susan Quigley |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063442804 PECOS PAC ID: 0042254443 Enrollment ID: I20191115002463 |
| Provider Name | Rebecca J Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023254398 PECOS PAC ID: 8729218839 Enrollment ID: I20191126001442 |
| Provider Name | Christina E Broadwell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558571950 PECOS PAC ID: 7618042029 Enrollment ID: I20191202000558 |
| Provider Name | Jess W Belling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255695615 PECOS PAC ID: 2668805524 Enrollment ID: I20191206000680 |
| Provider Name | Randy W Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659932580 PECOS PAC ID: 2365875242 Enrollment ID: I20191206001372 |
| Provider Name | Alex Jaymes Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639518442 PECOS PAC ID: 0941441992 Enrollment ID: I20191212000961 |
| Provider Name | Youstina A Michael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700238714 PECOS PAC ID: 3072946565 Enrollment ID: I20191216000457 |
| Provider Name | Harpreet Kohli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023397221 PECOS PAC ID: 7214255264 Enrollment ID: I20191220001148 |
| Provider Name | Samuel J Milanovich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669682837 PECOS PAC ID: 2264579408 Enrollment ID: I20191226002250 |
| Provider Name | Jenna I Monshaugen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851953806 PECOS PAC ID: 4789018771 Enrollment ID: I20191228000231 |
| Provider Name | Jacob Edland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598315681 PECOS PAC ID: 9335573286 Enrollment ID: I20191231000114 |
| Provider Name | Michael R Komanetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306216734 PECOS PAC ID: 6709186067 Enrollment ID: I20191231000642 |
| Provider Name | Riley B.a. Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114370814 PECOS PAC ID: 6103250931 Enrollment ID: I20200102001263 |
| Provider Name | Brandi Ozbun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538702485 PECOS PAC ID: 0547694390 Enrollment ID: I20200114001783 |
| Provider Name | Todd Edmund Duppong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083078281 PECOS PAC ID: 5496082547 Enrollment ID: I20200117001746 |
| Provider Name | Dane T Hammer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528410636 PECOS PAC ID: 3870888670 Enrollment ID: I20200124002315 |
| Provider Name | Lucas K Genereux |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346592680 PECOS PAC ID: 0547572661 Enrollment ID: I20200206000913 |
| Provider Name | Paul Rodenbiker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629639919 PECOS PAC ID: 0244666022 Enrollment ID: I20200214001946 |
| Provider Name | Mallory Skorheim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396194031 PECOS PAC ID: 6002242542 Enrollment ID: I20200219001276 |
| Provider Name | Sarah M Solberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750913133 PECOS PAC ID: 7911334040 Enrollment ID: I20200302000135 |
| Provider Name | Nicole Landen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902436033 PECOS PAC ID: 4688001068 Enrollment ID: I20200304002756 |
| Provider Name | Jenny L Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538699566 PECOS PAC ID: 3476824863 Enrollment ID: I20200305001942 |
| Provider Name | Alexander D Olson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063052504 PECOS PAC ID: 5294162681 Enrollment ID: I20200305002208 |
| Provider Name | Sabha Ganai |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1821144635 PECOS PAC ID: 9739313123 Enrollment ID: I20200305002259 |
| Provider Name | Anne Vanheel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538790803 PECOS PAC ID: 7113356098 Enrollment ID: I20200311000169 |
| Provider Name | John Edwin Langer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497177232 PECOS PAC ID: 1850524042 Enrollment ID: I20200312001582 |
| Provider Name | Bethany L Myhre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962032722 PECOS PAC ID: 4385072974 Enrollment ID: I20200313000487 |
| Provider Name | Edgardo A Crisostomo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730141466 PECOS PAC ID: 0749316974 Enrollment ID: I20200315000115 |
| Provider Name | Randall Hagemeister |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346871258 PECOS PAC ID: 7618304601 Enrollment ID: I20200318002568 |
| Provider Name | David Kin Yip |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285952077 PECOS PAC ID: 0941434823 Enrollment ID: I20200324001002 |
| Provider Name | Michael Shinners |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447395512 PECOS PAC ID: 5597864785 Enrollment ID: I20200402003751 |
| Provider Name | Deborah M Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740465830 PECOS PAC ID: 8527182716 Enrollment ID: I20200408003615 |
| Provider Name | Andrew E Osburn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942206990 PECOS PAC ID: 5799742243 Enrollment ID: I20200409001500 |
| Provider Name | Talitha M Sannes-venhuizen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306887286 PECOS PAC ID: 3375591175 Enrollment ID: I20200409001677 |
| Provider Name | Larissa J Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154954352 PECOS PAC ID: 7517396609 Enrollment ID: I20200413000995 |
| Provider Name | Mary Engen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568611044 PECOS PAC ID: 2961832803 Enrollment ID: I20200416004040 |
| Provider Name | Makenzie G Schmitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205354685 PECOS PAC ID: 0446680268 Enrollment ID: I20200420000561 |
| Provider Name | Julie A Spina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194747758 PECOS PAC ID: 2860467495 Enrollment ID: I20200422003047 |
| Provider Name | Lisa M Aipperspach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457988636 PECOS PAC ID: 8426488867 Enrollment ID: I20200425000003 |
| Provider Name | Brandi Jo Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700405685 PECOS PAC ID: 4284065632 Enrollment ID: I20200519001134 |
| Provider Name | Haley Faye Wahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669017265 PECOS PAC ID: 7618398694 Enrollment ID: I20200529000236 |
| Provider Name | Kenny Chantasi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427216175 PECOS PAC ID: 6305035064 Enrollment ID: I20200602001475 |
| Provider Name | Evelyn Fuentes-dondoneau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629590104 PECOS PAC ID: 7315360799 Enrollment ID: I20200701001779 |
| Provider Name | Andrea Christine Boerger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508489873 PECOS PAC ID: 1355764390 Enrollment ID: I20200708003302 |
| Provider Name | Rosanne C Lohman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497384184 PECOS PAC ID: 8527481449 Enrollment ID: I20200710002611 |
| Provider Name | Christopher Jon Failing |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275946733 PECOS PAC ID: 7315253606 Enrollment ID: I20200714002204 |
| Provider Name | Ezioma Onyinye Gbujie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770005571 PECOS PAC ID: 1153745823 Enrollment ID: I20200728002397 |
| Provider Name | Ashley Lynn Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932725355 PECOS PAC ID: 9032534706 Enrollment ID: I20200729001921 |
| Provider Name | Batoule Majed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821357310 PECOS PAC ID: 2163787177 Enrollment ID: I20200729002176 |
| Provider Name | Madhav Lavu |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1447459193 PECOS PAC ID: 3870777303 Enrollment ID: I20200730001402 |
| Provider Name | Julie Benedict |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124641519 PECOS PAC ID: 5092139964 Enrollment ID: I20200803001656 |
| Provider Name | Tanner C Anderson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689108573 PECOS PAC ID: 0345511820 Enrollment ID: I20200803001748 |
| Provider Name | Amanda R Paulson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942824388 PECOS PAC ID: 0749605004 Enrollment ID: I20200803003018 |
| Provider Name | Steven Roseno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376070581 PECOS PAC ID: 1759651052 Enrollment ID: I20200810002048 |
| Provider Name | Cassandra A Hoard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063034460 PECOS PAC ID: 9234554064 Enrollment ID: I20200810003461 |
| Provider Name | Jordan I Amatuegwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467985291 PECOS PAC ID: 2163769597 Enrollment ID: I20200814001091 |
| Provider Name | Scott Morgan Belliston |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235423393 PECOS PAC ID: 9335446301 Enrollment ID: I20200818003632 |
| Provider Name | Michael S Lucin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588078513 PECOS PAC ID: 4284859059 Enrollment ID: I20200820001690 |
| Provider Name | Nicola Ashton Herting |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013542182 PECOS PAC ID: 5193141190 Enrollment ID: I20200821000561 |
| Provider Name | William J Boggess |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588962781 PECOS PAC ID: 8729404678 Enrollment ID: I20200821002400 |
| Provider Name | Heather Erin Kranitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902320682 PECOS PAC ID: 1052738804 Enrollment ID: I20200825003549 |
| Provider Name | Nicholas G Gau |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821472374 PECOS PAC ID: 4880011634 Enrollment ID: I20200825003864 |
| Provider Name | Jesse Jean Rinehart |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720440183 PECOS PAC ID: 7416249438 Enrollment ID: I20200826001747 |
| Provider Name | Shaun Earl Seibold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508482704 PECOS PAC ID: 7618394297 Enrollment ID: I20200827001219 |
| Provider Name | Trent Cecil Filler |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1427194364 PECOS PAC ID: 1052462348 Enrollment ID: I20200831001393 |
| Provider Name | Jada L Ingalls |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952720344 PECOS PAC ID: 0042553497 Enrollment ID: I20200901001817 |
| Provider Name | Max D Disse |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073975462 PECOS PAC ID: 9830481886 Enrollment ID: I20200903000794 |
| Provider Name | Karthik Madhavan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1417197179 PECOS PAC ID: 8729406756 Enrollment ID: I20200908002315 |
| Provider Name | Emma L Swanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497104020 PECOS PAC ID: 6204129505 Enrollment ID: I20200908003323 |
| Provider Name | Xiaoying Deng |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649463647 PECOS PAC ID: 0941473953 Enrollment ID: I20200909003199 |
| Provider Name | Samantha Lynn Beauchman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922387950 PECOS PAC ID: 5092941906 Enrollment ID: I20200910001354 |
| Provider Name | Cody L Poplin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497378061 PECOS PAC ID: 4284052002 Enrollment ID: I20200910002577 |
| Provider Name | Kirk D Wyatt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699181495 PECOS PAC ID: 7214153980 Enrollment ID: I20200910003174 |
| Provider Name | Derek Anthony Mclister |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114453552 PECOS PAC ID: 9032537873 Enrollment ID: I20200910003348 |
| Provider Name | Ashley M Horner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932621414 PECOS PAC ID: 1759709421 Enrollment ID: I20200911001326 |
| Provider Name | Alexey Andrew Hodkoff |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215305792 PECOS PAC ID: 9133406424 Enrollment ID: I20200915002633 |
| Provider Name | Shelly Wadhawan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497277990 PECOS PAC ID: 3577981083 Enrollment ID: I20200916000048 |
| Provider Name | Sunil A Mutgi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225358906 PECOS PAC ID: 8729228226 Enrollment ID: I20200916000936 |
| Provider Name | Taylor Ann Keimig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366063042 PECOS PAC ID: 6608294020 Enrollment ID: I20200917001120 |
| Provider Name | Tarik Nurkic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447661285 PECOS PAC ID: 2264745942 Enrollment ID: I20200918000559 |
| Provider Name | Brian M Born |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912420803 PECOS PAC ID: 1759700701 Enrollment ID: I20200924003014 |
| Provider Name | Anna P Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726363 PECOS PAC ID: 0042568701 Enrollment ID: I20200928000048 |
| Provider Name | Jennifer Louise Vandal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083144851 PECOS PAC ID: 4486073277 Enrollment ID: I20200928003141 |
| Provider Name | Angela K Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164855532 PECOS PAC ID: 5890939300 Enrollment ID: I20200930001708 |
| Provider Name | Tammy C Branden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730462631 PECOS PAC ID: 8426475476 Enrollment ID: I20200930003459 |
| Provider Name | Muhammad Arbab Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730355850 PECOS PAC ID: 5991974966 Enrollment ID: I20201006000210 |
| Provider Name | Mahmoud Mahmoud |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1457715161 PECOS PAC ID: 4284923624 Enrollment ID: I20201014000679 |
| Provider Name | Megan E Bowen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457650632 PECOS PAC ID: 5597997502 Enrollment ID: I20201016001138 |
| Provider Name | Jennifer Rt Olbum |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659373876 PECOS PAC ID: 1951338938 Enrollment ID: I20201016001620 |
| Provider Name | Sammantha J Kouba |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760877344 PECOS PAC ID: 3476858440 Enrollment ID: I20201016001962 |
| Provider Name | Lindsay Raye Busse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689284671 PECOS PAC ID: 4183044852 Enrollment ID: I20201019001281 |
| Provider Name | Nicole M Deering |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790391464 PECOS PAC ID: 8325468788 Enrollment ID: I20201023001579 |
| Provider Name | Anthony Joel Minke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265059547 PECOS PAC ID: 4880014257 Enrollment ID: I20201023002070 |
| Provider Name | Jarrett J Failing |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063828861 PECOS PAC ID: 7911123328 Enrollment ID: I20201028001766 |
| Provider Name | Molly C Linn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679007058 PECOS PAC ID: 0840561007 Enrollment ID: I20201029001225 |
| Provider Name | Joshua Levee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134743941 PECOS PAC ID: 9537579677 Enrollment ID: I20201102001197 |
| Provider Name | Sheena Rippentrop |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871939173 PECOS PAC ID: 5193015964 Enrollment ID: I20201112000739 |
| Provider Name | Calsey Mischel |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1114361144 PECOS PAC ID: 3971858549 Enrollment ID: I20201116000066 |
| Provider Name | Courtney N Sizer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194350132 PECOS PAC ID: 0042621237 Enrollment ID: I20201118003391 |
| Provider Name | Osama Elhilali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780023788 PECOS PAC ID: 7618256587 Enrollment ID: I20201123001109 |
| Provider Name | Kristilynn R Cedars |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538399019 PECOS PAC ID: 7113140591 Enrollment ID: I20201123001260 |
| Provider Name | Amber N Mutalipassi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417316001 PECOS PAC ID: 5890117089 Enrollment ID: I20201209002013 |
| Provider Name | Roopalakshmi Sharadanant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821495383 PECOS PAC ID: 0042622888 Enrollment ID: I20201218001575 |
| Provider Name | Pelagia E Kouloumberis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487804969 PECOS PAC ID: 8820129547 Enrollment ID: I20201222001258 |
| Provider Name | Maryanne Ejidike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992124143 PECOS PAC ID: 4082925268 Enrollment ID: I20201223000404 |
| Provider Name | Kelsey Kincaid |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881295814 PECOS PAC ID: 3476966060 Enrollment ID: I20201228000879 |
| Provider Name | Adelina Luong-player |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356631469 PECOS PAC ID: 5294961785 Enrollment ID: I20201228001760 |
| Provider Name | Kayla Joyce Mcclellan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003392887 PECOS PAC ID: 6002169224 Enrollment ID: I20201229003168 |
| Provider Name | Samir Golos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326655689 PECOS PAC ID: 8628481934 Enrollment ID: I20210106000141 |
| Provider Name | Jhablall Balmakund |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811965304 PECOS PAC ID: 7113952789 Enrollment ID: I20210108000771 |
| Provider Name | Charles M Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578569687 PECOS PAC ID: 6204968027 Enrollment ID: I20210119000786 |
| Provider Name | Matthew Eggers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780793976 PECOS PAC ID: 1153318530 Enrollment ID: I20210128000535 |
| Provider Name | Loring I Perry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205057072 PECOS PAC ID: 6204068851 Enrollment ID: I20210128001385 |
| Provider Name | Stephanie Melquist |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780118331 PECOS PAC ID: 3779855630 Enrollment ID: I20210216002312 |
| Provider Name | Kristen Nicole Mccammon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780283572 PECOS PAC ID: 1759796733 Enrollment ID: I20210225001303 |
| Provider Name | Miranda Lehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376147819 PECOS PAC ID: 7911313168 Enrollment ID: I20210312000601 |
| Provider Name | Joshua Keith Maliske |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033706882 PECOS PAC ID: 8628484797 Enrollment ID: I20210316000525 |
| Provider Name | Daniel B Lewison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104943620 PECOS PAC ID: 9830282946 Enrollment ID: I20210325000722 |
| Provider Name | Morgan Margaret Borud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942809652 PECOS PAC ID: 9335556794 Enrollment ID: I20210331001227 |
| Provider Name | Aaron G Baune |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700236205 PECOS PAC ID: 7315233657 Enrollment ID: I20210331002132 |
| Provider Name | Kevin Torkelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003298548 PECOS PAC ID: 4284980186 Enrollment ID: I20210331002311 |
| Provider Name | Katie Thielges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790392462 PECOS PAC ID: 1052728680 Enrollment ID: I20210331002363 |
| Provider Name | Sidney Charles Rubenstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518975283 PECOS PAC ID: 2365334653 Enrollment ID: I20210416000418 |
| Provider Name | Kim A Belzberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093167306 PECOS PAC ID: 9032527338 Enrollment ID: I20210427001505 |
| Provider Name | Amber Estelle Fort |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467673269 PECOS PAC ID: 6002086964 Enrollment ID: I20210526001668 |
| Provider Name | Cassandra A Hoard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063034460 PECOS PAC ID: 9234554064 Enrollment ID: I20210730002939 |
| Provider Name | Katelyn Ann Mickelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427431279 PECOS PAC ID: 9335543719 Enrollment ID: I20210806001381 |
| Provider Name | Chelsey R Strand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396312815 PECOS PAC ID: 9032513296 Enrollment ID: I20210810002194 |
| Provider Name | Toshi Ghosh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881073666 PECOS PAC ID: 0345551412 Enrollment ID: I20210813002082 |
| Provider Name | Daniel Almquist |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134533805 PECOS PAC ID: 3274754247 Enrollment ID: I20210824002872 |
| Provider Name | Kellie Sue Sweet Ciesielski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811977481 PECOS PAC ID: 8820126683 Enrollment ID: I20210826001143 |
| Provider Name | Prasangika K Ranasinghe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750721205 PECOS PAC ID: 0042507287 Enrollment ID: I20210826003539 |
| Provider Name | Mosaab Mohameden |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1942664941 PECOS PAC ID: 0941536882 Enrollment ID: I20210830003573 |
| Provider Name | Alicia Marie Meidinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780250605 PECOS PAC ID: 7315343894 Enrollment ID: I20210908003575 |
| Provider Name | Rory Abram Raymond Ratzlaff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679068035 PECOS PAC ID: 7113323262 Enrollment ID: I20210915000778 |
| Provider Name | Stipe Ivancic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356834212 PECOS PAC ID: 8325396617 Enrollment ID: I20210917002242 |
| Provider Name | Kelsey Noel Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477229573 PECOS PAC ID: 7911304746 Enrollment ID: I20210922000235 |
| Provider Name | Amanda R Dahl |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588043863 PECOS PAC ID: 6800103532 Enrollment ID: I20210929003745 |
| Provider Name | Amber Neugebauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477040061 PECOS PAC ID: 7113348830 Enrollment ID: I20210930001860 |
| Provider Name | John J Evans |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093079709 PECOS PAC ID: 4880956283 Enrollment ID: I20211004001956 |
| Provider Name | Shelby Doris Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457932964 PECOS PAC ID: 1153729280 Enrollment ID: I20211004003398 |
| Provider Name | Joseph D Bruenjes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104273176 PECOS PAC ID: 8325334667 Enrollment ID: I20211006000464 |
| Provider Name | Leighton J Mohl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245554633 PECOS PAC ID: 6709917891 Enrollment ID: I20211006001031 |
| Provider Name | Hannah Margaret Schradick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174184626 PECOS PAC ID: 0345648309 Enrollment ID: I20211006001652 |
| Provider Name | Ahmed Abuzaanona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104209378 PECOS PAC ID: 8527376813 Enrollment ID: I20211008002668 |
| Provider Name | Shabnum Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710472725 PECOS PAC ID: 9436547775 Enrollment ID: I20211019002643 |
| Provider Name | Emily Volesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609546555 PECOS PAC ID: 2961890041 Enrollment ID: I20211021002130 |
| Provider Name | Michael Paul Gruchalla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831612076 PECOS PAC ID: 6002166063 Enrollment ID: I20211025001850 |
| Provider Name | Hannah Marie Pavek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821612433 PECOS PAC ID: 8921496696 Enrollment ID: I20211028003156 |
| Provider Name | Ma Reyna Dominique Cristobal Jiao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952670812 PECOS PAC ID: 7618210287 Enrollment ID: I20211112001480 |
| Provider Name | Katie J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346812542 PECOS PAC ID: 5799174728 Enrollment ID: I20211112002642 |
| Provider Name | Aubree Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457852063 PECOS PAC ID: 6709275522 Enrollment ID: I20211117001841 |
| Provider Name | Julia Britt Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609445634 PECOS PAC ID: 4183013865 Enrollment ID: I20211118001481 |
| Provider Name | Christopher Thomas Coombe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952977548 PECOS PAC ID: 6002206356 Enrollment ID: I20211201001454 |
| Provider Name | Brittaney Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740942325 PECOS PAC ID: 4880084060 Enrollment ID: I20211201002939 |
| Provider Name | Bethany D Kaemingk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356721823 PECOS PAC ID: 0941511190 Enrollment ID: I20211203000773 |
| Provider Name | Mohammed Waseemuddin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609396985 PECOS PAC ID: 2264822345 Enrollment ID: I20211203000925 |
| Provider Name | Jennifer Ann Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508532011 PECOS PAC ID: 5092105981 Enrollment ID: I20211208002349 |
| Provider Name | Joshua Paul Klabunde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235563917 PECOS PAC ID: 3678700655 Enrollment ID: I20211220000970 |
| Provider Name | Amanda Lynn Leavy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689893976 PECOS PAC ID: 7517358765 Enrollment ID: I20211222001125 |
| Provider Name | Lynn A Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942330154 PECOS PAC ID: 8820123680 Enrollment ID: I20211223000925 |
| Provider Name | Layne M Egan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134582513 PECOS PAC ID: 1658663646 Enrollment ID: I20211229001598 |
| Provider Name | Angela Kaye Joneson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396263653 PECOS PAC ID: 2365718343 Enrollment ID: I20220105000364 |
| Provider Name | Hima Bindu Kondragunta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760985584 PECOS PAC ID: 7618220773 Enrollment ID: I20220119002274 |
| Provider Name | Emily Marge Sargent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235809138 PECOS PAC ID: 9335532043 Enrollment ID: I20220201002261 |
| Provider Name | Michael Dwight Kuebler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891464541 PECOS PAC ID: 0840683421 Enrollment ID: I20220202002436 |
| Provider Name | Hasan A Hobbs |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194702852 PECOS PAC ID: 3476572421 Enrollment ID: I20220203002625 |
| Provider Name | Rachel K Mauch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467120147 PECOS PAC ID: 5890188304 Enrollment ID: I20220204002028 |
| Provider Name | Rachel Katherine Heinze |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083111876 PECOS PAC ID: 1456608348 Enrollment ID: I20220208001195 |
| Provider Name | Andy Wei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396239398 PECOS PAC ID: 8628461605 Enrollment ID: I20220216000368 |
| Provider Name | Kari M Kietzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568094159 PECOS PAC ID: 8123412095 Enrollment ID: I20220218002480 |
| Provider Name | Seth Michael Maliske |
|---|---|
| Provider Type | Practitioner - Hematopoietic Cell Transplantation And Cellular Therapy |
| Provider Identifiers | NPI Number: 1962760488 PECOS PAC ID: 4183845407 Enrollment ID: I20220223002501 |
| Provider Name | Kimberly K Oliver |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265757843 PECOS PAC ID: 3577693225 Enrollment ID: I20220225002401 |
| Provider Name | Ciciley Littlewolf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588225049 PECOS PAC ID: 4082009956 Enrollment ID: I20220314000187 |
| Provider Name | Travis Hand |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578210076 PECOS PAC ID: 3274928056 Enrollment ID: I20220314000585 |
| Provider Name | Golnar Pashmforoosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740757384 PECOS PAC ID: 7719372572 Enrollment ID: I20220315001765 |
| Provider Name | Alexis M Tyce |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841849320 PECOS PAC ID: 1052744224 Enrollment ID: I20220318001200 |
| Provider Name | Manoj Kumar Rayamajhi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922765676 PECOS PAC ID: 2466847850 Enrollment ID: I20220322001429 |
| Provider Name | Robert Shih |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861482572 PECOS PAC ID: 6305996224 Enrollment ID: I20220322003018 |
| Provider Name | Mayuresh Rajaratnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487184255 PECOS PAC ID: 5496028755 Enrollment ID: I20220322003154 |
| Provider Name | Jerome Guanciale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851355366 PECOS PAC ID: 5395705438 Enrollment ID: I20220328001303 |
| Provider Name | Matheau A Julien |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20220330001752 |
| Provider Name | Gene Terry Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740778661 PECOS PAC ID: 7517353501 Enrollment ID: I20220330002156 |
| Provider Name | Andrew Sweeny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154687929 PECOS PAC ID: 1153625108 Enrollment ID: I20220405000509 |
| Provider Name | Gail Ann Kerver |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740949288 PECOS PAC ID: 7517353261 Enrollment ID: I20220405001423 |
| Provider Name | Abby S Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386057800 PECOS PAC ID: 9638391519 Enrollment ID: I20220405002384 |
| Provider Name | Steve Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952725178 PECOS PAC ID: 2062745920 Enrollment ID: I20220407002108 |
| Provider Name | Ashraf Al-tarifi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932714169 PECOS PAC ID: 8527048214 Enrollment ID: I20220408000705 |
| Provider Name | Tullio Emanuele |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083655047 PECOS PAC ID: 0941195291 Enrollment ID: I20220411001168 |
| Provider Name | Matthew Haugen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134656994 PECOS PAC ID: 3476964941 Enrollment ID: I20220412001391 |
| Provider Name | Jan Renae Germundson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275295289 PECOS PAC ID: 4385031590 Enrollment ID: I20220418001559 |
| Provider Name | Herbert Stephen Maguire |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1568482339 PECOS PAC ID: 3476533860 Enrollment ID: I20220420001138 |
| Provider Name | Orlando W Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730572793 PECOS PAC ID: 7517248677 Enrollment ID: I20220421001802 |
| Provider Name | Matthew Charles Kasprenski |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558676429 PECOS PAC ID: 0446483408 Enrollment ID: I20220421001964 |
| Provider Name | Kelsey Rae Limesand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518629393 PECOS PAC ID: 8022405950 Enrollment ID: I20220425000811 |
| Provider Name | Steven Heithoff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376544593 PECOS PAC ID: 4880684935 Enrollment ID: I20220425001231 |
| Provider Name | Miranda Schaan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013673672 PECOS PAC ID: 7315334760 Enrollment ID: I20220503002676 |
| Provider Name | Gwen Elizabeth Thompson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467891267 PECOS PAC ID: 2365683315 Enrollment ID: I20220505000654 |
| Provider Name | Janelle Mostad |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306201959 PECOS PAC ID: 7416259544 Enrollment ID: I20220506001837 |
| Provider Name | Amy J Falck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407162985 PECOS PAC ID: 2264621549 Enrollment ID: I20220509000432 |
| Provider Name | Carissa Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366922965 PECOS PAC ID: 0244583292 Enrollment ID: I20220520000731 |
| Provider Name | Ariel Schwarzrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497424204 PECOS PAC ID: 5890173157 Enrollment ID: I20220528000179 |
| Provider Name | Madeline Qualley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518620145 PECOS PAC ID: 3971981630 Enrollment ID: I20220608001885 |
| Provider Name | Raina Shanks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417008475 PECOS PAC ID: 0941364418 Enrollment ID: I20220613001799 |
| Provider Name | Hillary Marie Determan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407514391 PECOS PAC ID: 4486033974 Enrollment ID: I20220613002411 |
| Provider Name | Erin Anjanet Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518631860 PECOS PAC ID: 2466831953 Enrollment ID: I20220613002480 |
| Provider Name | Danielle Beyer-langerud |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477200426 PECOS PAC ID: 5193104651 Enrollment ID: I20220614001946 |
| Provider Name | Jody R Thompson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912201864 PECOS PAC ID: 2860672862 Enrollment ID: I20220615000296 |
| Provider Name | Laura C Bohan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083226377 PECOS PAC ID: 6204215049 Enrollment ID: I20220624000513 |
| Provider Name | Sarah B Erickson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659756328 PECOS PAC ID: 1456668227 Enrollment ID: I20220624000863 |
| Provider Name | Janet Loggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902576606 PECOS PAC ID: 8527448109 Enrollment ID: I20220629002861 |
| Provider Name | Yuri Lisset Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942800768 PECOS PAC ID: 0446630909 Enrollment ID: I20220630002263 |
| Provider Name | Martin Auster |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003871872 PECOS PAC ID: 1759418320 Enrollment ID: I20220707002411 |
| Provider Name | Austin J Peters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033538426 PECOS PAC ID: 6901136092 Enrollment ID: I20220708000766 |
| Provider Name | Daniel Ramsey |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1003231812 PECOS PAC ID: 4880922780 Enrollment ID: I20220712000566 |
| Provider Name | Jacob William Poole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659897353 PECOS PAC ID: 6406237650 Enrollment ID: I20220719001595 |
| Provider Name | David I Covington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083689046 PECOS PAC ID: 9234266743 Enrollment ID: I20220719003926 |
| Provider Name | Katelyn Hlucny |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932866191 PECOS PAC ID: 4183005309 Enrollment ID: I20220720000474 |
| Provider Name | Rebecca A Schulz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881247575 PECOS PAC ID: 0547590721 Enrollment ID: I20220721003160 |
| Provider Name | Dena Marie Burk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346982626 PECOS PAC ID: 4486035300 Enrollment ID: I20220722001650 |
| Provider Name | Timothy G Russell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073937132 PECOS PAC ID: 1759710874 Enrollment ID: I20220725001029 |
| Provider Name | Artur Szymczak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831474618 PECOS PAC ID: 6406086396 Enrollment ID: I20220725002811 |
| Provider Name | Aileen M Aldrich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184063869 PECOS PAC ID: 4284864174 Enrollment ID: I20220729002405 |
| Provider Name | Sunthosh Madireddi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396169694 PECOS PAC ID: 8921438623 Enrollment ID: I20220802000485 |
| Provider Name | Callie Greene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871005843 PECOS PAC ID: 8224398680 Enrollment ID: I20220802003585 |
| Provider Name | Paul V Birinyi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1851603906 PECOS PAC ID: 8022310473 Enrollment ID: I20220811003245 |
| Provider Name | Jessica Suann Stage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932855723 PECOS PAC ID: 5991188393 Enrollment ID: I20220817003931 |
| Provider Name | Cameron S Thorpe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972039782 PECOS PAC ID: 5395014377 Enrollment ID: I20220824001409 |
| Provider Name | Bart Petrini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821292400 PECOS PAC ID: 5496835381 Enrollment ID: I20220825001292 |
| Provider Name | Chiarina Galvez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104116755 PECOS PAC ID: 8022376995 Enrollment ID: I20220826002745 |
| Provider Name | Jessica Erin Fernholz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295407153 PECOS PAC ID: 0345624102 Enrollment ID: I20220829002681 |
| Provider Name | Martin Janout |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982800553 PECOS PAC ID: 6709978992 Enrollment ID: I20220830004550 |
| Provider Name | Sonia Thakur |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861928301 PECOS PAC ID: 6305198383 Enrollment ID: I20220901000425 |
| Provider Name | Jeffery A Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134181647 PECOS PAC ID: 4981678729 Enrollment ID: I20220901000918 |
| Provider Name | Gurjyot Bajwa |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720226210 PECOS PAC ID: 3971660846 Enrollment ID: I20220901002520 |
| Provider Name | Amanda Lynn Sauer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861122251 PECOS PAC ID: 2668856063 Enrollment ID: I20220902002173 |
| Provider Name | Harminder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609371780 PECOS PAC ID: 4385972058 Enrollment ID: I20220906000401 |
| Provider Name | Katrina Lee Lybeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467947564 PECOS PAC ID: 0840674149 Enrollment ID: I20220906002637 |
| Provider Name | Reza Nabizadeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356507644 PECOS PAC ID: 6002059367 Enrollment ID: I20220909001386 |
| Provider Name | Mohamed Anwar Babiker Hamza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760938971 PECOS PAC ID: 0345625471 Enrollment ID: I20220909002487 |
| Provider Name | Richard Scott Rosenblum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306834270 PECOS PAC ID: 9931149531 Enrollment ID: I20220913002673 |
| Provider Name | Anant Dinesh |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1407239296 PECOS PAC ID: 3971920554 Enrollment ID: I20220914002703 |
| Provider Name | Bradley C Linden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578762357 PECOS PAC ID: 7719079102 Enrollment ID: I20220915001819 |
| Provider Name | Caitlin Marie Hexum |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750038014 PECOS PAC ID: 0648655399 Enrollment ID: I20220915002067 |
| Provider Name | Michael J. Flaherty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205880176 PECOS PAC ID: 5395713358 Enrollment ID: I20220916002309 |
| Provider Name | Chong Choe |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861464513 PECOS PAC ID: 3476705641 Enrollment ID: I20220920002721 |
| Provider Name | Robert S Mathias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215965595 PECOS PAC ID: 0547278301 Enrollment ID: I20220921002837 |
| Provider Name | Eric M Altschuler |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427032002 PECOS PAC ID: 0446332894 Enrollment ID: I20220921003227 |
| Provider Name | Sundeep K Alapati |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063775112 PECOS PAC ID: 5294032702 Enrollment ID: I20220927003779 |
| Provider Name | Adam Richard Davis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669908729 PECOS PAC ID: 8820491061 Enrollment ID: I20221012001733 |
| Provider Name | Alexander Paul Spacek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689282048 PECOS PAC ID: 0840666913 Enrollment ID: I20221013002864 |
| Provider Name | Caitlin Nicole Sisson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124648753 PECOS PAC ID: 3577986488 Enrollment ID: I20221013003205 |
| Provider Name | Amy Joy Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780317941 PECOS PAC ID: 2163898255 Enrollment ID: I20221013003644 |
| Provider Name | Nicholas O'neill |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437509387 PECOS PAC ID: 8224321922 Enrollment ID: I20221014000538 |
| Provider Name | Maya A Babu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811208788 PECOS PAC ID: 4688847825 Enrollment ID: I20221018001390 |
| Provider Name | Neil Bansal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730525643 PECOS PAC ID: 2961731971 Enrollment ID: I20221021000144 |
| Provider Name | Natalie Jean Carriveau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063145381 PECOS PAC ID: 0749656395 Enrollment ID: I20221021002158 |
| Provider Name | Danielle Emma Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124759618 PECOS PAC ID: 6406222058 Enrollment ID: I20221021002434 |
| Provider Name | Sindhu Shetty |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669906111 PECOS PAC ID: 8123437423 Enrollment ID: I20221027001974 |
| Provider Name | Frank Brancaccio |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013918234 PECOS PAC ID: 4082745534 Enrollment ID: I20221027002260 |
| Provider Name | Erika Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376105304 PECOS PAC ID: 3577930924 Enrollment ID: I20221027003028 |
| Provider Name | Nichole L Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457785867 PECOS PAC ID: 6608285895 Enrollment ID: I20221108002816 |
| Provider Name | Dylan Torgerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538620653 PECOS PAC ID: 3779975610 Enrollment ID: I20221109002522 |
| Provider Name | Joshua Teich |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508387663 PECOS PAC ID: 4981954401 Enrollment ID: I20221110002540 |
| Provider Name | Mathew Gerving |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285243543 PECOS PAC ID: 4183091697 Enrollment ID: I20221111001360 |
| Provider Name | Joey Schmuhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497485403 PECOS PAC ID: 4688041130 Enrollment ID: I20221114000585 |
| Provider Name | David Jt Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104347426 PECOS PAC ID: 8123398765 Enrollment ID: I20221114001917 |
| Provider Name | Brian Bruggeman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356344626 PECOS PAC ID: 6305937392 Enrollment ID: I20221114002770 |
| Provider Name | Andrew Glogoza |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1073000527 PECOS PAC ID: 7719236850 Enrollment ID: I20221114003200 |
| Provider Name | Haley N Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457082505 PECOS PAC ID: 5597133942 Enrollment ID: I20221116001917 |
| Provider Name | Jennifer Ellen Vermillion |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841938065 PECOS PAC ID: 4981071818 Enrollment ID: I20221116003108 |
| Provider Name | Jonathan Lundy |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1841344678 PECOS PAC ID: 5597140418 Enrollment ID: I20221118000114 |
| Provider Name | Regan Andrew Helbling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578124806 PECOS PAC ID: 7416325477 Enrollment ID: I20221122002406 |
| Provider Name | Desmin Milner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740549187 PECOS PAC ID: 5294975975 Enrollment ID: I20221128002456 |
| Provider Name | Arturo R Castro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427052901 PECOS PAC ID: 3476526930 Enrollment ID: I20221129003407 |
| Provider Name | Rachel Anne Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851017131 PECOS PAC ID: 0840668521 Enrollment ID: I20221130002754 |
| Provider Name | Garrett Stephen Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760838460 PECOS PAC ID: 9436528072 Enrollment ID: I20221203000413 |
| Provider Name | Kathryn-anna Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992439863 PECOS PAC ID: 3779952262 Enrollment ID: I20221205002225 |
| Provider Name | Ellen E Nystrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831819713 PECOS PAC ID: 4385013820 Enrollment ID: I20221206000932 |
| Provider Name | Zachary Elliott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376101501 PECOS PAC ID: 0143554725 Enrollment ID: I20221206001740 |
| Provider Name | Nathaniel Kreykes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609818061 PECOS PAC ID: 1254225139 Enrollment ID: I20221207002964 |
| Provider Name | Rebekah Strack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033832209 PECOS PAC ID: 1850760117 Enrollment ID: I20221207003022 |
| Provider Name | Ahmed Hayow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245725100 PECOS PAC ID: 7719356112 Enrollment ID: I20221208000352 |
| Provider Name | David Adcock |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750386066 PECOS PAC ID: 9436040557 Enrollment ID: I20221209001325 |
| Provider Name | Tse Anyu |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1417490301 PECOS PAC ID: 9537538723 Enrollment ID: I20221209002024 |
| Provider Name | Rhoda Leichter |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548286958 PECOS PAC ID: 5799794103 Enrollment ID: I20221209002097 |
| Provider Name | Eve Angelique Skindelien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457088148 PECOS PAC ID: 6608245808 Enrollment ID: I20221209002701 |
| Provider Name | Kevin August Wohletz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760404354 PECOS PAC ID: 7416937800 Enrollment ID: I20221213002050 |
| Provider Name | Katie Jean King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992211437 PECOS PAC ID: 5294095295 Enrollment ID: I20221219002333 |
| Provider Name | Peyton N Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801528252 PECOS PAC ID: 1557730215 Enrollment ID: I20221220001898 |
| Provider Name | Megan Danielle Pfeifer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386138717 PECOS PAC ID: 7315317864 Enrollment ID: I20221228001419 |
| Provider Name | Kirk Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760081293 PECOS PAC ID: 3971915398 Enrollment ID: I20221228001421 |
| Provider Name | Lejla Gasevic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801456140 PECOS PAC ID: 3971973272 Enrollment ID: I20230103000770 |
| Provider Name | Thomas J Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497767578 PECOS PAC ID: 8022060037 Enrollment ID: I20230103002644 |
| Provider Name | Ashley Carver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346699519 PECOS PAC ID: 5597050393 Enrollment ID: I20230104001528 |
| Provider Name | Molly T Ries |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992129811 PECOS PAC ID: 6103049861 Enrollment ID: I20230109000477 |
| Provider Name | Zaid Abdel Rahman |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1003299330 PECOS PAC ID: 4284942574 Enrollment ID: I20230109001322 |
| Provider Name | Joann Ikenyei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235636333 PECOS PAC ID: 8123423530 Enrollment ID: I20230109002904 |
| Provider Name | Scott D Cohen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871699652 PECOS PAC ID: 3577475904 Enrollment ID: I20230110001454 |
| Provider Name | Brett Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720442726 PECOS PAC ID: 8123314234 Enrollment ID: I20230110002224 |
| Provider Name | Stacey A Cooper |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588624787 PECOS PAC ID: 3072518802 Enrollment ID: I20230120001428 |
| Provider Name | Whitney M Rolling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205280104 PECOS PAC ID: 5294027876 Enrollment ID: I20230124002195 |
| Provider Name | Deborah Ann Idland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972620953 PECOS PAC ID: 2961466354 Enrollment ID: I20230125002500 |
| Provider Name | Carrie Laituri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942451687 PECOS PAC ID: 0345460267 Enrollment ID: I20230127000450 |
| Provider Name | Hallie Mann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851053763 PECOS PAC ID: 1850762923 Enrollment ID: I20230127001513 |
| Provider Name | Justin Felix Mozinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659082048 PECOS PAC ID: 0042681090 Enrollment ID: I20230130002051 |
| Provider Name | Brandee Alexandra Kuznia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396453452 PECOS PAC ID: 5991176992 Enrollment ID: I20230131001604 |
| Provider Name | Michael Anthony Kayser |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1548301013 PECOS PAC ID: 1759481120 Enrollment ID: I20230131002056 |
| Provider Name | Grant Phillip Haugen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285298349 PECOS PAC ID: 0244640084 Enrollment ID: I20230201001071 |
| Provider Name | Courtney M Suppa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154090462 PECOS PAC ID: 5597150078 Enrollment ID: I20230201003096 |
| Provider Name | Daniel Falvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003194085 PECOS PAC ID: 3678798758 Enrollment ID: I20230202000646 |
| Provider Name | Brandon Yurczyk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366164493 PECOS PAC ID: 9638541592 Enrollment ID: I20230202002595 |
| Provider Name | Jeremy Benhur Ocampos Maanum |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790405207 PECOS PAC ID: 9234501107 Enrollment ID: I20230202002845 |
| Provider Name | James Thomas Dellis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306042304 PECOS PAC ID: 4789738139 Enrollment ID: I20230203000084 |
| Provider Name | Christine Hanish O'donnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043771918 PECOS PAC ID: 1759615784 Enrollment ID: I20230207000567 |
| Provider Name | Stephen A Kilanowski |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1174738496 PECOS PAC ID: 8921286691 Enrollment ID: I20230208002932 |
| Provider Name | Gregory Alvin Cumberbatch |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1952552945 PECOS PAC ID: 9537331079 Enrollment ID: I20230209003151 |
| Provider Name | Samantha Jo Fugleberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497489751 PECOS PAC ID: 5991177362 Enrollment ID: I20230213000133 |
| Provider Name | Felix Urman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902844210 PECOS PAC ID: 4688610298 Enrollment ID: I20230217001652 |
| Provider Name | Cathy Lynn Bauer-kottenbrock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558726083 PECOS PAC ID: 3870965916 Enrollment ID: I20230217001871 |
| Provider Name | Morgan Arzelle Croves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013641109 PECOS PAC ID: 7719359868 Enrollment ID: I20230217002271 |
| Provider Name | Yosef Greenspon |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1942364690 PECOS PAC ID: 3577665090 Enrollment ID: I20230222002625 |
| Provider Name | Mathias J Christianson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528296258 PECOS PAC ID: 8729243126 Enrollment ID: I20230224001768 |
| Provider Name | Christina Marie Waddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225762107 PECOS PAC ID: 1052784519 Enrollment ID: I20230302002516 |
| Provider Name | Laura A Loftness |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477268316 PECOS PAC ID: 9931572401 Enrollment ID: I20230302003119 |
| Provider Name | Dorian Rebecca Dodd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619694056 PECOS PAC ID: 3072986561 Enrollment ID: I20230303000636 |
| Provider Name | Taylor Marie Vasek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538806146 PECOS PAC ID: 5698145704 Enrollment ID: I20230303001428 |
| Provider Name | Rachel Irene Fleming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144275454 PECOS PAC ID: 9032106497 Enrollment ID: I20230307003173 |
| Provider Name | Cynthia Tortorelli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326001835 PECOS PAC ID: 4688664667 Enrollment ID: I20230308001077 |
| Provider Name | Larae M Inouye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275194581 PECOS PAC ID: 9032582259 Enrollment ID: I20230308001835 |
| Provider Name | Mark L Monteferrante |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780665851 PECOS PAC ID: 0547226169 Enrollment ID: I20230309002417 |
| Provider Name | Danielle Marie Huber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588272470 PECOS PAC ID: 9032538673 Enrollment ID: I20230310002322 |
| Provider Name | James Jackson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659677375 PECOS PAC ID: 2466692025 Enrollment ID: I20230320001704 |
| Provider Name | Kezia R Sogard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093473530 PECOS PAC ID: 7911371570 Enrollment ID: I20230321002968 |
| Provider Name | Michael A Gonzales |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205217908 PECOS PAC ID: 3274810932 Enrollment ID: I20230322002540 |
| Provider Name | Kallie J Wennerberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538893920 PECOS PAC ID: 9234503798 Enrollment ID: I20230323001876 |
| Provider Name | Joseph Arthur Wonderlich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457904385 PECOS PAC ID: 1153795554 Enrollment ID: I20230327001761 |
| Provider Name | Aleta N Simmons |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366708745 PECOS PAC ID: 9133460116 Enrollment ID: I20230327001923 |
| Provider Name | Amanda Perrot |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992416374 PECOS PAC ID: 7810361094 Enrollment ID: I20230330001354 |
| Provider Name | Benjamin Hansen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326676412 PECOS PAC ID: 5991136731 Enrollment ID: I20230330001926 |
| Provider Name | Lauren Marie Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174229595 PECOS PAC ID: 7719352905 Enrollment ID: I20230330001954 |
| Provider Name | Mariela Sheila Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073239299 PECOS PAC ID: 1759756984 Enrollment ID: I20230331000671 |
| Provider Name | Jonathan L Snyderman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871796128 PECOS PAC ID: 3274685979 Enrollment ID: I20230406002851 |
| Provider Name | Katie Lee Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740453141 PECOS PAC ID: 3375621865 Enrollment ID: I20230410001317 |
| Provider Name | Paige Marie Bjerke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386340255 PECOS PAC ID: 0042685794 Enrollment ID: I20230411000823 |
| Provider Name | Jason Aaron Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386829539 PECOS PAC ID: 6608912878 Enrollment ID: I20230412001599 |
| Provider Name | Andrew B Gentry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922072560 PECOS PAC ID: 4789822206 Enrollment ID: I20230413000686 |
| Provider Name | Taylor Marie Gorter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831815240 PECOS PAC ID: 3375918808 Enrollment ID: I20230413002768 |
| Provider Name | Carly Kaspari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396418380 PECOS PAC ID: 5395142194 Enrollment ID: I20230417002535 |
| Provider Name | Jessie Pecka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659088748 PECOS PAC ID: 5698140929 Enrollment ID: I20230418002566 |
| Provider Name | Morgan Leigh Grundstad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184980278 PECOS PAC ID: 1153561261 Enrollment ID: I20230419000898 |
| Provider Name | Patrick E Roach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710335112 PECOS PAC ID: 5294021481 Enrollment ID: I20230421001644 |
| Provider Name | Lisa Ann Braun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083325435 PECOS PAC ID: 4284099318 Enrollment ID: I20230425001783 |
| Provider Name | Jon C Axton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265596969 PECOS PAC ID: 9032214226 Enrollment ID: I20230428002599 |
| Provider Name | Morris F Gitter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952343527 PECOS PAC ID: 0648301291 Enrollment ID: I20230501000752 |
| Provider Name | Erin S Walters |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710104401 PECOS PAC ID: 8820012305 Enrollment ID: I20230501000835 |
| Provider Name | Andrew Reiter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801524400 PECOS PAC ID: 6608246384 Enrollment ID: I20230504002191 |
| Provider Name | Anastasia Wernecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134838568 PECOS PAC ID: 6709242050 Enrollment ID: I20230511003596 |
| Provider Name | Jeffrey Horn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386943611 PECOS PAC ID: 0749413201 Enrollment ID: I20230512001493 |
| Provider Name | Madeline Dicks |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154857209 PECOS PAC ID: 1153699517 Enrollment ID: I20230515000711 |
| Provider Name | Israar Suhaib Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053937888 PECOS PAC ID: 2163888223 Enrollment ID: I20230515002419 |
| Provider Name | Maaz Badshah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043525520 PECOS PAC ID: 8123269206 Enrollment ID: I20230516002558 |
| Provider Name | Stephen J Jameson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174598825 PECOS PAC ID: 9032246723 Enrollment ID: I20230519000853 |
| Provider Name | Javier Bibb |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871513358 PECOS PAC ID: 6800893892 Enrollment ID: I20230526001830 |
| Provider Name | Heather Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972982148 PECOS PAC ID: 1355643891 Enrollment ID: I20230526001926 |
| Provider Name | Patrick Hughes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013995281 PECOS PAC ID: 2668418278 Enrollment ID: I20230526002397 |
| Provider Name | Jeffrey R Desanto |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992908586 PECOS PAC ID: 8527131598 Enrollment ID: I20230530001931 |
| Provider Name | Molly T Ries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992129811 PECOS PAC ID: 6103049861 Enrollment ID: I20230530002842 |
| Provider Name | Thomas Vaughan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659320646 PECOS PAC ID: 7214948652 Enrollment ID: I20230606001968 |
| Provider Name | Jennifer Baldwin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326023706 PECOS PAC ID: 4486686813 Enrollment ID: I20230607001532 |
| Provider Name | Murugusundaram Veeramani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063438752 PECOS PAC ID: 2567411051 Enrollment ID: I20230609002999 |
| Provider Name | Patrick Pfizenmayer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417434077 PECOS PAC ID: 2062879612 Enrollment ID: I20230613001827 |
| Provider Name | Edward Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285722744 PECOS PAC ID: 5890680631 Enrollment ID: I20230614000768 |
| Provider Name | Hallie Beth Thompson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366019440 PECOS PAC ID: 3870951114 Enrollment ID: I20230620000995 |
| Provider Name | Mark T Eginton |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194776617 PECOS PAC ID: 7113069956 Enrollment ID: I20230620002703 |
| Provider Name | Joseph J Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407281124 PECOS PAC ID: 6507142080 Enrollment ID: I20230626002814 |
| Provider Name | Michael J Seaman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689229122 PECOS PAC ID: 1052770757 Enrollment ID: I20230628003063 |
| Provider Name | James Fowler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194726596 PECOS PAC ID: 6800785916 Enrollment ID: I20230630001488 |
| Provider Name | Anthony G Vande Hei |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942620240 PECOS PAC ID: 2860785441 Enrollment ID: I20230630002787 |
| Provider Name | Nikitha Temkar Sathish Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962079160 PECOS PAC ID: 7517326549 Enrollment ID: I20230707003209 |
| Provider Name | Xiaonan Richard Sun |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295121259 PECOS PAC ID: 2961747290 Enrollment ID: I20230711004061 |
| Provider Name | Khaled Mohammed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710410535 PECOS PAC ID: 1850626656 Enrollment ID: I20230712002361 |
| Provider Name | Hassan B Attique |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033562525 PECOS PAC ID: 5991091258 Enrollment ID: I20230712004432 |
| Provider Name | Raul O Parra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871689968 PECOS PAC ID: 6103810353 Enrollment ID: I20230712004552 |
| Provider Name | Haidar Kabbani |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1144203753 PECOS PAC ID: 0749201994 Enrollment ID: I20230718000676 |
| Provider Name | Amy Martyanov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922270768 PECOS PAC ID: 3173681459 Enrollment ID: I20230719004181 |
| Provider Name | Sean Freyne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134172869 PECOS PAC ID: 9739100058 Enrollment ID: I20230724000280 |
| Provider Name | David Bettis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053425603 PECOS PAC ID: 5597829895 Enrollment ID: I20230726001352 |
| Provider Name | Zachary Steven Gaarder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124733076 PECOS PAC ID: 9537520127 Enrollment ID: I20230728002660 |
| Provider Name | Jennifer Myers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710548052 PECOS PAC ID: 9436510922 Enrollment ID: I20230731003908 |
| Provider Name | Jonathan T Colston |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1952760233 PECOS PAC ID: 7315308640 Enrollment ID: I20230802001558 |
| Provider Name | Jordan Lynn Doss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922539501 PECOS PAC ID: 4981065232 Enrollment ID: I20230802003243 |
| Provider Name | Jadee Lange |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013633965 PECOS PAC ID: 6002277258 Enrollment ID: I20230803002419 |
| Provider Name | Logan Christine Schmaltz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891363222 PECOS PAC ID: 2668833781 Enrollment ID: I20230804001318 |
| Provider Name | Brett Slingsby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811159031 PECOS PAC ID: 3678766300 Enrollment ID: I20230804002634 |
| Provider Name | Tanner Karger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689358889 PECOS PAC ID: 8628430535 Enrollment ID: I20230809002012 |
| Provider Name | Jude Igboanusi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770112807 PECOS PAC ID: 5597127415 Enrollment ID: I20230809002680 |
| Provider Name | Tyroniesha Adrienne Beckem Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679263578 PECOS PAC ID: 4587026372 Enrollment ID: I20230810001910 |
| Provider Name | Shannon Hagan Chamberlain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669081840 PECOS PAC ID: 1456713262 Enrollment ID: I20230810002724 |
| Provider Name | Ashley R Skonieczny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194345736 PECOS PAC ID: 5698199081 Enrollment ID: I20230811001595 |
| Provider Name | Kyle R Gronbeck |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790278638 PECOS PAC ID: 4587914304 Enrollment ID: I20230811001700 |
| Provider Name | Sadie Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699450007 PECOS PAC ID: 6901268655 Enrollment ID: I20230814001204 |
| Provider Name | Thuan D Dang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720489750 PECOS PAC ID: 4284938945 Enrollment ID: I20230814003120 |
| Provider Name | Nathan Patrick Marsh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992313308 PECOS PAC ID: 2567824949 Enrollment ID: I20230816003970 |
| Provider Name | Ryan W Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720602568 PECOS PAC ID: 0345664827 Enrollment ID: I20230816004434 |
| Provider Name | Erin M Follman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770003329 PECOS PAC ID: 4587921853 Enrollment ID: I20230817002105 |
| Provider Name | Corey Zimmerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033708524 PECOS PAC ID: 7517367253 Enrollment ID: I20230817002555 |
| Provider Name | Claudine Geronimo Sinsioco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831335850 PECOS PAC ID: 7315061363 Enrollment ID: I20230817003011 |
| Provider Name | James Atkinson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487844668 PECOS PAC ID: 2264688316 Enrollment ID: I20230818002696 |
| Provider Name | James A Rea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568084887 PECOS PAC ID: 6507280807 Enrollment ID: I20230821003250 |
| Provider Name | Shawn Vuong |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861758856 PECOS PAC ID: 4486894201 Enrollment ID: I20230822003155 |
| Provider Name | Tarek A. Radwan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750484200 PECOS PAC ID: 7113175928 Enrollment ID: I20230823002066 |
| Provider Name | Lydia Nefedov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902349772 PECOS PAC ID: 5092096206 Enrollment ID: I20230823002132 |
| Provider Name | Rahe N Hiraldo Delgado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851686422 PECOS PAC ID: 7012149834 Enrollment ID: I20230825000517 |
| Provider Name | Naomi Schuldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013693837 PECOS PAC ID: 5698138279 Enrollment ID: I20230830000564 |
| Provider Name | Ernest J Laney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154600104 PECOS PAC ID: 9537467246 Enrollment ID: I20230901003414 |
| Provider Name | Beau Monte Billadeau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982167524 PECOS PAC ID: 5597090241 Enrollment ID: I20230907004458 |
| Provider Name | Julia Gene Hanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851077010 PECOS PAC ID: 5294199287 Enrollment ID: I20230908002700 |
| Provider Name | Kelly A Morgan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114096500 PECOS PAC ID: 7012011356 Enrollment ID: I20230913000138 |
| Provider Name | April M Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285165621 PECOS PAC ID: 8123384286 Enrollment ID: I20230913001439 |
| Provider Name | Rebekah Devasahayam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760794770 PECOS PAC ID: 3971871039 Enrollment ID: I20230915003313 |
| Provider Name | Darcie Tveidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972841799 PECOS PAC ID: 1850546102 Enrollment ID: I20230919002267 |
| Provider Name | Michael Lawrenz Ferreras Co |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1295110625 PECOS PAC ID: 4486944071 Enrollment ID: I20230921001617 |
| Provider Name | Katie Marie Dahlstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245013481 PECOS PAC ID: 9537513627 Enrollment ID: I20230922001999 |
| Provider Name | Jordan Michael Ernst |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407343239 PECOS PAC ID: 3678927688 Enrollment ID: I20230925003294 |
| Provider Name | Danny Choy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902300882 PECOS PAC ID: 3971970732 Enrollment ID: I20230926001105 |
| Provider Name | Christopher Ryan Cunningham |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346732781 PECOS PAC ID: 6406200260 Enrollment ID: I20230927002285 |
| Provider Name | Kathryn Ann Agamawi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972023018 PECOS PAC ID: 6002260718 Enrollment ID: I20230929000542 |
| Provider Name | Anand Shashin Desai |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265937155 PECOS PAC ID: 4981036274 Enrollment ID: I20231002000922 |
| Provider Name | Joel S Romance |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699156901 PECOS PAC ID: 2860846367 Enrollment ID: I20231003001423 |
| Provider Name | Calsey Mischel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114361144 PECOS PAC ID: 3971858549 Enrollment ID: I20231004004002 |
| Provider Name | Shiva Mohan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821619792 PECOS PAC ID: 5193141794 Enrollment ID: I20231005002233 |
| Provider Name | Recep Nigdelioglu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1215468186 PECOS PAC ID: 0042610271 Enrollment ID: I20231006000712 |
| Provider Name | Symone Stevie Jacobs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316521370 PECOS PAC ID: 9335547306 Enrollment ID: I20231006002404 |
| Provider Name | Amanda Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255018321 PECOS PAC ID: 8527413483 Enrollment ID: I20231012000904 |
| Provider Name | Stephanie Robinett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619084449 PECOS PAC ID: 1658457049 Enrollment ID: I20231013000846 |
| Provider Name | Gary Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558488197 PECOS PAC ID: 3173614906 Enrollment ID: I20231018000959 |
| Provider Name | Alexandra Bulga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528696960 PECOS PAC ID: 0244602100 Enrollment ID: I20231018002232 |
| Provider Name | Alanna Velo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144883828 PECOS PAC ID: 7517292410 Enrollment ID: I20231020001346 |
| Provider Name | Mackenzie Jane Wieser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972280550 PECOS PAC ID: 9234592627 Enrollment ID: I20231023000423 |
| Provider Name | Celestine O Maiki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649278532 PECOS PAC ID: 9830164631 Enrollment ID: I20231023003505 |
| Provider Name | Stephanie M Fountain |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528405917 PECOS PAC ID: 1850624529 Enrollment ID: I20231027002276 |
| Provider Name | Christen Nicole Seaman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538691514 PECOS PAC ID: 3870924160 Enrollment ID: I20231027002469 |
| Provider Name | Kelsey Kathrina Svare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912681685 PECOS PAC ID: 6103272851 Enrollment ID: I20231101000311 |
| Provider Name | Yusuf M Agamawi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992246144 PECOS PAC ID: 6800165465 Enrollment ID: I20231101003148 |
| Provider Name | Ani Celine Mangold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033898762 PECOS PAC ID: 0345697975 Enrollment ID: I20231103001198 |
| Provider Name | Sarah Elaine Nell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003593377 PECOS PAC ID: 2961859509 Enrollment ID: I20231103001834 |
| Provider Name | Vinita Gupta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710181870 PECOS PAC ID: 0345380754 Enrollment ID: I20231107003041 |
| Provider Name | Tammy J Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346413291 PECOS PAC ID: 2365616224 Enrollment ID: I20231108000021 |
| Provider Name | Kaushik Patel |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1780670166 PECOS PAC ID: 9931157161 Enrollment ID: I20231114002293 |
| Provider Name | Ashley Ann Flack |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134805724 PECOS PAC ID: 9537516315 Enrollment ID: I20231116000648 |
| Provider Name | Page M Mark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982381125 PECOS PAC ID: 8123475829 Enrollment ID: I20231116001886 |
| Provider Name | Lauren Hengel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689359812 PECOS PAC ID: 7810344520 Enrollment ID: I20231116002065 |
| Provider Name | Tommy J Kwak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235472820 PECOS PAC ID: 6608172291 Enrollment ID: I20231120000547 |
| Provider Name | Reid Magnuson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235816752 PECOS PAC ID: 3971951229 Enrollment ID: I20231127001743 |
| Provider Name | Morgan Brooke Mertz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649053323 PECOS PAC ID: 2264880327 Enrollment ID: I20231129003398 |
| Provider Name | Kenedy Foryoung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225472392 PECOS PAC ID: 9335472265 Enrollment ID: I20231207003829 |
| Provider Name | Krista Ann Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194408658 PECOS PAC ID: 6608225172 Enrollment ID: I20231208001655 |
| Provider Name | Elizabeth Rae Schmit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528747359 PECOS PAC ID: 7911369954 Enrollment ID: I20231214000614 |
| Provider Name | Michael T Lyster |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114916350 PECOS PAC ID: 6002729050 Enrollment ID: I20231221001833 |
| Provider Name | Christina E Torgerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639958986 PECOS PAC ID: 7911357660 Enrollment ID: I20231221002068 |
| Provider Name | Ellia Ciammaichella |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669821260 PECOS PAC ID: 8921435777 Enrollment ID: I20231222001492 |
| Provider Name | Joclyn Anne Seiler Hall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922528868 PECOS PAC ID: 0042577314 Enrollment ID: I20240102001788 |
| Provider Name | Vincent Harold Plummer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679649867 PECOS PAC ID: 6709237720 Enrollment ID: I20240103004472 |
| Provider Name | Didem Inanoglu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1255324422 PECOS PAC ID: 9739171299 Enrollment ID: I20240104000667 |
| Provider Name | Hadi Lafta Al-hasnawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518351808 PECOS PAC ID: 2264749654 Enrollment ID: I20240105003583 |
| Provider Name | Ektaben Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922721927 PECOS PAC ID: 1355792615 Enrollment ID: I20240110005303 |
| Provider Name | Cara Schagunn Lere |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871603167 PECOS PAC ID: 4082999065 Enrollment ID: I20240111001859 |
| Provider Name | Victoria Zak |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073975199 PECOS PAC ID: 3173975166 Enrollment ID: I20240115001925 |
| Provider Name | Mohamed El-sayed El Tarabily |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467418905 PECOS PAC ID: 1658393368 Enrollment ID: I20240118003103 |
| Provider Name | Ashley Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730453648 PECOS PAC ID: 5294164141 Enrollment ID: I20240118004331 |
| Provider Name | Alan Peter Jakubowski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609964261 PECOS PAC ID: 7618960816 Enrollment ID: I20240123003223 |
| Provider Name | Laura Jones |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669763041 PECOS PAC ID: 3375996341 Enrollment ID: I20240125002733 |
| Provider Name | Julius A Silvidi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730121385 PECOS PAC ID: 9638152606 Enrollment ID: I20240128000164 |
| Provider Name | Britton Beatrous |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003309493 PECOS PAC ID: 9032461355 Enrollment ID: I20240129001770 |
| Provider Name | Candice A Blumhardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700969227 PECOS PAC ID: 3577916014 Enrollment ID: I20240131002606 |
| Provider Name | Tanya Burrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538488978 PECOS PAC ID: 2860725967 Enrollment ID: I20240205004401 |
| Provider Name | Swetha Saladi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174114359 PECOS PAC ID: 2365885423 Enrollment ID: I20240206003638 |
| Provider Name | Whitney Temple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316567944 PECOS PAC ID: 1951724665 Enrollment ID: I20240207003812 |
| Provider Name | Isaac Schwartz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073959649 PECOS PAC ID: 9335565290 Enrollment ID: I20240209003931 |
| Provider Name | Lori Meyer Van Roekel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679346423 PECOS PAC ID: 6204270408 Enrollment ID: I20240215002392 |
| Provider Name | Joe Ed Parkey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699732925 PECOS PAC ID: 2567446735 Enrollment ID: I20240221003489 |
| Provider Name | Robert Louis Conway |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1518157510 PECOS PAC ID: 5698869592 Enrollment ID: I20240226002530 |
| Provider Name | Kleve Granger |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972023323 PECOS PAC ID: 4284908740 Enrollment ID: I20240307004361 |
| Provider Name | Ashley Lynn Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801661657 PECOS PAC ID: 7012353394 Enrollment ID: I20240308001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Sanford 7951 Jacks Way, Horace, ND 58047-9002 Ph: (701) 234-8830 |