| Aspirus Stevens Point Hospital & Clinics, Inc. | |
|
900 Illinois Ave Stevens Point WI 54481-3114 | |
| (715) 346-5000 | |
| (715) 342-7964 |
| Full Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 900 Illinois Ave, Stevens Point, Wisconsin |
| Authorized Official Name and Position | Lori Peck (VP REVENUE CYCLE) |
| Authorized Official Contact | 7158472988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Stevens Point Hospital & Clinics, Inc. 900 Illinois Ave Stevens Point WI 54481-3114 Ph: (715) 346-5000 | Aspirus Stevens Point Hospital & Clinics, Inc. 900 Illinois Ave Stevens Point WI 54481-3114 Ph: (715) 346-5000 |
| NPI Number | 1538112230 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 09/26/2022 |
| Medicare PECOS PAC ID | 1850358938 |
|---|---|
| Medicare Enrollment ID | O20041210000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538112230 | NPI | - | NPPES |
| 42055800 | Medicaid | WI | |
| 11006100 | Medicaid | WI | |
| 42055300 | Medicaid | WI | |
| 41228000 | Medicaid | WI | |
| 41709400 | Medicaid | WI |
| Provider Name | Kshamata Shalini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023099306 PECOS PAC ID: 0840196036 Enrollment ID: I20031209000630 |
| Provider Name | Thomas J Kunkel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346221637 PECOS PAC ID: 8426958745 Enrollment ID: I20040112000480 |
| Provider Name | Laurie A Demro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336151190 PECOS PAC ID: 4082515424 Enrollment ID: I20040119000021 |
| Provider Name | Daniel R Kraeger |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1407901580 PECOS PAC ID: 9739074105 Enrollment ID: I20040216001232 |
| Provider Name | Terri A Hahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265587976 PECOS PAC ID: 3274428016 Enrollment ID: I20040219000489 |
| Provider Name | Bradley F Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386681393 PECOS PAC ID: 1355253824 Enrollment ID: I20040219000839 |
| Provider Name | Laurie J Kostka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992840342 PECOS PAC ID: 7416842133 Enrollment ID: I20040220000040 |
| Provider Name | Carol Rave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215063763 PECOS PAC ID: 6406741149 Enrollment ID: I20040220000213 |
| Provider Name | Nancy K Swisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992832661 PECOS PAC ID: 4486549144 Enrollment ID: I20040220000318 |
| Provider Name | Randolph B Waskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497780134 PECOS PAC ID: 2961390364 Enrollment ID: I20040308000878 |
| Provider Name | Timothy J Wirtz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134277833 PECOS PAC ID: 8022909852 Enrollment ID: I20040322001704 |
| Provider Name | Haleem J Rasool |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790766392 PECOS PAC ID: 2961495114 Enrollment ID: I20040405001266 |
| Provider Name | Michael J Thielman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881722239 PECOS PAC ID: 5496749632 Enrollment ID: I20040412000944 |
| Provider Name | Amy Marie Fox |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578529186 PECOS PAC ID: 5799779542 Enrollment ID: I20040417000215 |
| Provider Name | Arun Jain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588691489 PECOS PAC ID: 4587653027 Enrollment ID: I20040510000733 |
| Provider Name | Gail T Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326125691 PECOS PAC ID: 9931198496 Enrollment ID: I20040510000896 |
| Provider Name | Jane E Reid |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528042793 PECOS PAC ID: 7810985595 Enrollment ID: I20040514000274 |
| Provider Name | Christopher L Younker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528001716 PECOS PAC ID: 5092706168 Enrollment ID: I20040519000620 |
| Provider Name | Kevin R Krueger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568403806 PECOS PAC ID: 6507847035 Enrollment ID: I20040528000946 |
| Provider Name | Ifueko B Okundaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467460410 PECOS PAC ID: 9638152101 Enrollment ID: I20040609000226 |
| Provider Name | Jodi M Glodowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710036330 PECOS PAC ID: 8325027345 Enrollment ID: I20040804000215 |
| Provider Name | Emmanuel N Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497856728 PECOS PAC ID: 9830160704 Enrollment ID: I20040804000334 |
| Provider Name | Kimberly J Kurtz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770568222 PECOS PAC ID: 7315934080 Enrollment ID: I20040810000028 |
| Provider Name | Michael D Redman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386648665 PECOS PAC ID: 5092780601 Enrollment ID: I20040827000736 |
| Provider Name | Gary L Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043275241 PECOS PAC ID: 1557337433 Enrollment ID: I20040902001003 |
| Provider Name | Shiloh A Simons |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447387279 PECOS PAC ID: 1850360090 Enrollment ID: I20040924001059 |
| Provider Name | Bolanle O Gbadebo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245320480 PECOS PAC ID: 0749242071 Enrollment ID: I20041029000431 |
| Provider Name | Jacqueline K Buttke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396843157 PECOS PAC ID: 8325002371 Enrollment ID: I20041118000684 |
| Provider Name | Douglas M Grube |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760420558 PECOS PAC ID: 7113983966 Enrollment ID: I20041203000586 |
| Provider Name | Jennifer M Schoepke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114054210 PECOS PAC ID: 5991761256 Enrollment ID: I20041208000418 |
| Provider Name | Scott W Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215912209 PECOS PAC ID: 5496712697 Enrollment ID: I20041220000034 |
| Provider Name | Todd M Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235267568 PECOS PAC ID: 3072563873 Enrollment ID: I20050129000044 |
| Provider Name | Channing C Wiersema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457416166 PECOS PAC ID: 5991755605 Enrollment ID: I20050129000156 |
| Provider Name | Hien T Vo-hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427186741 PECOS PAC ID: 3870543580 Enrollment ID: I20050129000179 |
| Provider Name | Shelley A Szymkowiak Raczek |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467589143 PECOS PAC ID: 5991755621 Enrollment ID: I20050131000066 |
| Provider Name | Steven A Hadlock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497842157 PECOS PAC ID: 8325098056 Enrollment ID: I20050131000092 |
| Provider Name | Steven J Slezak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215064043 PECOS PAC ID: 4183674823 Enrollment ID: I20050131000128 |
| Provider Name | Lisa M Jamison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437204575 PECOS PAC ID: 7719938315 Enrollment ID: I20050201000363 |
| Provider Name | Paul E Munck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881749984 PECOS PAC ID: 5395796783 Enrollment ID: I20050202000930 |
| Provider Name | Joseph D Mccausland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558416644 PECOS PAC ID: 6002867405 Enrollment ID: I20050202000959 |
| Provider Name | Marco C Dotti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508916263 PECOS PAC ID: 3375594708 Enrollment ID: I20050203000025 |
| Provider Name | Dean R Hagness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922037100 PECOS PAC ID: 9234180514 Enrollment ID: I20050203000505 |
| Provider Name | Todd A Rave |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407982978 PECOS PAC ID: 6709837024 Enrollment ID: I20050203000750 |
| Provider Name | Peter A Sanderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689721979 PECOS PAC ID: 5597734798 Enrollment ID: I20050203000809 |
| Provider Name | Cynthia Pangallo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710946132 PECOS PAC ID: 5890746069 Enrollment ID: I20050204000267 |
| Provider Name | John S Oglesby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245385962 PECOS PAC ID: 2365493558 Enrollment ID: I20050204000372 |
| Provider Name | Jay J Rusek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285761601 PECOS PAC ID: 6608827894 Enrollment ID: I20050204000388 |
| Provider Name | Thomas P O'malley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952456055 PECOS PAC ID: 7214988419 Enrollment ID: I20050204000416 |
| Provider Name | Ralph M Locher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083769160 PECOS PAC ID: 4183675309 Enrollment ID: I20050204000609 |
| Provider Name | Pamela J Beyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215060215 PECOS PAC ID: 7618928763 Enrollment ID: I20050205000075 |
| Provider Name | Jay C Cleve |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962552380 PECOS PAC ID: 1355392309 Enrollment ID: I20050207000763 |
| Provider Name | Lori A Oneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205981305 PECOS PAC ID: 3971554858 Enrollment ID: I20050208000879 |
| Provider Name | Julie L Kessler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1144365123 PECOS PAC ID: 3870544752 Enrollment ID: I20050208000889 |
| Provider Name | Deborah L Kosobucki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992852230 PECOS PAC ID: 9436100328 Enrollment ID: I20050208000957 |
| Provider Name | Clare A Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831246172 PECOS PAC ID: 8527019397 Enrollment ID: I20050209000486 |
| Provider Name | Robert E Most |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417029711 PECOS PAC ID: 8426001124 Enrollment ID: I20050222000833 |
| Provider Name | David J Sell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902833700 PECOS PAC ID: 9931154515 Enrollment ID: I20050316000709 |
| Provider Name | John E Almquist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104810118 PECOS PAC ID: 9133174642 Enrollment ID: I20050317000587 |
| Provider Name | Choon P Ng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497793533 PECOS PAC ID: 1355330598 Enrollment ID: I20050322001004 |
| Provider Name | Ellen J Westdorp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407898521 PECOS PAC ID: 4486620564 Enrollment ID: I20050329000241 |
| Provider Name | Walter G Kao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457328940 PECOS PAC ID: 4981662350 Enrollment ID: I20050330000756 |
| Provider Name | Ellen L Suelflow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891802997 PECOS PAC ID: 4981642097 Enrollment ID: I20050420000121 |
| Provider Name | James M Cygan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235145210 PECOS PAC ID: 0840238572 Enrollment ID: I20050421001476 |
| Provider Name | John A Keegan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932281763 PECOS PAC ID: 7214977933 Enrollment ID: I20050511000902 |
| Provider Name | Yoseph Shalev |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821065467 PECOS PAC ID: 6507750429 Enrollment ID: I20050613000817 |
| Provider Name | Andrew R Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376563361 PECOS PAC ID: 4486690187 Enrollment ID: I20050705000298 |
| Provider Name | Mark T Hoffmann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356342034 PECOS PAC ID: 8527966803 Enrollment ID: I20050706000135 |
| Provider Name | Christopher Gary Peterson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700897535 PECOS PAC ID: 8820024474 Enrollment ID: I20050714000500 |
| Provider Name | Eromi S Jayasingha |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1588681522 PECOS PAC ID: 8729014337 Enrollment ID: I20050714001018 |
| Provider Name | Steven A Muhle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174561195 PECOS PAC ID: 6204886377 Enrollment ID: I20050804001093 |
| Provider Name | Dane J Harder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215974977 PECOS PAC ID: 9739118605 Enrollment ID: I20050810001134 |
| Provider Name | Michael Todd Tennier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922084615 PECOS PAC ID: 5799717393 Enrollment ID: I20050902000704 |
| Provider Name | Orlando M Francisco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063677862 PECOS PAC ID: 4688609894 Enrollment ID: I20050927000769 |
| Provider Name | David E Lange |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255449567 PECOS PAC ID: 6608895909 Enrollment ID: I20051116000340 |
| Provider Name | Brent P Fletcher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790797199 PECOS PAC ID: 7315937562 Enrollment ID: I20051118000405 |
| Provider Name | Richard S Wessling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649282807 PECOS PAC ID: 3678563830 Enrollment ID: I20051118000549 |
| Provider Name | Rezwan Islam |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1154417145 PECOS PAC ID: 0143249037 Enrollment ID: I20051121000673 |
| Provider Name | Joel M Carlson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063423515 PECOS PAC ID: 4082604277 Enrollment ID: I20051206001008 |
| Provider Name | Marjorie S Miller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487687604 PECOS PAC ID: 3577583418 Enrollment ID: I20051207000376 |
| Provider Name | Gregory T Gilles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376500082 PECOS PAC ID: 0547282543 Enrollment ID: I20051219000591 |
| Provider Name | Nicole A Simpson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932151412 PECOS PAC ID: 3971525973 Enrollment ID: I20051219000612 |
| Provider Name | Jason Hanson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013957752 PECOS PAC ID: 6103848106 Enrollment ID: I20051219000643 |
| Provider Name | Jeffrey P Blise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821051657 PECOS PAC ID: 3779507918 Enrollment ID: I20060116000091 |
| Provider Name | Ann E Harmon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073559639 PECOS PAC ID: 2668496787 Enrollment ID: I20060117000335 |
| Provider Name | Ravindra Hanumaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740237775 PECOS PAC ID: 9537183355 Enrollment ID: I20060119000778 |
| Provider Name | Bradley J Schwager |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265497598 PECOS PAC ID: 1951315761 Enrollment ID: I20060201000194 |
| Provider Name | Nicolaus A Schermer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730175480 PECOS PAC ID: 9436114428 Enrollment ID: I20060213000103 |
| Provider Name | Jacqueline A Bienek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306996533 PECOS PAC ID: 0345255972 Enrollment ID: I20060217000298 |
| Provider Name | Judith L Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790830883 PECOS PAC ID: 4688680960 Enrollment ID: I20060223000283 |
| Provider Name | Carlos X Condado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205028768 PECOS PAC ID: 2860478690 Enrollment ID: I20060313000396 |
| Provider Name | Joseph P Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962472589 PECOS PAC ID: 2769372242 Enrollment ID: I20060322000342 |
| Provider Name | Allen E Faber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407963085 PECOS PAC ID: 5395753560 Enrollment ID: I20060329000635 |
| Provider Name | Audrey C Kast |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811929268 PECOS PAC ID: 4880602010 Enrollment ID: I20060330000253 |
| Provider Name | Robert R Kohl |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689628901 PECOS PAC ID: 7214948561 Enrollment ID: I20060526000087 |
| Provider Name | Michael W Minehart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982641163 PECOS PAC ID: 0042208407 Enrollment ID: I20060601000257 |
| Provider Name | John R Westberg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255302337 PECOS PAC ID: 9032108378 Enrollment ID: I20060710000061 |
| Provider Name | Romeo M Barakeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205863503 PECOS PAC ID: 3274546148 Enrollment ID: I20060718000162 |
| Provider Name | Nancy Lynn Ontl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922043868 PECOS PAC ID: 3173536737 Enrollment ID: I20060726000314 |
| Provider Name | Shana M Gliniecki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730112814 PECOS PAC ID: 0042214470 Enrollment ID: I20060828000072 |
| Provider Name | Kay M Shawbitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669491510 PECOS PAC ID: 8022012731 Enrollment ID: I20060912000420 |
| Provider Name | Kevin J Ferreira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982712220 PECOS PAC ID: 6406852508 Enrollment ID: I20061012000549 |
| Provider Name | Lucille M Scott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609941491 PECOS PAC ID: 3476553801 Enrollment ID: I20070108000465 |
| Provider Name | Kay L Czerwinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962592568 PECOS PAC ID: 6305846684 Enrollment ID: I20070110000555 |
| Provider Name | Todd D Storch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245258334 PECOS PAC ID: 8527031897 Enrollment ID: I20070508000098 |
| Provider Name | Virginia Trzebiatowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003938143 PECOS PAC ID: 2365549110 Enrollment ID: I20070514000217 |
| Provider Name | Marco Araujo |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1417092073 PECOS PAC ID: 8729073663 Enrollment ID: I20070521000221 |
| Provider Name | Erin E Verkerke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477612794 PECOS PAC ID: 4789785114 Enrollment ID: I20070728000238 |
| Provider Name | Robyn A Schertz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043410673 PECOS PAC ID: 4688767023 Enrollment ID: I20070830000630 |
| Provider Name | Richard S Veiga |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134165558 PECOS PAC ID: 1052404852 Enrollment ID: I20070911000057 |
| Provider Name | Peter M Mccool |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306044847 PECOS PAC ID: 3274620133 Enrollment ID: I20071025000076 |
| Provider Name | Chin Feng D Lai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528252921 PECOS PAC ID: 2466549985 Enrollment ID: I20071031000349 |
| Provider Name | Moshood A Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457559296 PECOS PAC ID: 7416044664 Enrollment ID: I20071105000141 |
| Provider Name | Tina K Neuendank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740385707 PECOS PAC ID: 3577650621 Enrollment ID: I20071106000444 |
| Provider Name | Diane L Reetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942497185 PECOS PAC ID: 4688762511 Enrollment ID: I20071110000133 |
| Provider Name | Jeffrey M Vanbendegom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477544427 PECOS PAC ID: 9436248002 Enrollment ID: I20071204000806 |
| Provider Name | Dean M Pollnow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316054612 PECOS PAC ID: 2860582079 Enrollment ID: I20071212000095 |
| Provider Name | Sandra A Albinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750399317 PECOS PAC ID: 1254421167 Enrollment ID: I20071215000215 |
| Provider Name | Michael A Woyak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770778383 PECOS PAC ID: 5597848705 Enrollment ID: I20080212000093 |
| Provider Name | Annette P Elwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558397125 PECOS PAC ID: 9335182401 Enrollment ID: I20080222000338 |
| Provider Name | Mitchell L Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912956137 PECOS PAC ID: 3870686462 Enrollment ID: I20080222000358 |
| Provider Name | Andrew R Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386610707 PECOS PAC ID: 3072697325 Enrollment ID: I20080225000606 |
| Provider Name | Narasimha R Saladi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528257045 PECOS PAC ID: 6901796473 Enrollment ID: I20080306000611 |
| Provider Name | Erica G Salaman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093761363 PECOS PAC ID: 0840216743 Enrollment ID: I20080418000275 |
| Provider Name | Tami R Leslie |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003087107 PECOS PAC ID: 6901976240 Enrollment ID: I20080529000575 |
| Provider Name | Bradley J Boettcher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295906675 PECOS PAC ID: 9830269588 Enrollment ID: I20080606000187 |
| Provider Name | Shelley S Brenholt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033182233 PECOS PAC ID: 4183796519 Enrollment ID: I20080630000697 |
| Provider Name | Editha Krueger |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093759185 PECOS PAC ID: 5799867651 Enrollment ID: I20080711000045 |
| Provider Name | Thomas R Hogan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376752147 PECOS PAC ID: 2860565322 Enrollment ID: I20080717000263 |
| Provider Name | Timothy J Moran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437328614 PECOS PAC ID: 0244304632 Enrollment ID: I20080802000107 |
| Provider Name | Steven John Gasper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043238405 PECOS PAC ID: 3870667785 Enrollment ID: I20080811000108 |
| Provider Name | Reed J Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720259112 PECOS PAC ID: 5193892446 Enrollment ID: I20080929000204 |
| Provider Name | Mohan Sengodan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760529515 PECOS PAC ID: 5890863161 Enrollment ID: I20081014000528 |
| Provider Name | Oluwakunle Oluwatosin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396912796 PECOS PAC ID: 1557439262 Enrollment ID: I20081023000761 |
| Provider Name | Cecilia Stroede |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922065754 PECOS PAC ID: 4385696475 Enrollment ID: I20081028000737 |
| Provider Name | Suzanne V Powell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265458053 PECOS PAC ID: 6709777444 Enrollment ID: I20081030000730 |
| Provider Name | Crystal A Harn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972754075 PECOS PAC ID: 4284795899 Enrollment ID: I20081201000669 |
| Provider Name | David M Burnett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699897371 PECOS PAC ID: 9537223698 Enrollment ID: I20090204000391 |
| Provider Name | Angelene K Timmerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265475966 PECOS PAC ID: 9032275151 Enrollment ID: I20090225000489 |
| Provider Name | Robert K Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437119781 PECOS PAC ID: 8022192178 Enrollment ID: I20090306000344 |
| Provider Name | Cheryl L Mabry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891931440 PECOS PAC ID: 6901963172 Enrollment ID: I20090316000592 |
| Provider Name | Myung Sun S Jung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477791895 PECOS PAC ID: 3779633946 Enrollment ID: I20090609000545 |
| Provider Name | Christian Zuver |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194843367 PECOS PAC ID: 5890887830 Enrollment ID: I20090624000126 |
| Provider Name | Frederick A Abrokwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003098989 PECOS PAC ID: 2961554605 Enrollment ID: I20090710000311 |
| Provider Name | Zhibin Jiang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245480086 PECOS PAC ID: 6901958461 Enrollment ID: I20090714000328 |
| Provider Name | Michael R Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396944237 PECOS PAC ID: 6204989015 Enrollment ID: I20090727000547 |
| Provider Name | Marcus J Haemmerle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780890277 PECOS PAC ID: 6204989023 Enrollment ID: I20090727000560 |
| Provider Name | Stanley Hahn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619977758 PECOS PAC ID: 0648210898 Enrollment ID: I20090803000443 |
| Provider Name | Gunmeet K Kaleka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285859496 PECOS PAC ID: 5991850547 Enrollment ID: I20090902000544 |
| Provider Name | Thomas A Klinkhammer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851479067 PECOS PAC ID: 7517969728 Enrollment ID: I20090904000363 |
| Provider Name | Michelle A Depa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356442081 PECOS PAC ID: 1456497015 Enrollment ID: I20091013000164 |
| Provider Name | Raquel L Molepske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578796793 PECOS PAC ID: 7719024900 Enrollment ID: I20091020000613 |
| Provider Name | Robert V Gouthro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285752089 PECOS PAC ID: 5698813509 Enrollment ID: I20091113000391 |
| Provider Name | Kathy A Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881929891 PECOS PAC ID: 5597804773 Enrollment ID: I20091201000336 |
| Provider Name | Rescha L Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487683637 PECOS PAC ID: 8921140849 Enrollment ID: I20100114000817 |
| Provider Name | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407026214 PECOS PAC ID: 1557449741 Enrollment ID: I20100225000169 |
| Provider Name | Chirasakdi Ratanawong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1760583462 PECOS PAC ID: 8820124050 Enrollment ID: I20100326000950 |
| Provider Name | Jan P Deroos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528173762 PECOS PAC ID: 3678602943 Enrollment ID: I20100525000419 |
| Provider Name | Randall J Ambrosius |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487720769 PECOS PAC ID: 2668501933 Enrollment ID: I20100525000436 |
| Provider Name | Douglas J Reding |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760582076 PECOS PAC ID: 8123065059 Enrollment ID: I20100604000921 |
| Provider Name | James E Svenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700847183 PECOS PAC ID: 5698805455 Enrollment ID: I20100604001133 |
| Provider Name | Olusolape A Adegbehingbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679756977 PECOS PAC ID: 5890825095 Enrollment ID: I20100615000528 |
| Provider Name | Lonna L Grosskopf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003856618 PECOS PAC ID: 4284765116 Enrollment ID: I20100621000934 |
| Provider Name | Jason Heese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093860132 PECOS PAC ID: 7618009945 Enrollment ID: I20100721000700 |
| Provider Name | Sabine J Hale |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982737904 PECOS PAC ID: 1355473620 Enrollment ID: I20100722000137 |
| Provider Name | Zainab Basir |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689625105 PECOS PAC ID: 4284767245 Enrollment ID: I20100728000843 |
| Provider Name | Christopher W Swiecki |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588646517 PECOS PAC ID: 2466586375 Enrollment ID: I20100813000876 |
| Provider Name | Mark J Zarzycki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215972930 PECOS PAC ID: 9830156991 Enrollment ID: I20100817000304 |
| Provider Name | Kris M Lahren |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700891546 PECOS PAC ID: 9133243884 Enrollment ID: I20100901000541 |
| Provider Name | Marvin Ray Fetter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922090901 PECOS PAC ID: 4183526577 Enrollment ID: I20100907000895 |
| Provider Name | Christine A Lundberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629090170 PECOS PAC ID: 9335152677 Enrollment ID: I20100920001108 |
| Provider Name | Dennis Mcfadden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184758237 PECOS PAC ID: 2961580717 Enrollment ID: I20101004000991 |
| Provider Name | Denise A Kennedy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407896962 PECOS PAC ID: 3577755651 Enrollment ID: I20101007000683 |
| Provider Name | Emmanuel O Odeyemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346566460 PECOS PAC ID: 7810189925 Enrollment ID: I20101007000972 |
| Provider Name | Dana D Doll |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255545695 PECOS PAC ID: 0749310266 Enrollment ID: I20101011000309 |
| Provider Name | Shefiu O Shittu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154646727 PECOS PAC ID: 5799977401 Enrollment ID: I20101012001243 |
| Provider Name | Jodi L Strong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013234889 PECOS PAC ID: 4981897329 Enrollment ID: I20101019000301 |
| Provider Name | Okechukwu N Kanu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871817593 PECOS PAC ID: 1850584772 Enrollment ID: I20101022000966 |
| Provider Name | William Y Ansa Otu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346564168 PECOS PAC ID: 2365635208 Enrollment ID: I20101022001131 |
| Provider Name | Ruth Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659518199 PECOS PAC ID: 9234322900 Enrollment ID: I20101026000991 |
| Provider Name | Anna Kathryn Olson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790992295 PECOS PAC ID: 7214122050 Enrollment ID: I20101105001271 |
| Provider Name | Kristine M Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437208022 PECOS PAC ID: 2567657752 Enrollment ID: I20101112001267 |
| Provider Name | Danny A Lundberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750337788 PECOS PAC ID: 3577759562 Enrollment ID: I20101202000797 |
| Provider Name | Jonathan Parisi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659455970 PECOS PAC ID: 3971790981 Enrollment ID: I20101202001153 |
| Provider Name | Kelly Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023328226 PECOS PAC ID: 4789871666 Enrollment ID: I20101203000771 |
| Provider Name | Julia R Dewey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760686729 PECOS PAC ID: 0941497739 Enrollment ID: I20101206000816 |
| Provider Name | Tina M Schulist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689994196 PECOS PAC ID: 1355539578 Enrollment ID: I20110103000417 |
| Provider Name | Seth C Hamre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407169956 PECOS PAC ID: 6709075872 Enrollment ID: I20110105001196 |
| Provider Name | Chindanoor Rajesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942412143 PECOS PAC ID: 9931274016 Enrollment ID: I20110111000317 |
| Provider Name | Lynne M Derezinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205146222 PECOS PAC ID: 2163601220 Enrollment ID: I20110121000757 |
| Provider Name | Bababo O Opaneye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255621710 PECOS PAC ID: 7810174935 Enrollment ID: I20110526000619 |
| Provider Name | John P Jarocki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972525368 PECOS PAC ID: 7315078623 Enrollment ID: I20110526000790 |
| Provider Name | Navid A Majid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225327828 PECOS PAC ID: 9931386406 Enrollment ID: I20110609000346 |
| Provider Name | Olumide A Omiwade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427210699 PECOS PAC ID: 2961670005 Enrollment ID: I20110715000624 |
| Provider Name | Jennifer J Friday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568750834 PECOS PAC ID: 0941478317 Enrollment ID: I20110729000631 |
| Provider Name | Robert W Sedlacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003072687 PECOS PAC ID: 3173792579 Enrollment ID: I20110801000376 |
| Provider Name | Mohamed Fouzi Abdul Hameed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255590899 PECOS PAC ID: 8527239128 Enrollment ID: I20110912000077 |
| Provider Name | Steven P Phillipson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023034105 PECOS PAC ID: 0345141313 Enrollment ID: I20110923000055 |
| Provider Name | Michael E Traktman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356325740 PECOS PAC ID: 6406820513 Enrollment ID: I20111004000296 |
| Provider Name | Nikki A Bonitz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396026266 PECOS PAC ID: 2567634199 Enrollment ID: I20111004000353 |
| Provider Name | Carolyn M Hedrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386928471 PECOS PAC ID: 4385817550 Enrollment ID: I20111103000308 |
| Provider Name | Luann T. Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639455892 PECOS PAC ID: 6901067404 Enrollment ID: I20120410000385 |
| Provider Name | Brittany A Peterson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740551746 PECOS PAC ID: 3375704455 Enrollment ID: I20120417000512 |
| Provider Name | Graig A Aders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265758734 PECOS PAC ID: 3971766049 Enrollment ID: I20120530000266 |
| Provider Name | Angela M Rhode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750647368 PECOS PAC ID: 1759545684 Enrollment ID: I20120605000693 |
| Provider Name | Trina M Daniels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578706073 PECOS PAC ID: 7618132804 Enrollment ID: I20120713000579 |
| Provider Name | Ronald L Matthew |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700972825 PECOS PAC ID: 0143486233 Enrollment ID: I20120717000569 |
| Provider Name | Richard E Minnihan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104055854 PECOS PAC ID: 7517113210 Enrollment ID: I20120813000545 |
| Provider Name | Vimarsh Raina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508177841 PECOS PAC ID: 9537315064 Enrollment ID: I20120815000587 |
| Provider Name | Tarundeep Kaur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326161076 PECOS PAC ID: 2062694870 Enrollment ID: I20120911000803 |
| Provider Name | Lulseged S Zenebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104186287 PECOS PAC ID: 6507014503 Enrollment ID: I20120917000802 |
| Provider Name | Michael T Landis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558624908 PECOS PAC ID: 2668621731 Enrollment ID: I20121004000573 |
| Provider Name | Carol A Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588913677 PECOS PAC ID: 4486804127 Enrollment ID: I20121015000705 |
| Provider Name | Anna K Nummelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740504745 PECOS PAC ID: 1153571716 Enrollment ID: I20121017000594 |
| Provider Name | Thomas D Boostrom |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164773685 PECOS PAC ID: 7810147931 Enrollment ID: I20121026000450 |
| Provider Name | Cole T O'hara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407099476 PECOS PAC ID: 6305097494 Enrollment ID: I20121120000156 |
| Provider Name | Sarah J Staff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881944858 PECOS PAC ID: 0345492724 Enrollment ID: I20121228000191 |
| Provider Name | Dawn R Giese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548504996 PECOS PAC ID: 4385898931 Enrollment ID: I20130206000442 |
| Provider Name | Jeffrey L Willems |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073886743 PECOS PAC ID: 1254586183 Enrollment ID: I20130227000051 |
| Provider Name | Kyle J Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154648020 PECOS PAC ID: 3274788583 Enrollment ID: I20130312000140 |
| Provider Name | Christopher S Platta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811127301 PECOS PAC ID: 6305083312 Enrollment ID: I20130511000060 |
| Provider Name | Deborah J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972843464 PECOS PAC ID: 4587720255 Enrollment ID: I20130515000184 |
| Provider Name | Michael E Zevitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871543843 PECOS PAC ID: 4183602451 Enrollment ID: I20130604000929 |
| Provider Name | Olga Barchugova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750562617 PECOS PAC ID: 2567658388 Enrollment ID: I20130709000716 |
| Provider Name | Muhammad T Tariq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366790719 PECOS PAC ID: 1850532383 Enrollment ID: I20130726000071 |
| Provider Name | Adebowale Mofikoya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275794422 PECOS PAC ID: 0143477166 Enrollment ID: I20130726000394 |
| Provider Name | Mikhail A Barchugov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952614521 PECOS PAC ID: 0749421923 Enrollment ID: I20130731000191 |
| Provider Name | Michael W Trenkle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184069817 PECOS PAC ID: 2961643028 Enrollment ID: I20130801000327 |
| Provider Name | Melissa A Goetter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174751580 PECOS PAC ID: 0143468702 Enrollment ID: I20130807000455 |
| Provider Name | Mary S Brandt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669799102 PECOS PAC ID: 7517109788 Enrollment ID: I20130819000263 |
| Provider Name | Krishna Thandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942512777 PECOS PAC ID: 4284877127 Enrollment ID: I20130826000444 |
| Provider Name | Stephanie K Mundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093148512 PECOS PAC ID: 3971747585 Enrollment ID: I20130923000199 |
| Provider Name | Douglas R Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992784904 PECOS PAC ID: 5597866863 Enrollment ID: I20131009000266 |
| Provider Name | Anna M Stockhausen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457679748 PECOS PAC ID: 8527292317 Enrollment ID: I20131010000555 |
| Provider Name | Eric R Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710131842 PECOS PAC ID: 6002041449 Enrollment ID: I20131021000896 |
| Provider Name | Erika Lubsey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306174255 PECOS PAC ID: 1153556600 Enrollment ID: I20131108001445 |
| Provider Name | Robin Beth Garelick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194745588 PECOS PAC ID: 0840470613 Enrollment ID: I20131211000427 |
| Provider Name | Andrew J Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790108793 PECOS PAC ID: 7810127644 Enrollment ID: I20140224000353 |
| Provider Name | Joelle J Frank |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689091233 PECOS PAC ID: 6507099348 Enrollment ID: I20140502000297 |
| Provider Name | Silvia Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740447358 PECOS PAC ID: 4486726445 Enrollment ID: I20140509000902 |
| Provider Name | Anthony Kehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629225099 PECOS PAC ID: 5395918304 Enrollment ID: I20140521000689 |
| Provider Name | Samantha J Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225457526 PECOS PAC ID: 3173746047 Enrollment ID: I20140521001749 |
| Provider Name | Kevin K Thao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427340090 PECOS PAC ID: 2567687791 Enrollment ID: I20140702001162 |
| Provider Name | Dustin A Pagoria |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427291236 PECOS PAC ID: 1052536729 Enrollment ID: I20140714001669 |
| Provider Name | Richard Amankwah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164712741 PECOS PAC ID: 6901022540 Enrollment ID: I20140717000527 |
| Provider Name | Chizoba Emmanuel Ugwummadu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700174232 PECOS PAC ID: 0547486722 Enrollment ID: I20140724000058 |
| Provider Name | Brett J Longlais |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588975734 PECOS PAC ID: 6204054059 Enrollment ID: I20140820001605 |
| Provider Name | Kimberly Radtke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407148042 PECOS PAC ID: 3971723487 Enrollment ID: I20141006001155 |
| Provider Name | Keshani Bhushan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124250790 PECOS PAC ID: 1052508942 Enrollment ID: I20141006002322 |
| Provider Name | Amy C Murphy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851603112 PECOS PAC ID: 1557504727 Enrollment ID: I20141014000153 |
| Provider Name | Bradley C Heraly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063730042 PECOS PAC ID: 1254552508 Enrollment ID: I20141030000091 |
| Provider Name | Elizabeth H Harbison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699822551 PECOS PAC ID: 9830384411 Enrollment ID: I20141103000289 |
| Provider Name | Andrea Beth Jolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154301463 PECOS PAC ID: 2668377656 Enrollment ID: I20141110001776 |
| Provider Name | Tanushree Singhal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154560605 PECOS PAC ID: 8527239201 Enrollment ID: I20141126001534 |
| Provider Name | Heather Clarson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326443144 PECOS PAC ID: 0840513875 Enrollment ID: I20141226000297 |
| Provider Name | Larry K Brinkman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144294414 PECOS PAC ID: 9032252473 Enrollment ID: I20150217000760 |
| Provider Name | Kris Ferguson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1376751271 PECOS PAC ID: 1658422480 Enrollment ID: I20150226001814 |
| Provider Name | Patrick Hunter Smock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437203429 PECOS PAC ID: 2264603521 Enrollment ID: I20150302001535 |
| Provider Name | Olumuyiwa O Adeboye |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1720261407 PECOS PAC ID: 6002950466 Enrollment ID: I20150403000743 |
| Provider Name | Rachel M Gilbert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568557056 PECOS PAC ID: 3678607314 Enrollment ID: I20150508001054 |
| Provider Name | Brian Foley Grogan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1871753517 PECOS PAC ID: 8527388404 Enrollment ID: I20150515001091 |
| Provider Name | Steven Straub |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699718924 PECOS PAC ID: 2668405333 Enrollment ID: I20150702000760 |
| Provider Name | Fnu Manjunatha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316293517 PECOS PAC ID: 9234360991 Enrollment ID: I20150707001385 |
| Provider Name | Stephanie J Roth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790176675 PECOS PAC ID: 5294048765 Enrollment ID: I20150714000531 |
| Provider Name | Stephen M Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821351800 PECOS PAC ID: 9739492083 Enrollment ID: I20150716000893 |
| Provider Name | Kayode J Bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427306935 PECOS PAC ID: 0345553384 Enrollment ID: I20150720001368 |
| Provider Name | Cristina Ipatii |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609135490 PECOS PAC ID: 2365755915 Enrollment ID: I20150724012096 |
| Provider Name | Nicholas Otten |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013277714 PECOS PAC ID: 2264651108 Enrollment ID: I20150806010351 |
| Provider Name | Carri L Schacherl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235512310 PECOS PAC ID: 3678889441 Enrollment ID: I20150825004689 |
| Provider Name | Erin Elizabeth Eyberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669648218 PECOS PAC ID: 4880768571 Enrollment ID: I20150903001628 |
| Provider Name | Shirley N Tetteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114210473 PECOS PAC ID: 9638318504 Enrollment ID: I20150911000555 |
| Provider Name | Trilok Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295991701 PECOS PAC ID: 2668629437 Enrollment ID: I20150916000773 |
| Provider Name | Richmond Gyamfi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700089414 PECOS PAC ID: 1951426386 Enrollment ID: I20150916001161 |
| Provider Name | Jamie Rae Mings |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104075357 PECOS PAC ID: 5193976645 Enrollment ID: I20151002002694 |
| Provider Name | Monica Jacobus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144457250 PECOS PAC ID: 9234388109 Enrollment ID: I20151013001620 |
| Provider Name | John-jeremiah Kretchy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487902805 PECOS PAC ID: 3274842570 Enrollment ID: I20151028001445 |
| Provider Name | Craig D Destree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154732063 PECOS PAC ID: 2062722895 Enrollment ID: I20151106002246 |
| Provider Name | David C Sasser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538286208 PECOS PAC ID: 1850484270 Enrollment ID: I20151109001430 |
| Provider Name | Jean Hilaire Vincent |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841506870 PECOS PAC ID: 9335440874 Enrollment ID: I20151229000562 |
| Provider Name | Amanda S Dernbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326412701 PECOS PAC ID: 1456653435 Enrollment ID: I20160107001977 |
| Provider Name | Henry K Bong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831213438 PECOS PAC ID: 7517140353 Enrollment ID: I20160114001157 |
| Provider Name | Marcio A Shiokawa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629388475 PECOS PAC ID: 7416105895 Enrollment ID: I20160127002393 |
| Provider Name | Stephen A Korte |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881615318 PECOS PAC ID: 4587557608 Enrollment ID: I20160129001701 |
| Provider Name | Samantha L Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467853622 PECOS PAC ID: 3375850951 Enrollment ID: I20160314001774 |
| Provider Name | Laura L Ramseier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235501107 PECOS PAC ID: 0042519555 Enrollment ID: I20160505000730 |
| Provider Name | Siarhei Vysotski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902149479 PECOS PAC ID: 9234459413 Enrollment ID: I20160520000169 |
| Provider Name | Bruce Andrew Lynch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356403885 PECOS PAC ID: 9335301043 Enrollment ID: I20160523001273 |
| Provider Name | Adam D Corrado |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992769715 PECOS PAC ID: 9830118637 Enrollment ID: I20160610000086 |
| Provider Name | Earlynda Redmond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336254853 PECOS PAC ID: 9436440922 Enrollment ID: I20160613001901 |
| Provider Name | Marwan M Dib |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225346414 PECOS PAC ID: 7810147899 Enrollment ID: I20160621000772 |
| Provider Name | Kristina L Wattier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154689099 PECOS PAC ID: 3678703402 Enrollment ID: I20160803001318 |
| Provider Name | Jesse Moskowitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619131125 PECOS PAC ID: 2567537954 Enrollment ID: I20160809000267 |
| Provider Name | Muhammad S Akhtar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336384460 PECOS PAC ID: 2466775176 Enrollment ID: I20160810002139 |
| Provider Name | Eric Jon Stanelle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912155250 PECOS PAC ID: 0042463234 Enrollment ID: I20160811001058 |
| Provider Name | Abigail L Taub |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417222605 PECOS PAC ID: 6608090972 Enrollment ID: I20160815001287 |
| Provider Name | Glenn R White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497058259 PECOS PAC ID: 9234312042 Enrollment ID: I20160816002091 |
| Provider Name | Joshua D Troyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770809204 PECOS PAC ID: 1951534577 Enrollment ID: I20160818000971 |
| Provider Name | Mohamed Abdulcadir Abdullahi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437475431 PECOS PAC ID: 8921227208 Enrollment ID: I20160826001178 |
| Provider Name | Vic Liengswangwong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851360796 PECOS PAC ID: 3870512759 Enrollment ID: I20160916000903 |
| Provider Name | Srikanth Padma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952502429 PECOS PAC ID: 1658458641 Enrollment ID: I20160927000005 |
| Provider Name | Suleman Akbar Umar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568789485 PECOS PAC ID: 1456649102 Enrollment ID: I20161012000580 |
| Provider Name | Megan E Breu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841743382 PECOS PAC ID: 3476841149 Enrollment ID: I20161012001327 |
| Provider Name | Herbert A Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245781889 PECOS PAC ID: 6305124462 Enrollment ID: I20161025002406 |
| Provider Name | Hymavathi Padma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902060940 PECOS PAC ID: 2466517198 Enrollment ID: I20161108001429 |
| Provider Name | Gina M Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174079685 PECOS PAC ID: 1355620824 Enrollment ID: I20161128002145 |
| Provider Name | Dee Cha |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396287447 PECOS PAC ID: 3274814223 Enrollment ID: I20170105000621 |
| Provider Name | Zjia A Evans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164967568 PECOS PAC ID: 5799066775 Enrollment ID: I20170105001944 |
| Provider Name | Madhusudhan Tarigopula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235340621 PECOS PAC ID: 5890880371 Enrollment ID: I20170120002742 |
| Provider Name | Kathryn E Levine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275729774 PECOS PAC ID: 5698723724 Enrollment ID: I20170127002388 |
| Provider Name | Aisha Ahmed |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730341850 PECOS PAC ID: 4486938099 Enrollment ID: I20170227002213 |
| Provider Name | Briget P Matecki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417163023 PECOS PAC ID: 7911054077 Enrollment ID: I20170512001277 |
| Provider Name | Olatunji D Oladeji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689985350 PECOS PAC ID: 9638313448 Enrollment ID: I20170613000968 |
| Provider Name | Harsha V Poola |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801174354 PECOS PAC ID: 2163727447 Enrollment ID: I20170616001504 |
| Provider Name | Ragesh Govindan Nair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912349861 PECOS PAC ID: 2567731003 Enrollment ID: I20170627001244 |
| Provider Name | Adarsh R Kancharla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932413259 PECOS PAC ID: 8224272018 Enrollment ID: I20170705000888 |
| Provider Name | Michael A Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316279433 PECOS PAC ID: 5294901526 Enrollment ID: I20170706000889 |
| Provider Name | Jonathan T Laack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487090072 PECOS PAC ID: 7911209879 Enrollment ID: I20170711001590 |
| Provider Name | Christopher Tl Bender |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043637903 PECOS PAC ID: 9830319359 Enrollment ID: I20170718003459 |
| Provider Name | Rizwan M Chaudhry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942328778 PECOS PAC ID: 7719031731 Enrollment ID: I20170719003093 |
| Provider Name | Efe M Akpoigbe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023365152 PECOS PAC ID: 9032334891 Enrollment ID: I20170719003840 |
| Provider Name | Natasha Vanchinathan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1588900161 PECOS PAC ID: 7012288491 Enrollment ID: I20170803000276 |
| Provider Name | Gbolahan D Oyinloye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255695888 PECOS PAC ID: 4385870757 Enrollment ID: I20170807002962 |
| Provider Name | Michele D Rocke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609316728 PECOS PAC ID: 0547531337 Enrollment ID: I20170814001328 |
| Provider Name | Evelyn M Mills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881628550 PECOS PAC ID: 5294820866 Enrollment ID: I20170816000883 |
| Provider Name | Christian A Flanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013321660 PECOS PAC ID: 9638391014 Enrollment ID: I20170822003257 |
| Provider Name | Michael J Armstrong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972763639 PECOS PAC ID: 5799057857 Enrollment ID: I20170824000562 |
| Provider Name | Paul D Mundt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629509740 PECOS PAC ID: 1759654445 Enrollment ID: I20170831000490 |
| Provider Name | Saurabh Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538573068 PECOS PAC ID: 3678846235 Enrollment ID: I20170901000132 |
| Provider Name | Julie A Hennes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023532645 PECOS PAC ID: 4880967215 Enrollment ID: I20170907001090 |
| Provider Name | Kevin J Townshend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366869315 PECOS PAC ID: 7618241613 Enrollment ID: I20170914000725 |
| Provider Name | Gary E Liebsch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568576072 PECOS PAC ID: 1850317181 Enrollment ID: I20170921000037 |
| Provider Name | Vijay Vanchinathan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225473416 PECOS PAC ID: 9335413848 Enrollment ID: I20170922000322 |
| Provider Name | Heather N Korus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770018848 PECOS PAC ID: 9335413624 Enrollment ID: I20170926001522 |
| Provider Name | Jonathan S Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881617983 PECOS PAC ID: 2668478876 Enrollment ID: I20170927001342 |
| Provider Name | Jesse Medina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356869325 PECOS PAC ID: 7911271119 Enrollment ID: I20170927002353 |
| Provider Name | Manjit K Wadhwa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295744670 PECOS PAC ID: 9739071424 Enrollment ID: I20170928001863 |
| Provider Name | Promila K Timothy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912127424 PECOS PAC ID: 7214095397 Enrollment ID: I20171018002741 |
| Provider Name | Jappan J Bhatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669594115 PECOS PAC ID: 2567562952 Enrollment ID: I20171026001437 |
| Provider Name | Songoli Umeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356635163 PECOS PAC ID: 6709194541 Enrollment ID: I20171109001412 |
| Provider Name | Heather Lee Kuduk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649582727 PECOS PAC ID: 4486871621 Enrollment ID: I20171128000819 |
| Provider Name | Howard Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639168560 PECOS PAC ID: 3678557337 Enrollment ID: I20180116001363 |
| Provider Name | Erin M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235645193 PECOS PAC ID: 2163783416 Enrollment ID: I20180228002387 |
| Provider Name | Clayton Aaron Charles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083974679 PECOS PAC ID: 6204145246 Enrollment ID: I20180319001349 |
| Provider Name | Daniel Eggeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568450 PECOS PAC ID: 5799085544 Enrollment ID: I20180411000255 |
| Provider Name | Amanada J Gaccetta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417219197 PECOS PAC ID: 8426311721 Enrollment ID: I20180419002269 |
| Provider Name | Maria N Ehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316440209 PECOS PAC ID: 9436413929 Enrollment ID: I20180509001934 |
| Provider Name | Timothy Coakley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073559985 PECOS PAC ID: 9133128713 Enrollment ID: I20180510000018 |
| Provider Name | Jennifer C Jolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760820096 PECOS PAC ID: 7214291640 Enrollment ID: I20180510000969 |
| Provider Name | Karim Mohammad Rahimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902296163 PECOS PAC ID: 5496043259 Enrollment ID: I20180517000416 |
| Provider Name | Felicitas Gatchalian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306897509 PECOS PAC ID: 5890724157 Enrollment ID: I20180605001898 |
| Provider Name | Christa J Hemmila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790286342 PECOS PAC ID: 0648535963 Enrollment ID: I20180607000144 |
| Provider Name | Joselin F Joma De Herrera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982089975 PECOS PAC ID: 9436404431 Enrollment ID: I20180614002982 |
| Provider Name | Benjamin J Graboyes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720424807 PECOS PAC ID: 2264723519 Enrollment ID: I20180615000361 |
| Provider Name | Gerald M Wait |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1467493510 PECOS PAC ID: 9436289253 Enrollment ID: I20180615000983 |
| Provider Name | Bret K Stysly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104188416 PECOS PAC ID: 8224344544 Enrollment ID: I20180702002370 |
| Provider Name | Kenneth Degnan Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386131324 PECOS PAC ID: 2264788827 Enrollment ID: I20180712000218 |
| Provider Name | Emma C Eseet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558743468 PECOS PAC ID: 1254688666 Enrollment ID: I20180717001052 |
| Provider Name | Ahmed Mohammed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407231178 PECOS PAC ID: 1557619913 Enrollment ID: I20180801004049 |
| Provider Name | Thein Htike Win |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497139810 PECOS PAC ID: 6406104454 Enrollment ID: I20180807003203 |
| Provider Name | Shayna K Shackford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609281567 PECOS PAC ID: 0547486367 Enrollment ID: I20180813000003 |
| Provider Name | Nicole Marie Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639603913 PECOS PAC ID: 6103197413 Enrollment ID: I20180912003598 |
| Provider Name | Katie E Vangoethem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760962393 PECOS PAC ID: 7012267958 Enrollment ID: I20180913002198 |
| Provider Name | Matthew H. Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528226008 PECOS PAC ID: 0042480238 Enrollment ID: I20180915000028 |
| Provider Name | Casey Jo Bube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679059091 PECOS PAC ID: 7315298171 Enrollment ID: I20180918004006 |
| Provider Name | Marie Beranek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326524919 PECOS PAC ID: 1355692567 Enrollment ID: I20180927002548 |
| Provider Name | Prabeer Mann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720420839 PECOS PAC ID: 1951689017 Enrollment ID: I20181015003510 |
| Provider Name | Codie Vassar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538690995 PECOS PAC ID: 5496009565 Enrollment ID: I20181109000024 |
| Provider Name | Becky K Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730669763 PECOS PAC ID: 3779837059 Enrollment ID: I20181127000466 |
| Provider Name | Daniel C Peterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124503677 PECOS PAC ID: 5991059289 Enrollment ID: I20181127001145 |
| Provider Name | Jacob D Levy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679594675 PECOS PAC ID: 0345234407 Enrollment ID: I20181204003639 |
| Provider Name | Shanna R Badje |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174099634 PECOS PAC ID: 5799029427 Enrollment ID: I20181206000030 |
| Provider Name | Rania H Saleh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326280264 PECOS PAC ID: 8022265685 Enrollment ID: I20181206001462 |
| Provider Name | Hank Curtis Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063497097 PECOS PAC ID: 5294794806 Enrollment ID: I20181211002109 |
| Provider Name | Arnaldo Efrain Velez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427242536 PECOS PAC ID: 3870736176 Enrollment ID: I20181218002398 |
| Provider Name | Anneliese E Bessette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780152736 PECOS PAC ID: 8022353002 Enrollment ID: I20181219001959 |
| Provider Name | Rajasekhar Katuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336437680 PECOS PAC ID: 6507170206 Enrollment ID: I20181226000644 |
| Provider Name | Mariam Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831479005 PECOS PAC ID: 2668763095 Enrollment ID: I20190118000296 |
| Provider Name | Van De Bruyn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871518522 PECOS PAC ID: 0446159966 Enrollment ID: I20190207002894 |
| Provider Name | Christian A Rosado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871804468 PECOS PAC ID: 3274774930 Enrollment ID: I20190208000011 |
| Provider Name | Malvinder S Makhni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790729697 PECOS PAC ID: 4486781655 Enrollment ID: I20190214000567 |
| Provider Name | Lee A Diamond |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548276603 PECOS PAC ID: 8921047838 Enrollment ID: I20190225000090 |
| Provider Name | Richard C Prokesch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427064583 PECOS PAC ID: 2668411570 Enrollment ID: I20190319000054 |
| Provider Name | Glenn R Figueroa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437149408 PECOS PAC ID: 1052338571 Enrollment ID: I20190319000465 |
| Provider Name | John Adan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295709665 PECOS PAC ID: 5799747002 Enrollment ID: I20190419000481 |
| Provider Name | Marie L Alden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366906018 PECOS PAC ID: 0648512095 Enrollment ID: I20190503001873 |
| Provider Name | Michelle L Whitehouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275090169 PECOS PAC ID: 7911240924 Enrollment ID: I20190515000019 |
| Provider Name | Tyler Qiu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780038851 PECOS PAC ID: 1557604113 Enrollment ID: I20190522001407 |
| Provider Name | Rakesh R Chawla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1023082278 PECOS PAC ID: 6002703188 Enrollment ID: I20190524000421 |
| Provider Name | Maria Elena Arizaga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841339843 PECOS PAC ID: 3274681580 Enrollment ID: I20190529002639 |
| Provider Name | Ateeq Mubarik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396197836 PECOS PAC ID: 1557694866 Enrollment ID: I20190531000002 |
| Provider Name | Christine M Baker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508350521 PECOS PAC ID: 4688907710 Enrollment ID: I20190605000740 |
| Provider Name | Choua N Thao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053653576 PECOS PAC ID: 6901128081 Enrollment ID: I20190607000155 |
| Provider Name | Roni Sharon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548581275 PECOS PAC ID: 4385863877 Enrollment ID: I20190617001176 |
| Provider Name | Alemieneh H Woldeyesus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760845622 PECOS PAC ID: 2163755638 Enrollment ID: I20190621001516 |
| Provider Name | Charlene M Sealy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609229327 PECOS PAC ID: 3577897503 Enrollment ID: I20190626000071 |
| Provider Name | Jamie Lynn Schneider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801240858 PECOS PAC ID: 3072877364 Enrollment ID: I20190711002059 |
| Provider Name | Kinjal Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679860290 PECOS PAC ID: 5294050951 Enrollment ID: I20190715000416 |
| Provider Name | Chizoba Ezepue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568802148 PECOS PAC ID: 1850666520 Enrollment ID: I20190716000021 |
| Provider Name | Khurram Nazir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619261252 PECOS PAC ID: 1951615871 Enrollment ID: I20190729001665 |
| Provider Name | Samuel W Markert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750947263 PECOS PAC ID: 9032446463 Enrollment ID: I20190808000749 |
| Provider Name | Michael Eng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841654498 PECOS PAC ID: 3375837370 Enrollment ID: I20190809000016 |
| Provider Name | Sabu J George |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942234208 PECOS PAC ID: 3779581202 Enrollment ID: I20190815000685 |
| Provider Name | Velisar L Rill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659363141 PECOS PAC ID: 7618865999 Enrollment ID: I20190829000000 |
| Provider Name | Tanweer Hussain Majid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093912370 PECOS PAC ID: 6204086937 Enrollment ID: I20190918000243 |
| Provider Name | Paul Oneill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548262611 PECOS PAC ID: 1456430891 Enrollment ID: I20190918003285 |
| Provider Name | Jackie Marie Rietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326691254 PECOS PAC ID: 1254661747 Enrollment ID: I20190926000372 |
| Provider Name | Alicia L Wojtalewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427618487 PECOS PAC ID: 9537499033 Enrollment ID: I20190926000706 |
| Provider Name | Leah M Krueger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528416146 PECOS PAC ID: 0547523219 Enrollment ID: I20190927000906 |
| Provider Name | Kimberly Ann Tozer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104214907 PECOS PAC ID: 7012247406 Enrollment ID: I20190927001173 |
| Provider Name | Obiageli C Sogbetun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477702082 PECOS PAC ID: 3274789292 Enrollment ID: I20190930001934 |
| Provider Name | Elizabeth A Renaker-jansen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427204965 PECOS PAC ID: 4082745013 Enrollment ID: I20191021002085 |
| Provider Name | Donna M Bell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609816453 PECOS PAC ID: 6901702034 Enrollment ID: I20191028000152 |
| Provider Name | Erik Gunderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093758567 PECOS PAC ID: 6406826254 Enrollment ID: I20191118002370 |
| Provider Name | Mehmet Cilingiroglu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710922125 PECOS PAC ID: 8022036110 Enrollment ID: I20191119001908 |
| Provider Name | Paulraj O Samuel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033360748 PECOS PAC ID: 2769535814 Enrollment ID: I20191120000222 |
| Provider Name | Thomas C Isaacson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104884311 PECOS PAC ID: 9335156462 Enrollment ID: I20191125002816 |
| Provider Name | Robert David Guttormson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427222033 PECOS PAC ID: 1052508611 Enrollment ID: I20200107001253 |
| Provider Name | Hilary K Eggen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790291300 PECOS PAC ID: 1153680863 Enrollment ID: I20200218001016 |
| Provider Name | Lynn Maria Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720628688 PECOS PAC ID: 9436589587 Enrollment ID: I20200414001188 |
| Provider Name | Lalit Vadlamani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770552648 PECOS PAC ID: 2668467481 Enrollment ID: I20200424000681 |
| Provider Name | Hans Eriksson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942627161 PECOS PAC ID: 2769600378 Enrollment ID: I20200521000516 |
| Provider Name | Andrew Huang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679957526 PECOS PAC ID: 7113256025 Enrollment ID: I20200610000620 |
| Provider Name | Thomas C Howard |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1932369584 PECOS PAC ID: 0749583706 Enrollment ID: I20200610001054 |
| Provider Name | Justin Teresinski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134615131 PECOS PAC ID: 1153679048 Enrollment ID: I20200618000908 |
| Provider Name | Dawit Worku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942732789 PECOS PAC ID: 3072848043 Enrollment ID: I20200620000057 |
| Provider Name | Kemal Kucuk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053844142 PECOS PAC ID: 7214205764 Enrollment ID: I20200805002483 |
| Provider Name | Lawrence Tse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972035517 PECOS PAC ID: 3375871635 Enrollment ID: I20200810002774 |
| Provider Name | Donna Ellen Newsome |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225132277 PECOS PAC ID: 9234233529 Enrollment ID: I20200811001779 |
| Provider Name | Lukman Lawal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669824074 PECOS PAC ID: 7810225414 Enrollment ID: I20200818003433 |
| Provider Name | Volodymyr Manko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568984789 PECOS PAC ID: 7214208255 Enrollment ID: I20200820000763 |
| Provider Name | Adam Tod Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740890003 PECOS PAC ID: 3779901764 Enrollment ID: I20200908001109 |
| Provider Name | Syed M Imam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699202408 PECOS PAC ID: 8527339514 Enrollment ID: I20200917001379 |
| Provider Name | Kimberly Idoko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003080896 PECOS PAC ID: 2769605344 Enrollment ID: I20200922003082 |
| Provider Name | Raviraj Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366760092 PECOS PAC ID: 4183846934 Enrollment ID: I20200928002124 |
| Provider Name | Dolly Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053707661 PECOS PAC ID: 4981949765 Enrollment ID: I20201007002200 |
| Provider Name | Domantas Mikonis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891149944 PECOS PAC ID: 9436495066 Enrollment ID: I20201016001195 |
| Provider Name | Muaiad Kittaneh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730350794 PECOS PAC ID: 7012078058 Enrollment ID: I20201029001192 |
| Provider Name | Mhd Hashem Rajabbik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528422631 PECOS PAC ID: 3375888431 Enrollment ID: I20201103000422 |
| Provider Name | Jennifer L Zimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831702976 PECOS PAC ID: 5193135051 Enrollment ID: I20201104000328 |
| Provider Name | Prakashkumar Nagindas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629079801 PECOS PAC ID: 7719881267 Enrollment ID: I20201125000122 |
| Provider Name | Fidelis A Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20201203002469 |
| Provider Name | Arun K Sherma |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942474614 PECOS PAC ID: 1153616313 Enrollment ID: I20201204001816 |
| Provider Name | Waleed Mansour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043628589 PECOS PAC ID: 1557661980 Enrollment ID: I20201210002640 |
| Provider Name | Patrick O Odia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285041285 PECOS PAC ID: 0547530859 Enrollment ID: I20201216001494 |
| Provider Name | Evon Louise Schexnaydre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386603561 PECOS PAC ID: 8325052061 Enrollment ID: I20201222000551 |
| Provider Name | Amanda Whipple |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609194893 PECOS PAC ID: 3274946389 Enrollment ID: I20210111001349 |
| Provider Name | Haritha Pabbathi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215000989 PECOS PAC ID: 4789683210 Enrollment ID: I20210126002539 |
| Provider Name | Nancy A Rihana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982835237 PECOS PAC ID: 5294954699 Enrollment ID: I20210201000594 |
| Provider Name | Leslie D Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265511554 PECOS PAC ID: 1759373715 Enrollment ID: I20210218000155 |
| Provider Name | Kirsten Anne Fritz Adsit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811586613 PECOS PAC ID: 1951716919 Enrollment ID: I20210225000723 |
| Provider Name | John Isaac |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225037435 PECOS PAC ID: 3375595408 Enrollment ID: I20210301002160 |
| Provider Name | Tariq Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144419144 PECOS PAC ID: 3870746399 Enrollment ID: I20210303003067 |
| Provider Name | Fawad Mian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306006242 PECOS PAC ID: 0042364622 Enrollment ID: I20210308000402 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20210311001519 |
| Provider Name | Melinda K Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699368027 PECOS PAC ID: 4284040205 Enrollment ID: I20210316002717 |
| Provider Name | Samantha Hepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700461282 PECOS PAC ID: 9739597386 Enrollment ID: I20210420000906 |
| Provider Name | Laxmi Dhakal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598997348 PECOS PAC ID: 0446490056 Enrollment ID: I20210420001089 |
| Provider Name | Amy S Butterworth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487036703 PECOS PAC ID: 8820304280 Enrollment ID: I20210426000967 |
| Provider Name | Shuang Qin Zhang |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518284900 PECOS PAC ID: 5991941585 Enrollment ID: I20210519000628 |
| Provider Name | Daniel Hoppe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891228607 PECOS PAC ID: 8820337975 Enrollment ID: I20210601001436 |
| Provider Name | Waqas Yasin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477075372 PECOS PAC ID: 4183963408 Enrollment ID: I20210601001802 |
| Provider Name | Arshad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083068332 PECOS PAC ID: 7214336809 Enrollment ID: I20210602001368 |
| Provider Name | Alan G.y. Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255398285 PECOS PAC ID: 7719963230 Enrollment ID: I20210603001051 |
| Provider Name | Srikar Karanam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588034227 PECOS PAC ID: 5092074302 Enrollment ID: I20210615003299 |
| Provider Name | Peter Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306873021 PECOS PAC ID: 7911068242 Enrollment ID: I20210618000188 |
| Provider Name | Joseph Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598258717 PECOS PAC ID: 9335499706 Enrollment ID: I20210621003030 |
| Provider Name | Whitney Lynn Sinclair |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316469661 PECOS PAC ID: 2860762523 Enrollment ID: I20210623003068 |
| Provider Name | Makenze E Dix |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477133171 PECOS PAC ID: 2062813090 Enrollment ID: I20210629001206 |
| Provider Name | Mark Jeffrey Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851812101 PECOS PAC ID: 4284905639 Enrollment ID: I20210712003642 |
| Provider Name | Jalel Abera Hunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194220558 PECOS PAC ID: 5597167569 Enrollment ID: I20210713003344 |
| Provider Name | Nathalie Jean |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700134293 PECOS PAC ID: 2264663186 Enrollment ID: I20210714001952 |
| Provider Name | Tyler Kenneth Sorensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104310929 PECOS PAC ID: 5991107666 Enrollment ID: I20210719000636 |
| Provider Name | Adam Bourgon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659638575 PECOS PAC ID: 4688803281 Enrollment ID: I20210730001218 |
| Provider Name | Frances Norene Lein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841864188 PECOS PAC ID: 9537563051 Enrollment ID: I20210805002287 |
| Provider Name | Angelica T Hon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144892464 PECOS PAC ID: 5799189742 Enrollment ID: I20210812001983 |
| Provider Name | Garett G Krug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689248247 PECOS PAC ID: 2860899572 Enrollment ID: I20210923000166 |
| Provider Name | Anna M Brown |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972966125 PECOS PAC ID: 8628349222 Enrollment ID: I20210929002662 |
| Provider Name | Nathan John Walters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730281312 PECOS PAC ID: 1254366933 Enrollment ID: I20211007003223 |
| Provider Name | Kaycie A Berhorst |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053669531 PECOS PAC ID: 0042609224 Enrollment ID: I20211109001671 |
| Provider Name | Danielle Espe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750985453 PECOS PAC ID: 3577975176 Enrollment ID: I20211130003075 |
| Provider Name | Wendy Lynn Seegers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447913744 PECOS PAC ID: 7113318486 Enrollment ID: I20211221000417 |
| Provider Name | Tamara North |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245593656 PECOS PAC ID: 6305238171 Enrollment ID: I20220128000766 |
| Provider Name | Jennifer Day |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396862371 PECOS PAC ID: 7416340807 Enrollment ID: I20220208000160 |
| Provider Name | Mary P Spielman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558576777 PECOS PAC ID: 8224421177 Enrollment ID: I20220217000740 |
| Provider Name | Bo Carl Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20220221001176 |
| Provider Name | James Schoenecker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871565572 PECOS PAC ID: 9638180029 Enrollment ID: I20220222001294 |
| Provider Name | Lindsey M Mackay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285996413 PECOS PAC ID: 8224422779 Enrollment ID: I20220225000889 |
| Provider Name | Marcel Odaimi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467436279 PECOS PAC ID: 2264500263 Enrollment ID: I20220304000594 |
| Provider Name | Heather M Brown |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750382560 PECOS PAC ID: 8426019068 Enrollment ID: I20220308001919 |
| Provider Name | Andrea K Janikowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750677878 PECOS PAC ID: 1951797638 Enrollment ID: I20220406001637 |
| Provider Name | Melissa S Skoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700309796 PECOS PAC ID: 7719250869 Enrollment ID: I20220408000493 |
| Provider Name | Adrienne N Kaster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073631511 PECOS PAC ID: 0749676005 Enrollment ID: I20220413001919 |
| Provider Name | John Chima Nwankwo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104116169 PECOS PAC ID: 9335455005 Enrollment ID: I20220415001159 |
| Provider Name | Todd Sidney Hammond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043619042 PECOS PAC ID: 3072900927 Enrollment ID: I20220425001499 |
| Provider Name | Robyn Chip |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134245962 PECOS PAC ID: 6800283615 Enrollment ID: I20220426002104 |
| Provider Name | Kim Mills |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386637692 PECOS PAC ID: 3577455203 Enrollment ID: I20220504001074 |
| Provider Name | Stuart Babcock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366463689 PECOS PAC ID: 4880756790 Enrollment ID: I20220519002656 |
| Provider Name | Tullio Emanuele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083655047 PECOS PAC ID: 0941195291 Enrollment ID: I20220526000407 |
| Provider Name | Shannon Rae Stroik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962175703 PECOS PAC ID: 0749668895 Enrollment ID: I20220602001233 |
| Provider Name | Osman Ahmedtaha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598140105 PECOS PAC ID: 8022307396 Enrollment ID: I20220607001429 |
| Provider Name | Mekbib G Onkiso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477013993 PECOS PAC ID: 4981083300 Enrollment ID: I20220615001390 |
| Provider Name | Maria Roman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700412921 PECOS PAC ID: 1456730787 Enrollment ID: I20220616002310 |
| Provider Name | Thomas C Rayson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649219130 PECOS PAC ID: 0143311456 Enrollment ID: I20220616002851 |
| Provider Name | Lauren W Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144564170 PECOS PAC ID: 0941454599 Enrollment ID: I20220622001144 |
| Provider Name | Seyun Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508197591 PECOS PAC ID: 0547484099 Enrollment ID: I20220630001553 |
| Provider Name | Akinyinka Abidem Ajelabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841227808 PECOS PAC ID: 8729044789 Enrollment ID: I20220630001979 |
| Provider Name | Idiris Abdirahman Esse |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457813420 PECOS PAC ID: 8628458932 Enrollment ID: I20220705001239 |
| Provider Name | Abbas Zagnoon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033313028 PECOS PAC ID: 7315073707 Enrollment ID: I20220708001821 |
| Provider Name | Sara C Jarabek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730207275 PECOS PAC ID: 9931580537 Enrollment ID: I20220713003174 |
| Provider Name | Daniel J Krause |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457768327 PECOS PAC ID: 8224419304 Enrollment ID: I20220731000153 |
| Provider Name | Jessica Hoffman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467674945 PECOS PAC ID: 5193108918 Enrollment ID: I20220811001703 |
| Provider Name | Ajay Reddy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366654865 PECOS PAC ID: 1153454210 Enrollment ID: I20220819002828 |
| Provider Name | Tracy Lytle Huffstatler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538305800 PECOS PAC ID: 2163588534 Enrollment ID: I20220822000544 |
| Provider Name | Kati A Jameson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124685466 PECOS PAC ID: 1759764871 Enrollment ID: I20220822002874 |
| Provider Name | Tracy L. Kiener |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124177894 PECOS PAC ID: 3870976913 Enrollment ID: I20220823000151 |
| Provider Name | Shannon Foster |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699755496 PECOS PAC ID: 9931150570 Enrollment ID: I20220826001109 |
| Provider Name | Salman Mandhai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639445166 PECOS PAC ID: 4981914538 Enrollment ID: I20220826002130 |
| Provider Name | Andrew C Berry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487049193 PECOS PAC ID: 9537464565 Enrollment ID: I20220826002587 |
| Provider Name | Hannah N Laabs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972234508 PECOS PAC ID: 1759765068 Enrollment ID: I20220906003221 |
| Provider Name | Haley Erl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770067357 PECOS PAC ID: 9234514829 Enrollment ID: I20220919000636 |
| Provider Name | Bridget Daly |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437642014 PECOS PAC ID: 1052796653 Enrollment ID: I20220919001095 |
| Provider Name | Beth E Wojcik |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942469937 PECOS PAC ID: 4587049960 Enrollment ID: I20220921001913 |
| Provider Name | Huitzilin Mauricio Olmecah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821181553 PECOS PAC ID: 9638277239 Enrollment ID: I20220930000651 |
| Provider Name | Neal J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134681927 PECOS PAC ID: 9537493879 Enrollment ID: I20221003002737 |
| Provider Name | Matthew William Oley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376273474 PECOS PAC ID: 4486030020 Enrollment ID: I20221004003993 |
| Provider Name | Monica Cespedes Santana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114204161 PECOS PAC ID: 7214212653 Enrollment ID: I20221008000304 |
| Provider Name | Aditya Ancha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912258070 PECOS PAC ID: 1850689845 Enrollment ID: I20221017003229 |
| Provider Name | Lyle James Dennis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598729220 PECOS PAC ID: 6406807395 Enrollment ID: I20221019000386 |
| Provider Name | Carole Vincent |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497731038 PECOS PAC ID: 9830131994 Enrollment ID: I20221103000709 |
| Provider Name | Sheng Xiong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700510724 PECOS PAC ID: 3870960859 Enrollment ID: I20221103002127 |
| Provider Name | Ashley C Logan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053874222 PECOS PAC ID: 7214320324 Enrollment ID: I20221110000948 |
| Provider Name | George Shenouda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316457914 PECOS PAC ID: 8628446929 Enrollment ID: I20221117000878 |
| Provider Name | Katie Seybold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629793948 PECOS PAC ID: 5698143345 Enrollment ID: I20221130001676 |
| Provider Name | Jose Maria Ochoa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144548876 PECOS PAC ID: 5193952299 Enrollment ID: I20221206002543 |
| Provider Name | Mitchell T Meagher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932621307 PECOS PAC ID: 2668842014 Enrollment ID: I20221230000838 |
| Provider Name | Sami Abdul Jawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487930905 PECOS PAC ID: 9830314863 Enrollment ID: I20230111000191 |
| Provider Name | Oluwaseun Davies |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164779179 PECOS PAC ID: 6002127990 Enrollment ID: I20230112001289 |
| Provider Name | Ashley Chrisinger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003356858 PECOS PAC ID: 0143691972 Enrollment ID: I20230113001658 |
| Provider Name | Nathaniel Kropidlowski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851021679 PECOS PAC ID: 0547631988 Enrollment ID: I20230124000590 |
| Provider Name | Dikshya Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639581226 PECOS PAC ID: 4688090418 Enrollment ID: I20230124001876 |
| Provider Name | Anthony Ashkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376862417 PECOS PAC ID: 0143462432 Enrollment ID: I20230130001145 |
| Provider Name | Prasanna Kumar Reddy Tadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689962441 PECOS PAC ID: 3678791241 Enrollment ID: I20230222001931 |
| Provider Name | Tigist D Gemechu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518469782 PECOS PAC ID: 9234496498 Enrollment ID: I20230228002071 |
| Provider Name | Ravindran Arcot Padmanabhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730114943 PECOS PAC ID: 5799727616 Enrollment ID: I20230302001458 |
| Provider Name | Sarah Siekert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831802958 PECOS PAC ID: 0648643809 Enrollment ID: I20230309000095 |
| Provider Name | Ahmed U Otokiti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760867204 PECOS PAC ID: 9537410824 Enrollment ID: I20230316001775 |
| Provider Name | Michael Crowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669953246 PECOS PAC ID: 4486998945 Enrollment ID: I20230324001140 |
| Provider Name | Arun Ranganath |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1720224223 PECOS PAC ID: 5092851329 Enrollment ID: I20230412001751 |
| Provider Name | Ifeanyi Iwuchukwu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215169974 PECOS PAC ID: 6608056312 Enrollment ID: I20230428000587 |
| Provider Name | Andrea Caballero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003173824 PECOS PAC ID: 3274841770 Enrollment ID: I20230428001880 |
| Provider Name | Jessica Kaylea Schaefer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730876046 PECOS PAC ID: 7315303047 Enrollment ID: I20230522002799 |
| Provider Name | Elizabeth O Wendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821784067 PECOS PAC ID: 3870959513 Enrollment ID: I20230522003253 |
| Provider Name | Ifreah Ali Usmaiel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336608165 PECOS PAC ID: 5395101984 Enrollment ID: I20230524002592 |
| Provider Name | Ajit Chary |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396184214 PECOS PAC ID: 0143453043 Enrollment ID: I20230530000543 |
| Provider Name | Meelie A Debroy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528099959 PECOS PAC ID: 1557319860 Enrollment ID: I20230620001550 |
| Provider Name | Joshua Denk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174147987 PECOS PAC ID: 2466876040 Enrollment ID: I20230627002735 |
| Provider Name | Cori Julia Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477246791 PECOS PAC ID: 9032579602 Enrollment ID: I20230713002924 |
| Provider Name | Ian Z Coker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699390633 PECOS PAC ID: 1254791346 Enrollment ID: I20230720004019 |
| Provider Name | Richard Belt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275064263 PECOS PAC ID: 1850643115 Enrollment ID: I20230731000081 |
| Provider Name | Darshan R Dhingani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053547968 PECOS PAC ID: 3274797196 Enrollment ID: I20230731002279 |
| Provider Name | Maria Victoria Recio-restrepo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245214766 PECOS PAC ID: 9931122835 Enrollment ID: I20230814002413 |
| Provider Name | Nima Hani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801157219 PECOS PAC ID: 1759651334 Enrollment ID: I20230816001129 |
| Provider Name | Salil Kalra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275983744 PECOS PAC ID: 6002109329 Enrollment ID: I20230816002070 |
| Provider Name | Christopher S Zeman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356964167 PECOS PAC ID: 8820451370 Enrollment ID: I20230830003615 |
| Provider Name | Olasunkanmi Kolawole Oyetunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598962722 PECOS PAC ID: 6507953510 Enrollment ID: I20230906000459 |
| Provider Name | Zulfiqar A Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20230906001309 |
| Provider Name | Cynthia A De Meester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558476168 PECOS PAC ID: 4486656501 Enrollment ID: I20230908001217 |
| Provider Name | Jeffrey B Watson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053629527 PECOS PAC ID: 3476873175 Enrollment ID: I20230908001667 |
| Provider Name | Kei Ko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649582768 PECOS PAC ID: 3971728791 Enrollment ID: I20230919002471 |
| Provider Name | Christopher M Kushner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205907607 PECOS PAC ID: 7911909528 Enrollment ID: I20230929001033 |
| Provider Name | Steven Robles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407143936 PECOS PAC ID: 8527231422 Enrollment ID: I20231003001241 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20231004003130 |
| Provider Name | Ryan P. Dunn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922458843 PECOS PAC ID: 1052603446 Enrollment ID: I20231004003767 |
| Provider Name | Adam Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841551355 PECOS PAC ID: 1456657451 Enrollment ID: I20231101001255 |
| Provider Name | Rashed N Alhabshan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811316680 PECOS PAC ID: 6002162609 Enrollment ID: I20231109002968 |
| Provider Name | Irene Nicole Presnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871915298 PECOS PAC ID: 5193955151 Enrollment ID: I20231111000598 |
| Provider Name | Adam Rizvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841551355 PECOS PAC ID: 1456657451 Enrollment ID: I20231116002241 |
| Provider Name | Appaji Rayi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184930133 PECOS PAC ID: 4981915824 Enrollment ID: I20231117002413 |
| Provider Name | Anika S. Goodwin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285672345 PECOS PAC ID: 6204879489 Enrollment ID: I20231204001294 |
| Provider Name | Terris L White |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467773978 PECOS PAC ID: 4880974146 Enrollment ID: I20231205000989 |
| Provider Name | Faith Ighoyivwi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609261148 PECOS PAC ID: 2961704077 Enrollment ID: I20231206002156 |
| Provider Name | Leah P Hazzard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114707270 PECOS PAC ID: 6709235419 Enrollment ID: I20231206003349 |
| Provider Name | Yussuf Jaffar Ismail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841796745 PECOS PAC ID: 9638577604 Enrollment ID: I20231208002217 |
| Provider Name | Jason R Sebesto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861786246 PECOS PAC ID: 0749416238 Enrollment ID: I20231208002478 |
| Provider Name | Morgan Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427306760 PECOS PAC ID: 4688967870 Enrollment ID: I20231211001349 |
| Provider Name | Yuhann Kenneth Lim Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104093863 PECOS PAC ID: 5799901310 Enrollment ID: I20231221001818 |
| Provider Name | Todd Harold Kuhn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043312028 PECOS PAC ID: 8921458282 Enrollment ID: I20231228001901 |
| Provider Name | Kalyan Sajja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346682861 PECOS PAC ID: 1052542347 Enrollment ID: I20240103001623 |
| Provider Name | Julie M Schneider |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336453570 PECOS PAC ID: 9234524794 Enrollment ID: I20240103002054 |
| Provider Name | Tanya A Simonis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1417184367 PECOS PAC ID: 4486922887 Enrollment ID: I20240110001713 |
| Provider Name | Wade Alfred Rasmussen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427081371 PECOS PAC ID: 4688691272 Enrollment ID: I20240110003249 |
| Provider Name | Omolola Oladunni Idowu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194910448 PECOS PAC ID: 2860553708 Enrollment ID: I20240126001580 |
| Provider Name | Taylor Jordis Young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275063547 PECOS PAC ID: 5991148108 Enrollment ID: I20240205002546 |
| Provider Name | Lindsay Anne Rutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710756077 PECOS PAC ID: 2567806359 Enrollment ID: I20240220003736 |
| Provider Name | Lisa H Reaves |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346297058 PECOS PAC ID: 9638154248 Enrollment ID: I20240315000854 |
Delta Dental Of Wisconsin Foundation Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Michigan Ave, Stevens Point, WI 54481 Phone: 715-204-1180 Fax: 715-204-3901 | |
Modern Dental Center Stevens Point Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5541 Us Highway 10 E, Stevens Point, WI 54482 Phone: 715-344-7911 | |
Thomas J. Honl Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 520a Vincent St, Suite A, Stevens Point, WI 54481 Phone: 715-341-5000 Fax: 715-341-8983 | |
Parkdale Dental Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5764 Windy Dr, Stevens Point, WI 54482 Phone: 715-341-2220 | |
Central Orthodontic Specialists, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 Stanley Street, Stevens Point, WI 54481 Phone: 715-344-6499 Fax: 715-344-2920 | |
Mdc Stevens Point, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5541 Us Highway 10 E, Stevens Point, WI 54482 Phone: 715-344-7911 |