| Core Physicians, Llc | |
|
7 Holland Way Exeter NH 03833-2937 | |
| (603) 580-6753 | |
| (603) 580-6840 |
| Full Name | Core Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7 Holland Way, Exeter, New Hampshire |
| Authorized Official Name and Position | Sandra Sw Cassetta (SYSTEM MANAGER/VP OF FINANCE) |
| Authorized Official Contact | 6035807078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Physicians, Llc 7 Holland Way Fl 1 Exeter NH 03833-2997 Ph: (603) 580-6009 | Core Physicians, Llc 7 Holland Way Exeter NH 03833-2937 Ph: (603) 580-6753 |
| NPI Number | 1336330588 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 11/10/2021 |
| Medicare PECOS PAC ID | 2769563253 |
|---|---|
| Medicare Enrollment ID | O20080123000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336330588 | NPI | - | NPPES |
| Provider Name | Whitney Nowak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356318745 PECOS PAC ID: 7618880295 Enrollment ID: I20031110000565 |
| Provider Name | Roderick J Bruno |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1629149596 PECOS PAC ID: 8729986377 Enrollment ID: I20031222000178 |
| Provider Name | Rebecca Snider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437110251 PECOS PAC ID: 8426948373 Enrollment ID: I20040316001047 |
| Provider Name | John Maull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760459150 PECOS PAC ID: 9032101894 Enrollment ID: I20040401000161 |
| Provider Name | Elizabeth Anne Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508829078 PECOS PAC ID: 0244224665 Enrollment ID: I20040409000125 |
| Provider Name | Mark Reeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205899556 PECOS PAC ID: 7517951403 Enrollment ID: I20040413001187 |
| Provider Name | Andrew Weeks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144270216 PECOS PAC ID: 3577558568 Enrollment ID: I20040419000883 |
| Provider Name | Mark E Covey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851350078 PECOS PAC ID: 3577554880 Enrollment ID: I20040524000885 |
| Provider Name | Steven P Loh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760451462 PECOS PAC ID: 6507840147 Enrollment ID: I20040614000491 |
| Provider Name | Janice J Michaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003875162 PECOS PAC ID: 9032196316 Enrollment ID: I20040706000131 |
| Provider Name | Salman S Ghiasuddin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467446120 PECOS PAC ID: 3375521404 Enrollment ID: I20040713001306 |
| Provider Name | Amit Joglekar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891879045 PECOS PAC ID: 1658342704 Enrollment ID: I20040803001183 |
| Provider Name | Noel Wheeler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407893373 PECOS PAC ID: 7911970280 Enrollment ID: I20040816000366 |
| Provider Name | Daniel J Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770559049 PECOS PAC ID: 5294703773 Enrollment ID: I20040922000617 |
| Provider Name | Daniel Miner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104804467 PECOS PAC ID: 3577521392 Enrollment ID: I20041228000062 |
| Provider Name | Deborah S Browne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205945458 PECOS PAC ID: 6800836263 Enrollment ID: I20050505000550 |
| Provider Name | Christen Mcintyre Doucet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295781748 PECOS PAC ID: 1153363494 Enrollment ID: I20050526000044 |
| Provider Name | Vanessa L Preble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740353820 PECOS PAC ID: 5991740524 Enrollment ID: I20050624000084 |
| Provider Name | John Bruce Bartolini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184785289 PECOS PAC ID: 8527004662 Enrollment ID: I20050629000699 |
| Provider Name | Maribeth M Dinicola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063521151 PECOS PAC ID: 5799751780 Enrollment ID: I20050729000481 |
| Provider Name | Michael E Marrero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346288669 PECOS PAC ID: 4789653569 Enrollment ID: I20050803000366 |
| Provider Name | Patrick J Dwyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528148731 PECOS PAC ID: 6800825738 Enrollment ID: I20050810000834 |
| Provider Name | Aaron B Colman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972568442 PECOS PAC ID: 5193797363 Enrollment ID: I20050815000566 |
| Provider Name | Alexander Raslavicus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316969637 PECOS PAC ID: 8426027202 Enrollment ID: I20050824000625 |
| Provider Name | Silvia Z Milancovici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710069000 PECOS PAC ID: 7911939947 Enrollment ID: I20050909000760 |
| Provider Name | Karl Singer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902874746 PECOS PAC ID: 4880664879 Enrollment ID: I20051003000625 |
| Provider Name | Kristin E Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124097357 PECOS PAC ID: 9335119320 Enrollment ID: I20051004000167 |
| Provider Name | Kathleen M Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811947989 PECOS PAC ID: 8224053707 Enrollment ID: I20051013000514 |
| Provider Name | Eliot G Desilva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538121439 PECOS PAC ID: 6901822279 Enrollment ID: I20051017000918 |
| Provider Name | Michael Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659415859 PECOS PAC ID: 0244223451 Enrollment ID: I20051101000687 |
| Provider Name | Ghaleb M Karouni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326090283 PECOS PAC ID: 3173541711 Enrollment ID: I20051102000954 |
| Provider Name | Kimberly R Marble |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1235187691 PECOS PAC ID: 1355369224 Enrollment ID: I20051109000486 |
| Provider Name | Susan D Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144297524 PECOS PAC ID: 0749202265 Enrollment ID: I20051228000204 |
| Provider Name | Catherine M Turer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629188529 PECOS PAC ID: 3971525197 Enrollment ID: I20051230000357 |
| Provider Name | Paul K Deranian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154381374 PECOS PAC ID: 8022031681 Enrollment ID: I20060110000229 |
| Provider Name | Gregory M Goodkin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134151046 PECOS PAC ID: 3971527037 Enrollment ID: I20060117000654 |
| Provider Name | Steven L Mullaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871536680 PECOS PAC ID: 9032185632 Enrollment ID: I20060119000421 |
| Provider Name | Morice P Dennery |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386667251 PECOS PAC ID: 4981618964 Enrollment ID: I20060130000108 |
| Provider Name | Sandra L Merry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235188236 PECOS PAC ID: 0446264097 Enrollment ID: I20060202000609 |
| Provider Name | Peter S Ihm |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285691030 PECOS PAC ID: 3678588779 Enrollment ID: I20060210000344 |
| Provider Name | Diane P Palladino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841251774 PECOS PAC ID: 6103831250 Enrollment ID: I20060213000021 |
| Provider Name | Roderick S Mckee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710948526 PECOS PAC ID: 7719992627 Enrollment ID: I20060214000602 |
| Provider Name | Michael A Pangan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154383867 PECOS PAC ID: 0749173250 Enrollment ID: I20060227000479 |
| Provider Name | Leslie M Dionne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942211644 PECOS PAC ID: 5193731289 Enrollment ID: I20060227000592 |
| Provider Name | Joanna A Luchsinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710971494 PECOS PAC ID: 9335155290 Enrollment ID: I20060301000591 |
| Provider Name | Michael Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568435626 PECOS PAC ID: 5092613448 Enrollment ID: I20060307000067 |
| Provider Name | Andrew F Kunkemueller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720038896 PECOS PAC ID: 2860437704 Enrollment ID: I20060308000493 |
| Provider Name | William Berndt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720017551 PECOS PAC ID: 0446267736 Enrollment ID: I20060310000501 |
| Provider Name | Jay W Swett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396799144 PECOS PAC ID: 9436166782 Enrollment ID: I20060313000230 |
| Provider Name | Patricia J Pangan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255380861 PECOS PAC ID: 1355358573 Enrollment ID: I20060314000207 |
| Provider Name | Elizabeth A Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497714505 PECOS PAC ID: 2961410584 Enrollment ID: I20060323000456 |
| Provider Name | Eric Anderson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1851328843 PECOS PAC ID: 7315940632 Enrollment ID: I20060807000052 |
| Provider Name | Joseph Bernard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518924984 PECOS PAC ID: 9436152212 Enrollment ID: I20060816000540 |
| Provider Name | Richard D Hollister |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194751743 PECOS PAC ID: 6800815697 Enrollment ID: I20060817000183 |
| Provider Name | Patricia M Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053331108 PECOS PAC ID: 7618970286 Enrollment ID: I20060821000485 |
| Provider Name | David P Buono |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003864778 PECOS PAC ID: 4688678147 Enrollment ID: I20060914000351 |
| Provider Name | Timothy G Keenan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508851791 PECOS PAC ID: 7810995636 Enrollment ID: I20061109000653 |
| Provider Name | Jennifer E Matney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912094939 PECOS PAC ID: 5294733762 Enrollment ID: I20061116000251 |
| Provider Name | Joann B Stich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205937018 PECOS PAC ID: 7810995313 Enrollment ID: I20061116000440 |
| Provider Name | Rong Wang |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1568448702 PECOS PAC ID: 0749281939 Enrollment ID: I20070131000405 |
| Provider Name | Ellen E Bernard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538158738 PECOS PAC ID: 1153387295 Enrollment ID: I20070316000142 |
| Provider Name | Alexandra Deblasio Bonesho |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437226164 PECOS PAC ID: 5799885026 Enrollment ID: I20070716000183 |
| Provider Name | Michael C Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255452108 PECOS PAC ID: 6305937970 Enrollment ID: I20070810000509 |
| Provider Name | Daniel Kunz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760605356 PECOS PAC ID: 8123110871 Enrollment ID: I20070825000072 |
| Provider Name | Hossam A Algamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942429865 PECOS PAC ID: 7214021914 Enrollment ID: I20070925000366 |
| Provider Name | Katherine R Affleck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134165889 PECOS PAC ID: 0143117747 Enrollment ID: I20071013000075 |
| Provider Name | Michael Wofford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083813554 PECOS PAC ID: 7214023472 Enrollment ID: I20071018000678 |
| Provider Name | Carol L Sarro |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972798445 PECOS PAC ID: 5597851790 Enrollment ID: I20071019000015 |
| Provider Name | Sunita Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154548832 PECOS PAC ID: 6608964788 Enrollment ID: I20071127000235 |
| Provider Name | Lydia Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235243346 PECOS PAC ID: 5991754244 Enrollment ID: I20071214000410 |
| Provider Name | Thomas F Mcgovern |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083661912 PECOS PAC ID: 6204918717 Enrollment ID: I20080123000423 |
| Provider Name | Philip P Goodney |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821193434 PECOS PAC ID: 8729151444 Enrollment ID: I20080714000418 |
| Provider Name | Richard J Powell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942316914 PECOS PAC ID: 0749354314 Enrollment ID: I20080730000466 |
| Provider Name | John P Brennan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851339071 PECOS PAC ID: 3577637487 Enrollment ID: I20080811000141 |
| Provider Name | Melanie Lanier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447209580 PECOS PAC ID: 8527132471 Enrollment ID: I20080811000508 |
| Provider Name | Robert J Howe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043210909 PECOS PAC ID: 8921049586 Enrollment ID: I20080827000199 |
| Provider Name | Kristen Calcagni Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134197734 PECOS PAC ID: 9335216001 Enrollment ID: I20080922000475 |
| Provider Name | Jennifer Lynn Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285713610 PECOS PAC ID: 9133297021 Enrollment ID: I20081006000157 |
| Provider Name | Avnish Clerk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316105828 PECOS PAC ID: 9133287899 Enrollment ID: I20081023000852 |
| Provider Name | Ernest J Podrasky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376502823 PECOS PAC ID: 2062452196 Enrollment ID: I20081029000402 |
| Provider Name | Melissa A Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679784755 PECOS PAC ID: 5890855712 Enrollment ID: I20081122000127 |
| Provider Name | Andrea Kershaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306095286 PECOS PAC ID: 3375604705 Enrollment ID: I20081204000139 |
| Provider Name | Martin Ruzek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265411268 PECOS PAC ID: 6406940816 Enrollment ID: I20090320000569 |
| Provider Name | Shapour Steve Mirmanesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669407375 PECOS PAC ID: 4789661802 Enrollment ID: I20090520000338 |
| Provider Name | Elizabeth K Melendy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255402327 PECOS PAC ID: 9133271596 Enrollment ID: I20090715000477 |
| Provider Name | Gabor Pernyeszi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881854370 PECOS PAC ID: 2264585777 Enrollment ID: I20090731000199 |
| Provider Name | Heath Meattey |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821294059 PECOS PAC ID: 8224181581 Enrollment ID: I20090804000287 |
| Provider Name | Sarah Litsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831313923 PECOS PAC ID: 1052464161 Enrollment ID: I20090806000161 |
| Provider Name | Joseph C Hou |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164487781 PECOS PAC ID: 5092732586 Enrollment ID: I20090820000215 |
| Provider Name | Laura E Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902045321 PECOS PAC ID: 8527113364 Enrollment ID: I20090901000145 |
| Provider Name | Anne Magauran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790950624 PECOS PAC ID: 8426103672 Enrollment ID: I20090911000383 |
| Provider Name | Jonathan Bridges |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083744510 PECOS PAC ID: 7315917481 Enrollment ID: I20091020000405 |
| Provider Name | Jessica A Sutherland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194909978 PECOS PAC ID: 2365511367 Enrollment ID: I20091022000448 |
| Provider Name | E William W Johnson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407967656 PECOS PAC ID: 4981741030 Enrollment ID: I20091022000536 |
| Provider Name | Nicola Marie Vogel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1902861032 PECOS PAC ID: 5991771313 Enrollment ID: I20091208000628 |
| Provider Name | Mary L Fudge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962583047 PECOS PAC ID: 7911047246 Enrollment ID: I20091217000635 |
| Provider Name | Daniel Sherwin Zipin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932374824 PECOS PAC ID: 5193866929 Enrollment ID: I20091230000540 |
| Provider Name | Andrea Westinghouse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295818854 PECOS PAC ID: 7517008899 Enrollment ID: I20100108000411 |
| Provider Name | Jonathan Vaccaro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861415457 PECOS PAC ID: 7416926290 Enrollment ID: I20100302000737 |
| Provider Name | Mary L Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710927884 PECOS PAC ID: 7214941053 Enrollment ID: I20100331000309 |
| Provider Name | Michael M Fuenfer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962575936 PECOS PAC ID: 9931258654 Enrollment ID: I20100529000001 |
| Provider Name | Samira Ashour Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659548915 PECOS PAC ID: 9133258908 Enrollment ID: I20100603000898 |
| Provider Name | Michael B Schaffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699747980 PECOS PAC ID: 4587691084 Enrollment ID: I20100604000121 |
| Provider Name | Eric A Leefmans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568485779 PECOS PAC ID: 1759412695 Enrollment ID: I20100622000083 |
| Provider Name | Francis P Macmillan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205804952 PECOS PAC ID: 6507828696 Enrollment ID: I20100716000175 |
| Provider Name | Evelyne Caron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093990459 PECOS PAC ID: 2264518539 Enrollment ID: I20100929001557 |
| Provider Name | Joseph N Bautista |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457559544 PECOS PAC ID: 7012109879 Enrollment ID: I20101012000466 |
| Provider Name | Mini Mahata |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770791592 PECOS PAC ID: 9931292570 Enrollment ID: I20101018000512 |
| Provider Name | Jennifer Creem |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609865005 PECOS PAC ID: 6305035627 Enrollment ID: I20110118000635 |
| Provider Name | Jessica H Peelman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740442979 PECOS PAC ID: 8527191352 Enrollment ID: I20110830000175 |
| Provider Name | Hillary S Tompkins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093836157 PECOS PAC ID: 2264533041 Enrollment ID: I20110909002866 |
| Provider Name | Elisabeth Matson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457404303 PECOS PAC ID: 2365613148 Enrollment ID: I20110928000171 |
| Provider Name | Claudia Mcqueen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760403968 PECOS PAC ID: 3173542149 Enrollment ID: I20111018000704 |
| Provider Name | Faisal Shamshad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225022320 PECOS PAC ID: 0345201463 Enrollment ID: I20111118000397 |
| Provider Name | Sunila Jo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740290097 PECOS PAC ID: 0446258636 Enrollment ID: I20120112000617 |
| Provider Name | Shilpa Lamba |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962649442 PECOS PAC ID: 3476720467 Enrollment ID: I20120113000621 |
| Provider Name | Kathryn Bonafede |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699938951 PECOS PAC ID: 2264699073 Enrollment ID: I20120207000333 |
| Provider Name | Robert A Timmons |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1841280013 PECOS PAC ID: 0547443509 Enrollment ID: I20120416000400 |
| Provider Name | Douglas James Mathisen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699759019 PECOS PAC ID: 3779497813 Enrollment ID: I20120515000452 |
| Provider Name | Amanda C Carrozza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730447772 PECOS PAC ID: 4880859958 Enrollment ID: I20120625000061 |
| Provider Name | Eileen C Forrest |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588654164 PECOS PAC ID: 2961699269 Enrollment ID: I20120706000503 |
| Provider Name | Christine Michelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811257215 PECOS PAC ID: 3476719055 Enrollment ID: I20120726000034 |
| Provider Name | Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770678765 PECOS PAC ID: 4183871858 Enrollment ID: I20120831000239 |
| Provider Name | Chad M Cabral |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427226448 PECOS PAC ID: 2365517026 Enrollment ID: I20120904000651 |
| Provider Name | Russell G Sarver |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881613552 PECOS PAC ID: 4789655135 Enrollment ID: I20130103000272 |
| Provider Name | Kevin Mulholland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407801533 PECOS PAC ID: 2365419066 Enrollment ID: I20130103000382 |
| Provider Name | Leeanne S Mather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669722013 PECOS PAC ID: 3375796667 Enrollment ID: I20130117000467 |
| Provider Name | Alison R Brennan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538199898 PECOS PAC ID: 0345268652 Enrollment ID: I20130321000506 |
| Provider Name | Caroline Lasewicz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194835009 PECOS PAC ID: 6204075641 Enrollment ID: I20130617000194 |
| Provider Name | Daniel R Kyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588984488 PECOS PAC ID: 8426292640 Enrollment ID: I20130910000155 |
| Provider Name | Cullen M Jumper |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861612244 PECOS PAC ID: 0446494579 Enrollment ID: I20130911000613 |
| Provider Name | Ana Goubert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538480272 PECOS PAC ID: 0446494744 Enrollment ID: I20130925000873 |
| Provider Name | Katie B Pare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750727053 PECOS PAC ID: 4587808829 Enrollment ID: I20130926000432 |
| Provider Name | Robert F Donnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265649974 PECOS PAC ID: 0749314839 Enrollment ID: I20140213000351 |
| Provider Name | Rosemary E Reiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194776658 PECOS PAC ID: 2466436050 Enrollment ID: I20140501000016 |
| Provider Name | Elizabeth S Ginsburg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164407938 PECOS PAC ID: 5092736777 Enrollment ID: I20140501000409 |
| Provider Name | Nicole Alexandria Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841225745 PECOS PAC ID: 2062416043 Enrollment ID: I20140506002119 |
| Provider Name | Shirley A Frederick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194788703 PECOS PAC ID: 0648366872 Enrollment ID: I20140507001172 |
| Provider Name | Karen M Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154374890 PECOS PAC ID: 3577547512 Enrollment ID: I20140520000900 |
| Provider Name | Antonio R. Gargiulo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255345146 PECOS PAC ID: 3779577630 Enrollment ID: I20140527000160 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912986530 PECOS PAC ID: 2062554371 Enrollment ID: I20140813001542 |
| Provider Name | Richard O Feeney |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811223977 PECOS PAC ID: 4981861325 Enrollment ID: I20141003000546 |
| Provider Name | Lisa G Donnellan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902090541 PECOS PAC ID: 6002903622 Enrollment ID: I20141008001850 |
| Provider Name | Cormac Eoin Oneill |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710147541 PECOS PAC ID: 3274754981 Enrollment ID: I20141022001173 |
| Provider Name | Ingrid E Gedraitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821480849 PECOS PAC ID: 0648597724 Enrollment ID: I20150330001665 |
| Provider Name | Vasilios A Lirofonis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386770048 PECOS PAC ID: 9234285354 Enrollment ID: I20150417000880 |
| Provider Name | Lisa C Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356738876 PECOS PAC ID: 1052622065 Enrollment ID: I20150617002263 |
| Provider Name | Sherbeth Marie C Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831468917 PECOS PAC ID: 7810208659 Enrollment ID: I20150619000659 |
| Provider Name | Nina Littlefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730560558 PECOS PAC ID: 7012221161 Enrollment ID: I20150803000937 |
| Provider Name | Bryan T Suchecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184686933 PECOS PAC ID: 7416119540 Enrollment ID: I20150827000341 |
| Provider Name | Robert C Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336402452 PECOS PAC ID: 0749419620 Enrollment ID: I20160114001578 |
| Provider Name | Betsy Boyd Sandberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538115316 PECOS PAC ID: 6709860158 Enrollment ID: I20160324001372 |
| Provider Name | Jerry R Rittenhouse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831124916 PECOS PAC ID: 8921075607 Enrollment ID: I20160414000651 |
| Provider Name | Alex Nichols |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689026882 PECOS PAC ID: 6002101920 Enrollment ID: I20160817000223 |
| Provider Name | Steven N Graff |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164461364 PECOS PAC ID: 7416934484 Enrollment ID: I20160928001142 |
| Provider Name | Apara Dave |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306004346 PECOS PAC ID: 2769708809 Enrollment ID: I20161013000109 |
| Provider Name | Jacqueline Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972960110 PECOS PAC ID: 5092003590 Enrollment ID: I20161017002016 |
| Provider Name | Brian D Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104264175 PECOS PAC ID: 3274811146 Enrollment ID: I20161027000644 |
| Provider Name | Lori B Kast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730633108 PECOS PAC ID: 2961781141 Enrollment ID: I20161110000997 |
| Provider Name | Jennifer Loichle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043765274 PECOS PAC ID: 7719267228 Enrollment ID: I20161129000792 |
| Provider Name | Erik M Stien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013017581 PECOS PAC ID: 4183712169 Enrollment ID: I20170214000578 |
| Provider Name | Kathryn E Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801270350 PECOS PAC ID: 8628374980 Enrollment ID: I20170310000770 |
| Provider Name | Leslie Gurrisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548710288 PECOS PAC ID: 0648553297 Enrollment ID: I20170623000672 |
| Provider Name | Bryan Jameson Stephan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710410352 PECOS PAC ID: 2365711702 Enrollment ID: I20170628002667 |
| Provider Name | Brandon W Peck |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295098994 PECOS PAC ID: 8325284862 Enrollment ID: I20170720002350 |
| Provider Name | Brian Porter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316145642 PECOS PAC ID: 2264600915 Enrollment ID: I20170721002688 |
| Provider Name | Christine M Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114449097 PECOS PAC ID: 2062783459 Enrollment ID: I20170803000628 |
| Provider Name | Amy Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639692155 PECOS PAC ID: 1658643473 Enrollment ID: I20170814002657 |
| Provider Name | Jessica B Wallaert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316112444 PECOS PAC ID: 7113225707 Enrollment ID: I20170818001247 |
| Provider Name | Oliver J Salmon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154740538 PECOS PAC ID: 2860764008 Enrollment ID: I20170822003742 |
| Provider Name | Patricia J Cronin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1295872646 PECOS PAC ID: 5294008496 Enrollment ID: I20170911001851 |
| Provider Name | Anping Han |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861666133 PECOS PAC ID: 7315090768 Enrollment ID: I20171005002974 |
| Provider Name | Lauren Marie Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265943617 PECOS PAC ID: 6901172444 Enrollment ID: I20171027000312 |
| Provider Name | Beth L Koester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699860627 PECOS PAC ID: 8022045350 Enrollment ID: I20171116002402 |
| Provider Name | Lazaros Xanthopoulos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255319604 PECOS PAC ID: 5698733368 Enrollment ID: I20180130000732 |
| Provider Name | Alexander Zeidel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740248343 PECOS PAC ID: 9739275421 Enrollment ID: I20180713001574 |
| Provider Name | Minerva Ileana Lopez Sabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487160917 PECOS PAC ID: 2769730936 Enrollment ID: I20180803001073 |
| Provider Name | Joshua Kahane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861871428 PECOS PAC ID: 7416260997 Enrollment ID: I20180824000664 |
| Provider Name | Jaclyn Rose Gaudette Bowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760970545 PECOS PAC ID: 8820349855 Enrollment ID: I20181001002107 |
| Provider Name | James Charles Hart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427164961 PECOS PAC ID: 3577631241 Enrollment ID: I20181128002045 |
| Provider Name | Katherine Firth Godek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386101251 PECOS PAC ID: 3375883739 Enrollment ID: I20190321000168 |
| Provider Name | Alyssa Hamel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861766883 PECOS PAC ID: 5395018253 Enrollment ID: I20190523002753 |
| Provider Name | Kerry Ann Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376014514 PECOS PAC ID: 0941534549 Enrollment ID: I20190702002015 |
| Provider Name | Jacqueline A Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518521442 PECOS PAC ID: 4587999701 Enrollment ID: I20190710003054 |
| Provider Name | Saira Tekelenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790134336 PECOS PAC ID: 9133414899 Enrollment ID: I20190715002373 |
| Provider Name | Noor W Al Humaidhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821502329 PECOS PAC ID: 3173883469 Enrollment ID: I20190809000427 |
| Provider Name | Eric P Raffin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407274442 PECOS PAC ID: 2365749918 Enrollment ID: I20190815000474 |
| Provider Name | Robert Henley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508098237 PECOS PAC ID: 1052530821 Enrollment ID: I20190829001173 |
| Provider Name | Boyd K Tamanaha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326498452 PECOS PAC ID: 8325304405 Enrollment ID: I20190903001437 |
| Provider Name | Kary Reginald Schulte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477516094 PECOS PAC ID: 0941101315 Enrollment ID: I20190906001684 |
| Provider Name | Amanda Jane Alaimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114577426 PECOS PAC ID: 8729319223 Enrollment ID: I20191015001761 |
| Provider Name | Lyndsey M Vallee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356995187 PECOS PAC ID: 8224461538 Enrollment ID: I20191127000485 |
| Provider Name | Jennifer K. Skoczylas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417429440 PECOS PAC ID: 4587099080 Enrollment ID: I20200110000035 |
| Provider Name | Jennifer R Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992349625 PECOS PAC ID: 1153759675 Enrollment ID: I20200317000847 |
| Provider Name | Lindsay Rebecca Decker |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1336400100 PECOS PAC ID: 3678901923 Enrollment ID: I20200319001605 |
| Provider Name | Sarah E Starkweather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821633363 PECOS PAC ID: 6406285121 Enrollment ID: I20200401000970 |
| Provider Name | Arvind Gireesh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1316108798 PECOS PAC ID: 6507143740 Enrollment ID: I20200513000374 |
| Provider Name | Victoria Slaven |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265967061 PECOS PAC ID: 7719242379 Enrollment ID: I20200804001481 |
| Provider Name | Derek Joseph Trapasso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033136833 PECOS PAC ID: 6608879960 Enrollment ID: I20200817000093 |
| Provider Name | Terra C Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407379902 PECOS PAC ID: 4981977030 Enrollment ID: I20200819001311 |
| Provider Name | Edward K Chung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730286055 PECOS PAC ID: 0749286433 Enrollment ID: I20200828001171 |
| Provider Name | John A Fetchero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356753453 PECOS PAC ID: 9739308727 Enrollment ID: I20200904001252 |
| Provider Name | Gabrielle Phaneuf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558896787 PECOS PAC ID: 0941629752 Enrollment ID: I20200929000214 |
| Provider Name | Molly Ann Viens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689288748 PECOS PAC ID: 3173943552 Enrollment ID: I20201023002539 |
| Provider Name | Rifat A Zaman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386177087 PECOS PAC ID: 5799055471 Enrollment ID: I20201026002666 |
| Provider Name | Heather A Cale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790153146 PECOS PAC ID: 6103199351 Enrollment ID: I20201029002613 |
| Provider Name | Elissa Bethany Finneran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669025953 PECOS PAC ID: 0648509869 Enrollment ID: I20201109001268 |
| Provider Name | Dorothy Lee Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578112025 PECOS PAC ID: 5193149342 Enrollment ID: I20201209000479 |
| Provider Name | Kaleigh Knapp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902386956 PECOS PAC ID: 8224440235 Enrollment ID: I20201216001618 |
| Provider Name | Kimberly Keefe Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891057584 PECOS PAC ID: 6507176476 Enrollment ID: I20210309001397 |
| Provider Name | Elizabeth Gale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386935187 PECOS PAC ID: 3173659349 Enrollment ID: I20210317002733 |
| Provider Name | Laura Dhima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730430406 PECOS PAC ID: 5698927572 Enrollment ID: I20210405001693 |
| Provider Name | Leighel Webb |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336756501 PECOS PAC ID: 9032527809 Enrollment ID: I20210415000714 |
| Provider Name | Kerry E Pound |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811096092 PECOS PAC ID: 4385646389 Enrollment ID: I20210415000973 |
| Provider Name | Deirdre Horvath |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386188936 PECOS PAC ID: 5092098764 Enrollment ID: I20210416000915 |
| Provider Name | Terence Moran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366433906 PECOS PAC ID: 3577975796 Enrollment ID: I20210429002147 |
| Provider Name | Margaret Woodward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588169916 PECOS PAC ID: 1456607951 Enrollment ID: I20210712003366 |
| Provider Name | Jessica A Fortin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639669260 PECOS PAC ID: 3971834698 Enrollment ID: I20210719001229 |
| Provider Name | Kathleen Amanda Waleryszak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821647470 PECOS PAC ID: 1052714763 Enrollment ID: I20210719002181 |
| Provider Name | Brittney Ward |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366933251 PECOS PAC ID: 8921401456 Enrollment ID: I20210721003375 |
| Provider Name | Yuan Qiao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184001703 PECOS PAC ID: 7810293305 Enrollment ID: I20210726000995 |
| Provider Name | Christina Piccinonno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770105462 PECOS PAC ID: 4183029481 Enrollment ID: I20210825001540 |
| Provider Name | Kathleen Farrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356872675 PECOS PAC ID: 9133490329 Enrollment ID: I20210825002008 |
| Provider Name | Benjamin Saks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003235516 PECOS PAC ID: 6800228404 Enrollment ID: I20210907001140 |
| Provider Name | Sarah E Slocum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225423205 PECOS PAC ID: 5597062737 Enrollment ID: I20210913003578 |
| Provider Name | Sarah M Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508436288 PECOS PAC ID: 8123425535 Enrollment ID: I20210928002941 |
| Provider Name | Jaclyn Giarrusso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720575434 PECOS PAC ID: 7719242114 Enrollment ID: I20211130002365 |
| Provider Name | Carter Isabella Hines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629730270 PECOS PAC ID: 2466842620 Enrollment ID: I20211201002323 |
| Provider Name | Erin Carding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538607387 PECOS PAC ID: 5092081448 Enrollment ID: I20220304000884 |
| Provider Name | Bacall Quintal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861141343 PECOS PAC ID: 8426444613 Enrollment ID: I20220418000105 |
| Provider Name | Lauren Yanouzas |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306454582 PECOS PAC ID: 9638589740 Enrollment ID: I20220425001621 |
| Provider Name | Gavin Little |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598792004 PECOS PAC ID: 4587613955 Enrollment ID: I20220531000330 |
| Provider Name | Shravan Kooragayalu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346502697 PECOS PAC ID: 9739467721 Enrollment ID: I20220601000239 |
| Provider Name | Sreelakshmi Kooragayalu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144706979 PECOS PAC ID: 0345643821 Enrollment ID: I20220601000693 |
| Provider Name | Kristina Conner |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1861753519 PECOS PAC ID: 6305074154 Enrollment ID: I20220607001198 |
| Provider Name | Rachel Griffith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033670203 PECOS PAC ID: 6608282116 Enrollment ID: I20220718002885 |
| Provider Name | Madhavi Lekkala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992915433 PECOS PAC ID: 0941334650 Enrollment ID: I20220720002209 |
| Provider Name | Emily Travers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285154211 PECOS PAC ID: 6406237569 Enrollment ID: I20220720002509 |
| Provider Name | John N Mullins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891158093 PECOS PAC ID: 7810231842 Enrollment ID: I20220721002817 |
| Provider Name | Katherine Cherna Kelleher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144739566 PECOS PAC ID: 2668738949 Enrollment ID: I20220808001675 |
| Provider Name | Talat Raja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649408220 PECOS PAC ID: 1052568359 Enrollment ID: I20220811000238 |
| Provider Name | Maria Nguyen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1841209194 PECOS PAC ID: 1759336175 Enrollment ID: I20220811001813 |
| Provider Name | Rong Tang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013367994 PECOS PAC ID: 7214223759 Enrollment ID: I20220815000462 |
| Provider Name | Sibte Burney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205869237 PECOS PAC ID: 8224136726 Enrollment ID: I20220825001877 |
| Provider Name | Zacory Kobylarz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356808075 PECOS PAC ID: 8820424534 Enrollment ID: I20220830002863 |
| Provider Name | Ekta X Nayyar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336348929 PECOS PAC ID: 9133260870 Enrollment ID: I20220831002837 |
| Provider Name | Freshta Jaghori |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760610091 PECOS PAC ID: 8527222082 Enrollment ID: I20220913000432 |
| Provider Name | Matthew Groce Marshall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124462403 PECOS PAC ID: 5294049664 Enrollment ID: I20220913000694 |
| Provider Name | Maria Kuehl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700349248 PECOS PAC ID: 8426433723 Enrollment ID: I20220922003464 |
| Provider Name | Mohammad Farivar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831136845 PECOS PAC ID: 1355475708 Enrollment ID: I20221004000049 |
| Provider Name | Saher Rizvi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275744161 PECOS PAC ID: 9133387277 Enrollment ID: I20221007002780 |
| Provider Name | Luke Brindamour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205217403 PECOS PAC ID: 4880941608 Enrollment ID: I20221025003008 |
| Provider Name | Amar Desai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962713396 PECOS PAC ID: 6507006756 Enrollment ID: I20221101001203 |
| Provider Name | Tina Seecharan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215299854 PECOS PAC ID: 6800172172 Enrollment ID: I20221103000237 |
| Provider Name | Jessica Kathryn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831825025 PECOS PAC ID: 8527436021 Enrollment ID: I20221114002660 |
| Provider Name | Danielle Kendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427791409 PECOS PAC ID: 4587047279 Enrollment ID: I20221117001695 |
| Provider Name | Stuart Craig Jarvis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467415067 PECOS PAC ID: 4789629262 Enrollment ID: I20221128000621 |
| Provider Name | Jane Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699378794 PECOS PAC ID: 1254709918 Enrollment ID: I20221130001998 |
| Provider Name | Lindsay Ruth Teahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730896325 PECOS PAC ID: 9931578978 Enrollment ID: I20221213002643 |
| Provider Name | Monica Cespedes Santana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114204161 PECOS PAC ID: 7214212653 Enrollment ID: I20221215000052 |
| Provider Name | Allison Oesterle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144382466 PECOS PAC ID: 6103117577 Enrollment ID: I20230103001847 |
| Provider Name | Ekezie M Francis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619255213 PECOS PAC ID: 9739302639 Enrollment ID: I20230104000864 |
| Provider Name | Bo Carl Leung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932635539 PECOS PAC ID: 4688087513 Enrollment ID: I20230124002077 |
| Provider Name | Victoria Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427556091 PECOS PAC ID: 9537530803 Enrollment ID: I20230124002222 |
| Provider Name | John L Mandeville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538871496 PECOS PAC ID: 1052783743 Enrollment ID: I20230206002156 |
| Provider Name | Natasa Bratislav Dragicevic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124386156 PECOS PAC ID: 9830476654 Enrollment ID: I20230210000836 |
| Provider Name | Noor Bass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407233653 PECOS PAC ID: 8628333622 Enrollment ID: I20230302000959 |
| Provider Name | Hannah Rochman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215509526 PECOS PAC ID: 1557734027 Enrollment ID: I20230302002767 |
| Provider Name | Heather Amber Budrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205534161 PECOS PAC ID: 8426421652 Enrollment ID: I20230308002149 |
| Provider Name | Stephen Ira Eskin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871515379 PECOS PAC ID: 6800804162 Enrollment ID: I20230419002289 |
| Provider Name | Shea Richard Ahern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841985645 PECOS PAC ID: 2365807203 Enrollment ID: I20230428002233 |
| Provider Name | Connor Pauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144707167 PECOS PAC ID: 8921348343 Enrollment ID: I20230519001486 |
| Provider Name | April Buchanan Cain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447262951 PECOS PAC ID: 3173989746 Enrollment ID: I20230524001632 |
| Provider Name | Tiffany Guglielmo-roxby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124434238 PECOS PAC ID: 8022321355 Enrollment ID: I20230608000118 |
| Provider Name | Scott Morin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497243893 PECOS PAC ID: 7113274788 Enrollment ID: I20230613001536 |
| Provider Name | Kimberly R Noyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619540770 PECOS PAC ID: 4880052588 Enrollment ID: I20230627002286 |
| Provider Name | Leslie D Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265511554 PECOS PAC ID: 1759373715 Enrollment ID: I20230706002369 |
| Provider Name | Christie Michelle Devoe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811516982 PECOS PAC ID: 5294195541 Enrollment ID: I20230718002182 |
| Provider Name | Monica Gifford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255951125 PECOS PAC ID: 9032532627 Enrollment ID: I20230721001416 |
| Provider Name | Tina Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912589789 PECOS PAC ID: 3971965500 Enrollment ID: I20230815000747 |
| Provider Name | Freda Arlow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619923976 PECOS PAC ID: 0749348142 Enrollment ID: I20230815002181 |
| Provider Name | Francis Bruskey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376906263 PECOS PAC ID: 0840552337 Enrollment ID: I20230906001830 |
| Provider Name | Briana Horgan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1912309246 PECOS PAC ID: 7113314428 Enrollment ID: I20230908000944 |
| Provider Name | Erika Marie Lundgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669940847 PECOS PAC ID: 0840644720 Enrollment ID: I20230926003224 |
| Provider Name | Aleksandr Chernyy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295226306 PECOS PAC ID: 0446653208 Enrollment ID: I20231003001316 |
| Provider Name | Sharon Vuppula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851703011 PECOS PAC ID: 0143595561 Enrollment ID: I20231004003728 |
| Provider Name | Isabella Stumpf |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184661548 PECOS PAC ID: 8022036615 Enrollment ID: I20231010000181 |
| Provider Name | Joshua Krasnow |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114986205 PECOS PAC ID: 4688600802 Enrollment ID: I20231018000651 |
| Provider Name | Jasmine E Mikami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417482126 PECOS PAC ID: 3072935659 Enrollment ID: I20231018003367 |
| Provider Name | Abigail Scully |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760862072 PECOS PAC ID: 0143519462 Enrollment ID: I20231030001773 |
| Provider Name | Kimberly Idoko |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003080896 PECOS PAC ID: 2769605344 Enrollment ID: I20231103000768 |
| Provider Name | Steven Blumenthal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568441921 PECOS PAC ID: 4486612710 Enrollment ID: I20231117002887 |
| Provider Name | Ivan Cuesta Isabel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851775860 PECOS PAC ID: 0345649000 Enrollment ID: I20231214002104 |
| Provider Name | Zhenglun Zhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598850943 PECOS PAC ID: 6305889585 Enrollment ID: I20240116003571 |
| Provider Name | Simon Greenbaum |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255750816 PECOS PAC ID: 3274867908 Enrollment ID: I20240129002191 |
| Provider Name | Linnea Erica Malm |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316715386 PECOS PAC ID: 6204279300 Enrollment ID: I20240206001572 |
| Provider Name | Deborah Gotbetter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730211749 PECOS PAC ID: 2668488214 Enrollment ID: I20240214001388 |
| Provider Name | Mi Kyung Ko |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184711954 PECOS PAC ID: 1658370788 Enrollment ID: I20240220003421 |
| Provider Name | Melva Pinn-bingham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952505620 PECOS PAC ID: 1355505116 Enrollment ID: I20240221001653 |
| Provider Name | Ronald Blizzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538528492 PECOS PAC ID: 9133564412 Enrollment ID: I20240226003841 |
| Provider Name | Terrence Zipfel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932139227 PECOS PAC ID: 3870512148 Enrollment ID: I20240307001204 |
| Provider Name | Jiri Brabec |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093944332 PECOS PAC ID: 1153564299 Enrollment ID: I20240313000090 |
Exeter Dental Implant And Oral Surgery Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Hampton Rd Ste 202, Exeter, NH 03833 Phone: 603-773-3333 Fax: 603-718-3096 | |
Premier Family Dentistry Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 Portsmouth Ave, Exeter, NH 03833 Phone: 603-778-8101 Fax: 603-775-7346 | |
Healthreach Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Hampton Rd, Exeter, NH 03833 Phone: 603-773-4900 | |
Healthreach Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Alumni Dr, Exeter, NH 03833 Phone: 603-580-7334 | |
Exeter Pediatric Dentistry And Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Portsmouth Ave, Exeter, NH 03833 Phone: 603-778-0400 | |
Greatview Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Hampton Rd, Exeter, NH 03833 Phone: 603-778-9630 Fax: 603-778-8466 | |
Lifetime Dental Professionals Of New Hampshire, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Hampton Rd, Exeter, NH 03833 Phone: 603-772-7874 |