| St Claire Medical Center, Inc., | |
|
222 Medical Cir Morehead KY 40351-1179 | |
| (606) 783-6500 | |
| (606) 783-6904 |
| Full Name | St Claire Medical Center, Inc., |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 222 Medical Cir, Morehead, Kentucky |
| Authorized Official Name and Position | Donald H Lloyd (CEO/PRESIDENT) |
| Authorized Official Contact | 6067836502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Claire Medical Center, Inc., 222 Medical Cir Morehead KY 40351-1179 Ph: (606) 783-6500 | St Claire Medical Center, Inc., 222 Medical Cir Morehead KY 40351-1179 Ph: (606) 783-6500 |
| NPI Number | 1821168535 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 02/28/2025 |
| Medicare PECOS PAC ID | 4486559085 |
|---|---|
| Medicare Enrollment ID | O20031205000579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821168535 | NPI | - | NPPES |
| 7100045200 | Medicaid | KY | |
| 6590684400 | Medicaid | KY | |
| 7490073900 | Medicaid | KY | |
| 7890439800 | Medicaid | KY | |
| 9590110400 | Medicaid | KY |
| Provider Name | David M Preston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740208461 PECOS PAC ID: 5597662015 Enrollment ID: I20031215000137 |
| Provider Name | Imtiaz Hussain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275610719 PECOS PAC ID: 9739079997 Enrollment ID: I20040319000461 |
| Provider Name | David J Minion |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417048711 PECOS PAC ID: 8325033103 Enrollment ID: I20040420000355 |
| Provider Name | Eric D Endean |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407805617 PECOS PAC ID: 5395730196 Enrollment ID: I20040420000521 |
| Provider Name | Joan Elizabeth Lehmann |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235151051 PECOS PAC ID: 5799771648 Enrollment ID: I20040424000110 |
| Provider Name | Diana Maria Hursh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578539771 PECOS PAC ID: 2365439791 Enrollment ID: I20040428000592 |
| Provider Name | Caren L Daniels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265456222 PECOS PAC ID: 2365433018 Enrollment ID: I20040520001220 |
| Provider Name | Mohammad Aslam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366547127 PECOS PAC ID: 1557352200 Enrollment ID: I20040609001026 |
| Provider Name | Craig D Butler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033119839 PECOS PAC ID: 2769456995 Enrollment ID: I20040824000438 |
| Provider Name | Gary L Eddy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508825324 PECOS PAC ID: 1951384544 Enrollment ID: I20040901000691 |
| Provider Name | Cletus Carvalho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457434870 PECOS PAC ID: 1759357866 Enrollment ID: I20040909000226 |
| Provider Name | Steven R Turner |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235187378 PECOS PAC ID: 4587631759 Enrollment ID: I20040916000159 |
| Provider Name | William D Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679573471 PECOS PAC ID: 1456248160 Enrollment ID: I20041013000452 |
| Provider Name | Denita J Ray |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154413607 PECOS PAC ID: 5092775684 Enrollment ID: I20041018000977 |
| Provider Name | Richard W Proudfoot |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740202167 PECOS PAC ID: 6507828704 Enrollment ID: I20041030000194 |
| Provider Name | Diana C Hyden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093813529 PECOS PAC ID: 7416858147 Enrollment ID: I20041208000187 |
| Provider Name | Cynthia A Schneider |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548288319 PECOS PAC ID: 3870551302 Enrollment ID: I20041229000901 |
| Provider Name | David W Victor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386662104 PECOS PAC ID: 1557329968 Enrollment ID: I20041230000464 |
| Provider Name | Oliver Thomas Newcomb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619901816 PECOS PAC ID: 9234197658 Enrollment ID: I20041230000507 |
| Provider Name | Tamara Ward |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851390876 PECOS PAC ID: 0042260317 Enrollment ID: I20050125000294 |
| Provider Name | Robert J Crafton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003868464 PECOS PAC ID: 9335199488 Enrollment ID: I20050126000518 |
| Provider Name | Teresa Ellis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841388584 PECOS PAC ID: 2769439918 Enrollment ID: I20050331000437 |
| Provider Name | Mark Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528082591 PECOS PAC ID: 1850339110 Enrollment ID: I20050419000270 |
| Provider Name | Sriram K Iyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689722100 PECOS PAC ID: 3173420601 Enrollment ID: I20050721000233 |
| Provider Name | Timothy Duane Brammell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962432500 PECOS PAC ID: 8820025489 Enrollment ID: I20050726000124 |
| Provider Name | Mark A Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417987330 PECOS PAC ID: 1153354634 Enrollment ID: I20050915000061 |
| Provider Name | Bradford A Shelby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144222928 PECOS PAC ID: 0648204065 Enrollment ID: I20050923000950 |
| Provider Name | Ross W Cotton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144271644 PECOS PAC ID: 0941272538 Enrollment ID: I20051006000160 |
| Provider Name | Jay M Burton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962420620 PECOS PAC ID: 2769401181 Enrollment ID: I20051115000816 |
| Provider Name | Terence W Oneill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275560666 PECOS PAC ID: 3971519901 Enrollment ID: I20060301000215 |
| Provider Name | Michele A Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750334975 PECOS PAC ID: 8224033584 Enrollment ID: I20060921000027 |
| Provider Name | Punnaivanam Ravisankar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255361242 PECOS PAC ID: 4082611678 Enrollment ID: I20061024000200 |
| Provider Name | Matthew John Pierzala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811931389 PECOS PAC ID: 9830137496 Enrollment ID: I20061113000155 |
| Provider Name | Eleftherios S Xenos |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265454235 PECOS PAC ID: 9133199979 Enrollment ID: I20061121000001 |
| Provider Name | Wendy S Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447301171 PECOS PAC ID: 6507868908 Enrollment ID: I20070214000260 |
| Provider Name | Glen Perry Majors |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942233697 PECOS PAC ID: 2860427697 Enrollment ID: I20070327000013 |
| Provider Name | Mary E O'daniel-pierce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861491177 PECOS PAC ID: 5294831046 Enrollment ID: I20070510000567 |
| Provider Name | Daniel Crump |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750374955 PECOS PAC ID: 1153351366 Enrollment ID: I20070724000000 |
| Provider Name | Wendy E Lykins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376742932 PECOS PAC ID: 3779674460 Enrollment ID: I20070809000572 |
| Provider Name | Muhammad Ashfaq |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205035045 PECOS PAC ID: 5496849911 Enrollment ID: I20070914000326 |
| Provider Name | Jon S Hourigan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1811010531 PECOS PAC ID: 1052405289 Enrollment ID: I20070919000599 |
| Provider Name | Thadis C Cox |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669482436 PECOS PAC ID: 2264528488 Enrollment ID: I20071019000263 |
| Provider Name | Sriharsha Velury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093821027 PECOS PAC ID: 1456258367 Enrollment ID: I20071109000164 |
| Provider Name | Chad D Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386823938 PECOS PAC ID: 0143318592 Enrollment ID: I20071119000145 |
| Provider Name | Stephen A Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598816878 PECOS PAC ID: 4284722307 Enrollment ID: I20071126000509 |
| Provider Name | Mansha U Kahloon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265498745 PECOS PAC ID: 7719067891 Enrollment ID: I20080102000017 |
| Provider Name | Muhammad Anwar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265538052 PECOS PAC ID: 4688759012 Enrollment ID: I20080310000652 |
| Provider Name | Yasodah Toddywalla |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124207352 PECOS PAC ID: 7517031966 Enrollment ID: I20080801000408 |
| Provider Name | Christopher R Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114164035 PECOS PAC ID: 4486710084 Enrollment ID: I20090305000745 |
| Provider Name | Kenneth K Afenya |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558593210 PECOS PAC ID: 3870639263 Enrollment ID: I20091015000578 |
| Provider Name | Valerie Taylor |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295742864 PECOS PAC ID: 6305985235 Enrollment ID: I20091205000001 |
| Provider Name | Joseph R Dennison |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902803091 PECOS PAC ID: 5496814485 Enrollment ID: I20091205000146 |
| Provider Name | Kristi Caudill Adams |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881623270 PECOS PAC ID: 8729128251 Enrollment ID: I20091215000095 |
| Provider Name | William Louis Melahn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750362778 PECOS PAC ID: 0446153225 Enrollment ID: I20091222000044 |
| Provider Name | Mary J Humkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982695482 PECOS PAC ID: 8123161361 Enrollment ID: I20100210000224 |
| Provider Name | Eric M Toohey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427388917 PECOS PAC ID: 7214072446 Enrollment ID: I20100226000609 |
| Provider Name | Kristi M Lynch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619209483 PECOS PAC ID: 4082759683 Enrollment ID: I20100308000358 |
| Provider Name | Craig H Burrows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124019716 PECOS PAC ID: 1254466923 Enrollment ID: I20100319000362 |
| Provider Name | Carolyn A Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578544672 PECOS PAC ID: 2062311749 Enrollment ID: I20100415000361 |
| Provider Name | Sharon Irene Allen-kinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740200559 PECOS PAC ID: 4385777531 Enrollment ID: I20100809000637 |
| Provider Name | Dana L Richards |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871748327 PECOS PAC ID: 1153446547 Enrollment ID: I20100908000615 |
| Provider Name | Deandrea R Perkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093857187 PECOS PAC ID: 4486770682 Enrollment ID: I20100924000839 |
| Provider Name | James Vansant |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881628485 PECOS PAC ID: 0446443204 Enrollment ID: I20101025001005 |
| Provider Name | Steven Morey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063475283 PECOS PAC ID: 0143301606 Enrollment ID: I20101209000369 |
| Provider Name | Mary C Caric |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669772596 PECOS PAC ID: 3779771886 Enrollment ID: I20101215001210 |
| Provider Name | Carri Leone Hicks |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942517974 PECOS PAC ID: 6103014766 Enrollment ID: I20101223000153 |
| Provider Name | Stephen Damron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598729246 PECOS PAC ID: 7012051840 Enrollment ID: I20110121000816 |
| Provider Name | Nancy J Henly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730147869 PECOS PAC ID: 5496934408 Enrollment ID: I20110124000376 |
| Provider Name | Allen S Lim Jr |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1578526810 PECOS PAC ID: 2264611284 Enrollment ID: I20110124000571 |
| Provider Name | Edward J Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962467092 PECOS PAC ID: 3577742527 Enrollment ID: I20110124000931 |
| Provider Name | Eric L Herrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235435017 PECOS PAC ID: 7911188370 Enrollment ID: I20110218000435 |
| Provider Name | Philip C Overall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346475035 PECOS PAC ID: 0941483655 Enrollment ID: I20110317000556 |
| Provider Name | Jeffrey L Ellis |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326142035 PECOS PAC ID: 1951584390 Enrollment ID: I20110323000354 |
| Provider Name | David E Hunt |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881674778 PECOS PAC ID: 8325226970 Enrollment ID: I20110629000633 |
| Provider Name | Jacob E Perry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063663284 PECOS PAC ID: 2567640006 Enrollment ID: I20110701000286 |
| Provider Name | Steven Koenig |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669513321 PECOS PAC ID: 6901814201 Enrollment ID: I20110720000681 |
| Provider Name | Emily S Mason |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215209739 PECOS PAC ID: 1456519743 Enrollment ID: I20120215000655 |
| Provider Name | Ray Slone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811269400 PECOS PAC ID: 2264691708 Enrollment ID: I20120302000136 |
| Provider Name | Frances A Meritt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861796377 PECOS PAC ID: 5193905065 Enrollment ID: I20120312000589 |
| Provider Name | Torrie Furman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932489325 PECOS PAC ID: 8022278084 Enrollment ID: I20120328000824 |
| Provider Name | Susan Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215203088 PECOS PAC ID: 8022279173 Enrollment ID: I20120417000243 |
| Provider Name | Christopher Fennell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437133535 PECOS PAC ID: 8325137789 Enrollment ID: I20120514000188 |
| Provider Name | Joseph L Bobadilla |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245288893 PECOS PAC ID: 9638326374 Enrollment ID: I20120830000696 |
| Provider Name | Faisal Tawwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285927277 PECOS PAC ID: 8921255530 Enrollment ID: I20120904000084 |
| Provider Name | John M Conner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184798142 PECOS PAC ID: 6709914583 Enrollment ID: I20121015000567 |
| Provider Name | Tracy Lynn Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417085150 PECOS PAC ID: 1951576156 Enrollment ID: I20130205000119 |
| Provider Name | Ashley Hall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346412178 PECOS PAC ID: 7810132230 Enrollment ID: I20130405000219 |
| Provider Name | Sarah J Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477896306 PECOS PAC ID: 4183861297 Enrollment ID: I20130509000302 |
| Provider Name | Pamela E Copher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083057673 PECOS PAC ID: 3678712866 Enrollment ID: I20130619000367 |
| Provider Name | Daniel O Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790874626 PECOS PAC ID: 0941227243 Enrollment ID: I20130620000641 |
| Provider Name | Kelli Mathew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386962223 PECOS PAC ID: 0941441240 Enrollment ID: I20130730000187 |
| Provider Name | Steven R Frame |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275787368 PECOS PAC ID: 0446492318 Enrollment ID: I20130806000916 |
| Provider Name | William B Pace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710279393 PECOS PAC ID: 1557504230 Enrollment ID: I20130828000201 |
| Provider Name | Brittany B Click |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245670348 PECOS PAC ID: 4082848528 Enrollment ID: I20131016000578 |
| Provider Name | Adam W Scrogham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467745497 PECOS PAC ID: 7012147416 Enrollment ID: I20140304002091 |
| Provider Name | Nicole R. Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154742930 PECOS PAC ID: 4284866682 Enrollment ID: I20140417002075 |
| Provider Name | Lori C Woullard-breland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467749754 PECOS PAC ID: 4284899733 Enrollment ID: I20140730000525 |
| Provider Name | Syed Tayyab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780952994 PECOS PAC ID: 0345468815 Enrollment ID: I20140825001449 |
| Provider Name | William W Whisenhunt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578537072 PECOS PAC ID: 3476443193 Enrollment ID: I20141114001106 |
| Provider Name | Amanda L Ramey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376835967 PECOS PAC ID: 8921321233 Enrollment ID: I20141217001701 |
| Provider Name | Elizabeth L Matera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346532918 PECOS PAC ID: 4587987466 Enrollment ID: I20141229002209 |
| Provider Name | Ravneet Thind |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215146378 PECOS PAC ID: 0840364345 Enrollment ID: I20150105001575 |
| Provider Name | Patrick K Amartey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346211190 PECOS PAC ID: 7416941042 Enrollment ID: I20150107001025 |
| Provider Name | Arej M Sawani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407832850 PECOS PAC ID: 7911911334 Enrollment ID: I20150306002036 |
| Provider Name | Sarah Canterbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699152637 PECOS PAC ID: 6406177740 Enrollment ID: I20150611001759 |
| Provider Name | James E Lynch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114246840 PECOS PAC ID: 5890009831 Enrollment ID: I20150804004328 |
| Provider Name | Nathan T Orr |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912215609 PECOS PAC ID: 8820303514 Enrollment ID: I20150810001643 |
| Provider Name | Joshua C Bailey |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1619292562 PECOS PAC ID: 3173760527 Enrollment ID: I20150814014486 |
| Provider Name | Robert Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558627125 PECOS PAC ID: 0042437303 Enrollment ID: I20150903000326 |
| Provider Name | Nina Lum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518217546 PECOS PAC ID: 9436466950 Enrollment ID: I20150916001769 |
| Provider Name | Shiv Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417246877 PECOS PAC ID: 6103048954 Enrollment ID: I20150929002016 |
| Provider Name | Aaron P Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689014227 PECOS PAC ID: 7618285065 Enrollment ID: I20151005000495 |
| Provider Name | Caitlin Patricia Ocallaghan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760826945 PECOS PAC ID: 1759692791 Enrollment ID: I20151223000734 |
| Provider Name | Matthew J Fortier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104282805 PECOS PAC ID: 7315243268 Enrollment ID: I20160302002709 |
| Provider Name | Lauren M Harwood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083073860 PECOS PAC ID: 6103123609 Enrollment ID: I20160329000961 |
| Provider Name | Daniel L Booten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225048259 PECOS PAC ID: 8820985526 Enrollment ID: I20160421000189 |
| Provider Name | John Shelton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508256447 PECOS PAC ID: 5991019069 Enrollment ID: I20160523001295 |
| Provider Name | Jason G. Ellis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023466760 PECOS PAC ID: 7719279546 Enrollment ID: I20160714000790 |
| Provider Name | Ahmad Abbad Isbitan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477805919 PECOS PAC ID: 0840582698 Enrollment ID: I20160714001373 |
| Provider Name | Anna E Johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912342510 PECOS PAC ID: 9032424924 Enrollment ID: I20160914001334 |
| Provider Name | Branden L Quinlan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093150690 PECOS PAC ID: 3870807860 Enrollment ID: I20160914001471 |
| Provider Name | Jessica Slone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861948119 PECOS PAC ID: 1456647650 Enrollment ID: I20160915000187 |
| Provider Name | Steven C Davis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851736771 PECOS PAC ID: 5193031920 Enrollment ID: I20160916001877 |
| Provider Name | Stephen F Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184959132 PECOS PAC ID: 1759419872 Enrollment ID: I20160927000979 |
| Provider Name | Brittany Engle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851844518 PECOS PAC ID: 9830486349 Enrollment ID: I20160927003195 |
| Provider Name | Stacy Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750793576 PECOS PAC ID: 2567687437 Enrollment ID: I20161005002854 |
| Provider Name | Phillip B Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376802157 PECOS PAC ID: 0941589329 Enrollment ID: I20161108002191 |
| Provider Name | Ashley E Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912315482 PECOS PAC ID: 2062725120 Enrollment ID: I20161117002224 |
| Provider Name | Kayla M Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548707821 PECOS PAC ID: 4789968462 Enrollment ID: I20170223002068 |
| Provider Name | Victoria Sain-ingle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811394927 PECOS PAC ID: 6608151857 Enrollment ID: I20170330001169 |
| Provider Name | Mohammad Chouthry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639140734 PECOS PAC ID: 7517998495 Enrollment ID: I20170404001365 |
| Provider Name | Samuel C Tyagi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053638734 PECOS PAC ID: 4183994130 Enrollment ID: I20170724002882 |
| Provider Name | Marie Dennison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295141752 PECOS PAC ID: 1254601974 Enrollment ID: I20170727002927 |
| Provider Name | Brittany A Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336660810 PECOS PAC ID: 9739450453 Enrollment ID: I20170728002915 |
| Provider Name | Oliver T Newcomb |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811262207 PECOS PAC ID: 8820303134 Enrollment ID: I20170808003887 |
| Provider Name | Shannon Willis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487971263 PECOS PAC ID: 6709027436 Enrollment ID: I20170920003232 |
| Provider Name | Beth Ann Adams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881104024 PECOS PAC ID: 6406122852 Enrollment ID: I20171030002819 |
| Provider Name | Beth A Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427205301 PECOS PAC ID: 3971667395 Enrollment ID: I20171128003080 |
| Provider Name | Vincent B Boling |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508303009 PECOS PAC ID: 5193009637 Enrollment ID: I20180129002372 |
| Provider Name | Cody L. Plank |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184132607 PECOS PAC ID: 7214297225 Enrollment ID: I20180213002214 |
| Provider Name | James Earl Bankhead |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386015311 PECOS PAC ID: 3678873213 Enrollment ID: I20180315000397 |
| Provider Name | Cathy Sue Clay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114329430 PECOS PAC ID: 6709148349 Enrollment ID: I20180320002390 |
| Provider Name | Leah-ann Mitchell Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588179717 PECOS PAC ID: 1254693468 Enrollment ID: I20180328002489 |
| Provider Name | Linda Katirji |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922489996 PECOS PAC ID: 8224324397 Enrollment ID: I20180419002078 |
| Provider Name | Paul Barrineau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497258032 PECOS PAC ID: 8123382157 Enrollment ID: I20180427001645 |
| Provider Name | Selena G Raines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043697477 PECOS PAC ID: 2860757168 Enrollment ID: I20180606002884 |
| Provider Name | Colby J Holmes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679956098 PECOS PAC ID: 8022365105 Enrollment ID: I20180719004053 |
| Provider Name | Bara Naji Hamdi Alzghoul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205231925 PECOS PAC ID: 3779834262 Enrollment ID: I20180921002620 |
| Provider Name | Richard A Abney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093280760 PECOS PAC ID: 1850644873 Enrollment ID: I20181022001233 |
| Provider Name | Brandie Lee Bruner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255812244 PECOS PAC ID: 6305199654 Enrollment ID: I20181102001275 |
| Provider Name | Cicero Running Crane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770015380 PECOS PAC ID: 3577811926 Enrollment ID: I20181210003527 |
| Provider Name | Megan Alexandra Neace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881166304 PECOS PAC ID: 2365780665 Enrollment ID: I20190212001868 |
| Provider Name | Phelan Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851887236 PECOS PAC ID: 1557600905 Enrollment ID: I20190228002310 |
| Provider Name | Robert James Mcdonald |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336583145 PECOS PAC ID: 4284982299 Enrollment ID: I20190506000750 |
| Provider Name | John B Kelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407855315 PECOS PAC ID: 3678466570 Enrollment ID: I20190510001661 |
| Provider Name | Adetinuwe Majekodunmi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003393703 PECOS PAC ID: 7012933484 Enrollment ID: I20190612003161 |
| Provider Name | Dong Hee Lee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396064796 PECOS PAC ID: 5991031254 Enrollment ID: I20190724000902 |
| Provider Name | Zachary Douglas Warriner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225396799 PECOS PAC ID: 6507173655 Enrollment ID: I20190815003196 |
| Provider Name | Richard B Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023300936 PECOS PAC ID: 4183937899 Enrollment ID: I20190830001889 |
| Provider Name | Casey L Lawson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629509559 PECOS PAC ID: 5294083515 Enrollment ID: I20190905003151 |
| Provider Name | Joshua Allen Kidd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093365173 PECOS PAC ID: 9133551005 Enrollment ID: I20191114000936 |
| Provider Name | Albert Martyn Vollmer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215033261 PECOS PAC ID: 6406142470 Enrollment ID: I20200122002968 |
| Provider Name | Evan M Moore |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902240559 PECOS PAC ID: 3375844913 Enrollment ID: I20200128001445 |
| Provider Name | Jennifer Mccord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962041087 PECOS PAC ID: 8820425838 Enrollment ID: I20200303001163 |
| Provider Name | Ronald Edward Richardson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356971725 PECOS PAC ID: 5496183311 Enrollment ID: I20200306002068 |
| Provider Name | Adam Lee Howard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346792215 PECOS PAC ID: 5193153955 Enrollment ID: I20200310002658 |
| Provider Name | Jennifer M Courtier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922460153 PECOS PAC ID: 6709149701 Enrollment ID: I20200325000664 |
| Provider Name | Danielle Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598397036 PECOS PAC ID: 9739519463 Enrollment ID: I20200421002522 |
| Provider Name | David Dalsimer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477530848 PECOS PAC ID: 6709780851 Enrollment ID: I20200427002616 |
| Provider Name | Charles Matthew Pesson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699778613 PECOS PAC ID: 1557258464 Enrollment ID: I20200428002102 |
| Provider Name | John R Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790030013 PECOS PAC ID: 2466768569 Enrollment ID: I20200702001738 |
| Provider Name | Ahmad Hisham Mousa Abuarqoub |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568820561 PECOS PAC ID: 1153746482 Enrollment ID: I20200804002171 |
| Provider Name | Moayyad R Alziadat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699182717 PECOS PAC ID: 6406100742 Enrollment ID: I20200824001382 |
| Provider Name | David Mccraney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124111919 PECOS PAC ID: 5799754198 Enrollment ID: I20200825000854 |
| Provider Name | Daniel R Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194385443 PECOS PAC ID: 5991037772 Enrollment ID: I20201001002669 |
| Provider Name | Megan Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578188637 PECOS PAC ID: 5395165476 Enrollment ID: I20201009002471 |
| Provider Name | Forest H Lefevre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316442221 PECOS PAC ID: 7315275492 Enrollment ID: I20201019002815 |
| Provider Name | Amanda Jane Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962024257 PECOS PAC ID: 9335560218 Enrollment ID: I20201102000627 |
| Provider Name | Jonathan D Napier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053846337 PECOS PAC ID: 1951639020 Enrollment ID: I20201201002492 |
| Provider Name | Rebecca Stamper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225637275 PECOS PAC ID: 1456763614 Enrollment ID: I20201211000201 |
| Provider Name | Megan Jane Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922694157 PECOS PAC ID: 9335552520 Enrollment ID: I20210107001094 |
| Provider Name | Michael E Vega |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578639134 PECOS PAC ID: 4486679719 Enrollment ID: I20210113000791 |
| Provider Name | Kristie Mullins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497352686 PECOS PAC ID: 9335554922 Enrollment ID: I20210211002503 |
| Provider Name | Chelsea Ruthanne Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760070205 PECOS PAC ID: 8729493341 Enrollment ID: I20210212000439 |
| Provider Name | Benjamin B Mattingly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235348194 PECOS PAC ID: 9234239930 Enrollment ID: I20210212001183 |
| Provider Name | Merry-jo Lynn Cloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629629282 PECOS PAC ID: 2567877624 Enrollment ID: I20210223001417 |
| Provider Name | Alicia D Stidam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285231258 PECOS PAC ID: 5496162539 Enrollment ID: I20210407002492 |
| Provider Name | Diana V Labrada |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649775404 PECOS PAC ID: 9133457211 Enrollment ID: I20210517002495 |
| Provider Name | Matthew Riley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871052761 PECOS PAC ID: 3971920794 Enrollment ID: I20210623003619 |
| Provider Name | Blake Matthew Davidson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558820357 PECOS PAC ID: 2860819679 Enrollment ID: I20210706003164 |
| Provider Name | Daniel R Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194385443 PECOS PAC ID: 5991037772 Enrollment ID: I20210720002112 |
| Provider Name | Amber D Sexton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013412329 PECOS PAC ID: 4981932001 Enrollment ID: I20210720004089 |
| Provider Name | Eric Dennis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255727988 PECOS PAC ID: 7416388830 Enrollment ID: I20210818002461 |
| Provider Name | Megan E Dillon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568968469 PECOS PAC ID: 0749544872 Enrollment ID: I20210824003535 |
| Provider Name | Amy L. Amburgey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962178814 PECOS PAC ID: 8426455346 Enrollment ID: I20210920003336 |
| Provider Name | Nirmal Joshi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982607131 PECOS PAC ID: 2769447515 Enrollment ID: I20211208000936 |
| Provider Name | Candice Sisk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518306273 PECOS PAC ID: 1254572522 Enrollment ID: I20211219000018 |
| Provider Name | Angela Stanfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851054662 PECOS PAC ID: 9638560741 Enrollment ID: I20211228002318 |
| Provider Name | Samuel Quaynor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215319710 PECOS PAC ID: 6507175569 Enrollment ID: I20220124000592 |
| Provider Name | Charles F Knapper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366443285 PECOS PAC ID: 3678636867 Enrollment ID: I20220214001052 |
| Provider Name | Tina Daughtry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538735964 PECOS PAC ID: 3274938808 Enrollment ID: I20220224002589 |
| Provider Name | Christine C Christensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871595405 PECOS PAC ID: 3870546823 Enrollment ID: I20220224003155 |
| Provider Name | Demetrius Rizos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063491397 PECOS PAC ID: 0648379180 Enrollment ID: I20220323001577 |
| Provider Name | Dustin G Rhodes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598116287 PECOS PAC ID: 2466729629 Enrollment ID: I20220325001796 |
| Provider Name | Hillary Woodward Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629632401 PECOS PAC ID: 8729400890 Enrollment ID: I20220405000449 |
| Provider Name | Carla P Perry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154417699 PECOS PAC ID: 0749266526 Enrollment ID: I20220413000190 |
| Provider Name | Marc Csete |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861496515 PECOS PAC ID: 1951313923 Enrollment ID: I20220504001024 |
| Provider Name | Jeremy Swiney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114487766 PECOS PAC ID: 9335564939 Enrollment ID: I20220525002403 |
| Provider Name | Elizabeth Deeley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215541149 PECOS PAC ID: 3870971880 Enrollment ID: I20220603000936 |
| Provider Name | Joshua Ross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043715279 PECOS PAC ID: 5294081360 Enrollment ID: I20220707001343 |
| Provider Name | Davin Barnett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144723917 PECOS PAC ID: 9739437476 Enrollment ID: I20220721000706 |
| Provider Name | Morgan B Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043961717 PECOS PAC ID: 7618359308 Enrollment ID: I20220727002307 |
| Provider Name | Amy Tefft |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063943074 PECOS PAC ID: 8921356874 Enrollment ID: I20220812000630 |
| Provider Name | Shelby R Center |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982338018 PECOS PAC ID: 5597148932 Enrollment ID: I20220817001302 |
| Provider Name | Becky M Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760116081 PECOS PAC ID: 2062897440 Enrollment ID: I20220921002261 |
| Provider Name | Ethan Kyle Virgin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740801745 PECOS PAC ID: 4688084304 Enrollment ID: I20220928002086 |
| Provider Name | Obiora C Maludum |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972858447 PECOS PAC ID: 5799099412 Enrollment ID: I20221010002554 |
| Provider Name | Rachel H Donahue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164957023 PECOS PAC ID: 0840562138 Enrollment ID: I20221111001537 |
| Provider Name | Lisa Collins |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063533685 PECOS PAC ID: 2163838830 Enrollment ID: I20221201001907 |
| Provider Name | Dava Lynn Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275240962 PECOS PAC ID: 1153790464 Enrollment ID: I20221208001665 |
| Provider Name | Uhuru Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285820548 PECOS PAC ID: 1850573197 Enrollment ID: I20230221003043 |
| Provider Name | Nathan Lyle Atkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174248884 PECOS PAC ID: 4385017094 Enrollment ID: I20230228001735 |
| Provider Name | Lin Peng |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750908075 PECOS PAC ID: 7416320700 Enrollment ID: I20230307003280 |
| Provider Name | Rachel Shercliffe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336776590 PECOS PAC ID: 3971908823 Enrollment ID: I20230322002152 |
| Provider Name | Frances E Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366488140 PECOS PAC ID: 7618026188 Enrollment ID: I20230405002130 |
| Provider Name | Michael Trent Mcbride |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1225284276 PECOS PAC ID: 9436315439 Enrollment ID: I20230421001607 |
| Provider Name | Amber Nicole Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144857616 PECOS PAC ID: 1850796715 Enrollment ID: I20230422000293 |
| Provider Name | Sarah Anne Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063126225 PECOS PAC ID: 9436514544 Enrollment ID: I20230425000958 |
| Provider Name | Ronald A Kline |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023013158 PECOS PAC ID: 5294621033 Enrollment ID: I20230626000391 |
| Provider Name | Indu N Shivaram |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194817619 PECOS PAC ID: 3678589884 Enrollment ID: I20230714002445 |
| Provider Name | Derek A Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720615123 PECOS PAC ID: 0446653323 Enrollment ID: I20230724003089 |
| Provider Name | Alyssa G Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497383400 PECOS PAC ID: 3678976552 Enrollment ID: I20230725002405 |
| Provider Name | Jenna R Mckinney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891322079 PECOS PAC ID: 2163828153 Enrollment ID: I20230908002881 |
| Provider Name | Phu Sy Le |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073046371 PECOS PAC ID: 0244577625 Enrollment ID: I20230914000528 |
| Provider Name | Zachary M Hollins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912536756 PECOS PAC ID: 4284064213 Enrollment ID: I20230915000866 |
| Provider Name | Elton Lenard Banks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235717489 PECOS PAC ID: 3870975915 Enrollment ID: I20230919000267 |
| Provider Name | Tariq Mahmood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992761589 PECOS PAC ID: 3577623958 Enrollment ID: I20231006001418 |
| Provider Name | Charles Emrich |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1154307585 PECOS PAC ID: 5799078374 Enrollment ID: I20231010001536 |
| Provider Name | John R. Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124806393 PECOS PAC ID: 5395190136 Enrollment ID: I20231013000898 |
| Provider Name | Jerome Tuitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295197366 PECOS PAC ID: 8921393075 Enrollment ID: I20231107000245 |
| Provider Name | Byron Mcbride |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730548926 PECOS PAC ID: 1153628110 Enrollment ID: I20231115001693 |
| Provider Name | Tyrena N Burroughs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215445762 PECOS PAC ID: 5890042642 Enrollment ID: I20231129003735 |
| Provider Name | Bradley M Sweda |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1700856275 PECOS PAC ID: 5193731750 Enrollment ID: I20231212002902 |
| Provider Name | Karlene Guasteferro |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1952397358 PECOS PAC ID: 6901257732 Enrollment ID: I20240105002766 |
| Provider Name | Brittany Bowling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093279887 PECOS PAC ID: 1557713468 Enrollment ID: I20240116003981 |
| Provider Name | Brittany Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790141471 PECOS PAC ID: 5597056457 Enrollment ID: I20240209003809 |
| Provider Name | Benjamin George Cameransi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275629933 PECOS PAC ID: 6002710803 Enrollment ID: I20240227004373 |
| Provider Name | Marquessa D Fisher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043288475 PECOS PAC ID: 3375552284 Enrollment ID: I20240403001380 |
| Provider Name | Layhong Soth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366602294 PECOS PAC ID: 6800054859 Enrollment ID: I20240403003886 |
| Provider Name | Rae W Grimsley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043728504 PECOS PAC ID: 9436406907 Enrollment ID: I20240404001925 |
| Provider Name | Nicholas Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861756595 PECOS PAC ID: 2961714068 Enrollment ID: I20240422001669 |
| Provider Name | Cara C Fisk |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972809648 PECOS PAC ID: 0244414043 Enrollment ID: I20240430004509 |
| Provider Name | Jordan Stacey Boggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134707169 PECOS PAC ID: 1759763899 Enrollment ID: I20240506001671 |
| Provider Name | Farbod Rastegar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871884437 PECOS PAC ID: 7416192273 Enrollment ID: I20240507004196 |
| Provider Name | Eusebio Desuyo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992894604 PECOS PAC ID: 3971532300 Enrollment ID: I20240509001714 |
| Provider Name | Andrew S Mcgee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528528585 PECOS PAC ID: 5193058022 Enrollment ID: I20240703001341 |
| Provider Name | Mark Mashni |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902367543 PECOS PAC ID: 0749662906 Enrollment ID: I20240715003678 |
| Provider Name | Benjamin M Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588238737 PECOS PAC ID: 1658754155 Enrollment ID: I20240719001918 |
| Provider Name | Karen Feghali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740832427 PECOS PAC ID: 1355889288 Enrollment ID: I20240809003095 |
| Provider Name | Adarsha Ojha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326600495 PECOS PAC ID: 9537495205 Enrollment ID: I20240810000110 |
| Provider Name | Tanner P Brondhaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013597608 PECOS PAC ID: 0345623880 Enrollment ID: I20240815003320 |
| Provider Name | Ayita Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154847945 PECOS PAC ID: 4183998594 Enrollment ID: I20240816001647 |
| Provider Name | Christopher S Kubajak |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1528591849 PECOS PAC ID: 9234489188 Enrollment ID: I20240823003282 |
| Provider Name | William G Mcdonald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144286774 PECOS PAC ID: 9537071931 Enrollment ID: I20241010002541 |
| Provider Name | Dora R Green |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245217124 PECOS PAC ID: 2961677927 Enrollment ID: I20241011000264 |
| Provider Name | Sheila F Sumpter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184611931 PECOS PAC ID: 0941294672 Enrollment ID: I20241022003923 |
| Provider Name | Bassem R George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518106871 PECOS PAC ID: 8123281599 Enrollment ID: I20241029000900 |
| Provider Name | Chrissy R Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730335688 PECOS PAC ID: 7517022155 Enrollment ID: I20241031003437 |
| Provider Name | Rebecca Hailemichael Alemu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043890700 PECOS PAC ID: 2961935671 Enrollment ID: I20241101000705 |
| Provider Name | Ernst Schreiber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548350168 PECOS PAC ID: 0244134740 Enrollment ID: I20241120003780 |
| Provider Name | Adedoyin Gbadebo Akintide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518142991 PECOS PAC ID: 5991856551 Enrollment ID: I20241120004247 |
| Provider Name | Ronald D Vest |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629366620 PECOS PAC ID: 0648442707 Enrollment ID: I20241204003749 |
| Provider Name | Judy Cullor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265081681 PECOS PAC ID: 5193056414 Enrollment ID: I20241205003801 |
| Provider Name | Stephen W Click |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164262051 PECOS PAC ID: 7416483581 Enrollment ID: I20241212001757 |
| Provider Name | Lindsey D Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023630449 PECOS PAC ID: 1355772013 Enrollment ID: I20250210001066 |
| Provider Name | William L Self |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245503093 PECOS PAC ID: 4587825138 Enrollment ID: I20250221002195 |
| Provider Name | Taylor Hilliard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134884943 PECOS PAC ID: 4688196892 Enrollment ID: I20250318000458 |
| Provider Name | Baleigh Nicole Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639980543 PECOS PAC ID: 8224550181 Enrollment ID: I20250320000475 |
| Provider Name | Caleb Jerome Madden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265267298 PECOS PAC ID: 2769905025 Enrollment ID: I20250327000284 |
| Provider Name | Hannah Newsome |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194429399 PECOS PAC ID: 5991228132 Enrollment ID: I20250409000651 |
| Provider Name | Sara Katelyn Colombo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093445991 PECOS PAC ID: 5092160994 Enrollment ID: I20250529000864 |
Brent L. Mcdaniel Dds Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 163 E Main St, Morehead, KY 40351 Phone: 606-783-0182 | |
Arrow Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1275 Hallwood Dr, Morehead, KY 40351 Phone: 606-784-8000 | |
Kenneth J Smith Dds Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 W Main St, Morehead, KY 40351 Phone: 606-784-8983 Fax: 606-784-4408 | |
Arnetts Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Morehead Plaza, Morehead, KY 40351 Phone: 606-784-7033 Fax: 606-784-7033 | |
Loy Dentistry, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Beacon Hill Rd, Morehead, KY 40351 Phone: 606-784-6631 Fax: 606-780-7582 | |
Tingle & Settle,psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Beacon Hill Rd, Morehead, KY 40351 Phone: 606-784-4340 Fax: 606-780-7582 | |
The Morehead Dental Group, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 E Main St, Morehead, KY 40351 Phone: 606-784-6436 Fax: 606-784-1665 |