| University Physicians | |
|
263 Farmington Ave Farmington CT 06030-0001 | |
| (860) 679-7503 | |
| (860) 679-1610 |
| Full Name | University Physicians |
|---|---|
| Speciality | General Practice |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Authorized Official Name and Position | Denis Lafreniere (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8606797503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Physicians 263 Farmington Ave Provider Enrollment Farmington CT 06030-2212 Ph: (860) 679-7503 | University Physicians 263 Farmington Ave Farmington CT 06030-0001 Ph: (860) 679-7503 |
| NPI Number | 1720083769 |
|---|---|
| Provider Enumeration Date | 06/16/2005 |
| Last Update Date | 05/04/2023 |
| Medicare PECOS PAC ID | 3678472016 |
|---|---|
| Medicare Enrollment ID | O20040106000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720083769 | NPI | - | NPPES |
| 0502633008 | Other | CT | CT MEDICAID ID FOR UMG |
| Provider Name | Nicole S Silverstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871590257 PECOS PAC ID: 3476452103 Enrollment ID: I20040102000014 |
| Provider Name | Julian Nieves |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649225269 PECOS PAC ID: 1759282544 Enrollment ID: I20040115000508 |
| Provider Name | Mark S Safalow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124019377 PECOS PAC ID: 2860393444 Enrollment ID: I20040116000349 |
| Provider Name | Dominick Roto |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1245319136 PECOS PAC ID: 7810897550 Enrollment ID: I20040120000319 |
| Provider Name | Andrea Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164447785 PECOS PAC ID: 3779477278 Enrollment ID: I20040213000148 |
| Provider Name | Andrea B Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801897418 PECOS PAC ID: 0042105462 Enrollment ID: I20040216000931 |
| Provider Name | Abner S Gershon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114922812 PECOS PAC ID: 2668363326 Enrollment ID: I20040323000040 |
| Provider Name | Jill Wruble |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396717666 PECOS PAC ID: 3173515632 Enrollment ID: I20040402000484 |
| Provider Name | Bruce S Chozick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386686897 PECOS PAC ID: 1153315999 Enrollment ID: I20040413001634 |
| Provider Name | Bruce T Liang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548266513 PECOS PAC ID: 8921092685 Enrollment ID: I20040414000585 |
| Provider Name | Vincent J Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407834401 PECOS PAC ID: 0941295927 Enrollment ID: I20040419000793 |
| Provider Name | Thomas E Lawlor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780680702 PECOS PAC ID: 4587650585 Enrollment ID: I20040423001143 |
| Provider Name | Marcia A Caruso Bergman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053337642 PECOS PAC ID: 9335135342 Enrollment ID: I20040423001198 |
| Provider Name | Douglas C Dandrea |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073518767 PECOS PAC ID: 8325036379 Enrollment ID: I20040506000344 |
| Provider Name | Debapriya Datta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942258975 PECOS PAC ID: 3678563962 Enrollment ID: I20040518000153 |
| Provider Name | Lenworth R Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629094206 PECOS PAC ID: 6406841907 Enrollment ID: I20040805000789 |
| Provider Name | Pamela A Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598739369 PECOS PAC ID: 1456328996 Enrollment ID: I20040914000463 |
| Provider Name | Michelle C Steele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578604666 PECOS PAC ID: 7911976675 Enrollment ID: I20040929000451 |
| Provider Name | Susan Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174632988 PECOS PAC ID: 0840253951 Enrollment ID: I20041110000078 |
| Provider Name | Rajesh V Lalla |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1326044348 PECOS PAC ID: 4880658392 Enrollment ID: I20041115001044 |
| Provider Name | Lisa M Holme |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720042708 PECOS PAC ID: 5597720888 Enrollment ID: I20041129000488 |
| Provider Name | Leslie I Wolfson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205834371 PECOS PAC ID: 5597721167 Enrollment ID: I20041206000426 |
| Provider Name | Meadow B Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255418828 PECOS PAC ID: 3072561216 Enrollment ID: I20050105000172 |
| Provider Name | Donna A Aiudi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902870280 PECOS PAC ID: 4880644467 Enrollment ID: I20050201000157 |
| Provider Name | Jonathan M Covault |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619972395 PECOS PAC ID: 3476505033 Enrollment ID: I20050211000631 |
| Provider Name | Mary W Chang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962407718 PECOS PAC ID: 6608829502 Enrollment ID: I20050302000632 |
| Provider Name | Linda A York |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093710774 PECOS PAC ID: 6204874407 Enrollment ID: I20050419000781 |
| Provider Name | Lavern A Wright |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316943228 PECOS PAC ID: 8123060969 Enrollment ID: I20050523000821 |
| Provider Name | Douglas W Gibson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447245030 PECOS PAC ID: 4082656525 Enrollment ID: I20050525000640 |
| Provider Name | Durgadas P Sakalkale |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174501175 PECOS PAC ID: 7012978018 Enrollment ID: I20050526000489 |
| Provider Name | Elise R Kabela-cormier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225036171 PECOS PAC ID: 9032152434 Enrollment ID: I20050607000447 |
| Provider Name | Julian D Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083612477 PECOS PAC ID: 9133162548 Enrollment ID: I20050607000532 |
| Provider Name | Kourosh Parham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427055854 PECOS PAC ID: 5294779955 Enrollment ID: I20050614000287 |
| Provider Name | Wendy A Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922004845 PECOS PAC ID: 4183668841 Enrollment ID: I20050614000303 |
| Provider Name | Karen L Steinberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679571608 PECOS PAC ID: 9931143625 Enrollment ID: I20050614000524 |
| Provider Name | Mingfu Yu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376696146 PECOS PAC ID: 9032153192 Enrollment ID: I20050620000388 |
| Provider Name | Daniel S Fusco |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245235936 PECOS PAC ID: 8325074958 Enrollment ID: I20050714000378 |
| Provider Name | Bina L Chaddha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275581647 PECOS PAC ID: 6305873878 Enrollment ID: I20050726001143 |
| Provider Name | Lalarukh Haider |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1871516054 PECOS PAC ID: 2668400961 Enrollment ID: I20050728000603 |
| Provider Name | Mario F Perez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104891738 PECOS PAC ID: 2668400664 Enrollment ID: I20050801000533 |
| Provider Name | Christina L Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134193386 PECOS PAC ID: 5496784316 Enrollment ID: I20050810000791 |
| Provider Name | Danielle E Luciano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447239413 PECOS PAC ID: 8527098698 Enrollment ID: I20050818000103 |
| Provider Name | Jayesh R Kamath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982604799 PECOS PAC ID: 0244262707 Enrollment ID: I20050906000403 |
| Provider Name | Stephanie P Bowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265462907 PECOS PAC ID: 7517999766 Enrollment ID: I20050908000492 |
| Provider Name | Qian Wu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336131861 PECOS PAC ID: 3173548294 Enrollment ID: I20051007000646 |
| Provider Name | Pooja Luthra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417941782 PECOS PAC ID: 8628095668 Enrollment ID: I20051028000292 |
| Provider Name | Srimathi Manickaratnam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396800827 PECOS PAC ID: 1153330196 Enrollment ID: I20060419000351 |
| Provider Name | Bipinchandra Jagjivan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619973823 PECOS PAC ID: 9032128962 Enrollment ID: I20060420000326 |
| Provider Name | Craig Rodner |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1063471290 PECOS PAC ID: 9830104058 Enrollment ID: I20060517000065 |
| Provider Name | Enrique Ballesteros |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1972594497 PECOS PAC ID: 0648281717 Enrollment ID: I20060606000192 |
| Provider Name | Rebecca Andrews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992775290 PECOS PAC ID: 7214949353 Enrollment ID: I20060608000068 |
| Provider Name | George W Moore |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1851340046 PECOS PAC ID: 1759394521 Enrollment ID: I20060720000353 |
| Provider Name | Haklai P Lau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730136631 PECOS PAC ID: 6002829769 Enrollment ID: I20060724000282 |
| Provider Name | Beatriz R Esayag-tendler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023015898 PECOS PAC ID: 7214930551 Enrollment ID: I20060807000182 |
| Provider Name | Darlene Oksanen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124058433 PECOS PAC ID: 7012910128 Enrollment ID: I20060810000169 |
| Provider Name | Hanspaul Makkar |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1467488510 PECOS PAC ID: 8820008915 Enrollment ID: I20060816000137 |
| Provider Name | Robert Nardino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104860634 PECOS PAC ID: 3072517408 Enrollment ID: I20060828000039 |
| Provider Name | Anthony Dotur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982634283 PECOS PAC ID: 4183628704 Enrollment ID: I20060912000553 |
| Provider Name | Faryal S Mirza |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306854997 PECOS PAC ID: 1456355072 Enrollment ID: I20060912000561 |
| Provider Name | Elizabeth P Simmons |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619980828 PECOS PAC ID: 9638111412 Enrollment ID: I20060925000344 |
| Provider Name | Murali Dharan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740294313 PECOS PAC ID: 7810992757 Enrollment ID: I20060927000105 |
| Provider Name | Momina Salman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205928082 PECOS PAC ID: 9931106614 Enrollment ID: I20061024000059 |
| Provider Name | Nancy D Baccaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033215512 PECOS PAC ID: 2264439066 Enrollment ID: I20061108000181 |
| Provider Name | Molly A Brewer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1013989615 PECOS PAC ID: 1254339807 Enrollment ID: I20061116000058 |
| Provider Name | Jill M Arcari-couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528044062 PECOS PAC ID: 5395743942 Enrollment ID: I20061122000038 |
| Provider Name | Surita Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437120821 PECOS PAC ID: 0547291353 Enrollment ID: I20070116000143 |
| Provider Name | Varalakshmi Niranjan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043317340 PECOS PAC ID: 8921000704 Enrollment ID: I20070207000335 |
| Provider Name | Shiromini C Herath |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730235789 PECOS PAC ID: 0648372789 Enrollment ID: I20070221000080 |
| Provider Name | Anna G Hallemeier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649333600 PECOS PAC ID: 0547362345 Enrollment ID: I20070226000376 |
| Provider Name | Mohiuddin Cheema |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1174687248 PECOS PAC ID: 0446353981 Enrollment ID: I20070321000333 |
| Provider Name | Scott R Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013913524 PECOS PAC ID: 2365547825 Enrollment ID: I20070412000306 |
| Provider Name | Michael J Murphy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780681122 PECOS PAC ID: 3072618545 Enrollment ID: I20070412000323 |
| Provider Name | Stanton C Honig |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821094020 PECOS PAC ID: 4284638552 Enrollment ID: I20070508000573 |
| Provider Name | Aseem Vashist |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346335270 PECOS PAC ID: 5092815852 Enrollment ID: I20070709000324 |
| Provider Name | Seth M Brown |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679611701 PECOS PAC ID: 7214038231 Enrollment ID: I20070720000497 |
| Provider Name | Alina I Osnaga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437356615 PECOS PAC ID: 7810088234 Enrollment ID: I20070814000267 |
| Provider Name | Steven B Sloan |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396723714 PECOS PAC ID: 9931291713 Enrollment ID: I20070824000168 |
| Provider Name | Biree Andemariam |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396935136 PECOS PAC ID: 4789777855 Enrollment ID: I20070905000569 |
| Provider Name | William B White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760489546 PECOS PAC ID: 8527152107 Enrollment ID: I20070913000748 |
| Provider Name | George Y Wu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053318345 PECOS PAC ID: 3779677356 Enrollment ID: I20070913000775 |
| Provider Name | Yazeed S Maghaydah |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407900228 PECOS PAC ID: 9537267422 Enrollment ID: I20070915000070 |
| Provider Name | Joseph Palmisano |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487651816 PECOS PAC ID: 0345334710 Enrollment ID: I20070915000138 |
| Provider Name | Joseph A Lorenzo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881690030 PECOS PAC ID: 6305930777 Enrollment ID: I20070915000169 |
| Provider Name | Joel B Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942206156 PECOS PAC ID: 7012001480 Enrollment ID: I20070915000182 |
| Provider Name | Marti J Rothe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417955436 PECOS PAC ID: 4183718588 Enrollment ID: I20070917000053 |
| Provider Name | Daniel P Mcnally |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497751408 PECOS PAC ID: 7618061078 Enrollment ID: I20070917000492 |
| Provider Name | Denis C Lafreniere |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699771691 PECOS PAC ID: 3870687171 Enrollment ID: I20070918000159 |
| Provider Name | Clifford K Yang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295730976 PECOS PAC ID: 8527152875 Enrollment ID: I20070918000523 |
| Provider Name | Ketan Bulsara |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780888529 PECOS PAC ID: 5799746970 Enrollment ID: I20070919000678 |
| Provider Name | Debra J Forrest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508088451 PECOS PAC ID: 9638263759 Enrollment ID: I20070920000456 |
| Provider Name | Carl Kiyohiro Gjertson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063472017 PECOS PAC ID: 5890707822 Enrollment ID: I20070924000036 |
| Provider Name | Ramzi Alkass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992996078 PECOS PAC ID: 2567556459 Enrollment ID: I20070924000041 |
| Provider Name | Mark L Metersky |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881692044 PECOS PAC ID: 8527153618 Enrollment ID: I20071004000379 |
| Provider Name | Harold T Yamase |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487651774 PECOS PAC ID: 4183719099 Enrollment ID: I20071005000648 |
| Provider Name | Diane L Whitaker |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124026398 PECOS PAC ID: 4183719008 Enrollment ID: I20071005000665 |
| Provider Name | Peter Schulman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518964592 PECOS PAC ID: 0446345292 Enrollment ID: I20071009000320 |
| Provider Name | Wendi Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871697482 PECOS PAC ID: 4880789635 Enrollment ID: I20071009000332 |
| Provider Name | Kevin P Shea |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225035694 PECOS PAC ID: 9335234186 Enrollment ID: I20071009000336 |
| Provider Name | Jeffery D Spiro |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003813403 PECOS PAC ID: 7315032166 Enrollment ID: I20071009000349 |
| Provider Name | Snehal Naik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336333145 PECOS PAC ID: 0446346274 Enrollment ID: I20071010000048 |
| Provider Name | Michael J Scanlon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447250352 PECOS PAC ID: 1254358955 Enrollment ID: I20071011000271 |
| Provider Name | Karla R Scanlon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063412971 PECOS PAC ID: 7517969868 Enrollment ID: I20071011000274 |
| Provider Name | Margaret C Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902882533 PECOS PAC ID: 5496843021 Enrollment ID: I20071115000501 |
| Provider Name | Neil Liebowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609835362 PECOS PAC ID: 1658353669 Enrollment ID: I20071212000171 |
| Provider Name | David M Shafer |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528065992 PECOS PAC ID: 6507946548 Enrollment ID: I20080103000536 |
| Provider Name | April Y Mcconner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861673519 PECOS PAC ID: 3577643287 Enrollment ID: I20080108000384 |
| Provider Name | Jennifer Papa-kanaan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972522076 PECOS PAC ID: 4880776053 Enrollment ID: I20080129000598 |
| Provider Name | Joseph F Okeefe |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538104583 PECOS PAC ID: 1951297076 Enrollment ID: I20080228000347 |
| Provider Name | John W Birk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609801547 PECOS PAC ID: 7810066875 Enrollment ID: I20080516000022 |
| Provider Name | Carlos M Badiola |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346267127 PECOS PAC ID: 1052204146 Enrollment ID: I20080519000167 |
| Provider Name | Judith M Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861490781 PECOS PAC ID: 8527137439 Enrollment ID: I20080519000517 |
| Provider Name | Rosemary A Swanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922165836 PECOS PAC ID: 8921177544 Enrollment ID: I20080521000709 |
| Provider Name | Jason Ryan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831201557 PECOS PAC ID: 6608861612 Enrollment ID: I20080530000308 |
| Provider Name | Christopher C Pickett |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1386752210 PECOS PAC ID: 0941270524 Enrollment ID: I20080530000427 |
| Provider Name | Diahann Wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417954249 PECOS PAC ID: 9931279593 Enrollment ID: I20080609000416 |
| Provider Name | Folco Scappaticci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962429746 PECOS PAC ID: 1254224397 Enrollment ID: I20080613000320 |
| Provider Name | Barbara B Baron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114083078 PECOS PAC ID: 1557432622 Enrollment ID: I20080617000400 |
| Provider Name | Fiona C Furlong |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891793998 PECOS PAC ID: 3274604970 Enrollment ID: I20080624000765 |
| Provider Name | Heiko J Schmitt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720269467 PECOS PAC ID: 3476625690 Enrollment ID: I20080703000409 |
| Provider Name | Timothy S Lishnak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174725303 PECOS PAC ID: 8426121740 Enrollment ID: I20080721000284 |
| Provider Name | Pragna Kapadia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407029473 PECOS PAC ID: 9830262088 Enrollment ID: I20080721000648 |
| Provider Name | Ashish Adlakha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639344120 PECOS PAC ID: 7719053149 Enrollment ID: I20080908000476 |
| Provider Name | Haleh Vaziri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336328459 PECOS PAC ID: 6002984259 Enrollment ID: I20081001000557 |
| Provider Name | Jiafan Qi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407961741 PECOS PAC ID: 7719995729 Enrollment ID: I20081008000537 |
| Provider Name | Dawn S Monahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962690313 PECOS PAC ID: 6204994312 Enrollment ID: I20081017000667 |
| Provider Name | David H Park |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649399494 PECOS PAC ID: 0840359220 Enrollment ID: I20081030000707 |
| Provider Name | Cato T Laurencin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417026048 PECOS PAC ID: 7810904752 Enrollment ID: I20081105000543 |
| Provider Name | Tammy M Davino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013166685 PECOS PAC ID: 3870656655 Enrollment ID: I20090106000581 |
| Provider Name | Tammy L Glynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558511097 PECOS PAC ID: 6103989850 Enrollment ID: I20090107000345 |
| Provider Name | Easwar Natarajan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548473523 PECOS PAC ID: 1557424496 Enrollment ID: I20090120000412 |
| Provider Name | Sarah Loschiavo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548417603 PECOS PAC ID: 3274699160 Enrollment ID: I20090302000005 |
| Provider Name | Paula Fisher Calhoun |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1275652281 PECOS PAC ID: 8921165127 Enrollment ID: I20090314000001 |
| Provider Name | Jocelyn S Libros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619128956 PECOS PAC ID: 1153488838 Enrollment ID: I20090325000017 |
| Provider Name | David H Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548243066 PECOS PAC ID: 2567440324 Enrollment ID: I20090618000040 |
| Provider Name | Joyce Meng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083649164 PECOS PAC ID: 1355492752 Enrollment ID: I20090625000007 |
| Provider Name | Patricia B Doyle |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467458703 PECOS PAC ID: 9234280249 Enrollment ID: I20090706000011 |
| Provider Name | Janet E Rovalino |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376540708 PECOS PAC ID: 2860543873 Enrollment ID: I20090706000021 |
| Provider Name | Alan G Lurie |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003805516 PECOS PAC ID: 1254482169 Enrollment ID: I20090706000089 |
| Provider Name | Belachew Tessema |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417005000 PECOS PAC ID: 9638223381 Enrollment ID: I20090815000119 |
| Provider Name | Starrlett Cookman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154326916 PECOS PAC ID: 9638224330 Enrollment ID: I20090902000048 |
| Provider Name | Joseph Walker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457547804 PECOS PAC ID: 7911044367 Enrollment ID: I20091016000559 |
| Provider Name | Shawn M Ladda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972748234 PECOS PAC ID: 7012054505 Enrollment ID: I20091103000227 |
| Provider Name | Anthony G Alessi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174573612 PECOS PAC ID: 6204974983 Enrollment ID: I20091118000145 |
| Provider Name | Michael Azrin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558367938 PECOS PAC ID: 2860534096 Enrollment ID: I20100126000380 |
| Provider Name | Peter C Albertsen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811992639 PECOS PAC ID: 0446357354 Enrollment ID: I20100127000136 |
| Provider Name | Elizabeth A Appel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508861352 PECOS PAC ID: 6507908613 Enrollment ID: I20100127000362 |
| Provider Name | Adrienne B Berke |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114922879 PECOS PAC ID: 0143363937 Enrollment ID: I20100202000357 |
| Provider Name | Susan Solinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326045717 PECOS PAC ID: 3072656735 Enrollment ID: I20100203000084 |
| Provider Name | Pamela Taxel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164420337 PECOS PAC ID: 6305989096 Enrollment ID: I20100203000373 |
| Provider Name | Susan H Tannenbaum |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447257704 PECOS PAC ID: 1355484056 Enrollment ID: I20100203000423 |
| Provider Name | Gail M Sullivan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1477550721 PECOS PAC ID: 3678616380 Enrollment ID: I20100203000470 |
| Provider Name | Jeanine Kawi Suchecki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1790769867 PECOS PAC ID: 2567505274 Enrollment ID: I20100203000498 |
| Provider Name | Michael P Steinberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841297603 PECOS PAC ID: 2163565870 Enrollment ID: I20100203000538 |
| Provider Name | Mary M Sanders |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730186180 PECOS PAC ID: 4183767650 Enrollment ID: I20100205000219 |
| Provider Name | Nausherwan K Burki |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821094251 PECOS PAC ID: 6507909793 Enrollment ID: I20100210000613 |
| Provider Name | Patrick P Coll |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1487659173 PECOS PAC ID: 1355485343 Enrollment ID: I20100215000000 |
| Provider Name | Arlene Scarlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356679443 PECOS PAC ID: 1254475015 Enrollment ID: I20100217000057 |
| Provider Name | Douglas A Albreski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144225970 PECOS PAC ID: 9335283878 Enrollment ID: I20100222000174 |
| Provider Name | Maryanne Mcdonnell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578525259 PECOS PAC ID: 0244128841 Enrollment ID: I20100222000829 |
| Provider Name | William H Ehlers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942206297 PECOS PAC ID: 7214072438 Enrollment ID: I20100226000513 |
| Provider Name | Ellen Eisenberg |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1013913367 PECOS PAC ID: 7113062340 Enrollment ID: I20100226000523 |
| Provider Name | Karen B Metersky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578574406 PECOS PAC ID: 8022153139 Enrollment ID: I20100301000520 |
| Provider Name | Robert A Arciero |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1104821958 PECOS PAC ID: 1759426596 Enrollment ID: I20100304000862 |
| Provider Name | Hilary Onyiuke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336146992 PECOS PAC ID: 6901941608 Enrollment ID: I20100305000468 |
| Provider Name | Cathleen Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316942097 PECOS PAC ID: 0143365429 Enrollment ID: I20100311000375 |
| Provider Name | Nina H Carley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104821941 PECOS PAC ID: 1951446236 Enrollment ID: I20100311000385 |
| Provider Name | Margaret Rathier |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1194723361 PECOS PAC ID: 6103961487 Enrollment ID: I20100311000407 |
| Provider Name | Kerry A Cipriani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790018042 PECOS PAC ID: 3678608908 Enrollment ID: I20100311000994 |
| Provider Name | Jacqueline S Nissen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053318618 PECOS PAC ID: 0345375622 Enrollment ID: I20100312000289 |
| Provider Name | Harold Moskowitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194721027 PECOS PAC ID: 2567597909 Enrollment ID: I20100324000195 |
| Provider Name | Anne Marie Prabulos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235136680 PECOS PAC ID: 2769517150 Enrollment ID: I20100324000701 |
| Provider Name | Dennis J Gottfried |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952322711 PECOS PAC ID: 5991831364 Enrollment ID: I20100325000381 |
| Provider Name | John Menoutis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912903824 PECOS PAC ID: 9335276336 Enrollment ID: I20100423000000 |
| Provider Name | Thomas Manger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497751499 PECOS PAC ID: 1759418338 Enrollment ID: I20100430000272 |
| Provider Name | Janice A Oliveri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578549028 PECOS PAC ID: 4789712142 Enrollment ID: I20100506000192 |
| Provider Name | Robin A Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841524832 PECOS PAC ID: 7810026556 Enrollment ID: I20100519000013 |
| Provider Name | Martin G Cherniack |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1134125529 PECOS PAC ID: 9830228493 Enrollment ID: I20100520000537 |
| Provider Name | Andrew Arnold |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003812520 PECOS PAC ID: 7618006511 Enrollment ID: I20100602001037 |
| Provider Name | Steven V Angus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700881554 PECOS PAC ID: 8426187329 Enrollment ID: I20100602001053 |
| Provider Name | Ruben Kier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568457117 PECOS PAC ID: 4183517071 Enrollment ID: I20100603000179 |
| Provider Name | Jun Lu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417099128 PECOS PAC ID: 3870685142 Enrollment ID: I20100607000754 |
| Provider Name | Kathleen M Zacherl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720288517 PECOS PAC ID: 4587722590 Enrollment ID: I20100609000869 |
| Provider Name | Steven A Goldenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851495931 PECOS PAC ID: 9931009669 Enrollment ID: I20100625000640 |
| Provider Name | Sandra A Barnosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366441628 PECOS PAC ID: 3274665922 Enrollment ID: I20100716000214 |
| Provider Name | Mark S Schaner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760681639 PECOS PAC ID: 5799817185 Enrollment ID: I20100721000175 |
| Provider Name | Raymond J Foley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699770453 PECOS PAC ID: 9436281771 Enrollment ID: I20100721000827 |
| Provider Name | Alex Merkulov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982868550 PECOS PAC ID: 6901939073 Enrollment ID: I20100727000740 |
| Provider Name | David J Underhill |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1851398127 PECOS PAC ID: 9335273994 Enrollment ID: I20100818000183 |
| Provider Name | Christopher M Morosky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679763155 PECOS PAC ID: 3274606215 Enrollment ID: I20100818001012 |
| Provider Name | Faripour A Forouhar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1366448656 PECOS PAC ID: 7012032154 Enrollment ID: I20100914000309 |
| Provider Name | Katalin Ferenczi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1639380884 PECOS PAC ID: 4789709833 Enrollment ID: I20100914000399 |
| Provider Name | Michael B Fischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992701932 PECOS PAC ID: 6800911819 Enrollment ID: I20100914001357 |
| Provider Name | Poornima U Hegde |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386640589 PECOS PAC ID: 2668597691 Enrollment ID: I20100915000171 |
| Provider Name | Upendra P Hegde |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437155637 PECOS PAC ID: 2466577499 Enrollment ID: I20100915000200 |
| Provider Name | Kevin D Dieckhaus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316942378 PECOS PAC ID: 9537284179 Enrollment ID: I20100920000287 |
| Provider Name | Mark J Kane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790781748 PECOS PAC ID: 9830215342 Enrollment ID: I20100921001526 |
| Provider Name | Electra V Kaloudis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811163678 PECOS PAC ID: 7517019409 Enrollment ID: I20100922000440 |
| Provider Name | Jane M Grant-kels |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750386462 PECOS PAC ID: 5092831396 Enrollment ID: I20100923001109 |
| Provider Name | George Kuchel |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1821094822 PECOS PAC ID: 7618011511 Enrollment ID: I20100924000474 |
| Provider Name | Santhanam Lakshminarayanan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1518963537 PECOS PAC ID: 4688790835 Enrollment ID: I20100925000122 |
| Provider Name | Joseph W Tucker |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1316137060 PECOS PAC ID: 4183740897 Enrollment ID: I20100929001616 |
| Provider Name | Stewart E Bober |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245251875 PECOS PAC ID: 1355234493 Enrollment ID: I20101004001097 |
| Provider Name | Jonathan A Hammond |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235115965 PECOS PAC ID: 2769449453 Enrollment ID: I20101007001154 |
| Provider Name | Philip E Kerr |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073519229 PECOS PAC ID: 7911199641 Enrollment ID: I20101013000024 |
| Provider Name | Karina M Berg |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871617159 PECOS PAC ID: 5193882801 Enrollment ID: I20101021000273 |
| Provider Name | Laurie C Caines |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669639860 PECOS PAC ID: 5496806036 Enrollment ID: I20101028001457 |
| Provider Name | Vinayak M Sathe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659503480 PECOS PAC ID: 3274728407 Enrollment ID: I20101112000576 |
| Provider Name | Jatupol Kositsawat |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841223286 PECOS PAC ID: 8022111442 Enrollment ID: I20110121000111 |
| Provider Name | Heidi L Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740597244 PECOS PAC ID: 2961682380 Enrollment ID: I20110202000223 |
| Provider Name | Michael D Blechner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932267382 PECOS PAC ID: 9234233123 Enrollment ID: I20110203000016 |
| Provider Name | Stacy A Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235446972 PECOS PAC ID: 9032391685 Enrollment ID: I20110303000435 |
| Provider Name | Brian D Shames |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306898259 PECOS PAC ID: 6406846997 Enrollment ID: I20110321000410 |
| Provider Name | Andre A Kaplan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073519294 PECOS PAC ID: 6608059779 Enrollment ID: I20110328000230 |
| Provider Name | Lenora Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114945110 PECOS PAC ID: 1658365218 Enrollment ID: I20110405000336 |
| Provider Name | Katharine N Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205869112 PECOS PAC ID: 4981888534 Enrollment ID: I20110406000735 |
| Provider Name | Roberta J Moss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235135864 PECOS PAC ID: 0941484349 Enrollment ID: I20110408000568 |
| Provider Name | Vincent M Leone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073532339 PECOS PAC ID: 5496852923 Enrollment ID: I20110411000453 |
| Provider Name | Kevin Becker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821231895 PECOS PAC ID: 0042494940 Enrollment ID: I20110418000155 |
| Provider Name | Thomas P Agresta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194775965 PECOS PAC ID: 6901081777 Enrollment ID: I20110421000650 |
| Provider Name | Jeffrey S Wasser |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396714507 PECOS PAC ID: 3173700630 Enrollment ID: I20110609000270 |
| Provider Name | Marco Molina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578761391 PECOS PAC ID: 6305023888 Enrollment ID: I20110609000475 |
| Provider Name | Isaac L Moss |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013222660 PECOS PAC ID: 9032396551 Enrollment ID: I20110610000187 |
| Provider Name | Jose A Soriano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801069489 PECOS PAC ID: 6709063993 Enrollment ID: I20110616000234 |
| Provider Name | Charan K Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760620116 PECOS PAC ID: 4385830470 Enrollment ID: I20110727000151 |
| Provider Name | Marie Carl Eugene |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073703815 PECOS PAC ID: 5991974941 Enrollment ID: I20110808000468 |
| Provider Name | Janelle R Mallett |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1356529390 PECOS PAC ID: 4688843444 Enrollment ID: I20110811000612 |
| Provider Name | Christina E Stevenson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871753509 PECOS PAC ID: 9436328994 Enrollment ID: I20110818000131 |
| Provider Name | Erica H Lambert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285803528 PECOS PAC ID: 5092888479 Enrollment ID: I20110829000471 |
| Provider Name | Sandra L Scippa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982877148 PECOS PAC ID: 4587834577 Enrollment ID: I20110830000718 |
| Provider Name | Suchitra Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669696548 PECOS PAC ID: 7719079268 Enrollment ID: I20110913000609 |
| Provider Name | Luis D Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235361759 PECOS PAC ID: 9133390925 Enrollment ID: I20110928000235 |
| Provider Name | Lisa M Chirch |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528098985 PECOS PAC ID: 7618971565 Enrollment ID: I20111011000283 |
| Provider Name | Diana L Sewell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821247065 PECOS PAC ID: 8921271438 Enrollment ID: I20111028000202 |
| Provider Name | Maritza I Perez |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1831140730 PECOS PAC ID: 0042229635 Enrollment ID: I20111111000331 |
| Provider Name | Terry O Yanaway |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497052385 PECOS PAC ID: 5597930362 Enrollment ID: I20111206000183 |
| Provider Name | David W Mcfadden |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144314709 PECOS PAC ID: 3476587494 Enrollment ID: I20111221000677 |
| Provider Name | Neha Jain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255525747 PECOS PAC ID: 8527234046 Enrollment ID: I20120105000318 |
| Provider Name | Deborah Anne Hintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255608600 PECOS PAC ID: 7911173174 Enrollment ID: I20120110000580 |
| Provider Name | Stephanie M Malia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942584636 PECOS PAC ID: 0042477234 Enrollment ID: I20120130000899 |
| Provider Name | Robert C Hagberg |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1356333439 PECOS PAC ID: 1052346665 Enrollment ID: I20120305000205 |
| Provider Name | Jamie K Gooch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871878090 PECOS PAC ID: 3678732948 Enrollment ID: I20120306000235 |
| Provider Name | Fonda N Gravino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952396020 PECOS PAC ID: 2961432836 Enrollment ID: I20120307000557 |
| Provider Name | Maria C Clement |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275800070 PECOS PAC ID: 8325207533 Enrollment ID: I20120307000797 |
| Provider Name | Damaris Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164790887 PECOS PAC ID: 1355500596 Enrollment ID: I20120308000170 |
| Provider Name | Patricia L Almeida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437428141 PECOS PAC ID: 2567622731 Enrollment ID: I20120326000428 |
| Provider Name | David Barrett Banach |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639380256 PECOS PAC ID: 6800050055 Enrollment ID: I20120619000596 |
| Provider Name | Ruchir D Trivedi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376720912 PECOS PAC ID: 2769648716 Enrollment ID: I20120719000531 |
| Provider Name | Marilyn A Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710114152 PECOS PAC ID: 6406012467 Enrollment ID: I20120720000005 |
| Provider Name | David C Steffens |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1669556536 PECOS PAC ID: 2860534963 Enrollment ID: I20120822000695 |
| Provider Name | Narinder Maheshwari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184993503 PECOS PAC ID: 5395993786 Enrollment ID: I20120910000242 |
| Provider Name | Naila Azhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477714376 PECOS PAC ID: 9931358058 Enrollment ID: I20121005000166 |
| Provider Name | Genice T Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699816090 PECOS PAC ID: 2264682319 Enrollment ID: I20121025000437 |
| Provider Name | Frank M Torti |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134180698 PECOS PAC ID: 9638204712 Enrollment ID: I20121101000220 |
| Provider Name | Kirsten L Ek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356575716 PECOS PAC ID: 4688826472 Enrollment ID: I20121129000581 |
| Provider Name | Lyla Natt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346506896 PECOS PAC ID: 6901059815 Enrollment ID: I20121228000412 |
| Provider Name | Heather W Myrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205192689 PECOS PAC ID: 2365695137 Enrollment ID: I20130102000366 |
| Provider Name | Megan E Speich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184973232 PECOS PAC ID: 3870746464 Enrollment ID: I20130110000037 |
| Provider Name | Beata Mcauliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962759894 PECOS PAC ID: 5890948251 Enrollment ID: I20130115000091 |
| Provider Name | Elaine M Cournean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407191034 PECOS PAC ID: 2062657612 Enrollment ID: I20130402000181 |
| Provider Name | Mary E Davison Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447504766 PECOS PAC ID: 4082859657 Enrollment ID: I20130402000355 |
| Provider Name | Elena V Zhakov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881944924 PECOS PAC ID: 9638315823 Enrollment ID: I20130412000339 |
| Provider Name | Andrea M Osipiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790096162 PECOS PAC ID: 2668610429 Enrollment ID: I20130606000257 |
| Provider Name | Ray Victor Cabuslay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174837215 PECOS PAC ID: 9234378514 Enrollment ID: I20130618000048 |
| Provider Name | Juyong Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427216860 PECOS PAC ID: 5496890204 Enrollment ID: I20130622000042 |
| Provider Name | Matthew L Hall |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922236108 PECOS PAC ID: 1850532557 Enrollment ID: I20130723000361 |
| Provider Name | Kristina F Zdanys |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063688679 PECOS PAC ID: 3476794710 Enrollment ID: I20130729000612 |
| Provider Name | Cory M Edgar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124294855 PECOS PAC ID: 3274782685 Enrollment ID: I20130814000715 |
| Provider Name | Shobhana Pathani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023124153 PECOS PAC ID: 5294793816 Enrollment ID: I20130904000778 |
| Provider Name | Yu Liang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609036680 PECOS PAC ID: 6406090380 Enrollment ID: I20130916000021 |
| Provider Name | Jaclyn Cox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891011250 PECOS PAC ID: 2163666017 Enrollment ID: I20130917000044 |
| Provider Name | Carolyn A Greene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134563000 PECOS PAC ID: 0446484778 Enrollment ID: I20130927000657 |
| Provider Name | Jennifer D Baldwin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134240377 PECOS PAC ID: 5496852196 Enrollment ID: I20131002000498 |
| Provider Name | Kalpesh A Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366785800 PECOS PAC ID: 7113151242 Enrollment ID: I20131003000417 |
| Provider Name | Tigist D Ashagari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619246667 PECOS PAC ID: 0345474862 Enrollment ID: I20131015002221 |
| Provider Name | Sanjay Mittal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982667168 PECOS PAC ID: 4183676372 Enrollment ID: I20131016001651 |
| Provider Name | Agnes S Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255490348 PECOS PAC ID: 2961654678 Enrollment ID: I20131028001670 |
| Provider Name | Michael T Baldwin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467529701 PECOS PAC ID: 6507921699 Enrollment ID: I20131118000915 |
| Provider Name | Khayyam Durrani |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831271568 PECOS PAC ID: 1850583832 Enrollment ID: I20140122000268 |
| Provider Name | Beth Springate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295172849 PECOS PAC ID: 2062652100 Enrollment ID: I20140124000061 |
| Provider Name | Lauren E Geaney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285891721 PECOS PAC ID: 8426289372 Enrollment ID: I20140319000130 |
| Provider Name | Andrea D Martelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720303464 PECOS PAC ID: 0648395632 Enrollment ID: I20140423000095 |
| Provider Name | Christine Marie Demaio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932383916 PECOS PAC ID: 0345473252 Enrollment ID: I20140430000915 |
| Provider Name | Asima A Zehgeer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437430683 PECOS PAC ID: 9931332517 Enrollment ID: I20140506001243 |
| Provider Name | Kimberly Paige Gervais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447509740 PECOS PAC ID: 3870716848 Enrollment ID: I20140520000577 |
| Provider Name | Lynn Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649586561 PECOS PAC ID: 4789809138 Enrollment ID: I20140627001121 |
| Provider Name | David S Karimeddini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528231677 PECOS PAC ID: 4486879095 Enrollment ID: I20140715000890 |
| Provider Name | Todd Falcone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952538456 PECOS PAC ID: 6800011040 Enrollment ID: I20140813001178 |
| Provider Name | Heather Kovac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235544206 PECOS PAC ID: 3870711831 Enrollment ID: I20140904001663 |
| Provider Name | Madina Falcone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1710113287 PECOS PAC ID: 3476798752 Enrollment ID: I20140915001659 |
| Provider Name | Ernesto Canalis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316925514 PECOS PAC ID: 9931328101 Enrollment ID: I20140920000019 |
| Provider Name | Omar M Ibrahim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487853941 PECOS PAC ID: 7416117205 Enrollment ID: I20140922001741 |
| Provider Name | Ranadeep Mandhadi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1093944001 PECOS PAC ID: 8729207816 Enrollment ID: I20140923001260 |
| Provider Name | Kevin J Manning |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538576525 PECOS PAC ID: 4183844194 Enrollment ID: I20140925000515 |
| Provider Name | Erica L Waddington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306159819 PECOS PAC ID: 0547438673 Enrollment ID: I20141021001929 |
| Provider Name | Andrew Chen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780747303 PECOS PAC ID: 3971537150 Enrollment ID: I20141023001357 |
| Provider Name | Kandasamy Rengasamy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134321318 PECOS PAC ID: 3476879198 Enrollment ID: I20150224000152 |
| Provider Name | Mary Andelle Samson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801001128 PECOS PAC ID: 7416041777 Enrollment ID: I20150316000966 |
| Provider Name | Janet Mule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619376084 PECOS PAC ID: 9931426038 Enrollment ID: I20150331000393 |
| Provider Name | Neena T Qasba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417248253 PECOS PAC ID: 4587802566 Enrollment ID: I20150609002065 |
| Provider Name | Bernardo Rodrigues |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477886356 PECOS PAC ID: 1658684816 Enrollment ID: I20150716001559 |
| Provider Name | Matthew Imperioli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356667380 PECOS PAC ID: 0345554663 Enrollment ID: I20150730013528 |
| Provider Name | Saira Cherian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457618241 PECOS PAC ID: 3577879329 Enrollment ID: I20150825003960 |
| Provider Name | Houman Rezaizadeh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487896486 PECOS PAC ID: 1052627957 Enrollment ID: I20150908001229 |
| Provider Name | Jose Montes-rivera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700183613 PECOS PAC ID: 3779890207 Enrollment ID: I20150916001978 |
| Provider Name | Glenn Konopaske |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386613354 PECOS PAC ID: 3779474200 Enrollment ID: I20150921002268 |
| Provider Name | Rocio Chang-angulo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386078442 PECOS PAC ID: 2860700887 Enrollment ID: I20150924001751 |
| Provider Name | Victoria W Costello |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265578280 PECOS PAC ID: 7012008055 Enrollment ID: I20151118000213 |
| Provider Name | Elizabeth Cain Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770954109 PECOS PAC ID: 8921308164 Enrollment ID: I20151119002727 |
| Provider Name | Kathryn Medow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750758082 PECOS PAC ID: 1254473457 Enrollment ID: I20151125000627 |
| Provider Name | Shantay Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952771651 PECOS PAC ID: 7012217854 Enrollment ID: I20151130000810 |
| Provider Name | Satyashankara Tadinada |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1124333265 PECOS PAC ID: 1052634235 Enrollment ID: I20151209000285 |
| Provider Name | Alicia M Whiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992176077 PECOS PAC ID: 2961703277 Enrollment ID: I20151210001095 |
| Provider Name | Deena Casiero |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730313461 PECOS PAC ID: 1951426238 Enrollment ID: I20160111000288 |
| Provider Name | Lauren E Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811368194 PECOS PAC ID: 0143522847 Enrollment ID: I20160113000252 |
| Provider Name | Angela Pianka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114397163 PECOS PAC ID: 1052614955 Enrollment ID: I20160127001520 |
| Provider Name | Olga Nesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326412065 PECOS PAC ID: 8325343296 Enrollment ID: I20160302000103 |
| Provider Name | John T Hinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609071133 PECOS PAC ID: 2769660547 Enrollment ID: I20160322002196 |
| Provider Name | Katharine Hooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033550801 PECOS PAC ID: 0446485940 Enrollment ID: I20160608001898 |
| Provider Name | Viraj I Modi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811296684 PECOS PAC ID: 2062638620 Enrollment ID: I20160616000116 |
| Provider Name | Joel Ferreira |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1821225426 PECOS PAC ID: 1254648462 Enrollment ID: I20160617001105 |
| Provider Name | Aileen R Pangilinan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1861770448 PECOS PAC ID: 4880909399 Enrollment ID: I20160629000595 |
| Provider Name | Daniel Roberts |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104072354 PECOS PAC ID: 3870753882 Enrollment ID: I20160701000900 |
| Provider Name | Shannon L Degroff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699036103 PECOS PAC ID: 6305166786 Enrollment ID: I20160721001684 |
| Provider Name | Michael D Kisicki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407067572 PECOS PAC ID: 0547394736 Enrollment ID: I20160729001467 |
| Provider Name | Daniel Marrero |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265743041 PECOS PAC ID: 4789998352 Enrollment ID: I20160809000731 |
| Provider Name | Brooke Harnisch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528233988 PECOS PAC ID: 9335381268 Enrollment ID: I20160815002370 |
| Provider Name | Gracia Mui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942526512 PECOS PAC ID: 1355636119 Enrollment ID: I20160823002042 |
| Provider Name | Yueming Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629398904 PECOS PAC ID: 4688978281 Enrollment ID: I20160824001400 |
| Provider Name | Jonathan P Shepherd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114048329 PECOS PAC ID: 3577741750 Enrollment ID: I20160825000034 |
| Provider Name | Jin Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982041158 PECOS PAC ID: 7012143860 Enrollment ID: I20160827000381 |
| Provider Name | Adam Lindsay |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518194638 PECOS PAC ID: 2567694862 Enrollment ID: I20160830000436 |
| Provider Name | Anthony Parrino |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1295053692 PECOS PAC ID: 2961798947 Enrollment ID: I20160831002066 |
| Provider Name | Lazar J Greenfield |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841286994 PECOS PAC ID: 4385613181 Enrollment ID: I20160912000298 |
| Provider Name | Hillary Siddons |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700233327 PECOS PAC ID: 2769778067 Enrollment ID: I20160913002148 |
| Provider Name | Niko Broodie-murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285070607 PECOS PAC ID: 2668790767 Enrollment ID: I20160916001245 |
| Provider Name | Clara G Weinstock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699110197 PECOS PAC ID: 3971739855 Enrollment ID: I20160920002250 |
| Provider Name | Britta Shute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912315201 PECOS PAC ID: 6507183340 Enrollment ID: I20160927000675 |
| Provider Name | Karen A Bascetta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326479106 PECOS PAC ID: 7810284395 Enrollment ID: I20160927002057 |
| Provider Name | Kendra Damon-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285189357 PECOS PAC ID: 0648567149 Enrollment ID: I20160927002878 |
| Provider Name | Diane Cichy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871040287 PECOS PAC ID: 2668760703 Enrollment ID: I20161005002195 |
| Provider Name | Roopjeet Bath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699901041 PECOS PAC ID: 4587811542 Enrollment ID: I20161007001303 |
| Provider Name | Luriza Glynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487101465 PECOS PAC ID: 6800174160 Enrollment ID: I20161021000392 |
| Provider Name | Katherine J. Coyner |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801002399 PECOS PAC ID: 1153592845 Enrollment ID: I20161026001819 |
| Provider Name | Eric Mortensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538170311 PECOS PAC ID: 1456535319 Enrollment ID: I20161201000953 |
| Provider Name | Vrunda J Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891242004 PECOS PAC ID: 5193007623 Enrollment ID: I20170118001763 |
| Provider Name | Alma Sabovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053857409 PECOS PAC ID: 9032492376 Enrollment ID: I20170210000451 |
| Provider Name | Leo J Wolansky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982793741 PECOS PAC ID: 5395632582 Enrollment ID: I20170323001182 |
| Provider Name | Lavinia N Sambat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336689181 PECOS PAC ID: 1456636836 Enrollment ID: I20170327002295 |
| Provider Name | Brooke Ellen Gouveia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285182402 PECOS PAC ID: 3971870270 Enrollment ID: I20170516002269 |
| Provider Name | Bradford P. Whitcomb |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518949270 PECOS PAC ID: 2466699616 Enrollment ID: I20170606002759 |
| Provider Name | Ursula V Bailey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346660024 PECOS PAC ID: 8628397882 Enrollment ID: I20170615000240 |
| Provider Name | Vinutha Maregowda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164846226 PECOS PAC ID: 1658649611 Enrollment ID: I20170615000438 |
| Provider Name | Benjamin Ristau |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588891196 PECOS PAC ID: 0345553350 Enrollment ID: I20170712003134 |
| Provider Name | Mamta Madhav Shah |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255624045 PECOS PAC ID: 2769700772 Enrollment ID: I20170713002804 |
| Provider Name | Erin Perez |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427409028 PECOS PAC ID: 4284904814 Enrollment ID: I20170714000532 |
| Provider Name | Angela D Hart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275953804 PECOS PAC ID: 0547589103 Enrollment ID: I20170802000993 |
| Provider Name | Shehryar H Ashraf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982966834 PECOS PAC ID: 9032439799 Enrollment ID: I20170810000843 |
| Provider Name | Laura Mcewan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659617579 PECOS PAC ID: 9335387471 Enrollment ID: I20170811001771 |
| Provider Name | Eric Girard |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1588899405 PECOS PAC ID: 8729384169 Enrollment ID: I20170823001493 |
| Provider Name | Alexandra T Garten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033634308 PECOS PAC ID: 2860765716 Enrollment ID: I20170829001726 |
| Provider Name | Jaclyn Jaeger |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1578806840 PECOS PAC ID: 9638499742 Enrollment ID: I20170901002070 |
| Provider Name | Kyle Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306368287 PECOS PAC ID: 5496028912 Enrollment ID: I20170906000135 |
| Provider Name | Renee George |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982128138 PECOS PAC ID: 9133493851 Enrollment ID: I20170919003604 |
| Provider Name | Nadejda Maseto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376066043 PECOS PAC ID: 1052685575 Enrollment ID: I20170922000397 |
| Provider Name | David W Yaffee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1306010517 PECOS PAC ID: 9537433925 Enrollment ID: I20170925000226 |
| Provider Name | Cassandra Holinka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730506767 PECOS PAC ID: 0941575898 Enrollment ID: I20171003007520 |
| Provider Name | Casey Godshall |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588958227 PECOS PAC ID: 1254606791 Enrollment ID: I20171009002192 |
| Provider Name | Danielle Millar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508381609 PECOS PAC ID: 5193090553 Enrollment ID: I20171011000715 |
| Provider Name | Hailun Wang |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174815096 PECOS PAC ID: 6709176092 Enrollment ID: I20171011001894 |
| Provider Name | Yongho S Minale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558789040 PECOS PAC ID: 6305144312 Enrollment ID: I20171011003261 |
| Provider Name | Marina Creed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023533353 PECOS PAC ID: 2769758804 Enrollment ID: I20171018000352 |
| Provider Name | Violet R Kaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861949497 PECOS PAC ID: 6103192273 Enrollment ID: I20171018001392 |
| Provider Name | Ryan Millea |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427211457 PECOS PAC ID: 7618242447 Enrollment ID: I20171031002895 |
| Provider Name | Kristen J Fontaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992220925 PECOS PAC ID: 0941566152 Enrollment ID: I20171103001494 |
| Provider Name | Elizabeth M Verhagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891210282 PECOS PAC ID: 8325304157 Enrollment ID: I20171113000372 |
| Provider Name | Susan Rubman Gold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992784128 PECOS PAC ID: 0941568935 Enrollment ID: I20171220003076 |
| Provider Name | Wahila Alam |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1215128202 PECOS PAC ID: 3870652530 Enrollment ID: I20180111002763 |
| Provider Name | Joanna Wroblewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285145953 PECOS PAC ID: 9931469905 Enrollment ID: I20180213000103 |
| Provider Name | Shakaib Naseem Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134561335 PECOS PAC ID: 4880956812 Enrollment ID: I20180402002019 |
| Provider Name | Catherine E Alessi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477896900 PECOS PAC ID: 1658635412 Enrollment ID: I20180502000487 |
| Provider Name | David Ozimek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033539242 PECOS PAC ID: 0446570006 Enrollment ID: I20180514001725 |
| Provider Name | Scott Steven Mallozzi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508127895 PECOS PAC ID: 9234459256 Enrollment ID: I20180606001400 |
| Provider Name | Christopher L Steele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922492255 PECOS PAC ID: 0547589863 Enrollment ID: I20180710002727 |
| Provider Name | Fernanda Wajnsztajn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659715944 PECOS PAC ID: 1850647488 Enrollment ID: I20180711003186 |
| Provider Name | Priya Narwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093145781 PECOS PAC ID: 8426351966 Enrollment ID: I20180712000664 |
| Provider Name | Jennifer A Ozimek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942620158 PECOS PAC ID: 0840510707 Enrollment ID: I20180717001186 |
| Provider Name | Yanlin Wang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942472352 PECOS PAC ID: 9234202110 Enrollment ID: I20180719003763 |
| Provider Name | Nasheena Jiwa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629464607 PECOS PAC ID: 4880990449 Enrollment ID: I20180720002648 |
| Provider Name | Nighat Hussain |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295112464 PECOS PAC ID: 6406104876 Enrollment ID: I20180801000461 |
| Provider Name | Dana Marie Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831431220 PECOS PAC ID: 7719282151 Enrollment ID: I20180803000718 |
| Provider Name | Arthur Louis Kasimer-colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689168486 PECOS PAC ID: 4789932849 Enrollment ID: I20180806002042 |
| Provider Name | Campbell L Stewart |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1750515565 PECOS PAC ID: 1951529015 Enrollment ID: I20180806002688 |
| Provider Name | Sarah F Lindsay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184983926 PECOS PAC ID: 6103137393 Enrollment ID: I20180807001417 |
| Provider Name | Manjot Reen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316324437 PECOS PAC ID: 2668776253 Enrollment ID: I20180809005442 |
| Provider Name | Iris L Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750792685 PECOS PAC ID: 2567765035 Enrollment ID: I20180810000589 |
| Provider Name | Allison Margaret Schafer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1598105884 PECOS PAC ID: 0648414268 Enrollment ID: I20180816001436 |
| Provider Name | Jillian Lea Fortier |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1184945586 PECOS PAC ID: 0345599676 Enrollment ID: I20180821000645 |
| Provider Name | Sona Chaudhry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699194605 PECOS PAC ID: 8527317650 Enrollment ID: I20180822001023 |
| Provider Name | Meredith Joyce Bertrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366964660 PECOS PAC ID: 7810246824 Enrollment ID: I20180824001741 |
| Provider Name | Molly Anne Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275026270 PECOS PAC ID: 1759630569 Enrollment ID: I20180827003126 |
| Provider Name | Phelan Elizabeth Maruca-sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568705978 PECOS PAC ID: 3375823016 Enrollment ID: I20180828002770 |
| Provider Name | Haresh Visweshwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295161107 PECOS PAC ID: 4183930613 Enrollment ID: I20180905002439 |
| Provider Name | Peter F Robinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659306645 PECOS PAC ID: 6305814005 Enrollment ID: I20180905002683 |
| Provider Name | Rebecca Anne Pompo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548421720 PECOS PAC ID: 5294909065 Enrollment ID: I20181009002443 |
| Provider Name | Jonathan B Hargreaves |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457686156 PECOS PAC ID: 8820276264 Enrollment ID: I20181026001563 |
| Provider Name | Manju Sunil Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356824742 PECOS PAC ID: 7113270778 Enrollment ID: I20181029001131 |
| Provider Name | Germine Sameh Labib Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669812715 PECOS PAC ID: 8729383765 Enrollment ID: I20181030002224 |
| Provider Name | Mason Peter Leeman-markowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962666545 PECOS PAC ID: 1254500523 Enrollment ID: I20181101002633 |
| Provider Name | Kacie Wittke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407321052 PECOS PAC ID: 2466706858 Enrollment ID: I20181123000086 |
| Provider Name | Christine Biolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366918468 PECOS PAC ID: 2163766403 Enrollment ID: I20181128000030 |
| Provider Name | Adrian A Salmon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1528282456 PECOS PAC ID: 8123124807 Enrollment ID: I20181128003392 |
| Provider Name | Kwame S. Amankwah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508815762 PECOS PAC ID: 1759359755 Enrollment ID: I20190205001301 |
| Provider Name | Abike Becroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588146351 PECOS PAC ID: 0446598759 Enrollment ID: I20190212002341 |
| Provider Name | Banu Sundar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518932524 PECOS PAC ID: 5294751582 Enrollment ID: I20190222000239 |
| Provider Name | Lia Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720543960 PECOS PAC ID: 5092055905 Enrollment ID: I20190312002558 |
| Provider Name | Hao Feng |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1033520556 PECOS PAC ID: 6002162112 Enrollment ID: I20190430002241 |
| Provider Name | Jaclyn M Beirne |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1346656774 PECOS PAC ID: 6103169172 Enrollment ID: I20190514001805 |
| Provider Name | Jason A Carrese |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669831186 PECOS PAC ID: 8820383722 Enrollment ID: I20190528002482 |
| Provider Name | Jaime Imitola Herrera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548420615 PECOS PAC ID: 7911133137 Enrollment ID: I20190612001454 |
| Provider Name | Mehdi Momen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396130969 PECOS PAC ID: 5496007882 Enrollment ID: I20190619001735 |
| Provider Name | Dhurga Devi Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295149607 PECOS PAC ID: 1850625104 Enrollment ID: I20190620002134 |
| Provider Name | Ameer Zaighum Rasheed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700154648 PECOS PAC ID: 6800042516 Enrollment ID: I20190625002653 |
| Provider Name | Mario Fahed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548679525 PECOS PAC ID: 1456685338 Enrollment ID: I20190626002479 |
| Provider Name | Ethan Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265889109 PECOS PAC ID: 8628363017 Enrollment ID: I20190703001274 |
| Provider Name | Neha Prakash |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891135000 PECOS PAC ID: 7810299385 Enrollment ID: I20190708002244 |
| Provider Name | Jennifer Rose Jorgensen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1023368370 PECOS PAC ID: 1355638594 Enrollment ID: I20190715001756 |
| Provider Name | Shontreal Monique Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235540154 PECOS PAC ID: 8921356437 Enrollment ID: I20190722000798 |
| Provider Name | Mary Snayd |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093125031 PECOS PAC ID: 1355660747 Enrollment ID: I20190731002928 |
| Provider Name | Meha Saxena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962780502 PECOS PAC ID: 7012203391 Enrollment ID: I20190823000544 |
| Provider Name | Laura Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164823076 PECOS PAC ID: 6800196080 Enrollment ID: I20190830001693 |
| Provider Name | Olga Solovyova |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144664715 PECOS PAC ID: 6901136894 Enrollment ID: I20190918003260 |
| Provider Name | Dianna Soucier-tagliavini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891357174 PECOS PAC ID: 4981934742 Enrollment ID: I20190923000864 |
| Provider Name | Chijioke Nnanna Egbujo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164601548 PECOS PAC ID: 9830484005 Enrollment ID: I20191003000663 |
| Provider Name | Setareh Alipourfetrati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841653904 PECOS PAC ID: 8325384647 Enrollment ID: I20191010001179 |
| Provider Name | Allison M Rinaldi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679133292 PECOS PAC ID: 5395076004 Enrollment ID: I20191010002357 |
| Provider Name | Laura Anne Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306494026 PECOS PAC ID: 2062743305 Enrollment ID: I20191017000703 |
| Provider Name | Supriya Maruti Tigadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932435195 PECOS PAC ID: 7416113683 Enrollment ID: I20191023002101 |
| Provider Name | Tara Mahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710520739 PECOS PAC ID: 8022441625 Enrollment ID: I20191212002695 |
| Provider Name | Jessica Kluewer-damico |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497282578 PECOS PAC ID: 9234563503 Enrollment ID: I20191218002930 |
| Provider Name | Michelle L Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811218076 PECOS PAC ID: 5496183006 Enrollment ID: I20200313001278 |
| Provider Name | Abisola G Baruwa Etti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619402021 PECOS PAC ID: 6800167222 Enrollment ID: I20200504001771 |
| Provider Name | Lakshmi Leishangthem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952784308 PECOS PAC ID: 8426489295 Enrollment ID: I20200511002603 |
| Provider Name | Mina Boutrous |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619399060 PECOS PAC ID: 3678875143 Enrollment ID: I20200519001827 |
| Provider Name | Alexandre West |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760845341 PECOS PAC ID: 8224322292 Enrollment ID: I20200520000686 |
| Provider Name | Tarunya Vedere |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003202151 PECOS PAC ID: 1052628542 Enrollment ID: I20200601000470 |
| Provider Name | Kerra Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649656414 PECOS PAC ID: 7113236654 Enrollment ID: I20200602000046 |
| Provider Name | Judith L Cooney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841301827 PECOS PAC ID: 9032530852 Enrollment ID: I20200603002671 |
| Provider Name | Gregory Charles Barron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770946030 PECOS PAC ID: 6305130642 Enrollment ID: I20200707002736 |
| Provider Name | Brady Lonergan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548654080 PECOS PAC ID: 7214244938 Enrollment ID: I20200717001343 |
| Provider Name | Hardeep Singh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609287085 PECOS PAC ID: 4486973658 Enrollment ID: I20200724000173 |
| Provider Name | Agnes Mcauliffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922453232 PECOS PAC ID: 6204120173 Enrollment ID: I20200728000431 |
| Provider Name | Jennifer Worth |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538289269 PECOS PAC ID: 1456441385 Enrollment ID: I20200804002943 |
| Provider Name | Amanda Ulrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548680929 PECOS PAC ID: 2264752302 Enrollment ID: I20200820000529 |
| Provider Name | Ritika Vankina |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811314263 PECOS PAC ID: 9032337068 Enrollment ID: I20200825001080 |
| Provider Name | Ahmad Yaseen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861913691 PECOS PAC ID: 8325318660 Enrollment ID: I20200827003856 |
| Provider Name | Zachary Maass |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447604293 PECOS PAC ID: 8820380678 Enrollment ID: I20200828000804 |
| Provider Name | Michael Storonsky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1467833202 PECOS PAC ID: 0042504920 Enrollment ID: I20200828002470 |
| Provider Name | Babitha Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508491853 PECOS PAC ID: 7911325113 Enrollment ID: I20200921002593 |
| Provider Name | Parvathy Madhavan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659753499 PECOS PAC ID: 4385992924 Enrollment ID: I20200921002750 |
| Provider Name | Victoria Forbes |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003254848 PECOS PAC ID: 2668792722 Enrollment ID: I20200922002524 |
| Provider Name | Kaitlin Jeanne O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093324873 PECOS PAC ID: 0547689168 Enrollment ID: I20201001001149 |
| Provider Name | Xuanthao Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215545793 PECOS PAC ID: 7810316189 Enrollment ID: I20201006002102 |
| Provider Name | Dorothy R Carvalho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649813429 PECOS PAC ID: 2365862869 Enrollment ID: I20201022002197 |
| Provider Name | Kara Dazkevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891304663 PECOS PAC ID: 4789004003 Enrollment ID: I20201026001255 |
| Provider Name | Stephanie Fiore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225646094 PECOS PAC ID: 3577973866 Enrollment ID: I20201027001713 |
| Provider Name | Alexis Newmark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265896328 PECOS PAC ID: 1557655545 Enrollment ID: I20201029000810 |
| Provider Name | Ga Hie Nam |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003264896 PECOS PAC ID: 3971898339 Enrollment ID: I20201118002134 |
| Provider Name | Alicja Jedrychowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528674629 PECOS PAC ID: 9436560349 Enrollment ID: I20201125002103 |
| Provider Name | Sylvia Polanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619584026 PECOS PAC ID: 6608287537 Enrollment ID: I20201128000010 |
| Provider Name | Laurie Jean Deciantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083220362 PECOS PAC ID: 0345651139 Enrollment ID: I20201130002647 |
| Provider Name | Michael Mei |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700373883 PECOS PAC ID: 8729337217 Enrollment ID: I20201202002882 |
| Provider Name | Nasser Majid Shirazi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811228976 PECOS PAC ID: 0840456521 Enrollment ID: I20201209000678 |
| Provider Name | Keri Collard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144880899 PECOS PAC ID: 0446662423 Enrollment ID: I20201216000377 |
| Provider Name | Marissa Louise Goodnight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982211199 PECOS PAC ID: 1557774635 Enrollment ID: I20210109000072 |
| Provider Name | Brianne Bischoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295333458 PECOS PAC ID: 6901213909 Enrollment ID: I20210317002999 |
| Provider Name | Gillian Weston |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1063861268 PECOS PAC ID: 9436423092 Enrollment ID: I20210331002045 |
| Provider Name | Andrea Shields |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649258948 PECOS PAC ID: 7618169749 Enrollment ID: I20210406001739 |
| Provider Name | Richard K Wagner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003858952 PECOS PAC ID: 7618979022 Enrollment ID: I20210413000623 |
| Provider Name | Maria Turturici |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942888698 PECOS PAC ID: 8820406325 Enrollment ID: I20210422000918 |
| Provider Name | Amanda Lynn Hernandez-jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861849473 PECOS PAC ID: 8628362217 Enrollment ID: I20210505002652 |
| Provider Name | Swarup Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629451497 PECOS PAC ID: 9032401013 Enrollment ID: I20210510002075 |
| Provider Name | Kevin Andrew Braghirol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598259228 PECOS PAC ID: 5890104368 Enrollment ID: I20210513000780 |
| Provider Name | Cutter Augustus Lindbergh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801490040 PECOS PAC ID: 1557770856 Enrollment ID: I20210517000774 |
| Provider Name | Jordan Borgman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649775883 PECOS PAC ID: 0749539484 Enrollment ID: I20210623002919 |
| Provider Name | Hassaan Bin Aftab |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477007839 PECOS PAC ID: 2961798764 Enrollment ID: I20210629002770 |
| Provider Name | Venkat Subramanyam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437681434 PECOS PAC ID: 6305118530 Enrollment ID: I20210630002132 |
| Provider Name | Kendall Tamler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336726595 PECOS PAC ID: 0042611733 Enrollment ID: I20210701002711 |
| Provider Name | Chindhuri Selvadurai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659728491 PECOS PAC ID: 5092000414 Enrollment ID: I20210701003064 |
| Provider Name | Yitzchok Lederman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619473253 PECOS PAC ID: 4082962980 Enrollment ID: I20210730001833 |
| Provider Name | Eric Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396984159 PECOS PAC ID: 8527284611 Enrollment ID: I20210730001897 |
| Provider Name | Nicole Gavin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063824407 PECOS PAC ID: 8022234194 Enrollment ID: I20210818002902 |
| Provider Name | Ian Mcneill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003158486 PECOS PAC ID: 2264778083 Enrollment ID: I20210823000975 |
| Provider Name | John Glenn Tiu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225423098 PECOS PAC ID: 5597067397 Enrollment ID: I20210823001271 |
| Provider Name | Ankitha Antony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568968162 PECOS PAC ID: 8820353451 Enrollment ID: I20210901001881 |
| Provider Name | Cara Delaney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851786677 PECOS PAC ID: 2365751542 Enrollment ID: I20210902001751 |
| Provider Name | Lauren Alyssa Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922671171 PECOS PAC ID: 0143626978 Enrollment ID: I20210902001948 |
| Provider Name | Chittoor Sai-sudhakar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437106440 PECOS PAC ID: 8123926268 Enrollment ID: I20210907001033 |
| Provider Name | Rishabh Sachdev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346650470 PECOS PAC ID: 0042439440 Enrollment ID: I20210913001359 |
| Provider Name | Wynee Lou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780022749 PECOS PAC ID: 4284901562 Enrollment ID: I20210916002201 |
| Provider Name | Krystal L Swift |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831760727 PECOS PAC ID: 8628475340 Enrollment ID: I20210923000754 |
| Provider Name | Caleb Battersby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033642145 PECOS PAC ID: 2567733959 Enrollment ID: I20210929001366 |
| Provider Name | Alexander J Adami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180968 PECOS PAC ID: 0648526087 Enrollment ID: I20211021002824 |
| Provider Name | Brianna Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366112278 PECOS PAC ID: 3678961547 Enrollment ID: I20211026001257 |
| Provider Name | Christina Osadchy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518639905 PECOS PAC ID: 2769870583 Enrollment ID: I20211028000687 |
| Provider Name | Amira Hassan Awadalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184144685 PECOS PAC ID: 0840688669 Enrollment ID: I20211028000714 |
| Provider Name | Meghann Marvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255854931 PECOS PAC ID: 3971860172 Enrollment ID: I20211221001875 |
| Provider Name | Aaradhana Kaul |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1245585207 PECOS PAC ID: 0042523037 Enrollment ID: I20211230001437 |
| Provider Name | Jennifer Beaulieu Munzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891453429 PECOS PAC ID: 8325439102 Enrollment ID: I20220105001902 |
| Provider Name | Susan Arvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972823649 PECOS PAC ID: 1658512686 Enrollment ID: I20220114001728 |
| Provider Name | Anne Katherine Megson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750857330 PECOS PAC ID: 3072940410 Enrollment ID: I20220127000131 |
| Provider Name | Elizabeth Cappiello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124799465 PECOS PAC ID: 8426440298 Enrollment ID: I20220128001032 |
| Provider Name | Hamza Coban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922539121 PECOS PAC ID: 5597037085 Enrollment ID: I20220511002251 |
| Provider Name | Kayla Kriscenski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609321801 PECOS PAC ID: 5597043158 Enrollment ID: I20220606001435 |
| Provider Name | Feier Liu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104358977 PECOS PAC ID: 5395015192 Enrollment ID: I20220617001784 |
| Provider Name | Jacqueline Sabella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003426503 PECOS PAC ID: 1759791577 Enrollment ID: I20220627001596 |
| Provider Name | Maryam Zenali |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093076325 PECOS PAC ID: 6103075791 Enrollment ID: I20220714000594 |
| Provider Name | Biancha Louise Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932863636 PECOS PAC ID: 1153702659 Enrollment ID: I20220714002827 |
| Provider Name | Ivan Stanford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669035218 PECOS PAC ID: 9931439080 Enrollment ID: I20220715001284 |
| Provider Name | Kelly Quijano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467196121 PECOS PAC ID: 4284015405 Enrollment ID: I20220720000447 |
| Provider Name | Tao Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588136295 PECOS PAC ID: 7911389366 Enrollment ID: I20220801002655 |
| Provider Name | Jennifer Saenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467751859 PECOS PAC ID: 3971726258 Enrollment ID: I20220816001384 |
| Provider Name | Mohammod Arafat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528529062 PECOS PAC ID: 8820471352 Enrollment ID: I20220817000449 |
| Provider Name | Abir Rahman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1043620040 PECOS PAC ID: 4385946193 Enrollment ID: I20220819002480 |
| Provider Name | Danielle Scarola |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285098244 PECOS PAC ID: 5597058263 Enrollment ID: I20220823001563 |
| Provider Name | Sijie Wang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497166110 PECOS PAC ID: 5395043715 Enrollment ID: I20220825002623 |
| Provider Name | Sobia Faisal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1174056881 PECOS PAC ID: 8729350921 Enrollment ID: I20220831000672 |
| Provider Name | Andrea Maria Montilla Santiago |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811493232 PECOS PAC ID: 0648529347 Enrollment ID: I20220928003627 |
| Provider Name | Samaneh Rabieihashemi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861986366 PECOS PAC ID: 0446508014 Enrollment ID: I20220930001172 |
| Provider Name | Suzana Kalanica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245800820 PECOS PAC ID: 4284010943 Enrollment ID: I20221003002903 |
| Provider Name | David Fraulino |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427584192 PECOS PAC ID: 0749551620 Enrollment ID: I20221004000275 |
| Provider Name | Mustansar Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952857815 PECOS PAC ID: 9436480480 Enrollment ID: I20221004003703 |
| Provider Name | Yesica Campos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093177180 PECOS PAC ID: 5294015178 Enrollment ID: I20221017000254 |
| Provider Name | Misbah Fathima Azmath |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346771623 PECOS PAC ID: 0840666541 Enrollment ID: I20221020003249 |
| Provider Name | William Patrick Ackley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225565906 PECOS PAC ID: 8628347408 Enrollment ID: I20221021000595 |
| Provider Name | Gary Gong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154373157 PECOS PAC ID: 2668451154 Enrollment ID: I20221021001089 |
| Provider Name | Ann Clifford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063183747 PECOS PAC ID: 3476951229 Enrollment ID: I20221027000519 |
| Provider Name | Rachael Marcano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861146003 PECOS PAC ID: 3274900675 Enrollment ID: I20221027000969 |
| Provider Name | Brian Kelley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114192226 PECOS PAC ID: 0143527648 Enrollment ID: I20221028000565 |
| Provider Name | Roberta Baah-sackey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437612793 PECOS PAC ID: 2466788179 Enrollment ID: I20221110002903 |
| Provider Name | Ashita Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033776380 PECOS PAC ID: 3173956794 Enrollment ID: I20221115003017 |
| Provider Name | Jasmin Hundal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134762347 PECOS PAC ID: 6103294160 Enrollment ID: I20221122002629 |
| Provider Name | Kapil Sankar Meleveedu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922353325 PECOS PAC ID: 8729381520 Enrollment ID: I20221128000197 |
| Provider Name | David K Bowers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013470418 PECOS PAC ID: 3072841550 Enrollment ID: I20221213000888 |
| Provider Name | Ellen Marie Morris-white |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174099410 PECOS PAC ID: 4183960107 Enrollment ID: I20221227001244 |
| Provider Name | Fatima Osmanovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285358242 PECOS PAC ID: 5799155214 Enrollment ID: I20221228000325 |
| Provider Name | Belinda Nwagbara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750844288 PECOS PAC ID: 7618208695 Enrollment ID: I20230106002645 |
| Provider Name | Hillary Newsome |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932562667 PECOS PAC ID: 7517221989 Enrollment ID: I20230109002575 |
| Provider Name | Annie Kearns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427697192 PECOS PAC ID: 6800224353 Enrollment ID: I20230110001045 |
| Provider Name | Dong Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356721781 PECOS PAC ID: 7719378926 Enrollment ID: I20230126001596 |
| Provider Name | Kisha M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841919768 PECOS PAC ID: 2365813581 Enrollment ID: I20230126002710 |
| Provider Name | Domenic Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790405553 PECOS PAC ID: 3072984160 Enrollment ID: I20230127002807 |
| Provider Name | Christine Pleckaitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578271078 PECOS PAC ID: 0648641696 Enrollment ID: I20230130001795 |
| Provider Name | Tricia Varholak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689307381 PECOS PAC ID: 2365814225 Enrollment ID: I20230202002604 |
| Provider Name | Oi Lee Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427699057 PECOS PAC ID: 5496189052 Enrollment ID: I20230206001012 |
| Provider Name | Princy Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245862259 PECOS PAC ID: 0840628756 Enrollment ID: I20230215000709 |
| Provider Name | Rachel Tannis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289580 PECOS PAC ID: 3971813601 Enrollment ID: I20230216000751 |
| Provider Name | Allison Mullings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447982103 PECOS PAC ID: 0042683740 Enrollment ID: I20230228001551 |
| Provider Name | Emily Capozza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821716382 PECOS PAC ID: 7517331317 Enrollment ID: I20230317001438 |
| Provider Name | Francesco Celi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427320761 PECOS PAC ID: 4486886942 Enrollment ID: I20230330000786 |
| Provider Name | Allison Rounds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902520620 PECOS PAC ID: 2668847427 Enrollment ID: I20230407001864 |
| Provider Name | Courtney Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942839634 PECOS PAC ID: 8729490057 Enrollment ID: I20230419001216 |
| Provider Name | Kristen Wojewudski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376008706 PECOS PAC ID: 9739420498 Enrollment ID: I20230421000802 |
| Provider Name | Paul Lasala |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841203353 PECOS PAC ID: 3971502725 Enrollment ID: I20230501001290 |
| Provider Name | Paramjeet Kaur |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1306050547 PECOS PAC ID: 4486712601 Enrollment ID: I20230516003328 |
| Provider Name | Michael Sobieraj |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013235829 PECOS PAC ID: 2860764107 Enrollment ID: I20230531002843 |
| Provider Name | Amy Lynn Lombardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144937871 PECOS PAC ID: 3375901978 Enrollment ID: I20230614000156 |
| Provider Name | Giao Phan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861610339 PECOS PAC ID: 6406073345 Enrollment ID: I20230620000170 |
| Provider Name | Sarah Kwok |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518452234 PECOS PAC ID: 7315296019 Enrollment ID: I20230626002557 |
| Provider Name | Brendan R Gontarz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023471273 PECOS PAC ID: 4486948585 Enrollment ID: I20230629003648 |
| Provider Name | Kristen Salline |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538622683 PECOS PAC ID: 8921333279 Enrollment ID: I20230720001448 |
| Provider Name | Jenna Bordelon |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215383740 PECOS PAC ID: 8325333230 Enrollment ID: I20230724002081 |
| Provider Name | Corey Dwyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003349739 PECOS PAC ID: 4183996341 Enrollment ID: I20230725000867 |
| Provider Name | Akua Sarfo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1023578002 PECOS PAC ID: 1850626581 Enrollment ID: I20230809001410 |
| Provider Name | Corrine Weeks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467814970 PECOS PAC ID: 9133410046 Enrollment ID: I20230825003376 |
| Provider Name | Martha Radford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518933357 PECOS PAC ID: 2961416672 Enrollment ID: I20230831004317 |
| Provider Name | Christine Kariya |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568806024 PECOS PAC ID: 4880983394 Enrollment ID: I20230831004541 |
| Provider Name | Litty Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164955787 PECOS PAC ID: 7214390673 Enrollment ID: I20230831004689 |
| Provider Name | Negar Faramarzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952759524 PECOS PAC ID: 7012246812 Enrollment ID: I20230911000689 |
| Provider Name | Carolyne Riehle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225532765 PECOS PAC ID: 2668737354 Enrollment ID: I20230920002342 |
| Provider Name | Christopher Richard Conner |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184010480 PECOS PAC ID: 6709230998 Enrollment ID: I20230921001567 |
| Provider Name | Kathryn Becker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114451853 PECOS PAC ID: 8729350053 Enrollment ID: I20230921001806 |
| Provider Name | Kristin Head |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245405752 PECOS PAC ID: 6507925906 Enrollment ID: I20230926003477 |
| Provider Name | Esma Ersoy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245765361 PECOS PAC ID: 6103196928 Enrollment ID: I20230927003246 |
| Provider Name | Akif Altinbas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346826328 PECOS PAC ID: 1153724778 Enrollment ID: I20230928000562 |
| Provider Name | Justin D'addario |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1477059772 PECOS PAC ID: 4385990514 Enrollment ID: I20230929002924 |
| Provider Name | Robert Mcloughlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518353663 PECOS PAC ID: 9830407089 Enrollment ID: I20231007000248 |
| Provider Name | Amy Lipka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881304103 PECOS PAC ID: 2668827866 Enrollment ID: I20231009000395 |
| Provider Name | Simon Peter Abi-saleh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891315529 PECOS PAC ID: 2769837897 Enrollment ID: I20231010002761 |
| Provider Name | Alyson Cunningham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821520644 PECOS PAC ID: 2466723762 Enrollment ID: I20231012000535 |
| Provider Name | Donald Kirton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538368873 PECOS PAC ID: 3173791498 Enrollment ID: I20231018000562 |
| Provider Name | Heather Mudano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285393538 PECOS PAC ID: 3476909870 Enrollment ID: I20231020001838 |
| Provider Name | Kristen Lee Moriarty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689135287 PECOS PAC ID: 8820328925 Enrollment ID: I20231031003723 |
| Provider Name | Beverly Tse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730685173 PECOS PAC ID: 9830574169 Enrollment ID: I20231109001174 |
| Provider Name | Elizabeth Dorso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366057788 PECOS PAC ID: 2365890647 Enrollment ID: I20231127002777 |
| Provider Name | Roshini Zachariah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164953865 PECOS PAC ID: 3072883149 Enrollment ID: I20231128002208 |
| Provider Name | Santiago Alday |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144842444 PECOS PAC ID: 0446608475 Enrollment ID: I20231130002407 |
| Provider Name | Akshat Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073132478 PECOS PAC ID: 2860841210 Enrollment ID: I20231211000605 |
| Provider Name | Dustin Walters |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114122405 PECOS PAC ID: 7315176187 Enrollment ID: I20231214003222 |
| Provider Name | Alyssa Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558956771 PECOS PAC ID: 5890170443 Enrollment ID: I20231215001416 |
| Provider Name | Dyanne Tappin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407062417 PECOS PAC ID: 1355533704 Enrollment ID: I20231220000710 |
| Provider Name | Jessie R Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477012623 PECOS PAC ID: 4587992482 Enrollment ID: I20231222001332 |
| Provider Name | Jenna E Ward |
|---|---|
| Provider Type | Practitioner - Oral And Maxillofacial Pathology |
| Provider Identifiers | NPI Number: 1649678970 PECOS PAC ID: 6103111935 Enrollment ID: I20240124001561 |
| Provider Name | Medhat Ghaly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407218761 PECOS PAC ID: 9931494184 Enrollment ID: I20240130003507 |
| Provider Name | Brian Aprill |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588659023 PECOS PAC ID: 8325936412 Enrollment ID: I20240212003562 |
| Provider Name | Gunjal Garg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851520704 PECOS PAC ID: 1153477377 Enrollment ID: I20240213003739 |
| Provider Name | Kevin Staveley-ocarroll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679539803 PECOS PAC ID: 2668669201 Enrollment ID: I20240305000245 |
| Provider Name | Margaret Callahan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508098534 PECOS PAC ID: 9739313719 Enrollment ID: I20240306001138 |
| Provider Name | Rokshana Thanadar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538321286 PECOS PAC ID: 7618141557 Enrollment ID: I20240308002465 |
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