| University Physicians & Surgeons, Inc | |
|
1600 Medical Center Drive Huntington WV 25701 | |
| (304) 691-8722 | |
| (304) 691-8591 |
| Full Name | University Physicians & Surgeons, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1600 Medical Center Drive, Huntington, West Virginia |
| Authorized Official Name and Position | John Matt Straub (CFO) |
| Authorized Official Contact | 3046911284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Physicians & Surgeons, Inc 1600 Medical Center Drive Huntington WV 25701 Ph: (304) 691-8722 | University Physicians & Surgeons, Inc 1600 Medical Center Drive Huntington WV 25701 Ph: (304) 691-8722 |
| NPI Number | 1730183286 |
|---|---|
| Provider Enumeration Date | 06/10/2005 |
| Last Update Date | 09/20/2016 |
| Medicare PECOS PAC ID | 2961315734 |
|---|---|
| Medicare Enrollment ID | O20031107000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730183286 | NPI | - | NPPES |
| 65902892 | Medicaid | KY | |
| 0011305000 | Medicaid | WV | |
| 0393766 | Medicaid | OH |
| Provider Name | William T Myers |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1649273608 PECOS PAC ID: 2860399896 Enrollment ID: I20031218000539 |
| Provider Name | Diana R Stotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841297967 PECOS PAC ID: 2264331594 Enrollment ID: I20040107000045 |
| Provider Name | Suzanne M Celdran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437156551 PECOS PAC ID: 1456250687 Enrollment ID: I20040107000105 |
| Provider Name | Hyla M Harvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740249077 PECOS PAC ID: 2466353669 Enrollment ID: I20040120000556 |
| Provider Name | Ahmet H Ozturk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942206529 PECOS PAC ID: 6406753862 Enrollment ID: I20040129000025 |
| Provider Name | Pamela Rice Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326044918 PECOS PAC ID: 2163325085 Enrollment ID: I20040129000067 |
| Provider Name | John A Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477515252 PECOS PAC ID: 0446143788 Enrollment ID: I20040202001218 |
| Provider Name | Beth Ann White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598724353 PECOS PAC ID: 5092702159 Enrollment ID: I20040429000695 |
| Provider Name | Dixie H Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730186214 PECOS PAC ID: 2567445984 Enrollment ID: I20040608000816 |
| Provider Name | Charles E Giangarra |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205895000 PECOS PAC ID: 7214911080 Enrollment ID: I20040617001050 |
| Provider Name | Umapathy Sundaram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093820060 PECOS PAC ID: 7810972130 Enrollment ID: I20040621002001 |
| Provider Name | William Christopher Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619937851 PECOS PAC ID: 2567449770 Enrollment ID: I20040706001089 |
| Provider Name | Christine Lynn Gilkerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790740231 PECOS PAC ID: 0648250423 Enrollment ID: I20040722000491 |
| Provider Name | Mark A Hughes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427059526 PECOS PAC ID: 8729052683 Enrollment ID: I20040825000850 |
| Provider Name | Mary M Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891756953 PECOS PAC ID: 5799754875 Enrollment ID: I20040927000160 |
| Provider Name | David Garvin Chaffin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316906274 PECOS PAC ID: 6901865203 Enrollment ID: I20041004000270 |
| Provider Name | Darren Blaine Nease |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235199480 PECOS PAC ID: 1557321163 Enrollment ID: I20041018000415 |
| Provider Name | Patti J Marcum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134172208 PECOS PAC ID: 2668433624 Enrollment ID: I20041022000544 |
| Provider Name | Rameez Sayyed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811956659 PECOS PAC ID: 8729049473 Enrollment ID: I20041026000043 |
| Provider Name | Marc A Subik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922044221 PECOS PAC ID: 2668433483 Enrollment ID: I20041026000992 |
| Provider Name | Scott J Henry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982664116 PECOS PAC ID: 4082676747 Enrollment ID: I20041103001217 |
| Provider Name | Gregory S Hendricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487616868 PECOS PAC ID: 9830130319 Enrollment ID: I20050516000001 |
| Provider Name | Melissa D Lester |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609974708 PECOS PAC ID: 2961445846 Enrollment ID: I20050602000565 |
| Provider Name | Bobby L Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245294271 PECOS PAC ID: 2860438017 Enrollment ID: I20050628001301 |
| Provider Name | Erika M Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952363335 PECOS PAC ID: 6305873332 Enrollment ID: I20050721000510 |
| Provider Name | Christopher Harold Mckeand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992789838 PECOS PAC ID: 2961439583 Enrollment ID: I20050725001110 |
| Provider Name | Paul C Bown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326032764 PECOS PAC ID: 6507897030 Enrollment ID: I20050824001068 |
| Provider Name | Mary B Hogan |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1174603104 PECOS PAC ID: 9335173467 Enrollment ID: I20050919000896 |
| Provider Name | David C Jude |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295794592 PECOS PAC ID: 3971524760 Enrollment ID: I20051208000113 |
| Provider Name | Kevin J Conaway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629037908 PECOS PAC ID: 0143241935 Enrollment ID: I20051208000129 |
| Provider Name | Brenda L Mitchell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285693192 PECOS PAC ID: 6406877299 Enrollment ID: I20051208000137 |
| Provider Name | Lisa G Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659330553 PECOS PAC ID: 1850312646 Enrollment ID: I20051208000154 |
| Provider Name | William Neel Burns |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235198516 PECOS PAC ID: 2668493453 Enrollment ID: I20051208000165 |
| Provider Name | Jodi Michelle Cisco-goff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497714737 PECOS PAC ID: 3971524794 Enrollment ID: I20051208000425 |
| Provider Name | David A Denning |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982664694 PECOS PAC ID: 5193746683 Enrollment ID: I20051213000004 |
| Provider Name | Adel A Faltaous |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174582423 PECOS PAC ID: 6901827492 Enrollment ID: I20051213000012 |
| Provider Name | Ali Oliashirazi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821057621 PECOS PAC ID: 8729009212 Enrollment ID: I20051213000014 |
| Provider Name | Raj K Khanna |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1669432373 PECOS PAC ID: 4082635578 Enrollment ID: I20051213000021 |
| Provider Name | Curtis Wayne Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578523270 PECOS PAC ID: 9537180021 Enrollment ID: I20051213000029 |
| Provider Name | Heather Rae Aulick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073572897 PECOS PAC ID: 4981625407 Enrollment ID: I20051213000327 |
| Provider Name | Mark A Studeny |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326008517 PECOS PAC ID: 2769422013 Enrollment ID: I20051213000358 |
| Provider Name | Silvestre P Cansino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811956634 PECOS PAC ID: 3375564800 Enrollment ID: I20051213000369 |
| Provider Name | Paulette S Wehner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245299007 PECOS PAC ID: 1850312984 Enrollment ID: I20051216000009 |
| Provider Name | Ellen A Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740240936 PECOS PAC ID: 7012938152 Enrollment ID: I20051216000037 |
| Provider Name | Cynthia Z Pinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104879006 PECOS PAC ID: 9032130166 Enrollment ID: I20051221000325 |
| Provider Name | Robert B Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457315814 PECOS PAC ID: 6608898150 Enrollment ID: I20051227000294 |
| Provider Name | Ross M Patton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144282922 PECOS PAC ID: 7315969862 Enrollment ID: I20051227000302 |
| Provider Name | Stephen Michael Petrany |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760444566 PECOS PAC ID: 3274555735 Enrollment ID: I20051227000333 |
| Provider Name | Kathleen Ohanlon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538121850 PECOS PAC ID: 9234151796 Enrollment ID: I20051227000363 |
| Provider Name | Rabah Boukhemis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619937265 PECOS PAC ID: 0941222400 Enrollment ID: I20051227000381 |
| Provider Name | Warren M Shaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609838747 PECOS PAC ID: 0042232555 Enrollment ID: I20051228000045 |
| Provider Name | James B Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427019421 PECOS PAC ID: 9931121449 Enrollment ID: I20051228000069 |
| Provider Name | Tammy L Bannister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538129010 PECOS PAC ID: 6305868829 Enrollment ID: I20051228000176 |
| Provider Name | Kevin Scott Mccann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346201191 PECOS PAC ID: 2769404284 Enrollment ID: I20051228000185 |
| Provider Name | Charles Wesley Clements |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205897212 PECOS PAC ID: 1557383072 Enrollment ID: I20051228000212 |
| Provider Name | John E Cornell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811958820 PECOS PAC ID: 4981626322 Enrollment ID: I20051228000451 |
| Provider Name | Adam Michael Franks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063473072 PECOS PAC ID: 5799707139 Enrollment ID: I20051228000465 |
| Provider Name | Gary David Cremeans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821058439 PECOS PAC ID: 3779505110 Enrollment ID: I20051228000479 |
| Provider Name | John W Leidy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528174059 PECOS PAC ID: 3173545472 Enrollment ID: I20051230000185 |
| Provider Name | Ralph W Webb |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1609831627 PECOS PAC ID: 1254353550 Enrollment ID: I20051230000197 |
| Provider Name | Henry K Driscoll |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821053976 PECOS PAC ID: 8325060635 Enrollment ID: I20051230000206 |
| Provider Name | Kevin W Yingling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467417485 PECOS PAC ID: 1658393962 Enrollment ID: I20051230000232 |
| Provider Name | Lynne Janice Goebel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407811706 PECOS PAC ID: 8628090834 Enrollment ID: I20051230000254 |
| Provider Name | Imran T Khawaja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790740967 PECOS PAC ID: 8426070632 Enrollment ID: I20051230000277 |
| Provider Name | Mehiar Omar El-hamdani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932290939 PECOS PAC ID: 2860414026 Enrollment ID: I20060103000023 |
| Provider Name | Fuad M Zeid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134184526 PECOS PAC ID: 2860414034 Enrollment ID: I20060103000027 |
| Provider Name | Charles E Meadows |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750346318 PECOS PAC ID: 1850313024 Enrollment ID: I20060103000032 |
| Provider Name | Zeid J Khitan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881659555 PECOS PAC ID: 4486676657 Enrollment ID: I20060103000038 |
| Provider Name | Larry D Dial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215992847 PECOS PAC ID: 2668494832 Enrollment ID: I20060103000046 |
| Provider Name | Nesreen Abdurrahman Benhamed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992760425 PECOS PAC ID: 6709808975 Enrollment ID: I20060103000089 |
| Provider Name | Stephen Lawrence Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932172749 PECOS PAC ID: 5193739175 Enrollment ID: I20060130000057 |
| Provider Name | Kenneth B Avery |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154334696 PECOS PAC ID: 1052327558 Enrollment ID: I20060223000001 |
| Provider Name | Saroj Kumar Sigdel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568401339 PECOS PAC ID: 4082668082 Enrollment ID: I20060725000110 |
| Provider Name | Eduardo Pino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689638611 PECOS PAC ID: 7810900545 Enrollment ID: I20060726000049 |
| Provider Name | Zachary H Hansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902846645 PECOS PAC ID: 6002819265 Enrollment ID: I20060809000234 |
| Provider Name | Charles David Francis |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578548178 PECOS PAC ID: 4688678667 Enrollment ID: I20060906000001 |
| Provider Name | Jessie Shields |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023036290 PECOS PAC ID: 1951305481 Enrollment ID: I20060914000143 |
| Provider Name | Zach J Tankersley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528162161 PECOS PAC ID: 4183629074 Enrollment ID: I20060927000600 |
| Provider Name | James B Day |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346223880 PECOS PAC ID: 6901823566 Enrollment ID: I20061031000165 |
| Provider Name | Thomas Dougherty |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003890740 PECOS PAC ID: 7618974429 Enrollment ID: I20061108000286 |
| Provider Name | Ashraf M Elghul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225121585 PECOS PAC ID: 9830158849 Enrollment ID: I20070111000324 |
| Provider Name | Marie D Frazier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497812317 PECOS PAC ID: 3870691181 Enrollment ID: I20070611000468 |
| Provider Name | Hisham Ahmed Keblawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922144120 PECOS PAC ID: 4880792076 Enrollment ID: I20070612000570 |
| Provider Name | Jenna Bree Dolan Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598979635 PECOS PAC ID: 8325148786 Enrollment ID: I20070713000575 |
| Provider Name | Brian Stewart Dunlap |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386858421 PECOS PAC ID: 7719088616 Enrollment ID: I20070723000231 |
| Provider Name | Sara D Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861512758 PECOS PAC ID: 9032216833 Enrollment ID: I20070905000025 |
| Provider Name | Patricia Ann Lutz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558325571 PECOS PAC ID: 0345333225 Enrollment ID: I20070910000004 |
| Provider Name | Jeremy Dale Fuller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285713156 PECOS PAC ID: 5294829610 Enrollment ID: I20070917000212 |
| Provider Name | Ahmad R Nusair |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689644676 PECOS PAC ID: 2264446152 Enrollment ID: I20071009000570 |
| Provider Name | Mateen Munir Hotiana |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528267077 PECOS PAC ID: 7517053044 Enrollment ID: I20071015000498 |
| Provider Name | Anthony Alberico |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174581409 PECOS PAC ID: 6507955242 Enrollment ID: I20071204000417 |
| Provider Name | Norman C Cottrill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841254505 PECOS PAC ID: 4385726371 Enrollment ID: I20080130000081 |
| Provider Name | Lisa M Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124201165 PECOS PAC ID: 4183707771 Enrollment ID: I20080205000508 |
| Provider Name | Gina L Lathey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235326901 PECOS PAC ID: 4486738341 Enrollment ID: I20080301000086 |
| Provider Name | Mary Payne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316138324 PECOS PAC ID: 7315023223 Enrollment ID: I20080318000429 |
| Provider Name | Alan R Koester |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821067612 PECOS PAC ID: 6406951177 Enrollment ID: I20080319000507 |
| Provider Name | Lawrence Michael Wyner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790843316 PECOS PAC ID: 6103998166 Enrollment ID: I20080708000355 |
| Provider Name | Yolanda Y Campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881808152 PECOS PAC ID: 6901971241 Enrollment ID: I20080820000525 |
| Provider Name | Shannon Lea Browning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720293657 PECOS PAC ID: 3476629734 Enrollment ID: I20080910000312 |
| Provider Name | Felix H Cheung |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225252604 PECOS PAC ID: 8820181209 Enrollment ID: I20080915000295 |
| Provider Name | Natavoot Nick Chongswatdi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528272572 PECOS PAC ID: 5496814758 Enrollment ID: I20081101000097 |
| Provider Name | Ambryan L White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598979320 PECOS PAC ID: 5799842332 Enrollment ID: I20090325000609 |
| Provider Name | Steven R Novotny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336118991 PECOS PAC ID: 2466502851 Enrollment ID: I20090605000030 |
| Provider Name | Rida Mazagri |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003900051 PECOS PAC ID: 3678625233 Enrollment ID: I20090714000166 |
| Provider Name | Amy D Lochow |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336195171 PECOS PAC ID: 5193704807 Enrollment ID: I20090723000398 |
| Provider Name | Eva Patton Tackett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245445188 PECOS PAC ID: 5496801193 Enrollment ID: I20090922000431 |
| Provider Name | Krista Lynn Denning |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1558592741 PECOS PAC ID: 1355488503 Enrollment ID: I20091021000449 |
| Provider Name | Vincent A Graffeo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073680856 PECOS PAC ID: 4486754942 Enrollment ID: I20091119000345 |
| Provider Name | Deborah L Klimek |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356448948 PECOS PAC ID: 3971512153 Enrollment ID: I20100107000063 |
| Provider Name | Patricia Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144200346 PECOS PAC ID: 9032252614 Enrollment ID: I20100204000342 |
| Provider Name | James William Endicott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790782753 PECOS PAC ID: 0143364596 Enrollment ID: I20100223000400 |
| Provider Name | Jay Thomas Naegele |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922063502 PECOS PAC ID: 5698810455 Enrollment ID: I20100304000047 |
| Provider Name | Christopher Lee Dewese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386608040 PECOS PAC ID: 1456496876 Enrollment ID: I20100309000617 |
| Provider Name | Joseph William Werthammer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437113776 PECOS PAC ID: 4880781442 Enrollment ID: I20100316000689 |
| Provider Name | Bobby L Marcum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013069046 PECOS PAC ID: 4789719600 Enrollment ID: I20100317000786 |
| Provider Name | Joseph E Evans |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831153071 PECOS PAC ID: 3476689142 Enrollment ID: I20100405000357 |
| Provider Name | Jacqueline R Ray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891759759 PECOS PAC ID: 2769519149 Enrollment ID: I20100415000642 |
| Provider Name | John J Jasko |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891795209 PECOS PAC ID: 0042257123 Enrollment ID: I20100603000191 |
| Provider Name | Audra L Pritt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932308392 PECOS PAC ID: 1658403399 Enrollment ID: I20100716000066 |
| Provider Name | Susan L Flesher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588863948 PECOS PAC ID: 1456485424 Enrollment ID: I20100812000299 |
| Provider Name | Tina Renee Toler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518279546 PECOS PAC ID: 7315133923 Enrollment ID: I20101124001115 |
| Provider Name | Kristina M Bryant-melvin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114074002 PECOS PAC ID: 6507053337 Enrollment ID: I20101207000042 |
| Provider Name | Mohammed Al Ourani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245462290 PECOS PAC ID: 0446447197 Enrollment ID: I20101208000248 |
| Provider Name | Elizabeth A Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619176112 PECOS PAC ID: 6305033457 Enrollment ID: I20101215000321 |
| Provider Name | Amanda Pauley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366603383 PECOS PAC ID: 8224225370 Enrollment ID: I20101215000415 |
| Provider Name | Scott Robert Gibbs |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831191451 PECOS PAC ID: 7618912510 Enrollment ID: I20110210000076 |
| Provider Name | Chaundra Maddox |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1699739904 PECOS PAC ID: 8527240449 Enrollment ID: I20110314000209 |
| Provider Name | Paul B Ferguson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447459946 PECOS PAC ID: 1658559497 Enrollment ID: I20110628000021 |
| Provider Name | Yousef R Shweihat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407060015 PECOS PAC ID: 1759412034 Enrollment ID: I20110628000749 |
| Provider Name | Jackie R Stines |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023222197 PECOS PAC ID: 2567640147 Enrollment ID: I20110630000078 |
| Provider Name | Tracy Legrow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154602571 PECOS PAC ID: 3173795259 Enrollment ID: I20111014000106 |
| Provider Name | Amanda S Dye |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568626828 PECOS PAC ID: 9739352493 Enrollment ID: I20111026000143 |
| Provider Name | Teresa Lynn Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801180724 PECOS PAC ID: 7315111325 Enrollment ID: I20111130000649 |
| Provider Name | Raghda Sahloul |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962424903 PECOS PAC ID: 0042226995 Enrollment ID: I20120124000620 |
| Provider Name | Gregory D Borowski |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1962418921 PECOS PAC ID: 4486868510 Enrollment ID: I20120412000410 |
| Provider Name | Lori Beth Artrip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487932018 PECOS PAC ID: 9234392630 Enrollment ID: I20120523000034 |
| Provider Name | Adrienne Mays Kingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457589079 PECOS PAC ID: 6305093055 Enrollment ID: I20120831000059 |
| Provider Name | Tevin Michelle Gillette |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124373717 PECOS PAC ID: 7719134485 Enrollment ID: I20120831000246 |
| Provider Name | Sydnee Mcelroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790913317 PECOS PAC ID: 6204084536 Enrollment ID: I20120912000081 |
| Provider Name | Terra Lynn Oney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255687539 PECOS PAC ID: 4082862180 Enrollment ID: I20120914000362 |
| Provider Name | Jennifer M Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104019835 PECOS PAC ID: 7214010800 Enrollment ID: I20120918000458 |
| Provider Name | Justin Nolte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063610673 PECOS PAC ID: 1254592355 Enrollment ID: I20120919000196 |
| Provider Name | Michael I Anstead |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245259035 PECOS PAC ID: 9032288139 Enrollment ID: I20121013000044 |
| Provider Name | Joseph I Shapiro |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1194711572 PECOS PAC ID: 0042116402 Enrollment ID: I20121204000344 |
| Provider Name | Jennie L Yoost |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144300773 PECOS PAC ID: 9931231883 Enrollment ID: I20130205000442 |
| Provider Name | Amy L Garmestani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205910841 PECOS PAC ID: 3274548433 Enrollment ID: I20130429000516 |
| Provider Name | Samrina Hanif |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992852719 PECOS PAC ID: 2668567561 Enrollment ID: I20130820000486 |
| Provider Name | Cynthia L Massey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336344373 PECOS PAC ID: 3971746009 Enrollment ID: I20130821000459 |
| Provider Name | Beth B Emrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336339191 PECOS PAC ID: 4385887660 Enrollment ID: I20130905000864 |
| Provider Name | Jeffrey K Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326241035 PECOS PAC ID: 7810169323 Enrollment ID: I20130910000409 |
| Provider Name | Jodi H Biller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457798266 PECOS PAC ID: 2567606155 Enrollment ID: I20130920000786 |
| Provider Name | Joseph Michael De Lapa |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1346464963 PECOS PAC ID: 9830245463 Enrollment ID: I20131209000849 |
| Provider Name | Christy L Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164792198 PECOS PAC ID: 5799913315 Enrollment ID: I20140106000344 |
| Provider Name | Errington Casdale Thompson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134194111 PECOS PAC ID: 6406899913 Enrollment ID: I20140115001475 |
| Provider Name | Suzanne Holroyd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912032103 PECOS PAC ID: 6709894652 Enrollment ID: I20140325001562 |
| Provider Name | Viorel Raducan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992796684 PECOS PAC ID: 2163411562 Enrollment ID: I20140331001596 |
| Provider Name | Patricia A Stiltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184975138 PECOS PAC ID: 6204052699 Enrollment ID: I20140721001147 |
| Provider Name | Jan P Muizelaar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265415145 PECOS PAC ID: 4284681719 Enrollment ID: I20140811000524 |
| Provider Name | David P Rupp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811217284 PECOS PAC ID: 5294974671 Enrollment ID: I20140825002168 |
| Provider Name | Kathryn Emily Bell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619260965 PECOS PAC ID: 1557500238 Enrollment ID: I20140902002085 |
| Provider Name | Holly Anne Morning-fannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164834651 PECOS PAC ID: 7012133051 Enrollment ID: I20140905001089 |
| Provider Name | Andrea M Lauffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114247475 PECOS PAC ID: 1951548254 Enrollment ID: I20140905001185 |
| Provider Name | Stacey N Hensel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801043633 PECOS PAC ID: 6406075894 Enrollment ID: I20140917001491 |
| Provider Name | Sara K Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053352088 PECOS PAC ID: 2961622550 Enrollment ID: I20141002001005 |
| Provider Name | Jessica K Buerck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104146463 PECOS PAC ID: 5597903146 Enrollment ID: I20141006000520 |
| Provider Name | Jennifer K Gerlach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063705333 PECOS PAC ID: 6103050026 Enrollment ID: I20141022002540 |
| Provider Name | Chad David. Lavender |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932360955 PECOS PAC ID: 1355580960 Enrollment ID: I20141120000788 |
| Provider Name | Paul D Knowles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558390823 PECOS PAC ID: 3971630815 Enrollment ID: I20141231001162 |
| Provider Name | Ashley E Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619370632 PECOS PAC ID: 9436474889 Enrollment ID: I20150206001549 |
| Provider Name | Artina Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316205362 PECOS PAC ID: 8022257021 Enrollment ID: I20150325001791 |
| Provider Name | Skyler Tate Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881829349 PECOS PAC ID: 2860658739 Enrollment ID: I20150624001514 |
| Provider Name | Peter D Ray |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1477505956 PECOS PAC ID: 5991699266 Enrollment ID: I20150727000704 |
| Provider Name | Breanna Nicole Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669850616 PECOS PAC ID: 1951616838 Enrollment ID: I20150821012639 |
| Provider Name | James C Kitchen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1336300375 PECOS PAC ID: 2668660333 Enrollment ID: I20150904001807 |
| Provider Name | Jodi M Plumley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679832935 PECOS PAC ID: 5395983357 Enrollment ID: I20150928002715 |
| Provider Name | Kara A Cipriani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780067611 PECOS PAC ID: 1658689104 Enrollment ID: I20151001002727 |
| Provider Name | Aimee S Gue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891175790 PECOS PAC ID: 6406165554 Enrollment ID: I20151012002364 |
| Provider Name | Vishal Verma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316131865 PECOS PAC ID: 1850562190 Enrollment ID: I20151014000314 |
| Provider Name | Kelly L Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508248436 PECOS PAC ID: 3476862855 Enrollment ID: I20151026002284 |
| Provider Name | Michael James Chambers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568690915 PECOS PAC ID: 2860634912 Enrollment ID: I20151103002741 |
| Provider Name | Kelly M Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497121073 PECOS PAC ID: 2264742782 Enrollment ID: I20151112000284 |
| Provider Name | Michelle Hudson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750762720 PECOS PAC ID: 7618278094 Enrollment ID: I20151209002384 |
| Provider Name | Lana Bethanie Trent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760859433 PECOS PAC ID: 4880995109 Enrollment ID: I20151210001580 |
| Provider Name | Jeremiah H Bohren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477929214 PECOS PAC ID: 8820399637 Enrollment ID: I20151221002580 |
| Provider Name | Alexis M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265808422 PECOS PAC ID: 6901107671 Enrollment ID: I20151222002120 |
| Provider Name | Sandra J Napier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396129821 PECOS PAC ID: 3678876224 Enrollment ID: I20160114002405 |
| Provider Name | Sarah Louise Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831575208 PECOS PAC ID: 7214230788 Enrollment ID: I20160119000073 |
| Provider Name | Caitlin I Hazlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093185837 PECOS PAC ID: 5799088027 Enrollment ID: I20160120002919 |
| Provider Name | Julie E Pyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912364118 PECOS PAC ID: 5991001992 Enrollment ID: I20160316001513 |
| Provider Name | Susan M. Lovejoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578994349 PECOS PAC ID: 6800193160 Enrollment ID: I20160331001072 |
| Provider Name | Joey A Roy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346246741 PECOS PAC ID: 2961704614 Enrollment ID: I20160525001037 |
| Provider Name | Jessica Rowe Vogt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336599737 PECOS PAC ID: 2860786142 Enrollment ID: I20160809002473 |
| Provider Name | Katherine J Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003251810 PECOS PAC ID: 2668613050 Enrollment ID: I20160923001792 |
| Provider Name | Juan R Sanabria |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649296237 PECOS PAC ID: 2264494574 Enrollment ID: I20161003000701 |
| Provider Name | Shannon Bartoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992150452 PECOS PAC ID: 0547558710 Enrollment ID: I20161004002627 |
| Provider Name | Jared T Brownfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730448291 PECOS PAC ID: 0749429678 Enrollment ID: I20161005001509 |
| Provider Name | Carolyn A Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720423759 PECOS PAC ID: 8729228044 Enrollment ID: I20161018000187 |
| Provider Name | Stephen A Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194160010 PECOS PAC ID: 1759512866 Enrollment ID: I20161021000563 |
| Provider Name | Leah R Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841627965 PECOS PAC ID: 4880823228 Enrollment ID: I20161107000013 |
| Provider Name | Charles A Gilliland |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1366646192 PECOS PAC ID: 5799955324 Enrollment ID: I20161115001717 |
| Provider Name | Rachel B. Beirne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548715840 PECOS PAC ID: 5991085250 Enrollment ID: I20161205000509 |
| Provider Name | Allissa N Caudill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548558695 PECOS PAC ID: 7911209283 Enrollment ID: I20170103000745 |
| Provider Name | Kati Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790237691 PECOS PAC ID: 8820370687 Enrollment ID: I20170131002027 |
| Provider Name | John Dinsmore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275501231 PECOS PAC ID: 0244236297 Enrollment ID: I20170203000686 |
| Provider Name | Amro Al-astal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396193769 PECOS PAC ID: 3971886896 Enrollment ID: I20170220000316 |
| Provider Name | James M Waldeck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760446637 PECOS PAC ID: 3476820358 Enrollment ID: I20170524001817 |
| Provider Name | Akshay Goel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659652451 PECOS PAC ID: 1951572601 Enrollment ID: I20170612001187 |
| Provider Name | Sandra B Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093256836 PECOS PAC ID: 4587934195 Enrollment ID: I20170714000056 |
| Provider Name | Amy A Roy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538504428 PECOS PAC ID: 2365674553 Enrollment ID: I20170809001154 |
| Provider Name | Bisher O Mustafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205361292 PECOS PAC ID: 4688946494 Enrollment ID: I20170814002545 |
| Provider Name | Lee Aaron Van Horn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215347729 PECOS PAC ID: 8921225525 Enrollment ID: I20170828001914 |
| Provider Name | Jennifer Mills Price |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225339153 PECOS PAC ID: 2062786056 Enrollment ID: I20170914000326 |
| Provider Name | Nicolas Phan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437328192 PECOS PAC ID: 5890854566 Enrollment ID: I20171006002585 |
| Provider Name | Molly E Kirkland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386175511 PECOS PAC ID: 6608141114 Enrollment ID: I20171010001528 |
| Provider Name | Andrew R Leventhal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508986498 PECOS PAC ID: 6204010853 Enrollment ID: I20171011002394 |
| Provider Name | Susanna Antoinette Kapourales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265726681 PECOS PAC ID: 1355586470 Enrollment ID: I20171012002050 |
| Provider Name | Christina A Hensley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326458829 PECOS PAC ID: 2062631922 Enrollment ID: I20171104000015 |
| Provider Name | Lesly A Hollon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912392432 PECOS PAC ID: 6406162502 Enrollment ID: I20171211000676 |
| Provider Name | Kate M Waldeck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003175654 PECOS PAC ID: 4082915947 Enrollment ID: I20171212001038 |
| Provider Name | Hillary N Porter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073871083 PECOS PAC ID: 5991086217 Enrollment ID: I20171220001024 |
| Provider Name | Jessica D Meek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528562162 PECOS PAC ID: 3375806474 Enrollment ID: I20180423002692 |
| Provider Name | Matthew W Bullock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316171580 PECOS PAC ID: 9133373624 Enrollment ID: I20180604000297 |
| Provider Name | Alex T Caughran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750640991 PECOS PAC ID: 8325261969 Enrollment ID: I20180730002799 |
| Provider Name | Jessica Elaine Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619216736 PECOS PAC ID: 6507114006 Enrollment ID: I20180731001614 |
| Provider Name | Nathan Andrew Vaughan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780659706 PECOS PAC ID: 8224935390 Enrollment ID: I20180823002515 |
| Provider Name | Farzad Amiri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881952752 PECOS PAC ID: 1355691825 Enrollment ID: I20180904001158 |
| Provider Name | Casey D Patick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306232566 PECOS PAC ID: 2860742111 Enrollment ID: I20180906002151 |
| Provider Name | Dewey S Murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710304019 PECOS PAC ID: 8325266786 Enrollment ID: I20180917000139 |
| Provider Name | Lora Beth Fetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871913368 PECOS PAC ID: 6002033990 Enrollment ID: I20181031002790 |
| Provider Name | Rachel E Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093297947 PECOS PAC ID: 7214281633 Enrollment ID: I20181121000003 |
| Provider Name | Tara Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942782388 PECOS PAC ID: 4385998640 Enrollment ID: I20181126003718 |
| Provider Name | Rose Mary Ayoob |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023234879 PECOS PAC ID: 6709040074 Enrollment ID: I20181129001108 |
| Provider Name | Mohammed A Aljasmi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821376807 PECOS PAC ID: 2668604257 Enrollment ID: I20181211000349 |
| Provider Name | Xavier Villa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659381853 PECOS PAC ID: 5799781324 Enrollment ID: I20181222000367 |
| Provider Name | Carlos A Rueda Rios |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154617678 PECOS PAC ID: 5799081519 Enrollment ID: I20181228000979 |
| Provider Name | Ghassan Salim Issa Bandak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023397114 PECOS PAC ID: 6002049459 Enrollment ID: I20190215001901 |
| Provider Name | Jorge I Lopez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982652657 PECOS PAC ID: 8224931332 Enrollment ID: I20190219002160 |
| Provider Name | Michael G Haney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467564997 PECOS PAC ID: 7810174828 Enrollment ID: I20190308001633 |
| Provider Name | Olivia M Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053875476 PECOS PAC ID: 4486995008 Enrollment ID: I20190409001786 |
| Provider Name | Jordan L Gaal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295199024 PECOS PAC ID: 7012258635 Enrollment ID: I20190409001793 |
| Provider Name | Meredith L Bentley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396109278 PECOS PAC ID: 8022359561 Enrollment ID: I20190409003233 |
| Provider Name | Janice Lenora Hostetter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194172924 PECOS PAC ID: 3375884620 Enrollment ID: I20190415000487 |
| Provider Name | Nathan Boggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205393741 PECOS PAC ID: 0143563106 Enrollment ID: I20190515002457 |
| Provider Name | Allison K Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306300785 PECOS PAC ID: 4880937150 Enrollment ID: I20190530001524 |
| Provider Name | Jesse Cottrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679832075 PECOS PAC ID: 0345489290 Enrollment ID: I20190627002926 |
| Provider Name | Shane Edward Cook |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942694971 PECOS PAC ID: 4486956570 Enrollment ID: I20190726002922 |
| Provider Name | Mack J Arroliga |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1669883351 PECOS PAC ID: 5890912554 Enrollment ID: I20190808000288 |
| Provider Name | Dana S Lycans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003251851 PECOS PAC ID: 8325273774 Enrollment ID: I20190903000186 |
| Provider Name | Jason Palmer Mader |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508132960 PECOS PAC ID: 5799916821 Enrollment ID: I20191008001419 |
| Provider Name | Murad Md Kheetan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326453952 PECOS PAC ID: 2365661907 Enrollment ID: I20191022003944 |
| Provider Name | Sajeel Rehmat Khan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1023337961 PECOS PAC ID: 5092015032 Enrollment ID: I20191029001764 |
| Provider Name | Ahlim Al.sanani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1902215908 PECOS PAC ID: 2961622212 Enrollment ID: I20191113000159 |
| Provider Name | Elizabeth Anne Endicott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447614326 PECOS PAC ID: 8729410758 Enrollment ID: I20191113002292 |
| Provider Name | Monica Nadine Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336614957 PECOS PAC ID: 7416389044 Enrollment ID: I20191119002634 |
| Provider Name | Semeret T Munie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669735890 PECOS PAC ID: 4981836285 Enrollment ID: I20191120000822 |
| Provider Name | Adnan S Elghezewi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407295959 PECOS PAC ID: 7911294731 Enrollment ID: I20191220000049 |
| Provider Name | Mariana M Lanata Piazzon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104268531 PECOS PAC ID: 3072949239 Enrollment ID: I20200206000624 |
| Provider Name | Shawndra Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831543008 PECOS PAC ID: 2466743604 Enrollment ID: I20200224002523 |
| Provider Name | Lynn Catherine Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508208117 PECOS PAC ID: 7911334842 Enrollment ID: I20200305000462 |
| Provider Name | Rebecca C Barnett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932370046 PECOS PAC ID: 1456789304 Enrollment ID: I20200309000318 |
| Provider Name | Bethany A Perrine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780234898 PECOS PAC ID: 0244668713 Enrollment ID: I20200316001412 |
| Provider Name | William E Nichols |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245358258 PECOS PAC ID: 2365466448 Enrollment ID: I20200327001495 |
| Provider Name | Britani S Black |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750915286 PECOS PAC ID: 5698104156 Enrollment ID: I20200403001393 |
| Provider Name | Megan Midkiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578102778 PECOS PAC ID: 0446680581 Enrollment ID: I20200414000573 |
| Provider Name | Amanda Jane Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962024257 PECOS PAC ID: 9335560218 Enrollment ID: I20200601002322 |
| Provider Name | Ahmed Sherif |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750492096 PECOS PAC ID: 2163491069 Enrollment ID: I20200608001670 |
| Provider Name | Kristin Melissa Sinning |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902292097 PECOS PAC ID: 1759634900 Enrollment ID: I20200609000556 |
| Provider Name | Ana Maria Gonzalez-cadavid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235511098 PECOS PAC ID: 1456773480 Enrollment ID: I20200622001226 |
| Provider Name | Pramod Pantangi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457667602 PECOS PAC ID: 5890068779 Enrollment ID: I20200629003183 |
| Provider Name | Wesam M Frandah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457589426 PECOS PAC ID: 4284929811 Enrollment ID: I20200629003378 |
| Provider Name | Morgan C Stickler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942735220 PECOS PAC ID: 9739457243 Enrollment ID: I20200717001733 |
| Provider Name | Christopher Raymond Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760023675 PECOS PAC ID: 3072937929 Enrollment ID: I20200723003836 |
| Provider Name | Jared S Hollinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861871097 PECOS PAC ID: 7113237587 Enrollment ID: I20200813000944 |
| Provider Name | Richard Asher Sexton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013442383 PECOS PAC ID: 3678841186 Enrollment ID: I20200817002171 |
| Provider Name | Michael Wayne Hughart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376160176 PECOS PAC ID: 9638595770 Enrollment ID: I20200819002233 |
| Provider Name | Hesham Mohammed Mubarak Awadh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912381922 PECOS PAC ID: 4789991910 Enrollment ID: I20200909001419 |
| Provider Name | Marco Y Yung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578856647 PECOS PAC ID: 5294029153 Enrollment ID: I20200924000276 |
| Provider Name | Asmar Nayyar |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1114379195 PECOS PAC ID: 5193002814 Enrollment ID: I20201008000694 |
| Provider Name | Taylor R Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427676923 PECOS PAC ID: 5496165532 Enrollment ID: I20201102000516 |
| Provider Name | Dathan L Jobe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235747106 PECOS PAC ID: 1355751850 Enrollment ID: I20201112002243 |
| Provider Name | Tarake M Aljarod |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225476161 PECOS PAC ID: 5092019570 Enrollment ID: I20201124002375 |
| Provider Name | Maria Heck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255958922 PECOS PAC ID: 8921419417 Enrollment ID: I20201207000324 |
| Provider Name | Jason H Malenfant |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578976411 PECOS PAC ID: 4789936808 Enrollment ID: I20210120002447 |
| Provider Name | Natalie R Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053978320 PECOS PAC ID: 3678903853 Enrollment ID: I20210125002486 |
| Provider Name | Jeffery D Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265725535 PECOS PAC ID: 3577702935 Enrollment ID: I20210202002515 |
| Provider Name | Heather E Mains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962000133 PECOS PAC ID: 5597175851 Enrollment ID: I20210224001168 |
| Provider Name | Jeremy L Mount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679186241 PECOS PAC ID: 6608282652 Enrollment ID: I20210317000964 |
| Provider Name | Sheila R Feaster |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972739548 PECOS PAC ID: 2264660125 Enrollment ID: I20210505000833 |
| Provider Name | Alexander M Tschantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245827054 PECOS PAC ID: 8820497043 Enrollment ID: I20210520000959 |
| Provider Name | Courtney D Wellman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427583715 PECOS PAC ID: 0648548164 Enrollment ID: I20210607000259 |
| Provider Name | Cynthia Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093203903 PECOS PAC ID: 8426458670 Enrollment ID: I20210610000535 |
| Provider Name | Roger D Robertson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275823544 PECOS PAC ID: 1557660248 Enrollment ID: I20210629000463 |
| Provider Name | Emily S Sloane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639604846 PECOS PAC ID: 9739433822 Enrollment ID: I20210714002565 |
| Provider Name | Kasey D Stickler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285169565 PECOS PAC ID: 6204104714 Enrollment ID: I20210716002056 |
| Provider Name | Jacob M Lyon |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1194254441 PECOS PAC ID: 9739582834 Enrollment ID: I20210727003407 |
| Provider Name | Michelle Worthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740716448 PECOS PAC ID: 9830461961 Enrollment ID: I20210729001625 |
| Provider Name | Matthew E Krantz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467862904 PECOS PAC ID: 1052633781 Enrollment ID: I20210729003353 |
| Provider Name | Jacob Tyler Kilgore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447695424 PECOS PAC ID: 5991939811 Enrollment ID: I20210819002378 |
| Provider Name | Tejas V Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932635091 PECOS PAC ID: 9133499791 Enrollment ID: I20210830002573 |
| Provider Name | Troy Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811423437 PECOS PAC ID: 0840562971 Enrollment ID: I20210902002727 |
| Provider Name | Jason Dean Adams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265880512 PECOS PAC ID: 8820384449 Enrollment ID: I20210903002090 |
| Provider Name | Heather Nicole Pinckard Dover |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578906533 PECOS PAC ID: 1153648902 Enrollment ID: I20210913002792 |
| Provider Name | Kamran Zaheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538658133 PECOS PAC ID: 9234481391 Enrollment ID: I20210915003542 |
| Provider Name | Christopher Luke Damron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780070938 PECOS PAC ID: 1355696295 Enrollment ID: I20210917001052 |
| Provider Name | Britni R Courts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881356806 PECOS PAC ID: 5395143614 Enrollment ID: I20211018000446 |
| Provider Name | Khalid Abozguia |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265773105 PECOS PAC ID: 1052548583 Enrollment ID: I20211025002937 |
| Provider Name | Theresa Hysell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831868827 PECOS PAC ID: 5991194698 Enrollment ID: I20211118002380 |
| Provider Name | Jacqulyn Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174133243 PECOS PAC ID: 8628467222 Enrollment ID: I20211122000954 |
| Provider Name | James H Nottingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063177202 PECOS PAC ID: 8729472121 Enrollment ID: I20220301001551 |
| Provider Name | Srivani Punna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972098663 PECOS PAC ID: 0345632386 Enrollment ID: I20220406002274 |
| Provider Name | Brady Kullen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508421397 PECOS PAC ID: 3870970395 Enrollment ID: I20220520002478 |
| Provider Name | Miranda Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215357991 PECOS PAC ID: 9537433123 Enrollment ID: I20220525002251 |
| Provider Name | Lauren M Tufts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225528680 PECOS PAC ID: 1557749835 Enrollment ID: I20220526002339 |
| Provider Name | Mallory Morris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275023632 PECOS PAC ID: 8527447317 Enrollment ID: I20220624002041 |
| Provider Name | Jessica Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245972710 PECOS PAC ID: 2668851320 Enrollment ID: I20220627001469 |
| Provider Name | Alicia M Heyward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336503218 PECOS PAC ID: 9638404916 Enrollment ID: I20220630001234 |
| Provider Name | Melinda D Becker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508252297 PECOS PAC ID: 9739592668 Enrollment ID: I20220729002119 |
| Provider Name | Kathryn B Thornton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093209470 PECOS PAC ID: 2466798749 Enrollment ID: I20220803000108 |
| Provider Name | Charity M Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598400756 PECOS PAC ID: 6709268915 Enrollment ID: I20220804003015 |
| Provider Name | Allyn M Small |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689134843 PECOS PAC ID: 8224367958 Enrollment ID: I20220811001338 |
| Provider Name | Justyn D Blankenship |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639605124 PECOS PAC ID: 4688923279 Enrollment ID: I20220819002439 |
| Provider Name | Oluwadamilare Ajayi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740770106 PECOS PAC ID: 0840674784 Enrollment ID: I20220826001165 |
| Provider Name | Mohamed Alshal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1760907489 PECOS PAC ID: 4486038221 Enrollment ID: I20220829001958 |
| Provider Name | Juan S Proano Coello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952752628 PECOS PAC ID: 9931447976 Enrollment ID: I20220829002091 |
| Provider Name | Salem Badr |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396189205 PECOS PAC ID: 0749514669 Enrollment ID: I20220906002874 |
| Provider Name | Rachelle Barthelemy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173278 PECOS PAC ID: 2163709049 Enrollment ID: I20220906003391 |
| Provider Name | Rakan Saleh A Albalawy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1720411697 PECOS PAC ID: 7113345414 Enrollment ID: I20220912001847 |
| Provider Name | Henin A Alsamarraie |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033630389 PECOS PAC ID: 1557784733 Enrollment ID: I20220926000924 |
| Provider Name | Maria G Luzuriaga Bassante |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013368505 PECOS PAC ID: 7719363944 Enrollment ID: I20220926002111 |
| Provider Name | Ahmad Mahdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427605690 PECOS PAC ID: 5092191023 Enrollment ID: I20220928003510 |
| Provider Name | Maen Kamal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437447067 PECOS PAC ID: 3072744127 Enrollment ID: I20221003002256 |
| Provider Name | Julie Sturgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790063063 PECOS PAC ID: 2567634942 Enrollment ID: I20221005001205 |
| Provider Name | Hannah R Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720745185 PECOS PAC ID: 6709261423 Enrollment ID: I20221008000185 |
| Provider Name | April Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033842125 PECOS PAC ID: 7113393414 Enrollment ID: I20221011002056 |
| Provider Name | Andrea Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972239150 PECOS PAC ID: 4284001611 Enrollment ID: I20221027002223 |
| Provider Name | Emily S Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578128773 PECOS PAC ID: 4385971761 Enrollment ID: I20221108001174 |
| Provider Name | Kyle Tackett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659827913 PECOS PAC ID: 2365819059 Enrollment ID: I20221109002763 |
| Provider Name | Kristen T Honaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285355305 PECOS PAC ID: 9234507674 Enrollment ID: I20221116001828 |
| Provider Name | Courtney B Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679208656 PECOS PAC ID: 5092183673 Enrollment ID: I20221202000403 |
| Provider Name | Micah Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750002317 PECOS PAC ID: 6406225069 Enrollment ID: I20221205000405 |
| Provider Name | Rahman G Barry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1275967838 PECOS PAC ID: 7416191309 Enrollment ID: I20221205001116 |
| Provider Name | Rahoma S Saad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346697273 PECOS PAC ID: 0749576353 Enrollment ID: I20221205002923 |
| Provider Name | Madison Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790246023 PECOS PAC ID: 4789913492 Enrollment ID: I20221221000168 |
| Provider Name | Drew Skeens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104559541 PECOS PAC ID: 2567832553 Enrollment ID: I20230109002091 |
| Provider Name | Amit Singla |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396271656 PECOS PAC ID: 7810255023 Enrollment ID: I20230207001344 |
| Provider Name | Alison Rebecca Hanlein Demick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093367880 PECOS PAC ID: 9739572983 Enrollment ID: I20230223003079 |
| Provider Name | Kyle Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992360754 PECOS PAC ID: 1951774751 Enrollment ID: I20230227000112 |
| Provider Name | Yosef Greenspon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942364690 PECOS PAC ID: 3577665090 Enrollment ID: I20230316001591 |
| Provider Name | Montana Wayne Wamsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619683067 PECOS PAC ID: 1355716515 Enrollment ID: I20230331002337 |
| Provider Name | Joseph Anthony Iocono |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528024890 PECOS PAC ID: 3577743954 Enrollment ID: I20230412002633 |
| Provider Name | Zachary Curtis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336674290 PECOS PAC ID: 3375815673 Enrollment ID: I20230607000227 |
| Provider Name | James T Reagan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821433673 PECOS PAC ID: 3072748250 Enrollment ID: I20230630001051 |
| Provider Name | Susan Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295211027 PECOS PAC ID: 0345600433 Enrollment ID: I20230720004018 |
| Provider Name | Yanina G Nikolaus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336630805 PECOS PAC ID: 7911256243 Enrollment ID: I20230727000088 |
| Provider Name | Savannah D Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013679547 PECOS PAC ID: 6507255353 Enrollment ID: I20230802003883 |
| Provider Name | Ameer Quadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700407723 PECOS PAC ID: 2668896325 Enrollment ID: I20230809002339 |
| Provider Name | Justin Gandee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588229371 PECOS PAC ID: 8527420108 Enrollment ID: I20230814002702 |
| Provider Name | Matthew A Burton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144756180 PECOS PAC ID: 3072881846 Enrollment ID: I20230815002070 |
| Provider Name | Cameron Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891488656 PECOS PAC ID: 0840652095 Enrollment ID: I20230818003516 |
| Provider Name | George Linsenmeyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003842246 PECOS PAC ID: 4880616309 Enrollment ID: I20230907002355 |
| Provider Name | Aouod Agenor |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1922686641 PECOS PAC ID: 7012371875 Enrollment ID: I20230912002433 |
| Provider Name | Gabriel Urbelz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174151609 PECOS PAC ID: 6507220068 Enrollment ID: I20230915003522 |
| Provider Name | Mikelle Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093598781 PECOS PAC ID: 4587018239 Enrollment ID: I20230928001963 |
| Provider Name | Micaela R Owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407351877 PECOS PAC ID: 6103178173 Enrollment ID: I20231004003994 |
| Provider Name | Sarena Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831870773 PECOS PAC ID: 8527413749 Enrollment ID: I20231009001023 |
| Provider Name | Angela Thorp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659936136 PECOS PAC ID: 1052766201 Enrollment ID: I20231009002253 |
| Provider Name | Jenalee Anne Corsello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164958849 PECOS PAC ID: 3274987367 Enrollment ID: I20231009003379 |
| Provider Name | Faith Cole |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801403522 PECOS PAC ID: 9739535857 Enrollment ID: I20231026000722 |
| Provider Name | Abdullah Shabarek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205331410 PECOS PAC ID: 8022369693 Enrollment ID: I20231030001402 |
| Provider Name | Kristyn A Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710669502 PECOS PAC ID: 7315394848 Enrollment ID: I20231106001715 |
| Provider Name | Leeja Joseph |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316433659 PECOS PAC ID: 4385997287 Enrollment ID: I20231120001315 |
| Provider Name | Saadia Haleema |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336663707 PECOS PAC ID: 9830547272 Enrollment ID: I20231127001088 |
| Provider Name | Kirsten Graff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750708046 PECOS PAC ID: 8729380472 Enrollment ID: I20231229001451 |
| Provider Name | Melissa Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780463851 PECOS PAC ID: 4880045442 Enrollment ID: I20240108004403 |
| Provider Name | Waqas Mahmud |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992158752 PECOS PAC ID: 5092008219 Enrollment ID: I20240122000101 |
| Provider Name | Muhammad Haq |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790895746 PECOS PAC ID: 7618973843 Enrollment ID: I20240220003270 |
| Provider Name | David Gozal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164406153 PECOS PAC ID: 1456337898 Enrollment ID: I20240226000655 |
| Provider Name | Haitam Mohamad Buaisha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558770743 PECOS PAC ID: 4486933678 Enrollment ID: I20240226002654 |
| Provider Name | John Henry Mcaulay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750155156 PECOS PAC ID: 5890131239 Enrollment ID: I20240307004377 |
Huntington Pediatric Dentistry & Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 451 Kinetic Drive, Huntington, WV 25701 Phone: 304-781-8600 Fax: 304-781-8601 | |
James T Hall Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2547 Third Avenue, Huntington, WV 25703 Phone: 304-525-6441 Fax: 304-525-4802 | |
Ovp Health Care Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1423 3rd Ave, Huntington, WV 25701 Phone: 304-691-0700 | |
Huntington Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1306 Commerce Ave, Huntington, WV 25701 Phone: 304-697-7190 | |
Mt State Oral & Maxillofacial Surgeons Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3135 16th Street Rd, Suite 20, Huntington, WV 25701 Phone: 304-399-1092 | |
Dr. Steven B. Nicholas, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5187 Us Route 60 Ste 7, Huntington, WV 25705 Phone: 304-736-8620 | |
Valley Health Spring Valley High (dental) Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Timberwolfe Dr, Huntington, WV 25704 Phone: 304-429-1764 |