| Cchs Pmri | |
|
3506 Kennett Pike, Pmri, Wilmington, DE 19807-3019 | |
| (302) 661-3000 | |
| (302) 661-3470 |
| Full Name | Cchs Pmri |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 3506 Kennett Pike, Wilmington, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770568107 | NPI | - | NPPES |
| 1770568107 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (NU) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (NU) | Primary |
| 363L00000X | Nurse Practitioner | (NU) | Secondary |
| Provider Name | Ellen E Radziewicz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750432027 PECOS PAC ID: 4789586934 Enrollment ID: I20040127000323 |
| Provider Name | Maria E Soler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689652414 PECOS PAC ID: 6103729363 Enrollment ID: I20040127001045 |
| Provider Name | Heather Bittner-fagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013995059 PECOS PAC ID: 1850294026 Enrollment ID: I20040127001096 |
| Provider Name | John A Donnelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821064064 PECOS PAC ID: 7911800610 Enrollment ID: I20040129001110 |
| Provider Name | Hung Q Dam |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1053374181 PECOS PAC ID: 2264325935 Enrollment ID: I20040205000942 |
| Provider Name | Jamil Khatri |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1427008622 PECOS PAC ID: 8022903756 Enrollment ID: I20040220000145 |
| Provider Name | Pavni Patel |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1457323362 PECOS PAC ID: 2466348099 Enrollment ID: I20040223000331 |
| Provider Name | Mandip Singh Gakhal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558320234 PECOS PAC ID: 6901792928 Enrollment ID: I20040226000289 |
| Provider Name | Xiang S Liu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134188840 PECOS PAC ID: 2668368580 Enrollment ID: I20040226000349 |
| Provider Name | Carol A Tavani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053386441 PECOS PAC ID: 0042106718 Enrollment ID: I20040227000656 |
| Provider Name | Edward F Ewen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336271436 PECOS PAC ID: 0749178440 Enrollment ID: I20040305000131 |
| Provider Name | John J Kelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659303634 PECOS PAC ID: 6800784299 Enrollment ID: I20040308000787 |
| Provider Name | Mark E Zweben |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720067077 PECOS PAC ID: 4183512353 Enrollment ID: I20040309000564 |
| Provider Name | Janine M Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164400289 PECOS PAC ID: 2860484151 Enrollment ID: I20040330000474 |
| Provider Name | Kirsten A Hauer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922100023 PECOS PAC ID: 0648262956 Enrollment ID: I20040330000571 |
| Provider Name | David Meyer Cohen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306907902 PECOS PAC ID: 5193717411 Enrollment ID: I20040330000656 |
| Provider Name | Alberto Iaia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336108026 PECOS PAC ID: 4082609300 Enrollment ID: I20040416000861 |
| Provider Name | Carlos Flores |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235199365 PECOS PAC ID: 9931194271 Enrollment ID: I20040416001010 |
| Provider Name | John L Mccormack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750341780 PECOS PAC ID: 3971598145 Enrollment ID: I20040416001285 |
| Provider Name | Vincenzo Scotto D Antuono |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811962855 PECOS PAC ID: 7618963513 Enrollment ID: I20040424000417 |
| Provider Name | Neeta P Milasincic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972682722 PECOS PAC ID: 4981691250 Enrollment ID: I20040428000970 |
| Provider Name | Piamsook Angkeow |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568439461 PECOS PAC ID: 8022005222 Enrollment ID: I20040429000188 |
| Provider Name | Masood A Siddiqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740268010 PECOS PAC ID: 3274522669 Enrollment ID: I20040511000256 |
| Provider Name | Arlene J Smalls |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790760593 PECOS PAC ID: 8628068756 Enrollment ID: I20040512001178 |
| Provider Name | Michael A Dignazio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386603165 PECOS PAC ID: 6406847383 Enrollment ID: I20040519001537 |
| Provider Name | Muhammad Haq |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437150125 PECOS PAC ID: 4981685807 Enrollment ID: I20040526001559 |
| Provider Name | Helen Chang-deguzman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710989926 PECOS PAC ID: 9931180718 Enrollment ID: I20040527000281 |
| Provider Name | Alan L Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598741100 PECOS PAC ID: 5991786592 Enrollment ID: I20040528000699 |
| Provider Name | Christopher Zebley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780663955 PECOS PAC ID: 5597740001 Enrollment ID: I20040621000164 |
| Provider Name | Warren G Butt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427129436 PECOS PAC ID: 7416851415 Enrollment ID: I20040708001316 |
| Provider Name | Anthony E Munson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659323921 PECOS PAC ID: 9436139755 Enrollment ID: I20040726000508 |
| Provider Name | Sandeep K Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972577005 PECOS PAC ID: 8224928874 Enrollment ID: I20040729000653 |
| Provider Name | Janice K Balas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851322564 PECOS PAC ID: 0143290510 Enrollment ID: I20040731000147 |
| Provider Name | Jeffrey Henderer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730173410 PECOS PAC ID: 5092786129 Enrollment ID: I20040803000989 |
| Provider Name | Heather Focht Dealy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1265424170 PECOS PAC ID: 0941272447 Enrollment ID: I20040806000133 |
| Provider Name | Cheryl Ann Lonabaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659468114 PECOS PAC ID: 1254305584 Enrollment ID: I20040823001325 |
| Provider Name | Anthony Charles Sciscione |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447341920 PECOS PAC ID: 7315912995 Enrollment ID: I20040827000377 |
| Provider Name | Alexander M Jacobson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639199169 PECOS PAC ID: 3173590114 Enrollment ID: I20040910000533 |
| Provider Name | Erwin Suh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881636173 PECOS PAC ID: 5294702098 Enrollment ID: I20040913000105 |
| Provider Name | David M Fink |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255338844 PECOS PAC ID: 6709853054 Enrollment ID: I20040916000137 |
| Provider Name | Heather L Farley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952389769 PECOS PAC ID: 7113986266 Enrollment ID: I20041005001113 |
| Provider Name | Robin Jean Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598730723 PECOS PAC ID: 9739073586 Enrollment ID: I20041021000059 |
| Provider Name | Carlos Emilio Reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588682884 PECOS PAC ID: 9537135538 Enrollment ID: I20041023000207 |
| Provider Name | Camille Goodspeed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689673337 PECOS PAC ID: 0143282509 Enrollment ID: I20041028000930 |
| Provider Name | Jason Nace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477531275 PECOS PAC ID: 1355304056 Enrollment ID: I20041104000196 |
| Provider Name | Kenneth L Nukuna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932189123 PECOS PAC ID: 8628963469 Enrollment ID: I20041110000960 |
| Provider Name | Jon C Yeargan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184698201 PECOS PAC ID: 7517928351 Enrollment ID: I20041110001031 |
| Provider Name | Jeffry T Zern |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639143514 PECOS PAC ID: 4789649294 Enrollment ID: I20041124000067 |
| Provider Name | Robert M Lea |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548205339 PECOS PAC ID: 2769448059 Enrollment ID: I20041208000654 |
| Provider Name | Jacqueline Holt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104885813 PECOS PAC ID: 4587621636 Enrollment ID: I20041210000290 |
| Provider Name | Rosemarie A Ciarrocchi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518962497 PECOS PAC ID: 7618934191 Enrollment ID: I20041216000354 |
| Provider Name | Hummayun Ismail |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962422469 PECOS PAC ID: 7214986918 Enrollment ID: I20050120000356 |
| Provider Name | George D Giannoukos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750313995 PECOS PAC ID: 7517917339 Enrollment ID: I20050128000309 |
| Provider Name | Donald S Collins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679522122 PECOS PAC ID: 1254381098 Enrollment ID: I20050128000495 |
| Provider Name | James Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295713006 PECOS PAC ID: 6103876909 Enrollment ID: I20050129000012 |
| Provider Name | Cristina L Bonilla-cooke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003897216 PECOS PAC ID: 3072563782 Enrollment ID: I20050129000160 |
| Provider Name | Shanthi P Shakamuri |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1174559371 PECOS PAC ID: 6800847021 Enrollment ID: I20050204000622 |
| Provider Name | Kris E Conde |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891754669 PECOS PAC ID: 1254382104 Enrollment ID: I20050208000616 |
| Provider Name | Babak Vakili |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184705501 PECOS PAC ID: 7618935719 Enrollment ID: I20050225000129 |
| Provider Name | Vivek Varma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043314362 PECOS PAC ID: 4688632706 Enrollment ID: I20050311000159 |
| Provider Name | Patricia Ann Daly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225131915 PECOS PAC ID: 3274589288 Enrollment ID: I20050323000473 |
| Provider Name | William C Egan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508916909 PECOS PAC ID: 8921054941 Enrollment ID: I20050323000526 |
| Provider Name | Suresh Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003886326 PECOS PAC ID: 7618923376 Enrollment ID: I20050324001150 |
| Provider Name | Wolfgang Ak Radtke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841382686 PECOS PAC ID: 0648226340 Enrollment ID: I20050325000138 |
| Provider Name | Heather M Castiglioni |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366453607 PECOS PAC ID: 3870530330 Enrollment ID: I20050415000355 |
| Provider Name | Carolyn O Ianni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427156769 PECOS PAC ID: 3173561198 Enrollment ID: I20050420000988 |
| Provider Name | Malcolm A Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871525741 PECOS PAC ID: 3577501402 Enrollment ID: I20050421000435 |
| Provider Name | Sharad Chantu Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336174887 PECOS PAC ID: 7113965781 Enrollment ID: I20050422001150 |
| Provider Name | Catherine Donahue Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124099973 PECOS PAC ID: 6002882008 Enrollment ID: I20050426000582 |
| Provider Name | Mindy S Haenn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740256965 PECOS PAC ID: 9032158167 Enrollment ID: I20050428000445 |
| Provider Name | Kirsten M Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477635332 PECOS PAC ID: 1254376858 Enrollment ID: I20050623000923 |
| Provider Name | Neil G Hockstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1831131317 PECOS PAC ID: 9830134311 Enrollment ID: I20050624000505 |
| Provider Name | Daniel J Elliott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467541524 PECOS PAC ID: 8426085754 Enrollment ID: I20050719000651 |
| Provider Name | Rachel W Heinle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205924495 PECOS PAC ID: 1850328964 Enrollment ID: I20050720000706 |
| Provider Name | Raafat Z Abdel Misih |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821088048 PECOS PAC ID: 8729015243 Enrollment ID: I20050726000668 |
| Provider Name | Yvonne H Ting |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316925134 PECOS PAC ID: 8628006806 Enrollment ID: I20050728001272 |
| Provider Name | John M Otto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992783716 PECOS PAC ID: 1951339019 Enrollment ID: I20050729000718 |
| Provider Name | Elizabeth A Jackovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982682886 PECOS PAC ID: 7012945199 Enrollment ID: I20050729000831 |
| Provider Name | Allen R Friedland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306823471 PECOS PAC ID: 2860420940 Enrollment ID: I20050729000894 |
| Provider Name | Tony A. Bianchetta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407827249 PECOS PAC ID: 0840228920 Enrollment ID: I20050729000909 |
| Provider Name | Mary M. Kobak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790763696 PECOS PAC ID: 6103854294 Enrollment ID: I20050729000925 |
| Provider Name | Michelle K Ritona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720183411 PECOS PAC ID: 7214967553 Enrollment ID: I20050817000112 |
| Provider Name | Sangeeta D Bhattacharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912984287 PECOS PAC ID: 8325078504 Enrollment ID: I20050817000552 |
| Provider Name | Seyedmehdi Jadali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184682890 PECOS PAC ID: 6709818305 Enrollment ID: I20050902000691 |
| Provider Name | Alfred A Fletcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962489377 PECOS PAC ID: 9739111774 Enrollment ID: I20050909000859 |
| Provider Name | Katherine A Sahm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649201849 PECOS PAC ID: 1951333798 Enrollment ID: I20050910000160 |
| Provider Name | Stephen Cole Eppes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689765976 PECOS PAC ID: 1153310958 Enrollment ID: I20050915000200 |
| Provider Name | Carole A Guy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659318921 PECOS PAC ID: 9335173038 Enrollment ID: I20050922000249 |
| Provider Name | Alexander Kirifides |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184642134 PECOS PAC ID: 7719911049 Enrollment ID: I20050926000387 |
| Provider Name | Martha O Henley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1144384249 PECOS PAC ID: 6406881994 Enrollment ID: I20051004000371 |
| Provider Name | Stefanie N Marshall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184691156 PECOS PAC ID: 8628000189 Enrollment ID: I20051019000695 |
| Provider Name | Mihir Thacker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801988654 PECOS PAC ID: 7315963949 Enrollment ID: I20051021000723 |
| Provider Name | Ronald S Dohanish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952362402 PECOS PAC ID: 1254308653 Enrollment ID: I20051024000235 |
| Provider Name | Joseph C Pennington |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932102647 PECOS PAC ID: 5698755676 Enrollment ID: I20051108000779 |
| Provider Name | Ashish B Parikh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649247487 PECOS PAC ID: 5890713879 Enrollment ID: I20051108000804 |
| Provider Name | Gilbert A Leidig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902835770 PECOS PAC ID: 9638197627 Enrollment ID: I20051108000879 |
| Provider Name | Brian H Sarter |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851323745 PECOS PAC ID: 2163440157 Enrollment ID: I20051108000895 |
| Provider Name | Robin A Horn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609842608 PECOS PAC ID: 7911967674 Enrollment ID: I20051108000960 |
| Provider Name | Gaetano N Pastore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952333858 PECOS PAC ID: 8921026824 Enrollment ID: I20051109000703 |
| Provider Name | Anthony W Clay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649202573 PECOS PAC ID: 1254359151 Enrollment ID: I20051109000735 |
| Provider Name | Anthony B Furey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700853603 PECOS PAC ID: 5496773301 Enrollment ID: I20051109000776 |
| Provider Name | Vincent Marmo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548249980 PECOS PAC ID: 1052303013 Enrollment ID: I20051109000873 |
| Provider Name | Qing Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235109000 PECOS PAC ID: 1254359920 Enrollment ID: I20051110000896 |
| Provider Name | Barry S Denenberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821065293 PECOS PAC ID: 4385663871 Enrollment ID: I20051114001025 |
| Provider Name | Michael E Stillabower |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548237472 PECOS PAC ID: 3274552773 Enrollment ID: I20051114001053 |
| Provider Name | Anthony D Alfieri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184604274 PECOS PAC ID: 6507858560 Enrollment ID: I20051115000846 |
| Provider Name | Ronald L Lewis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790751741 PECOS PAC ID: 4284653502 Enrollment ID: I20051116000452 |
| Provider Name | Arthur W Colbourn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386611416 PECOS PAC ID: 2961422639 Enrollment ID: I20051128000442 |
| Provider Name | Thomas K Evans |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992818421 PECOS PAC ID: 6406883099 Enrollment ID: I20051128000500 |
| Provider Name | Farid M Moosavy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376594150 PECOS PAC ID: 3173575578 Enrollment ID: I20051129000320 |
| Provider Name | Randall W Ryan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811957970 PECOS PAC ID: 7618990060 Enrollment ID: I20060111000781 |
| Provider Name | Linen J Pok |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710906730 PECOS PAC ID: 5597789529 Enrollment ID: I20060118000058 |
| Provider Name | Andrew J Glick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356399935 PECOS PAC ID: 1456365766 Enrollment ID: I20060125000948 |
| Provider Name | Bruce N Benge |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558319145 PECOS PAC ID: 7911911227 Enrollment ID: I20060125000958 |
| Provider Name | Thomas J Desperito |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265536353 PECOS PAC ID: 8729092036 Enrollment ID: I20060125000967 |
| Provider Name | Haynes B Cates |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639273907 PECOS PAC ID: 0648284950 Enrollment ID: I20060125000973 |
| Provider Name | Michael R Lobis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275582934 PECOS PAC ID: 3072565084 Enrollment ID: I20060125000979 |
| Provider Name | David J Cozzolino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144278722 PECOS PAC ID: 4183638497 Enrollment ID: I20060125000987 |
| Provider Name | Thomas P Lehman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245335553 PECOS PAC ID: 6800800111 Enrollment ID: I20060125001001 |
| Provider Name | Dana L Newswanger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295713014 PECOS PAC ID: 6800800020 Enrollment ID: I20060126000780 |
| Provider Name | Nana Ankomah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194795443 PECOS PAC ID: 7517910961 Enrollment ID: I20060224000194 |
| Provider Name | Reza Daugherty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184716938 PECOS PAC ID: 7719921352 Enrollment ID: I20060328000385 |
| Provider Name | Priyanka Dixit-patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760536262 PECOS PAC ID: 3870502875 Enrollment ID: I20060419000810 |
| Provider Name | Helen Mccullough |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811928989 PECOS PAC ID: 6800709528 Enrollment ID: I20060425000376 |
| Provider Name | Shakaib S Qureshi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821063108 PECOS PAC ID: 7517924137 Enrollment ID: I20060428000430 |
| Provider Name | Teresa Marie Wemhoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295824399 PECOS PAC ID: 9335119460 Enrollment ID: I20060504000247 |
| Provider Name | Vinay R Hosmane |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326018631 PECOS PAC ID: 1759392731 Enrollment ID: I20060505000790 |
| Provider Name | Michael K Brosman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720032832 PECOS PAC ID: 0547234882 Enrollment ID: I20060530000262 |
| Provider Name | Vinay K Gheyi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992758908 PECOS PAC ID: 2062425515 Enrollment ID: I20060728000301 |
| Provider Name | Kathiresan Suppiah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851340392 PECOS PAC ID: 7214930262 Enrollment ID: I20060814000243 |
| Provider Name | Kathy H Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659309086 PECOS PAC ID: 4688678915 Enrollment ID: I20060829000347 |
| Provider Name | Scott M Reich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285664201 PECOS PAC ID: 7214932672 Enrollment ID: I20060919000309 |
| Provider Name | Jayshree Tailor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659315976 PECOS PAC ID: 2860447927 Enrollment ID: I20060921000502 |
| Provider Name | Patrick Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427006683 PECOS PAC ID: 5597761767 Enrollment ID: I20061011000247 |
| Provider Name | Prakash Seshadri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134144330 PECOS PAC ID: 2365407103 Enrollment ID: I20061011000282 |
| Provider Name | Ina I. Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437146180 PECOS PAC ID: 2668476490 Enrollment ID: I20061102000314 |
| Provider Name | James A Piacentine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386681260 PECOS PAC ID: 4587665211 Enrollment ID: I20070124000253 |
| Provider Name | Alan Micklin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477582518 PECOS PAC ID: 7214938752 Enrollment ID: I20070125000240 |
| Provider Name | Rhonda A Gill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881611341 PECOS PAC ID: 2860493103 Enrollment ID: I20070129000711 |
| Provider Name | Gagan Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326027186 PECOS PAC ID: 9931131927 Enrollment ID: I20070201000536 |
| Provider Name | Omar A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811938491 PECOS PAC ID: 6800809062 Enrollment ID: I20070208000413 |
| Provider Name | Vinay Maheshwari |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932156668 PECOS PAC ID: 5597792606 Enrollment ID: I20070212000519 |
| Provider Name | Eva Geracimos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750344784 PECOS PAC ID: 4981606449 Enrollment ID: I20070213000162 |
| Provider Name | Jonathan Mcghee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801991120 PECOS PAC ID: 8426050998 Enrollment ID: I20070213000269 |
| Provider Name | Stephen M Blumberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396709440 PECOS PAC ID: 5890897110 Enrollment ID: I20070216000322 |
| Provider Name | Ray Blackwell |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033200084 PECOS PAC ID: 0143322354 Enrollment ID: I20070219000397 |
| Provider Name | Sidney J Swanson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922118462 PECOS PAC ID: 4486756467 Enrollment ID: I20070221000563 |
| Provider Name | David J Polidori |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487742706 PECOS PAC ID: 9931201951 Enrollment ID: I20070222000209 |
| Provider Name | Jennifer M Lohkamp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700944816 PECOS PAC ID: 0840392775 Enrollment ID: I20070223000596 |
| Provider Name | Kristi Maiese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265590996 PECOS PAC ID: 2769584523 Enrollment ID: I20070226000082 |
| Provider Name | Steven J Wisniewski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598823502 PECOS PAC ID: 4385746148 Enrollment ID: I20070226000088 |
| Provider Name | Timothy Y Shiuh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720030117 PECOS PAC ID: 2860594652 Enrollment ID: I20070226000327 |
| Provider Name | Amanda H Wardwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013944115 PECOS PAC ID: 9335241033 Enrollment ID: I20070227000552 |
| Provider Name | James I Tikellis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811952153 PECOS PAC ID: 3274635875 Enrollment ID: I20070228000651 |
| Provider Name | Fernando Garzia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306896360 PECOS PAC ID: 7113989971 Enrollment ID: I20070306000132 |
| Provider Name | Jeffrey R. Boyd |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255498366 PECOS PAC ID: 1456454735 Enrollment ID: I20070306000590 |
| Provider Name | Aaron R Block |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700922390 PECOS PAC ID: 1759484066 Enrollment ID: I20070307000101 |
| Provider Name | Jennifer Hess Barlow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699786442 PECOS PAC ID: 5991808164 Enrollment ID: I20070307000630 |
| Provider Name | Brett E Herb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134287568 PECOS PAC ID: 5890898068 Enrollment ID: I20070307000645 |
| Provider Name | Kathleen K Salati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841352754 PECOS PAC ID: 3274636451 Enrollment ID: I20070308000058 |
| Provider Name | Mariann Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871534453 PECOS PAC ID: 8426002700 Enrollment ID: I20070308000496 |
| Provider Name | Kelly S Eschbach |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295797124 PECOS PAC ID: 5890898746 Enrollment ID: I20070313000544 |
| Provider Name | Enrica Arnaudo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144271354 PECOS PAC ID: 4688626963 Enrollment ID: I20070328000181 |
| Provider Name | Selvam J Mascarenhas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326075698 PECOS PAC ID: 8224132295 Enrollment ID: I20070330000454 |
| Provider Name | Julie K Garey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396706404 PECOS PAC ID: 9537265996 Enrollment ID: I20070504000296 |
| Provider Name | Nicole L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780704460 PECOS PAC ID: 3476651290 Enrollment ID: I20070601000319 |
| Provider Name | Ghazala T Farooqui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790834422 PECOS PAC ID: 6305944133 Enrollment ID: I20070601000425 |
| Provider Name | Stacey A Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457356875 PECOS PAC ID: 8628176195 Enrollment ID: I20070606000554 |
| Provider Name | Azita Ravanbakhsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013086560 PECOS PAC ID: 9638277957 Enrollment ID: I20070611000619 |
| Provider Name | Cecil C Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184793606 PECOS PAC ID: 2163521170 Enrollment ID: I20070615000243 |
| Provider Name | Terry Horton |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1013072156 PECOS PAC ID: 5597782755 Enrollment ID: I20070626000120 |
| Provider Name | Cara J Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518185008 PECOS PAC ID: 6800995069 Enrollment ID: I20070628000504 |
| Provider Name | Sarah S Schenck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619916616 PECOS PAC ID: 9335245695 Enrollment ID: I20070703000417 |
| Provider Name | Barbara J Albani |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063572519 PECOS PAC ID: 7214038520 Enrollment ID: I20070730000806 |
| Provider Name | Janice Tildon-burton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265509228 PECOS PAC ID: 7315048600 Enrollment ID: I20070731000476 |
| Provider Name | Eli Zeserson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700947108 PECOS PAC ID: 6305937285 Enrollment ID: I20070807000389 |
| Provider Name | Frederic T Harad |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1821101312 PECOS PAC ID: 6709838709 Enrollment ID: I20070831000147 |
| Provider Name | William J Schickler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740292176 PECOS PAC ID: 0547295669 Enrollment ID: I20070831000250 |
| Provider Name | Marci L Drees |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1700971827 PECOS PAC ID: 3779564042 Enrollment ID: I20070906000831 |
| Provider Name | Mary M Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265418073 PECOS PAC ID: 6305837956 Enrollment ID: I20070910000261 |
| Provider Name | Erik S Marshall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144223850 PECOS PAC ID: 1153301130 Enrollment ID: I20070913000166 |
| Provider Name | George R Zlupko |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548249444 PECOS PAC ID: 3173617651 Enrollment ID: I20070913000845 |
| Provider Name | Leo Burns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083692792 PECOS PAC ID: 6608960182 Enrollment ID: I20070913000871 |
| Provider Name | Sonya N Tuerff |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548373046 PECOS PAC ID: 1052404217 Enrollment ID: I20070922000258 |
| Provider Name | Devaguptapu Rao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1235142142 PECOS PAC ID: 8921033846 Enrollment ID: I20071003000268 |
| Provider Name | Patricia J Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982685038 PECOS PAC ID: 2062507262 Enrollment ID: I20071003000354 |
| Provider Name | Joan Francisca Coker |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992739676 PECOS PAC ID: 9830096379 Enrollment ID: I20071009000859 |
| Provider Name | Karen A Rockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386857274 PECOS PAC ID: 4385730084 Enrollment ID: I20071010000770 |
| Provider Name | Albert A Rizzo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245283316 PECOS PAC ID: 6103737374 Enrollment ID: I20071012000617 |
| Provider Name | Nikolay Mindadze |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447305107 PECOS PAC ID: 5799873717 Enrollment ID: I20071108000450 |
| Provider Name | Richard A Fischer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609828425 PECOS PAC ID: 4981654654 Enrollment ID: I20071109000418 |
| Provider Name | Shveta R Singh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154450906 PECOS PAC ID: 8426146028 Enrollment ID: I20071115000274 |
| Provider Name | Wasif A Qureshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861619975 PECOS PAC ID: 8123117322 Enrollment ID: I20071210000662 |
| Provider Name | John M Uveges |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205816907 PECOS PAC ID: 2567552938 Enrollment ID: I20071221000386 |
| Provider Name | Mark D Cipolle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609883289 PECOS PAC ID: 8628060688 Enrollment ID: I20080104000211 |
| Provider Name | Deanna L Benner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831379403 PECOS PAC ID: 6901986306 Enrollment ID: I20080110000078 |
| Provider Name | Joshua Aaron |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396703351 PECOS PAC ID: 9133024425 Enrollment ID: I20080114000086 |
| Provider Name | Amy S Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013978535 PECOS PAC ID: 4082795521 Enrollment ID: I20080122000738 |
| Provider Name | Karen J Antell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346288230 PECOS PAC ID: 1355238916 Enrollment ID: I20080123000146 |
| Provider Name | John H O Neill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265445233 PECOS PAC ID: 9638105257 Enrollment ID: I20080305000512 |
| Provider Name | Joseph P Loughran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659358232 PECOS PAC ID: 1254416639 Enrollment ID: I20080310000304 |
| Provider Name | Clifton H Hunt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336216399 PECOS PAC ID: 1951396191 Enrollment ID: I20080310000424 |
| Provider Name | Anthony A Vasile |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821071820 PECOS PAC ID: 3274618640 Enrollment ID: I20080310000431 |
| Provider Name | Timothy J Hennessy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528045119 PECOS PAC ID: 0042396848 Enrollment ID: I20080319000317 |
| Provider Name | James P Loughran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932186525 PECOS PAC ID: 5496831299 Enrollment ID: I20080319000321 |
| Provider Name | Irena O Stolar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194896928 PECOS PAC ID: 8426134610 Enrollment ID: I20080328000178 |
| Provider Name | Patricia M Curtin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790867661 PECOS PAC ID: 2668559634 Enrollment ID: I20080402000163 |
| Provider Name | Cynthia Heldt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679550750 PECOS PAC ID: 2668559410 Enrollment ID: I20080404000144 |
| Provider Name | Bruce M Boman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275556516 PECOS PAC ID: 5294786133 Enrollment ID: I20080404000668 |
| Provider Name | Eric W Schwarz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053398461 PECOS PAC ID: 2163500042 Enrollment ID: I20080417000108 |
| Provider Name | M.james Lenhard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245218148 PECOS PAC ID: 1153409065 Enrollment ID: I20080417000374 |
| Provider Name | David E Driban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003892423 PECOS PAC ID: 8426136342 Enrollment ID: I20080417000456 |
| Provider Name | Leila P Getto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942345202 PECOS PAC ID: 4284713405 Enrollment ID: I20080429000813 |
| Provider Name | David A Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609851930 PECOS PAC ID: 1658450390 Enrollment ID: I20080506000469 |
| Provider Name | Matthew J Burday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215907738 PECOS PAC ID: 6608955299 Enrollment ID: I20080507000616 |
| Provider Name | Elizabeth S Sushereba |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649237918 PECOS PAC ID: 2567531890 Enrollment ID: I20080513000344 |
| Provider Name | Kevin W Smallwood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336283803 PECOS PAC ID: 2062581333 Enrollment ID: I20080513000627 |
| Provider Name | Janet M Brown |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043290638 PECOS PAC ID: 2668541830 Enrollment ID: I20080514000833 |
| Provider Name | Stephen J Kushner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134104805 PECOS PAC ID: 1355438037 Enrollment ID: I20080516000119 |
| Provider Name | Thanh Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083690929 PECOS PAC ID: 1355411778 Enrollment ID: I20080528000298 |
| Provider Name | Howard B Goldstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043316912 PECOS PAC ID: 3375575442 Enrollment ID: I20080606000327 |
| Provider Name | John J Goodill |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710937123 PECOS PAC ID: 2062582729 Enrollment ID: I20080606000381 |
| Provider Name | Shirley A Brogley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831397900 PECOS PAC ID: 0244300929 Enrollment ID: I20080606000590 |
| Provider Name | Charles R Mulligan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255465571 PECOS PAC ID: 2163592858 Enrollment ID: I20080606000703 |
| Provider Name | Gordon Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194703918 PECOS PAC ID: 3779653480 Enrollment ID: I20080607000084 |
| Provider Name | Mark D Jones |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366492746 PECOS PAC ID: 8921179441 Enrollment ID: I20080611000197 |
| Provider Name | Carolyn Glazer-hockstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881694156 PECOS PAC ID: 0749219202 Enrollment ID: I20080703000451 |
| Provider Name | Malik Javed Gilani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780618702 PECOS PAC ID: 9234200155 Enrollment ID: I20080707000470 |
| Provider Name | Sherri N Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740476605 PECOS PAC ID: 8921171257 Enrollment ID: I20080721000329 |
| Provider Name | Emily J Penman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003838806 PECOS PAC ID: 0143393900 Enrollment ID: I20080728000090 |
| Provider Name | Amy B Wachter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679747323 PECOS PAC ID: 3375617194 Enrollment ID: I20080728000625 |
| Provider Name | Diana Dickson-witmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932189131 PECOS PAC ID: 2769556919 Enrollment ID: I20080806000083 |
| Provider Name | Patricia Juma Munda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053371385 PECOS PAC ID: 7810062684 Enrollment ID: I20080814000122 |
| Provider Name | Susan M Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366605511 PECOS PAC ID: 9133294887 Enrollment ID: I20080815000093 |
| Provider Name | William Macon Sheppard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427092501 PECOS PAC ID: 9133294382 Enrollment ID: I20080822000118 |
| Provider Name | Vidyarani Subbaraya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316997018 PECOS PAC ID: 0547335598 Enrollment ID: I20080826000578 |
| Provider Name | Julia Ann Mattson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285603241 PECOS PAC ID: 7214969583 Enrollment ID: I20080828000547 |
| Provider Name | Alfred E Bacon |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902967508 PECOS PAC ID: 9638195886 Enrollment ID: I20080904000286 |
| Provider Name | Daniel Brian Maloney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407047038 PECOS PAC ID: 7113012550 Enrollment ID: I20080904000302 |
| Provider Name | Mark G Cadungog |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1154476190 PECOS PAC ID: 3577630623 Enrollment ID: I20080916000282 |
| Provider Name | Nancy Lasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679572390 PECOS PAC ID: 6103993456 Enrollment ID: I20080929000196 |
| Provider Name | Jason Nomura |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427193994 PECOS PAC ID: 1052488301 Enrollment ID: I20080929000254 |
| Provider Name | Bryan Seiff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720013113 PECOS PAC ID: 7214932425 Enrollment ID: I20081001000431 |
| Provider Name | James E D Amour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700884061 PECOS PAC ID: 7810977154 Enrollment ID: I20081006000007 |
| Provider Name | Poorwa I Kenkre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962409029 PECOS PAC ID: 8527136324 Enrollment ID: I20081007000340 |
| Provider Name | David C Larned |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316938970 PECOS PAC ID: 1658449384 Enrollment ID: I20081008000638 |
| Provider Name | Adrian Quesadas-rojas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467589622 PECOS PAC ID: 8729156286 Enrollment ID: I20081010000177 |
| Provider Name | Velma P Scantlebury |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487608667 PECOS PAC ID: 5496741423 Enrollment ID: I20081016000409 |
| Provider Name | Victoria Mawn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932108305 PECOS PAC ID: 1254415243 Enrollment ID: I20081104000609 |
| Provider Name | Randi J Lapoint |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1538103429 PECOS PAC ID: 8426052481 Enrollment ID: I20081107000516 |
| Provider Name | Mary Fran Storm Crowley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093971384 PECOS PAC ID: 5991865487 Enrollment ID: I20081113000197 |
| Provider Name | Michael G Benninghoff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366562605 PECOS PAC ID: 6709771314 Enrollment ID: I20081114000027 |
| Provider Name | Julianne C Lin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396742839 PECOS PAC ID: 5698835080 Enrollment ID: I20081114000365 |
| Provider Name | James T Hopkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912900630 PECOS PAC ID: 4880674860 Enrollment ID: I20081119000245 |
| Provider Name | Kunal P Bhagat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023080520 PECOS PAC ID: 0042371312 Enrollment ID: I20081204000641 |
| Provider Name | Michael B Cooksey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487692653 PECOS PAC ID: 1557422623 Enrollment ID: I20081208000300 |
| Provider Name | Margot Latrese Savoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760535256 PECOS PAC ID: 1951331958 Enrollment ID: I20081212000143 |
| Provider Name | Daniel A Leung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740375690 PECOS PAC ID: 0547240939 Enrollment ID: I20090106000275 |
| Provider Name | Lorraine A Nowakowski-grier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427264811 PECOS PAC ID: 3577625557 Enrollment ID: I20090127000508 |
| Provider Name | Mona Chaudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508984659 PECOS PAC ID: 3375607922 Enrollment ID: I20090127000586 |
| Provider Name | James E Ruether |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154391928 PECOS PAC ID: 4789748013 Enrollment ID: I20090130000297 |
| Provider Name | Leslie C Verucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275531873 PECOS PAC ID: 5597829200 Enrollment ID: I20090219000171 |
| Provider Name | Thomas E Lajudice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760649875 PECOS PAC ID: 7113083114 Enrollment ID: I20090226000517 |
| Provider Name | Caroline Conard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356328587 PECOS PAC ID: 0749346328 Enrollment ID: I20090305000613 |
| Provider Name | George Kimbiris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265491955 PECOS PAC ID: 5395801922 Enrollment ID: I20090306000271 |
| Provider Name | Edward R Sobel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215937230 PECOS PAC ID: 9234218181 Enrollment ID: I20090310000246 |
| Provider Name | Ellen K.m Soire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780861427 PECOS PAC ID: 3971660424 Enrollment ID: I20090327000068 |
| Provider Name | Natalie C Knitowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548265432 PECOS PAC ID: 5092864009 Enrollment ID: I20090522000043 |
| Provider Name | Christina L Dimarco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578703914 PECOS PAC ID: 9537218540 Enrollment ID: I20090522000063 |
| Provider Name | John P Ranonis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013047745 PECOS PAC ID: 6406935360 Enrollment ID: I20090611000065 |
| Provider Name | Scott D Siegel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588890990 PECOS PAC ID: 5890846372 Enrollment ID: I20090623000372 |
| Provider Name | Matthew K Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477538791 PECOS PAC ID: 7012068448 Enrollment ID: I20090625000235 |
| Provider Name | Douglas J Lavenburg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649238635 PECOS PAC ID: 1052308640 Enrollment ID: I20090629000306 |
| Provider Name | Kevin M Bradley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053309096 PECOS PAC ID: 7719952464 Enrollment ID: I20090713000077 |
| Provider Name | Michaelene M Baker Urban |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1518192640 PECOS PAC ID: 1456403922 Enrollment ID: I20090714000345 |
| Provider Name | Thomas Carl Mueller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831141118 PECOS PAC ID: 9133179815 Enrollment ID: I20090715000724 |
| Provider Name | Felix C Vergara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891713202 PECOS PAC ID: 2466541107 Enrollment ID: I20090716000655 |
| Provider Name | Joseph M Deutsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568596039 PECOS PAC ID: 2365595543 Enrollment ID: I20090805000655 |
| Provider Name | John B Townsend |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982656245 PECOS PAC ID: 6709836471 Enrollment ID: I20090806000113 |
| Provider Name | Stacy A Lourie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366577132 PECOS PAC ID: 8325098395 Enrollment ID: I20090818000747 |
| Provider Name | Nadia F Lascala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912057324 PECOS PAC ID: 8729164876 Enrollment ID: I20090820000249 |
| Provider Name | Vaishali S Vora |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497874440 PECOS PAC ID: 8426102641 Enrollment ID: I20090821000261 |
| Provider Name | Carolyn G Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326277823 PECOS PAC ID: 9133274145 Enrollment ID: I20090827000076 |
| Provider Name | Kevin A Copeland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265563571 PECOS PAC ID: 2365597390 Enrollment ID: I20090827000243 |
| Provider Name | Michael Rian Hileman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609007921 PECOS PAC ID: 9436204153 Enrollment ID: I20090902000263 |
| Provider Name | Boris Reznikov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720242365 PECOS PAC ID: 5092860627 Enrollment ID: I20090903000658 |
| Provider Name | Michael J Carunchio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881646164 PECOS PAC ID: 3072563741 Enrollment ID: I20090904000343 |
| Provider Name | Gretchen Eh Makai |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083772461 PECOS PAC ID: 2264525898 Enrollment ID: I20090914000285 |
| Provider Name | Sajini S Varghese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427196641 PECOS PAC ID: 9436231727 Enrollment ID: I20091002000071 |
| Provider Name | Lanny Edelsohn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174574305 PECOS PAC ID: 0345290011 Enrollment ID: I20091022000686 |
| Provider Name | Stephanie Rae Carlino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831322056 PECOS PAC ID: 9436296258 Enrollment ID: I20091028000261 |
| Provider Name | Debra L Delaney |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699908558 PECOS PAC ID: 4789722455 Enrollment ID: I20091118000096 |
| Provider Name | Neil S Kalin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861499303 PECOS PAC ID: 5597802033 Enrollment ID: I20091118000288 |
| Provider Name | Michael Bayard Vincent |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700994209 PECOS PAC ID: 2961574900 Enrollment ID: I20091216000078 |
| Provider Name | Stefan S O Connor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023089489 PECOS PAC ID: 2264572312 Enrollment ID: I20091221000467 |
| Provider Name | John F Decarli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063404044 PECOS PAC ID: 7214076223 Enrollment ID: I20091222000226 |
| Provider Name | Jessica M Casale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942533427 PECOS PAC ID: 9436291077 Enrollment ID: I20100121000015 |
| Provider Name | Tabassum Salam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326026147 PECOS PAC ID: 5890837322 Enrollment ID: I20100122000082 |
| Provider Name | Beth D Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689651747 PECOS PAC ID: 7618019779 Enrollment ID: I20100127000832 |
| Provider Name | David Wayne Lipscomb |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942432281 PECOS PAC ID: 6305989179 Enrollment ID: I20100202000155 |
| Provider Name | Mark A Lottes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447224654 PECOS PAC ID: 2769582949 Enrollment ID: I20100203000713 |
| Provider Name | Rooparani M Bhat |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1164405361 PECOS PAC ID: 0345383923 Enrollment ID: I20100204000296 |
| Provider Name | Stephen J. Duggan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225014871 PECOS PAC ID: 0941344089 Enrollment ID: I20100212000529 |
| Provider Name | Elizabeth Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659600039 PECOS PAC ID: 1850435090 Enrollment ID: I20100225000571 |
| Provider Name | Lawrence Yurow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134340672 PECOS PAC ID: 1850436726 Enrollment ID: I20100303000269 |
| Provider Name | Gerard J Fulda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346225075 PECOS PAC ID: 6507901329 Enrollment ID: I20100304000607 |
| Provider Name | Frederick A Giberson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245215979 PECOS PAC ID: 5193860880 Enrollment ID: I20100305000348 |
| Provider Name | Colleen A Deturk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801873062 PECOS PAC ID: 1254466196 Enrollment ID: I20100317000975 |
| Provider Name | Ross Megargel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184602997 PECOS PAC ID: 0648305094 Enrollment ID: I20100324000306 |
| Provider Name | Thomas G Hilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912983339 PECOS PAC ID: 2264569656 Enrollment ID: I20100415000712 |
| Provider Name | Neelambari B Kerkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336303023 PECOS PAC ID: 9032287263 Enrollment ID: I20100419000154 |
| Provider Name | Todd Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023098944 PECOS PAC ID: 3173650207 Enrollment ID: I20100422000211 |
| Provider Name | Frederick Joseph Denstman |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1538197769 PECOS PAC ID: 8426000431 Enrollment ID: I20100423000128 |
| Provider Name | Donald S Hayes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417934589 PECOS PAC ID: 3577690387 Enrollment ID: I20100428000292 |
| Provider Name | Henry L Weiner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821064775 PECOS PAC ID: 8527134899 Enrollment ID: I20100503000073 |
| Provider Name | Kieran Michael Connolly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1700828332 PECOS PAC ID: 2769510023 Enrollment ID: I20100506000326 |
| Provider Name | Steven A Terranova |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841248432 PECOS PAC ID: 2163436478 Enrollment ID: I20100506000368 |
| Provider Name | Karen Louise Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275863870 PECOS PAC ID: 4385772698 Enrollment ID: I20100506000885 |
| Provider Name | Leigh Sibert |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1386749901 PECOS PAC ID: 4981733383 Enrollment ID: I20100524000401 |
| Provider Name | Raymond E Miller |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1205802188 PECOS PAC ID: 0446318976 Enrollment ID: I20100525000657 |
| Provider Name | Karen J Lytle-glover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336168459 PECOS PAC ID: 8325177090 Enrollment ID: I20100526000611 |
| Provider Name | Paul K Davis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1255301552 PECOS PAC ID: 4486783578 Enrollment ID: I20100528000012 |
| Provider Name | Stewart G Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306841010 PECOS PAC ID: 2163443920 Enrollment ID: I20100602000075 |
| Provider Name | Elizabeth E Strab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902030828 PECOS PAC ID: 0941339741 Enrollment ID: I20100603000108 |
| Provider Name | Mwazhuwa L Kuretu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1881633220 PECOS PAC ID: 8921137738 Enrollment ID: I20100603000265 |
| Provider Name | Jennifer A Hardt Burchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922322536 PECOS PAC ID: 2567592272 Enrollment ID: I20100607000435 |
| Provider Name | Lisa A Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932430436 PECOS PAC ID: 1850422379 Enrollment ID: I20100628000628 |
| Provider Name | David Schuler Grubbs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497732705 PECOS PAC ID: 6709815855 Enrollment ID: I20100630000022 |
| Provider Name | Christian Coletti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821133257 PECOS PAC ID: 2365573698 Enrollment ID: I20100630000038 |
| Provider Name | Valerie J Rebmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598083370 PECOS PAC ID: 9335270610 Enrollment ID: I20100630000586 |
| Provider Name | Erin M Kavanaugh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619188851 PECOS PAC ID: 0446381495 Enrollment ID: I20100708000461 |
| Provider Name | David M Bercaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814241 PECOS PAC ID: 5294867214 Enrollment ID: I20100709000328 |
| Provider Name | Christopher A Demauro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912115783 PECOS PAC ID: 0244362135 Enrollment ID: I20100712000484 |
| Provider Name | Michael Thomas Teixido |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487695987 PECOS PAC ID: 8224928593 Enrollment ID: I20100714000136 |
| Provider Name | Carey Ann Nathan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1609802172 PECOS PAC ID: 2062464993 Enrollment ID: I20100715000021 |
| Provider Name | Lawrence G Narun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740256692 PECOS PAC ID: 1951463827 Enrollment ID: I20100722000797 |
| Provider Name | John Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063489169 PECOS PAC ID: 4082746243 Enrollment ID: I20100723000271 |
| Provider Name | Andrew M Barrett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306899059 PECOS PAC ID: 6800854159 Enrollment ID: I20100811000403 |
| Provider Name | Martha A Hosford Skapof |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457301657 PECOS PAC ID: 1759435464 Enrollment ID: I20100825000889 |
| Provider Name | Jason M Silversteen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174783237 PECOS PAC ID: 9335264506 Enrollment ID: I20100910000606 |
| Provider Name | Jenna Fredette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902967235 PECOS PAC ID: 3678698701 Enrollment ID: I20100914000165 |
| Provider Name | Jennifer Mink |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063614972 PECOS PAC ID: 4688700719 Enrollment ID: I20100916001142 |
| Provider Name | Brian Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578541389 PECOS PAC ID: 5799977088 Enrollment ID: I20101005000614 |
| Provider Name | Robert A Rosenbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982678876 PECOS PAC ID: 2365634383 Enrollment ID: I20101008001033 |
| Provider Name | Thomas A Sweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114905924 PECOS PAC ID: 9739248774 Enrollment ID: I20101011000661 |
| Provider Name | Steven Kushner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306824107 PECOS PAC ID: 4082806989 Enrollment ID: I20101011000854 |
| Provider Name | Paul Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003894817 PECOS PAC ID: 3779776398 Enrollment ID: I20101014001433 |
| Provider Name | Brent Passarello |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972581791 PECOS PAC ID: 2062605611 Enrollment ID: I20101015000325 |
| Provider Name | Gary A Beste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588683619 PECOS PAC ID: 0648358689 Enrollment ID: I20101015001251 |
| Provider Name | Elizabeth H Muth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326292491 PECOS PAC ID: 9032302062 Enrollment ID: I20101021001188 |
| Provider Name | Dorothy Dixon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124099593 PECOS PAC ID: 9335332378 Enrollment ID: I20101021001299 |
| Provider Name | Daniel J Meara |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851500789 PECOS PAC ID: 1658564612 Enrollment ID: I20101022000043 |
| Provider Name | Ramya Varadarajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144450271 PECOS PAC ID: 7810012382 Enrollment ID: I20101025001290 |
| Provider Name | Christopher Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366413742 PECOS PAC ID: 4385838069 Enrollment ID: I20101027000902 |
| Provider Name | Vanita B Dharan Jain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992924344 PECOS PAC ID: 8527252121 Enrollment ID: I20101027001231 |
| Provider Name | Sheelmohan S Sachdev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699794727 PECOS PAC ID: 5092893032 Enrollment ID: I20101029000106 |
| Provider Name | Angelo Grillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891773602 PECOS PAC ID: 1759575137 Enrollment ID: I20101029000616 |
| Provider Name | Timothy O Donnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770502809 PECOS PAC ID: 4183702129 Enrollment ID: I20101101001440 |
| Provider Name | Julia L Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528120136 PECOS PAC ID: 6709811334 Enrollment ID: I20101104000441 |
| Provider Name | Tiwana L Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649500760 PECOS PAC ID: 8224223979 Enrollment ID: I20101108001382 |
| Provider Name | Emily K Saks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982760872 PECOS PAC ID: 2567657117 Enrollment ID: I20101109001314 |
| Provider Name | Mark S Trochimowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447257498 PECOS PAC ID: 4587624382 Enrollment ID: I20101115000722 |
| Provider Name | Gaynel D Fontaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700056223 PECOS PAC ID: 7214123173 Enrollment ID: I20101118000498 |
| Provider Name | Courtney P Wilczynski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619174315 PECOS PAC ID: 6709072242 Enrollment ID: I20101123001121 |
| Provider Name | Michael W Lankiewicz |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1982717930 PECOS PAC ID: 2961698915 Enrollment ID: I20101202000330 |
| Provider Name | Paula C Ko |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942216320 PECOS PAC ID: 6305922352 Enrollment ID: I20101207000445 |
| Provider Name | Ragu P Sanjeev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245428960 PECOS PAC ID: 3971693680 Enrollment ID: I20101210001027 |
| Provider Name | Susan A Kelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376599845 PECOS PAC ID: 6002003381 Enrollment ID: I20101213000701 |
| Provider Name | Karla M Barone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356660591 PECOS PAC ID: 8022205228 Enrollment ID: I20101214001055 |
| Provider Name | Raushanah L Broadard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851473193 PECOS PAC ID: 1658379219 Enrollment ID: I20101220001039 |
| Provider Name | Heike Kuehn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598841306 PECOS PAC ID: 2567650997 Enrollment ID: I20101229000196 |
| Provider Name | Joseph Theodore West |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881697589 PECOS PAC ID: 2163402140 Enrollment ID: I20110110000626 |
| Provider Name | Sudhakar R Satti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679773881 PECOS PAC ID: 9537230586 Enrollment ID: I20110113000559 |
| Provider Name | Madeline Burgos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245563964 PECOS PAC ID: 3375722663 Enrollment ID: I20110119000217 |
| Provider Name | Susan L Chudzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063415651 PECOS PAC ID: 9638358146 Enrollment ID: I20110128000640 |
| Provider Name | Michelle K.b. Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992920771 PECOS PAC ID: 8123207628 Enrollment ID: I20110131000513 |
| Provider Name | Dennis R Witmer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477533677 PECOS PAC ID: 1658338215 Enrollment ID: I20110131000774 |
| Provider Name | James S Ley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376652396 PECOS PAC ID: 2062692411 Enrollment ID: I20110202000580 |
| Provider Name | Harry A Lebowitz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922051127 PECOS PAC ID: 2365400611 Enrollment ID: I20110210000062 |
| Provider Name | Frank B Sarlo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1770544223 PECOS PAC ID: 0547441784 Enrollment ID: I20110222000635 |
| Provider Name | Cynthia Y Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023200318 PECOS PAC ID: 4486836913 Enrollment ID: I20110304000442 |
| Provider Name | William Morris Chasanov |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104028919 PECOS PAC ID: 0547443988 Enrollment ID: I20110323000408 |
| Provider Name | Adaeze Udezue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457412736 PECOS PAC ID: 1355320573 Enrollment ID: I20110324000027 |
| Provider Name | Muhammad Arif |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154393510 PECOS PAC ID: 8628054947 Enrollment ID: I20110325000134 |
| Provider Name | Regina L Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073707857 PECOS PAC ID: 8527133586 Enrollment ID: I20110328000519 |
| Provider Name | Margaret R. Chou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902880651 PECOS PAC ID: 1557425345 Enrollment ID: I20110414000114 |
| Provider Name | Kathy E Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003126764 PECOS PAC ID: 1052596798 Enrollment ID: I20110425000137 |
| Provider Name | William Covell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336222017 PECOS PAC ID: 8325934086 Enrollment ID: I20110505000784 |
| Provider Name | Rosemary Szczechowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295025146 PECOS PAC ID: 5799961637 Enrollment ID: I20110511000138 |
| Provider Name | Katie E Scanlon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457480501 PECOS PAC ID: 5799880324 Enrollment ID: I20110516000456 |
| Provider Name | Wayne H Dunn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669472114 PECOS PAC ID: 5799728861 Enrollment ID: I20110518000682 |
| Provider Name | William M Kirby |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1265438360 PECOS PAC ID: 4284713132 Enrollment ID: I20110527000556 |
| Provider Name | Cynthia Ellen Flynn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336145861 PECOS PAC ID: 6901985852 Enrollment ID: I20110606000696 |
| Provider Name | Scott William Hall |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1013913292 PECOS PAC ID: 7012096969 Enrollment ID: I20110606000700 |
| Provider Name | Jay Luft |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1255372140 PECOS PAC ID: 2365581063 Enrollment ID: I20110607000086 |
| Provider Name | Nazia Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053629972 PECOS PAC ID: 5799962288 Enrollment ID: I20110609000693 |
| Provider Name | Anuradha Amara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790919009 PECOS PAC ID: 2365585759 Enrollment ID: I20110613000044 |
| Provider Name | Mary Virginia Iacocca |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689670119 PECOS PAC ID: 2466531314 Enrollment ID: I20110616000628 |
| Provider Name | Kathleen F Eldridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487856613 PECOS PAC ID: 1456539097 Enrollment ID: I20110629000455 |
| Provider Name | Minchul F Shin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598979544 PECOS PAC ID: 9739211368 Enrollment ID: I20110707000193 |
| Provider Name | Lee Anne Brighton Powell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1366753162 PECOS PAC ID: 2365610052 Enrollment ID: I20110725000348 |
| Provider Name | Vamshi K Kaveti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700021045 PECOS PAC ID: 4183892698 Enrollment ID: I20110727000253 |
| Provider Name | Kristina Stransky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033386636 PECOS PAC ID: 1355519885 Enrollment ID: I20110727000376 |
| Provider Name | Andra Mirela Popescu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952519118 PECOS PAC ID: 8527237932 Enrollment ID: I20110801000526 |
| Provider Name | Julie Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851584320 PECOS PAC ID: 2264626274 Enrollment ID: I20110804000145 |
| Provider Name | Sandra A Weiss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922032689 PECOS PAC ID: 0244409266 Enrollment ID: I20110809000483 |
| Provider Name | Casey L Bedder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548478704 PECOS PAC ID: 4981873742 Enrollment ID: I20110811000579 |
| Provider Name | Dawn Hirokawa |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194927764 PECOS PAC ID: 1052581105 Enrollment ID: I20110826000481 |
| Provider Name | Sharath Kharidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871760843 PECOS PAC ID: 9234309352 Enrollment ID: I20110829000486 |
| Provider Name | Stephanie D Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710267174 PECOS PAC ID: 8729259361 Enrollment ID: I20110912000605 |
| Provider Name | Gregg Zoarski |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215929948 PECOS PAC ID: 3173536810 Enrollment ID: I20110912000753 |
| Provider Name | Annie E Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548540503 PECOS PAC ID: 5395916373 Enrollment ID: I20110923000013 |
| Provider Name | Sajid Noor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316113632 PECOS PAC ID: 9032381959 Enrollment ID: I20111018000568 |
| Provider Name | Ajeetpal S Hans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114194891 PECOS PAC ID: 4789864612 Enrollment ID: I20111025000172 |
| Provider Name | William P Mazur |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518250828 PECOS PAC ID: 7810160587 Enrollment ID: I20111026000289 |
| Provider Name | Bryan E Perey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831487040 PECOS PAC ID: 8820262538 Enrollment ID: I20111115000393 |
| Provider Name | Bradley C Bley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1003944406 PECOS PAC ID: 0446425458 Enrollment ID: I20111202000116 |
| Provider Name | Alison Segal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518096221 PECOS PAC ID: 8628243839 Enrollment ID: I20111215000572 |
| Provider Name | Courtney Guerrieri |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1255524336 PECOS PAC ID: 2062681026 Enrollment ID: I20111221000336 |
| Provider Name | Samuel C Nwogu |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598889438 PECOS PAC ID: 9537335765 Enrollment ID: I20120110000235 |
| Provider Name | Seema B. Dattani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447427471 PECOS PAC ID: 9638346026 Enrollment ID: I20120126000214 |
| Provider Name | Roshni Guerry |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801808308 PECOS PAC ID: 0941467807 Enrollment ID: I20120203000340 |
| Provider Name | Kathleen H Willey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821097114 PECOS PAC ID: 2466489125 Enrollment ID: I20120208000170 |
| Provider Name | Jamie L Rapacciuolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467611772 PECOS PAC ID: 0244404440 Enrollment ID: I20120209000211 |
| Provider Name | Diana Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356673743 PECOS PAC ID: 4981731338 Enrollment ID: I20120209000213 |
| Provider Name | Linsey D Odonnell |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1295937027 PECOS PAC ID: 2264610997 Enrollment ID: I20120210000452 |
| Provider Name | Erin Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659407450 PECOS PAC ID: 3971797259 Enrollment ID: I20120216000186 |
| Provider Name | Dorothy M Moore |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063419349 PECOS PAC ID: 3072787126 Enrollment ID: I20120306000126 |
| Provider Name | Vani Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679723258 PECOS PAC ID: 4981768637 Enrollment ID: I20120307000121 |
| Provider Name | Jose S Picazo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689661928 PECOS PAC ID: 2264691187 Enrollment ID: I20120315000129 |
| Provider Name | Kalleen S Barham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649485053 PECOS PAC ID: 0143480202 Enrollment ID: I20120327000635 |
| Provider Name | Ashok Subramanian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316926439 PECOS PAC ID: 1951399492 Enrollment ID: I20120328000280 |
| Provider Name | Diane Bohner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538144266 PECOS PAC ID: 8325208325 Enrollment ID: I20120329000096 |
| Provider Name | Jason Ari Kaplan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275589459 PECOS PAC ID: 2466432422 Enrollment ID: I20120329000254 |
| Provider Name | Mohammed Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982769394 PECOS PAC ID: 3375648256 Enrollment ID: I20120405000042 |
| Provider Name | Valerie A West |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427134667 PECOS PAC ID: 8325209901 Enrollment ID: I20120406000242 |
| Provider Name | Michelle D Pelton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801163332 PECOS PAC ID: 7214199777 Enrollment ID: I20120427000571 |
| Provider Name | Temidayo Olurin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1093710691 PECOS PAC ID: 1557523800 Enrollment ID: I20120502000359 |
| Provider Name | Matthew S Rubino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932301801 PECOS PAC ID: 3072776152 Enrollment ID: I20120530000364 |
| Provider Name | Bradley J Sandella |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1184751042 PECOS PAC ID: 1355534793 Enrollment ID: I20120606000398 |
| Provider Name | Christa R Fistler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770608887 PECOS PAC ID: 4981766615 Enrollment ID: I20120607000334 |
| Provider Name | Stephen Koczirka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659505717 PECOS PAC ID: 0143484824 Enrollment ID: I20120608000170 |
| Provider Name | Lindsay A. Ashkenase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033343900 PECOS PAC ID: 8628232113 Enrollment ID: I20120613000446 |
| Provider Name | Christopher Rogan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457322026 PECOS PAC ID: 8426213398 Enrollment ID: I20120626000613 |
| Provider Name | Pauline S Cousineau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538426424 PECOS PAC ID: 8628231826 Enrollment ID: I20120629000185 |
| Provider Name | Matthew Barrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316077266 PECOS PAC ID: 3870758626 Enrollment ID: I20120629000398 |
| Provider Name | Eric M Russell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013243401 PECOS PAC ID: 0840455481 Enrollment ID: I20120703000564 |
| Provider Name | Mithil J Gajera |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962732412 PECOS PAC ID: 0446415962 Enrollment ID: I20120709000542 |
| Provider Name | Jonathan M Raser-schramm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003019498 PECOS PAC ID: 7618130956 Enrollment ID: I20120713000250 |
| Provider Name | Michael T Vest |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336293257 PECOS PAC ID: 9638356413 Enrollment ID: I20120723000152 |
| Provider Name | Arayel Osborne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508090697 PECOS PAC ID: 4688839913 Enrollment ID: I20120802000060 |
| Provider Name | Huijun Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487813838 PECOS PAC ID: 7214184662 Enrollment ID: I20120821000062 |
| Provider Name | Raymond E Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124167515 PECOS PAC ID: 0840447199 Enrollment ID: I20120822000140 |
| Provider Name | Jennifer B Brettler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235363110 PECOS PAC ID: 3173770971 Enrollment ID: I20120830000233 |
| Provider Name | Jessica D Apel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699941989 PECOS PAC ID: 9436307881 Enrollment ID: I20120911000035 |
| Provider Name | Sofia F Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598953986 PECOS PAC ID: 6608042163 Enrollment ID: I20120914000128 |
| Provider Name | Sandra Patricia Medinilla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396027991 PECOS PAC ID: 5496903577 Enrollment ID: I20120914000192 |
| Provider Name | Luis Cardenas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093033482 PECOS PAC ID: 5294983300 Enrollment ID: I20120914000462 |
| Provider Name | Shraddha N Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790088128 PECOS PAC ID: 6800085580 Enrollment ID: I20120927000758 |
| Provider Name | Cheryl A Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144262288 PECOS PAC ID: 6103015623 Enrollment ID: I20121008000407 |
| Provider Name | Hamid Deliri |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801834833 PECOS PAC ID: 7911004239 Enrollment ID: I20121009000526 |
| Provider Name | Grace Y Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427210186 PECOS PAC ID: 1052473964 Enrollment ID: I20121015000074 |
| Provider Name | Demetrios J Agriantonis |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063577005 PECOS PAC ID: 5991955338 Enrollment ID: I20121022000312 |
| Provider Name | Trina B Haywood |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598919144 PECOS PAC ID: 3577715424 Enrollment ID: I20121129000047 |
| Provider Name | Arneice Ritchie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215243811 PECOS PAC ID: 2365694783 Enrollment ID: I20121212000102 |
| Provider Name | Heather E Ragozine-bush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265666200 PECOS PAC ID: 1153573191 Enrollment ID: I20121220000234 |
| Provider Name | Brian T Nam |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275509937 PECOS PAC ID: 5193744571 Enrollment ID: I20130114000104 |
| Provider Name | Justin Guerin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588830194 PECOS PAC ID: 2860645033 Enrollment ID: I20130122000161 |
| Provider Name | Sara C Gavenonis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073662243 PECOS PAC ID: 9436240033 Enrollment ID: I20130129000211 |
| Provider Name | Samson Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518163773 PECOS PAC ID: 1557524261 Enrollment ID: I20130129000395 |
| Provider Name | Michaelene M Baker Urban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518192640 PECOS PAC ID: 1456403922 Enrollment ID: I20130201000487 |
| Provider Name | Geetanjali Chatterjee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003155623 PECOS PAC ID: 5799920948 Enrollment ID: I20130319000019 |
| Provider Name | Anuj Parikh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366482465 PECOS PAC ID: 5496787616 Enrollment ID: I20130328000136 |
| Provider Name | Christina Pecorella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225310840 PECOS PAC ID: 1052556602 Enrollment ID: I20130402000187 |
| Provider Name | Sharmila S Johnson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1407196447 PECOS PAC ID: 0749426294 Enrollment ID: I20130429000438 |
| Provider Name | Lisa C Van Horn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265774889 PECOS PAC ID: 3072759539 Enrollment ID: I20130429000594 |
| Provider Name | Lauren E Czech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184919755 PECOS PAC ID: 6608013834 Enrollment ID: I20130508000120 |
| Provider Name | Jennifer Osei Afriyie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942545587 PECOS PAC ID: 3173760758 Enrollment ID: I20130520000542 |
| Provider Name | Yuanyuan Zhang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144546961 PECOS PAC ID: 0941448161 Enrollment ID: I20130530000150 |
| Provider Name | Emily Link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881038578 PECOS PAC ID: 5092953141 Enrollment ID: I20130530000565 |
| Provider Name | Jeffrey M Guarino |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1588898597 PECOS PAC ID: 4082854591 Enrollment ID: I20130705000236 |
| Provider Name | Kelly M Frick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588984819 PECOS PAC ID: 9739328931 Enrollment ID: I20130708000080 |
| Provider Name | Lindsay Dormer Robinson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669714838 PECOS PAC ID: 5294975645 Enrollment ID: I20130708000228 |
| Provider Name | Jenia Jenab-wolcott |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619039260 PECOS PAC ID: 9830297571 Enrollment ID: I20130709000561 |
| Provider Name | Kathryn Groner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346560687 PECOS PAC ID: 5294709432 Enrollment ID: I20130716000038 |
| Provider Name | Rejy Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649506692 PECOS PAC ID: 3779724455 Enrollment ID: I20130723000124 |
| Provider Name | Sonia Adnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790915593 PECOS PAC ID: 6305087917 Enrollment ID: I20130724000562 |
| Provider Name | Fedele J Depalma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952549610 PECOS PAC ID: 9638334352 Enrollment ID: I20130725000555 |
| Provider Name | Nicole M Heap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235575614 PECOS PAC ID: 6406097625 Enrollment ID: I20130730000553 |
| Provider Name | Avinash Chandra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013190651 PECOS PAC ID: 7810138039 Enrollment ID: I20130730000602 |
| Provider Name | Shilpa R Kauta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649434283 PECOS PAC ID: 2062677610 Enrollment ID: I20130802000203 |
| Provider Name | Stefanie Golebiewski Manchin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700106051 PECOS PAC ID: 3870735855 Enrollment ID: I20130805000667 |
| Provider Name | Gregg Howard Goldstein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710116462 PECOS PAC ID: 2769646082 Enrollment ID: I20130807000135 |
| Provider Name | Varadarajan Subbiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083879985 PECOS PAC ID: 8224186812 Enrollment ID: I20130808000385 |
| Provider Name | Melissa D Morgan-gouveia |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1023278694 PECOS PAC ID: 0941456305 Enrollment ID: I20130812000515 |
| Provider Name | Subramanian Gnanaguruparan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396058533 PECOS PAC ID: 0941442248 Enrollment ID: I20130816000155 |
| Provider Name | Alison L Potter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407014095 PECOS PAC ID: 9638311772 Enrollment ID: I20130820000309 |
| Provider Name | Jennifer Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720254824 PECOS PAC ID: 4789716721 Enrollment ID: I20130827000072 |
| Provider Name | Peter Arthur Burke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902126493 PECOS PAC ID: 2668612144 Enrollment ID: I20130828000056 |
| Provider Name | Mychal Lynn Anderson Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164658621 PECOS PAC ID: 8820236532 Enrollment ID: I20130829000061 |
| Provider Name | Eric Haas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093028961 PECOS PAC ID: 2264627025 Enrollment ID: I20130829000066 |
| Provider Name | Nancy K Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831435536 PECOS PAC ID: 5395984470 Enrollment ID: I20130905000173 |
| Provider Name | John A Przybylski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275871212 PECOS PAC ID: 9931343811 Enrollment ID: I20130916000041 |
| Provider Name | Neha Kumar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841420478 PECOS PAC ID: 1759525116 Enrollment ID: I20130925000259 |
| Provider Name | Salila Shen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740613223 PECOS PAC ID: 3375777378 Enrollment ID: I20131007000346 |
| Provider Name | Lynnae H Duffalo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881857761 PECOS PAC ID: 5799839361 Enrollment ID: I20131011000366 |
| Provider Name | Molly T Sandrian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407086812 PECOS PAC ID: 8325282221 Enrollment ID: I20131011000754 |
| Provider Name | Yoav J Tal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043531403 PECOS PAC ID: 4587899109 Enrollment ID: I20131106001045 |
| Provider Name | Leia Lavoie Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013342757 PECOS PAC ID: 2567698095 Enrollment ID: I20131111001518 |
| Provider Name | Mary Ellen Kopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255451092 PECOS PAC ID: 7810124021 Enrollment ID: I20131216000055 |
| Provider Name | Eileen M Gabrielli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477995926 PECOS PAC ID: 2365679081 Enrollment ID: I20131228000027 |
| Provider Name | Patrick Eckert |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417178104 PECOS PAC ID: 8022181809 Enrollment ID: I20140217000105 |
| Provider Name | Nicole Stipo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942411582 PECOS PAC ID: 8022198621 Enrollment ID: I20140220000256 |
| Provider Name | Julia Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215362421 PECOS PAC ID: 5496985707 Enrollment ID: I20140306001915 |
| Provider Name | Emily B Panhuise |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376860098 PECOS PAC ID: 0547399131 Enrollment ID: I20140311000040 |
| Provider Name | Aruna Muthukumar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790035459 PECOS PAC ID: 3173753183 Enrollment ID: I20140312001490 |
| Provider Name | Teresa D Pepe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851445159 PECOS PAC ID: 3678704590 Enrollment ID: I20140318001204 |
| Provider Name | Jorge L Liporaci Lucena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740542372 PECOS PAC ID: 3375774755 Enrollment ID: I20140327002090 |
| Provider Name | Danielle Press |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063685485 PECOS PAC ID: 0749445088 Enrollment ID: I20140403000242 |
| Provider Name | Neil Gambill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609950534 PECOS PAC ID: 6608008453 Enrollment ID: I20140410000996 |
| Provider Name | Nadia Arshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497073175 PECOS PAC ID: 9931331501 Enrollment ID: I20140414000882 |
| Provider Name | Amanda L Galloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154746832 PECOS PAC ID: 3971736224 Enrollment ID: I20140512002017 |
| Provider Name | Michael J Spina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194927160 PECOS PAC ID: 6406095702 Enrollment ID: I20140616000556 |
| Provider Name | Bryan R Franck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447427489 PECOS PAC ID: 0547485799 Enrollment ID: I20140702002028 |
| Provider Name | Antony L Innasimuthu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104080639 PECOS PAC ID: 9234354275 Enrollment ID: I20140707000599 |
| Provider Name | Jessica C Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477795433 PECOS PAC ID: 8820213895 Enrollment ID: I20140707001514 |
| Provider Name | Lauren M Wheeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679851547 PECOS PAC ID: 3971728809 Enrollment ID: I20140708001943 |
| Provider Name | Pritiben B Desai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285063602 PECOS PAC ID: 7012132939 Enrollment ID: I20140710000088 |
| Provider Name | Leroi S Hicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083665806 PECOS PAC ID: 3274588769 Enrollment ID: I20140717001974 |
| Provider Name | Christopher S Karam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477866986 PECOS PAC ID: 7618193053 Enrollment ID: I20140722000077 |
| Provider Name | Christopher J Grilli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134395445 PECOS PAC ID: 7012149867 Enrollment ID: I20140722002011 |
| Provider Name | Brenda D Nardozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043621121 PECOS PAC ID: 8729204086 Enrollment ID: I20140723000206 |
| Provider Name | Justin Stowens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194015685 PECOS PAC ID: 0446482525 Enrollment ID: I20140729001786 |
| Provider Name | Gina M Facciolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346532017 PECOS PAC ID: 3870731193 Enrollment ID: I20140731000984 |
| Provider Name | Ellen C Finney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548494305 PECOS PAC ID: 8729211396 Enrollment ID: I20140731001202 |
| Provider Name | Anuja Mohla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144510108 PECOS PAC ID: 4587881206 Enrollment ID: I20140804001391 |
| Provider Name | Lauren J Foy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710207394 PECOS PAC ID: 8426295130 Enrollment ID: I20140807000435 |
| Provider Name | Lauren Nicole Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346530896 PECOS PAC ID: 2769614866 Enrollment ID: I20140808001231 |
| Provider Name | Leon Z Shao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760640684 PECOS PAC ID: 0547483018 Enrollment ID: I20140818000494 |
| Provider Name | Peter M Santoro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447484415 PECOS PAC ID: 7911140983 Enrollment ID: I20140819000654 |
| Provider Name | J Daniel Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265666325 PECOS PAC ID: 0547491052 Enrollment ID: I20140826001917 |
| Provider Name | Christopher Biedrzycki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609167022 PECOS PAC ID: 0840418786 Enrollment ID: I20140905001555 |
| Provider Name | Stephanie A Klair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750797635 PECOS PAC ID: 8820217714 Enrollment ID: I20140908001404 |
| Provider Name | Yadira Velazquez - Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720326242 PECOS PAC ID: 5092956532 Enrollment ID: I20140908001437 |
| Provider Name | Gaurav Mehta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588978118 PECOS PAC ID: 0446479505 Enrollment ID: I20140923000204 |
| Provider Name | Matthew J Fagan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538184791 PECOS PAC ID: 0143291286 Enrollment ID: I20140925000627 |
| Provider Name | Krista Haun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770902280 PECOS PAC ID: 0648490557 Enrollment ID: I20140926001996 |
| Provider Name | Elisabeth G Bradley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1477991750 PECOS PAC ID: 0042430829 Enrollment ID: I20140929001982 |
| Provider Name | Keyma S Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851710164 PECOS PAC ID: 2769602457 Enrollment ID: I20141001000114 |
| Provider Name | Carmen M Tirlea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518278894 PECOS PAC ID: 6406084920 Enrollment ID: I20141001001306 |
| Provider Name | Daniela M Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629485081 PECOS PAC ID: 6406076835 Enrollment ID: I20141006001999 |
| Provider Name | Thinesh Sivapatham |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1942401013 PECOS PAC ID: 9931387297 Enrollment ID: I20141007000950 |
| Provider Name | Craig A Laing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629343108 PECOS PAC ID: 0143441253 Enrollment ID: I20141014001714 |
| Provider Name | Sharon P Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336540657 PECOS PAC ID: 0042431637 Enrollment ID: I20141023002436 |
| Provider Name | Kathryn Maureen Maclaughlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114244209 PECOS PAC ID: 4183845795 Enrollment ID: I20141024000407 |
| Provider Name | Bethany A Melo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851709877 PECOS PAC ID: 3971724220 Enrollment ID: I20141030000120 |
| Provider Name | Margaret A Guest |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700830148 PECOS PAC ID: 6002869526 Enrollment ID: I20141111001710 |
| Provider Name | Tea Ramishvili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295005767 PECOS PAC ID: 4082865449 Enrollment ID: I20141120000889 |
| Provider Name | Matthew S Keller |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194931907 PECOS PAC ID: 7810049004 Enrollment ID: I20141121000465 |
| Provider Name | Terina D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528461845 PECOS PAC ID: 5890017198 Enrollment ID: I20141121001852 |
| Provider Name | Katie Jeanne Mansur |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316907728 PECOS PAC ID: 4587986799 Enrollment ID: I20141125000832 |
| Provider Name | Carol A Deputy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639458243 PECOS PAC ID: 0244552602 Enrollment ID: I20141215000878 |
| Provider Name | Glenda E Albizu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306072947 PECOS PAC ID: 7012166788 Enrollment ID: I20141217001065 |
| Provider Name | Latonya Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649675620 PECOS PAC ID: 4486977584 Enrollment ID: I20141222001007 |
| Provider Name | Audrey A Forka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780087213 PECOS PAC ID: 0648593855 Enrollment ID: I20141223000799 |
| Provider Name | Tiffany L Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518363563 PECOS PAC ID: 6608199559 Enrollment ID: I20141229000673 |
| Provider Name | Kristen Koechert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427454206 PECOS PAC ID: 8022331974 Enrollment ID: I20141229000772 |
| Provider Name | Melissa F Wainwright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568717791 PECOS PAC ID: 2769638741 Enrollment ID: I20150122000277 |
| Provider Name | Michelle L Drew |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174764062 PECOS PAC ID: 4981831062 Enrollment ID: I20150225001129 |
| Provider Name | Emmanuella N Olaiya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174872220 PECOS PAC ID: 4587813605 Enrollment ID: I20150226002222 |
| Provider Name | Stephanie A Evans Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437547668 PECOS PAC ID: 4385960533 Enrollment ID: I20150305000728 |
| Provider Name | Anthony W Gannon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376754002 PECOS PAC ID: 0446315246 Enrollment ID: I20150305000774 |
| Provider Name | George N Spyropoulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043258791 PECOS PAC ID: 3779756317 Enrollment ID: I20150309001036 |
| Provider Name | Kashif Malik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760682025 PECOS PAC ID: 0941486500 Enrollment ID: I20150310001972 |
| Provider Name | Audrey A Sernyak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922096494 PECOS PAC ID: 6204821119 Enrollment ID: I20150312000935 |
| Provider Name | Maryum Rafique |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538328869 PECOS PAC ID: 9931352739 Enrollment ID: I20150320001832 |
| Provider Name | Justin E Devotta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730476128 PECOS PAC ID: 0345568721 Enrollment ID: I20150415000681 |
| Provider Name | Lauren M Bailey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508160805 PECOS PAC ID: 6305008376 Enrollment ID: I20150420000048 |
| Provider Name | Danielle N Dallas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083010490 PECOS PAC ID: 3971822891 Enrollment ID: I20150427002278 |
| Provider Name | Jennifer B Entrekin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619369378 PECOS PAC ID: 2769701259 Enrollment ID: I20150505001549 |
| Provider Name | Kathryn Hook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184012783 PECOS PAC ID: 7719206150 Enrollment ID: I20150506000450 |
| Provider Name | Jasmin M Freeman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346564952 PECOS PAC ID: 7517141302 Enrollment ID: I20150515000459 |
| Provider Name | Sarah Meng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194958751 PECOS PAC ID: 9931347267 Enrollment ID: I20150527001039 |
| Provider Name | David D Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316239551 PECOS PAC ID: 4981845435 Enrollment ID: I20150529000408 |
| Provider Name | Amanda Zettle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477949378 PECOS PAC ID: 1850612011 Enrollment ID: I20150601000839 |
| Provider Name | Hyon Ju Park |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083810048 PECOS PAC ID: 6608019518 Enrollment ID: I20150602000625 |
| Provider Name | Nicole M Duffy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528493384 PECOS PAC ID: 9335460328 Enrollment ID: I20150602002534 |
| Provider Name | Adetokunbo S Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356728232 PECOS PAC ID: 0345551628 Enrollment ID: I20150615000093 |
| Provider Name | Monique Renee Farrow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720214042 PECOS PAC ID: 1355585936 Enrollment ID: I20150619001355 |
| Provider Name | Haroon M. Raja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710118229 PECOS PAC ID: 7810115730 Enrollment ID: I20150623001353 |
| Provider Name | Phoebe J Holmes |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689991663 PECOS PAC ID: 5294967303 Enrollment ID: I20150707001523 |
| Provider Name | Mohammed Ali |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811121858 PECOS PAC ID: 7810128238 Enrollment ID: I20150710001212 |
| Provider Name | Lauren M Cooksey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104183987 PECOS PAC ID: 7911132881 Enrollment ID: I20150713002945 |
| Provider Name | Tiffany B Shapiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831124858 PECOS PAC ID: 2860406220 Enrollment ID: I20150715001914 |
| Provider Name | Samata K Mcclure |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184939670 PECOS PAC ID: 0143460907 Enrollment ID: I20150721001200 |
| Provider Name | Maureen L Mercante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457732547 PECOS PAC ID: 1850605437 Enrollment ID: I20150728004048 |
| Provider Name | Himani Divatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639463235 PECOS PAC ID: 1052553450 Enrollment ID: I20150729009380 |
| Provider Name | Giovanna Uzelac |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902190390 PECOS PAC ID: 3476772849 Enrollment ID: I20150731015055 |
| Provider Name | Mohammed Murtaza Kamal Chaudry |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538361506 PECOS PAC ID: 5092029678 Enrollment ID: I20150811003645 |
| Provider Name | Robert Hsu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245523570 PECOS PAC ID: 7113142571 Enrollment ID: I20150811004113 |
| Provider Name | Caitlin A Halbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528292257 PECOS PAC ID: 5496998445 Enrollment ID: I20150812006398 |
| Provider Name | Stephanie Jean |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1548468259 PECOS PAC ID: 9638397169 Enrollment ID: I20150819008451 |
| Provider Name | Madhumathi Gunasekaran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275723793 PECOS PAC ID: 8224203625 Enrollment ID: I20150821013298 |
| Provider Name | Sajjad Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235301276 PECOS PAC ID: 8628121969 Enrollment ID: I20150821014062 |
| Provider Name | Marc T Latta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700985769 PECOS PAC ID: 7315013992 Enrollment ID: I20150825004419 |
| Provider Name | Christopher Ryan Mitchell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124274105 PECOS PAC ID: 3870648694 Enrollment ID: I20150826001851 |
| Provider Name | Brian William Toussaint |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295969616 PECOS PAC ID: 3678712320 Enrollment ID: I20150908002248 |
| Provider Name | Kaveeta Vinaya Kumar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487787420 PECOS PAC ID: 5799829008 Enrollment ID: I20150918000941 |
| Provider Name | Neil J Wimmer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821153065 PECOS PAC ID: 2466622741 Enrollment ID: I20150918001716 |
| Provider Name | James Ellison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144226630 PECOS PAC ID: 4789649161 Enrollment ID: I20150922001183 |
| Provider Name | Kelli A Quercetti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285954388 PECOS PAC ID: 7517274525 Enrollment ID: I20150923000746 |
| Provider Name | Christopher Anthony Milburn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609037985 PECOS PAC ID: 6800042987 Enrollment ID: I20150923002508 |
| Provider Name | Monica Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275917684 PECOS PAC ID: 5496063141 Enrollment ID: I20150930001779 |
| Provider Name | Elizabeth J Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528389855 PECOS PAC ID: 7315181435 Enrollment ID: I20151001000987 |
| Provider Name | Jackie Joe Lindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477920296 PECOS PAC ID: 2365750403 Enrollment ID: I20151009000054 |
| Provider Name | Jagdeep Singh Hundal |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467639864 PECOS PAC ID: 3072671528 Enrollment ID: I20151009000216 |
| Provider Name | Waimei Amy Tai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316149206 PECOS PAC ID: 8729241815 Enrollment ID: I20151020000054 |
| Provider Name | Maryah Mansoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659684777 PECOS PAC ID: 4981827656 Enrollment ID: I20151022002518 |
| Provider Name | Parham Moftakhar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750600532 PECOS PAC ID: 0345426094 Enrollment ID: I20151027002509 |
| Provider Name | Rabia M Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013275817 PECOS PAC ID: 9830409002 Enrollment ID: I20151030002108 |
| Provider Name | Veronica Mahon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538473657 PECOS PAC ID: 0547572109 Enrollment ID: I20151102000315 |
| Provider Name | Tabassum F Ali |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225267362 PECOS PAC ID: 4688818891 Enrollment ID: I20151105001132 |
| Provider Name | Alyssa R Atanacio |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1831569854 PECOS PAC ID: 0941510655 Enrollment ID: I20151110000454 |
| Provider Name | Joanne M Ilustre |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750545661 PECOS PAC ID: 1759561061 Enrollment ID: I20151110003113 |
| Provider Name | Nicole Laporte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114241049 PECOS PAC ID: 0749595593 Enrollment ID: I20151112001383 |
| Provider Name | Molly A Bergamo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548664592 PECOS PAC ID: 3072837699 Enrollment ID: I20151116000733 |
| Provider Name | Cherie L Demerchant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982945275 PECOS PAC ID: 6800196007 Enrollment ID: I20151119001170 |
| Provider Name | Lynsey E Brandt |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790848331 PECOS PAC ID: 8224106679 Enrollment ID: I20151207000481 |
| Provider Name | Stephanie M Koterwas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730551086 PECOS PAC ID: 7719288943 Enrollment ID: I20151214000719 |
| Provider Name | Mary K Bogush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467824821 PECOS PAC ID: 7416259668 Enrollment ID: I20160106000243 |
| Provider Name | Sarah M Hinkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659744845 PECOS PAC ID: 7911209077 Enrollment ID: I20160106000977 |
| Provider Name | Ashley Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194199000 PECOS PAC ID: 5395047344 Enrollment ID: I20160107001120 |
| Provider Name | Samuel G Putnam |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023066404 PECOS PAC ID: 5991699522 Enrollment ID: I20160120002511 |
| Provider Name | Meredith Santinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861781106 PECOS PAC ID: 6507169646 Enrollment ID: I20160122000860 |
| Provider Name | Lindsey M Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215228515 PECOS PAC ID: 5991009680 Enrollment ID: I20160201000026 |
| Provider Name | Alexander E Swift |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215901392 PECOS PAC ID: 1456370410 Enrollment ID: I20160201000221 |
| Provider Name | Irene Swift |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275796120 PECOS PAC ID: 4880862887 Enrollment ID: I20160201000655 |
| Provider Name | Ghassan Kanj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649359944 PECOS PAC ID: 7113914730 Enrollment ID: I20160201002894 |
| Provider Name | Audrey Anne Merriam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477873131 PECOS PAC ID: 3971742164 Enrollment ID: I20160209000431 |
| Provider Name | Stacie R Holdinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649636101 PECOS PAC ID: 7618271800 Enrollment ID: I20160209001089 |
| Provider Name | Sarah M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659756203 PECOS PAC ID: 7719294016 Enrollment ID: I20160211000195 |
| Provider Name | Jessica Smallwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548632110 PECOS PAC ID: 6800190679 Enrollment ID: I20160216000020 |
| Provider Name | Eileen Czerwinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386002798 PECOS PAC ID: 5496050866 Enrollment ID: I20160223000823 |
| Provider Name | Nancy M Devereux |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174681209 PECOS PAC ID: 5890974364 Enrollment ID: I20160302000132 |
| Provider Name | Dagmara M Pychynski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366671679 PECOS PAC ID: 8426296104 Enrollment ID: I20160307000078 |
| Provider Name | Maryruth L Nich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063879393 PECOS PAC ID: 5395041768 Enrollment ID: I20160310001503 |
| Provider Name | Travis Fogelman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710208152 PECOS PAC ID: 3678699584 Enrollment ID: I20160322002104 |
| Provider Name | Stephanie A Stellini-turner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043461940 PECOS PAC ID: 7012214778 Enrollment ID: I20160323000917 |
| Provider Name | Michelle L Laughlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558495275 PECOS PAC ID: 0244537744 Enrollment ID: I20160329001107 |
| Provider Name | Joseph A Sciulara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861546715 PECOS PAC ID: 3779680871 Enrollment ID: I20160329001326 |
| Provider Name | John L Winstead |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407023492 PECOS PAC ID: 9436456803 Enrollment ID: I20160330000762 |
| Provider Name | Melissa H Guarino |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689708935 PECOS PAC ID: 0042517427 Enrollment ID: I20160330001137 |
| Provider Name | Audrey F Dudek |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427321173 PECOS PAC ID: 8022279066 Enrollment ID: I20160330001719 |
| Provider Name | Jennifer L Kelly Mccoy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528048667 PECOS PAC ID: 6103828207 Enrollment ID: I20160331001756 |
| Provider Name | Dana L Schade |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073807988 PECOS PAC ID: 9739352691 Enrollment ID: I20160331002207 |
| Provider Name | Sheri Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265833354 PECOS PAC ID: 9638476773 Enrollment ID: I20160405000128 |
| Provider Name | Jill R Mermagen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285856716 PECOS PAC ID: 1355649260 Enrollment ID: I20160408001752 |
| Provider Name | Thomas Luce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811163991 PECOS PAC ID: 7810295730 Enrollment ID: I20160411000046 |
| Provider Name | Mark Kuehn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366745408 PECOS PAC ID: 1658679592 Enrollment ID: I20160411000750 |
| Provider Name | Jennifer Willey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104217595 PECOS PAC ID: 0749588523 Enrollment ID: I20160412000149 |
| Provider Name | John David Carney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316065022 PECOS PAC ID: 8729218730 Enrollment ID: I20160412000559 |
| Provider Name | Jason Corey Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629037106 PECOS PAC ID: 7416908041 Enrollment ID: I20160412001753 |
| Provider Name | Frank A Pallante |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568636736 PECOS PAC ID: 8527366293 Enrollment ID: I20160413000310 |
| Provider Name | Nirmol Mary Philip |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992063515 PECOS PAC ID: 0840410270 Enrollment ID: I20160426000245 |
| Provider Name | Deniz Eker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386635068 PECOS PAC ID: 5294637880 Enrollment ID: I20160505000653 |
| Provider Name | Sahila Feroz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841504529 PECOS PAC ID: 1951521426 Enrollment ID: I20160509001253 |
| Provider Name | Melanie G Donnelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265561989 PECOS PAC ID: 3577852755 Enrollment ID: I20160511000488 |
| Provider Name | Chelsea Hulme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992170682 PECOS PAC ID: 1759685647 Enrollment ID: I20160516000399 |
| Provider Name | Jeremy Berberian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831432426 PECOS PAC ID: 0749570794 Enrollment ID: I20160602001740 |
| Provider Name | Emily Granitto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861835548 PECOS PAC ID: 8729219340 Enrollment ID: I20160602002067 |
| Provider Name | Gregory Wanner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689609661 PECOS PAC ID: 9537164272 Enrollment ID: I20160603000172 |
| Provider Name | Dianne C Holleran |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639524580 PECOS PAC ID: 0446541940 Enrollment ID: I20160613002257 |
| Provider Name | Amita P Vasoya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992785406 PECOS PAC ID: 4981749058 Enrollment ID: I20160614000391 |
| Provider Name | Denise E Kohen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891016440 PECOS PAC ID: 1052550639 Enrollment ID: I20160614000894 |
| Provider Name | Justin P Martello |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255622676 PECOS PAC ID: 5991003139 Enrollment ID: I20160614001007 |
| Provider Name | Vishesh Agarwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609163971 PECOS PAC ID: 6204127764 Enrollment ID: I20160614001581 |
| Provider Name | Ismael A Matus |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538118070 PECOS PAC ID: 1052323060 Enrollment ID: I20160614001669 |
| Provider Name | Kenneth Trzepkowski |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1699736140 PECOS PAC ID: 2860681996 Enrollment ID: I20160622000434 |
| Provider Name | Adeyoyin R Esaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003270927 PECOS PAC ID: 8527359546 Enrollment ID: I20160622002515 |
| Provider Name | Kimberly P Gannon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831482165 PECOS PAC ID: 8527359371 Enrollment ID: I20160624001571 |
| Provider Name | Kathleen Corry Effler |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326332339 PECOS PAC ID: 1355632142 Enrollment ID: I20160627000658 |
| Provider Name | Julie E Morley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164877825 PECOS PAC ID: 3577854132 Enrollment ID: I20160629000825 |
| Provider Name | Kimberly W Vignola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356718001 PECOS PAC ID: 2062704810 Enrollment ID: I20160714001552 |
| Provider Name | Valerie Ann Cohen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013209378 PECOS PAC ID: 6305079344 Enrollment ID: I20160714001960 |
| Provider Name | Kerry Ellen Gregory |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306904966 PECOS PAC ID: 6406985563 Enrollment ID: I20160720001961 |
| Provider Name | Rahmah Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780039651 PECOS PAC ID: 7416240999 Enrollment ID: I20160720002484 |
| Provider Name | Justin Eisenman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457593063 PECOS PAC ID: 8022260363 Enrollment ID: I20160725002500 |
| Provider Name | Kelly M Ruhstaller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386878254 PECOS PAC ID: 3072806124 Enrollment ID: I20160727000065 |
| Provider Name | Elaine G Turochy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952757874 PECOS PAC ID: 3971897422 Enrollment ID: I20160808000239 |
| Provider Name | Roberta Ann Humble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376991638 PECOS PAC ID: 9830483890 Enrollment ID: I20160815000414 |
| Provider Name | Kimberly Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982044699 PECOS PAC ID: 4385946615 Enrollment ID: I20160817000969 |
| Provider Name | Michael J Hansen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356785661 PECOS PAC ID: 3072745959 Enrollment ID: I20160817001378 |
| Provider Name | Lauren Kanter Applebaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386806909 PECOS PAC ID: 3375796097 Enrollment ID: I20160818001544 |
| Provider Name | Prakash Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053561498 PECOS PAC ID: 0547453284 Enrollment ID: I20160818001732 |
| Provider Name | Deepa Bhanot |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184936890 PECOS PAC ID: 0547416927 Enrollment ID: I20160822000940 |
| Provider Name | Raymond H Green |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477686905 PECOS PAC ID: 7517146509 Enrollment ID: I20160824000827 |
| Provider Name | Sourin Banerji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346443140 PECOS PAC ID: 4688749435 Enrollment ID: I20160829000530 |
| Provider Name | Mona Yezdani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831416510 PECOS PAC ID: 2769795509 Enrollment ID: I20160906000028 |
| Provider Name | Alicia K Ely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902249428 PECOS PAC ID: 8921224254 Enrollment ID: I20160907000747 |
| Provider Name | Shoheb A Farooqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457671000 PECOS PAC ID: 3375859689 Enrollment ID: I20160909000395 |
| Provider Name | Ashley Panicker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306282660 PECOS PAC ID: 2062708365 Enrollment ID: I20160913002004 |
| Provider Name | Adeyinka O Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922450378 PECOS PAC ID: 0446546642 Enrollment ID: I20160915000217 |
| Provider Name | Eric W Halpern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528402369 PECOS PAC ID: 4880827997 Enrollment ID: I20160916000172 |
| Provider Name | Apar Bains |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730528803 PECOS PAC ID: 1052552957 Enrollment ID: I20160921000128 |
| Provider Name | Tracy Ann Whelan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790136554 PECOS PAC ID: 9638466220 Enrollment ID: I20160926001288 |
| Provider Name | Bernadette Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811366636 PECOS PAC ID: 2264720309 Enrollment ID: I20161005002283 |
| Provider Name | Adrienne E Abrenica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376948000 PECOS PAC ID: 0446572952 Enrollment ID: I20161006002366 |
| Provider Name | Anna B Filip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427283035 PECOS PAC ID: 3375794993 Enrollment ID: I20161014000655 |
| Provider Name | Shaun D Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316166085 PECOS PAC ID: 1557659885 Enrollment ID: I20161019001010 |
| Provider Name | John R Pollard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932131265 PECOS PAC ID: 6608890371 Enrollment ID: I20161025001803 |
| Provider Name | Tara Hood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851602601 PECOS PAC ID: 0446491039 Enrollment ID: I20161031000955 |
| Provider Name | Davi Lue Achu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477006864 PECOS PAC ID: 7719265180 Enrollment ID: I20161107000646 |
| Provider Name | Mustafa A Mufti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619263787 PECOS PAC ID: 1850679234 Enrollment ID: I20161107000872 |
| Provider Name | Jason Palopoli |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053625632 PECOS PAC ID: 0042536203 Enrollment ID: I20161109000908 |
| Provider Name | Justine Annissa-marie Watson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417330341 PECOS PAC ID: 8628383536 Enrollment ID: I20161109002095 |
| Provider Name | Adrienne B Neithardt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376504134 PECOS PAC ID: 8527347723 Enrollment ID: I20161110001627 |
| Provider Name | Emelia Argyropoulos Bachman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932375078 PECOS PAC ID: 9133408289 Enrollment ID: I20161114001993 |
| Provider Name | Parinaz B Baradaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699752071 PECOS PAC ID: 3476518101 Enrollment ID: I20161123000734 |
| Provider Name | Alyssa M Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487102646 PECOS PAC ID: 3173802691 Enrollment ID: I20161128000087 |
| Provider Name | Cristina A Vardi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558565564 PECOS PAC ID: 7416973474 Enrollment ID: I20161206000748 |
| Provider Name | Jennifer M Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184172348 PECOS PAC ID: 6507146511 Enrollment ID: I20161209000109 |
| Provider Name | Jaime C Giraldo Arango |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558568303 PECOS PAC ID: 8022280593 Enrollment ID: I20161212001470 |
| Provider Name | Amber M Garbe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053868224 PECOS PAC ID: 3577843390 Enrollment ID: I20161213000354 |
| Provider Name | Bonnie L Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972053619 PECOS PAC ID: 9436439023 Enrollment ID: I20161219000878 |
| Provider Name | Cheryl J Grant |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821530197 PECOS PAC ID: 4183905268 Enrollment ID: I20170104000055 |
| Provider Name | Julie A Kieliszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831580521 PECOS PAC ID: 1456655000 Enrollment ID: I20170104000290 |
| Provider Name | Chaney Goodner Stewman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1932333820 PECOS PAC ID: 8224251921 Enrollment ID: I20170111001468 |
| Provider Name | Aileen Mcelhaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730622044 PECOS PAC ID: 4587946231 Enrollment ID: I20170113000040 |
| Provider Name | Parth M Viroja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639416019 PECOS PAC ID: 1850681990 Enrollment ID: I20170117001899 |
| Provider Name | Nealanjon P Das |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528163649 PECOS PAC ID: 5597949883 Enrollment ID: I20170120000022 |
| Provider Name | Tiffany D Whary |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1912449554 PECOS PAC ID: 5496037665 Enrollment ID: I20170124000204 |
| Provider Name | Priyal R Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144513235 PECOS PAC ID: 6204056377 Enrollment ID: I20170207001560 |
| Provider Name | Jonathan D Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689797516 PECOS PAC ID: 6103109244 Enrollment ID: I20170215001044 |
| Provider Name | Jason L Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346474301 PECOS PAC ID: 4880859404 Enrollment ID: I20170220000147 |
| Provider Name | Melissa Vanneerden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629520119 PECOS PAC ID: 4789968371 Enrollment ID: I20170227001594 |
| Provider Name | Ariel G Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689080889 PECOS PAC ID: 3375865447 Enrollment ID: I20170327001423 |
| Provider Name | Kimberly Wanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235678087 PECOS PAC ID: 7315223872 Enrollment ID: I20170418000043 |
| Provider Name | Renee Angel Cumens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215312848 PECOS PAC ID: 3476868183 Enrollment ID: I20170427002573 |
| Provider Name | Amit Padaki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386947109 PECOS PAC ID: 4385963842 Enrollment ID: I20170503001212 |
| Provider Name | Ashley T Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194270678 PECOS PAC ID: 3870870439 Enrollment ID: I20170509000078 |
| Provider Name | Andrew Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164780979 PECOS PAC ID: 7911132287 Enrollment ID: I20170511001960 |
| Provider Name | Andrea L Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790176113 PECOS PAC ID: 7618244682 Enrollment ID: I20170522002762 |
| Provider Name | Shannon M Virtue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629517990 PECOS PAC ID: 4385911171 Enrollment ID: I20170526001175 |
| Provider Name | Linda Spotts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891163416 PECOS PAC ID: 7517235955 Enrollment ID: I20170608000135 |
| Provider Name | Amy Nicole Werner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780977645 PECOS PAC ID: 0648457077 Enrollment ID: I20170627000568 |
| Provider Name | Megan Ryan Kerstetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811438484 PECOS PAC ID: 5294004743 Enrollment ID: I20170627001795 |
| Provider Name | Steven James Larrimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225565070 PECOS PAC ID: 4587933650 Enrollment ID: I20170705001479 |
| Provider Name | Stephanie B Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477741296 PECOS PAC ID: 7719034438 Enrollment ID: I20170706002458 |
| Provider Name | Vishal Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205127172 PECOS PAC ID: 7214168533 Enrollment ID: I20170707001145 |
| Provider Name | Matthew Koterwas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376070854 PECOS PAC ID: 6204105844 Enrollment ID: I20170713000029 |
| Provider Name | Assaf Graif |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598051781 PECOS PAC ID: 0345472635 Enrollment ID: I20170713000967 |
| Provider Name | Soo Jung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104261809 PECOS PAC ID: 7315236932 Enrollment ID: I20170714000623 |
| Provider Name | Lindsey Selby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215464482 PECOS PAC ID: 5395015879 Enrollment ID: I20170717000168 |
| Provider Name | Erica A Heilman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316380074 PECOS PAC ID: 5698907152 Enrollment ID: I20170718003282 |
| Provider Name | Roshan Y Modi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992096739 PECOS PAC ID: 8123323227 Enrollment ID: I20170724003072 |
| Provider Name | Jennifer P Rowland |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891087029 PECOS PAC ID: 9234437963 Enrollment ID: I20170724003287 |
| Provider Name | Joseph S Handler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902858475 PECOS PAC ID: 1052361730 Enrollment ID: I20170726003372 |
| Provider Name | Matthew J Moon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063702603 PECOS PAC ID: 0648418798 Enrollment ID: I20170727001170 |
| Provider Name | Raja K S Malhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942528955 PECOS PAC ID: 2860626900 Enrollment ID: I20170727001766 |
| Provider Name | Anne H Warner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588985279 PECOS PAC ID: 3476844069 Enrollment ID: I20170731000380 |
| Provider Name | Melissa Ann Hackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619241072 PECOS PAC ID: 5991942120 Enrollment ID: I20170803001873 |
| Provider Name | Subani Maheshwari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023364577 PECOS PAC ID: 4486943511 Enrollment ID: I20170807000668 |
| Provider Name | Stephen J Senichka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851659007 PECOS PAC ID: 2860707460 Enrollment ID: I20170807002362 |
| Provider Name | Elizabeth K Clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194167734 PECOS PAC ID: 8527286699 Enrollment ID: I20170814000484 |
| Provider Name | Sheila Taylor |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609135508 PECOS PAC ID: 8921399692 Enrollment ID: I20170815003752 |
| Provider Name | Amanda J Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366886368 PECOS PAC ID: 2668604919 Enrollment ID: I20170817000046 |
| Provider Name | Jolomi T Ikomi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396911640 PECOS PAC ID: 7113065343 Enrollment ID: I20170817003682 |
| Provider Name | Marc J Laufgraben |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932146255 PECOS PAC ID: 6103800685 Enrollment ID: I20170821000340 |
| Provider Name | Evan Hawbaker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811300627 PECOS PAC ID: 6709158900 Enrollment ID: I20170823002289 |
| Provider Name | Agatha Berger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609192988 PECOS PAC ID: 9739311192 Enrollment ID: I20170828004523 |
| Provider Name | Jeremy D Cristol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225458748 PECOS PAC ID: 4789801713 Enrollment ID: I20170829000886 |
| Provider Name | Kawansi Newton Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376073502 PECOS PAC ID: 4486927043 Enrollment ID: I20170901000192 |
| Provider Name | Heather M Milea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104348796 PECOS PAC ID: 7810261419 Enrollment ID: I20170920002923 |
| Provider Name | Megan M Litkenhaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922430735 PECOS PAC ID: 6901170174 Enrollment ID: I20170927000908 |
| Provider Name | Alexandra Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821530825 PECOS PAC ID: 6800160094 Enrollment ID: I20170927001976 |
| Provider Name | Martin Sylvester |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962924274 PECOS PAC ID: 5890069090 Enrollment ID: I20170927002079 |
| Provider Name | Kathryn R Vosbury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780817494 PECOS PAC ID: 9234404377 Enrollment ID: I20170929000690 |
| Provider Name | Elizabeth Kaberle Jones |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851736631 PECOS PAC ID: 6204053077 Enrollment ID: I20171010002279 |
| Provider Name | Ashley Graham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548603707 PECOS PAC ID: 8426324385 Enrollment ID: I20171019002171 |
| Provider Name | Kathryn Sweeney El-amraoui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982963443 PECOS PAC ID: 2961627807 Enrollment ID: I20171020003022 |
| Provider Name | Vrunda K Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154612018 PECOS PAC ID: 6406089515 Enrollment ID: I20171024001307 |
| Provider Name | Robert F Onyango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952827446 PECOS PAC ID: 0345506374 Enrollment ID: I20171114003347 |
| Provider Name | Farnaz A Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518035773 PECOS PAC ID: 6204933344 Enrollment ID: I20171116000470 |
| Provider Name | Jaclyn M Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366967523 PECOS PAC ID: 2860758281 Enrollment ID: I20171117000333 |
| Provider Name | Megan Serbu |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831618172 PECOS PAC ID: 9739446162 Enrollment ID: I20171120002226 |
| Provider Name | Frank Amico |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497091904 PECOS PAC ID: 0941435812 Enrollment ID: I20171121000583 |
| Provider Name | Luis E Urrutia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922029859 PECOS PAC ID: 4183600729 Enrollment ID: I20171129000934 |
| Provider Name | Karen Ellis-brisbon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578073292 PECOS PAC ID: 0547527095 Enrollment ID: I20171208000446 |
| Provider Name | Entela A Kristo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225302854 PECOS PAC ID: 4880854827 Enrollment ID: I20171214002025 |
| Provider Name | Caitlin E Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437457850 PECOS PAC ID: 7012185812 Enrollment ID: I20171215001275 |
| Provider Name | Tasha M Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760900666 PECOS PAC ID: 4688932833 Enrollment ID: I20171218002221 |
| Provider Name | Victoria A Varga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578072229 PECOS PAC ID: 3173881216 Enrollment ID: I20171220000379 |
| Provider Name | Eric Darryl Dees |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336658657 PECOS PAC ID: 5890053847 Enrollment ID: I20171220000956 |
| Provider Name | Katie H Rubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013433978 PECOS PAC ID: 4183982135 Enrollment ID: I20171220001027 |
| Provider Name | Alaina Vincent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689967747 PECOS PAC ID: 9830357607 Enrollment ID: I20180102000586 |
| Provider Name | Shaakira Lateefa Abdullah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073028189 PECOS PAC ID: 4183983687 Enrollment ID: I20180108002523 |
| Provider Name | Danielle M Mazzuca |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770093064 PECOS PAC ID: 9133488315 Enrollment ID: I20180116000728 |
| Provider Name | Niya A Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467516781 PECOS PAC ID: 1850613514 Enrollment ID: I20180116001718 |
| Provider Name | Victoria M Udealer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104336890 PECOS PAC ID: 6800155011 Enrollment ID: I20180116002114 |
| Provider Name | Victoria Atchison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851801351 PECOS PAC ID: 7911266945 Enrollment ID: I20180118002660 |
| Provider Name | Kimberly A Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427573336 PECOS PAC ID: 8224397971 Enrollment ID: I20180125002469 |
| Provider Name | Sean M Bidic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730124256 PECOS PAC ID: 5597795138 Enrollment ID: I20180201003032 |
| Provider Name | John D Robb |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1962844621 PECOS PAC ID: 6901166180 Enrollment ID: I20180208000258 |
| Provider Name | Aisha A Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831497601 PECOS PAC ID: 8224216189 Enrollment ID: I20180220002770 |
| Provider Name | Heather H Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881112787 PECOS PAC ID: 0648531319 Enrollment ID: I20180221002311 |
| Provider Name | Patricia C Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073051819 PECOS PAC ID: 3577849470 Enrollment ID: I20180307002007 |
| Provider Name | Jayne E Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174030217 PECOS PAC ID: 0648532341 Enrollment ID: I20180316000591 |
| Provider Name | Angela M Mcnulty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538674767 PECOS PAC ID: 2264794890 Enrollment ID: I20180320001495 |
| Provider Name | Matthew K Holden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295286029 PECOS PAC ID: 6507128881 Enrollment ID: I20180326003017 |
| Provider Name | Jacob R Jellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518469261 PECOS PAC ID: 1355604471 Enrollment ID: I20180424000354 |
| Provider Name | Ginger Cowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023079084 PECOS PAC ID: 9931147873 Enrollment ID: I20180430001793 |
| Provider Name | Myrna Malak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386146355 PECOS PAC ID: 6800150707 Enrollment ID: I20180501000020 |
| Provider Name | Hillary L Howrey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437678018 PECOS PAC ID: 8426312224 Enrollment ID: I20180502002242 |
| Provider Name | Colleen Patricia Debosier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578066676 PECOS PAC ID: 5395009716 Enrollment ID: I20180510000658 |
| Provider Name | Denise Feeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780950071 PECOS PAC ID: 5890958532 Enrollment ID: I20180521000058 |
| Provider Name | Rajivan Maniam |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1639460132 PECOS PAC ID: 0042526741 Enrollment ID: I20180521002698 |
| Provider Name | Steven Todd Kramer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184990624 PECOS PAC ID: 0143517763 Enrollment ID: I20180620002719 |
| Provider Name | Stephen Meng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083974257 PECOS PAC ID: 2163741497 Enrollment ID: I20180628001514 |
| Provider Name | Mark K Semanski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659862357 PECOS PAC ID: 7416203682 Enrollment ID: I20180629001423 |
| Provider Name | Jonathan David Talmud |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063893394 PECOS PAC ID: 0244522076 Enrollment ID: I20180703002906 |
| Provider Name | Michael C Morton Wiedner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649614546 PECOS PAC ID: 5991938136 Enrollment ID: I20180705000195 |
| Provider Name | Rabia Hasan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043568496 PECOS PAC ID: 2062651730 Enrollment ID: I20180718001356 |
| Provider Name | Katelyn A Fritzges |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922428044 PECOS PAC ID: 9931326105 Enrollment ID: I20180719000902 |
| Provider Name | Elisabeth C Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306257266 PECOS PAC ID: 8123324332 Enrollment ID: I20180719002535 |
| Provider Name | Shannon Emma Pan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578982666 PECOS PAC ID: 1153548326 Enrollment ID: I20180726000179 |
| Provider Name | Linda A Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497087902 PECOS PAC ID: 4284801721 Enrollment ID: I20180726002593 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20180730002185 |
| Provider Name | Nicole Laslett |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1154716371 PECOS PAC ID: 9335450956 Enrollment ID: I20180730002593 |
| Provider Name | Hannah Betters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144712613 PECOS PAC ID: 4284982752 Enrollment ID: I20180801000188 |
| Provider Name | Francis Squadrito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790166189 PECOS PAC ID: 5294028676 Enrollment ID: I20180809006044 |
| Provider Name | Peter Abdelmessieh |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1073803896 PECOS PAC ID: 4587945167 Enrollment ID: I20180809006219 |
| Provider Name | Johnita Tiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083191076 PECOS PAC ID: 5597013292 Enrollment ID: I20180810002319 |
| Provider Name | Syam Prasad Mallampalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275727604 PECOS PAC ID: 3173715497 Enrollment ID: I20180815001832 |
| Provider Name | Evan Dodge Bilheimer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730576174 PECOS PAC ID: 3577874106 Enrollment ID: I20180817002281 |
| Provider Name | Ashley E Panichelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568858124 PECOS PAC ID: 2769797828 Enrollment ID: I20180821003854 |
| Provider Name | Lauren E Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013406883 PECOS PAC ID: 3375892581 Enrollment ID: I20180822000299 |
| Provider Name | Kathryn E Bowser |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730470741 PECOS PAC ID: 9436392594 Enrollment ID: I20180823002048 |
| Provider Name | James Nathan Becker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144563842 PECOS PAC ID: 0840580379 Enrollment ID: I20180828002235 |
| Provider Name | Shirline B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285111260 PECOS PAC ID: 1850468232 Enrollment ID: I20180913002607 |
| Provider Name | Rachel Bronsther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972941615 PECOS PAC ID: 2668762022 Enrollment ID: I20180920002207 |
| Provider Name | Elizabeth C Garrant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396224275 PECOS PAC ID: 5395096689 Enrollment ID: I20180926000610 |
| Provider Name | Samantha M Hussnatter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003396367 PECOS PAC ID: 3577814888 Enrollment ID: I20180926001523 |
| Provider Name | Anthony R Tascone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972862936 PECOS PAC ID: 5890920797 Enrollment ID: I20180926001681 |
| Provider Name | Rebecca Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366672032 PECOS PAC ID: 6103965470 Enrollment ID: I20180926003646 |
| Provider Name | Amira L Kummer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508346149 PECOS PAC ID: 2860743879 Enrollment ID: I20181001001372 |
| Provider Name | Latrina A Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942787965 PECOS PAC ID: 8527319516 Enrollment ID: I20181002001198 |
| Provider Name | Fawn Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154803492 PECOS PAC ID: 4981956992 Enrollment ID: I20181002002308 |
| Provider Name | Lindsay Bonnett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376956508 PECOS PAC ID: 3173816659 Enrollment ID: I20181012001970 |
| Provider Name | Rebecca L Ruby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417436627 PECOS PAC ID: 2062765050 Enrollment ID: I20181020000604 |
| Provider Name | Syed Ali Hamid |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033496443 PECOS PAC ID: 6305084336 Enrollment ID: I20181022001374 |
| Provider Name | Mazen Pierre Kreidy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972741635 PECOS PAC ID: 7618165242 Enrollment ID: I20181024001963 |
| Provider Name | Ali Saeed Chaudhary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285925115 PECOS PAC ID: 4082832837 Enrollment ID: I20181106002869 |
| Provider Name | Zachary J Collins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114201076 PECOS PAC ID: 9234482415 Enrollment ID: I20181108000497 |
| Provider Name | Julia Turner-shanus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891274858 PECOS PAC ID: 7517211436 Enrollment ID: I20181113001438 |
| Provider Name | Wen Chi Kevin Tsai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558578740 PECOS PAC ID: 7719152172 Enrollment ID: I20181119000666 |
| Provider Name | Amanda W Canavan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154307759 PECOS PAC ID: 6406877968 Enrollment ID: I20181121002422 |
| Provider Name | Maimoona Inayat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417189010 PECOS PAC ID: 7719133768 Enrollment ID: I20181207000402 |
| Provider Name | Jessie L Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407321482 PECOS PAC ID: 1355685983 Enrollment ID: I20181207000879 |
| Provider Name | John W Liang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720387764 PECOS PAC ID: 9335427400 Enrollment ID: I20181217002424 |
| Provider Name | Renee K Dixon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174748743 PECOS PAC ID: 8325132533 Enrollment ID: I20181228001713 |
| Provider Name | William May Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568726248 PECOS PAC ID: 9335468982 Enrollment ID: I20190102002907 |
| Provider Name | Robert Francis Bahnsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154697316 PECOS PAC ID: 0941599302 Enrollment ID: I20190103001877 |
| Provider Name | John Cheng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548688195 PECOS PAC ID: 0345539995 Enrollment ID: I20190108000162 |
| Provider Name | Morganne Castiglione |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336569094 PECOS PAC ID: 7416174743 Enrollment ID: I20190123003115 |
| Provider Name | Regina M Costroff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932670486 PECOS PAC ID: 5193063683 Enrollment ID: I20190207001421 |
| Provider Name | Ashley Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497219455 PECOS PAC ID: 6406194596 Enrollment ID: I20190215000132 |
| Provider Name | Kelsey Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194293399 PECOS PAC ID: 0244579902 Enrollment ID: I20190225002679 |
| Provider Name | Megan Mylod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972078103 PECOS PAC ID: 8527307081 Enrollment ID: I20190227001019 |
| Provider Name | Diana M. Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629541347 PECOS PAC ID: 8426397324 Enrollment ID: I20190311000805 |
| Provider Name | Sushma Kaveti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457631590 PECOS PAC ID: 6800021932 Enrollment ID: I20190415001540 |
| Provider Name | Kathleen Theresa Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932352002 PECOS PAC ID: 0648327965 Enrollment ID: I20190415002312 |
| Provider Name | George W L Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295292019 PECOS PAC ID: 8729329024 Enrollment ID: I20190415002886 |
| Provider Name | Stacey Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023502564 PECOS PAC ID: 7012268782 Enrollment ID: I20190423001424 |
| Provider Name | Meghan P Ericksen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366901365 PECOS PAC ID: 2567704539 Enrollment ID: I20190424000735 |
| Provider Name | Jessica M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962961052 PECOS PAC ID: 7214279660 Enrollment ID: I20190503002156 |
| Provider Name | Dominic John Valentino |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215088067 PECOS PAC ID: 1557263621 Enrollment ID: I20190509000834 |
| Provider Name | Courtney Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194209692 PECOS PAC ID: 9335151182 Enrollment ID: I20190521000531 |
| Provider Name | Cydney T. Teal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346290053 PECOS PAC ID: 2466506175 Enrollment ID: I20190531002228 |
| Provider Name | Narpinder Kaur Malhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659672574 PECOS PAC ID: 8921239492 Enrollment ID: I20190606000856 |
| Provider Name | Mia S Dorman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437481488 PECOS PAC ID: 3870827009 Enrollment ID: I20190621002641 |
| Provider Name | Dana Marchetto Beeson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689069809 PECOS PAC ID: 3971815762 Enrollment ID: I20190624000115 |
| Provider Name | Sandeep Devarapalli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356756142 PECOS PAC ID: 0648504712 Enrollment ID: I20190624001163 |
| Provider Name | Erin Amanda Fender |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982993812 PECOS PAC ID: 2860638152 Enrollment ID: I20190626003636 |
| Provider Name | Cindy Lee Nevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790741619 PECOS PAC ID: 5294809638 Enrollment ID: I20190703000825 |
| Provider Name | Amanda Pope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528625902 PECOS PAC ID: 3274868740 Enrollment ID: I20190708000142 |
| Provider Name | Amanda Streeper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588224877 PECOS PAC ID: 1052646080 Enrollment ID: I20190715000317 |
| Provider Name | Pramod Vadlamani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336204684 PECOS PAC ID: 8325116445 Enrollment ID: I20190716001027 |
| Provider Name | David Patrick Hanaway |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558756635 PECOS PAC ID: 1951603794 Enrollment ID: I20190718003413 |
| Provider Name | Olivia Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285094532 PECOS PAC ID: 8921345968 Enrollment ID: I20190723000645 |
| Provider Name | Jennifer Creed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508109430 PECOS PAC ID: 0941579817 Enrollment ID: I20190725000301 |
| Provider Name | Hersh D Patel |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1912345950 PECOS PAC ID: 8820395130 Enrollment ID: I20190725002166 |
| Provider Name | Devon Victoria Ryan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336475839 PECOS PAC ID: 1153462973 Enrollment ID: I20190729001548 |
| Provider Name | Heather H Lukk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992366355 PECOS PAC ID: 5597092296 Enrollment ID: I20190802001710 |
| Provider Name | Kelly E Mcnamara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306232525 PECOS PAC ID: 4789920455 Enrollment ID: I20190806002262 |
| Provider Name | Mahesh Polavarapu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164812889 PECOS PAC ID: 1850683202 Enrollment ID: I20190807000390 |
| Provider Name | Dakota M Urban |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689094534 PECOS PAC ID: 3274750401 Enrollment ID: I20190814002277 |
| Provider Name | Rebecca Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497307367 PECOS PAC ID: 8729315684 Enrollment ID: I20190815000234 |
| Provider Name | Andrew Ryan Deitchman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225320427 PECOS PAC ID: 6204076250 Enrollment ID: I20190815001621 |
| Provider Name | Robert David Brown |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1548689037 PECOS PAC ID: 7315274172 Enrollment ID: I20190816000823 |
| Provider Name | Mohammad Umar Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750622924 PECOS PAC ID: 3779884473 Enrollment ID: I20190820000522 |
| Provider Name | Victoria L Shertel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730542036 PECOS PAC ID: 9537452032 Enrollment ID: I20190821001660 |
| Provider Name | Helen Hyejin Paik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851730360 PECOS PAC ID: 4981994605 Enrollment ID: I20190823000676 |
| Provider Name | Breighanna K Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477949816 PECOS PAC ID: 9234449422 Enrollment ID: I20190826003033 |
| Provider Name | Raafia Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144646738 PECOS PAC ID: 2961703657 Enrollment ID: I20190827002891 |
| Provider Name | Melvis E Ngalla-oluka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245598846 PECOS PAC ID: 1951630599 Enrollment ID: I20190909000172 |
| Provider Name | Vikram Shenoy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1710397906 PECOS PAC ID: 5991002909 Enrollment ID: I20190909001599 |
| Provider Name | Gina F Riccardi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275951915 PECOS PAC ID: 2163722604 Enrollment ID: I20190910002949 |
| Provider Name | Karrie Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265084131 PECOS PAC ID: 0749519049 Enrollment ID: I20190912000006 |
| Provider Name | Vanessa Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245624667 PECOS PAC ID: 7810293354 Enrollment ID: I20190912000515 |
| Provider Name | Tara Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558660779 PECOS PAC ID: 5597095471 Enrollment ID: I20190918002946 |
| Provider Name | Laura Mayover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922472620 PECOS PAC ID: 2365749900 Enrollment ID: I20190924000518 |
| Provider Name | Douglas Lienesch |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124129747 PECOS PAC ID: 5890746499 Enrollment ID: I20190925000077 |
| Provider Name | Stephanie A Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164659991 PECOS PAC ID: 6103073184 Enrollment ID: I20190925001271 |
| Provider Name | Sharon J Lucey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801444864 PECOS PAC ID: 6608106034 Enrollment ID: I20190926002364 |
| Provider Name | Mingwei Ni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306161872 PECOS PAC ID: 8729390083 Enrollment ID: I20190930000346 |
| Provider Name | Usman Choudhry |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497045504 PECOS PAC ID: 4981836152 Enrollment ID: I20191002002418 |
| Provider Name | Adreane Owens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578119632 PECOS PAC ID: 6406187467 Enrollment ID: I20191007001553 |
| Provider Name | Susan Gorschboth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639722036 PECOS PAC ID: 8123359049 Enrollment ID: I20191008000811 |
| Provider Name | David Lainoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942361076 PECOS PAC ID: 0840204996 Enrollment ID: I20191010000013 |
| Provider Name | Michelle Marie Pacis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821383555 PECOS PAC ID: 9436462611 Enrollment ID: I20191010000705 |
| Provider Name | Matthew Christopher Lind |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528618733 PECOS PAC ID: 9234460924 Enrollment ID: I20191010001677 |
| Provider Name | Nathaniel Freeman Tanner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366091779 PECOS PAC ID: 5496086035 Enrollment ID: I20191011000807 |
| Provider Name | Maria C Aguilar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497312482 PECOS PAC ID: 0446581839 Enrollment ID: I20191016002408 |
| Provider Name | Karen A Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528617388 PECOS PAC ID: 4385975606 Enrollment ID: I20191017000069 |
| Provider Name | Alyssa D Lord |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811400369 PECOS PAC ID: 5294066593 Enrollment ID: I20191018000176 |
| Provider Name | Kelly Anne Saville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245880947 PECOS PAC ID: 4981936036 Enrollment ID: I20191023001277 |
| Provider Name | Billie Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962043877 PECOS PAC ID: 1052643806 Enrollment ID: I20191028000998 |
| Provider Name | Haley Lynn Bond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598216319 PECOS PAC ID: 0941532527 Enrollment ID: I20191031000997 |
| Provider Name | Bernhard Heinrich Herlyn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710319629 PECOS PAC ID: 4587964101 Enrollment ID: I20191031001855 |
| Provider Name | Theresa Sabrina Birardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881899300 PECOS PAC ID: 8921297557 Enrollment ID: I20191107000057 |
| Provider Name | Sandra Rita Costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740241546 PECOS PAC ID: 2264466119 Enrollment ID: I20191108001233 |
| Provider Name | James Ntambi |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1669659959 PECOS PAC ID: 0840465191 Enrollment ID: I20191112001385 |
| Provider Name | Suzanne A Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245596287 PECOS PAC ID: 2466884226 Enrollment ID: I20191115001337 |
| Provider Name | Stephanie A Caterson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588696025 PECOS PAC ID: 4587661665 Enrollment ID: I20191118001698 |
| Provider Name | Megan E Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104460393 PECOS PAC ID: 1052744349 Enrollment ID: I20191126002860 |
| Provider Name | Marcin Andrew Jankowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538489687 PECOS PAC ID: 9133307093 Enrollment ID: I20191209000330 |
| Provider Name | Andrew Lord Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275174997 PECOS PAC ID: 9638502354 Enrollment ID: I20191210001850 |
| Provider Name | Carmela Longobardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679116420 PECOS PAC ID: 1951735224 Enrollment ID: I20191218002981 |
| Provider Name | Susan Elaine Catalan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982800942 PECOS PAC ID: 1153414131 Enrollment ID: I20191220001149 |
| Provider Name | Carrie L Hipple |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992091920 PECOS PAC ID: 9537465851 Enrollment ID: I20191220001693 |
| Provider Name | Carolinne L Luna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487088605 PECOS PAC ID: 5890922058 Enrollment ID: I20191227000090 |
| Provider Name | Reny Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023655842 PECOS PAC ID: 3971937855 Enrollment ID: I20191231001501 |
| Provider Name | Dana C Farabaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497964597 PECOS PAC ID: 0244322162 Enrollment ID: I20200109001272 |
| Provider Name | Mitra Assadi-khansari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205917952 PECOS PAC ID: 1456530443 Enrollment ID: I20200113000191 |
| Provider Name | Adam K Skrzynski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245542836 PECOS PAC ID: 6305089392 Enrollment ID: I20200117001126 |
| Provider Name | Pippa L Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568747335 PECOS PAC ID: 9537594536 Enrollment ID: I20200122001051 |
| Provider Name | Emily Bomasang-layno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336435544 PECOS PAC ID: 9436453271 Enrollment ID: I20200123000617 |
| Provider Name | Stephanie M O'connor |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306483995 PECOS PAC ID: 9234564006 Enrollment ID: I20200124001624 |
| Provider Name | Paul Bhella |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457538548 PECOS PAC ID: 6103019369 Enrollment ID: I20200131000478 |
| Provider Name | Tamia Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043535800 PECOS PAC ID: 9032248166 Enrollment ID: I20200221002085 |
| Provider Name | Josephine Mokonogho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275791451 PECOS PAC ID: 8022287051 Enrollment ID: I20200227001744 |
| Provider Name | Mary Karcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801429931 PECOS PAC ID: 5496183527 Enrollment ID: I20200324000026 |
| Provider Name | Michael Goldberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114206752 PECOS PAC ID: 4789970344 Enrollment ID: I20200324003934 |
| Provider Name | Jacqueline Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619504867 PECOS PAC ID: 8820427065 Enrollment ID: I20200409000034 |
| Provider Name | Michelle D Currey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063911022 PECOS PAC ID: 9537421136 Enrollment ID: I20200506000806 |
| Provider Name | Anita Ott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013080878 PECOS PAC ID: 6305911710 Enrollment ID: I20200507001158 |
| Provider Name | Tae Min Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538690839 PECOS PAC ID: 3274801048 Enrollment ID: I20200520000077 |
| Provider Name | Tracy E Ransom |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760704241 PECOS PAC ID: 3971771395 Enrollment ID: I20200520003746 |
| Provider Name | John Michael Rowles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083009617 PECOS PAC ID: 1951612365 Enrollment ID: I20200529002911 |
| Provider Name | Anthony Tramontozzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265964597 PECOS PAC ID: 6800164500 Enrollment ID: I20200604001176 |
| Provider Name | Jordan J. Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912352659 PECOS PAC ID: 2567743800 Enrollment ID: I20200609000039 |
| Provider Name | Karen L Louie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891107199 PECOS PAC ID: 1759621493 Enrollment ID: I20200615000107 |
| Provider Name | Shannon Wilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831620707 PECOS PAC ID: 5991073694 Enrollment ID: I20200616000009 |
| Provider Name | Michael Goulet |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730612383 PECOS PAC ID: 8820367196 Enrollment ID: I20200617001458 |
| Provider Name | Lauren G Bogdan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659767028 PECOS PAC ID: 1850610965 Enrollment ID: I20200618000635 |
| Provider Name | James Michael Larosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902337124 PECOS PAC ID: 1951679752 Enrollment ID: I20200618000876 |
| Provider Name | Siri M Holton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881058287 PECOS PAC ID: 2567754419 Enrollment ID: I20200619000150 |
| Provider Name | Rany T Abdallah |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1679884977 PECOS PAC ID: 5294025748 Enrollment ID: I20200622000699 |
| Provider Name | Olivia Gad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053843193 PECOS PAC ID: 5092083683 Enrollment ID: I20200626001888 |
| Provider Name | Leonard Mason |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114122355 PECOS PAC ID: 6901112184 Enrollment ID: I20200629002696 |
| Provider Name | Daniel Helman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881081594 PECOS PAC ID: 1850600164 Enrollment ID: I20200701000230 |
| Provider Name | Joelle Adrienne Briggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912467523 PECOS PAC ID: 3870928013 Enrollment ID: I20200706000916 |
| Provider Name | Reid A Ravin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437415684 PECOS PAC ID: 9335405497 Enrollment ID: I20200709000391 |
| Provider Name | Ijaz Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477971612 PECOS PAC ID: 4284931288 Enrollment ID: I20200713000378 |
| Provider Name | Markian Pazuniak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205218757 PECOS PAC ID: 9638410079 Enrollment ID: I20200714003950 |
| Provider Name | John Shenouda |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952660532 PECOS PAC ID: 2062763535 Enrollment ID: I20200720000641 |
| Provider Name | Marybeth Rizzo-moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902072010 PECOS PAC ID: 0244478287 Enrollment ID: I20200724000295 |
| Provider Name | Sarah Hall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871949727 PECOS PAC ID: 4587957816 Enrollment ID: I20200728000849 |
| Provider Name | Paola A Munoz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336508027 PECOS PAC ID: 0648694315 Enrollment ID: I20200728002283 |
| Provider Name | Kimberly L Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326058660 PECOS PAC ID: 3779589809 Enrollment ID: I20200729000465 |
| Provider Name | Keerthi L Surampudy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225567464 PECOS PAC ID: 8224453899 Enrollment ID: I20200730001746 |
| Provider Name | Daniel J Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902332877 PECOS PAC ID: 8628347598 Enrollment ID: I20200730002691 |
| Provider Name | Bradley Mudge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205839321 PECOS PAC ID: 5294794160 Enrollment ID: I20200803002530 |
| Provider Name | Mihir Shah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366885451 PECOS PAC ID: 3678705936 Enrollment ID: I20200804000077 |
| Provider Name | Ming Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720397250 PECOS PAC ID: 5294025607 Enrollment ID: I20200811001749 |
| Provider Name | Sarah Matthews |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1306291281 PECOS PAC ID: 0547509788 Enrollment ID: I20200902000454 |
| Provider Name | Angelica Montes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336679265 PECOS PAC ID: 7113297243 Enrollment ID: I20200922003315 |
| Provider Name | Balaji A. Veerappan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912999152 PECOS PAC ID: 3375522741 Enrollment ID: I20200924000725 |
| Provider Name | Chelsea Elizabeth Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730737859 PECOS PAC ID: 0143649145 Enrollment ID: I20200924001085 |
| Provider Name | Erica T Abdallah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316042211 PECOS PAC ID: 4981601739 Enrollment ID: I20201009000784 |
| Provider Name | Suguna Chirla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124105176 PECOS PAC ID: 1850465865 Enrollment ID: I20201014002154 |
| Provider Name | Thomas T Chou |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811102817 PECOS PAC ID: 0840316386 Enrollment ID: I20201022000048 |
| Provider Name | Jason A Rolls |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245497478 PECOS PAC ID: 0547324071 Enrollment ID: I20201110000436 |
| Provider Name | Yu Chiu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306227640 PECOS PAC ID: 4981038536 Enrollment ID: I20201110002241 |
| Provider Name | Mckenzie Lauren Weitz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538718424 PECOS PAC ID: 6204246689 Enrollment ID: I20201113002654 |
| Provider Name | Valerie Staradub |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063466712 PECOS PAC ID: 9830150119 Enrollment ID: I20210108000466 |
| Provider Name | Kymberley Anne Schrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639710700 PECOS PAC ID: 3971916990 Enrollment ID: I20210113000535 |
| Provider Name | Lauren Grant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811324791 PECOS PAC ID: 8628338019 Enrollment ID: I20210119000276 |
| Provider Name | Jaclyn M Walsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801403878 PECOS PAC ID: 2961815675 Enrollment ID: I20210119000506 |
| Provider Name | Emily Martino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447859681 PECOS PAC ID: 1052725744 Enrollment ID: I20210120001236 |
| Provider Name | Leslie Susan Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871181750 PECOS PAC ID: 4082028568 Enrollment ID: I20210125000015 |
| Provider Name | Julie Lovinka Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356950208 PECOS PAC ID: 6507286382 Enrollment ID: I20210125000568 |
| Provider Name | Caelee Lynn Zwolan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326631847 PECOS PAC ID: 3971918277 Enrollment ID: I20210218002965 |
| Provider Name | Jessica Lynn Loomis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868076 PECOS PAC ID: 0143635631 Enrollment ID: I20210301000894 |
| Provider Name | Antoinette Elizabeth Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417562935 PECOS PAC ID: 7012323306 Enrollment ID: I20210311000932 |
| Provider Name | Joshua Login Mena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710349345 PECOS PAC ID: 3678816519 Enrollment ID: I20210316000561 |
| Provider Name | Kristen Alesia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588040968 PECOS PAC ID: 4385051382 Enrollment ID: I20210318000230 |
| Provider Name | Haley Frati |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588206080 PECOS PAC ID: 0941633861 Enrollment ID: I20210318000331 |
| Provider Name | Morgan Findlay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063097798 PECOS PAC ID: 1850708736 Enrollment ID: I20210319000877 |
| Provider Name | Etsegenet F Tizazu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922481746 PECOS PAC ID: 7214354687 Enrollment ID: I20210406001273 |
| Provider Name | Catherine Tuite |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104854280 PECOS PAC ID: 0042202004 Enrollment ID: I20210422001821 |
| Provider Name | Caroline Hamilton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851939078 PECOS PAC ID: 0446686091 Enrollment ID: I20210426000128 |
| Provider Name | Ryan Schwarz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336774892 PECOS PAC ID: 2668893520 Enrollment ID: I20210426002102 |
| Provider Name | Linda Kwon Nadot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730719709 PECOS PAC ID: 4981012150 Enrollment ID: I20210428001575 |
| Provider Name | Madison Leigh Cebula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336721513 PECOS PAC ID: 5496164576 Enrollment ID: I20210430000571 |
| Provider Name | Jed E Derrickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164518668 PECOS PAC ID: 9436429727 Enrollment ID: I20210511002982 |
| Provider Name | Stacey Lynn Byam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639750177 PECOS PAC ID: 9335558907 Enrollment ID: I20210511002989 |
| Provider Name | Andrew Shyu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275066599 PECOS PAC ID: 2163778713 Enrollment ID: I20210524002756 |
| Provider Name | Priscilla Mpasi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699193615 PECOS PAC ID: 5799084828 Enrollment ID: I20210525000378 |
| Provider Name | Fauve Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497026389 PECOS PAC ID: 7416197512 Enrollment ID: I20210607003110 |
| Provider Name | Eileen Mary Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194313668 PECOS PAC ID: 3870993090 Enrollment ID: I20210609003288 |
| Provider Name | Alexandra Nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265950315 PECOS PAC ID: 1355607888 Enrollment ID: I20210610001474 |
| Provider Name | Christelle Chedrawy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1265782858 PECOS PAC ID: 2466750211 Enrollment ID: I20210615003109 |
| Provider Name | Dmitry Trifanov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386024107 PECOS PAC ID: 9931407822 Enrollment ID: I20210624001333 |
| Provider Name | Sonul Gulati |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265880652 PECOS PAC ID: 7416245188 Enrollment ID: I20210624002334 |
| Provider Name | Benjamin Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629430038 PECOS PAC ID: 5991098469 Enrollment ID: I20210628000081 |
| Provider Name | Christine Elizabeth Burgert-lon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346576394 PECOS PAC ID: 7315253028 Enrollment ID: I20210628000374 |
| Provider Name | Meghan Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760036834 PECOS PAC ID: 8820422553 Enrollment ID: I20210629000367 |
| Provider Name | Akshay Gupta |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619405917 PECOS PAC ID: 3870860315 Enrollment ID: I20210702001111 |
| Provider Name | Hannah Chijioke-davis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629648738 PECOS PAC ID: 3971905548 Enrollment ID: I20210706002333 |
| Provider Name | Nicholas Colazzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649774308 PECOS PAC ID: 2062767346 Enrollment ID: I20210707000934 |
| Provider Name | Sudeshna Chatterjee-paer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1962794743 PECOS PAC ID: 8123378593 Enrollment ID: I20210708000721 |
| Provider Name | Kevin E Kindler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578057410 PECOS PAC ID: 7214286657 Enrollment ID: I20210709000240 |
| Provider Name | Timothy James Niesen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780974105 PECOS PAC ID: 2961645122 Enrollment ID: I20210713000489 |
| Provider Name | Salman Aziz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891227765 PECOS PAC ID: 9830467612 Enrollment ID: I20210713003667 |
| Provider Name | Ramya Shankaranaraya Rao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255728689 PECOS PAC ID: 5799187506 Enrollment ID: I20210715001216 |
| Provider Name | Tara Elizabeth Judge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417540287 PECOS PAC ID: 1850708553 Enrollment ID: I20210715003732 |
| Provider Name | Angela Christina Kaushal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306417746 PECOS PAC ID: 2163825407 Enrollment ID: I20210726000316 |
| Provider Name | Gabriel Rothschild Hoffman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417376468 PECOS PAC ID: 4082914320 Enrollment ID: I20210727003648 |
| Provider Name | Carly Fabrizio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548688948 PECOS PAC ID: 1658641840 Enrollment ID: I20210728001634 |
| Provider Name | Elizabeth Isobel Barchi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1588084347 PECOS PAC ID: 0547543035 Enrollment ID: I20210728001742 |
| Provider Name | Caitlin Ingraham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891226981 PECOS PAC ID: 7719255579 Enrollment ID: I20210728002524 |
| Provider Name | Marwan G Ma'ayeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013322544 PECOS PAC ID: 9739582537 Enrollment ID: I20210730000036 |
| Provider Name | Shivdeep K Deo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922452010 PECOS PAC ID: 3476845702 Enrollment ID: I20210730002770 |
| Provider Name | Isata Sesay |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1215347588 PECOS PAC ID: 6901021278 Enrollment ID: I20210805001781 |
| Provider Name | Shady S Abdelbaki |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003270414 PECOS PAC ID: 1658625876 Enrollment ID: I20210809000081 |
| Provider Name | Megan Klaphake |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710404223 PECOS PAC ID: 6800148743 Enrollment ID: I20210810001269 |
| Provider Name | Sarim Baig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194110783 PECOS PAC ID: 9830400464 Enrollment ID: I20210812000953 |
| Provider Name | Doreen Hu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487019238 PECOS PAC ID: 9739483751 Enrollment ID: I20210812001295 |
| Provider Name | David Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255696225 PECOS PAC ID: 3274848023 Enrollment ID: I20210812003402 |
| Provider Name | Lindsay Beth Glorioso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366989915 PECOS PAC ID: 3678845054 Enrollment ID: I20210819002255 |
| Provider Name | Christopher Verdone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922487164 PECOS PAC ID: 8123322112 Enrollment ID: I20210823000237 |
| Provider Name | Carmen Tugulan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215270079 PECOS PAC ID: 5890045744 Enrollment ID: I20210824001820 |
| Provider Name | Esther S Han |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295147619 PECOS PAC ID: 4981828480 Enrollment ID: I20210831001071 |
| Provider Name | Franziska Herpich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689051302 PECOS PAC ID: 5890090542 Enrollment ID: I20210902000055 |
| Provider Name | Rachel Smolskis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073186730 PECOS PAC ID: 2163828922 Enrollment ID: I20210902002763 |
| Provider Name | Jonathan Burhan Imran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639513054 PECOS PAC ID: 1759787401 Enrollment ID: I20210907000752 |
| Provider Name | David Christopher Palange |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1750776951 PECOS PAC ID: 3971909524 Enrollment ID: I20210907001025 |
| Provider Name | Brian Samuel Oommen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841425964 PECOS PAC ID: 2264658210 Enrollment ID: I20210908000095 |
| Provider Name | Catherine M Luko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578236303 PECOS PAC ID: 1850797143 Enrollment ID: I20210913001173 |
| Provider Name | Eugene Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760435085 PECOS PAC ID: 1658324520 Enrollment ID: I20210913001459 |
| Provider Name | Georgia Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225533375 PECOS PAC ID: 7214287580 Enrollment ID: I20210914000764 |
| Provider Name | Mary Kate Mellin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265108013 PECOS PAC ID: 0042617482 Enrollment ID: I20210928000025 |
| Provider Name | Heather Layman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972271633 PECOS PAC ID: 3779980982 Enrollment ID: I20210930000054 |
| Provider Name | Salema Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831867001 PECOS PAC ID: 4981002169 Enrollment ID: I20211004000654 |
| Provider Name | Michael David Kollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255009734 PECOS PAC ID: 1658779731 Enrollment ID: I20211004001421 |
| Provider Name | Shiva Jung Pandey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235738386 PECOS PAC ID: 1759789720 Enrollment ID: I20211005001898 |
| Provider Name | Alexia Arhontakis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710414628 PECOS PAC ID: 3173893518 Enrollment ID: I20211008001642 |
| Provider Name | Anuja Thatte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598287401 PECOS PAC ID: 1355606617 Enrollment ID: I20211012002039 |
| Provider Name | Benjamin Henry Hubbard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407447345 PECOS PAC ID: 4880092196 Enrollment ID: I20211015002781 |
| Provider Name | Denyale Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760150262 PECOS PAC ID: 9335547652 Enrollment ID: I20211018000280 |
| Provider Name | Jyoti Pandey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063980423 PECOS PAC ID: 3476951799 Enrollment ID: I20211018000492 |
| Provider Name | Heather Stauff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417526989 PECOS PAC ID: 7618365834 Enrollment ID: I20211020002704 |
| Provider Name | April Franklin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518562958 PECOS PAC ID: 3870999808 Enrollment ID: I20211118001450 |
| Provider Name | Ashley P Pipoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497388821 PECOS PAC ID: 5193146066 Enrollment ID: I20211129000260 |
| Provider Name | Karleigh Grace Lutz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376214957 PECOS PAC ID: 1456741677 Enrollment ID: I20211202001367 |
| Provider Name | Siobhan L Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801559067 PECOS PAC ID: 2365832490 Enrollment ID: I20211206000272 |
| Provider Name | Helen Mary Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457018939 PECOS PAC ID: 0648660696 Enrollment ID: I20211206001515 |
| Provider Name | Jakub Trawinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093479842 PECOS PAC ID: 6901296961 Enrollment ID: I20211206001588 |
| Provider Name | Asanthi Ratnasekera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831487479 PECOS PAC ID: 4688930167 Enrollment ID: I20211206001789 |
| Provider Name | Justin Sausville |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376679498 PECOS PAC ID: 6103096946 Enrollment ID: I20220105002263 |
| Provider Name | Melanie Kakas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720509821 PECOS PAC ID: 0840561056 Enrollment ID: I20220113000003 |
| Provider Name | Andrea Catherine Juers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447903992 PECOS PAC ID: 0345633384 Enrollment ID: I20220215001377 |
| Provider Name | Julia Centrella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720419120 PECOS PAC ID: 8729472683 Enrollment ID: I20220218002124 |
| Provider Name | Kimberly Imbesi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003252065 PECOS PAC ID: 6800193301 Enrollment ID: I20220221001513 |
| Provider Name | Shivani Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053721597 PECOS PAC ID: 0648497685 Enrollment ID: I20220222000211 |
| Provider Name | Maria Yankus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346799368 PECOS PAC ID: 7719267020 Enrollment ID: I20220222001372 |
| Provider Name | Anna E Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194483792 PECOS PAC ID: 7618361148 Enrollment ID: I20220228001499 |
| Provider Name | Casey M Pelletier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053070144 PECOS PAC ID: 9436543758 Enrollment ID: I20220303000344 |
| Provider Name | Megan E Lavery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093001273 PECOS PAC ID: 4688818941 Enrollment ID: I20220304000745 |
| Provider Name | Sedelle Y Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023665163 PECOS PAC ID: 4688996671 Enrollment ID: I20220316000114 |
| Provider Name | Thomas Chacko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023224888 PECOS PAC ID: 0446302863 Enrollment ID: I20220317000716 |
| Provider Name | Jhapat Bahadur Thapa |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275815466 PECOS PAC ID: 7810202900 Enrollment ID: I20220324003013 |
| Provider Name | John Demario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194218404 PECOS PAC ID: 0749523306 Enrollment ID: I20220330000917 |
| Provider Name | Flor De Maria Merma Santillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548845571 PECOS PAC ID: 4082000922 Enrollment ID: I20220401001704 |
| Provider Name | Beverly Anita Isaac |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285825943 PECOS PAC ID: 4789760828 Enrollment ID: I20220401001975 |
| Provider Name | Dorothy Bird |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1225361967 PECOS PAC ID: 0840424024 Enrollment ID: I20220405000007 |
| Provider Name | Kimberlee Ryann Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396498994 PECOS PAC ID: 8325434145 Enrollment ID: I20220405000011 |
| Provider Name | Ijeoma Ezeife |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851730048 PECOS PAC ID: 2860798196 Enrollment ID: I20220412000416 |
| Provider Name | Jeffrey Scott Weisberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669437836 PECOS PAC ID: 8527031350 Enrollment ID: I20220412001331 |
| Provider Name | Paige Venit |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326780834 PECOS PAC ID: 2860889045 Enrollment ID: I20220419001338 |
| Provider Name | Jonathan A Ariano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295131688 PECOS PAC ID: 0547584815 Enrollment ID: I20220509001388 |
| Provider Name | Nisha Gandhi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700176989 PECOS PAC ID: 9931331261 Enrollment ID: I20220509001918 |
| Provider Name | Aleshia Crump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669843439 PECOS PAC ID: 8527363407 Enrollment ID: I20220512002885 |
| Provider Name | Sara T Burton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750026662 PECOS PAC ID: 6103203823 Enrollment ID: I20220519000592 |
| Provider Name | Cynthia B Simonds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366752503 PECOS PAC ID: 6901839398 Enrollment ID: I20220520001273 |
| Provider Name | Diana Matteo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396066916 PECOS PAC ID: 7810205663 Enrollment ID: I20220520001823 |
| Provider Name | Mallory Harlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689019226 PECOS PAC ID: 7911286349 Enrollment ID: I20220527000019 |
| Provider Name | Connita Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801290713 PECOS PAC ID: 3274911243 Enrollment ID: I20220602002193 |
| Provider Name | Fennel Kpolie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811545627 PECOS PAC ID: 8224416060 Enrollment ID: I20220607000479 |
| Provider Name | Zaid A Ammari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003299843 PECOS PAC ID: 3779888508 Enrollment ID: I20220607000590 |
| Provider Name | Chelsea Hastry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700380235 PECOS PAC ID: 2961757232 Enrollment ID: I20220609000379 |
| Provider Name | Rebecca J Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902365083 PECOS PAC ID: 8123353646 Enrollment ID: I20220609000776 |
| Provider Name | John Quinn Berlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598250516 PECOS PAC ID: 6800126889 Enrollment ID: I20220609000849 |
| Provider Name | Muhammad Mohsin Qayyom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598326837 PECOS PAC ID: 5294113759 Enrollment ID: I20220613000729 |
| Provider Name | Faith Tiver Foran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356740617 PECOS PAC ID: 0547246944 Enrollment ID: I20220615001112 |
| Provider Name | Christian Kyndel Pedersen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083067755 PECOS PAC ID: 5890074850 Enrollment ID: I20220616001496 |
| Provider Name | Katelyn Gregory |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265936975 PECOS PAC ID: 6305101718 Enrollment ID: I20220623001782 |
| Provider Name | Arvind Sabesan |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1023308574 PECOS PAC ID: 5597908566 Enrollment ID: I20220627000977 |
| Provider Name | James Jarvis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285165092 PECOS PAC ID: 3779851472 Enrollment ID: I20220627001723 |
| Provider Name | Immad Kiani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265925572 PECOS PAC ID: 4880940493 Enrollment ID: I20220627002141 |
| Provider Name | Ram Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861996845 PECOS PAC ID: 9032464177 Enrollment ID: I20220627002407 |
| Provider Name | Sana Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437646122 PECOS PAC ID: 1658626924 Enrollment ID: I20220628000515 |
| Provider Name | Maria Gregorio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255716767 PECOS PAC ID: 5395033559 Enrollment ID: I20220628002493 |
| Provider Name | Marie Suzanne Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255615415 PECOS PAC ID: 1557741147 Enrollment ID: I20220628003663 |
| Provider Name | Jillian M Jagoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578025938 PECOS PAC ID: 3375870413 Enrollment ID: I20220629000388 |
| Provider Name | Shelleon Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770220279 PECOS PAC ID: 5294115820 Enrollment ID: I20220629001142 |
| Provider Name | Patrick W Kerns |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427403260 PECOS PAC ID: 1658660857 Enrollment ID: I20220630002099 |
| Provider Name | Devyani Chowdhury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184819120 PECOS PAC ID: 5092795443 Enrollment ID: I20220704000435 |
| Provider Name | Kristen Adorno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689153678 PECOS PAC ID: 7719380468 Enrollment ID: I20220707001677 |
| Provider Name | Henrique Jaime |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073074795 PECOS PAC ID: 1052649340 Enrollment ID: I20220707003127 |
| Provider Name | Jeffrey D Ruta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225488711 PECOS PAC ID: 0840616496 Enrollment ID: I20220707003173 |
| Provider Name | Thomas J Woltemate |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275094971 PECOS PAC ID: 7911230123 Enrollment ID: I20220711001499 |
| Provider Name | Max Weiss |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1184966590 PECOS PAC ID: 3678873916 Enrollment ID: I20220712004027 |
| Provider Name | Maxwell Blodgett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821581075 PECOS PAC ID: 6305245275 Enrollment ID: I20220713000048 |
| Provider Name | Kathleen Biblowitz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790130813 PECOS PAC ID: 4587955448 Enrollment ID: I20220718002535 |
| Provider Name | Marisa Gilstrop Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124447685 PECOS PAC ID: 7113144262 Enrollment ID: I20220721000343 |
| Provider Name | Morgan Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184183154 PECOS PAC ID: 1557696739 Enrollment ID: I20220725002129 |
| Provider Name | Kyla Gaye Pinnock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376106948 PECOS PAC ID: 8426430216 Enrollment ID: I20220726001778 |
| Provider Name | Jonathan Samuel Pozner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609370717 PECOS PAC ID: 5193073021 Enrollment ID: I20220803003105 |
| Provider Name | Zuzana Lacca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134864069 PECOS PAC ID: 2567844723 Enrollment ID: I20220804000306 |
| Provider Name | Paula Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356628721 PECOS PAC ID: 3577701689 Enrollment ID: I20220805002195 |
| Provider Name | Matthew Allen Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033843909 PECOS PAC ID: 8628450723 Enrollment ID: I20220805002959 |
| Provider Name | Sarah Elizabeth Straub |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124754932 PECOS PAC ID: 6608258686 Enrollment ID: I20220808002522 |
| Provider Name | Neelam Kumari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841753464 PECOS PAC ID: 8325373715 Enrollment ID: I20220810000396 |
| Provider Name | John Picard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487001376 PECOS PAC ID: 7113211830 Enrollment ID: I20220810002646 |
| Provider Name | Salma Khatoon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063867075 PECOS PAC ID: 6002150208 Enrollment ID: I20220812000329 |
| Provider Name | Bridget Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689231458 PECOS PAC ID: 5193057164 Enrollment ID: I20220814000037 |
| Provider Name | Khadega Abuelgasim Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1801070297 PECOS PAC ID: 2466841119 Enrollment ID: I20220815000021 |
| Provider Name | Gabrielle Elizabeth Ciotti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033845995 PECOS PAC ID: 7911380670 Enrollment ID: I20220815000049 |
| Provider Name | Michelle Finnegan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073043691 PECOS PAC ID: 4880955640 Enrollment ID: I20220815000134 |
| Provider Name | Ammar Alzoubi |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1386720340 PECOS PAC ID: 1355383936 Enrollment ID: I20220815003490 |
| Provider Name | Dominique Mckeever |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225654858 PECOS PAC ID: 0840672267 Enrollment ID: I20220817003986 |
| Provider Name | Rachel Margaret Maria Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609437474 PECOS PAC ID: 1557741972 Enrollment ID: I20220818000261 |
| Provider Name | Rod Momenian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568845279 PECOS PAC ID: 7012331432 Enrollment ID: I20220818002940 |
| Provider Name | Charlene Jones |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1316350366 PECOS PAC ID: 9032537147 Enrollment ID: I20220819002938 |
| Provider Name | Kaitlyn Gamber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831520220 PECOS PAC ID: 5991086282 Enrollment ID: I20220820000196 |
| Provider Name | Shivani Vekaria |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992251144 PECOS PAC ID: 4587992276 Enrollment ID: I20220822000308 |
| Provider Name | Zhifu Xiang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255666301 PECOS PAC ID: 8426203829 Enrollment ID: I20220822000424 |
| Provider Name | Victoria Martino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548752454 PECOS PAC ID: 3173907086 Enrollment ID: I20220826000074 |
| Provider Name | Devin Leigh Nichols |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255068151 PECOS PAC ID: 1759765662 Enrollment ID: I20220826000257 |
| Provider Name | Ayoka M Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609268341 PECOS PAC ID: 6901146331 Enrollment ID: I20220830004574 |
| Provider Name | Natasha Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114458213 PECOS PAC ID: 4789958091 Enrollment ID: I20220902000453 |
| Provider Name | Tomilade Adepoju |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053845065 PECOS PAC ID: 7618214164 Enrollment ID: I20220912000540 |
| Provider Name | Henry M Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386131183 PECOS PAC ID: 3173870334 Enrollment ID: I20220912001174 |
| Provider Name | Rebecca J Newbrander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528559952 PECOS PAC ID: 8224376751 Enrollment ID: I20220916002579 |
| Provider Name | Kaila Glenn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306566641 PECOS PAC ID: 9830574367 Enrollment ID: I20220919002681 |
| Provider Name | Kristen Suzanne Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023773561 PECOS PAC ID: 5698150803 Enrollment ID: I20220923000375 |
| Provider Name | Holleh Daria Husseinzadeh |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1528292711 PECOS PAC ID: 3173813235 Enrollment ID: I20220927002039 |
| Provider Name | Genevieve M Minick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558333500 PECOS PAC ID: 6901901297 Enrollment ID: I20220927003159 |
| Provider Name | Asra Arif |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1689038945 PECOS PAC ID: 6103228531 Enrollment ID: I20220929002691 |
| Provider Name | Kimberly A Arlinghaus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669480893 PECOS PAC ID: 7113196346 Enrollment ID: I20220930003062 |
| Provider Name | Marie Louise Rhoads Snyder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265151963 PECOS PAC ID: 1850777509 Enrollment ID: I20221003002727 |
| Provider Name | Delaney Fagan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205453719 PECOS PAC ID: 0547646143 Enrollment ID: I20221005002454 |
| Provider Name | Rebecca Nolan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184196602 PECOS PAC ID: 9739425596 Enrollment ID: I20221006001897 |
| Provider Name | Elizabeth Mccarthy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982068128 PECOS PAC ID: 3274826789 Enrollment ID: I20221008000032 |
| Provider Name | Gail Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760102214 PECOS PAC ID: 2062888316 Enrollment ID: I20221012001250 |
| Provider Name | Jessica Marie Tansey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588385835 PECOS PAC ID: 9234505504 Enrollment ID: I20221012001767 |
| Provider Name | Jonathan Welch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629678925 PECOS PAC ID: 0143628479 Enrollment ID: I20221013000073 |
| Provider Name | Amatul Basit Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205890258 PECOS PAC ID: 5294779336 Enrollment ID: I20221013001475 |
| Provider Name | Emily P Iannucci |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922722057 PECOS PAC ID: 0941676902 Enrollment ID: I20221014002878 |
| Provider Name | Kareem Genena |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396290888 PECOS PAC ID: 5496080079 Enrollment ID: I20221016000039 |
| Provider Name | Dawn Ploucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316668049 PECOS PAC ID: 0143696062 Enrollment ID: I20221018002390 |
| Provider Name | Barbara E Hanlon |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841958147 PECOS PAC ID: 4082006507 Enrollment ID: I20221018002550 |
| Provider Name | David Trinkley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982764536 PECOS PAC ID: 5092842302 Enrollment ID: I20221020000296 |
| Provider Name | Megan Leigh Mcmahon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568109163 PECOS PAC ID: 4284000860 Enrollment ID: I20221024000447 |
| Provider Name | Kalia C Cole-avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265802953 PECOS PAC ID: 7315249059 Enrollment ID: I20221031000636 |
| Provider Name | Eileen Bishop |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629205166 PECOS PAC ID: 5294989919 Enrollment ID: I20221108002636 |
| Provider Name | Christina Lynch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902543051 PECOS PAC ID: 0042687733 Enrollment ID: I20221109002574 |
| Provider Name | Douglas Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669891214 PECOS PAC ID: 7315315777 Enrollment ID: I20221116002338 |
| Provider Name | Kyle Burch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629509294 PECOS PAC ID: 5799054060 Enrollment ID: I20221118000041 |
| Provider Name | Carla Basadre Quiroz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245612605 PECOS PAC ID: 8729373204 Enrollment ID: I20221120000001 |
| Provider Name | Narsis Aminian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710416870 PECOS PAC ID: 3678841640 Enrollment ID: I20221121002041 |
| Provider Name | Lauren M Lenoir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346957909 PECOS PAC ID: 4789052747 Enrollment ID: I20221122002422 |
| Provider Name | Brianna Nicole Dix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093422800 PECOS PAC ID: 4385012210 Enrollment ID: I20221123002424 |
| Provider Name | Erin Joyce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417666546 PECOS PAC ID: 3971971631 Enrollment ID: I20221130002062 |
| Provider Name | Trishanna Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538832563 PECOS PAC ID: 9335518968 Enrollment ID: I20221202002985 |
| Provider Name | Saranya Biswas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124460209 PECOS PAC ID: 3375958945 Enrollment ID: I20221205000562 |
| Provider Name | Fatimah Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629793807 PECOS PAC ID: 8921477423 Enrollment ID: I20221205002819 |
| Provider Name | Angela M Madariaga |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689391955 PECOS PAC ID: 3476922592 Enrollment ID: I20221213001268 |
| Provider Name | Ryan Christopher Spadin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811660624 PECOS PAC ID: 1052780004 Enrollment ID: I20221213002975 |
| Provider Name | Sara Downie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083330591 PECOS PAC ID: 2365811205 Enrollment ID: I20221215000496 |
| Provider Name | Aashka Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972261220 PECOS PAC ID: 4082008594 Enrollment ID: I20221215000602 |
| Provider Name | Katherine Christinzio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346209517 PECOS PAC ID: 7618997503 Enrollment ID: I20221219000578 |
| Provider Name | Robert A Jakubowski |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043624463 PECOS PAC ID: 1153615125 Enrollment ID: I20221220001079 |
| Provider Name | Meghan Boros |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538441175 PECOS PAC ID: 2961709449 Enrollment ID: I20230111000032 |
| Provider Name | Natalie Hoffman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558078022 PECOS PAC ID: 4587034327 Enrollment ID: I20230112000566 |
| Provider Name | Brian Regan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386367845 PECOS PAC ID: 0648641225 Enrollment ID: I20230118001054 |
| Provider Name | Mackenzie E Marky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891407482 PECOS PAC ID: 5092186551 Enrollment ID: I20230119001697 |
| Provider Name | Krystal Humphreys |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871134445 PECOS PAC ID: 6406277086 Enrollment ID: I20230125002834 |
| Provider Name | Lindsey Gilhooly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134659501 PECOS PAC ID: 5395015945 Enrollment ID: I20230127000574 |
| Provider Name | Syed Ali |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306334727 PECOS PAC ID: 0042615478 Enrollment ID: I20230204000281 |
| Provider Name | Meghan Lynn Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861114787 PECOS PAC ID: 2264804756 Enrollment ID: I20230209001581 |
| Provider Name | Caroline Luethy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477268266 PECOS PAC ID: 8022481704 Enrollment ID: I20230228000679 |
| Provider Name | Julia Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568755627 PECOS PAC ID: 6901068675 Enrollment ID: I20230228003347 |
| Provider Name | Nancy Gutierrez Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467834812 PECOS PAC ID: 1557617172 Enrollment ID: I20230301000000 |
| Provider Name | Kruti Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760042790 PECOS PAC ID: 0244663664 Enrollment ID: I20230307000027 |
| Provider Name | Meagan Prime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639896483 PECOS PAC ID: 7911370143 Enrollment ID: I20230308001996 |
| Provider Name | Silvia A Leake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063139087 PECOS PAC ID: 9234503293 Enrollment ID: I20230315000908 |
| Provider Name | Ellen Minerva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679545677 PECOS PAC ID: 9739103854 Enrollment ID: I20230321000572 |
| Provider Name | Elyse Mcglumphy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609261460 PECOS PAC ID: 8820323298 Enrollment ID: I20230322001361 |
| Provider Name | James I Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366429383 PECOS PAC ID: 0749176261 Enrollment ID: I20230323001585 |
| Provider Name | Nicolaus J. Kuehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518946649 PECOS PAC ID: 6507858651 Enrollment ID: I20230323002268 |
| Provider Name | Gregory J Orth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205875788 PECOS PAC ID: 2860573722 Enrollment ID: I20230323002594 |
| Provider Name | Jonathan B Finkel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760708358 PECOS PAC ID: 2365675253 Enrollment ID: I20230403002188 |
| Provider Name | Charles Mcclure |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1619941580 PECOS PAC ID: 1355536475 Enrollment ID: I20230404001642 |
| Provider Name | Sheniqua Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356743231 PECOS PAC ID: 8224493150 Enrollment ID: I20230428001408 |
| Provider Name | Meghan Barth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639728751 PECOS PAC ID: 1254663834 Enrollment ID: I20230504001079 |
| Provider Name | Amanda Jean King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497033252 PECOS PAC ID: 6103114202 Enrollment ID: I20230509002158 |
| Provider Name | Alexis Mayton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053605014 PECOS PAC ID: 2264690494 Enrollment ID: I20230510002856 |
| Provider Name | Francina Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780388819 PECOS PAC ID: 4981061082 Enrollment ID: I20230606000162 |
| Provider Name | Kimberly Ann Scarpa |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457567182 PECOS PAC ID: 9436303393 Enrollment ID: I20230608001183 |
| Provider Name | Bethany Faith Sterling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538503552 PECOS PAC ID: 8729218987 Enrollment ID: I20230613000694 |
| Provider Name | Mathew Joseph |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245729433 PECOS PAC ID: 1254708225 Enrollment ID: I20230615000216 |
| Provider Name | Silvia Barbeito |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417474016 PECOS PAC ID: 0749668549 Enrollment ID: I20230620002287 |
| Provider Name | Zachary M Diangelo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073074373 PECOS PAC ID: 2466787825 Enrollment ID: I20230621000979 |
| Provider Name | Pranav P Kansara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861654881 PECOS PAC ID: 2961717228 Enrollment ID: I20230623000705 |
| Provider Name | Rita Poku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467159962 PECOS PAC ID: 9133584105 Enrollment ID: I20230623001802 |
| Provider Name | Scott Merrill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730640756 PECOS PAC ID: 2264767797 Enrollment ID: I20230623001863 |
| Provider Name | Myniqua Cotton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285344614 PECOS PAC ID: 3375901291 Enrollment ID: I20230623002667 |
| Provider Name | Philip John Margiotta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427582915 PECOS PAC ID: 3072881796 Enrollment ID: I20230626003439 |
| Provider Name | Brianna Gutowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114489341 PECOS PAC ID: 9931434214 Enrollment ID: I20230627000936 |
| Provider Name | Adam Bossert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225598881 PECOS PAC ID: 7113385832 Enrollment ID: I20230627003502 |
| Provider Name | Nicholas John Jennelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083241459 PECOS PAC ID: 0042632895 Enrollment ID: I20230628000045 |
| Provider Name | Sara Khanipour Roshan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417483900 PECOS PAC ID: 9830458736 Enrollment ID: I20230628002615 |
| Provider Name | Brian Zloczover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851741466 PECOS PAC ID: 3173811965 Enrollment ID: I20230628003381 |
| Provider Name | Nishi Hamant Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821435876 PECOS PAC ID: 1052620465 Enrollment ID: I20230629000712 |
| Provider Name | John O Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174180624 PECOS PAC ID: 7517322969 Enrollment ID: I20230701000030 |
| Provider Name | Blake H Shoemaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225657588 PECOS PAC ID: 2466874235 Enrollment ID: I20230703003051 |
| Provider Name | Victor Rendon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720641368 PECOS PAC ID: 8921335084 Enrollment ID: I20230706003592 |
| Provider Name | Xiaoyang Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679067649 PECOS PAC ID: 3173871456 Enrollment ID: I20230707000426 |
| Provider Name | Jay R Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104351089 PECOS PAC ID: 3476824111 Enrollment ID: I20230707002808 |
| Provider Name | Robert M Carroll |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932549771 PECOS PAC ID: 8527336452 Enrollment ID: I20230711001605 |
| Provider Name | Austin D Hager |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902434640 PECOS PAC ID: 8325461692 Enrollment ID: I20230711003150 |
| Provider Name | Alice Yinghui Wang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487180808 PECOS PAC ID: 4385026871 Enrollment ID: I20230717003770 |
| Provider Name | Jessica C Fields |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508251752 PECOS PAC ID: 2961740840 Enrollment ID: I20230725001213 |
| Provider Name | Cheng Zhou |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295180008 PECOS PAC ID: 9032402599 Enrollment ID: I20230728001208 |
| Provider Name | Benjamin C Chaon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902245830 PECOS PAC ID: 7517101207 Enrollment ID: I20230730000124 |
| Provider Name | Jessica Renee Nolden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770297640 PECOS PAC ID: 5698136059 Enrollment ID: I20230801003690 |
| Provider Name | Jessica Lynn Krummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629338637 PECOS PAC ID: 2567694250 Enrollment ID: I20230802001834 |
| Provider Name | Emmanuel Otsin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023720612 PECOS PAC ID: 5294196572 Enrollment ID: I20230802003782 |
| Provider Name | Julian Amin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801264056 PECOS PAC ID: 5092001040 Enrollment ID: I20230803002473 |
| Provider Name | Ebenezer T Oni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215325238 PECOS PAC ID: 4587922927 Enrollment ID: I20230807003356 |
| Provider Name | Jean-phillip Okhovat |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1497103105 PECOS PAC ID: 0941595862 Enrollment ID: I20230809001222 |
| Provider Name | Sneha R Lopes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407351141 PECOS PAC ID: 9335494418 Enrollment ID: I20230809001516 |
| Provider Name | Sarah Kate Gottschalk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821714064 PECOS PAC ID: 0446612394 Enrollment ID: I20230809003992 |
| Provider Name | Heran Abiye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922621846 PECOS PAC ID: 6103288063 Enrollment ID: I20230810000029 |
| Provider Name | Drew Hutzler Barnes |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1942861836 PECOS PAC ID: 5799167060 Enrollment ID: I20230810000994 |
| Provider Name | Amber M Higgins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619464054 PECOS PAC ID: 8628323060 Enrollment ID: I20230810002194 |
| Provider Name | Paramveer Singh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154777308 PECOS PAC ID: 6800258526 Enrollment ID: I20230812000120 |
| Provider Name | Catherine M Teskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770089112 PECOS PAC ID: 8325394026 Enrollment ID: I20230816003319 |
| Provider Name | Sinmisola Ewumi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326401027 PECOS PAC ID: 6608120993 Enrollment ID: I20230817003091 |
| Provider Name | Maria Montano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356874325 PECOS PAC ID: 9234489485 Enrollment ID: I20230824003047 |
| Provider Name | Khai Elliot Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649986365 PECOS PAC ID: 4981067782 Enrollment ID: I20230828000329 |
| Provider Name | Ashley Keifer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710547393 PECOS PAC ID: 7315325610 Enrollment ID: I20230829000289 |
| Provider Name | Jessica L Beadle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184243214 PECOS PAC ID: 2961824461 Enrollment ID: I20230829000901 |
| Provider Name | Michael Noonan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902071202 PECOS PAC ID: 8022141886 Enrollment ID: I20230829004548 |
| Provider Name | Neeta Tripathi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164492385 PECOS PAC ID: 2860419322 Enrollment ID: I20230830002209 |
| Provider Name | Laura Lee Ciaramitaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518242874 PECOS PAC ID: 2567639180 Enrollment ID: I20230901000028 |
| Provider Name | Amanda B Richter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235527102 PECOS PAC ID: 0840536587 Enrollment ID: I20230905000541 |
| Provider Name | Emily Bollinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447879531 PECOS PAC ID: 1153752944 Enrollment ID: I20230906001048 |
| Provider Name | Gregory M Baker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255726667 PECOS PAC ID: 3971810029 Enrollment ID: I20230910000072 |
| Provider Name | Joshua Allen Swenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215564323 PECOS PAC ID: 1951725050 Enrollment ID: I20230911001244 |
| Provider Name | Saleena Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205465127 PECOS PAC ID: 3971967662 Enrollment ID: I20230913004164 |
| Provider Name | Hiral Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164207007 PECOS PAC ID: 8123482825 Enrollment ID: I20230913004314 |
| Provider Name | Rachel Bahar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154052538 PECOS PAC ID: 0042674368 Enrollment ID: I20230919003471 |
| Provider Name | Jongho Kim |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1760640478 PECOS PAC ID: 0941518492 Enrollment ID: I20230920003101 |
| Provider Name | Sarah Swartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912560624 PECOS PAC ID: 2961861026 Enrollment ID: I20230921001254 |
| Provider Name | Belkys Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104388966 PECOS PAC ID: 6608204318 Enrollment ID: I20230921002283 |
| Provider Name | Irfan Ali Rhemtulla |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1093158503 PECOS PAC ID: 5496999591 Enrollment ID: I20230922000401 |
| Provider Name | Alyssa Cara Alloy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518451517 PECOS PAC ID: 5294113130 Enrollment ID: I20230925001009 |
| Provider Name | Kiera Ramere Dortch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073390605 PECOS PAC ID: 5698129401 Enrollment ID: I20230927004269 |
| Provider Name | Emma Dorothy Swift |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932987419 PECOS PAC ID: 3971957556 Enrollment ID: I20231002000014 |
| Provider Name | Breanne Callan Grove |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285419267 PECOS PAC ID: 1254785694 Enrollment ID: I20231003003716 |
| Provider Name | Steven Back |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346653946 PECOS PAC ID: 8820387160 Enrollment ID: I20231004001373 |
| Provider Name | Carolyn Yochum Wulff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831809573 PECOS PAC ID: 4880049253 Enrollment ID: I20231005001028 |
| Provider Name | Alyson Leigh Wade |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750169454 PECOS PAC ID: 3072968254 Enrollment ID: I20231007000111 |
| Provider Name | Benjamin Rohrer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417362138 PECOS PAC ID: 7911206792 Enrollment ID: I20231019000100 |
| Provider Name | Maria Dos Santos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053872341 PECOS PAC ID: 4981939071 Enrollment ID: I20231021000354 |
| Provider Name | Devanshu Verma |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619350451 PECOS PAC ID: 3274849401 Enrollment ID: I20231026004184 |
| Provider Name | Chloe Mathew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750841151 PECOS PAC ID: 1759702327 Enrollment ID: I20231027002006 |
| Provider Name | Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073703369 PECOS PAC ID: 5294828828 Enrollment ID: I20231030001070 |
| Provider Name | Samantha Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750162129 PECOS PAC ID: 5395191191 Enrollment ID: I20231031002036 |
| Provider Name | Marissa Leigh Magid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588446330 PECOS PAC ID: 7517313224 Enrollment ID: I20231031002757 |
| Provider Name | Victor Heresniak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336194596 PECOS PAC ID: 5193624427 Enrollment ID: I20231106001523 |
| Provider Name | Norma O Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760264451 PECOS PAC ID: 7719334135 Enrollment ID: I20231107001945 |
| Provider Name | Waseem Ahangar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619386695 PECOS PAC ID: 4981826286 Enrollment ID: I20231108000403 |
| Provider Name | Hannah Starnes Bartee |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013654789 PECOS PAC ID: 7315313574 Enrollment ID: I20231109002098 |
| Provider Name | Rebecca Filer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962275727 PECOS PAC ID: 3476900598 Enrollment ID: I20231111000766 |
| Provider Name | Madhu Sachdev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528084712 PECOS PAC ID: 7911085956 Enrollment ID: I20231113003752 |
| Provider Name | Oreste Julien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063292480 PECOS PAC ID: 0244687176 Enrollment ID: I20231114001484 |
| Provider Name | Sara K Lamonica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407629207 PECOS PAC ID: 7315395043 Enrollment ID: I20231118000710 |
| Provider Name | Darryl B Floyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689676421 PECOS PAC ID: 1759371750 Enrollment ID: I20231121001015 |
| Provider Name | Stacey Minter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891083713 PECOS PAC ID: 9830441625 Enrollment ID: I20231122001192 |
| Provider Name | Margo Nicole Carlin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578970471 PECOS PAC ID: 4789911181 Enrollment ID: I20231128001421 |
| Provider Name | Elliott Mcpherson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881653475 PECOS PAC ID: 9537141676 Enrollment ID: I20231130003867 |
| Provider Name | Steven Huege |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598716367 PECOS PAC ID: 1557330206 Enrollment ID: I20231218002267 |
| Provider Name | John Pool |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134338114 PECOS PAC ID: 5496818395 Enrollment ID: I20231228000213 |
| Provider Name | Alain Asher |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1871569400 PECOS PAC ID: 1052349289 Enrollment ID: I20240104002901 |
| Provider Name | Cynthia L Guy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225708134 PECOS PAC ID: 0941651756 Enrollment ID: I20240105002234 |
| Provider Name | Meghan C Hudson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508376195 PECOS PAC ID: 4789036716 Enrollment ID: I20240116001419 |
| Provider Name | Lisa M Gonzalez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346373206 PECOS PAC ID: 2264884196 Enrollment ID: I20240117000181 |
| Provider Name | Joseph Costic |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770532228 PECOS PAC ID: 3375732092 Enrollment ID: I20240123001166 |
| Provider Name | Emily Badger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518559921 PECOS PAC ID: 3476906686 Enrollment ID: I20240124001639 |
| Provider Name | Eneyda Espino-gomez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134855620 PECOS PAC ID: 8921451014 Enrollment ID: I20240124004649 |
| Provider Name | Brittany G Bayly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265217657 PECOS PAC ID: 1153774849 Enrollment ID: I20240130000655 |
| Provider Name | Stephen Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669907325 PECOS PAC ID: 7810312071 Enrollment ID: I20240130000721 |
| Provider Name | Getinet Abebe Kassa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629331855 PECOS PAC ID: 4587840731 Enrollment ID: I20240130000997 |
| Provider Name | Ahlam Bawazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366218356 PECOS PAC ID: 4082057971 Enrollment ID: I20240207003420 |
| Provider Name | Shane Mccurdy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528750429 PECOS PAC ID: 0648613034 Enrollment ID: I20240213003425 |
| Provider Name | Alicia Marie Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457120313 PECOS PAC ID: 5294179461 Enrollment ID: I20240215001285 |
| Provider Name | Vera Kishta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689440976 PECOS PAC ID: 6709220916 Enrollment ID: I20240215002664 |
| Provider Name | Stacey Renee Brown-adekunle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982369369 PECOS PAC ID: 2961847272 Enrollment ID: I20240227000767 |
| Provider Name | Steven Cetel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518320811 PECOS PAC ID: 1254623192 Enrollment ID: I20240229000114 |
| Provider Name | Roger Liu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306337860 PECOS PAC ID: 3072840495 Enrollment ID: I20240304002758 |
| Provider Name | Deborah Widmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346555166 PECOS PAC ID: 1850589482 Enrollment ID: I20240305001887 |
| Provider Name | Nawar Al Rawas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235425562 PECOS PAC ID: 2567603434 Enrollment ID: I20240307000143 |
| Provider Name | Stephen Mark Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649418294 PECOS PAC ID: 1759535842 Enrollment ID: I20240307002591 |
| Provider Name | Joshua Rosen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811431307 PECOS PAC ID: 7315271699 Enrollment ID: I20240307003011 |
| Provider Name | Kaveena Little |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831809789 PECOS PAC ID: 8123499092 Enrollment ID: I20240308000470 |
| Provider Name | Abner Santiago |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619127842 PECOS PAC ID: 4082041488 Enrollment ID: I20240308003363 |
| Provider Name | Jessica Mercier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821627027 PECOS PAC ID: 6305282641 Enrollment ID: I20240309000045 |
| Provider Name | Melissa K Bucher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629834312 PECOS PAC ID: 5991141624 Enrollment ID: I20240315001981 |
| Provider Name | Ameet S Parikh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144417528 PECOS PAC ID: 8527199108 Enrollment ID: I20240319003684 |
| Provider Name | Peter Zingone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144762519 PECOS PAC ID: 1254778707 Enrollment ID: I20240320002364 |
| Provider Name | Andrea Yuzuk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962786582 PECOS PAC ID: 7416381439 Enrollment ID: I20240321002395 |
| Provider Name | Carly Chamberlain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689134686 PECOS PAC ID: 1456688654 Enrollment ID: I20240325000528 |
| Provider Name | Jarrett Sell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003888355 PECOS PAC ID: 0446325708 Enrollment ID: I20240326004192 |
| Provider Name | Zoe Amanda Au |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386229292 PECOS PAC ID: 0840668703 Enrollment ID: I20240327003835 |
| Provider Name | Katherine Laine Coleman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023773777 PECOS PAC ID: 6002254737 Enrollment ID: I20240401001902 |
| Provider Name | Jason A Williams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205128998 PECOS PAC ID: 5698088136 Enrollment ID: I20240404000624 |
| Provider Name | Gabrielle Rebekah Mitchell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487411401 PECOS PAC ID: 5496193823 Enrollment ID: I20240404002312 |
| Provider Name | Ryan C Gibbons |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467570143 PECOS PAC ID: 4880906676 Enrollment ID: I20240405002808 |
| Provider Name | Maia A Tinder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902361363 PECOS PAC ID: 2769715796 Enrollment ID: I20240408000137 |
| Provider Name | Julia Merriam Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477180040 PECOS PAC ID: 4981026770 Enrollment ID: I20240509004025 |
| Provider Name | Angelica C Gangemi-hanninen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063049765 PECOS PAC ID: 3072935584 Enrollment ID: I20240513002311 |
| Provider Name | Sydney D Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437787389 PECOS PAC ID: 7012339807 Enrollment ID: I20240514000648 |
| Provider Name | Temitope O Lawrence-bello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154908820 PECOS PAC ID: 4981005048 Enrollment ID: I20240613001578 |
| Provider Name | Dina A Iacone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083292288 PECOS PAC ID: 2365843505 Enrollment ID: I20240613003020 |
| Provider Name | Kyle Michael Coupe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184251696 PECOS PAC ID: 0446616791 Enrollment ID: I20240614001971 |
| Provider Name | Muhammad Afzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780248112 PECOS PAC ID: 2961735402 Enrollment ID: I20240614002560 |
| Provider Name | Kathryn Vollum Woodroof |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720615404 PECOS PAC ID: 5991127110 Enrollment ID: I20240614004018 |
| Provider Name | Ashleigh Allen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881838407 PECOS PAC ID: 3779703988 Enrollment ID: I20240617002664 |
| Provider Name | Shashi Prabha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053948661 PECOS PAC ID: 9537581319 Enrollment ID: I20240618000678 |
| Provider Name | Rohan Asit Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740779032 PECOS PAC ID: 9234475807 Enrollment ID: I20240618002143 |
| Provider Name | Jordan Rogers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568721710 PECOS PAC ID: 5597990051 Enrollment ID: I20240628002717 |
| Provider Name | Saima Ahmad Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215066048 PECOS PAC ID: 4284772690 Enrollment ID: I20240701000690 |
| Provider Name | Muhammad A Fraz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558922930 PECOS PAC ID: 0941536619 Enrollment ID: I20240703002311 |
| Provider Name | Rebecca Leigh Katkocin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053589945 PECOS PAC ID: 2668516907 Enrollment ID: I20240704000159 |
| Provider Name | Colleen Marie Caulfield |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1619663614 PECOS PAC ID: 2466996111 Enrollment ID: I20240705000266 |
| Provider Name | Devin Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093334344 PECOS PAC ID: 0446672208 Enrollment ID: I20240705002657 |
| Provider Name | Kevin W Walsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326508656 PECOS PAC ID: 7810224979 Enrollment ID: I20240708002703 |
| Provider Name | Alyssa Doctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346094059 PECOS PAC ID: 5698210037 Enrollment ID: I20240710002704 |
| Provider Name | John Hafycz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760045058 PECOS PAC ID: 3375979123 Enrollment ID: I20240712000249 |
| Provider Name | Caitlyn M Costanzo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790075737 PECOS PAC ID: 9638489982 Enrollment ID: I20240718004973 |
| Provider Name | Marissa Blackwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275094294 PECOS PAC ID: 8527390822 Enrollment ID: I20240720000002 |
| Provider Name | Rebecca Taylor Vidal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952071870 PECOS PAC ID: 5991241325 Enrollment ID: I20240722003955 |
| Provider Name | Sam Varghese Thomas |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720570716 PECOS PAC ID: 3779974639 Enrollment ID: I20240723000018 |
| Provider Name | Franklin L Thelmo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861951790 PECOS PAC ID: 6406181098 Enrollment ID: I20240724002019 |
| Provider Name | Vikashsingh P Rambhujun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679026272 PECOS PAC ID: 5294060745 Enrollment ID: I20240725004206 |
| Provider Name | Joelle M Mengang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629389184 PECOS PAC ID: 4082855408 Enrollment ID: I20240726000695 |
| Provider Name | Christopher Parronchi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609336528 PECOS PAC ID: 5395070767 Enrollment ID: I20240801003152 |
| Provider Name | Sean Patrick Considine |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861029068 PECOS PAC ID: 8820408305 Enrollment ID: I20240802000469 |
| Provider Name | Thao Tran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376928028 PECOS PAC ID: 4284942855 Enrollment ID: I20240809000651 |
| Provider Name | Kendall Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265270227 PECOS PAC ID: 2860930252 Enrollment ID: I20240816000570 |
| Provider Name | Peter Hanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104359637 PECOS PAC ID: 3274079330 Enrollment ID: I20240816001655 |
| Provider Name | Jaclyn L Slavin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083473938 PECOS PAC ID: 4981142106 Enrollment ID: I20240819001632 |
| Provider Name | Rami Al-hader |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346700341 PECOS PAC ID: 8022344720 Enrollment ID: I20240821000481 |
| Provider Name | Emily Rose Burdette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841827755 PECOS PAC ID: 6507304540 Enrollment ID: I20240821002289 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548521883 PECOS PAC ID: 5092004523 Enrollment ID: I20240826000984 |
| Provider Name | Christian Ingui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893894 PECOS PAC ID: 0042213431 Enrollment ID: I20240826002086 |
| Provider Name | Aaron C Jun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033194253 PECOS PAC ID: 5496773061 Enrollment ID: I20240826002386 |
| Provider Name | Surender Kurapati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073558383 PECOS PAC ID: 8628982428 Enrollment ID: I20240826002472 |
| Provider Name | Anish Chatterjee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619913639 PECOS PAC ID: 1052306198 Enrollment ID: I20240826002685 |
| Provider Name | Charles Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447240171 PECOS PAC ID: 9335230291 Enrollment ID: I20240826002941 |
| Provider Name | Anthony Bernard Bullard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376590927 PECOS PAC ID: 8921077132 Enrollment ID: I20240826002964 |
| Provider Name | Paul Lampert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326010356 PECOS PAC ID: 4284532508 Enrollment ID: I20240826003071 |
| Provider Name | Abhijit Patil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104288497 PECOS PAC ID: 0345536447 Enrollment ID: I20240826003327 |
| Provider Name | Jeffrey Caverly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912968686 PECOS PAC ID: 2961509500 Enrollment ID: I20240826003450 |
| Provider Name | Ari Plosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639141682 PECOS PAC ID: 4587693320 Enrollment ID: I20240826004322 |
| Provider Name | David Ishimitsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497919641 PECOS PAC ID: 3173783057 Enrollment ID: I20240827000190 |
| Provider Name | Karl Magsamen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033202536 PECOS PAC ID: 8921084187 Enrollment ID: I20240827000743 |
| Provider Name | Tahir Alkhairy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023026234 PECOS PAC ID: 8527960434 Enrollment ID: I20240827001094 |
| Provider Name | Kourosh M Naeini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366836553 PECOS PAC ID: 0244661916 Enrollment ID: I20240827001203 |
| Provider Name | David Reiner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174572572 PECOS PAC ID: 4981616661 Enrollment ID: I20240827001322 |
| Provider Name | Linda L Dew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093799884 PECOS PAC ID: 7810882313 Enrollment ID: I20240827001748 |
| Provider Name | Kamiar Massrour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376791343 PECOS PAC ID: 4587704119 Enrollment ID: I20240827002179 |
| Provider Name | Joshua W Mccain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487742698 PECOS PAC ID: 5395914154 Enrollment ID: I20240827002374 |
| Provider Name | Atul Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528045374 PECOS PAC ID: 6103844774 Enrollment ID: I20240828002368 |
| Provider Name | Alan Shigemi Muraki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649348608 PECOS PAC ID: 0446387690 Enrollment ID: I20240828002912 |
| Provider Name | Alix Vincent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802265 PECOS PAC ID: 4789602194 Enrollment ID: I20240828005166 |
| Provider Name | Jeffrey Alan Zuckerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326153701 PECOS PAC ID: 7113810318 Enrollment ID: I20240829000223 |
| Provider Name | Lance Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194773549 PECOS PAC ID: 2365455839 Enrollment ID: I20240829001194 |
| Provider Name | Faranak Sadri Tafazoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790717221 PECOS PAC ID: 7214005750 Enrollment ID: I20240829001238 |
| Provider Name | Steven White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174529507 PECOS PAC ID: 3375595846 Enrollment ID: I20240829001388 |
| Provider Name | Syed Zamir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093761926 PECOS PAC ID: 1759390099 Enrollment ID: I20240829001546 |
| Provider Name | Farid Shafaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306891841 PECOS PAC ID: 4688636905 Enrollment ID: I20240829001612 |
| Provider Name | J Paul Rubin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720036312 PECOS PAC ID: 9436056215 Enrollment ID: I20240829001659 |
| Provider Name | David Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659447118 PECOS PAC ID: 0143128082 Enrollment ID: I20240829001865 |
| Provider Name | Joseph Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326493990 PECOS PAC ID: 5294073458 Enrollment ID: I20240829002321 |
| Provider Name | Walter Y Uyesugi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386634202 PECOS PAC ID: 3476619016 Enrollment ID: I20240829002577 |
| Provider Name | Jeffrey Saunders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811945876 PECOS PAC ID: 7810938933 Enrollment ID: I20240829002676 |
| Provider Name | William Zinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912984238 PECOS PAC ID: 2062460694 Enrollment ID: I20240829003558 |
| Provider Name | Melissa L Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780806968 PECOS PAC ID: 8921132788 Enrollment ID: I20240830001178 |
| Provider Name | Daniel Lucas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417905522 PECOS PAC ID: 8527040195 Enrollment ID: I20240830002165 |
| Provider Name | Thomas Gorman Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235699810 PECOS PAC ID: 2567895121 Enrollment ID: I20240903000603 |
| Provider Name | Michael Benanti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619945342 PECOS PAC ID: 7911964853 Enrollment ID: I20240905004078 |
| Provider Name | Alexis Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811511942 PECOS PAC ID: 8224451364 Enrollment ID: I20240906003498 |
| Provider Name | Jose A Ospina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033373287 PECOS PAC ID: 7618147653 Enrollment ID: I20240907000149 |
| Provider Name | Huma Sarah Qureshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568447357 PECOS PAC ID: 9335167733 Enrollment ID: I20240907000245 |
| Provider Name | Brendan Hagerty |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1255728358 PECOS PAC ID: 7719275460 Enrollment ID: I20240907000372 |
| Provider Name | Lisa Collazzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821083270 PECOS PAC ID: 7911935556 Enrollment ID: I20240907000585 |
| Provider Name | Christopher Lanier Carpenter |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1033644729 PECOS PAC ID: 2769752484 Enrollment ID: I20240908000087 |
| Provider Name | Mikael A Fadoul |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053974824 PECOS PAC ID: 8022558667 Enrollment ID: I20240910000740 |
| Provider Name | Melissa Riegel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366070500 PECOS PAC ID: 0648695239 Enrollment ID: I20240910001355 |
| Provider Name | Michael Brett Ricci |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1760010805 PECOS PAC ID: 6800336355 Enrollment ID: I20240911000059 |
| Provider Name | Kristin N Cornell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134986003 PECOS PAC ID: 8628518073 Enrollment ID: I20240911004120 |
| Provider Name | Allison Guggenheim Shaber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043704885 PECOS PAC ID: 8628518990 Enrollment ID: I20240912004255 |
| Provider Name | Michele Nicole Fiorentino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275928145 PECOS PAC ID: 7315301082 Enrollment ID: I20240913000023 |
| Provider Name | Kamron Salavitabar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528646973 PECOS PAC ID: 5698179372 Enrollment ID: I20240914000553 |
| Provider Name | Peilin Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265484794 PECOS PAC ID: 5991783227 Enrollment ID: I20240916004030 |
| Provider Name | Eugene Edward Marrone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396322459 PECOS PAC ID: 6800337882 Enrollment ID: I20240917004693 |
| Provider Name | Kathryn Denny |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407343197 PECOS PAC ID: 0345620159 Enrollment ID: I20240918003538 |
| Provider Name | Jacqueline Arenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811281108 PECOS PAC ID: 4789974742 Enrollment ID: I20240918004198 |
| Provider Name | Leon Kushnir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003075755 PECOS PAC ID: 8921152554 Enrollment ID: I20240919001278 |
| Provider Name | Arielle H Katcher |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1558892463 PECOS PAC ID: 7810236700 Enrollment ID: I20240923000044 |
| Provider Name | Alexis Kent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598508947 PECOS PAC ID: 0648711259 Enrollment ID: I20240924000249 |
| Provider Name | Wayne A Duffus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174590392 PECOS PAC ID: 6103896378 Enrollment ID: I20240924004802 |
| Provider Name | Allison Carbine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558114975 PECOS PAC ID: 2062953433 Enrollment ID: I20240925002891 |
| Provider Name | Sofia Bermudez Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467039438 PECOS PAC ID: 9032510011 Enrollment ID: I20240926002118 |
| Provider Name | Deacon Lile |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558773473 PECOS PAC ID: 7012201353 Enrollment ID: I20240930000012 |
| Provider Name | Xavier Mohammed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366974073 PECOS PAC ID: 7113341553 Enrollment ID: I20240930002463 |
| Provider Name | Stephanie Awurama Kwabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508608068 PECOS PAC ID: 4486185444 Enrollment ID: I20241001002314 |
| Provider Name | Joan Mogaka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326886995 PECOS PAC ID: 9537690482 Enrollment ID: I20241002001245 |
| Provider Name | Lacey Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255161923 PECOS PAC ID: 7911438866 Enrollment ID: I20241002001567 |
| Provider Name | George Dehoff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588807606 PECOS PAC ID: 5698911311 Enrollment ID: I20241003001577 |
| Provider Name | Joanna Yvonne Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285370023 PECOS PAC ID: 5092246850 Enrollment ID: I20241003001774 |
| Provider Name | Meghan Jornlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386480390 PECOS PAC ID: 9234660010 Enrollment ID: I20241003002792 |
| Provider Name | Lucy Maguire |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386133858 PECOS PAC ID: 2567711666 Enrollment ID: I20241004002009 |
| Provider Name | Rose Arnette Boyer-wilcox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548087414 PECOS PAC ID: 6103357819 Enrollment ID: I20241007000012 |
| Provider Name | Rosalie Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932943420 PECOS PAC ID: 9537691506 Enrollment ID: I20241015002922 |
| Provider Name | Mallory Ann Sykes Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235977075 PECOS PAC ID: 8527590546 Enrollment ID: I20241016000599 |
| Provider Name | Mallory Christman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639907983 PECOS PAC ID: 8224560115 Enrollment ID: I20241016004108 |
| Provider Name | Marlyn Ramos Lamboy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487693016 PECOS PAC ID: 1850316860 Enrollment ID: I20241017000796 |
| Provider Name | Miranda Kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609553262 PECOS PAC ID: 7012449895 Enrollment ID: I20241017002910 |
| Provider Name | Sarah Barat Teaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285050377 PECOS PAC ID: 2365974169 Enrollment ID: I20241017003801 |
| Provider Name | Christopher Patrick Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881188613 PECOS PAC ID: 8224418595 Enrollment ID: I20241017004449 |
| Provider Name | Tse F Anyu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417490301 PECOS PAC ID: 9537538723 Enrollment ID: I20241018002589 |
| Provider Name | Ashanda P Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497160626 PECOS PAC ID: 3577877513 Enrollment ID: I20241021003737 |
| Provider Name | Christina Ya-chuen Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467912014 PECOS PAC ID: 5799019592 Enrollment ID: I20241021004312 |
| Provider Name | Victoria Lynne Moerman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366281347 PECOS PAC ID: 1052844511 Enrollment ID: I20241023001540 |
| Provider Name | Julia Jennifer Shamis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114501939 PECOS PAC ID: 5991238453 Enrollment ID: I20241024000758 |
| Provider Name | Suneet P Chauhan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861461287 PECOS PAC ID: 4284531971 Enrollment ID: I20241101000408 |
| Provider Name | Chinwe Ike-chinwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518632173 PECOS PAC ID: 1456884048 Enrollment ID: I20241105000727 |
| Provider Name | Evan Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639462450 PECOS PAC ID: 2466708763 Enrollment ID: I20241105002328 |
| Provider Name | Randy A Sag |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982679411 PECOS PAC ID: 2062444029 Enrollment ID: I20241107003325 |
| Provider Name | Roderick James |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457440208 PECOS PAC ID: 1052637584 Enrollment ID: I20241112002651 |
| Provider Name | Rahul Pawar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487819553 PECOS PAC ID: 4880872472 Enrollment ID: I20241118000781 |
| Provider Name | Alexandra Ray Kownurko |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720809098 PECOS PAC ID: 7810422524 Enrollment ID: I20241118003816 |
| Provider Name | Madelyn Marie Judge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629757877 PECOS PAC ID: 2567997273 Enrollment ID: I20241120003944 |
| Provider Name | Coleen Anne Dever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386012243 PECOS PAC ID: 8820306988 Enrollment ID: I20241122001470 |
| Provider Name | Amanda Mckenna |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1295239077 PECOS PAC ID: 6406103688 Enrollment ID: I20241204000110 |
| Provider Name | Jacob Mark Ebner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316627813 PECOS PAC ID: 2466988985 Enrollment ID: I20241207000115 |
| Provider Name | Catherine Ray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053128264 PECOS PAC ID: 1658808456 Enrollment ID: I20241218000472 |
| Provider Name | Alexander Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902485469 PECOS PAC ID: 5799186870 Enrollment ID: I20241219003096 |
| Provider Name | Rita M Esposito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447691373 PECOS PAC ID: 3274776984 Enrollment ID: I20241223000960 |
| Provider Name | Kelsey Roper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023890464 PECOS PAC ID: 2860929387 Enrollment ID: I20241223001751 |
| Provider Name | Danielle Levine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487185203 PECOS PAC ID: 0840568119 Enrollment ID: I20241224000048 |
| Provider Name | Mia Forte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619799541 PECOS PAC ID: 2769919919 Enrollment ID: I20241230001052 |
| Provider Name | Whitney Nyce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093392433 PECOS PAC ID: 1456896216 Enrollment ID: I20250102000125 |
| Provider Name | Casie M Hartman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003625948 PECOS PAC ID: 4486182219 Enrollment ID: I20250108000028 |
| Provider Name | Ahmad Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982983557 PECOS PAC ID: 0648443440 Enrollment ID: I20250109003949 |
| Provider Name | Kate E Kerpen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649730086 PECOS PAC ID: 6103362405 Enrollment ID: I20250113001870 |
| Provider Name | Michael Williston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093090474 PECOS PAC ID: 6204074065 Enrollment ID: I20250114000738 |
| Provider Name | Adnan Mehboob |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427582659 PECOS PAC ID: 4789954264 Enrollment ID: I20250124001575 |
| Provider Name | Fauzia K Butt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023124013 PECOS PAC ID: 8325134950 Enrollment ID: I20250128000352 |
| Provider Name | Padideh Ghorbani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396324000 PECOS PAC ID: 9133520372 Enrollment ID: I20250128003180 |
| Provider Name | Abreah Little |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336960137 PECOS PAC ID: 6709315120 Enrollment ID: I20250129002093 |
| Provider Name | June Nzilani Maluki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316765373 PECOS PAC ID: 0143759480 Enrollment ID: I20250130003643 |
| Provider Name | Punam Dass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205265840 PECOS PAC ID: 7113141714 Enrollment ID: I20250131001776 |
| Provider Name | Pariya Prama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437967999 PECOS PAC ID: 3072043850 Enrollment ID: I20250208000017 |
| Provider Name | Lacey Nicole Olin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467272203 PECOS PAC ID: 9032649876 Enrollment ID: I20250210002139 |
| Provider Name | Julie Murray |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689453789 PECOS PAC ID: 4880124353 Enrollment ID: I20250213000380 |
| Provider Name | Amber Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689135691 PECOS PAC ID: 0244765618 Enrollment ID: I20250217000921 |
| Provider Name | Beren Karlson-hinton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144932138 PECOS PAC ID: 3779003017 Enrollment ID: I20250218000623 |
| Provider Name | Charlotte Saunders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871040295 PECOS PAC ID: 7315229556 Enrollment ID: I20250220001765 |
| Provider Name | Steven Shapiro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760836878 PECOS PAC ID: 6507247566 Enrollment ID: I20250220001828 |
| Provider Name | Tricia Nicole Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548074693 PECOS PAC ID: 8022538065 Enrollment ID: I20250221000081 |
| Provider Name | Julia Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346059383 PECOS PAC ID: 8729508684 Enrollment ID: I20250221001190 |
| Provider Name | Kathryn Paparella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538749213 PECOS PAC ID: 4486053345 Enrollment ID: I20250225000537 |
| Provider Name | Ebru Yucel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821813643 PECOS PAC ID: 1052831450 Enrollment ID: I20250227002692 |
| Provider Name | Rujuta B Katkar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740693142 PECOS PAC ID: 0446595276 Enrollment ID: I20250228000354 |
| Provider Name | Matthew Jordan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508809419 PECOS PAC ID: 9830162320 Enrollment ID: I20250228002027 |
| Provider Name | Mary E Kennard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790581031 PECOS PAC ID: 3476073867 Enrollment ID: I20250228002447 |
| Provider Name | Phalashia Browning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619550274 PECOS PAC ID: 5991105116 Enrollment ID: I20250305001017 |
| Provider Name | Mary E Huerter |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1043502008 PECOS PAC ID: 2264742949 Enrollment ID: I20250305002251 |
| Provider Name | Bruce Auden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194251900 PECOS PAC ID: 5294007845 Enrollment ID: I20250306003520 |
| Provider Name | Mina Na |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215425046 PECOS PAC ID: 4688900889 Enrollment ID: I20250307002722 |
| Provider Name | Sydney C Achee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619555760 PECOS PAC ID: 1456756972 Enrollment ID: I20250311003403 |
| Provider Name | Michael Born |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275505141 PECOS PAC ID: 2961698329 Enrollment ID: I20250312001380 |
| Provider Name | Craig Person |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952401267 PECOS PAC ID: 1658509070 Enrollment ID: I20250313003845 |
| Provider Name | Claire Paulson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063940377 PECOS PAC ID: 6901173574 Enrollment ID: I20250314000037 |
| Provider Name | Melissa Soberanis Sanabria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396347860 PECOS PAC ID: 7517352669 Enrollment ID: I20250318001883 |
| Provider Name | Fah S. Leong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184685299 PECOS PAC ID: 0547340655 Enrollment ID: I20250319003308 |
| Provider Name | Michael Mcdonald Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083842165 PECOS PAC ID: 8224350756 Enrollment ID: I20250320001294 |
| Provider Name | Mohamed Elgabaly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861656282 PECOS PAC ID: 9931366564 Enrollment ID: I20250407000758 |
| Provider Name | Terra Pearson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730320912 PECOS PAC ID: 7113140724 Enrollment ID: I20250407003407 |
| Provider Name | Richard Kushay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821754938 PECOS PAC ID: 7618342726 Enrollment ID: I20250408001624 |
| Provider Name | Shanele Mcgowan Vaughn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902194822 PECOS PAC ID: 4688961675 Enrollment ID: I20250414002783 |
| Provider Name | Shakir Hussein |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609066455 PECOS PAC ID: 5395839575 Enrollment ID: I20250428002125 |
| Provider Name | Robert D Wardlow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215359955 PECOS PAC ID: 8325566243 Enrollment ID: I20250515000063 |
| Provider Name | Kiron Master |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376535005 PECOS PAC ID: 0345293601 Enrollment ID: I20250527001738 |
| Provider Name | Jennifer Kielhorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699669838 PECOS PAC ID: 0941710040 Enrollment ID: I20250609000922 |
| Provider Name | Kathryn R Shirley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639756166 PECOS PAC ID: 4183025216 Enrollment ID: I20250610004120 |
| Provider Name | Courtney Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730975707 PECOS PAC ID: 6901316637 Enrollment ID: I20250611000667 |
| Provider Name | Stephen Rubenstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467424044 PECOS PAC ID: 1658321153 Enrollment ID: I20250625002175 |
| Provider Name | Ayooluwa R. Fisher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861386641 PECOS PAC ID: 7719490234 Enrollment ID: I20250627003712 |
| Provider Name | Howard Axelrod |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1093705014 PECOS PAC ID: 2163485152 Enrollment ID: I20250630002246 |
| Provider Name | Sridhar Srinivasan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750598363 PECOS PAC ID: 4385718634 Enrollment ID: I20250702002390 |
| Provider Name | Rebecca N Dewees |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841930120 PECOS PAC ID: 1951789734 Enrollment ID: I20250707002638 |
| Provider Name | Henry Szeto |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871055517 PECOS PAC ID: 9032444575 Enrollment ID: I20250711001396 |
| Provider Name | Noushine M Sadeghi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568048452 PECOS PAC ID: 0941601025 Enrollment ID: I20250711001414 |
| Provider Name | Anam Chaudhry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578213104 PECOS PAC ID: 2163800277 Enrollment ID: I20250711003975 |
| Provider Name | Azka Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801414594 PECOS PAC ID: 4880017557 Enrollment ID: I20250712000023 |
| Provider Name | Carlos Garcia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942216890 PECOS PAC ID: 2163417262 Enrollment ID: I20250714000382 |
| Provider Name | Marisa Gossweiler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588958615 PECOS PAC ID: 5991001190 Enrollment ID: I20250714002632 |
| Provider Name | Shiyama Mudali |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982756565 PECOS PAC ID: 8921276510 Enrollment ID: I20250715000631 |
| Provider Name | Kathleen Evans Cluff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053148346 PECOS PAC ID: 3274048608 Enrollment ID: I20250715002619 |
| Provider Name | Michael Sanusi |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1720019102 PECOS PAC ID: 1850304205 Enrollment ID: I20250716002975 |
| Provider Name | John Masterson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043773732 PECOS PAC ID: 0345787826 Enrollment ID: I20250716004410 |
| Provider Name | David Charny |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215605811 PECOS PAC ID: 2961899232 Enrollment ID: I20250717001627 |
| Provider Name | Kirsten Faith Willoughby |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952299430 PECOS PAC ID: 7618483603 Enrollment ID: I20250717002573 |
| Provider Name | Nina N Powell-hamilton |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1932301512 PECOS PAC ID: 6406028091 Enrollment ID: I20250718000264 |
| Provider Name | Archana Sreekantan Nair |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467913210 PECOS PAC ID: 4385173640 Enrollment ID: I20250718002143 |
| Provider Name | Harish Kakkilaya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902064140 PECOS PAC ID: 3072688027 Enrollment ID: I20250718002507 |
| Provider Name | Dannielle Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356081152 PECOS PAC ID: 2769860683 Enrollment ID: I20250718002553 |
| Provider Name | Michael Mikhail |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043384035 PECOS PAC ID: 6507982592 Enrollment ID: I20250721003520 |
| Provider Name | William J Furey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326677972 PECOS PAC ID: 1850713397 Enrollment ID: I20250721003979 |
| Provider Name | Alexander Blau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154860237 PECOS PAC ID: 1951673797 Enrollment ID: I20250722001511 |
| Provider Name | Joel Appel |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1811935273 PECOS PAC ID: 8729076542 Enrollment ID: I20250725000368 |
| Provider Name | Katherine Ren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275160160 PECOS PAC ID: 3072936061 Enrollment ID: I20250728002652 |
| Provider Name | Jeffrey Freeman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831127091 PECOS PAC ID: 4486741428 Enrollment ID: I20250728003786 |
| Provider Name | Gregory Frattaroli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164626552 PECOS PAC ID: 9436281375 Enrollment ID: I20250729002235 |
| Provider Name | Sonum Singh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659765873 PECOS PAC ID: 4486068889 Enrollment ID: I20250729002295 |
| Provider Name | Michael Bux |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831696780 PECOS PAC ID: 6002161734 Enrollment ID: I20250729003343 |
| Provider Name | Dyanne Westerberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215911987 PECOS PAC ID: 4183712318 Enrollment ID: I20250804003657 |
| Provider Name | Lucas Dickey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851160840 PECOS PAC ID: 4284142845 Enrollment ID: I20250805000526 |
| Provider Name | Allison Dertouzos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669146965 PECOS PAC ID: 3072983204 Enrollment ID: I20250805000808 |
| Provider Name | Alexis Gannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316687767 PECOS PAC ID: 7214315209 Enrollment ID: I20250806002199 |
| Provider Name | Kathleen Bankert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881041036 PECOS PAC ID: 8224316435 Enrollment ID: I20250807001990 |
| Provider Name | Wei Bin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619135043 PECOS PAC ID: 4981763083 Enrollment ID: I20250807002483 |
| Provider Name | James Parris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407269905 PECOS PAC ID: 8426327818 Enrollment ID: I20250808000478 |
| Provider Name | Joseph George |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740398643 PECOS PAC ID: 8628066289 Enrollment ID: I20250812001093 |
| Provider Name | Dan Michael Devano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689316192 PECOS PAC ID: 8123415056 Enrollment ID: I20250818003427 |
| Provider Name | Matthew Shadle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548720550 PECOS PAC ID: 9436486230 Enrollment ID: I20250818004112 |
| Provider Name | Umer Farooq |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1568975977 PECOS PAC ID: 9931430519 Enrollment ID: I20250819003052 |
| Provider Name | Allyson Potochnick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164850277 PECOS PAC ID: 6204063811 Enrollment ID: I20250821001607 |
| Provider Name | Sayyeda Ann Uz Zahra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275153892 PECOS PAC ID: 5395244263 Enrollment ID: I20250827000462 |
| Provider Name | Li Zhang |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104252998 PECOS PAC ID: 0648405142 Enrollment ID: I20250828000100 |
| Provider Name | Elizabeth Mummau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730878844 PECOS PAC ID: 3274034699 Enrollment ID: I20250828001181 |
| Provider Name | Jordan Nari Pressley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952283863 PECOS PAC ID: 5092216374 Enrollment ID: I20250828002990 |
| Provider Name | Sherif Elsayed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295354751 PECOS PAC ID: 7113435652 Enrollment ID: I20250828004191 |
| Provider Name | Kathleen Sharpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831551035 PECOS PAC ID: 4082912704 Enrollment ID: I20250829003035 |
| Provider Name | Muhammad A Shakir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922529593 PECOS PAC ID: 7113296005 Enrollment ID: I20250829004157 |
| Provider Name | Jaime Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760373468 PECOS PAC ID: 8426559303 Enrollment ID: I20250902000951 |
| Provider Name | Adina Mcnair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851850648 PECOS PAC ID: 6901247881 Enrollment ID: I20250903000563 |
| Provider Name | Meghan Mcdowell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215819776 PECOS PAC ID: 9739681024 Enrollment ID: I20250905002998 |
| Provider Name | Samuel Azeze |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275981631 PECOS PAC ID: 8921492752 Enrollment ID: I20250908000904 |
| Provider Name | Sean J Dikdan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770017121 PECOS PAC ID: 5799053203 Enrollment ID: I20250910003233 |
| Provider Name | Meaghan Nancy Roszyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851970933 PECOS PAC ID: 2567863467 Enrollment ID: I20250912002055 |
| Provider Name | Anne Mccauley Fleming |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972492528 PECOS PAC ID: 6002319183 Enrollment ID: I20250912004467 |
| Provider Name | Sonali Bishnoi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275196057 PECOS PAC ID: 2567965650 Enrollment ID: I20250913000398 |
| Provider Name | Ogo-oluwa Onifade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275152134 PECOS PAC ID: 7517466360 Enrollment ID: I20250913000566 |
| Provider Name | Nathaniel Fox |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497384002 PECOS PAC ID: 5890117758 Enrollment ID: I20250915001869 |
| Provider Name | Ashley Foreman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558947630 PECOS PAC ID: 6002262656 Enrollment ID: I20250917001549 |
| Provider Name | Derica Nyameke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376423996 PECOS PAC ID: 9537663000 Enrollment ID: I20250917004172 |
| Provider Name | Bhavya Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215823729 PECOS PAC ID: 2961906375 Enrollment ID: I20250918002881 |
| Provider Name | Kevin Welch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528388154 PECOS PAC ID: 1254626831 Enrollment ID: I20250918004286 |
| Provider Name | Arun Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326256678 PECOS PAC ID: 0244397065 Enrollment ID: I20250919004205 |
| Provider Name | Young D Cho |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710514781 PECOS PAC ID: 8921420423 Enrollment ID: I20250922002751 |
| Provider Name | Lauren Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801148259 PECOS PAC ID: 5991013781 Enrollment ID: I20250923002636 |
| Provider Name | Alexis N Hill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235019928 PECOS PAC ID: 2365947017 Enrollment ID: I20250924003315 |
| Provider Name | Jesse N Rivera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174404750 PECOS PAC ID: 3173028826 Enrollment ID: I20250924003338 |
| Provider Name | Akshat Rajan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841933983 PECOS PAC ID: 5193220754 Enrollment ID: I20250925002501 |
| Provider Name | Kelly M Crane |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194284281 PECOS PAC ID: 4880922343 Enrollment ID: I20250926003698 |
| Provider Name | Iyanu Victoria Olateju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649911058 PECOS PAC ID: 5496250540 Enrollment ID: I20250928000215 |
| Provider Name | Kathryn Sommers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629607023 PECOS PAC ID: 7911320312 Enrollment ID: I20250929003761 |
| Provider Name | Faisal Adhami |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649405549 PECOS PAC ID: 6709029333 Enrollment ID: I20250930000008 |
| Provider Name | Adam Kiejdan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043835234 PECOS PAC ID: 8820520190 Enrollment ID: I20251001001276 |
| Provider Name | Melanie Ulrich |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1992264030 PECOS PAC ID: 1052647211 Enrollment ID: I20251001003269 |
| Provider Name | Candice Santoro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508328980 PECOS PAC ID: 9931434008 Enrollment ID: I20251001004605 |
| Provider Name | Victoria Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194250597 PECOS PAC ID: 7911273123 Enrollment ID: I20251002000618 |
| Provider Name | Meredith Dyann Mohr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760933790 PECOS PAC ID: 7517463193 Enrollment ID: I20251002001194 |
| Provider Name | Zachary Hermes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700315926 PECOS PAC ID: 7012288301 Enrollment ID: I20251002001491 |
| Provider Name | Emily Webster |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1982193603 PECOS PAC ID: 7012263585 Enrollment ID: I20251002004784 |
| Provider Name | Giselle Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174404735 PECOS PAC ID: 7113424334 Enrollment ID: I20251006003328 |
| Provider Name | Patrice Baptista |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336768696 PECOS PAC ID: 0941661193 Enrollment ID: I20251010000892 |
| Provider Name | Domenica Scalia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093392276 PECOS PAC ID: 2264939552 Enrollment ID: I20251010004287 |
| Provider Name | Susan N Bluhm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750254314 PECOS PAC ID: 1456848761 Enrollment ID: I20251012000164 |
| Provider Name | Susan Schaffer Whiteman |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518997147 PECOS PAC ID: 9638110786 Enrollment ID: I20251012000179 |
| Provider Name | David Broyles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659424240 PECOS PAC ID: 4082807557 Enrollment ID: I20251013002522 |
| Provider Name | Kishon Gallmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114805710 PECOS PAC ID: 2062909849 Enrollment ID: I20251015001289 |
| Provider Name | Evelyn Shoop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598659617 PECOS PAC ID: 1951898733 Enrollment ID: I20251015001387 |
| Provider Name | Christiana E Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629658539 PECOS PAC ID: 9537656145 Enrollment ID: I20251016003238 |
| Provider Name | Mary Kate Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255991998 PECOS PAC ID: 4688905425 Enrollment ID: I20251017001117 |
| Provider Name | Ayla Benge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538789433 PECOS PAC ID: 7618374778 Enrollment ID: I20251020000901 |
| Provider Name | Taylor Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437038510 PECOS PAC ID: 2264920511 Enrollment ID: I20251020002550 |
| Provider Name | Charles Mikulka |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801676333 PECOS PAC ID: 1355784968 Enrollment ID: I20251021001739 |
| Provider Name | Steven Gurien |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1306233432 PECOS PAC ID: 8820451925 Enrollment ID: I20251021004152 |
| Provider Name | Elizabeth Frances Malin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457242083 PECOS PAC ID: 4385132018 Enrollment ID: I20251023002601 |
| Provider Name | Erica Aiken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790665941 PECOS PAC ID: 9638667389 Enrollment ID: I20251023003020 |
| Provider Name | Carly Kremer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568094498 PECOS PAC ID: 4688081359 Enrollment ID: I20251024004339 |
| Provider Name | Kwame Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902518962 PECOS PAC ID: 4880045988 Enrollment ID: I20251025000570 |
| Provider Name | Saira Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922425420 PECOS PAC ID: 2567688146 Enrollment ID: I20251027003650 |
| Provider Name | Jonathan Dillen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164008116 PECOS PAC ID: 7113328360 Enrollment ID: I20251028003303 |
| Provider Name | Felecia Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033003603 PECOS PAC ID: 8224527361 Enrollment ID: I20251029003340 |
| Provider Name | Julia Lindenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205373784 PECOS PAC ID: 1456840453 Enrollment ID: I20251030000308 |
| Provider Name | Madeline C Beining |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245909647 PECOS PAC ID: 8426446949 Enrollment ID: I20251030002024 |
| Provider Name | Kelly Diamond Montalvo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326790726 PECOS PAC ID: 9830583541 Enrollment ID: I20251031000117 |
| Provider Name | Charles Braxton Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568959120 PECOS PAC ID: 5395071799 Enrollment ID: I20251102000008 |
| Provider Name | Jasbir Grewal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881731560 PECOS PAC ID: 5092746164 Enrollment ID: I20251103000017 |
| Provider Name | Jeffrey Tsai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528216090 PECOS PAC ID: 2769654581 Enrollment ID: I20251103000123 |
| Provider Name | Sean Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104273549 PECOS PAC ID: 3476952557 Enrollment ID: I20251103001422 |
| Provider Name | Robert Guilday |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760452494 PECOS PAC ID: 8022205483 Enrollment ID: I20251105001471 |
| Provider Name | Eyosias Abiy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346120052 PECOS PAC ID: 7416447461 Enrollment ID: I20251107000450 |
| Provider Name | Imran Unal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538540950 PECOS PAC ID: 4688964141 Enrollment ID: I20251107001545 |
| Provider Name | Robin Thompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336357037 PECOS PAC ID: 5890285795 Enrollment ID: I20251107004469 |
| Provider Name | Alyssa R. Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194616052 PECOS PAC ID: 1153813019 Enrollment ID: I20251126003727 |
| Provider Name | Danielle Deitrick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144257544 PECOS PAC ID: 5799788584 Enrollment ID: I20251222000871 |
| Provider Name | Theresa Tassey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629416672 PECOS PAC ID: 4486943933 Enrollment ID: I20251223000249 |
| Provider Name | Tiffany Rozanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780434043 PECOS PAC ID: 9436645439 Enrollment ID: I20251229003827 |
| Provider Name | Adria Stephens Cooks |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487744462 PECOS PAC ID: 2163646753 Enrollment ID: I20260113002936 |
| Provider Name | Abbas Chamsuddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578539557 PECOS PAC ID: 0446150262 Enrollment ID: I20260115001543 |
| Provider Name | Alexander Waggener |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790348605 PECOS PAC ID: 4587999024 Enrollment ID: I20260131000030 |
| Provider Name | Marcus Greco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578977989 PECOS PAC ID: 4486900222 Enrollment ID: I20260203000494 |
| Provider Name | Emily Mignogna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285115204 PECOS PAC ID: 5294070710 Enrollment ID: I20260213001503 |
| Provider Name | John William Rutz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760332480 PECOS PAC ID: 9638659170 Enrollment ID: I20260214000033 |
| Provider Name | Elizabeth Banks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396158820 PECOS PAC ID: 5092019778 Enrollment ID: I20260218000458 |
| Provider Name | Anita Mallya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508229956 PECOS PAC ID: 6800135203 Enrollment ID: I20260222000030 |
| Provider Name | Nikita Mohan Patel |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1932511904 PECOS PAC ID: 5991084196 Enrollment ID: I20260225003981 |
| Provider Name | Michelle Haines |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851323802 PECOS PAC ID: 4082789300 Enrollment ID: I20260226000706 |
| Provider Name | Tony Thieu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558998328 PECOS PAC ID: 1254733595 Enrollment ID: I20260317003461 |
| Provider Name | Tara Kimbrough |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255712782 PECOS PAC ID: 0042522039 Enrollment ID: I20260319002136 |
| Provider Name | Deepak Vadehra |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1255727392 PECOS PAC ID: 7113230673 Enrollment ID: I20260324003954 |
| Provider Name | Matthew Krevetski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669121901 PECOS PAC ID: 2466831565 Enrollment ID: I20260325001428 |
| Provider Name | Dawn Stepnowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467539072 PECOS PAC ID: 1759418387 Enrollment ID: I20260330003800 |
| Provider Name | Neal J Steil |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1417160607 PECOS PAC ID: 3870766165 Enrollment ID: I20260331004510 |
| Provider Name | James Larsen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366767352 PECOS PAC ID: 4284882242 Enrollment ID: I20260415001715 |
| Provider Name | Syeda Anum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528564457 PECOS PAC ID: 2365799061 Enrollment ID: I20260415003402 |
| Provider Name | Jenna Pathak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790643559 PECOS PAC ID: 2668948365 Enrollment ID: I20260420002573 |
| Provider Name | Rebecca Piland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700349727 PECOS PAC ID: 0143729889 Enrollment ID: I20260428000366 |
| Provider Name | Liza Zachariah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639438179 PECOS PAC ID: 6507138880 Enrollment ID: I20260428000929 |
| Provider Name | George Gennaoui |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861928681 PECOS PAC ID: 8224305099 Enrollment ID: I20260428001287 |
| Provider Name | Yi Li |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881896132 PECOS PAC ID: 3274608302 Enrollment ID: I20260501003044 |
| Provider Name | Grace Anzilotti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346194669 PECOS PAC ID: 0941776868 Enrollment ID: I20260523000199 |
| Provider Name | Amy Shives |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992257687 PECOS PAC ID: 4880962703 Enrollment ID: I20260601002437 |
| Provider Name | Thomas Holdbrook |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568663326 PECOS PAC ID: 9830335892 Enrollment ID: I20260624002670 |
| Provider Name | Lillian Clara Sweetman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417834870 PECOS PAC ID: 8921571332 Enrollment ID: I20260626002447 |
| Mailing Address | Practice Location Address |
|---|---|
| Cchs Pmri Po Box 30170, Wilmington, DE 19805-7170 Ph: (302) 623-7019 | Cchs Pmri 3506 Kennett Pike, Pmri, Wilmington, DE 19807-3019 Ph: (302) 661-3000 |