| Cvph | |
|
75 Beekman St, Plattsburgh, NY 12901-1438 | |
| (518) 561-2000 | |
| (518) 314-3981 |
| Full Name | Cvph |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 75 Beekman St, Plattsburgh, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124189782 | NPI | - | NPPES |
| 02205434 | Medicaid | NY |
| Provider Name | Karen B Grunewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306899257 PECOS PAC ID: 6406752732 Enrollment ID: I20031209000270 |
| Provider Name | Sabieli Kabeli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063505592 PECOS PAC ID: 7618876392 Enrollment ID: I20031231000548 |
| Provider Name | Helena Hozak Haase |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447245717 PECOS PAC ID: 8921909490 Enrollment ID: I20040116000901 |
| Provider Name | Cheryl A Kabeli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356423040 PECOS PAC ID: 4789578840 Enrollment ID: I20040210000545 |
| Provider Name | Kristen Green |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093891145 PECOS PAC ID: 0345136123 Enrollment ID: I20040227000104 |
| Provider Name | David M Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396711966 PECOS PAC ID: 8921996661 Enrollment ID: I20040305000351 |
| Provider Name | Daniel J Curilla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679694111 PECOS PAC ID: 0143119958 Enrollment ID: I20040311000371 |
| Provider Name | Christopher Sl Commichau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912927294 PECOS PAC ID: 1658365051 Enrollment ID: I20040409000014 |
| Provider Name | Staci L Carter-kelly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003029125 PECOS PAC ID: 6204824378 Enrollment ID: I20040505001550 |
| Provider Name | Lisa E Connery |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619973294 PECOS PAC ID: 6901895820 Enrollment ID: I20040506001709 |
| Provider Name | Myrna A Sanchez-latreille |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1134107600 PECOS PAC ID: 1850295841 Enrollment ID: I20040511001651 |
| Provider Name | Sheryl Spadone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902804669 PECOS PAC ID: 5799775128 Enrollment ID: I20040517000671 |
| Provider Name | Matthew J Hinge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871678706 PECOS PAC ID: 7416948088 Enrollment ID: I20040521000593 |
| Provider Name | Vivian S Mejias |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235282823 PECOS PAC ID: 7618968058 Enrollment ID: I20040524000336 |
| Provider Name | Zia H Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750362380 PECOS PAC ID: 2264413350 Enrollment ID: I20040525001475 |
| Provider Name | Caroline Hamel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003881392 PECOS PAC ID: 1456334267 Enrollment ID: I20040611000908 |
| Provider Name | Jennifer J Kelly |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104867779 PECOS PAC ID: 0042298952 Enrollment ID: I20040708000609 |
| Provider Name | Susan A Rech |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558367367 PECOS PAC ID: 2961306840 Enrollment ID: I20040712001577 |
| Provider Name | William Staub |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609818988 PECOS PAC ID: 2769460823 Enrollment ID: I20040713001496 |
| Provider Name | William Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952309411 PECOS PAC ID: 0840260808 Enrollment ID: I20040728000050 |
| Provider Name | Eugene Byrne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912905068 PECOS PAC ID: 2062482045 Enrollment ID: I20040728000071 |
| Provider Name | Jan E Duus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114098589 PECOS PAC ID: 4284607797 Enrollment ID: I20040813000518 |
| Provider Name | Ann M Watts |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003982562 PECOS PAC ID: 2961477674 Enrollment ID: I20040826001308 |
| Provider Name | Christopher S Palma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184637233 PECOS PAC ID: 3173599834 Enrollment ID: I20040903000941 |
| Provider Name | Cheung Wong |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689609273 PECOS PAC ID: 9335117878 Enrollment ID: I20040922000334 |
| Provider Name | Vladimir Sabayev |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093740847 PECOS PAC ID: 0648248062 Enrollment ID: I20040922001042 |
| Provider Name | William N Pelton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184696841 PECOS PAC ID: 1254391022 Enrollment ID: I20041015000381 |
| Provider Name | Jose Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316981897 PECOS PAC ID: 9335105592 Enrollment ID: I20041209000001 |
| Provider Name | Jill M Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861525867 PECOS PAC ID: 1850343997 Enrollment ID: I20050216000734 |
| Provider Name | John P Griffin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679644082 PECOS PAC ID: 8224083399 Enrollment ID: I20050322000484 |
| Provider Name | Jeremy Schwartz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356378442 PECOS PAC ID: 6507803269 Enrollment ID: I20050413001230 |
| Provider Name | Daniel Franklin Becker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063533362 PECOS PAC ID: 5092756874 Enrollment ID: I20050523000257 |
| Provider Name | Carlos E Martinez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154332062 PECOS PAC ID: 5890739734 Enrollment ID: I20050613000532 |
| Provider Name | Leonardo Dishman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528176682 PECOS PAC ID: 3072557701 Enrollment ID: I20050614000844 |
| Provider Name | Linda Ann Martin |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1336129964 PECOS PAC ID: 3971581497 Enrollment ID: I20050622000790 |
| Provider Name | Karen B Case |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831165679 PECOS PAC ID: 0941230908 Enrollment ID: I20050819000618 |
| Provider Name | Linda L Johnston |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285690933 PECOS PAC ID: 6901836782 Enrollment ID: I20050822000567 |
| Provider Name | Robert Eberle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962407205 PECOS PAC ID: 9436181823 Enrollment ID: I20050907000304 |
| Provider Name | Dennis T Mullaney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740476415 PECOS PAC ID: 4789617580 Enrollment ID: I20050913000544 |
| Provider Name | Michael A Horgan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922029925 PECOS PAC ID: 2163447921 Enrollment ID: I20051011000316 |
| Provider Name | Victoria Kou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972541621 PECOS PAC ID: 8022038165 Enrollment ID: I20051203000009 |
| Provider Name | Muhammod Ahmad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992745806 PECOS PAC ID: 8224058136 Enrollment ID: I20051206000723 |
| Provider Name | Inna Malostovker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033189949 PECOS PAC ID: 5890716344 Enrollment ID: I20051212000561 |
| Provider Name | Steven Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780740860 PECOS PAC ID: 3971494360 Enrollment ID: I20051221000657 |
| Provider Name | Keith G Collins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1568568780 PECOS PAC ID: 5991728172 Enrollment ID: I20060113000561 |
| Provider Name | Joshua P Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417073057 PECOS PAC ID: 4183638661 Enrollment ID: I20060204000000 |
| Provider Name | James Kenney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134186703 PECOS PAC ID: 2567476948 Enrollment ID: I20060208000741 |
| Provider Name | Anthony G Conti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730146804 PECOS PAC ID: 6103830583 Enrollment ID: I20060208000750 |
| Provider Name | Wolodymyr I Bula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497712541 PECOS PAC ID: 8921012303 Enrollment ID: I20060208000766 |
| Provider Name | Shannon A Mcmeekin-hagadorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710920186 PECOS PAC ID: 1254341555 Enrollment ID: I20060504000000 |
| Provider Name | Kevin K Dodd |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437130085 PECOS PAC ID: 8426053794 Enrollment ID: I20060919000478 |
| Provider Name | Megan F Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992727325 PECOS PAC ID: 3173529153 Enrollment ID: I20061014000050 |
| Provider Name | Gabriel Ionescu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750315628 PECOS PAC ID: 9133126485 Enrollment ID: I20061028000045 |
| Provider Name | Jaroslaw J Fedorowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174570675 PECOS PAC ID: 2365449501 Enrollment ID: I20061031000293 |
| Provider Name | Robert L Benak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063423523 PECOS PAC ID: 3476552878 Enrollment ID: I20061213000082 |
| Provider Name | Mohammad Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063520062 PECOS PAC ID: 9335140888 Enrollment ID: I20070125000302 |
| Provider Name | Nidal Makhoul |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063409282 PECOS PAC ID: 4284548819 Enrollment ID: I20070129000214 |
| Provider Name | Monika C Zimna |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104918721 PECOS PAC ID: 2961505326 Enrollment ID: I20070306000184 |
| Provider Name | Howard M Black |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871500124 PECOS PAC ID: 3577666858 Enrollment ID: I20070306000540 |
| Provider Name | Wayne G Spronk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407911720 PECOS PAC ID: 7719080068 Enrollment ID: I20070307000418 |
| Provider Name | Reinier F Ultee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740239854 PECOS PAC ID: 9638106214 Enrollment ID: I20070314000413 |
| Provider Name | William E Hopkins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770685638 PECOS PAC ID: 3779591169 Enrollment ID: I20070424000503 |
| Provider Name | Dimitri J Koumanis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003992926 PECOS PAC ID: 0749386605 Enrollment ID: I20070509000536 |
| Provider Name | Pamela A Reinhardt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760588685 PECOS PAC ID: 3971600479 Enrollment ID: I20070517000478 |
| Provider Name | Lasha Khetsuriani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538284435 PECOS PAC ID: 9537150487 Enrollment ID: I20070524000675 |
| Provider Name | John D Mcauliffe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386718021 PECOS PAC ID: 4688773633 Enrollment ID: I20070615000576 |
| Provider Name | Robert Michael Lobel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154379063 PECOS PAC ID: 1759394851 Enrollment ID: I20070716000033 |
| Provider Name | Stephan R Curry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710925003 PECOS PAC ID: 7517855638 Enrollment ID: I20070720000514 |
| Provider Name | Dragos Macelaru |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316920960 PECOS PAC ID: 3678578176 Enrollment ID: I20070726000629 |
| Provider Name | Joseph Henry Arguelles |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972542389 PECOS PAC ID: 1153329578 Enrollment ID: I20070808000211 |
| Provider Name | Joanne L Astill Vaccaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184737389 PECOS PAC ID: 9032201249 Enrollment ID: I20070817000267 |
| Provider Name | Lori Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801987334 PECOS PAC ID: 8527154350 Enrollment ID: I20071010000051 |
| Provider Name | Bruce I Tranmer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831120161 PECOS PAC ID: 7810982220 Enrollment ID: I20071025000257 |
| Provider Name | Edward J Hannan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255341152 PECOS PAC ID: 6608963145 Enrollment ID: I20071031000460 |
| Provider Name | Daniel J Anhalt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154408821 PECOS PAC ID: 5991893992 Enrollment ID: I20071108000236 |
| Provider Name | Steven G Heintz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992858120 PECOS PAC ID: 5496843492 Enrollment ID: I20071108000281 |
| Provider Name | Eric B Gorman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659563906 PECOS PAC ID: 7214025295 Enrollment ID: I20071109000175 |
| Provider Name | Austin D Sumner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609923259 PECOS PAC ID: 7113017310 Enrollment ID: I20071212000029 |
| Provider Name | Andrew C Stanley |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1245263896 PECOS PAC ID: 3971552373 Enrollment ID: I20071219000125 |
| Provider Name | Catherine Roberts Bartholomew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689674095 PECOS PAC ID: 2062502396 Enrollment ID: I20071226000234 |
| Provider Name | Moshe Rubin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134217078 PECOS PAC ID: 3072698695 Enrollment ID: I20080306000594 |
| Provider Name | Kathleen J Glenn-roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316150428 PECOS PAC ID: 0042389082 Enrollment ID: I20080516000689 |
| Provider Name | Jacqueline B Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639389802 PECOS PAC ID: 6507935558 Enrollment ID: I20080517000006 |
| Provider Name | Monideepa Baruah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881816015 PECOS PAC ID: 8628148053 Enrollment ID: I20080528000378 |
| Provider Name | Todd Jay Whitman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073585055 PECOS PAC ID: 0749217313 Enrollment ID: I20080618000394 |
| Provider Name | Robert A Gal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356396675 PECOS PAC ID: 8729150248 Enrollment ID: I20080627000454 |
| Provider Name | Douglas J Kim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689835589 PECOS PAC ID: 6901964253 Enrollment ID: I20081015000498 |
| Provider Name | Prakash Viswanathan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649428574 PECOS PAC ID: 2365500907 Enrollment ID: I20081025000016 |
| Provider Name | Seema A Lodha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497945596 PECOS PAC ID: 4789760976 Enrollment ID: I20081028000340 |
| Provider Name | Lisa Mark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699984989 PECOS PAC ID: 1850492539 Enrollment ID: I20081121000138 |
| Provider Name | John T Sommer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1467414920 PECOS PAC ID: 0941217004 Enrollment ID: I20081201000152 |
| Provider Name | Roger G Ishac |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902981871 PECOS PAC ID: 6709886799 Enrollment ID: I20081203000033 |
| Provider Name | Charles P Volk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720187537 PECOS PAC ID: 2264336411 Enrollment ID: I20081226000218 |
| Provider Name | William B Bunn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285626986 PECOS PAC ID: 2567524598 Enrollment ID: I20081229000285 |
| Provider Name | Amber Gearhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396999629 PECOS PAC ID: 9335201201 Enrollment ID: I20081231000316 |
| Provider Name | Alison J Guile |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417906629 PECOS PAC ID: 0749343549 Enrollment ID: I20090105000531 |
| Provider Name | Michael L Hagadorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760559546 PECOS PAC ID: 6204999535 Enrollment ID: I20090113000822 |
| Provider Name | Stephanie J Spear |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093968323 PECOS PAC ID: 5597820746 Enrollment ID: I20090223000295 |
| Provider Name | Debra Piercey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437300654 PECOS PAC ID: 2567528128 Enrollment ID: I20090305000501 |
| Provider Name | Kenneth J Corse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962433441 PECOS PAC ID: 1456327659 Enrollment ID: I20090401000002 |
| Provider Name | Harry A Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700033982 PECOS PAC ID: 3476600214 Enrollment ID: I20090413000370 |
| Provider Name | Dennis Isecke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477794998 PECOS PAC ID: 7810047222 Enrollment ID: I20090605000233 |
| Provider Name | Eric A Gauthier |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235283482 PECOS PAC ID: 0143307462 Enrollment ID: I20090608000196 |
| Provider Name | Daniel P Bullock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366544017 PECOS PAC ID: 6002966249 Enrollment ID: I20090610000460 |
| Provider Name | Firouz Daneshgari |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689637597 PECOS PAC ID: 3870550270 Enrollment ID: I20090617000008 |
| Provider Name | Steve S Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619144300 PECOS PAC ID: 5193876621 Enrollment ID: I20090624000067 |
| Provider Name | Adam L Moskowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679652036 PECOS PAC ID: 3971655010 Enrollment ID: I20090721000098 |
| Provider Name | Miriam Boyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770536104 PECOS PAC ID: 6103809918 Enrollment ID: I20090929000523 |
| Provider Name | Deborah Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497722292 PECOS PAC ID: 5991784845 Enrollment ID: I20091007000218 |
| Provider Name | Melynne Y Mcarthur |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730163619 PECOS PAC ID: 2668511080 Enrollment ID: I20091124000644 |
| Provider Name | Deborah M Kampschror |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013141860 PECOS PAC ID: 8022069558 Enrollment ID: I20100104000590 |
| Provider Name | Charles F Romano |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083600621 PECOS PAC ID: 4789728387 Enrollment ID: I20100220000156 |
| Provider Name | Stephane Mulligan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184762262 PECOS PAC ID: 5799812103 Enrollment ID: I20100415000984 |
| Provider Name | Katherine E Bezio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730311663 PECOS PAC ID: 5496882748 Enrollment ID: I20100419000824 |
| Provider Name | Kevin Paul Mccullum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063518975 PECOS PAC ID: 2264563048 Enrollment ID: I20100622000668 |
| Provider Name | Nancy Scanlan-rathbun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588996896 PECOS PAC ID: 4082745476 Enrollment ID: I20100630000571 |
| Provider Name | Michael Palmeri |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417057266 PECOS PAC ID: 8628109741 Enrollment ID: I20100706000138 |
| Provider Name | Stuart M Hoffman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619927407 PECOS PAC ID: 8325935653 Enrollment ID: I20100728000974 |
| Provider Name | Leo Grafstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093707895 PECOS PAC ID: 5092899211 Enrollment ID: I20100824000923 |
| Provider Name | Esther M Mckenzie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073693305 PECOS PAC ID: 9032134077 Enrollment ID: I20100901000257 |
| Provider Name | David W Frostick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043372428 PECOS PAC ID: 8729102165 Enrollment ID: I20100907001102 |
| Provider Name | Wendy A Gilchrist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790872125 PECOS PAC ID: 9133243587 Enrollment ID: I20100908000136 |
| Provider Name | Julia I Ordonez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225165723 PECOS PAC ID: 7719001171 Enrollment ID: I20100908000223 |
| Provider Name | Ladd B Osborne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902962822 PECOS PAC ID: 0941325146 Enrollment ID: I20100910001072 |
| Provider Name | Daniel W Knef |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770645160 PECOS PAC ID: 4981729100 Enrollment ID: I20100913000005 |
| Provider Name | Joel M Wolkowicz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720091861 PECOS PAC ID: 6002882768 Enrollment ID: I20100920000303 |
| Provider Name | Aref Agheli |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1710204573 PECOS PAC ID: 4981896362 Enrollment ID: I20101004000644 |
| Provider Name | Katherine Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689834442 PECOS PAC ID: 5991997553 Enrollment ID: I20101014000595 |
| Provider Name | Paul G El Azoury |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225219884 PECOS PAC ID: 2163615626 Enrollment ID: I20101018000576 |
| Provider Name | Cheryl Jasmin Manua Eustaquio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437481983 PECOS PAC ID: 7911193289 Enrollment ID: I20101129000540 |
| Provider Name | William A Pace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588729966 PECOS PAC ID: 1951447911 Enrollment ID: I20101221000306 |
| Provider Name | Randall F Holcombe |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912087073 PECOS PAC ID: 4688618333 Enrollment ID: I20110114000943 |
| Provider Name | Joel Loewenstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174501795 PECOS PAC ID: 9830378686 Enrollment ID: I20110125001056 |
| Provider Name | Joseph C Pierson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669433413 PECOS PAC ID: 3274712070 Enrollment ID: I20110126000304 |
| Provider Name | Louis Rivera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336309582 PECOS PAC ID: 5294869467 Enrollment ID: I20110126000830 |
| Provider Name | David A Hauerstock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063746964 PECOS PAC ID: 9931388592 Enrollment ID: I20110127001060 |
| Provider Name | Carolyn Lafleur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962460402 PECOS PAC ID: 8527108703 Enrollment ID: I20110208000815 |
| Provider Name | Eugene F Cassone |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902874902 PECOS PAC ID: 5991708208 Enrollment ID: I20110221000311 |
| Provider Name | John W Homer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841268836 PECOS PAC ID: 8224089719 Enrollment ID: I20110221000377 |
| Provider Name | Roslyn R Romanowski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275527004 PECOS PAC ID: 3971785767 Enrollment ID: I20110316000074 |
| Provider Name | Albert M Imobersteg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518161496 PECOS PAC ID: 1759477144 Enrollment ID: I20110405000268 |
| Provider Name | Jeffrey A Dodge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114993482 PECOS PAC ID: 6608817473 Enrollment ID: I20110419000822 |
| Provider Name | Balveen Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164753745 PECOS PAC ID: 4183809718 Enrollment ID: I20110426000461 |
| Provider Name | Laura M Schned |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801944509 PECOS PAC ID: 6406032705 Enrollment ID: I20110523000312 |
| Provider Name | Jonathan Van Riddell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922391077 PECOS PAC ID: 4789861204 Enrollment ID: I20110610000171 |
| Provider Name | Rajiv Pant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154591931 PECOS PAC ID: 6608944103 Enrollment ID: I20110721000821 |
| Provider Name | Andrei Cepoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043492127 PECOS PAC ID: 2163575564 Enrollment ID: I20110727000576 |
| Provider Name | Rakesh Khanna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326278458 PECOS PAC ID: 9133275118 Enrollment ID: I20110830000035 |
| Provider Name | Kirsten Butkovsky |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497851281 PECOS PAC ID: 5294621892 Enrollment ID: I20110906000564 |
| Provider Name | Kent N Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851395354 PECOS PAC ID: 0446224901 Enrollment ID: I20110922000165 |
| Provider Name | Aura Cernii |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205018280 PECOS PAC ID: 7012082233 Enrollment ID: I20111007000199 |
| Provider Name | Ricardo A Leano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689642993 PECOS PAC ID: 1557318482 Enrollment ID: I20111014000020 |
| Provider Name | Alexandra N Kalof |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467485938 PECOS PAC ID: 7810924685 Enrollment ID: I20111110000883 |
| Provider Name | Bridget M Sarazen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861791287 PECOS PAC ID: 9436324043 Enrollment ID: I20111209000517 |
| Provider Name | Michele K Toth |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811012719 PECOS PAC ID: 0547330367 Enrollment ID: I20111220000160 |
| Provider Name | Ann J Heywood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548540198 PECOS PAC ID: 9830356161 Enrollment ID: I20120130000053 |
| Provider Name | Sara M Crystal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376811976 PECOS PAC ID: 6901063049 Enrollment ID: I20120201000754 |
| Provider Name | Julio A Lemos |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689736720 PECOS PAC ID: 1254525835 Enrollment ID: I20120308000281 |
| Provider Name | Shazia A Choudry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437317351 PECOS PAC ID: 4981862505 Enrollment ID: I20120314000706 |
| Provider Name | Andrea Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962780908 PECOS PAC ID: 3577722230 Enrollment ID: I20120315000552 |
| Provider Name | Dorota E Zaborek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639317415 PECOS PAC ID: 2961663687 Enrollment ID: I20120405000347 |
| Provider Name | Dwight Guido Ayala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689673139 PECOS PAC ID: 5092778613 Enrollment ID: I20120611000128 |
| Provider Name | Stephen H Berns |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1427216944 PECOS PAC ID: 1850556713 Enrollment ID: I20120628000028 |
| Provider Name | Alfred M Loka |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1427257500 PECOS PAC ID: 9335327683 Enrollment ID: I20120705000398 |
| Provider Name | Marzouq A Qubti |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1255429189 PECOS PAC ID: 0749371664 Enrollment ID: I20120712000071 |
| Provider Name | Amanda M Lambert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942555396 PECOS PAC ID: 2668628025 Enrollment ID: I20120820000112 |
| Provider Name | Charles A Everly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528148335 PECOS PAC ID: 4385776749 Enrollment ID: I20120822000798 |
| Provider Name | Cara H Soper |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427175140 PECOS PAC ID: 7719135409 Enrollment ID: I20120921000678 |
| Provider Name | Christopher M Brennan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982749644 PECOS PAC ID: 5799963674 Enrollment ID: I20121002000437 |
| Provider Name | Darcy M Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770832040 PECOS PAC ID: 4183874225 Enrollment ID: I20121025000304 |
| Provider Name | Vladimir Breslau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063658797 PECOS PAC ID: 8729135363 Enrollment ID: I20130220000109 |
| Provider Name | Jennifer A Facteau-rabideau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437406477 PECOS PAC ID: 1254586290 Enrollment ID: I20130225000202 |
| Provider Name | Jessica Rose Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942564299 PECOS PAC ID: 0345494779 Enrollment ID: I20130315000293 |
| Provider Name | Allen S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265738637 PECOS PAC ID: 1052557162 Enrollment ID: I20130416000450 |
| Provider Name | Christopher D. Sakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407068141 PECOS PAC ID: 7416040043 Enrollment ID: I20130528000250 |
| Provider Name | Matthew L Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326363037 PECOS PAC ID: 0840431987 Enrollment ID: I20130801000186 |
| Provider Name | Dragos Ceamitru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679502850 PECOS PAC ID: 2264435809 Enrollment ID: I20130812000259 |
| Provider Name | Paula J George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346310471 PECOS PAC ID: 6305088733 Enrollment ID: I20130814000071 |
| Provider Name | Marissa R Matarrese |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1891816740 PECOS PAC ID: 9133362262 Enrollment ID: I20130821000475 |
| Provider Name | Marianna Worczak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609190560 PECOS PAC ID: 2466695069 Enrollment ID: I20130829000713 |
| Provider Name | Patricia Deisler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437127685 PECOS PAC ID: 7911928742 Enrollment ID: I20130901000001 |
| Provider Name | David R Wagner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811129547 PECOS PAC ID: 5193969723 Enrollment ID: I20130920000095 |
| Provider Name | Nadia Shaukat |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164743134 PECOS PAC ID: 5193969582 Enrollment ID: I20130925000709 |
| Provider Name | Andrew Rosenfeld |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255599965 PECOS PAC ID: 2062656325 Enrollment ID: I20130926000675 |
| Provider Name | Boris Y Chulpayev |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518284199 PECOS PAC ID: 9739313966 Enrollment ID: I20131001000593 |
| Provider Name | Kathryn O Giroux |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942460084 PECOS PAC ID: 1850525809 Enrollment ID: I20131008000161 |
| Provider Name | Elena Boland |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1063536886 PECOS PAC ID: 0941434435 Enrollment ID: I20131016002034 |
| Provider Name | William P Prevo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578902649 PECOS PAC ID: 9335376631 Enrollment ID: I20131212000162 |
| Provider Name | Mirjam Mccormack |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891716163 PECOS PAC ID: 2769432616 Enrollment ID: I20140109000015 |
| Provider Name | Colleen M Parker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497875322 PECOS PAC ID: 6305913609 Enrollment ID: I20140128000711 |
| Provider Name | Melissa G Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407103005 PECOS PAC ID: 8022269851 Enrollment ID: I20140207001330 |
| Provider Name | Jessica K Veltkamp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740404615 PECOS PAC ID: 1052436953 Enrollment ID: I20140305000049 |
| Provider Name | Peter Rattner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710203765 PECOS PAC ID: 4486887007 Enrollment ID: I20140507000201 |
| Provider Name | Jill Frances Arthur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033224308 PECOS PAC ID: 4385660752 Enrollment ID: I20140529000498 |
| Provider Name | Frederic Laporte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093085433 PECOS PAC ID: 2466676556 Enrollment ID: I20140611000537 |
| Provider Name | Shardul Gadhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801229604 PECOS PAC ID: 8527284603 Enrollment ID: I20140725000994 |
| Provider Name | Kevin T Carey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386602639 PECOS PAC ID: 9537176292 Enrollment ID: I20140730001381 |
| Provider Name | Nicholas A Aunchman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245598119 PECOS PAC ID: 3971729658 Enrollment ID: I20140801001811 |
| Provider Name | Wajih Aksamawati Dit Arja |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962718551 PECOS PAC ID: 6507083185 Enrollment ID: I20140805001059 |
| Provider Name | Amanda Layne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174508907 PECOS PAC ID: 6800836883 Enrollment ID: I20140812002519 |
| Provider Name | Pierre Znojkiewicz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851435275 PECOS PAC ID: 9234355074 Enrollment ID: I20140814000237 |
| Provider Name | Mihail Radulescu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265873418 PECOS PAC ID: 7012149115 Enrollment ID: I20140822001897 |
| Provider Name | Kristin L Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447539507 PECOS PAC ID: 4789802299 Enrollment ID: I20140826000147 |
| Provider Name | Arlene S Chung |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871813600 PECOS PAC ID: 6800014101 Enrollment ID: I20140828001257 |
| Provider Name | Dragos Banu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558659367 PECOS PAC ID: 6709004682 Enrollment ID: I20140908000667 |
| Provider Name | Molly Elizabeth Mentzer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114125903 PECOS PAC ID: 7517059033 Enrollment ID: I20140929000691 |
| Provider Name | Moaz W Abulfaraj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861797193 PECOS PAC ID: 3577797349 Enrollment ID: I20141001000200 |
| Provider Name | Ali Ahmed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811306590 PECOS PAC ID: 2062632367 Enrollment ID: I20141009000464 |
| Provider Name | Michael Mcmahon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003102534 PECOS PAC ID: 4981825874 Enrollment ID: I20141017000647 |
| Provider Name | Frank P Ittleman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831113703 PECOS PAC ID: 1052484847 Enrollment ID: I20141104000582 |
| Provider Name | Rebecca R Snickles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225445372 PECOS PAC ID: 1153643051 Enrollment ID: I20141204000026 |
| Provider Name | Manal El Daouk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639484736 PECOS PAC ID: 3173847118 Enrollment ID: I20150121001539 |
| Provider Name | Matthew P Gilbert |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073634531 PECOS PAC ID: 9234285487 Enrollment ID: I20150323001508 |
| Provider Name | Sandra K Antoniak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891992285 PECOS PAC ID: 2769709641 Enrollment ID: I20150403000011 |
| Provider Name | Jessica R Hatfield |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558514497 PECOS PAC ID: 1759443310 Enrollment ID: I20150529001165 |
| Provider Name | Jessica L Garnsey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750765848 PECOS PAC ID: 2365758844 Enrollment ID: I20150828000631 |
| Provider Name | Russell Meyer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124260138 PECOS PAC ID: 4082680400 Enrollment ID: I20150828001895 |
| Provider Name | Alicia B Calacci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134206279 PECOS PAC ID: 6709884042 Enrollment ID: I20150911000039 |
| Provider Name | Hanna B Slim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417130410 PECOS PAC ID: 0749332229 Enrollment ID: I20150914001040 |
| Provider Name | Sadaf N Mir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447415971 PECOS PAC ID: 3678880614 Enrollment ID: I20150923002121 |
| Provider Name | Heesung N Kang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790063949 PECOS PAC ID: 8820306830 Enrollment ID: I20150924001151 |
| Provider Name | George A Ciolac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558526871 PECOS PAC ID: 4082879598 Enrollment ID: I20150924002747 |
| Provider Name | Ashley M Lavalley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437434107 PECOS PAC ID: 0547578270 Enrollment ID: I20150930001097 |
| Provider Name | Prabhjot Manes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922495100 PECOS PAC ID: 1052629383 Enrollment ID: I20151006000911 |
| Provider Name | David E Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942264825 PECOS PAC ID: 0547578817 Enrollment ID: I20151006002561 |
| Provider Name | Lori A Defreest |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295969574 PECOS PAC ID: 3870801004 Enrollment ID: I20151007002223 |
| Provider Name | Meagan B Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144588252 PECOS PAC ID: 4183933450 Enrollment ID: I20151028000295 |
| Provider Name | Lindsey B Wilhelm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023377843 PECOS PAC ID: 6901115278 Enrollment ID: I20151028000306 |
| Provider Name | Barbara Lyn Dixon Crotty |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1699815993 PECOS PAC ID: 6103126131 Enrollment ID: I20151124001455 |
| Provider Name | Christopher A Deangelis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366720062 PECOS PAC ID: 0244531507 Enrollment ID: I20151211000028 |
| Provider Name | Brian D Henry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245492842 PECOS PAC ID: 0042451403 Enrollment ID: I20151222000097 |
| Provider Name | Ashley N Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861869950 PECOS PAC ID: 9133437122 Enrollment ID: I20160202002523 |
| Provider Name | Jennifer M Beveridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164807269 PECOS PAC ID: 3476857954 Enrollment ID: I20160203001089 |
| Provider Name | Dennis Dylan Demeria |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356717599 PECOS PAC ID: 7113234329 Enrollment ID: I20160222002663 |
| Provider Name | Candice M Ciolac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073776795 PECOS PAC ID: 3971773177 Enrollment ID: I20160322001897 |
| Provider Name | Alexander J Racicot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902299423 PECOS PAC ID: 0143527606 Enrollment ID: I20160328001985 |
| Provider Name | Richard Zubarik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396818100 PECOS PAC ID: 0941259220 Enrollment ID: I20160412001660 |
| Provider Name | Toussaint Andre Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447539572 PECOS PAC ID: 9830498534 Enrollment ID: I20160502001499 |
| Provider Name | Jungsik Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831487180 PECOS PAC ID: 3173745122 Enrollment ID: I20160531002318 |
| Provider Name | Steven E Deso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194033464 PECOS PAC ID: 0042502544 Enrollment ID: I20160701000294 |
| Provider Name | Tiffany Bombard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417290610 PECOS PAC ID: 6800188566 Enrollment ID: I20160718000385 |
| Provider Name | Lindsay Reardon Evans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891053146 PECOS PAC ID: 5890016315 Enrollment ID: I20160728000935 |
| Provider Name | Joshua Schuyler Mason |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245557784 PECOS PAC ID: 8921301367 Enrollment ID: I20160728001332 |
| Provider Name | Wolfgang Steudel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518072883 PECOS PAC ID: 1052312212 Enrollment ID: I20160729000372 |
| Provider Name | Laura A Mulvey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538502901 PECOS PAC ID: 6800181504 Enrollment ID: I20160819000731 |
| Provider Name | Andrew Payne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083058531 PECOS PAC ID: 5698060168 Enrollment ID: I20160823001041 |
| Provider Name | Julie T Vieth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629203559 PECOS PAC ID: 6204091465 Enrollment ID: I20160831001339 |
| Provider Name | Anel Alexis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720475924 PECOS PAC ID: 3678869328 Enrollment ID: I20160907001522 |
| Provider Name | Archil Chechelashvili |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609989102 PECOS PAC ID: 9537252499 Enrollment ID: I20160907001637 |
| Provider Name | Debra Ann Timm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639513815 PECOS PAC ID: 9335374727 Enrollment ID: I20160916001967 |
| Provider Name | David M Cartee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538515788 PECOS PAC ID: 0547557035 Enrollment ID: I20160927002510 |
| Provider Name | John Gridley King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811910540 PECOS PAC ID: 5092607697 Enrollment ID: I20160927002820 |
| Provider Name | Wil Germain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720348592 PECOS PAC ID: 2668791963 Enrollment ID: I20161007000870 |
| Provider Name | Daniel H Laury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508846932 PECOS PAC ID: 9537329057 Enrollment ID: I20161012000087 |
| Provider Name | Tina Kader |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184179103 PECOS PAC ID: 4789962846 Enrollment ID: I20161025002324 |
| Provider Name | Durga Sunitha Posina |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437492931 PECOS PAC ID: 2860788288 Enrollment ID: I20161117001313 |
| Provider Name | Alison L Grabowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649621905 PECOS PAC ID: 2769762293 Enrollment ID: I20161129001916 |
| Provider Name | Ashley P Cota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902357536 PECOS PAC ID: 5799065751 Enrollment ID: I20161208000867 |
| Provider Name | Fatima Nottingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861725376 PECOS PAC ID: 4981821717 Enrollment ID: I20161219001865 |
| Provider Name | Daniel J Sanchez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386194173 PECOS PAC ID: 1052692563 Enrollment ID: I20161221000671 |
| Provider Name | Stephen L Kessler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922009174 PECOS PAC ID: 2365579166 Enrollment ID: I20170220000194 |
| Provider Name | Cara M Dimasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639614613 PECOS PAC ID: 7810272895 Enrollment ID: I20170315000937 |
| Provider Name | Michael W Mckeon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144676875 PECOS PAC ID: 6305121443 Enrollment ID: I20170403000081 |
| Provider Name | Jakow G Diener |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902872971 PECOS PAC ID: 0840180972 Enrollment ID: I20170412000589 |
| Provider Name | Mohamed M Zawahir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619915709 PECOS PAC ID: 7911283650 Enrollment ID: I20170413000370 |
| Provider Name | Janet R Reid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346204609 PECOS PAC ID: 5597659185 Enrollment ID: I20170421001813 |
| Provider Name | Grant Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881139863 PECOS PAC ID: 4486930641 Enrollment ID: I20170425000045 |
| Provider Name | Karen S Leonard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417954322 PECOS PAC ID: 0648229187 Enrollment ID: I20170505001451 |
| Provider Name | Paul Rosenau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497887509 PECOS PAC ID: 9739273632 Enrollment ID: I20170508002382 |
| Provider Name | Matthew Wakim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346686771 PECOS PAC ID: 5395978373 Enrollment ID: I20170516000655 |
| Provider Name | Valerie Jo Riss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013351030 PECOS PAC ID: 0749401545 Enrollment ID: I20170525001016 |
| Provider Name | Guillermo F Duarte Prieto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447549795 PECOS PAC ID: 6103194915 Enrollment ID: I20170620003030 |
| Provider Name | Kenneth Kalassian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700897048 PECOS PAC ID: 3173417292 Enrollment ID: I20170713002277 |
| Provider Name | Rony N Lahoud |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659534212 PECOS PAC ID: 5890963920 Enrollment ID: I20170720001170 |
| Provider Name | Andrew J Hale |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245525823 PECOS PAC ID: 8729397138 Enrollment ID: I20170809000895 |
| Provider Name | Eric Steckler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972503514 PECOS PAC ID: 5698933794 Enrollment ID: I20170811000978 |
| Provider Name | Brett Palmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932633419 PECOS PAC ID: 7012289598 Enrollment ID: I20170817002836 |
| Provider Name | Bartlomiej Wojciech Szczech |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417242348 PECOS PAC ID: 3476825829 Enrollment ID: I20170818001783 |
| Provider Name | Jean M Dejace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609165018 PECOS PAC ID: 3971729971 Enrollment ID: I20170823001861 |
| Provider Name | Nathaniel A Kouns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609132331 PECOS PAC ID: 8022268051 Enrollment ID: I20170912001464 |
| Provider Name | Madeline J Twiss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912428996 PECOS PAC ID: 4789958661 Enrollment ID: I20170915000331 |
| Provider Name | Abigail R Adler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982925244 PECOS PAC ID: 6507025590 Enrollment ID: I20170918001549 |
| Provider Name | Robert R Althoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275514713 PECOS PAC ID: 5799789020 Enrollment ID: I20170918001959 |
| Provider Name | Richard B Bounds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396834669 PECOS PAC ID: 5597764589 Enrollment ID: I20170920000405 |
| Provider Name | Amanda Rachel Kirzner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679815096 PECOS PAC ID: 3476827668 Enrollment ID: I20170927001855 |
| Provider Name | Peter R Jackson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508150467 PECOS PAC ID: 0749407971 Enrollment ID: I20170927002435 |
| Provider Name | Marianne E Rideout |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578580312 PECOS PAC ID: 4688684996 Enrollment ID: I20170928000584 |
| Provider Name | Rachael A Hite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417482027 PECOS PAC ID: 8820363880 Enrollment ID: I20171002002877 |
| Provider Name | Leigh-anne Cioffredi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528406162 PECOS PAC ID: 0941421192 Enrollment ID: I20171006000305 |
| Provider Name | Katherine J Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346668399 PECOS PAC ID: 1658673967 Enrollment ID: I20171006002548 |
| Provider Name | Jana Lichtenfeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407296908 PECOS PAC ID: 8921374174 Enrollment ID: I20171016003557 |
| Provider Name | Birinder S Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235485061 PECOS PAC ID: 0345567525 Enrollment ID: I20171101002768 |
| Provider Name | George Kurien |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1124538855 PECOS PAC ID: 4486910163 Enrollment ID: I20171115001378 |
| Provider Name | Zachary A Kanouse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235426024 PECOS PAC ID: 7012210313 Enrollment ID: I20171117001099 |
| Provider Name | Julia Rabolli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043575392 PECOS PAC ID: 2567729932 Enrollment ID: I20171121000418 |
| Provider Name | Jose M Acostamadiedo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013910256 PECOS PAC ID: 5890719371 Enrollment ID: I20171121000654 |
| Provider Name | Gaurang P Mavani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306862909 PECOS PAC ID: 6901820554 Enrollment ID: I20171128002220 |
| Provider Name | Peter M Bingham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215955430 PECOS PAC ID: 1850454190 Enrollment ID: I20171129002605 |
| Provider Name | Michael S Steinberg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902801566 PECOS PAC ID: 7517927791 Enrollment ID: I20171214002005 |
| Provider Name | Young-mee Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679681399 PECOS PAC ID: 6406899715 Enrollment ID: I20171219002890 |
| Provider Name | Alyaman Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609820158 PECOS PAC ID: 1456333772 Enrollment ID: I20180111000470 |
| Provider Name | Vlada A Alexeeva |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952617995 PECOS PAC ID: 5092945105 Enrollment ID: I20180115000174 |
| Provider Name | James R Motlagh |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1649344805 PECOS PAC ID: 1254398753 Enrollment ID: I20180219001626 |
| Provider Name | Emmalee Elizabeth Colby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326565524 PECOS PAC ID: 1951662626 Enrollment ID: I20180221002183 |
| Provider Name | Adaora Otubelu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548554090 PECOS PAC ID: 6204081169 Enrollment ID: I20180221002924 |
| Provider Name | Zachary M Lewter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184081010 PECOS PAC ID: 7416251616 Enrollment ID: I20180406000896 |
| Provider Name | Elvira Sinodskaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679884423 PECOS PAC ID: 5193950848 Enrollment ID: I20180419002010 |
| Provider Name | Joseph F Winget |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1275632267 PECOS PAC ID: 5799880498 Enrollment ID: I20180424001357 |
| Provider Name | Stephen Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558504258 PECOS PAC ID: 7113185117 Enrollment ID: I20180425000361 |
| Provider Name | David M Cowles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497016232 PECOS PAC ID: 0840447249 Enrollment ID: I20180430002043 |
| Provider Name | James E Wolf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245506153 PECOS PAC ID: 2769784065 Enrollment ID: I20180522001365 |
| Provider Name | Stephen J Skinner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790128155 PECOS PAC ID: 7214237684 Enrollment ID: I20180607000709 |
| Provider Name | Louis-philippe Charette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316435332 PECOS PAC ID: 3678828464 Enrollment ID: I20180619002571 |
| Provider Name | Olga Voronel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235498569 PECOS PAC ID: 8820389448 Enrollment ID: I20180625002097 |
| Provider Name | Cherryl Premdass |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124274089 PECOS PAC ID: 3476790353 Enrollment ID: I20180629001884 |
| Provider Name | Albert Huho |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295014249 PECOS PAC ID: 9638464464 Enrollment ID: I20180711001797 |
| Provider Name | Naeem Abbas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437432192 PECOS PAC ID: 2365790599 Enrollment ID: I20180806000360 |
| Provider Name | Milena Goldshmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295095594 PECOS PAC ID: 0749589968 Enrollment ID: I20180820001470 |
| Provider Name | Michael A Hoffnung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417391251 PECOS PAC ID: 4981953395 Enrollment ID: I20180820001566 |
| Provider Name | Brooke A Maggy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073099172 PECOS PAC ID: 0547519381 Enrollment ID: I20180828000430 |
| Provider Name | Donielle F Sliwa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376809277 PECOS PAC ID: 9032343140 Enrollment ID: I20180904000834 |
| Provider Name | Chantal Roy-hewitson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538330105 PECOS PAC ID: 7315293040 Enrollment ID: I20180905001693 |
| Provider Name | Lettita Z Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578948311 PECOS PAC ID: 1254681521 Enrollment ID: I20180906002960 |
| Provider Name | Benjamin Ittleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093100976 PECOS PAC ID: 5698081909 Enrollment ID: I20180907002430 |
| Provider Name | Laurent Gilloteaux |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265925630 PECOS PAC ID: 9830440759 Enrollment ID: I20180914002395 |
| Provider Name | Daniel J Ackil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033558879 PECOS PAC ID: 7113217779 Enrollment ID: I20180918002690 |
| Provider Name | Edward Boyer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073953683 PECOS PAC ID: 3779885678 Enrollment ID: I20180920002305 |
| Provider Name | Patrice S Pantin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366889586 PECOS PAC ID: 2062656309 Enrollment ID: I20180920002641 |
| Provider Name | Ankit Gor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1790196525 PECOS PAC ID: 1456624139 Enrollment ID: I20180921002953 |
| Provider Name | Lars M Galldin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063640902 PECOS PAC ID: 3274775945 Enrollment ID: I20180925001603 |
| Provider Name | Skyler Lentz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548604283 PECOS PAC ID: 8022323054 Enrollment ID: I20181008002568 |
| Provider Name | Katie Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902197320 PECOS PAC ID: 9931489515 Enrollment ID: I20181009000472 |
| Provider Name | Matthew Siket |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700088051 PECOS PAC ID: 5193993418 Enrollment ID: I20181011001301 |
| Provider Name | Sarah M Baskind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289234 PECOS PAC ID: 8527346485 Enrollment ID: I20181015001233 |
| Provider Name | Audrey H Crocker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922581966 PECOS PAC ID: 2365786951 Enrollment ID: I20181210000451 |
| Provider Name | Christa N Hackney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558625715 PECOS PAC ID: 0345491825 Enrollment ID: I20181210000569 |
| Provider Name | James B Metz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780793968 PECOS PAC ID: 8325174709 Enrollment ID: I20181218002385 |
| Provider Name | Kelley-anne C Klein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073928370 PECOS PAC ID: 1355650904 Enrollment ID: I20181220000046 |
| Provider Name | Stacy Macfarlane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043583032 PECOS PAC ID: 0244478527 Enrollment ID: I20181221001636 |
| Provider Name | Andrea Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386021657 PECOS PAC ID: 8921300898 Enrollment ID: I20181231000356 |
| Provider Name | Stephanie Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477993277 PECOS PAC ID: 4688975626 Enrollment ID: I20190109003115 |
| Provider Name | Tracy A Arguelles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508336868 PECOS PAC ID: 7113264557 Enrollment ID: I20190123003594 |
| Provider Name | Amy Larow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841209293 PECOS PAC ID: 0941286066 Enrollment ID: I20190130000250 |
| Provider Name | Sanchit Maruti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770809972 PECOS PAC ID: 4082858683 Enrollment ID: I20190205002323 |
| Provider Name | Jonathan N Flyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750525192 PECOS PAC ID: 3072776350 Enrollment ID: I20190215001196 |
| Provider Name | Tara L Tedford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861958720 PECOS PAC ID: 1951641430 Enrollment ID: I20190320000433 |
| Provider Name | Michael Kosters |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265874853 PECOS PAC ID: 6901143502 Enrollment ID: I20190514002914 |
| Provider Name | Allyson B Bazarsky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669735114 PECOS PAC ID: 9032481890 Enrollment ID: I20190515000826 |
| Provider Name | Nicolas M Karam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760527113 PECOS PAC ID: 4789784992 Enrollment ID: I20190523000604 |
| Provider Name | Nathaniel David Meuser-herr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336408244 PECOS PAC ID: 9638480809 Enrollment ID: I20190528000584 |
| Provider Name | Vincent Persaud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861757064 PECOS PAC ID: 6800129123 Enrollment ID: I20190531000431 |
| Provider Name | Brandon W Sur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518227180 PECOS PAC ID: 3870888514 Enrollment ID: I20190603002305 |
| Provider Name | Haley Mcgowan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649698911 PECOS PAC ID: 7113250739 Enrollment ID: I20190617003120 |
| Provider Name | John J Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841619319 PECOS PAC ID: 7113145251 Enrollment ID: I20190726000332 |
| Provider Name | Douglas Christopher George |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639598659 PECOS PAC ID: 7618196338 Enrollment ID: I20190802001611 |
| Provider Name | Lana K Bur |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1649449919 PECOS PAC ID: 1951349711 Enrollment ID: I20190802002747 |
| Provider Name | Jordan R Ship |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861470247 PECOS PAC ID: 0143386862 Enrollment ID: I20190806004115 |
| Provider Name | Brittany A Marshall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477015519 PECOS PAC ID: 2668709718 Enrollment ID: I20190812003094 |
| Provider Name | Kristofer A Abel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780065375 PECOS PAC ID: 6305150194 Enrollment ID: I20190814002483 |
| Provider Name | Daniel Stratz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457707499 PECOS PAC ID: 8729331525 Enrollment ID: I20190814003101 |
| Provider Name | Stephen M Winfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992156970 PECOS PAC ID: 9830483114 Enrollment ID: I20190828002245 |
| Provider Name | Andrew Pellet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336439512 PECOS PAC ID: 1456643279 Enrollment ID: I20190905000569 |
| Provider Name | Magdalena Anna Zeglin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063603520 PECOS PAC ID: 8022238237 Enrollment ID: I20190917002234 |
| Provider Name | Esther Caballero-manrique |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699017442 PECOS PAC ID: 7214238955 Enrollment ID: I20190926001903 |
| Provider Name | Aaron Esterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023469319 PECOS PAC ID: 8022302470 Enrollment ID: I20190930002376 |
| Provider Name | Patrick P Clifford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720036783 PECOS PAC ID: 0547347171 Enrollment ID: I20191023000427 |
| Provider Name | Brady J Heward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487943114 PECOS PAC ID: 2365769866 Enrollment ID: I20191104002087 |
| Provider Name | Jun Fu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538461066 PECOS PAC ID: 1850568890 Enrollment ID: I20191120001064 |
| Provider Name | Melanie P Fortin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861057010 PECOS PAC ID: 5799118121 Enrollment ID: I20191125003096 |
| Provider Name | Gregory A Szych |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841268521 PECOS PAC ID: 4688655467 Enrollment ID: I20191126001476 |
| Provider Name | Kathy Lynn Wirz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417514712 PECOS PAC ID: 4385077361 Enrollment ID: I20191205000142 |
| Provider Name | Michael Jurewicz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649562414 PECOS PAC ID: 6406117522 Enrollment ID: I20191205001939 |
| Provider Name | Nolan R. Meier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356984140 PECOS PAC ID: 5193158756 Enrollment ID: I20191212001033 |
| Provider Name | Twee T Do |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952334179 PECOS PAC ID: 8628128915 Enrollment ID: I20200123002754 |
| Provider Name | Caitlin S Haxel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518258375 PECOS PAC ID: 3072845783 Enrollment ID: I20200211000481 |
| Provider Name | Kimberly D Blake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265480222 PECOS PAC ID: 5991713380 Enrollment ID: I20200212002087 |
| Provider Name | Casey J Barcomb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790886455 PECOS PAC ID: 4789645052 Enrollment ID: I20200302001168 |
| Provider Name | Kelley Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881232387 PECOS PAC ID: 0446688782 Enrollment ID: I20200319000990 |
| Provider Name | Yvette R Burdick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265463525 PECOS PAC ID: 1658285697 Enrollment ID: I20200506000621 |
| Provider Name | Jane Z Liu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114345873 PECOS PAC ID: 7810114279 Enrollment ID: I20200520001040 |
| Provider Name | Mark C Bisanzo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740249226 PECOS PAC ID: 8729082334 Enrollment ID: I20200527002281 |
| Provider Name | Sholabomi Oyewole-eletu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922461128 PECOS PAC ID: 0446597751 Enrollment ID: I20200604001982 |
| Provider Name | Cathy J Palmer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922191063 PECOS PAC ID: 1658447982 Enrollment ID: I20200702001719 |
| Provider Name | Akshat Gargya |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1003298670 PECOS PAC ID: 5597093914 Enrollment ID: I20200706000307 |
| Provider Name | Ellen Stein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457694218 PECOS PAC ID: 3971739095 Enrollment ID: I20200803000852 |
| Provider Name | Sergio Apuzzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992261887 PECOS PAC ID: 4486981958 Enrollment ID: I20200803000929 |
| Provider Name | Ashley Weisman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801158324 PECOS PAC ID: 0042464570 Enrollment ID: I20200807001137 |
| Provider Name | Jessica A Abel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245586494 PECOS PAC ID: 3173760782 Enrollment ID: I20200807001820 |
| Provider Name | Tabitha R Ford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639600232 PECOS PAC ID: 1153675335 Enrollment ID: I20200814000063 |
| Provider Name | Jesse C Hahn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881865459 PECOS PAC ID: 5890939714 Enrollment ID: I20200824002860 |
| Provider Name | Lisa Deuel Baker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053730408 PECOS PAC ID: 9638426356 Enrollment ID: I20200901000450 |
| Provider Name | Amr Essa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174057699 PECOS PAC ID: 3678805512 Enrollment ID: I20200902001688 |
| Provider Name | Elizabeth R Izzo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821613910 PECOS PAC ID: 3971921313 Enrollment ID: I20200916001517 |
| Provider Name | Mead B Ferris |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1861756892 PECOS PAC ID: 8022372127 Enrollment ID: I20200918002006 |
| Provider Name | Nikita Cadet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518359116 PECOS PAC ID: 8729376470 Enrollment ID: I20201012000919 |
| Provider Name | Curtis H Cleveland |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457745903 PECOS PAC ID: 5193028496 Enrollment ID: I20201019001399 |
| Provider Name | Florence On |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194175075 PECOS PAC ID: 6709172158 Enrollment ID: I20201022003749 |
| Provider Name | Cheng-cheng Zhu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518346436 PECOS PAC ID: 1850608126 Enrollment ID: I20201027003339 |
| Provider Name | Kayla L Rumack |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841744026 PECOS PAC ID: 2466791041 Enrollment ID: I20201028003112 |
| Provider Name | Aubrey Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912168022 PECOS PAC ID: 6608047089 Enrollment ID: I20201104002475 |
| Provider Name | Eric Wong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962821058 PECOS PAC ID: 0446521066 Enrollment ID: I20201116000042 |
| Provider Name | David J Coggin-carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942753033 PECOS PAC ID: 0840563649 Enrollment ID: I20201117001534 |
| Provider Name | David D Christensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700204922 PECOS PAC ID: 5991006751 Enrollment ID: I20201201000106 |
| Provider Name | Lisa C Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063808210 PECOS PAC ID: 0345574653 Enrollment ID: I20201209002600 |
| Provider Name | Maurice Andre Paquette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386291185 PECOS PAC ID: 4789018755 Enrollment ID: I20201218000632 |
| Provider Name | Julie S Lumingu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962001974 PECOS PAC ID: 1153733753 Enrollment ID: I20201223000189 |
| Provider Name | Ashley M Laforest |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760993083 PECOS PAC ID: 5193081610 Enrollment ID: I20201228001550 |
| Provider Name | Johnnie J Wren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073045746 PECOS PAC ID: 0941613566 Enrollment ID: I20201228002160 |
| Provider Name | Laura Mcpeake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336346386 PECOS PAC ID: 2769563725 Enrollment ID: I20201229000234 |
| Provider Name | Gary Starr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598898157 PECOS PAC ID: 4880790096 Enrollment ID: I20210106000209 |
| Provider Name | Jessica F Burns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689076838 PECOS PAC ID: 1052623261 Enrollment ID: I20210121001227 |
| Provider Name | Adam Andrews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871194886 PECOS PAC ID: 6002220381 Enrollment ID: I20210127002716 |
| Provider Name | Jennifer M Covino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982946661 PECOS PAC ID: 3274834148 Enrollment ID: I20210303001084 |
| Provider Name | Teddi I Bachawaty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154304228 PECOS PAC ID: 7416976360 Enrollment ID: I20210318000541 |
| Provider Name | Lorick F Fox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215980024 PECOS PAC ID: 9436152329 Enrollment ID: I20210318002548 |
| Provider Name | Derek James Bush |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497375869 PECOS PAC ID: 8123427069 Enrollment ID: I20210526002835 |
| Provider Name | Siba El Hussein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083003396 PECOS PAC ID: 0547669376 Enrollment ID: I20210528000307 |
| Provider Name | Sarah S Stebbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174104053 PECOS PAC ID: 9739589466 Enrollment ID: I20210616003034 |
| Provider Name | Michael G D'urso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790281988 PECOS PAC ID: 6204237142 Enrollment ID: I20210629002077 |
| Provider Name | Scarlett C Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932555984 PECOS PAC ID: 6002143203 Enrollment ID: I20210629002973 |
| Provider Name | Uma Keshava Murthy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245274182 PECOS PAC ID: 5799187852 Enrollment ID: I20210712002916 |
| Provider Name | Christina M Imming |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215270319 PECOS PAC ID: 3072732338 Enrollment ID: I20210712004139 |
| Provider Name | Jennifer Lynn Stedman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225490097 PECOS PAC ID: 9032513742 Enrollment ID: I20210803001389 |
| Provider Name | Sarah Asif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942796776 PECOS PAC ID: 6103220736 Enrollment ID: I20210804002212 |
| Provider Name | Breanna Whitlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376910331 PECOS PAC ID: 2466752324 Enrollment ID: I20210805002153 |
| Provider Name | Erica Lash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760911325 PECOS PAC ID: 2062781529 Enrollment ID: I20210806000341 |
| Provider Name | Michael A Rosenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649859703 PECOS PAC ID: 0042614265 Enrollment ID: I20210811000228 |
| Provider Name | Ruxing Xing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881182681 PECOS PAC ID: 6406250489 Enrollment ID: I20210812003209 |
| Provider Name | Michael Sutton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346736501 PECOS PAC ID: 5193120087 Enrollment ID: I20210816001226 |
| Provider Name | Jerry G Albujar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255863981 PECOS PAC ID: 2062817364 Enrollment ID: I20210825001659 |
| Provider Name | Kelly L Drollette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548895428 PECOS PAC ID: 5193121531 Enrollment ID: I20210909002243 |
| Provider Name | Joseph M Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649664913 PECOS PAC ID: 6002144482 Enrollment ID: I20210922000967 |
| Provider Name | Rebecca Parad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942731104 PECOS PAC ID: 6901177971 Enrollment ID: I20211005001655 |
| Provider Name | Kayla Marie Napper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972174381 PECOS PAC ID: 0244638047 Enrollment ID: I20211008001106 |
| Provider Name | Justin Mcmaster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851748560 PECOS PAC ID: 4284971581 Enrollment ID: I20211011000798 |
| Provider Name | Samuel Flerlage Paskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912439399 PECOS PAC ID: 4082033840 Enrollment ID: I20211012000218 |
| Provider Name | Lucy Lane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033478565 PECOS PAC ID: 7911208038 Enrollment ID: I20211014002538 |
| Provider Name | William D Murrell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134109572 PECOS PAC ID: 9638164353 Enrollment ID: I20211019001337 |
| Provider Name | John N Henry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023076643 PECOS PAC ID: 5698798452 Enrollment ID: I20211104000198 |
| Provider Name | Stephen O'donnell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194769760 PECOS PAC ID: 8022026889 Enrollment ID: I20211115000824 |
| Provider Name | James E East |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952763575 PECOS PAC ID: 2961797543 Enrollment ID: I20211117001052 |
| Provider Name | Neil A Krulewitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083148837 PECOS PAC ID: 0042564882 Enrollment ID: I20211122002591 |
| Provider Name | Vincent S Trent |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093926214 PECOS PAC ID: 9739342841 Enrollment ID: I20211208002764 |
| Provider Name | Maya Strange |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740253178 PECOS PAC ID: 5991701138 Enrollment ID: I20211216001570 |
| Provider Name | Christopher Morris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528089166 PECOS PAC ID: 2961419122 Enrollment ID: I20220106000496 |
| Provider Name | Joshua Marlow |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1346602257 PECOS PAC ID: 1759612914 Enrollment ID: I20220301000161 |
| Provider Name | Casandra Mysior |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1730319039 PECOS PAC ID: 5991977522 Enrollment ID: I20220316003454 |
| Provider Name | Janet A Bloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013007640 PECOS PAC ID: 3870554264 Enrollment ID: I20220318000060 |
| Provider Name | Osakhuemen Ihenyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013437102 PECOS PAC ID: 4082009584 Enrollment ID: I20220321000521 |
| Provider Name | Ryan D Clouser |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780650382 PECOS PAC ID: 8325072150 Enrollment ID: I20220323000107 |
| Provider Name | John C Bates |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922624766 PECOS PAC ID: 3971920372 Enrollment ID: I20220404002698 |
| Provider Name | Xiangtian Hu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215213780 PECOS PAC ID: 4082928270 Enrollment ID: I20220406001088 |
| Provider Name | James E Edwards |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174631113 PECOS PAC ID: 3173704095 Enrollment ID: I20220409000019 |
| Provider Name | Eve G Spratt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396853347 PECOS PAC ID: 7719068550 Enrollment ID: I20220411002034 |
| Provider Name | Geoffrey Michael Scriver |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1245452192 PECOS PAC ID: 9638325699 Enrollment ID: I20220504000271 |
| Provider Name | Louis F Salamone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770744468 PECOS PAC ID: 5597072942 Enrollment ID: I20220504000337 |
| Provider Name | Alexis Bailey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134553001 PECOS PAC ID: 4183995004 Enrollment ID: I20220504002068 |
| Provider Name | Moataz Behairy |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1801215868 PECOS PAC ID: 3375888142 Enrollment ID: I20220531002525 |
| Provider Name | Uyen Vietje |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679796635 PECOS PAC ID: 6507174216 Enrollment ID: I20220602000830 |
| Provider Name | William E Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407828296 PECOS PAC ID: 6103999362 Enrollment ID: I20220614000169 |
| Provider Name | Noah Willows |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336609122 PECOS PAC ID: 6800129941 Enrollment ID: I20220803000843 |
| Provider Name | Welland D Burnside |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912460858 PECOS PAC ID: 7012399306 Enrollment ID: I20220803001215 |
| Provider Name | Natalie M Elder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427552058 PECOS PAC ID: 3274889514 Enrollment ID: I20220817001876 |
| Provider Name | Louai Naddaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154982544 PECOS PAC ID: 7517391188 Enrollment ID: I20220819002156 |
| Provider Name | Dmytro Sednev |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356909337 PECOS PAC ID: 5193152155 Enrollment ID: I20220830001591 |
| Provider Name | Vanessa Fiorini Furtado |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1043672140 PECOS PAC ID: 7214229350 Enrollment ID: I20220831003147 |
| Provider Name | Dhruv Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013494699 PECOS PAC ID: 8426473778 Enrollment ID: I20220908000255 |
| Provider Name | Waldo Emerson Floyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477040392 PECOS PAC ID: 1355726878 Enrollment ID: I20220920003056 |
| Provider Name | John Haines |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1669793121 PECOS PAC ID: 4082987896 Enrollment ID: I20220923001118 |
| Provider Name | Danielle S Burstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811254006 PECOS PAC ID: 8820338411 Enrollment ID: I20221005000383 |
| Provider Name | William D Timbers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902168792 PECOS PAC ID: 6204143589 Enrollment ID: I20221011002716 |
| Provider Name | Isabelle Duchesnay |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154042729 PECOS PAC ID: 0840667812 Enrollment ID: I20221103001753 |
| Provider Name | Althea Louise Morrison |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063974293 PECOS PAC ID: 8628445343 Enrollment ID: I20221108003452 |
| Provider Name | James Seipp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255861647 PECOS PAC ID: 4587086194 Enrollment ID: I20221109000739 |
| Provider Name | Julia Marsala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851895338 PECOS PAC ID: 5092079624 Enrollment ID: I20221114002127 |
| Provider Name | Katrina Alise Ducis |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629367354 PECOS PAC ID: 0143541573 Enrollment ID: I20221122000597 |
| Provider Name | Marc A Cassone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881057149 PECOS PAC ID: 0244526770 Enrollment ID: I20221209002675 |
| Provider Name | Maysaa El Zoghbi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043528250 PECOS PAC ID: 3577820984 Enrollment ID: I20221212002248 |
| Provider Name | Elizabeth M Lawliss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750006227 PECOS PAC ID: 5193196764 Enrollment ID: I20230118000620 |
| Provider Name | Asad Ali |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437454188 PECOS PAC ID: 6002045200 Enrollment ID: I20230125001600 |
| Provider Name | Laura Louthan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922395359 PECOS PAC ID: 8729256623 Enrollment ID: I20230208001463 |
| Provider Name | Ryan Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649699125 PECOS PAC ID: 3678876323 Enrollment ID: I20230220002082 |
| Provider Name | Ginger L Gillette-kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497803175 PECOS PAC ID: 1456455567 Enrollment ID: I20230303002118 |
| Provider Name | Jeremy A Dressler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1982082442 PECOS PAC ID: 6305154303 Enrollment ID: I20230320000320 |
| Provider Name | James R Berry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831170778 PECOS PAC ID: 5092706069 Enrollment ID: I20230323001746 |
| Provider Name | Anatol Silotch |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831751726 PECOS PAC ID: 1759756380 Enrollment ID: I20230412001192 |
| Provider Name | Ashley Gibbs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861763989 PECOS PAC ID: 9739545823 Enrollment ID: I20230516000441 |
| Provider Name | Olubunmi N Salako |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770659567 PECOS PAC ID: 6507034279 Enrollment ID: I20230518001071 |
| Provider Name | Timothy Whitman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952473175 PECOS PAC ID: 9638300320 Enrollment ID: I20230608003121 |
| Provider Name | Peter Hyson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275038770 PECOS PAC ID: 7719233824 Enrollment ID: I20230619001763 |
| Provider Name | Forrest Anderson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093246290 PECOS PAC ID: 9537528617 Enrollment ID: I20230707001144 |
| Provider Name | Gabriel Crevier-sorbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154946978 PECOS PAC ID: 2264892017 Enrollment ID: I20230712002666 |
| Provider Name | Mario Rossi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972525814 PECOS PAC ID: 3274520358 Enrollment ID: I20230713000713 |
| Provider Name | Kimberley Lee Seymour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669177648 PECOS PAC ID: 6002276763 Enrollment ID: I20230713002232 |
| Provider Name | Maria C Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508493164 PECOS PAC ID: 3971926460 Enrollment ID: I20230713002274 |
| Provider Name | Brian Waldschmidt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720313463 PECOS PAC ID: 9234365495 Enrollment ID: I20230726002392 |
| Provider Name | Ana Mariela Morales Mejia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003421496 PECOS PAC ID: 6103287404 Enrollment ID: I20230803000101 |
| Provider Name | Samantha Ann Ginsburg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427749647 PECOS PAC ID: 1254792377 Enrollment ID: I20230804001051 |
| Provider Name | Krystal Hasel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538711783 PECOS PAC ID: 5395107619 Enrollment ID: I20230817001783 |
| Provider Name | Wendell A Bliss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356848857 PECOS PAC ID: 4688095920 Enrollment ID: I20230821002059 |
| Provider Name | Sameer Sethi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427602218 PECOS PAC ID: 0446683510 Enrollment ID: I20230825000550 |
| Provider Name | Jacob Warner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326508417 PECOS PAC ID: 4688909666 Enrollment ID: I20230825001590 |
| Provider Name | Adam S Bloom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922348655 PECOS PAC ID: 6103197454 Enrollment ID: I20230906003097 |
| Provider Name | Jesse Kane |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1942611140 PECOS PAC ID: 2062754971 Enrollment ID: I20230914002105 |
| Provider Name | Madison L Daly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972063493 PECOS PAC ID: 7315270790 Enrollment ID: I20230914002261 |
| Provider Name | John Henry Priester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821626748 PECOS PAC ID: 7214358753 Enrollment ID: I20230914002421 |
| Provider Name | Abbey Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154006237 PECOS PAC ID: 7113381427 Enrollment ID: I20230919002992 |
| Provider Name | Louisa Salisbury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871857763 PECOS PAC ID: 8123328457 Enrollment ID: I20230920003827 |
| Provider Name | Victoria Lynn Zhou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447710611 PECOS PAC ID: 8224482435 Enrollment ID: I20230921002550 |
| Provider Name | Dylan Hershkowitz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922538644 PECOS PAC ID: 3577836600 Enrollment ID: I20230921002968 |
| Provider Name | Sean Bullis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508229493 PECOS PAC ID: 8123313863 Enrollment ID: I20230922002106 |
| Provider Name | Allaire Jay Keyser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992482137 PECOS PAC ID: 8022462035 Enrollment ID: I20230925003310 |
| Provider Name | Patrick Neilan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457715856 PECOS PAC ID: 1456624337 Enrollment ID: I20230926003202 |
| Provider Name | Beth Verdone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679100846 PECOS PAC ID: 7719331362 Enrollment ID: I20230929002683 |
| Provider Name | Steven Schlozman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326016098 PECOS PAC ID: 3072691120 Enrollment ID: I20231003001756 |
| Provider Name | Joshua Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760167712 PECOS PAC ID: 8123473469 Enrollment ID: I20231006000934 |
| Provider Name | Molly A Furin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558536995 PECOS PAC ID: 1850425182 Enrollment ID: I20231009001993 |
| Provider Name | Madelaine Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649963182 PECOS PAC ID: 5597111088 Enrollment ID: I20231019000439 |
| Provider Name | Shanelle Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083499438 PECOS PAC ID: 2062868599 Enrollment ID: I20231019002300 |
| Provider Name | Michael Waterhouse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629539879 PECOS PAC ID: 4587010871 Enrollment ID: I20231023002174 |
| Provider Name | Katherine Menson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386986974 PECOS PAC ID: 0446552111 Enrollment ID: I20231025002751 |
| Provider Name | Ba Truc Trinh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982398640 PECOS PAC ID: 6204283195 Enrollment ID: I20231115000449 |
| Provider Name | Alexander Christian Rabideau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205610060 PECOS PAC ID: 7416305941 Enrollment ID: I20231122001178 |
| Provider Name | James D Whitledge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366934432 PECOS PAC ID: 0345659066 Enrollment ID: I20231127003101 |
| Provider Name | Michael P Bazylewicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760707236 PECOS PAC ID: 5395065924 Enrollment ID: I20231204001299 |
| Provider Name | Christopher Kanner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689085748 PECOS PAC ID: 3375844525 Enrollment ID: I20231206002596 |
| Provider Name | Jon Michael Sheeser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255350609 PECOS PAC ID: 7911951983 Enrollment ID: I20231213001599 |
| Provider Name | Nicholas Andrew Tooley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558998021 PECOS PAC ID: 8820419823 Enrollment ID: I20231215003095 |
| Provider Name | Robert D'agostino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336160159 PECOS PAC ID: 4385652130 Enrollment ID: I20240108003668 |
| Provider Name | Erin M Fuller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477083947 PECOS PAC ID: 1850660523 Enrollment ID: I20240116001660 |
| Provider Name | Rheta Recore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700209871 PECOS PAC ID: 5799137634 Enrollment ID: I20240117000665 |
| Provider Name | Iustin Moga |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568240026 PECOS PAC ID: 3779926662 Enrollment ID: I20240207003567 |
| Provider Name | Katelin Morrissette |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639515414 PECOS PAC ID: 4486952256 Enrollment ID: I20240304000386 |
| Provider Name | Laurel B Plante |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942398755 PECOS PAC ID: 8729085816 Enrollment ID: I20240307000091 |
| Provider Name | Timothy Higgins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174558175 PECOS PAC ID: 5092754499 Enrollment ID: I20240319000342 |
| Provider Name | Adam Ulano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275762551 PECOS PAC ID: 8325263544 Enrollment ID: I20240319000414 |
| Provider Name | Benjamin Lange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770725467 PECOS PAC ID: 2365663911 Enrollment ID: I20240402002587 |
| Provider Name | Saeedeh Mirbagheri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376938837 PECOS PAC ID: 7618215161 Enrollment ID: I20240405002413 |
| Provider Name | Alyssa Lynn Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033983366 PECOS PAC ID: 9234577206 Enrollment ID: I20240410000748 |
| Provider Name | Benjamin Sawatzky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235549247 PECOS PAC ID: 0345559357 Enrollment ID: I20240411002143 |
| Provider Name | Janusz Kikut |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053338889 PECOS PAC ID: 1658318712 Enrollment ID: I20240411002302 |
| Provider Name | Cynthia M Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851653513 PECOS PAC ID: 4284976705 Enrollment ID: I20240412003241 |
| Provider Name | Carl Cobb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083650733 PECOS PAC ID: 0840280236 Enrollment ID: I20240416000131 |
| Provider Name | Anjuli R Bagley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538422084 PECOS PAC ID: 3173824927 Enrollment ID: I20240416003044 |
| Provider Name | Dmitriy G Akselrod |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629241336 PECOS PAC ID: 4385805696 Enrollment ID: I20240417002388 |
| Provider Name | Brandi L Eustice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154028405 PECOS PAC ID: 8022458769 Enrollment ID: I20240429003150 |
| Provider Name | Nicholas G Alsofrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235699828 PECOS PAC ID: 8628301264 Enrollment ID: I20240501002789 |
| Provider Name | Charles Pappas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932286523 PECOS PAC ID: 8729002514 Enrollment ID: I20240508000196 |
| Provider Name | Andrea Hildebrand |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366469181 PECOS PAC ID: 4486755287 Enrollment ID: I20240514002198 |
| Provider Name | Norman Sturtevant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164449963 PECOS PAC ID: 6204840697 Enrollment ID: I20240515004170 |
| Provider Name | Pedro Staziaki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912358318 PECOS PAC ID: 3577836410 Enrollment ID: I20240517002118 |
| Provider Name | Karina Perusse |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699784702 PECOS PAC ID: 9335147800 Enrollment ID: I20240618002528 |
| Provider Name | Valeriya Gershteyn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881274322 PECOS PAC ID: 1557764685 Enrollment ID: I20240624003250 |
| Provider Name | Kristen K Destigter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265459044 PECOS PAC ID: 2961456124 Enrollment ID: I20240626000499 |
| Provider Name | Erin Morris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245475433 PECOS PAC ID: 1052560067 Enrollment ID: I20240626002185 |
| Provider Name | Marjorie Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639104417 PECOS PAC ID: 9234204843 Enrollment ID: I20240709000109 |
| Provider Name | Olivia Durocher-ducatte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366286767 PECOS PAC ID: 8022555929 Enrollment ID: I20240808002163 |
| Provider Name | Jimmy D Taylor |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528039898 PECOS PAC ID: 2961302856 Enrollment ID: I20240816002284 |
| Provider Name | Daniel Peters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356928428 PECOS PAC ID: 5092118539 Enrollment ID: I20240916001361 |
| Provider Name | Anusha Devarajan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639691272 PECOS PAC ID: 7214350321 Enrollment ID: I20240919003259 |
| Provider Name | Sabawoon Mirwais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528687951 PECOS PAC ID: 9739620360 Enrollment ID: I20240923001344 |
| Provider Name | Shruti Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548782279 PECOS PAC ID: 5193128734 Enrollment ID: I20241003000511 |
| Provider Name | Jeremy Hassan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902570724 PECOS PAC ID: 0446782817 Enrollment ID: I20241016003826 |
| Provider Name | Alexander Plochocki |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679034847 PECOS PAC ID: 5799018248 Enrollment ID: I20241017000690 |
| Provider Name | Ann Norris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326661943 PECOS PAC ID: 1658792999 Enrollment ID: I20241017001544 |
| Provider Name | Ryan Walsh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083887137 PECOS PAC ID: 8921256520 Enrollment ID: I20241017002254 |
| Provider Name | Cameron Ulmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013539055 PECOS PAC ID: 3779914395 Enrollment ID: I20241018001077 |
| Provider Name | Elissa Jensen Gadelha Pierotti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093386070 PECOS PAC ID: 3476085051 Enrollment ID: I20241021003308 |
| Provider Name | Lindsay S Daniels |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811458599 PECOS PAC ID: 5092196287 Enrollment ID: I20241022003867 |
| Provider Name | Pawan K Solanki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114585221 PECOS PAC ID: 7113254400 Enrollment ID: I20241029004160 |
| Provider Name | Delaney Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073073177 PECOS PAC ID: 0547593097 Enrollment ID: I20241105003082 |
| Provider Name | Kevin T Argentieri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588067995 PECOS PAC ID: 8729400106 Enrollment ID: I20241105003090 |
| Provider Name | David Caldwell Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992777254 PECOS PAC ID: 9032270129 Enrollment ID: I20241108001226 |
| Provider Name | Mariah Helene Simons |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013766625 PECOS PAC ID: 2668906983 Enrollment ID: I20241108003194 |
| Provider Name | Sunu A Dubay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992548705 PECOS PAC ID: 4486188521 Enrollment ID: I20241112001022 |
| Provider Name | Tyler Pierotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083381271 PECOS PAC ID: 2264801364 Enrollment ID: I20241113000478 |
| Provider Name | Olivia Serigano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336636323 PECOS PAC ID: 1951836568 Enrollment ID: I20241120000359 |
| Provider Name | Joshua Korb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104594407 PECOS PAC ID: 4981093044 Enrollment ID: I20241122002959 |
| Provider Name | Chelsea M Bjelko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649003799 PECOS PAC ID: 1951836956 Enrollment ID: I20241127003654 |
| Provider Name | Gregory Holmes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174581516 PECOS PAC ID: 4486697596 Enrollment ID: I20241202002668 |
| Provider Name | Ashley Mccormick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487231031 PECOS PAC ID: 5496158644 Enrollment ID: I20241209002951 |
| Provider Name | Kathryn C Collier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548847155 PECOS PAC ID: 1355745175 Enrollment ID: I20241210003169 |
| Provider Name | Christopher Huston |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033122882 PECOS PAC ID: 7911918826 Enrollment ID: I20241212000358 |
| Provider Name | Wesley L Goodman-o'leary |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740862499 PECOS PAC ID: 2769918614 Enrollment ID: I20241216001445 |
| Provider Name | Emily A Ashline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124857743 PECOS PAC ID: 7517493471 Enrollment ID: I20241216002230 |
| Provider Name | Edwin Haring |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356978001 PECOS PAC ID: 4486074283 Enrollment ID: I20241223000302 |
| Provider Name | Heather Herrington |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1679607170 PECOS PAC ID: 1658527460 Enrollment ID: I20241226001423 |
| Provider Name | Edward C Borrazzo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215962501 PECOS PAC ID: 0143278531 Enrollment ID: I20241226001458 |
| Provider Name | Robert Percarpio |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356579171 PECOS PAC ID: 5991948382 Enrollment ID: I20241231002519 |
| Provider Name | Nataniel Lester-coll |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467727685 PECOS PAC ID: 5597077230 Enrollment ID: I20250103002171 |
| Provider Name | Jady Keslere Lubin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477125490 PECOS PAC ID: 5092243360 Enrollment ID: I20250114003147 |
| Provider Name | Stuart E Cohen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043261449 PECOS PAC ID: 6406907542 Enrollment ID: I20250116000973 |
| Provider Name | Alexandra Anna Rita Enciu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932771060 PECOS PAC ID: 2163951732 Enrollment ID: I20250128000631 |
| Provider Name | Eric Ganguly |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346208907 PECOS PAC ID: 6103002274 Enrollment ID: I20250128001593 |
| Provider Name | Charles W Ashley |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1205179660 PECOS PAC ID: 6002039443 Enrollment ID: I20250130002857 |
| Provider Name | Jason David Heffley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659766764 PECOS PAC ID: 9830493154 Enrollment ID: I20250203001355 |
| Provider Name | Daniel Bertges |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619902368 PECOS PAC ID: 3072561463 Enrollment ID: I20250207001969 |
| Provider Name | Waqar Waheed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841232709 PECOS PAC ID: 6103993811 Enrollment ID: I20250207002794 |
| Provider Name | Cameron Upchurch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538692959 PECOS PAC ID: 4688943343 Enrollment ID: I20250220001426 |
| Provider Name | Morgan Mckenzie Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689415424 PECOS PAC ID: 9537680822 Enrollment ID: I20250303002173 |
| Provider Name | Narod Vassilian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013539584 PECOS PAC ID: 9133544109 Enrollment ID: I20250306002025 |
| Provider Name | John Saunders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346434859 PECOS PAC ID: 4284724022 Enrollment ID: I20250318002435 |
| Provider Name | Jason M Ciubotaru |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174101844 PECOS PAC ID: 4082158449 Enrollment ID: I20250319002092 |
| Provider Name | Julie Katherine Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821134610 PECOS PAC ID: 1153498985 Enrollment ID: I20250319002390 |
| Provider Name | Angad Gill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073133435 PECOS PAC ID: 6800318452 Enrollment ID: I20250324002078 |
| Provider Name | Amine Nasri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467171124 PECOS PAC ID: 9335524305 Enrollment ID: I20250325001893 |
| Provider Name | Sarah Harm |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710280730 PECOS PAC ID: 2567604259 Enrollment ID: I20250325003040 |
| Provider Name | Mary Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801823158 PECOS PAC ID: 7416958319 Enrollment ID: I20250328001039 |
| Provider Name | Ronald Salazar Rollon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649059924 PECOS PAC ID: 3577086537 Enrollment ID: I20250331002088 |
| Provider Name | Benjamin Bamford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154411882 PECOS PAC ID: 9638156946 Enrollment ID: I20250410000199 |
| Provider Name | Jane Roberts |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811301070 PECOS PAC ID: 3173832409 Enrollment ID: I20250411002120 |
| Provider Name | Kevin Deboer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649272402 PECOS PAC ID: 4082602636 Enrollment ID: I20250519003233 |
| Provider Name | Jessica Badlam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336448778 PECOS PAC ID: 0648544452 Enrollment ID: I20250604000386 |
| Provider Name | Leila Khorashadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871781716 PECOS PAC ID: 2466505102 Enrollment ID: I20250610000515 |
| Provider Name | Amelia Rae Winter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356090575 PECOS PAC ID: 4688051022 Enrollment ID: I20250617002224 |
| Provider Name | Jeffrey Seth Klein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497776033 PECOS PAC ID: 7911915145 Enrollment ID: I20250618000720 |
| Provider Name | Brendan Campbell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962039693 PECOS PAC ID: 7315368339 Enrollment ID: I20250618003867 |
| Provider Name | Mark Vecchio |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356907968 PECOS PAC ID: 6002149440 Enrollment ID: I20250625000936 |
| Provider Name | Kellie Middleton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356789192 PECOS PAC ID: 0941556831 Enrollment ID: I20250626001510 |
| Provider Name | Reza Ojaghi Khalaflou |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386495158 PECOS PAC ID: 6002329786 Enrollment ID: I20250627000695 |
| Provider Name | Kimberly Labarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447630561 PECOS PAC ID: 4486167061 Enrollment ID: I20250627000806 |
| Provider Name | Anna Rebecca Sanborn Coffin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184437980 PECOS PAC ID: 5294248415 Enrollment ID: I20250701002693 |
| Provider Name | Joseph Pekala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366468951 PECOS PAC ID: 3274579073 Enrollment ID: I20250702001050 |
| Provider Name | Ryan Joseph Fiter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508327487 PECOS PAC ID: 7214268556 Enrollment ID: I20250711000795 |
| Provider Name | Beth Zigmund |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427258615 PECOS PAC ID: 7911078134 Enrollment ID: I20250711003109 |
| Provider Name | Aleksandr Drozdov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770069445 PECOS PAC ID: 5597270249 Enrollment ID: I20250714003203 |
| Provider Name | Joseph Raymond Tousignant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467033183 PECOS PAC ID: 8921513102 Enrollment ID: I20250716001311 |
| Provider Name | Jonathan Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164099883 PECOS PAC ID: 9739586181 Enrollment ID: I20250717000234 |
| Provider Name | Armando Sarasua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417461633 PECOS PAC ID: 4082129036 Enrollment ID: I20250717001304 |
| Provider Name | Daniel Gerges |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053773648 PECOS PAC ID: 5799070314 Enrollment ID: I20250730004423 |
| Provider Name | Steven Bair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144970047 PECOS PAC ID: 6305226028 Enrollment ID: I20250806000226 |
| Provider Name | Harold Wallace |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770504888 PECOS PAC ID: 2466463229 Enrollment ID: I20250811002156 |
| Provider Name | Kelly Blanchet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003493115 PECOS PAC ID: 1658775259 Enrollment ID: I20250813003889 |
| Provider Name | John Young |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063420891 PECOS PAC ID: 9436051687 Enrollment ID: I20250814001098 |
| Provider Name | Lakshmi Rajanikant Kirkire |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811524903 PECOS PAC ID: 9638590490 Enrollment ID: I20250815003911 |
| Provider Name | Nat Anna Mulkey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720665953 PECOS PAC ID: 4880097252 Enrollment ID: I20250818000602 |
| Provider Name | Edwin Goncharuk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255872453 PECOS PAC ID: 7012289507 Enrollment ID: I20250825003342 |
| Provider Name | Michael D'amico |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790719326 PECOS PAC ID: 0749231983 Enrollment ID: I20250826004121 |
| Provider Name | Hannah Perry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922360510 PECOS PAC ID: 1355691700 Enrollment ID: I20250828000125 |
| Provider Name | Rajiv Vyas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093206070 PECOS PAC ID: 0749781979 Enrollment ID: I20250829000545 |
| Provider Name | Connor Joseph Bond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649006974 PECOS PAC ID: 4587165634 Enrollment ID: I20250829001484 |
| Provider Name | Renee Stapleton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689754657 PECOS PAC ID: 1557398153 Enrollment ID: I20250903000904 |
| Provider Name | Jeffrey Savarino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770160822 PECOS PAC ID: 6507275237 Enrollment ID: I20250904000919 |
| Provider Name | Karen Custodio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033734447 PECOS PAC ID: 2769928522 Enrollment ID: I20250905000129 |
| Provider Name | Alexander W Marchese |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972063477 PECOS PAC ID: 1951635333 Enrollment ID: I20250905002823 |
| Provider Name | Andrew Ridinger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952962409 PECOS PAC ID: 7416370937 Enrollment ID: I20250910000758 |
| Provider Name | Brendan Schnetzer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477132884 PECOS PAC ID: 9234506460 Enrollment ID: I20250912002440 |
| Provider Name | Pamela Derickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750918280 PECOS PAC ID: 5799106118 Enrollment ID: I20250916003609 |
| Provider Name | Alveena Altaf |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528610656 PECOS PAC ID: 6507360856 Enrollment ID: I20250918003711 |
| Provider Name | Jule Deren |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558981761 PECOS PAC ID: 8022512219 Enrollment ID: I20250919002167 |
| Provider Name | Sammy Abusrur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114487899 PECOS PAC ID: 6103150578 Enrollment ID: I20250922001036 |
| Provider Name | Christine Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073831392 PECOS PAC ID: 6608012323 Enrollment ID: I20250922002048 |
| Provider Name | Matthew Price |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629350194 PECOS PAC ID: 5193220002 Enrollment ID: I20250923001966 |
| Provider Name | Thomas Gilliland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093196065 PECOS PAC ID: 9032424833 Enrollment ID: I20251001001842 |
| Provider Name | Kathryn Oskar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245791292 PECOS PAC ID: 9931438926 Enrollment ID: I20251007003336 |
| Provider Name | Jillian Sarah Sullivan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265560809 PECOS PAC ID: 5395836183 Enrollment ID: I20251017001357 |
| Provider Name | Andreja Packard |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1215992052 PECOS PAC ID: 5698702736 Enrollment ID: I20251027002893 |
| Provider Name | Bardia Barimani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013793736 PECOS PAC ID: 9436503646 Enrollment ID: I20251028000031 |
| Provider Name | Claire Wendling |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1427126333 PECOS PAC ID: 8123073384 Enrollment ID: I20251028002743 |
| Provider Name | Stephen Teach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578641452 PECOS PAC ID: 9436202645 Enrollment ID: I20251029004446 |
| Provider Name | Laura Mccray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821024209 PECOS PAC ID: 2264476910 Enrollment ID: I20251030003278 |
| Provider Name | Marios Prikis |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700949765 PECOS PAC ID: 4587972211 Enrollment ID: I20251103000063 |
| Provider Name | Molly Annabelle Wiener |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619866944 PECOS PAC ID: 5991295487 Enrollment ID: I20251104000899 |
| Provider Name | Hoang Hoa Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427589357 PECOS PAC ID: 6507139912 Enrollment ID: I20251114002643 |
| Provider Name | Nathan Franssen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629455076 PECOS PAC ID: 0941604532 Enrollment ID: I20251119001092 |
| Provider Name | Chelsea Lynn Manor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841185626 PECOS PAC ID: 7113419888 Enrollment ID: I20251120003937 |
| Provider Name | Dagmar Hoegemann Savellano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871698019 PECOS PAC ID: 4880731702 Enrollment ID: I20251205001464 |
| Provider Name | Fatin Adams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679440374 PECOS PAC ID: 4789179292 Enrollment ID: I20251222003396 |
| Provider Name | Karine Sahakyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689088627 PECOS PAC ID: 1951737766 Enrollment ID: I20260204000931 |
| Provider Name | Michael Parker |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1124551601 PECOS PAC ID: 2163805748 Enrollment ID: I20260206002611 |
| Provider Name | Alan Massouh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568922151 PECOS PAC ID: 9830517317 Enrollment ID: I20260211001939 |
| Provider Name | Rayanne Canet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396489860 PECOS PAC ID: 0941740179 Enrollment ID: I20260213000208 |
| Provider Name | Mitchell Tsai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396703484 PECOS PAC ID: 5597778761 Enrollment ID: I20260218001996 |
| Provider Name | Christian Pulcini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881012052 PECOS PAC ID: 8224392113 Enrollment ID: I20260224000567 |
| Provider Name | Kanza Haq |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1508352626 PECOS PAC ID: 8123429891 Enrollment ID: I20260312003439 |
| Provider Name | Joshua Price |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689068173 PECOS PAC ID: 8022322619 Enrollment ID: I20260313002700 |
| Provider Name | Mark Plante |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164447520 PECOS PAC ID: 0446331755 Enrollment ID: I20260318001930 |
| Provider Name | Aurasch Moaven |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588124994 PECOS PAC ID: 2062745110 Enrollment ID: I20260325000644 |
| Provider Name | David Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174663066 PECOS PAC ID: 8729052329 Enrollment ID: I20260326000043 |
| Provider Name | Katharine Cheung |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811177918 PECOS PAC ID: 9234263435 Enrollment ID: I20260327000643 |
| Provider Name | Diana Wilson |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1891890885 PECOS PAC ID: 8022075951 Enrollment ID: I20260403000603 |
| Provider Name | William Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851990089 PECOS PAC ID: 2567877319 Enrollment ID: I20260408001197 |
| Provider Name | Aubrey Lauren Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295682987 PECOS PAC ID: 1456827849 Enrollment ID: I20260414001302 |
| Provider Name | Kathryn Hitchcock |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1912267808 PECOS PAC ID: 6002045838 Enrollment ID: I20260416003703 |
| Provider Name | Carolyn Holland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225197726 PECOS PAC ID: 9436251345 Enrollment ID: I20260430002082 |
| Provider Name | Mikaela Natale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871458661 PECOS PAC ID: 6103394689 Enrollment ID: I20260504004820 |
| Provider Name | James Peacock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306892062 PECOS PAC ID: 6608887310 Enrollment ID: I20260506000541 |
| Provider Name | Jenna Paul-schultz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871242966 PECOS PAC ID: 0244619005 Enrollment ID: I20260506003369 |
| Provider Name | Benny Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285096222 PECOS PAC ID: 0446545917 Enrollment ID: I20260528001221 |
| Provider Name | Hayley Mackinnon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538554357 PECOS PAC ID: 8527374966 Enrollment ID: I20260601000279 |
| Provider Name | Alyssa Dicosmo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679198493 PECOS PAC ID: 1153747357 Enrollment ID: I20260601002815 |
| Provider Name | Joshua Kallen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1316247828 PECOS PAC ID: 6002078151 Enrollment ID: I20260604000545 |
| Provider Name | Luisa Ortiz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316683725 PECOS PAC ID: 5092183780 Enrollment ID: I20260608003173 |
| Provider Name | Margaret Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366192270 PECOS PAC ID: 4880076355 Enrollment ID: I20260608003863 |
| Provider Name | Andrew Irvine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013586700 PECOS PAC ID: 1052835816 Enrollment ID: I20260609004336 |
| Provider Name | Ian John Pereira |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255260378 PECOS PAC ID: 2769953736 Enrollment ID: I20260610001790 |
| Provider Name | Hope Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720652456 PECOS PAC ID: 0648742049 Enrollment ID: I20260617001005 |
| Mailing Address | Practice Location Address |
|---|---|
| Cvph Po Box 2868, Plattsburgh, NY 12901-0259 Ph: (518) 561-2000 | Cvph 75 Beekman St, Plattsburgh, NY 12901-1438 Ph: (518) 561-2000 |