| Parkview Physicians Group | |
|
3909 New Vision Dr, Fort Wayne, IN 46845-1725 | |
| (260) 469-6602 | |
| (260) 969-3065 |
| Full Name | Parkview Physicians Group |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 3909 New Vision Dr, Fort Wayne, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932130952 | NPI | - | NPPES |
| Provider Name | Geoffrey C Cly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407855802 PECOS PAC ID: 3779482195 Enrollment ID: I20040105000858 |
| Provider Name | Satish R C Velagapudi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831100015 PECOS PAC ID: 8921908245 Enrollment ID: I20040112000508 |
| Provider Name | Caitlin J Ryser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699718940 PECOS PAC ID: 4587565379 Enrollment ID: I20040122000598 |
| Provider Name | Teresa Lynn Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730149816 PECOS PAC ID: 5294620910 Enrollment ID: I20040220000085 |
| Provider Name | Joseph L Putman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902807209 PECOS PAC ID: 9234025826 Enrollment ID: I20040223000088 |
| Provider Name | Sara Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962497073 PECOS PAC ID: 4880584853 Enrollment ID: I20040316000411 |
| Provider Name | Ellen N Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508858598 PECOS PAC ID: 5193718351 Enrollment ID: I20040405001359 |
| Provider Name | Ami S Kulkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043286909 PECOS PAC ID: 8022002054 Enrollment ID: I20040413000663 |
| Provider Name | Jennifer Renee Hockemeyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376545111 PECOS PAC ID: 4688660962 Enrollment ID: I20040422000408 |
| Provider Name | Gregory L Chupp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003992025 PECOS PAC ID: 8820084882 Enrollment ID: I20040423000855 |
| Provider Name | William M Dugan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568434918 PECOS PAC ID: 5294622254 Enrollment ID: I20040510000950 |
| Provider Name | Paul Wolfe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669410411 PECOS PAC ID: 4082605662 Enrollment ID: I20040521000646 |
| Provider Name | Douglas Hilton Sparks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467485425 PECOS PAC ID: 0143201814 Enrollment ID: I20040527001096 |
| Provider Name | Irene Theresa Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639103153 PECOS PAC ID: 2860475514 Enrollment ID: I20040611001290 |
| Provider Name | Bakul Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295881894 PECOS PAC ID: 9133103153 Enrollment ID: I20040616001508 |
| Provider Name | Matthew D Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770568545 PECOS PAC ID: 1850377284 Enrollment ID: I20040626000361 |
| Provider Name | Mohammad K Khedr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427051705 PECOS PAC ID: 5496731341 Enrollment ID: I20040629001465 |
| Provider Name | Lori A Brame |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033196241 PECOS PAC ID: 0345227039 Enrollment ID: I20040701000002 |
| Provider Name | Reginald L Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619978178 PECOS PAC ID: 3173501335 Enrollment ID: I20040713000803 |
| Provider Name | Tracy D Whiteleather |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649289299 PECOS PAC ID: 7719967306 Enrollment ID: I20040723000480 |
| Provider Name | Christopher P Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366423105 PECOS PAC ID: 4880664176 Enrollment ID: I20040726001034 |
| Provider Name | Murugavel Muthusamy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467420760 PECOS PAC ID: 1850362062 Enrollment ID: I20040803000072 |
| Provider Name | Jeremy R Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518930015 PECOS PAC ID: 0143293415 Enrollment ID: I20040816000333 |
| Provider Name | Kirby Douglas Slifer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073507422 PECOS PAC ID: 8022906452 Enrollment ID: I20040816001060 |
| Provider Name | Joseph Christian Muller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851461180 PECOS PAC ID: 3678546884 Enrollment ID: I20040816001495 |
| Provider Name | Matthew D Barb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366426157 PECOS PAC ID: 4587637228 Enrollment ID: I20040819000560 |
| Provider Name | Imad E Horani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902895949 PECOS PAC ID: 1850283870 Enrollment ID: I20040823001416 |
| Provider Name | Michael E Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952355661 PECOS PAC ID: 4587638614 Enrollment ID: I20040824000502 |
| Provider Name | Christopher W Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366462905 PECOS PAC ID: 4183698210 Enrollment ID: I20040824000535 |
| Provider Name | Angela Phyllis Lasalle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588621619 PECOS PAC ID: 4486629979 Enrollment ID: I20040828000052 |
| Provider Name | Srinivasan Devanathan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104874452 PECOS PAC ID: 6103814694 Enrollment ID: I20040901001234 |
| Provider Name | Madhavi Chilakamarri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013916394 PECOS PAC ID: 0042284036 Enrollment ID: I20040902000311 |
| Provider Name | Theppanya K Keolasy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124028881 PECOS PAC ID: 5597731794 Enrollment ID: I20040909000023 |
| Provider Name | Sailaja M Blackmon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316946718 PECOS PAC ID: 7416924477 Enrollment ID: I20040910000642 |
| Provider Name | Sarah L Mohrman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609928274 PECOS PAC ID: 0749257921 Enrollment ID: I20040916000258 |
| Provider Name | Scott L Palmer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598776668 PECOS PAC ID: 8921089202 Enrollment ID: I20040920000445 |
| Provider Name | Magdy I Toma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649277872 PECOS PAC ID: 7911966205 Enrollment ID: I20041004000256 |
| Provider Name | Bridget E Hurry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548200348 PECOS PAC ID: 2961461884 Enrollment ID: I20041006001242 |
| Provider Name | Samir Gamal Ishak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548257488 PECOS PAC ID: 4880655331 Enrollment ID: I20041019001023 |
| Provider Name | Michele L Helfgott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285633990 PECOS PAC ID: 8123089372 Enrollment ID: I20041021000706 |
| Provider Name | Joshua Daniel Kline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184615841 PECOS PAC ID: 2567423163 Enrollment ID: I20041026000498 |
| Provider Name | Catherine S Chung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255376034 PECOS PAC ID: 7012979206 Enrollment ID: I20041030000017 |
| Provider Name | Eric D Reichenbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861471278 PECOS PAC ID: 9830155589 Enrollment ID: I20041206000180 |
| Provider Name | Brian M Yochim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891732046 PECOS PAC ID: 6800852450 Enrollment ID: I20041206000198 |
| Provider Name | Janalynn Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669492385 PECOS PAC ID: 2860458205 Enrollment ID: I20041207000748 |
| Provider Name | Jennifer L Tobin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184616179 PECOS PAC ID: 6901855089 Enrollment ID: I20050114000742 |
| Provider Name | Atiya S Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881691368 PECOS PAC ID: 6709853138 Enrollment ID: I20050118000637 |
| Provider Name | Robert F Manges |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508835174 PECOS PAC ID: 6305896721 Enrollment ID: I20050124000974 |
| Provider Name | Steven C Behrendsen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306812656 PECOS PAC ID: 2365494234 Enrollment ID: I20050218000575 |
| Provider Name | Bethany L Mcdaniel-vanderzwaag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639178650 PECOS PAC ID: 8325090210 Enrollment ID: I20050218000687 |
| Provider Name | Erin Lynn Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093721862 PECOS PAC ID: 3577516004 Enrollment ID: I20050224000740 |
| Provider Name | James K Alifimoff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518964816 PECOS PAC ID: 6002716859 Enrollment ID: I20050307000129 |
| Provider Name | Kristi A Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104808005 PECOS PAC ID: 9436104007 Enrollment ID: I20050316000575 |
| Provider Name | Sabeena Ramrakhiani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336314806 PECOS PAC ID: 5496700023 Enrollment ID: I20050316001042 |
| Provider Name | Thomas Scott Schussler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134128143 PECOS PAC ID: 7911953633 Enrollment ID: I20050325000349 |
| Provider Name | Glenn Alan Glogas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346221165 PECOS PAC ID: 0345295465 Enrollment ID: I20050325000635 |
| Provider Name | Rhonda Lynn Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134100654 PECOS PAC ID: 8325093446 Enrollment ID: I20050328000362 |
| Provider Name | Julie Ann Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063496644 PECOS PAC ID: 9436105657 Enrollment ID: I20050330000586 |
| Provider Name | Katherine Cassidy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356336788 PECOS PAC ID: 0143267401 Enrollment ID: I20050408000655 |
| Provider Name | Jeffrey R Nickel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265427116 PECOS PAC ID: 7416859806 Enrollment ID: I20050408000911 |
| Provider Name | Gregg Pollander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942295159 PECOS PAC ID: 5698677078 Enrollment ID: I20050408000986 |
| Provider Name | Michael Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285629311 PECOS PAC ID: 4284671470 Enrollment ID: I20050408001057 |
| Provider Name | Thomas Gutwein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487649695 PECOS PAC ID: 0143122531 Enrollment ID: I20050409000093 |
| Provider Name | Christopher C Steffy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447245832 PECOS PAC ID: 2062459282 Enrollment ID: I20050409000097 |
| Provider Name | Rose Wenrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285676833 PECOS PAC ID: 9234178922 Enrollment ID: I20050502001205 |
| Provider Name | Sadaf Bangash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609850486 PECOS PAC ID: 8729028899 Enrollment ID: I20050509000178 |
| Provider Name | Danielle M Doyle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508882390 PECOS PAC ID: 1052351012 Enrollment ID: I20050509001070 |
| Provider Name | Philip W Corbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376538819 PECOS PAC ID: 1153362611 Enrollment ID: I20050516000563 |
| Provider Name | Sara Lynn Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215084124 PECOS PAC ID: 9931140332 Enrollment ID: I20050516000943 |
| Provider Name | Ron L Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427039593 PECOS PAC ID: 8628057643 Enrollment ID: I20050516000958 |
| Provider Name | Gerald G Warrener |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821659 PECOS PAC ID: 8224079108 Enrollment ID: I20050520000532 |
| Provider Name | David E Reinhard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508843095 PECOS PAC ID: 4284606948 Enrollment ID: I20050523000355 |
| Provider Name | John M Hoskins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114943073 PECOS PAC ID: 1254373897 Enrollment ID: I20050524001284 |
| Provider Name | Joseph M Mattox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154367944 PECOS PAC ID: 2264474048 Enrollment ID: I20050601000782 |
| Provider Name | Raj N Nagaraj |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104935147 PECOS PAC ID: 5991796633 Enrollment ID: I20050606000400 |
| Provider Name | Corbett M Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295720308 PECOS PAC ID: 1355385741 Enrollment ID: I20050616000438 |
| Provider Name | Lenora Hirschler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801871694 PECOS PAC ID: 8921043910 Enrollment ID: I20050621000441 |
| Provider Name | Regina Michelle Adair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326069675 PECOS PAC ID: 1456250976 Enrollment ID: I20050623000618 |
| Provider Name | Nathan Kyle Allison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679574024 PECOS PAC ID: 4688642549 Enrollment ID: I20050623001043 |
| Provider Name | Julie L Herman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902805351 PECOS PAC ID: 2062458912 Enrollment ID: I20050630001092 |
| Provider Name | Christian H Bridgwater |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205821626 PECOS PAC ID: 4183660848 Enrollment ID: I20050701000934 |
| Provider Name | Kristin Michelle Hauck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083821441 PECOS PAC ID: 6608806070 Enrollment ID: I20050816000266 |
| Provider Name | Tamara Kay Troutt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568403368 PECOS PAC ID: 8224069737 Enrollment ID: I20050824000962 |
| Provider Name | Jody Dietsch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629324850 PECOS PAC ID: 8224069489 Enrollment ID: I20050826000732 |
| Provider Name | Thomas W Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669459145 PECOS PAC ID: 9133150196 Enrollment ID: I20050830000194 |
| Provider Name | Bret D Kueber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922078062 PECOS PAC ID: 6901792175 Enrollment ID: I20050831000941 |
| Provider Name | April Renee Morrison |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194759456 PECOS PAC ID: 4587697586 Enrollment ID: I20050912000154 |
| Provider Name | Chandrashekhar Yalamanchali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336161868 PECOS PAC ID: 7810922507 Enrollment ID: I20050930000702 |
| Provider Name | Khaled K. Bshesh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083749998 PECOS PAC ID: 4587689856 Enrollment ID: I20051006000397 |
| Provider Name | Lisa A Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699760819 PECOS PAC ID: 4183641673 Enrollment ID: I20051024000945 |
| Provider Name | Garry Walker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215910534 PECOS PAC ID: 3274595491 Enrollment ID: I20051028000563 |
| Provider Name | Andrea Moll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275559809 PECOS PAC ID: 9436178845 Enrollment ID: I20051115000764 |
| Provider Name | Michele Lea Thurston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477564789 PECOS PAC ID: 0042231656 Enrollment ID: I20051212000221 |
| Provider Name | Abhijit T Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760464465 PECOS PAC ID: 8527089952 Enrollment ID: I20051214000006 |
| Provider Name | Ashish Kumar Khemka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992716179 PECOS PAC ID: 2668376401 Enrollment ID: I20051219000684 |
| Provider Name | Mark A Oshaughnessy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962494138 PECOS PAC ID: 5799708343 Enrollment ID: I20060110000093 |
| Provider Name | William W Wilson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043202914 PECOS PAC ID: 1557384104 Enrollment ID: I20060110000155 |
| Provider Name | Sultan O Niazi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801874441 PECOS PAC ID: 6709800840 Enrollment ID: I20060117000553 |
| Provider Name | Eric Alan Olsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073533618 PECOS PAC ID: 8426026881 Enrollment ID: I20060124000501 |
| Provider Name | Lisa Ann Foldesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487690665 PECOS PAC ID: 2466466743 Enrollment ID: I20060126000428 |
| Provider Name | Virginia B Hemelt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710984638 PECOS PAC ID: 1456346717 Enrollment ID: I20060206000846 |
| Provider Name | David P Lloyd |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003816711 PECOS PAC ID: 8123925294 Enrollment ID: I20060208000783 |
| Provider Name | Boaz Ofek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013075878 PECOS PAC ID: 8426065830 Enrollment ID: I20060309000469 |
| Provider Name | William Walter Pond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649260183 PECOS PAC ID: 5991713794 Enrollment ID: I20060404000682 |
| Provider Name | David John Wittbrodt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184686743 PECOS PAC ID: 4385653401 Enrollment ID: I20060418000167 |
| Provider Name | Courtney Poswinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245285600 PECOS PAC ID: 0840209896 Enrollment ID: I20060419000396 |
| Provider Name | Ellen L Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164470340 PECOS PAC ID: 6901818970 Enrollment ID: I20060613000216 |
| Provider Name | Anusha Valluru |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093761553 PECOS PAC ID: 9234141615 Enrollment ID: I20060629000354 |
| Provider Name | Alejandro A Vega |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316907819 PECOS PAC ID: 7719982339 Enrollment ID: I20061003000326 |
| Provider Name | Tracy E Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417908526 PECOS PAC ID: 5698771269 Enrollment ID: I20061005000121 |
| Provider Name | Rutvik Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275567166 PECOS PAC ID: 7517963242 Enrollment ID: I20061019000520 |
| Provider Name | Kevin Richard Stamm |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932134590 PECOS PAC ID: 8820095250 Enrollment ID: I20061027000350 |
| Provider Name | Tasha H Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467499780 PECOS PAC ID: 9931106093 Enrollment ID: I20061102000263 |
| Provider Name | Brett J. Guinn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083683783 PECOS PAC ID: 3375541568 Enrollment ID: I20061122000455 |
| Provider Name | Amy B Kressel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457390668 PECOS PAC ID: 6204828767 Enrollment ID: I20061128000389 |
| Provider Name | Lemuel Tupas Barrido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700802121 PECOS PAC ID: 6103825781 Enrollment ID: I20061208000156 |
| Provider Name | Lesa Ann Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891808192 PECOS PAC ID: 0547269672 Enrollment ID: I20061218000509 |
| Provider Name | Krishna B Datta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427161801 PECOS PAC ID: 0446259576 Enrollment ID: I20061218000518 |
| Provider Name | Matthew C Grothaus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417978776 PECOS PAC ID: 9032118138 Enrollment ID: I20061219000521 |
| Provider Name | Kendra T Karner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639168404 PECOS PAC ID: 1658371992 Enrollment ID: I20070110000279 |
| Provider Name | Oluwaseun Babalola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497776496 PECOS PAC ID: 9638187859 Enrollment ID: I20070202000017 |
| Provider Name | Todd D Brandon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174594766 PECOS PAC ID: 0446251334 Enrollment ID: I20070228000125 |
| Provider Name | Tina R Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962595223 PECOS PAC ID: 4385747054 Enrollment ID: I20070319000051 |
| Provider Name | Thomas Mark Banas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508863051 PECOS PAC ID: 9537069299 Enrollment ID: I20070322000209 |
| Provider Name | Cesar A Vargas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477524759 PECOS PAC ID: 2961432117 Enrollment ID: I20070412000397 |
| Provider Name | Erica Louise Kueber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841352697 PECOS PAC ID: 2163474289 Enrollment ID: I20070420000465 |
| Provider Name | Shelly S Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093722613 PECOS PAC ID: 8022113901 Enrollment ID: I20070421000043 |
| Provider Name | Karen S Lothamer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1699823492 PECOS PAC ID: 9830294545 Enrollment ID: I20070424000668 |
| Provider Name | Hani Ahmad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790711604 PECOS PAC ID: 4385740059 Enrollment ID: I20070426000561 |
| Provider Name | Robert J Norton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194891259 PECOS PAC ID: 9739285206 Enrollment ID: I20070430000128 |
| Provider Name | Christopher S Mernitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477543551 PECOS PAC ID: 6002912516 Enrollment ID: I20070430000410 |
| Provider Name | Emily S Bowsher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992887632 PECOS PAC ID: 1658477997 Enrollment ID: I20070503000427 |
| Provider Name | Tracy R Rahall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093871584 PECOS PAC ID: 4385606078 Enrollment ID: I20070515000186 |
| Provider Name | Yvonne Cynthia Lubia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922116680 PECOS PAC ID: 0840397188 Enrollment ID: I20070521000372 |
| Provider Name | David P Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265422919 PECOS PAC ID: 8527165786 Enrollment ID: I20070523000039 |
| Provider Name | Richard Toupin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841299674 PECOS PAC ID: 4587761622 Enrollment ID: I20070524000054 |
| Provider Name | Jennifer M Born |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558498105 PECOS PAC ID: 4688771785 Enrollment ID: I20070524000543 |
| Provider Name | James E Beitzel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912901851 PECOS PAC ID: 0244247450 Enrollment ID: I20070529000182 |
| Provider Name | Troy A Hoffer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104993039 PECOS PAC ID: 4587761457 Enrollment ID: I20070530000117 |
| Provider Name | Robert T Hill |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1235267675 PECOS PAC ID: 2163520099 Enrollment ID: I20070531000152 |
| Provider Name | Kenneth R. Austin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366422529 PECOS PAC ID: 9335247204 Enrollment ID: I20070531000443 |
| Provider Name | Scott B Porter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811015589 PECOS PAC ID: 3375641699 Enrollment ID: I20070611000601 |
| Provider Name | Adam C Thomas |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437116530 PECOS PAC ID: 0143261396 Enrollment ID: I20070612000318 |
| Provider Name | Michael Kooistra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508864380 PECOS PAC ID: 8527166719 Enrollment ID: I20070612000566 |
| Provider Name | Gregory N Haase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851357032 PECOS PAC ID: 0143328211 Enrollment ID: I20070613000550 |
| Provider Name | Syed Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619909991 PECOS PAC ID: 6800782137 Enrollment ID: I20070619000008 |
| Provider Name | Jonathan V Norton |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609879683 PECOS PAC ID: 2567561335 Enrollment ID: I20070619000526 |
| Provider Name | Michelle M Collins-austin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487675047 PECOS PAC ID: 9436258068 Enrollment ID: I20070622000485 |
| Provider Name | Gaston Da Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902011158 PECOS PAC ID: 5193825073 Enrollment ID: I20070706000167 |
| Provider Name | Kimberly E Recht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467658740 PECOS PAC ID: 4082714340 Enrollment ID: I20070716000476 |
| Provider Name | Mark C Dickmeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457349201 PECOS PAC ID: 5597657437 Enrollment ID: I20070716000511 |
| Provider Name | Reuben J Cohen |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922193184 PECOS PAC ID: 9537145867 Enrollment ID: I20070719000034 |
| Provider Name | Hollace D Chastain |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013919422 PECOS PAC ID: 0941301915 Enrollment ID: I20070720000080 |
| Provider Name | Thomas M Holian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396730354 PECOS PAC ID: 8426955121 Enrollment ID: I20070727000573 |
| Provider Name | Donald Urban |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245252451 PECOS PAC ID: 5496846776 Enrollment ID: I20070801000633 |
| Provider Name | Jennifer Lee Dougal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528040805 PECOS PAC ID: 8729179981 Enrollment ID: I20070802000520 |
| Provider Name | Hisham S Elhassan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1477676658 PECOS PAC ID: 2062503105 Enrollment ID: I20070803000529 |
| Provider Name | Carl M Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003971490 PECOS PAC ID: 6002700820 Enrollment ID: I20070810000526 |
| Provider Name | Marisha Ann Klingenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093766784 PECOS PAC ID: 1456442870 Enrollment ID: I20070814000296 |
| Provider Name | T. Eric White |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235121104 PECOS PAC ID: 2567554082 Enrollment ID: I20070828000743 |
| Provider Name | June H Pollydore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043376429 PECOS PAC ID: 3476646829 Enrollment ID: I20070830000750 |
| Provider Name | Andrea Marie Hoover |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932390887 PECOS PAC ID: 5597858449 Enrollment ID: I20070907000697 |
| Provider Name | Kevin K Hart |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629070032 PECOS PAC ID: 8022101690 Enrollment ID: I20070912000730 |
| Provider Name | Michael R Engle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356326292 PECOS PAC ID: 8022102045 Enrollment ID: I20070921000411 |
| Provider Name | Gary M Berube |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881678696 PECOS PAC ID: 7517052293 Enrollment ID: I20070927000045 |
| Provider Name | Craig Shannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760559686 PECOS PAC ID: 4789779026 Enrollment ID: I20071002000645 |
| Provider Name | Johnny Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427251891 PECOS PAC ID: 6800981622 Enrollment ID: I20071009000027 |
| Provider Name | Sara Herstad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629152103 PECOS PAC ID: 5799871315 Enrollment ID: I20071012000271 |
| Provider Name | Heather J Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871537480 PECOS PAC ID: 5092801365 Enrollment ID: I20071017000861 |
| Provider Name | Gerald A Kelty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700991320 PECOS PAC ID: 2062410814 Enrollment ID: I20071025000426 |
| Provider Name | Mohan M Menon |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1851491377 PECOS PAC ID: 0244330587 Enrollment ID: I20071029000036 |
| Provider Name | Christopher J Conrad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386728863 PECOS PAC ID: 5890882211 Enrollment ID: I20071101000558 |
| Provider Name | Beatrice R Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184813693 PECOS PAC ID: 6507955259 Enrollment ID: I20071203000353 |
| Provider Name | Amber Whitton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730374968 PECOS PAC ID: 0143319863 Enrollment ID: I20071204000212 |
| Provider Name | Steven G Wynder |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104827567 PECOS PAC ID: 6204925795 Enrollment ID: I20071207000105 |
| Provider Name | Robert Montazemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184692238 PECOS PAC ID: 6800985276 Enrollment ID: I20071207000757 |
| Provider Name | Ernesto N Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760431225 PECOS PAC ID: 6103811344 Enrollment ID: I20071210000637 |
| Provider Name | Raymond Cava |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194726950 PECOS PAC ID: 6608877816 Enrollment ID: I20071212000015 |
| Provider Name | Suzanne B Reecer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467635946 PECOS PAC ID: 1254421001 Enrollment ID: I20071217000307 |
| Provider Name | Kathryn Denise Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821277641 PECOS PAC ID: 8921198664 Enrollment ID: I20071218000215 |
| Provider Name | Damon E Greven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245428366 PECOS PAC ID: 6507956109 Enrollment ID: I20071219000763 |
| Provider Name | Douglas A Neeld |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1780669374 PECOS PAC ID: 1153370135 Enrollment ID: I20071221000470 |
| Provider Name | Susan L Steffy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821075995 PECOS PAC ID: 2961582085 Enrollment ID: I20080102000334 |
| Provider Name | Rachel L Rodenbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245410638 PECOS PAC ID: 5597845511 Enrollment ID: I20080103000425 |
| Provider Name | Michael W Grabowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730180597 PECOS PAC ID: 4880599026 Enrollment ID: I20080104000501 |
| Provider Name | Craig Thomas Marks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689675282 PECOS PAC ID: 4587654231 Enrollment ID: I20080214000304 |
| Provider Name | Renee K Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932383254 PECOS PAC ID: 2264515105 Enrollment ID: I20080214000566 |
| Provider Name | Kevin L Murphy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053390765 PECOS PAC ID: 8628151404 Enrollment ID: I20080218000218 |
| Provider Name | Frank Shao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982683736 PECOS PAC ID: 1052494853 Enrollment ID: I20080218000368 |
| Provider Name | Claudia J Bobay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932188539 PECOS PAC ID: 7618050311 Enrollment ID: I20080218000443 |
| Provider Name | Thomas W Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003891219 PECOS PAC ID: 1759394414 Enrollment ID: I20080218000542 |
| Provider Name | Cheryl L Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871579441 PECOS PAC ID: 3476636101 Enrollment ID: I20080218000689 |
| Provider Name | Michael S Rumple |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770560047 PECOS PAC ID: 2264516996 Enrollment ID: I20080220000045 |
| Provider Name | Janet S Prendergast |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306823885 PECOS PAC ID: 3678657327 Enrollment ID: I20080220000160 |
| Provider Name | Wilfredo Vergara |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366435398 PECOS PAC ID: 7416926910 Enrollment ID: I20080220000354 |
| Provider Name | Steven J Mooibroek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336126895 PECOS PAC ID: 7315021912 Enrollment ID: I20080220000644 |
| Provider Name | Alan Mark Yahanda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366443129 PECOS PAC ID: 2264422922 Enrollment ID: I20080306000172 |
| Provider Name | Jason Hoeppner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164449773 PECOS PAC ID: 2466537014 Enrollment ID: I20080307000090 |
| Provider Name | Dennis M Obrien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568673903 PECOS PAC ID: 8921183302 Enrollment ID: I20080310000275 |
| Provider Name | Elizabeth R Depew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245380070 PECOS PAC ID: 2264519610 Enrollment ID: I20080409000333 |
| Provider Name | Christina C Drummond |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1538168539 PECOS PAC ID: 2163335720 Enrollment ID: I20080411000286 |
| Provider Name | John B Brinkman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881668150 PECOS PAC ID: 6406752039 Enrollment ID: I20080502000060 |
| Provider Name | Richard F Otten |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528239308 PECOS PAC ID: 7517037831 Enrollment ID: I20080529000428 |
| Provider Name | David E Schleinkofer |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1326030297 PECOS PAC ID: 8022108224 Enrollment ID: I20080621000007 |
| Provider Name | Michelle A Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497922090 PECOS PAC ID: 1759453905 Enrollment ID: I20080702000515 |
| Provider Name | Ann V Collie |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518096767 PECOS PAC ID: 8426015223 Enrollment ID: I20080717000784 |
| Provider Name | Nicholas L Nussbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720107824 PECOS PAC ID: 9830262070 Enrollment ID: I20080721000535 |
| Provider Name | Guy Gerald Crevecoeur |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124029079 PECOS PAC ID: 4587619630 Enrollment ID: I20080731000718 |
| Provider Name | Alan Auerbach |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902913759 PECOS PAC ID: 6507962917 Enrollment ID: I20080805000062 |
| Provider Name | Judith Lisa Kennedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790963494 PECOS PAC ID: 9739253998 Enrollment ID: I20080806000125 |
| Provider Name | Mark R Ranzinger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457339111 PECOS PAC ID: 7911960380 Enrollment ID: I20080815000127 |
| Provider Name | Sunil Babu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891968301 PECOS PAC ID: 8022093889 Enrollment ID: I20080819000541 |
| Provider Name | David R Palmer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255303210 PECOS PAC ID: 5597830976 Enrollment ID: I20080819000963 |
| Provider Name | Emily E Lierman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407010564 PECOS PAC ID: 4486729431 Enrollment ID: I20080826000534 |
| Provider Name | Nikkiya Fraser |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013132109 PECOS PAC ID: 1658447289 Enrollment ID: I20080905000384 |
| Provider Name | Christina Preusz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932302320 PECOS PAC ID: 7618052697 Enrollment ID: I20080910000685 |
| Provider Name | Jody M Neer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720085210 PECOS PAC ID: 5799680070 Enrollment ID: I20080920000017 |
| Provider Name | Lawrence E Gering |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710986443 PECOS PAC ID: 8921097775 Enrollment ID: I20080930000025 |
| Provider Name | Terry L Shipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407859994 PECOS PAC ID: 8426125618 Enrollment ID: I20080930000693 |
| Provider Name | Vatche Israbian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013968700 PECOS PAC ID: 7012997208 Enrollment ID: I20081002000654 |
| Provider Name | Emily K Rondot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912153826 PECOS PAC ID: 2466520127 Enrollment ID: I20081008000089 |
| Provider Name | Manuel A Martinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043262769 PECOS PAC ID: 2466452271 Enrollment ID: I20081022000570 |
| Provider Name | Diane L Straessle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033135710 PECOS PAC ID: 6406915404 Enrollment ID: I20081105000762 |
| Provider Name | Janet B Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134379688 PECOS PAC ID: 7214097054 Enrollment ID: I20081124000305 |
| Provider Name | Christopher D Belschner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629222922 PECOS PAC ID: 8527120799 Enrollment ID: I20081222000579 |
| Provider Name | Kjell A Rosenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720200181 PECOS PAC ID: 8426110594 Enrollment ID: I20081224000207 |
| Provider Name | Jerry A Dearth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588779375 PECOS PAC ID: 4789682535 Enrollment ID: I20090105000547 |
| Provider Name | Mitchell B Stucky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700991338 PECOS PAC ID: 9830130780 Enrollment ID: I20090107000063 |
| Provider Name | Hosam Khayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144271206 PECOS PAC ID: 0042285298 Enrollment ID: I20090108000004 |
| Provider Name | Amy Welker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528173168 PECOS PAC ID: 4981767589 Enrollment ID: I20090108000074 |
| Provider Name | Paul F Conarty |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1811989908 PECOS PAC ID: 9436161486 Enrollment ID: I20090108000153 |
| Provider Name | James W Edlund |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1144212259 PECOS PAC ID: 4688737208 Enrollment ID: I20090108000316 |
| Provider Name | Virendra A Parikh |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1780676874 PECOS PAC ID: 6901865468 Enrollment ID: I20090108000374 |
| Provider Name | Douglas L Gray |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1891787651 PECOS PAC ID: 8224072293 Enrollment ID: I20090108000576 |
| Provider Name | David Sowden |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295727196 PECOS PAC ID: 9436149374 Enrollment ID: I20090108000606 |
| Provider Name | Sean T Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821103698 PECOS PAC ID: 5799783544 Enrollment ID: I20090109000420 |
| Provider Name | Brian Zehr |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619911005 PECOS PAC ID: 3375523574 Enrollment ID: I20090112000607 |
| Provider Name | Sheryl N Fergusson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851406664 PECOS PAC ID: 6507864352 Enrollment ID: I20090129000344 |
| Provider Name | Michael Overdahl |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316990112 PECOS PAC ID: 9436139631 Enrollment ID: I20090130000015 |
| Provider Name | Karen S Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497746861 PECOS PAC ID: 1951383231 Enrollment ID: I20090130000130 |
| Provider Name | Daniel A Diener |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144214560 PECOS PAC ID: 8921163429 Enrollment ID: I20090217000515 |
| Provider Name | Nathaniel T Dew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063405827 PECOS PAC ID: 6901961382 Enrollment ID: I20090218000595 |
| Provider Name | Michael W Conway |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134184781 PECOS PAC ID: 7618966466 Enrollment ID: I20090310000570 |
| Provider Name | Mark D Obrien |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265532212 PECOS PAC ID: 7618033895 Enrollment ID: I20090313000310 |
| Provider Name | Scott C Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386639565 PECOS PAC ID: 8729145974 Enrollment ID: I20090316000588 |
| Provider Name | Thomas J Lorenc |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518935048 PECOS PAC ID: 2365509510 Enrollment ID: I20090317000195 |
| Provider Name | Peter Benson Coo So |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578579793 PECOS PAC ID: 3375600166 Enrollment ID: I20090323000305 |
| Provider Name | Imran Nasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912980483 PECOS PAC ID: 2365509775 Enrollment ID: I20090330000068 |
| Provider Name | Jill M Diedring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609015346 PECOS PAC ID: 7113084567 Enrollment ID: I20090330000342 |
| Provider Name | Patrick A Macknick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861647000 PECOS PAC ID: 6103973144 Enrollment ID: I20090409000231 |
| Provider Name | Yu Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043415706 PECOS PAC ID: 5395846901 Enrollment ID: I20090413000037 |
| Provider Name | Denise Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104810431 PECOS PAC ID: 9234287392 Enrollment ID: I20090429000017 |
| Provider Name | Moses O Olatunji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497996425 PECOS PAC ID: 1254225709 Enrollment ID: I20090515000181 |
| Provider Name | Jessica I Escobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891880241 PECOS PAC ID: 9133278153 Enrollment ID: I20090522000089 |
| Provider Name | Lisa L Yarger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548232259 PECOS PAC ID: 5890845143 Enrollment ID: I20090609000218 |
| Provider Name | Wendy J Walmsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154393866 PECOS PAC ID: 3072663129 Enrollment ID: I20090610000562 |
| Provider Name | Loren J Helmuth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023070281 PECOS PAC ID: 5193828903 Enrollment ID: I20090623000065 |
| Provider Name | Munyaradzi S Chakabva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245470715 PECOS PAC ID: 4981755246 Enrollment ID: I20090625000577 |
| Provider Name | Ujor Ude Eko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740446863 PECOS PAC ID: 9537210687 Enrollment ID: I20090630000550 |
| Provider Name | Jeffrey L Hartzell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245315183 PECOS PAC ID: 2961578323 Enrollment ID: I20090715000762 |
| Provider Name | Peter J Chaille |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841379872 PECOS PAC ID: 8426100819 Enrollment ID: I20090715000763 |
| Provider Name | Moayyed Moallem |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760445050 PECOS PAC ID: 2062416019 Enrollment ID: I20090715000767 |
| Provider Name | Kanwaldeep S Sidhu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033326947 PECOS PAC ID: 7517019862 Enrollment ID: I20090716000531 |
| Provider Name | Joseph A Greenlee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1497744510 PECOS PAC ID: 6608830047 Enrollment ID: I20090721000264 |
| Provider Name | Sarah B Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225247760 PECOS PAC ID: 5991857989 Enrollment ID: I20090722000684 |
| Provider Name | Mycal L Mansfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174730071 PECOS PAC ID: 5597810622 Enrollment ID: I20090826000104 |
| Provider Name | Jarrod M Wiegman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447420310 PECOS PAC ID: 5193870087 Enrollment ID: I20090828000001 |
| Provider Name | Stephanie L Kefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922238435 PECOS PAC ID: 8224183066 Enrollment ID: I20090901000076 |
| Provider Name | Michael Clay Lyons |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922234723 PECOS PAC ID: 2466507082 Enrollment ID: I20090903000553 |
| Provider Name | Denise Elaine Blad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710988282 PECOS PAC ID: 5799761763 Enrollment ID: I20090908000615 |
| Provider Name | Ariel Spencer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144437518 PECOS PAC ID: 6204994700 Enrollment ID: I20090911000004 |
| Provider Name | Joy Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427203793 PECOS PAC ID: 8224183488 Enrollment ID: I20090911000407 |
| Provider Name | Roderick Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881808012 PECOS PAC ID: 9335205483 Enrollment ID: I20090915000009 |
| Provider Name | Catherine K Gillig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528298734 PECOS PAC ID: 2264578251 Enrollment ID: I20091005000679 |
| Provider Name | Elaine Kruse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366776650 PECOS PAC ID: 0446396337 Enrollment ID: I20091007000112 |
| Provider Name | David R Baker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598998247 PECOS PAC ID: 3274670252 Enrollment ID: I20091023000186 |
| Provider Name | Julie L Mcelwain-gabriel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184657223 PECOS PAC ID: 3779620653 Enrollment ID: I20091026000506 |
| Provider Name | Heather L Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598758500 PECOS PAC ID: 4082686084 Enrollment ID: I20091028000830 |
| Provider Name | Lubna W Ahmed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144345075 PECOS PAC ID: 7113089566 Enrollment ID: I20091030000338 |
| Provider Name | Rowena C Yu-mendador |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134336035 PECOS PAC ID: 8022156413 Enrollment ID: I20091104000537 |
| Provider Name | Saim Maqsood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174535710 PECOS PAC ID: 2163418393 Enrollment ID: I20091117000059 |
| Provider Name | Marcus W Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326271677 PECOS PAC ID: 6800934498 Enrollment ID: I20091119000489 |
| Provider Name | David A Campbell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1023109345 PECOS PAC ID: 4587703558 Enrollment ID: I20091204000053 |
| Provider Name | John Gregory Aranda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316936123 PECOS PAC ID: 2567559412 Enrollment ID: I20091204000205 |
| Provider Name | Michael J Mirro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053303222 PECOS PAC ID: 0042300246 Enrollment ID: I20091223000193 |
| Provider Name | Robert W Godley |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1710989124 PECOS PAC ID: 9133219330 Enrollment ID: I20091223000282 |
| Provider Name | Ricky Allen Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700875747 PECOS PAC ID: 1759273782 Enrollment ID: I20091223000350 |
| Provider Name | William C Collis |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1437151131 PECOS PAC ID: 5395835599 Enrollment ID: I20091229000115 |
| Provider Name | Joyce A Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962404392 PECOS PAC ID: 7517007321 Enrollment ID: I20091229000277 |
| Provider Name | James J Heger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083616494 PECOS PAC ID: 5496845695 Enrollment ID: I20091229000371 |
| Provider Name | Roy W Robertson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366434342 PECOS PAC ID: 3577653773 Enrollment ID: I20091229000494 |
| Provider Name | Charles F Presti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871585042 PECOS PAC ID: 0941390140 Enrollment ID: I20091231000041 |
| Provider Name | Mary C Compton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184695470 PECOS PAC ID: 7113068347 Enrollment ID: I20100109000055 |
| Provider Name | Albert M Morrison |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326049479 PECOS PAC ID: 4284602533 Enrollment ID: I20100119000041 |
| Provider Name | Kevin L Berning |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1164423620 PECOS PAC ID: 8224136577 Enrollment ID: I20100119000429 |
| Provider Name | Trina Coleen Chapman-smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285634568 PECOS PAC ID: 6709920705 Enrollment ID: I20100215000120 |
| Provider Name | Shelli A Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174505432 PECOS PAC ID: 0648315671 Enrollment ID: I20100302000783 |
| Provider Name | Geetha P Paparo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538133269 PECOS PAC ID: 0042238669 Enrollment ID: I20100324000410 |
| Provider Name | Mohammed A Rahman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396073813 PECOS PAC ID: 4082740667 Enrollment ID: I20100408000021 |
| Provider Name | Mark D Dabagia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891795852 PECOS PAC ID: 4385773027 Enrollment ID: I20100518000925 |
| Provider Name | Ahsan Mahmood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760458921 PECOS PAC ID: 8921047473 Enrollment ID: I20100519000617 |
| Provider Name | Michael Epstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437151347 PECOS PAC ID: 2466549969 Enrollment ID: I20100519000672 |
| Provider Name | Mark Joseph Lybik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184626707 PECOS PAC ID: 1557468410 Enrollment ID: I20100525000999 |
| Provider Name | Shalini Chitneni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396951299 PECOS PAC ID: 4183794027 Enrollment ID: I20100610000887 |
| Provider Name | Larry E Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083604714 PECOS PAC ID: 3870640006 Enrollment ID: I20100616000655 |
| Provider Name | Kenneth L Pennington |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1144200684 PECOS PAC ID: 6002947611 Enrollment ID: I20100625000652 |
| Provider Name | Gita Singh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003880527 PECOS PAC ID: 7113823758 Enrollment ID: I20100629000881 |
| Provider Name | Samiullah Khan Kundi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932249323 PECOS PAC ID: 2365573417 Enrollment ID: I20100706000522 |
| Provider Name | Jack David Kunberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821298985 PECOS PAC ID: 1355473240 Enrollment ID: I20100712000460 |
| Provider Name | Thomas J Curfman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184621641 PECOS PAC ID: 9234021965 Enrollment ID: I20100712000575 |
| Provider Name | Ala Shiyab |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265679187 PECOS PAC ID: 7517099112 Enrollment ID: I20100717000033 |
| Provider Name | Jodi L Chambers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487646469 PECOS PAC ID: 2961534490 Enrollment ID: I20100720000389 |
| Provider Name | David A Goertzen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154329902 PECOS PAC ID: 1153314307 Enrollment ID: I20100720000546 |
| Provider Name | Lisa N Piper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063447753 PECOS PAC ID: 0547392912 Enrollment ID: I20100720001010 |
| Provider Name | Ryan A Gonzales |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134330061 PECOS PAC ID: 5698867752 Enrollment ID: I20100727000771 |
| Provider Name | Philip J Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225036007 PECOS PAC ID: 1658404686 Enrollment ID: I20100728000497 |
| Provider Name | James G Ingram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972502706 PECOS PAC ID: 4284767229 Enrollment ID: I20100728000584 |
| Provider Name | Julie A Utendorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437158839 PECOS PAC ID: 5890828628 Enrollment ID: I20100730000779 |
| Provider Name | Bradley A Hardin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1093862963 PECOS PAC ID: 9638202294 Enrollment ID: I20100803000361 |
| Provider Name | Thomas Paul Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952306722 PECOS PAC ID: 1254464787 Enrollment ID: I20100804000006 |
| Provider Name | Robert Lance Burton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689672636 PECOS PAC ID: 9133026271 Enrollment ID: I20100807000027 |
| Provider Name | Brandon M Mccarty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952612814 PECOS PAC ID: 2264566249 Enrollment ID: I20100812000329 |
| Provider Name | Emilio De Jesus Vazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134120421 PECOS PAC ID: 9436283249 Enrollment ID: I20100816000893 |
| Provider Name | Sarah A Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477864239 PECOS PAC ID: 3779617485 Enrollment ID: I20100817001011 |
| Provider Name | Desiderio Pina |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043206998 PECOS PAC ID: 2961305867 Enrollment ID: I20100818000247 |
| Provider Name | Ronald L Sarrazine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538146709 PECOS PAC ID: 4183758758 Enrollment ID: I20100818000306 |
| Provider Name | William F Young |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982601787 PECOS PAC ID: 0749172476 Enrollment ID: I20100818001078 |
| Provider Name | Christopher W Lasalle |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1508865890 PECOS PAC ID: 1658472683 Enrollment ID: I20100823000911 |
| Provider Name | Heather M Sickafoose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952588782 PECOS PAC ID: 6507980604 Enrollment ID: I20100826000210 |
| Provider Name | Stephanie A Wagner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376680876 PECOS PAC ID: 6204907983 Enrollment ID: I20100901000225 |
| Provider Name | Charles Lee Copeland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336460161 PECOS PAC ID: 6507981826 Enrollment ID: I20100909001235 |
| Provider Name | Jody Brita Freyre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215108634 PECOS PAC ID: 2769507375 Enrollment ID: I20100918000275 |
| Provider Name | Suresh Jaiswal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962635755 PECOS PAC ID: 4385769850 Enrollment ID: I20100921000846 |
| Provider Name | Greg R Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013960269 PECOS PAC ID: 7911987102 Enrollment ID: I20100928001695 |
| Provider Name | Robin E Cartwright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700113875 PECOS PAC ID: 1951593136 Enrollment ID: I20101006000486 |
| Provider Name | James C Dozier |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831196237 PECOS PAC ID: 4385544048 Enrollment ID: I20101007000500 |
| Provider Name | Binoy Ouseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497797880 PECOS PAC ID: 5395745657 Enrollment ID: I20101013000184 |
| Provider Name | R Gregory Scheible |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194766840 PECOS PAC ID: 2062492267 Enrollment ID: I20101019000908 |
| Provider Name | Mark A Muckway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265521652 PECOS PAC ID: 6305039454 Enrollment ID: I20101021000106 |
| Provider Name | Alan W Mcgee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912906348 PECOS PAC ID: 5496640047 Enrollment ID: I20101025001323 |
| Provider Name | Heather N Beko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053628164 PECOS PAC ID: 1355535790 Enrollment ID: I20101029001341 |
| Provider Name | Jason David Dedoes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851536023 PECOS PAC ID: 8022202076 Enrollment ID: I20101103000809 |
| Provider Name | Zachary M Clemens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912214974 PECOS PAC ID: 5193919041 Enrollment ID: I20101104000475 |
| Provider Name | Naveen Rajoli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306029608 PECOS PAC ID: 7810181625 Enrollment ID: I20101104001324 |
| Provider Name | Jamie Anne Hedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699946244 PECOS PAC ID: 8729272505 Enrollment ID: I20101105000491 |
| Provider Name | Perry C Beko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851608962 PECOS PAC ID: 3173718996 Enrollment ID: I20101105001078 |
| Provider Name | Rebecca A Posner |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1396731782 PECOS PAC ID: 3274550728 Enrollment ID: I20101109001444 |
| Provider Name | Holly D Richter-hardin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548317415 PECOS PAC ID: 9830260793 Enrollment ID: I20101116001080 |
| Provider Name | Lisa M Clemens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215244421 PECOS PAC ID: 8729274535 Enrollment ID: I20101118001181 |
| Provider Name | Joseph P Yurkanin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134126931 PECOS PAC ID: 8820146905 Enrollment ID: I20101201000747 |
| Provider Name | Rhonda L Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912932617 PECOS PAC ID: 8325050966 Enrollment ID: I20101207000902 |
| Provider Name | Michael H Yurkanin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780681924 PECOS PAC ID: 2567432578 Enrollment ID: I20101208001267 |
| Provider Name | Mary Jane Mckee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902808785 PECOS PAC ID: 5597952036 Enrollment ID: I20101209000201 |
| Provider Name | Brian D Jenkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891792156 PECOS PAC ID: 0547457020 Enrollment ID: I20101209000616 |
| Provider Name | Kian Porter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528065398 PECOS PAC ID: 5799972220 Enrollment ID: I20101209001280 |
| Provider Name | Gerald E Snyder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790782597 PECOS PAC ID: 0042407579 Enrollment ID: I20101209001304 |
| Provider Name | Venkatarao Vemula |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154328391 PECOS PAC ID: 9335336783 Enrollment ID: I20101210000255 |
| Provider Name | Edward S Tompa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811994049 PECOS PAC ID: 7113115049 Enrollment ID: I20101220000626 |
| Provider Name | Alton Chaohong Liu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144227349 PECOS PAC ID: 6709074586 Enrollment ID: I20101221000176 |
| Provider Name | David R Donaldson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932106796 PECOS PAC ID: 7416145149 Enrollment ID: I20101222000663 |
| Provider Name | Chinubhai S Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619974482 PECOS PAC ID: 7214125855 Enrollment ID: I20101222000942 |
| Provider Name | Amy M Rowan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972803385 PECOS PAC ID: 4981893930 Enrollment ID: I20110106001007 |
| Provider Name | Cory T Hammond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376845370 PECOS PAC ID: 0840489696 Enrollment ID: I20110110000037 |
| Provider Name | Robert A Goldstrom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316944614 PECOS PAC ID: 9234328527 Enrollment ID: I20110119000025 |
| Provider Name | Ray A Tople |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710984943 PECOS PAC ID: 7315126604 Enrollment ID: I20110119000160 |
| Provider Name | Satya Tummala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104823343 PECOS PAC ID: 0941489017 Enrollment ID: I20110120001055 |
| Provider Name | Ashraf H Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720153919 PECOS PAC ID: 3274713656 Enrollment ID: I20110203000079 |
| Provider Name | Gregory L Todd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467474809 PECOS PAC ID: 2567642382 Enrollment ID: I20110211000344 |
| Provider Name | Nidia F Villalba Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962679365 PECOS PAC ID: 3173703899 Enrollment ID: I20110211000389 |
| Provider Name | Andrew C Barchus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891098745 PECOS PAC ID: 4789865163 Enrollment ID: I20110217000461 |
| Provider Name | Catherine A Hause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942462726 PECOS PAC ID: 2769663855 Enrollment ID: I20110223000075 |
| Provider Name | Harold Bivins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841239753 PECOS PAC ID: 7517992803 Enrollment ID: I20110225000131 |
| Provider Name | Kim Sue Penland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467443036 PECOS PAC ID: 9032392691 Enrollment ID: I20110321000386 |
| Provider Name | Abigail M Bort |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578860003 PECOS PAC ID: 6507049699 Enrollment ID: I20110328000471 |
| Provider Name | Renee E Buskirk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619275807 PECOS PAC ID: 3577747260 Enrollment ID: I20110404000739 |
| Provider Name | Cheryl Kiel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265678486 PECOS PAC ID: 7315079480 Enrollment ID: I20110426000237 |
| Provider Name | Rakesh Khatri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437360732 PECOS PAC ID: 6406901586 Enrollment ID: I20110610000000 |
| Provider Name | Lisa Therese Falotico |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528266814 PECOS PAC ID: 5193902617 Enrollment ID: I20110610000244 |
| Provider Name | Satya N Ramiah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134378375 PECOS PAC ID: 5890973788 Enrollment ID: I20110623000507 |
| Provider Name | Jeremy Ryan Grogg |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053579599 PECOS PAC ID: 8628256245 Enrollment ID: I20110630000600 |
| Provider Name | Arman Siddiqui |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447484167 PECOS PAC ID: 5698953016 Enrollment ID: I20110706000417 |
| Provider Name | Usman Y Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124280813 PECOS PAC ID: 8022296466 Enrollment ID: I20110707000136 |
| Provider Name | Sean M Garrean |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1942459664 PECOS PAC ID: 9638357916 Enrollment ID: I20110711000524 |
| Provider Name | Saju Abraham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528191756 PECOS PAC ID: 0446428734 Enrollment ID: I20110712000077 |
| Provider Name | Lindsay M Coda |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265762132 PECOS PAC ID: 2668640921 Enrollment ID: I20110713000176 |
| Provider Name | Abigail L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386930337 PECOS PAC ID: 8325216260 Enrollment ID: I20110721000020 |
| Provider Name | Win Boon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104950799 PECOS PAC ID: 7719155597 Enrollment ID: I20110721000574 |
| Provider Name | Robert G Klitzman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740433820 PECOS PAC ID: 3173676806 Enrollment ID: I20110802000401 |
| Provider Name | Julie Anne Tillman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689833279 PECOS PAC ID: 8729257613 Enrollment ID: I20110810000421 |
| Provider Name | Venkata Lp Kureti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871754549 PECOS PAC ID: 3173792702 Enrollment ID: I20110816000240 |
| Provider Name | Suresha A Perera Abeysekera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619144078 PECOS PAC ID: 8325218480 Enrollment ID: I20110826000605 |
| Provider Name | Tai Wai D Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629245006 PECOS PAC ID: 0648440586 Enrollment ID: I20110831000694 |
| Provider Name | Briana N Aspy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750545414 PECOS PAC ID: 5496880726 Enrollment ID: I20110907000784 |
| Provider Name | Sheryl J Etnier Colon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851332738 PECOS PAC ID: 1759552367 Enrollment ID: I20110912000277 |
| Provider Name | Megan E Bearman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972890093 PECOS PAC ID: 3971774233 Enrollment ID: I20110916000007 |
| Provider Name | Robert F Muller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659530210 PECOS PAC ID: 5092986323 Enrollment ID: I20110919000342 |
| Provider Name | Todd S Drayer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205067881 PECOS PAC ID: 4981743754 Enrollment ID: I20110920000326 |
| Provider Name | Barbara E Sagoe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477718674 PECOS PAC ID: 4284805359 Enrollment ID: I20110921000315 |
| Provider Name | Jolynn D Spann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831405547 PECOS PAC ID: 3476724261 Enrollment ID: I20110928000275 |
| Provider Name | Denise A Gilham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588947543 PECOS PAC ID: 6204008204 Enrollment ID: I20111018000228 |
| Provider Name | Emily C Elko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881984581 PECOS PAC ID: 0840476081 Enrollment ID: I20111019000563 |
| Provider Name | Barbara K Swaim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710969647 PECOS PAC ID: 8123291747 Enrollment ID: I20111026000921 |
| Provider Name | Jonathan P Byers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902891906 PECOS PAC ID: 4183897721 Enrollment ID: I20111027000279 |
| Provider Name | Media Jaboori |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730175506 PECOS PAC ID: 9335312347 Enrollment ID: I20111107000520 |
| Provider Name | Shujaatali Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447267679 PECOS PAC ID: 5698949246 Enrollment ID: I20111117000434 |
| Provider Name | Tyler G Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578798757 PECOS PAC ID: 6608040936 Enrollment ID: I20111122000408 |
| Provider Name | Megan Goetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770866808 PECOS PAC ID: 9739353913 Enrollment ID: I20111128000571 |
| Provider Name | Jessica Marie Barkdull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164705760 PECOS PAC ID: 1557535630 Enrollment ID: I20111130000171 |
| Provider Name | R Stienecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962494971 PECOS PAC ID: 1355354093 Enrollment ID: I20111207000238 |
| Provider Name | Jodi L Strock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417236530 PECOS PAC ID: 2860667037 Enrollment ID: I20111216000322 |
| Provider Name | Richard C Krueger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497784862 PECOS PAC ID: 6800996372 Enrollment ID: I20120113000284 |
| Provider Name | Kelli L Mccain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275826612 PECOS PAC ID: 2365619053 Enrollment ID: I20120120000412 |
| Provider Name | Wendy Sue Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366433526 PECOS PAC ID: 7113194465 Enrollment ID: I20120127000107 |
| Provider Name | Cinamon L Donley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407136013 PECOS PAC ID: 3072770239 Enrollment ID: I20120131000774 |
| Provider Name | Ronda George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801037163 PECOS PAC ID: 1456518919 Enrollment ID: I20120210000524 |
| Provider Name | Ashish Sud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568583334 PECOS PAC ID: 4587730288 Enrollment ID: I20120216000478 |
| Provider Name | Carol P Garrean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013179357 PECOS PAC ID: 7517082464 Enrollment ID: I20120301000202 |
| Provider Name | Stephen Richard Clingman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891898326 PECOS PAC ID: 9537169115 Enrollment ID: I20120305000477 |
| Provider Name | Nicole Y Seabeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699043968 PECOS PAC ID: 7810156072 Enrollment ID: I20120307000264 |
| Provider Name | Elia Hoekstra |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285716530 PECOS PAC ID: 4284737743 Enrollment ID: I20120410000018 |
| Provider Name | Dawn P Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588940761 PECOS PAC ID: 1557522026 Enrollment ID: I20120410000108 |
| Provider Name | Carmen N Johnston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437415064 PECOS PAC ID: 7810158763 Enrollment ID: I20120419000671 |
| Provider Name | Ashley M Groeller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891026795 PECOS PAC ID: 7012045909 Enrollment ID: I20120508000604 |
| Provider Name | Jamin A Yoder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356576177 PECOS PAC ID: 5890958649 Enrollment ID: I20120515000576 |
| Provider Name | Jackylin Salvador Caparas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881991834 PECOS PAC ID: 3971766460 Enrollment ID: I20120521000226 |
| Provider Name | Reena Thapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568695054 PECOS PAC ID: 3375706880 Enrollment ID: I20120521000407 |
| Provider Name | Shiva Gauchan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275811457 PECOS PAC ID: 3870756216 Enrollment ID: I20120522000784 |
| Provider Name | Jitendra Sah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306000351 PECOS PAC ID: 8123282878 Enrollment ID: I20120611000226 |
| Provider Name | Kristin D Will |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891958682 PECOS PAC ID: 2062676521 Enrollment ID: I20120613000126 |
| Provider Name | Andreea B Mistric |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598927758 PECOS PAC ID: 3971767161 Enrollment ID: I20120620000254 |
| Provider Name | Blakely King Stevenson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417120338 PECOS PAC ID: 9133383326 Enrollment ID: I20120620000280 |
| Provider Name | Svetlana V Hagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124255153 PECOS PAC ID: 2860657822 Enrollment ID: I20120626000389 |
| Provider Name | Jonathan D Steinhofer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063648517 PECOS PAC ID: 3072778851 Enrollment ID: I20120628000368 |
| Provider Name | Paula A Langeloh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164785309 PECOS PAC ID: 5193980357 Enrollment ID: I20120713000316 |
| Provider Name | David A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639178619 PECOS PAC ID: 9335194455 Enrollment ID: I20120720000159 |
| Provider Name | David M Conner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750420105 PECOS PAC ID: 1759547342 Enrollment ID: I20120726000144 |
| Provider Name | Caitlin E Krouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184986259 PECOS PAC ID: 6507022076 Enrollment ID: I20120727000379 |
| Provider Name | Judith E Bowers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518941418 PECOS PAC ID: 7012010093 Enrollment ID: I20120730000439 |
| Provider Name | Gail A Clark |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760718258 PECOS PAC ID: 2769648112 Enrollment ID: I20120730000531 |
| Provider Name | Robyn D Schmucker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972647444 PECOS PAC ID: 4587793682 Enrollment ID: I20120802000143 |
| Provider Name | Jennifer R Shaffer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831358597 PECOS PAC ID: 8820244189 Enrollment ID: I20120802000317 |
| Provider Name | Sarah B Schlie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164650628 PECOS PAC ID: 1557517745 Enrollment ID: I20120803000003 |
| Provider Name | George Martin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841222452 PECOS PAC ID: 5092873042 Enrollment ID: I20120809000200 |
| Provider Name | Thomas Anthony Giaquinta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326281650 PECOS PAC ID: 4385893866 Enrollment ID: I20120926000605 |
| Provider Name | Karin L Mohs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154679272 PECOS PAC ID: 5294984639 Enrollment ID: I20120928000704 |
| Provider Name | Ramesh C Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649458712 PECOS PAC ID: 9335214709 Enrollment ID: I20121011000794 |
| Provider Name | Erin Bauer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023368206 PECOS PAC ID: 1658521893 Enrollment ID: I20121024000011 |
| Provider Name | Venkata S Moningi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750617916 PECOS PAC ID: 9335390129 Enrollment ID: I20121102000212 |
| Provider Name | Sarita Ruetz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528321759 PECOS PAC ID: 9032360821 Enrollment ID: I20121102000238 |
| Provider Name | Santosh Maharjan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073751616 PECOS PAC ID: 0941451967 Enrollment ID: I20121121000092 |
| Provider Name | Emily D Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588916340 PECOS PAC ID: 3971755653 Enrollment ID: I20121203000298 |
| Provider Name | Sarah E Slocum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851640155 PECOS PAC ID: 0648422071 Enrollment ID: I20121212000223 |
| Provider Name | Christina Marie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235483835 PECOS PAC ID: 8426200692 Enrollment ID: I20121214000475 |
| Provider Name | James Chad Higginbotham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609865658 PECOS PAC ID: 2466416722 Enrollment ID: I20130128000043 |
| Provider Name | Chana N Goodin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932444692 PECOS PAC ID: 5092951921 Enrollment ID: I20130423000074 |
| Provider Name | Michele M Parrish |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265630107 PECOS PAC ID: 6507002359 Enrollment ID: I20130423000344 |
| Provider Name | Shaun M Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487904140 PECOS PAC ID: 9436395993 Enrollment ID: I20130429000590 |
| Provider Name | Angela M Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962770255 PECOS PAC ID: 1850538307 Enrollment ID: I20130501000116 |
| Provider Name | Michele E Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073850798 PECOS PAC ID: 1456598887 Enrollment ID: I20130502000322 |
| Provider Name | Thomas A Losure |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912081811 PECOS PAC ID: 9931160819 Enrollment ID: I20130503000563 |
| Provider Name | Pacia A Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760753487 PECOS PAC ID: 2062650609 Enrollment ID: I20130521000502 |
| Provider Name | Michelle M Diss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497198568 PECOS PAC ID: 9537307400 Enrollment ID: I20130605000052 |
| Provider Name | Stacey Marie Boswell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114268125 PECOS PAC ID: 6608015433 Enrollment ID: I20130626000753 |
| Provider Name | Adrian L Camitan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710234851 PECOS PAC ID: 3577704725 Enrollment ID: I20130730000939 |
| Provider Name | Amy E Moehlenkamp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750433462 PECOS PAC ID: 8921240946 Enrollment ID: I20130803000199 |
| Provider Name | Micah W Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679730832 PECOS PAC ID: 0143476259 Enrollment ID: I20130808000883 |
| Provider Name | Jill R Linder |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245570167 PECOS PAC ID: 2466694088 Enrollment ID: I20130812000409 |
| Provider Name | Maria P Ronquillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902153026 PECOS PAC ID: 5496997801 Enrollment ID: I20130814001041 |
| Provider Name | Grettel T Tesado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811269780 PECOS PAC ID: 4183867443 Enrollment ID: I20130905000628 |
| Provider Name | Ryan T Grimm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497072532 PECOS PAC ID: 7517100886 Enrollment ID: I20130905000779 |
| Provider Name | Jonathan T Shirazi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124330857 PECOS PAC ID: 0244470326 Enrollment ID: I20130906000452 |
| Provider Name | Marina Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124339262 PECOS PAC ID: 1355584574 Enrollment ID: I20130906000493 |
| Provider Name | Kiersten Carrico |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508203597 PECOS PAC ID: 9335383538 Enrollment ID: I20130909000697 |
| Provider Name | Ryan C Singerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588950901 PECOS PAC ID: 7517117120 Enrollment ID: I20130910000499 |
| Provider Name | Mohamed H Morad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730481870 PECOS PAC ID: 3779723564 Enrollment ID: I20130916000098 |
| Provider Name | Eric G Peterson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942482047 PECOS PAC ID: 2466621362 Enrollment ID: I20130918000807 |
| Provider Name | Michael E Bair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982791612 PECOS PAC ID: 2062656648 Enrollment ID: I20130920000734 |
| Provider Name | Brett L Skramstad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043657117 PECOS PAC ID: 3870737307 Enrollment ID: I20130923000557 |
| Provider Name | Nicholas A Dutro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992024327 PECOS PAC ID: 3072757475 Enrollment ID: I20130925000761 |
| Provider Name | John C Westhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194164319 PECOS PAC ID: 8820232168 Enrollment ID: I20130926000354 |
| Provider Name | Ahmed Z Elmaadawi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114189305 PECOS PAC ID: 3678744240 Enrollment ID: I20130927000367 |
| Provider Name | Jennifer N Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316382922 PECOS PAC ID: 4981838026 Enrollment ID: I20131003000612 |
| Provider Name | Francisco J Reyes Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235329889 PECOS PAC ID: 4981853033 Enrollment ID: I20131009000923 |
| Provider Name | Michelle R Eaton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770915233 PECOS PAC ID: 9234363177 Enrollment ID: I20131009000932 |
| Provider Name | Emily K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851730147 PECOS PAC ID: 7416181235 Enrollment ID: I20131010001210 |
| Provider Name | Lindsay B Hardley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093973299 PECOS PAC ID: 3678710431 Enrollment ID: I20131010001979 |
| Provider Name | Robert J Dempsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558567644 PECOS PAC ID: 3274767926 Enrollment ID: I20131011000234 |
| Provider Name | Christy A Buuck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164613410 PECOS PAC ID: 0244326353 Enrollment ID: I20131015001330 |
| Provider Name | Chelsea R Handshoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811338254 PECOS PAC ID: 1254565716 Enrollment ID: I20131016001228 |
| Provider Name | Sampath Kumar Santhanam Ethiraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700033727 PECOS PAC ID: 3274704150 Enrollment ID: I20131018001530 |
| Provider Name | Sheila Pittenger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235459603 PECOS PAC ID: 3870738198 Enrollment ID: I20131023000222 |
| Provider Name | Shauna H Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114363009 PECOS PAC ID: 6901031277 Enrollment ID: I20131023001323 |
| Provider Name | Linda K Vukovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164630596 PECOS PAC ID: 8325273584 Enrollment ID: I20131024001848 |
| Provider Name | Sandeep S Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437366465 PECOS PAC ID: 9436234150 Enrollment ID: I20131029001828 |
| Provider Name | Jayne S Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043650203 PECOS PAC ID: 5294960977 Enrollment ID: I20131105001498 |
| Provider Name | Karen E Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487924650 PECOS PAC ID: 3274768825 Enrollment ID: I20131106001869 |
| Provider Name | Freaw Dejenie |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649439050 PECOS PAC ID: 4183817943 Enrollment ID: I20131108000089 |
| Provider Name | Paul A Keplinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992141816 PECOS PAC ID: 7113153677 Enrollment ID: I20131112000842 |
| Provider Name | Ashley N Coak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497000798 PECOS PAC ID: 9335375724 Enrollment ID: I20131113000151 |
| Provider Name | Stacey E Elwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346682234 PECOS PAC ID: 3173759503 Enrollment ID: I20131113001395 |
| Provider Name | Christen A Merkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235424482 PECOS PAC ID: 5395923916 Enrollment ID: I20131115001305 |
| Provider Name | Deanna L Sipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235472291 PECOS PAC ID: 5294961470 Enrollment ID: I20131118000635 |
| Provider Name | Kiersa D Durfee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972793800 PECOS PAC ID: 3072686674 Enrollment ID: I20131204001458 |
| Provider Name | Tara L Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356622245 PECOS PAC ID: 7618114737 Enrollment ID: I20131216001763 |
| Provider Name | Cindy G Spryn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497874556 PECOS PAC ID: 8628205747 Enrollment ID: I20131217002072 |
| Provider Name | Julie M Stark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902018641 PECOS PAC ID: 5597814350 Enrollment ID: I20140108001530 |
| Provider Name | Cyrus D Solhkhah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174710347 PECOS PAC ID: 0547249088 Enrollment ID: I20140114000743 |
| Provider Name | Thomas J Meehan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265860589 PECOS PAC ID: 0648408807 Enrollment ID: I20140114001756 |
| Provider Name | Angela S Starkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134554967 PECOS PAC ID: 6608004817 Enrollment ID: I20140115001813 |
| Provider Name | Angela D Scheid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508299751 PECOS PAC ID: 8022247188 Enrollment ID: I20140212001422 |
| Provider Name | Pamela Boling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750658399 PECOS PAC ID: 0446489520 Enrollment ID: I20140213000321 |
| Provider Name | Gopesh K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326271891 PECOS PAC ID: 3577792506 Enrollment ID: I20140214000934 |
| Provider Name | Sharon J Marrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669463907 PECOS PAC ID: 8729217724 Enrollment ID: I20140218000581 |
| Provider Name | Betsy Carmien |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609206093 PECOS PAC ID: 1052541570 Enrollment ID: I20140303000634 |
| Provider Name | Becky J Drerup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871915637 PECOS PAC ID: 3375773682 Enrollment ID: I20140306002037 |
| Provider Name | Erika D Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932522695 PECOS PAC ID: 9436389749 Enrollment ID: I20140306002113 |
| Provider Name | Mary Jo A Highlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811325350 PECOS PAC ID: 0345470415 Enrollment ID: I20140311001947 |
| Provider Name | Sara Bennett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285063685 PECOS PAC ID: 5890925887 Enrollment ID: I20140313002056 |
| Provider Name | Ahmad Al Moujahed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194813824 PECOS PAC ID: 9537113220 Enrollment ID: I20140318000981 |
| Provider Name | Virginia L Nider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609124940 PECOS PAC ID: 3476705716 Enrollment ID: I20140318002036 |
| Provider Name | Milad H Hanna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982674347 PECOS PAC ID: 5698723229 Enrollment ID: I20140331002018 |
| Provider Name | Andre G Melendez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053584623 PECOS PAC ID: 0648402651 Enrollment ID: I20140404001799 |
| Provider Name | Brandy Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487935185 PECOS PAC ID: 7113159922 Enrollment ID: I20140409002207 |
| Provider Name | Elizabeth A Daseler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417383217 PECOS PAC ID: 3375776545 Enrollment ID: I20140424001053 |
| Provider Name | Elizabeth R Schiffli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194142240 PECOS PAC ID: 3173756830 Enrollment ID: I20140502001243 |
| Provider Name | Mandasmitha Sowmarpet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841588647 PECOS PAC ID: 3072746775 Enrollment ID: I20140505000760 |
| Provider Name | Scott Wolfe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437442761 PECOS PAC ID: 1456584770 Enrollment ID: I20140512000652 |
| Provider Name | Kelli A Sorg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588869416 PECOS PAC ID: 2062650757 Enrollment ID: I20140512001109 |
| Provider Name | Travis Ryan Hays |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609040112 PECOS PAC ID: 5395914253 Enrollment ID: I20140514000065 |
| Provider Name | Janel D Gagnon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285929273 PECOS PAC ID: 1658521778 Enrollment ID: I20140521000791 |
| Provider Name | Kevin K Kinduell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063538148 PECOS PAC ID: 0840391538 Enrollment ID: I20140523002027 |
| Provider Name | Laura Eckert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336559301 PECOS PAC ID: 4284857004 Enrollment ID: I20140523002120 |
| Provider Name | Lindsay Riegle |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245376110 PECOS PAC ID: 9436372984 Enrollment ID: I20140602000959 |
| Provider Name | Kayla J Leininger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568882231 PECOS PAC ID: 2466676135 Enrollment ID: I20140619001365 |
| Provider Name | Patricia D Copley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619912979 PECOS PAC ID: 5294768206 Enrollment ID: I20140623001302 |
| Provider Name | Kristin L Gerhardstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881988483 PECOS PAC ID: 7618115551 Enrollment ID: I20140624002078 |
| Provider Name | Mohammad Ali Vaziri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275827669 PECOS PAC ID: 6103042502 Enrollment ID: I20140721001203 |
| Provider Name | Brittany Tucovic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063825578 PECOS PAC ID: 2264658624 Enrollment ID: I20140722000884 |
| Provider Name | Ellen Szwed |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366604480 PECOS PAC ID: 4284868746 Enrollment ID: I20140723002144 |
| Provider Name | Jed C Tompkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710249875 PECOS PAC ID: 0143470765 Enrollment ID: I20140724000718 |
| Provider Name | Vivian L Appiarius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275806663 PECOS PAC ID: 7416119078 Enrollment ID: I20140801000114 |
| Provider Name | Andrea S Lanning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144637174 PECOS PAC ID: 9436376134 Enrollment ID: I20140804000462 |
| Provider Name | Andrea Nicole Lahrman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275956054 PECOS PAC ID: 1759508146 Enrollment ID: I20140807002611 |
| Provider Name | Augusta Uwah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205065471 PECOS PAC ID: 7618194614 Enrollment ID: I20140815000611 |
| Provider Name | Steven Tanner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114233996 PECOS PAC ID: 3779700612 Enrollment ID: I20140815002358 |
| Provider Name | Christina Francis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659542074 PECOS PAC ID: 7416128491 Enrollment ID: I20140821002256 |
| Provider Name | David W Mays |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083025316 PECOS PAC ID: 6800014564 Enrollment ID: I20140822000381 |
| Provider Name | Whitney Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598173056 PECOS PAC ID: 8628296084 Enrollment ID: I20140826001944 |
| Provider Name | Jacob R Crist |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093114852 PECOS PAC ID: 6103044516 Enrollment ID: I20140827000752 |
| Provider Name | Kari Rischling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013323922 PECOS PAC ID: 3476771585 Enrollment ID: I20140903001616 |
| Provider Name | Jeannette M Zelhart-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164830592 PECOS PAC ID: 2264651652 Enrollment ID: I20140917001297 |
| Provider Name | Benjamin J Steele |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710395736 PECOS PAC ID: 8628297793 Enrollment ID: I20140923000638 |
| Provider Name | Rakesh K Guntur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609027333 PECOS PAC ID: 6608920210 Enrollment ID: I20141003001122 |
| Provider Name | Elizabeth N Brauchla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649561655 PECOS PAC ID: 5294968368 Enrollment ID: I20141007000746 |
| Provider Name | Allison Thorpe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508268848 PECOS PAC ID: 3476773680 Enrollment ID: I20141009001398 |
| Provider Name | Christopher Adam Cagnet |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215337332 PECOS PAC ID: 0244450377 Enrollment ID: I20141013000809 |
| Provider Name | Alexia L Whitsel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790196400 PECOS PAC ID: 4880815935 Enrollment ID: I20141015000904 |
| Provider Name | Brooke Elizabeth Bohnstedt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588067300 PECOS PAC ID: 8325269913 Enrollment ID: I20141023002402 |
| Provider Name | Jamie C Broekhuizen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033312442 PECOS PAC ID: 9436291754 Enrollment ID: I20141124002133 |
| Provider Name | Lauren M Didier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558762542 PECOS PAC ID: 8820310014 Enrollment ID: I20141125000235 |
| Provider Name | Kyle L Moser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841695590 PECOS PAC ID: 1153644562 Enrollment ID: I20141216000328 |
| Provider Name | Beth Ann Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548661184 PECOS PAC ID: 9638492531 Enrollment ID: I20141230000433 |
| Provider Name | Felix K Quist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639311939 PECOS PAC ID: 5193840304 Enrollment ID: I20141230001112 |
| Provider Name | Debra A Brice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174926919 PECOS PAC ID: 9931422714 Enrollment ID: I20141231001023 |
| Provider Name | Laura K Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326456302 PECOS PAC ID: 2466775044 Enrollment ID: I20150107000808 |
| Provider Name | Keith W Lowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730581067 PECOS PAC ID: 8628392024 Enrollment ID: I20150113000359 |
| Provider Name | Taylor Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699171975 PECOS PAC ID: 7416271523 Enrollment ID: I20150121000288 |
| Provider Name | Kayla Burns |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467853523 PECOS PAC ID: 8123343183 Enrollment ID: I20150213001925 |
| Provider Name | Desiree Heim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558769687 PECOS PAC ID: 8022333905 Enrollment ID: I20150217002267 |
| Provider Name | Matthew Franz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295029965 PECOS PAC ID: 9830335769 Enrollment ID: I20150227000752 |
| Provider Name | Brianna M Serbus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174885040 PECOS PAC ID: 6800046459 Enrollment ID: I20150413001400 |
| Provider Name | Sherise Deardorff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164738662 PECOS PAC ID: 0345439691 Enrollment ID: I20150420000063 |
| Provider Name | Samer Hassna |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477889889 PECOS PAC ID: 9234326661 Enrollment ID: I20150422001104 |
| Provider Name | Angela Mcchessney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013308352 PECOS PAC ID: 8820316847 Enrollment ID: I20150422002026 |
| Provider Name | Natasha Marie Subramaniam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558751909 PECOS PAC ID: 9638497563 Enrollment ID: I20150501000157 |
| Provider Name | Sachin Logani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295997260 PECOS PAC ID: 5294054938 Enrollment ID: I20150501000597 |
| Provider Name | Jennifer A Burkhart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417343047 PECOS PAC ID: 5991024507 Enrollment ID: I20150504001040 |
| Provider Name | Garrett J Jackson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1336381631 PECOS PAC ID: 1557680006 Enrollment ID: I20150505000563 |
| Provider Name | Halie Kudumula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588058739 PECOS PAC ID: 3971823022 Enrollment ID: I20150513002152 |
| Provider Name | Alisa J Felke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598162588 PECOS PAC ID: 1850611708 Enrollment ID: I20150518001253 |
| Provider Name | Patricia E Baldwin-bodie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851372122 PECOS PAC ID: 3375864168 Enrollment ID: I20150604002365 |
| Provider Name | Lynette M Thuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265634125 PECOS PAC ID: 1355404674 Enrollment ID: I20150611001905 |
| Provider Name | Mark H Sahlol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184930604 PECOS PAC ID: 3274721428 Enrollment ID: I20150616002660 |
| Provider Name | Caitlin K Schoen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821484973 PECOS PAC ID: 2668784786 Enrollment ID: I20150702000740 |
| Provider Name | Damien G Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891929634 PECOS PAC ID: 3971749474 Enrollment ID: I20150715001752 |
| Provider Name | Carl Ratliff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740470210 PECOS PAC ID: 1557522208 Enrollment ID: I20150717000528 |
| Provider Name | Amanda J Patch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891060075 PECOS PAC ID: 6709019789 Enrollment ID: I20150721000190 |
| Provider Name | Ashley D Gacsy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528447299 PECOS PAC ID: 3577876358 Enrollment ID: I20150722005834 |
| Provider Name | Amy L Austin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134498140 PECOS PAC ID: 5193038990 Enrollment ID: I20150723006640 |
| Provider Name | Shane Trotter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407284151 PECOS PAC ID: 9133355787 Enrollment ID: I20150730010583 |
| Provider Name | Jamie F Chaffee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043648868 PECOS PAC ID: 9335375062 Enrollment ID: I20150730010799 |
| Provider Name | Katherine Mchugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366725319 PECOS PAC ID: 8224277264 Enrollment ID: I20150730011665 |
| Provider Name | Jenna Walker |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942684857 PECOS PAC ID: 3577877539 Enrollment ID: I20150804005117 |
| Provider Name | Bobbi Mehta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689050726 PECOS PAC ID: 4486968245 Enrollment ID: I20150806012116 |
| Provider Name | Grace Sneary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003295833 PECOS PAC ID: 1557675329 Enrollment ID: I20150806012630 |
| Provider Name | Chelsea R Rentschler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730563255 PECOS PAC ID: 6002120805 Enrollment ID: I20150807013814 |
| Provider Name | Angela Lynn Blotkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801122999 PECOS PAC ID: 6002120763 Enrollment ID: I20150810000094 |
| Provider Name | David T Palmer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851483135 PECOS PAC ID: 3971407644 Enrollment ID: I20150812006234 |
| Provider Name | Christina L Ondercin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053793497 PECOS PAC ID: 0547575680 Enrollment ID: I20150818005021 |
| Provider Name | Krista Lynn Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205219169 PECOS PAC ID: 3173838190 Enrollment ID: I20150819007774 |
| Provider Name | Elizabeth A Pfeiffer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124252879 PECOS PAC ID: 6305065756 Enrollment ID: I20150827000975 |
| Provider Name | Meghan Jo Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770975187 PECOS PAC ID: 3779899018 Enrollment ID: I20150901000666 |
| Provider Name | Sonja Duncan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184009995 PECOS PAC ID: 1658688510 Enrollment ID: I20150910000625 |
| Provider Name | Aaron C Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891088753 PECOS PAC ID: 2062643794 Enrollment ID: I20150914002303 |
| Provider Name | Chimi Nusbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265809321 PECOS PAC ID: 1153638762 Enrollment ID: I20150915001456 |
| Provider Name | Christy A Auld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114302056 PECOS PAC ID: 2466769617 Enrollment ID: I20150921000909 |
| Provider Name | Kayla R Cottrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073992327 PECOS PAC ID: 9638486632 Enrollment ID: I20150923000622 |
| Provider Name | Guy A Cayton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447630363 PECOS PAC ID: 6406164193 Enrollment ID: I20150929003234 |
| Provider Name | Tabitha J Bane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417339896 PECOS PAC ID: 6901114123 Enrollment ID: I20151007001618 |
| Provider Name | Stephanie K Angel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689050668 PECOS PAC ID: 8325357478 Enrollment ID: I20151013000130 |
| Provider Name | Deborah A Gill Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881075059 PECOS PAC ID: 1759690480 Enrollment ID: I20151021000334 |
| Provider Name | Janette L Holub |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265609879 PECOS PAC ID: 5991941676 Enrollment ID: I20151023001022 |
| Provider Name | Ravi Kudumula |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225250129 PECOS PAC ID: 8527106822 Enrollment ID: I20151026001049 |
| Provider Name | Blair E Fifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790169233 PECOS PAC ID: 2769791110 Enrollment ID: I20151026001193 |
| Provider Name | Justin Darvish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346626892 PECOS PAC ID: 5395054787 Enrollment ID: I20151026002669 |
| Provider Name | Drew A Hosier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710392709 PECOS PAC ID: 9436376761 Enrollment ID: I20151027000819 |
| Provider Name | Swathi An Rao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871818419 PECOS PAC ID: 9133438435 Enrollment ID: I20151028001271 |
| Provider Name | Dara D Spearman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1588783419 PECOS PAC ID: 4082781406 Enrollment ID: I20151029002700 |
| Provider Name | Brittni Nicole Roy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134599228 PECOS PAC ID: 6305156480 Enrollment ID: I20151102000446 |
| Provider Name | Seshadri Jagannathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104114784 PECOS PAC ID: 1254641269 Enrollment ID: I20151103002560 |
| Provider Name | Jeffrey B Boord |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932296068 PECOS PAC ID: 4183674039 Enrollment ID: I20151104000037 |
| Provider Name | Jeffrey E Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780627216 PECOS PAC ID: 8921134073 Enrollment ID: I20151105001259 |
| Provider Name | Daniel E Maddela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295892206 PECOS PAC ID: 2466352760 Enrollment ID: I20151111000941 |
| Provider Name | Jason Bailey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1265694541 PECOS PAC ID: 6305071663 Enrollment ID: I20151112000101 |
| Provider Name | Melanie Zolman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073996039 PECOS PAC ID: 0941510473 Enrollment ID: I20151112000873 |
| Provider Name | Mary Wagmeister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568422798 PECOS PAC ID: 0648306498 Enrollment ID: I20151113000911 |
| Provider Name | Trever Vanderhorst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144635145 PECOS PAC ID: 9537389275 Enrollment ID: I20151113002185 |
| Provider Name | Deanna L Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144615535 PECOS PAC ID: 2365742673 Enrollment ID: I20151118000739 |
| Provider Name | Elizabeth Schowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295967768 PECOS PAC ID: 0244530442 Enrollment ID: I20151119001218 |
| Provider Name | Samantha J Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407227911 PECOS PAC ID: 2062712284 Enrollment ID: I20151119002087 |
| Provider Name | Michelle Saylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457722415 PECOS PAC ID: 5395045314 Enrollment ID: I20151124000936 |
| Provider Name | Larson Langschwager |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073515128 PECOS PAC ID: 7517981954 Enrollment ID: I20151203003095 |
| Provider Name | Megan R Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952778375 PECOS PAC ID: 6305147851 Enrollment ID: I20151229000695 |
| Provider Name | Justin Ritonya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083054837 PECOS PAC ID: 1052637238 Enrollment ID: I20160107001650 |
| Provider Name | Brad E Warner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790120731 PECOS PAC ID: 8426374646 Enrollment ID: I20160122002179 |
| Provider Name | Jami Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720458664 PECOS PAC ID: 4284937152 Enrollment ID: I20160127000734 |
| Provider Name | Kathleen E Okeefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770957680 PECOS PAC ID: 0547566929 Enrollment ID: I20160310001614 |
| Provider Name | Adaku Bernice Nnodi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306009048 PECOS PAC ID: 7810169273 Enrollment ID: I20160310001974 |
| Provider Name | Rachel M Scholten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780053975 PECOS PAC ID: 3870890254 Enrollment ID: I20160330001119 |
| Provider Name | Emily E Wertz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538457718 PECOS PAC ID: 9830322593 Enrollment ID: I20160404000190 |
| Provider Name | Barbara Fay Willis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245395029 PECOS PAC ID: 9537153432 Enrollment ID: I20160413002020 |
| Provider Name | Jena N Chopson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679948160 PECOS PAC ID: 7113225855 Enrollment ID: I20160414000182 |
| Provider Name | Reshi C Kanuru |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598080236 PECOS PAC ID: 0143461889 Enrollment ID: I20160420000637 |
| Provider Name | Andrea Boley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083070346 PECOS PAC ID: 0941509194 Enrollment ID: I20160422000677 |
| Provider Name | Tracy M Hitzeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740695733 PECOS PAC ID: 6800014457 Enrollment ID: I20160502002499 |
| Provider Name | Hayley Hearn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255798526 PECOS PAC ID: 3678872165 Enrollment ID: I20160505000055 |
| Provider Name | Amanda Erin Schuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598139032 PECOS PAC ID: 6305135260 Enrollment ID: I20160516001815 |
| Provider Name | Frank Adjei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104002765 PECOS PAC ID: 2668506239 Enrollment ID: I20160519000248 |
| Provider Name | Jacob M Richardville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174865091 PECOS PAC ID: 3072746858 Enrollment ID: I20160523000090 |
| Provider Name | Bernole Batenga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528490372 PECOS PAC ID: 0840423869 Enrollment ID: I20160527000315 |
| Provider Name | Shelby L Hanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417319328 PECOS PAC ID: 7214227578 Enrollment ID: I20160527001959 |
| Provider Name | Justin R Grogg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942657226 PECOS PAC ID: 5294025425 Enrollment ID: I20160531002600 |
| Provider Name | Melissa Ann Lucio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285098400 PECOS PAC ID: 3870883903 Enrollment ID: I20160602000620 |
| Provider Name | Douglas Satcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821126673 PECOS PAC ID: 2264591619 Enrollment ID: I20160602002643 |
| Provider Name | Matthew A Byers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124314398 PECOS PAC ID: 5294025185 Enrollment ID: I20160606001204 |
| Provider Name | Emily Deneve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700984002 PECOS PAC ID: 6608166111 Enrollment ID: I20160610001466 |
| Provider Name | Kyle Littell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164782348 PECOS PAC ID: 4688815764 Enrollment ID: I20160613002398 |
| Provider Name | Angela Smith Grab |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134476880 PECOS PAC ID: 6103116173 Enrollment ID: I20160614000200 |
| Provider Name | Beau M Links |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619315520 PECOS PAC ID: 8921222381 Enrollment ID: I20160617001710 |
| Provider Name | Anwer K Habib |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659539237 PECOS PAC ID: 1759672710 Enrollment ID: I20160622000745 |
| Provider Name | Julie Ferland |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033545306 PECOS PAC ID: 1355657891 Enrollment ID: I20160707001225 |
| Provider Name | Kashif Mufti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821290750 PECOS PAC ID: 6305990771 Enrollment ID: I20160708000034 |
| Provider Name | Usman K Qadeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467728378 PECOS PAC ID: 7214229491 Enrollment ID: I20160708000296 |
| Provider Name | Alexis C Fluck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821459371 PECOS PAC ID: 9931491776 Enrollment ID: I20160714001340 |
| Provider Name | Kara Yackee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013307131 PECOS PAC ID: 5890087563 Enrollment ID: I20160718000786 |
| Provider Name | Lisa Jean Piropato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558757161 PECOS PAC ID: 2062705593 Enrollment ID: I20160721001263 |
| Provider Name | Marcus A Schwab |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245688522 PECOS PAC ID: 6608169131 Enrollment ID: I20160721001279 |
| Provider Name | John E Marx |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720491731 PECOS PAC ID: 2365669710 Enrollment ID: I20160728001914 |
| Provider Name | Evan Allen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821101742 PECOS PAC ID: 8426945643 Enrollment ID: I20160728002098 |
| Provider Name | Melanie S Kocevar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306295084 PECOS PAC ID: 9537453006 Enrollment ID: I20160805000571 |
| Provider Name | Crystal Maggard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356792972 PECOS PAC ID: 0547554727 Enrollment ID: I20160810002699 |
| Provider Name | Deborah Abaitey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134555634 PECOS PAC ID: 9739319419 Enrollment ID: I20160815001444 |
| Provider Name | Amy K Sadler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033367123 PECOS PAC ID: 2264601806 Enrollment ID: I20160823002119 |
| Provider Name | Rositsa I Byers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245494574 PECOS PAC ID: 3173690252 Enrollment ID: I20160824000073 |
| Provider Name | Leah M Habib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174782692 PECOS PAC ID: 7719134238 Enrollment ID: I20160824001354 |
| Provider Name | Melinda Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093168718 PECOS PAC ID: 9638464019 Enrollment ID: I20160824001453 |
| Provider Name | Alaina C Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144673062 PECOS PAC ID: 7113213927 Enrollment ID: I20160902001343 |
| Provider Name | Jennifer C Vanzant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427400886 PECOS PAC ID: 9133415995 Enrollment ID: I20160906000954 |
| Provider Name | Takunda Smile Mugwisi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356600126 PECOS PAC ID: 4981990462 Enrollment ID: I20160909000246 |
| Provider Name | Nicole Poor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033561139 PECOS PAC ID: 3971899345 Enrollment ID: I20160912000424 |
| Provider Name | Steven W Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275608929 PECOS PAC ID: 4183880891 Enrollment ID: I20160912002502 |
| Provider Name | Jonathan L Larsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992748339 PECOS PAC ID: 3375521065 Enrollment ID: I20160914002336 |
| Provider Name | Joshua Rookus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861785396 PECOS PAC ID: 3072741511 Enrollment ID: I20160927001304 |
| Provider Name | Lyndi A Bienz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194270777 PECOS PAC ID: 0648567065 Enrollment ID: I20160928000779 |
| Provider Name | April Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275980690 PECOS PAC ID: 2668769837 Enrollment ID: I20161003001550 |
| Provider Name | Dona M Uncheselu |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1083820286 PECOS PAC ID: 3870668726 Enrollment ID: I20161014000900 |
| Provider Name | Chung Ning Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619357779 PECOS PAC ID: 1052623394 Enrollment ID: I20161017000359 |
| Provider Name | Brecken Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013461508 PECOS PAC ID: 2466730775 Enrollment ID: I20161020000943 |
| Provider Name | Kirsten R Bracht |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023565587 PECOS PAC ID: 3577841899 Enrollment ID: I20161020001650 |
| Provider Name | Sepideh Farzin Moghadam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508020017 PECOS PAC ID: 9335304583 Enrollment ID: I20161103000116 |
| Provider Name | Abby Emerick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356897383 PECOS PAC ID: 0244518686 Enrollment ID: I20161104002098 |
| Provider Name | Ahmer K Ghori |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881914356 PECOS PAC ID: 2163689498 Enrollment ID: I20161107000053 |
| Provider Name | Nazrul Islam Chowdhury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124345830 PECOS PAC ID: 8628204450 Enrollment ID: I20161115001370 |
| Provider Name | Daria B Lee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235199613 PECOS PAC ID: 5092731893 Enrollment ID: I20161115001837 |
| Provider Name | Gretchen Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295985828 PECOS PAC ID: 3971882994 Enrollment ID: I20161116000142 |
| Provider Name | Cordell Preciado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477599199 PECOS PAC ID: 2567466956 Enrollment ID: I20161122001712 |
| Provider Name | Michael J Turcovsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114354974 PECOS PAC ID: 5496034050 Enrollment ID: I20161122002002 |
| Provider Name | Brian D Hutner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417264607 PECOS PAC ID: 3971882424 Enrollment ID: I20161128001413 |
| Provider Name | Colleen Conwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588016174 PECOS PAC ID: 6204115785 Enrollment ID: I20161128002410 |
| Provider Name | Susan King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982080669 PECOS PAC ID: 0446569016 Enrollment ID: I20161212000505 |
| Provider Name | Kristine Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740739184 PECOS PAC ID: 2769762657 Enrollment ID: I20161212001071 |
| Provider Name | Jason Row |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558399097 PECOS PAC ID: 7517914716 Enrollment ID: I20161212001636 |
| Provider Name | Tara N Sipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164813481 PECOS PAC ID: 8527348200 Enrollment ID: I20161215001483 |
| Provider Name | Amanda Leisure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154872653 PECOS PAC ID: 1456632751 Enrollment ID: I20161228001390 |
| Provider Name | Nicole Blauvelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528516226 PECOS PAC ID: 0446531651 Enrollment ID: I20161230001272 |
| Provider Name | Alison Hopper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356591119 PECOS PAC ID: 0244399665 Enrollment ID: I20170116000515 |
| Provider Name | Kristin Pletcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942597141 PECOS PAC ID: 6204005721 Enrollment ID: I20170131002595 |
| Provider Name | Susan Feltner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245789668 PECOS PAC ID: 1658654306 Enrollment ID: I20170203001553 |
| Provider Name | Sasha Kay Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790220101 PECOS PAC ID: 3678856929 Enrollment ID: I20170210000835 |
| Provider Name | Macy Sarno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851334510 PECOS PAC ID: 9638124209 Enrollment ID: I20170210001919 |
| Provider Name | Thomas Williman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417369091 PECOS PAC ID: 2567745656 Enrollment ID: I20170215003015 |
| Provider Name | Carole S Buchs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962941054 PECOS PAC ID: 4688958721 Enrollment ID: I20170308002806 |
| Provider Name | Stephen R Burton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497735740 PECOS PAC ID: 0547223513 Enrollment ID: I20170315000354 |
| Provider Name | Jessica A Wiedemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093256950 PECOS PAC ID: 5890070643 Enrollment ID: I20170320000347 |
| Provider Name | Alyssa L Detommaso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801339791 PECOS PAC ID: 3779868476 Enrollment ID: I20170321000150 |
| Provider Name | Nicholas Gould |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053725655 PECOS PAC ID: 8820314032 Enrollment ID: I20170321000215 |
| Provider Name | Jaspreet S Jawanda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477967149 PECOS PAC ID: 3577865005 Enrollment ID: I20170321000263 |
| Provider Name | Breck Hunnicutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114461894 PECOS PAC ID: 8820373939 Enrollment ID: I20170331001090 |
| Provider Name | Cara M Heidenreich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679018121 PECOS PAC ID: 1557646676 Enrollment ID: I20170331001136 |
| Provider Name | Lynda Otto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982614343 PECOS PAC ID: 7214915040 Enrollment ID: I20170403001257 |
| Provider Name | Nicholas A Seman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467832527 PECOS PAC ID: 8022320456 Enrollment ID: I20170411000789 |
| Provider Name | Arpana Neupane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780993568 PECOS PAC ID: 8426285362 Enrollment ID: I20170417000889 |
| Provider Name | Aman Gebre-egziabher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568754091 PECOS PAC ID: 1850535527 Enrollment ID: I20170425000192 |
| Provider Name | Kaitlyn Brita |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336682723 PECOS PAC ID: 1153608385 Enrollment ID: I20170426000287 |
| Provider Name | Mychelle A Owen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861486680 PECOS PAC ID: 3971532169 Enrollment ID: I20170510000350 |
| Provider Name | Karmapath Aryal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295142404 PECOS PAC ID: 5991003071 Enrollment ID: I20170517001761 |
| Provider Name | Stacy L Roark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417495078 PECOS PAC ID: 6002183209 Enrollment ID: I20170518000590 |
| Provider Name | Corey M Blum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558789685 PECOS PAC ID: 4486971058 Enrollment ID: I20170601001182 |
| Provider Name | Rebecca A Cronin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316479371 PECOS PAC ID: 4587931985 Enrollment ID: I20170606000452 |
| Provider Name | Eniola Fawibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639617830 PECOS PAC ID: 7517234909 Enrollment ID: I20170607000519 |
| Provider Name | Tamara L Vanbaalen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144322777 PECOS PAC ID: 6507134905 Enrollment ID: I20170607001371 |
| Provider Name | Daniel M Ostlund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063839231 PECOS PAC ID: 9830315001 Enrollment ID: I20170607001596 |
| Provider Name | Jason Charles Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942649868 PECOS PAC ID: 0648412890 Enrollment ID: I20170614000951 |
| Provider Name | Christina Rice |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780112755 PECOS PAC ID: 6901174044 Enrollment ID: I20170614002105 |
| Provider Name | Brian Matthew Rosman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356602585 PECOS PAC ID: 9830328186 Enrollment ID: I20170619001409 |
| Provider Name | Christopher Neil Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427345982 PECOS PAC ID: 9032423728 Enrollment ID: I20170622001080 |
| Provider Name | Joy Darlene Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558687178 PECOS PAC ID: 1254557879 Enrollment ID: I20170626001473 |
| Provider Name | Landon M Harrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407196611 PECOS PAC ID: 6305115882 Enrollment ID: I20170627003069 |
| Provider Name | Gianna P Casini |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1194083121 PECOS PAC ID: 8325285422 Enrollment ID: I20170630002417 |
| Provider Name | Andrew Robert Olson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831466648 PECOS PAC ID: 2961640792 Enrollment ID: I20170713001822 |
| Provider Name | Emily M Bushey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609281682 PECOS PAC ID: 3779703418 Enrollment ID: I20170713001850 |
| Provider Name | Tracy M Hamrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689080798 PECOS PAC ID: 1153691654 Enrollment ID: I20170717000744 |
| Provider Name | Rebecca Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326577354 PECOS PAC ID: 5597035758 Enrollment ID: I20170720000752 |
| Provider Name | Megan M Lauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578008553 PECOS PAC ID: 2961772801 Enrollment ID: I20170725003372 |
| Provider Name | Emma Litchfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972037893 PECOS PAC ID: 1951672401 Enrollment ID: I20170802002140 |
| Provider Name | Stephanie R Falatko |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225321664 PECOS PAC ID: 2860783966 Enrollment ID: I20170802002291 |
| Provider Name | John Falatko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093001240 PECOS PAC ID: 6709017098 Enrollment ID: I20170803001955 |
| Provider Name | Jonathan L Dettmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972026318 PECOS PAC ID: 5193096527 Enrollment ID: I20170803002218 |
| Provider Name | Erika J Vanengen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396933842 PECOS PAC ID: 6204081573 Enrollment ID: I20170808003181 |
| Provider Name | Brittany N Ward |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225370109 PECOS PAC ID: 7517100027 Enrollment ID: I20170810000161 |
| Provider Name | Rebecca Elizabeth Minser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790857423 PECOS PAC ID: 1658683917 Enrollment ID: I20170816000227 |
| Provider Name | Keri R Colvin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356862569 PECOS PAC ID: 8224300363 Enrollment ID: I20170823004259 |
| Provider Name | David K Bunde |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932191913 PECOS PAC ID: 4880738368 Enrollment ID: I20170825001408 |
| Provider Name | Kayleigh Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801325584 PECOS PAC ID: 7810260650 Enrollment ID: I20170830001781 |
| Provider Name | Douglas Cifuentes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689677544 PECOS PAC ID: 8224059969 Enrollment ID: I20170830001924 |
| Provider Name | Sherri L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831628254 PECOS PAC ID: 0547533234 Enrollment ID: I20170831000233 |
| Provider Name | Brittany Np Brannan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225558414 PECOS PAC ID: 7113290859 Enrollment ID: I20170831002336 |
| Provider Name | Alyssa J Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649707068 PECOS PAC ID: 7810260353 Enrollment ID: I20170906001319 |
| Provider Name | Lee W Plamann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639509284 PECOS PAC ID: 4587892187 Enrollment ID: I20170907000617 |
| Provider Name | Zhentao Zhang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558652826 PECOS PAC ID: 3971819798 Enrollment ID: I20170912000221 |
| Provider Name | Matthew L Pfister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396022489 PECOS PAC ID: 7911293816 Enrollment ID: I20170913002452 |
| Provider Name | Emily R Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801318639 PECOS PAC ID: 1557634532 Enrollment ID: I20170913003677 |
| Provider Name | Victoria E Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306372560 PECOS PAC ID: 1557635521 Enrollment ID: I20170914003977 |
| Provider Name | Katrina Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740719244 PECOS PAC ID: 7911271770 Enrollment ID: I20170919000587 |
| Provider Name | Chelsea M Krouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588191332 PECOS PAC ID: 3678847118 Enrollment ID: I20170921001126 |
| Provider Name | Debra E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851828933 PECOS PAC ID: 7113291667 Enrollment ID: I20170921001575 |
| Provider Name | Lawrence M Kennedy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1235255332 PECOS PAC ID: 3678516812 Enrollment ID: I20170922002285 |
| Provider Name | Patrick B Gregory |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447245964 PECOS PAC ID: 1456345149 Enrollment ID: I20170929002064 |
| Provider Name | Vimal Jayswal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124250915 PECOS PAC ID: 6204059918 Enrollment ID: I20171017000315 |
| Provider Name | Inesa Makevit-rohrbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447776349 PECOS PAC ID: 8426324575 Enrollment ID: I20171018000901 |
| Provider Name | Kacey J Fuelling |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346761228 PECOS PAC ID: 1153697180 Enrollment ID: I20171019000688 |
| Provider Name | Amanda Diane Sytsma |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962913137 PECOS PAC ID: 3173899960 Enrollment ID: I20171023002192 |
| Provider Name | Aleisha D Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457880627 PECOS PAC ID: 5597031385 Enrollment ID: I20171023002390 |
| Provider Name | Amin H Jiminian Wilmot |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710268412 PECOS PAC ID: 5799931788 Enrollment ID: I20171023002666 |
| Provider Name | Christopher M Sloan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245644665 PECOS PAC ID: 7214154988 Enrollment ID: I20171024000494 |
| Provider Name | Justin Mcgee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568842573 PECOS PAC ID: 8022320951 Enrollment ID: I20171030002970 |
| Provider Name | Jonathan W Pino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124356613 PECOS PAC ID: 8628112992 Enrollment ID: I20171107002912 |
| Provider Name | Nikki S Breen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700306792 PECOS PAC ID: 3476819202 Enrollment ID: I20171113000561 |
| Provider Name | Amanda L Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598292427 PECOS PAC ID: 4981960614 Enrollment ID: I20171113000773 |
| Provider Name | Sean Collins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275054504 PECOS PAC ID: 2961768692 Enrollment ID: I20171113000842 |
| Provider Name | Shelly M Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225548233 PECOS PAC ID: 3274899950 Enrollment ID: I20171113003459 |
| Provider Name | Nathaniel Colglazier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215448568 PECOS PAC ID: 4688930373 Enrollment ID: I20171114000060 |
| Provider Name | Nicole B Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346614138 PECOS PAC ID: 1658637343 Enrollment ID: I20171114000202 |
| Provider Name | Lisa M. Fedderke |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134530967 PECOS PAC ID: 7012132418 Enrollment ID: I20171114000308 |
| Provider Name | Jared Toupin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609258011 PECOS PAC ID: 4789982034 Enrollment ID: I20171114001915 |
| Provider Name | Lauren E Spatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639694250 PECOS PAC ID: 0345507307 Enrollment ID: I20171129000742 |
| Provider Name | Peter J Edgar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174034425 PECOS PAC ID: 8123385978 Enrollment ID: I20171201002978 |
| Provider Name | Jasvinder Chawla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952372948 PECOS PAC ID: 1355370578 Enrollment ID: I20171204001585 |
| Provider Name | Amanda Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780093625 PECOS PAC ID: 8628336146 Enrollment ID: I20171211000902 |
| Provider Name | Chantell M Spohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275063380 PECOS PAC ID: 1052679388 Enrollment ID: I20171214002299 |
| Provider Name | Christine Bruno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982770707 PECOS PAC ID: 4688612120 Enrollment ID: I20171214002580 |
| Provider Name | Hope Koontz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366952269 PECOS PAC ID: 0547528804 Enrollment ID: I20171215000401 |
| Provider Name | Salem Vilayet |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487069779 PECOS PAC ID: 4284990748 Enrollment ID: I20171218001685 |
| Provider Name | Amy Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457763252 PECOS PAC ID: 7113249509 Enrollment ID: I20171219001256 |
| Provider Name | Sonya J Lagassie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043750771 PECOS PAC ID: 3375801392 Enrollment ID: I20171221001228 |
| Provider Name | Jehangir Ansari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295034064 PECOS PAC ID: 3779711148 Enrollment ID: I20171226000954 |
| Provider Name | Michael R Lowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124539481 PECOS PAC ID: 1052679974 Enrollment ID: I20171226002083 |
| Provider Name | Anna Keske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245741594 PECOS PAC ID: 5597023325 Enrollment ID: I20171227001072 |
| Provider Name | Joshua Ryan Fairbanks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295257699 PECOS PAC ID: 6901164516 Enrollment ID: I20180102002064 |
| Provider Name | Brian Matthew Keske |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932614500 PECOS PAC ID: 2567721186 Enrollment ID: I20180104001880 |
| Provider Name | Jennay Neeley Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548770290 PECOS PAC ID: 0042579617 Enrollment ID: I20180108000468 |
| Provider Name | Megan C Lemon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245687284 PECOS PAC ID: 1557652344 Enrollment ID: I20180109000516 |
| Provider Name | Melissa S Rice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003088139 PECOS PAC ID: 0648437988 Enrollment ID: I20180109001467 |
| Provider Name | Curtis Lake |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750892675 PECOS PAC ID: 2860751211 Enrollment ID: I20180111000254 |
| Provider Name | Mckenna Gottfried |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003328592 PECOS PAC ID: 4688933609 Enrollment ID: I20180122000812 |
| Provider Name | Guangbin Xia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811105364 PECOS PAC ID: 3870786247 Enrollment ID: I20180123002450 |
| Provider Name | Bridget Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356854749 PECOS PAC ID: 5597025148 Enrollment ID: I20180131000266 |
| Provider Name | Jessica L Clifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326553066 PECOS PAC ID: 1850651407 Enrollment ID: I20180131000344 |
| Provider Name | Shivu Kaushik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871709295 PECOS PAC ID: 9739371352 Enrollment ID: I20180131001994 |
| Provider Name | Lakshmi Yalamanchali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720195985 PECOS PAC ID: 5890055974 Enrollment ID: I20180209001850 |
| Provider Name | Michael O Arisa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235360058 PECOS PAC ID: 8325280605 Enrollment ID: I20180212000019 |
| Provider Name | Rachel Elaine Proctor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578930525 PECOS PAC ID: 2062729288 Enrollment ID: I20180216001780 |
| Provider Name | James P Fuhrmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174038202 PECOS PAC ID: 5193086916 Enrollment ID: I20180219000796 |
| Provider Name | Nicole A Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164936969 PECOS PAC ID: 6507127255 Enrollment ID: I20180221001123 |
| Provider Name | Yaser Fathi Kawar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811289911 PECOS PAC ID: 0749412591 Enrollment ID: I20180221001130 |
| Provider Name | Gregory S Beauregard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982698676 PECOS PAC ID: 9133168248 Enrollment ID: I20180221001605 |
| Provider Name | Doris C Okoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396245411 PECOS PAC ID: 7911268685 Enrollment ID: I20180221002299 |
| Provider Name | Stefani M Fillers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215442181 PECOS PAC ID: 7719248749 Enrollment ID: I20180307001753 |
| Provider Name | Jessica A Harner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629583505 PECOS PAC ID: 5496016479 Enrollment ID: I20180308001126 |
| Provider Name | Sabrina N Campbell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801023510 PECOS PAC ID: 0840426383 Enrollment ID: I20180320001439 |
| Provider Name | Harle Lauren Vogel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396770020 PECOS PAC ID: 0547256554 Enrollment ID: I20180320001757 |
| Provider Name | Delaney Baumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851891667 PECOS PAC ID: 5294097747 Enrollment ID: I20180320003172 |
| Provider Name | Eric M Puster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174940340 PECOS PAC ID: 8426310871 Enrollment ID: I20180322001290 |
| Provider Name | Laura B Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265947584 PECOS PAC ID: 2365704541 Enrollment ID: I20180328001479 |
| Provider Name | Amanda M Hathaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760998843 PECOS PAC ID: 5799047973 Enrollment ID: I20180328001642 |
| Provider Name | Megan E Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053827469 PECOS PAC ID: 3274896840 Enrollment ID: I20180412000867 |
| Provider Name | Brice Hastings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275041782 PECOS PAC ID: 7214290816 Enrollment ID: I20180412002002 |
| Provider Name | Debra Jeffers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831697093 PECOS PAC ID: 6901169549 Enrollment ID: I20180413001084 |
| Provider Name | Christopher Carlin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649293838 PECOS PAC ID: 9830160076 Enrollment ID: I20180425002480 |
| Provider Name | Stacie Stauffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477055804 PECOS PAC ID: 3274897111 Enrollment ID: I20180501002123 |
| Provider Name | Laura M. Bolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558879379 PECOS PAC ID: 5193089951 Enrollment ID: I20180502000533 |
| Provider Name | Dasmyn L. Dismuke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811485956 PECOS PAC ID: 7517221708 Enrollment ID: I20180516002264 |
| Provider Name | Deborah L. Gever |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124039953 PECOS PAC ID: 0941515746 Enrollment ID: I20180521002894 |
| Provider Name | Timothy Kowaleski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083093272 PECOS PAC ID: 2062724685 Enrollment ID: I20180523001656 |
| Provider Name | Michael J. Toole |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396008918 PECOS PAC ID: 9032411996 Enrollment ID: I20180524000444 |
| Provider Name | Mitchell Brian Oetken |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750721031 PECOS PAC ID: 5991097859 Enrollment ID: I20180601000205 |
| Provider Name | Lauren E Boles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235633876 PECOS PAC ID: 6507111705 Enrollment ID: I20180612000489 |
| Provider Name | Sarah Kintz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205338126 PECOS PAC ID: 6204181407 Enrollment ID: I20180612000654 |
| Provider Name | Erin Nicole Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346731908 PECOS PAC ID: 7214282383 Enrollment ID: I20180613000651 |
| Provider Name | John Heemstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356724892 PECOS PAC ID: 0446540512 Enrollment ID: I20180614001058 |
| Provider Name | Diana Barbu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962665745 PECOS PAC ID: 7214185594 Enrollment ID: I20180615000217 |
| Provider Name | Ashley Elizabeth Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720491947 PECOS PAC ID: 3072868967 Enrollment ID: I20180618001612 |
| Provider Name | Amber Hetrick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508270810 PECOS PAC ID: 8628293099 Enrollment ID: I20180626001389 |
| Provider Name | David A Lankford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194081067 PECOS PAC ID: 0446551147 Enrollment ID: I20180626003617 |
| Provider Name | Chelsey Caldwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972983641 PECOS PAC ID: 3678865060 Enrollment ID: I20180628000313 |
| Provider Name | Mithun Shenoi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1336482496 PECOS PAC ID: 4284980376 Enrollment ID: I20180703000484 |
| Provider Name | Douglas Weissman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801800289 PECOS PAC ID: 6709989437 Enrollment ID: I20180705000780 |
| Provider Name | Christina Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316352008 PECOS PAC ID: 2264788702 Enrollment ID: I20180713000052 |
| Provider Name | Amy Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881088003 PECOS PAC ID: 1153678321 Enrollment ID: I20180718003374 |
| Provider Name | Tabinda Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427433952 PECOS PAC ID: 7719285154 Enrollment ID: I20180720000998 |
| Provider Name | Michael B Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033599113 PECOS PAC ID: 9234416033 Enrollment ID: I20180723000060 |
| Provider Name | Benjamin Bova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932581030 PECOS PAC ID: 0345556767 Enrollment ID: I20180723000709 |
| Provider Name | Kristian R Henriquez Mirandona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245671585 PECOS PAC ID: 1850681347 Enrollment ID: I20180806001618 |
| Provider Name | Margiori C Rodriguez Oquendo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942687587 PECOS PAC ID: 3274822564 Enrollment ID: I20180808002269 |
| Provider Name | Mohamed A Sultan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831320571 PECOS PAC ID: 5092021832 Enrollment ID: I20180820000052 |
| Provider Name | Timothy D Howard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366921801 PECOS PAC ID: 6103175492 Enrollment ID: I20180820002666 |
| Provider Name | Anayet Thakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467453936 PECOS PAC ID: 6103983101 Enrollment ID: I20180821000111 |
| Provider Name | Vinita Prasad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619377280 PECOS PAC ID: 8729209507 Enrollment ID: I20180821002821 |
| Provider Name | Joshua T Korte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679816128 PECOS PAC ID: 9638311145 Enrollment ID: I20180828003721 |
| Provider Name | Aaron Ochoa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063851913 PECOS PAC ID: 7113222027 Enrollment ID: I20180828004288 |
| Provider Name | Melanie Clark |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245593854 PECOS PAC ID: 7012213069 Enrollment ID: I20180829000034 |
| Provider Name | Sasha Shumpert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467959692 PECOS PAC ID: 2668722414 Enrollment ID: I20180829001574 |
| Provider Name | Jessica Tullis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568951887 PECOS PAC ID: 5395095145 Enrollment ID: I20180829001579 |
| Provider Name | Ram Kishun Verma |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1215377296 PECOS PAC ID: 4284928573 Enrollment ID: I20180829001679 |
| Provider Name | Stephen Frantz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073855904 PECOS PAC ID: 9638301682 Enrollment ID: I20180829001758 |
| Provider Name | Lauren Tom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033600531 PECOS PAC ID: 8527318377 Enrollment ID: I20180829001768 |
| Provider Name | Padmavathi Tummala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992125116 PECOS PAC ID: 3072863828 Enrollment ID: I20180829001785 |
| Provider Name | Taylor Pinney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629572094 PECOS PAC ID: 4789934555 Enrollment ID: I20180829002458 |
| Provider Name | Kimberley L Meinema |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215355706 PECOS PAC ID: 8527284215 Enrollment ID: I20180829002597 |
| Provider Name | Amabel Abad Lapuebla |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871840934 PECOS PAC ID: 4981910858 Enrollment ID: I20180829002721 |
| Provider Name | Kali Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083105647 PECOS PAC ID: 4082964853 Enrollment ID: I20180829002767 |
| Provider Name | Heather Willison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376030304 PECOS PAC ID: 8426308206 Enrollment ID: I20180829002884 |
| Provider Name | Megan E Colson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467944892 PECOS PAC ID: 1759631534 Enrollment ID: I20180829003039 |
| Provider Name | Gregory Clifford Pond |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033541263 PECOS PAC ID: 9638473945 Enrollment ID: I20180829003819 |
| Provider Name | Sarah Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851880777 PECOS PAC ID: 7113277856 Enrollment ID: I20180830001193 |
| Provider Name | Kara Stackhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043703903 PECOS PAC ID: 7618227125 Enrollment ID: I20180904003033 |
| Provider Name | Kimberly Albright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871091686 PECOS PAC ID: 9739439191 Enrollment ID: I20180905002160 |
| Provider Name | Jason D Frampton |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1639580376 PECOS PAC ID: 7618227083 Enrollment ID: I20180905002328 |
| Provider Name | Braion Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164917464 PECOS PAC ID: 0941550198 Enrollment ID: I20180910000361 |
| Provider Name | Candice Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699269639 PECOS PAC ID: 2668722836 Enrollment ID: I20180910000796 |
| Provider Name | Nyi Naing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487030664 PECOS PAC ID: 3375893548 Enrollment ID: I20180910000879 |
| Provider Name | Carrie Ann Svitak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881185528 PECOS PAC ID: 5193075174 Enrollment ID: I20180912003370 |
| Provider Name | Sarah A Culler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295225738 PECOS PAC ID: 9234480112 Enrollment ID: I20180918000282 |
| Provider Name | Erin Hendricks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386063345 PECOS PAC ID: 9830312255 Enrollment ID: I20180918000574 |
| Provider Name | Ryan Joseph Bohle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891052064 PECOS PAC ID: 2264748946 Enrollment ID: I20180920000938 |
| Provider Name | Emeri C Kinnamon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396230140 PECOS PAC ID: 1456602788 Enrollment ID: I20180925002716 |
| Provider Name | Kelly Stewart Hutner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053628248 PECOS PAC ID: 2567713431 Enrollment ID: I20180927001701 |
| Provider Name | Delaney Lynn Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699256214 PECOS PAC ID: 4486905684 Enrollment ID: I20180927001861 |
| Provider Name | Daniel K Chianese |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831405380 PECOS PAC ID: 2466640057 Enrollment ID: I20181001002331 |
| Provider Name | Geoffrey Howard Gordon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336431139 PECOS PAC ID: 3678798220 Enrollment ID: I20181002000401 |
| Provider Name | Jessica Shaye Proxmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336676337 PECOS PAC ID: 5991075970 Enrollment ID: I20181008002393 |
| Provider Name | Valerie J Rumple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174706691 PECOS PAC ID: 7012260185 Enrollment ID: I20181019002049 |
| Provider Name | Courtney L Washington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003121104 PECOS PAC ID: 4284987355 Enrollment ID: I20181019002104 |
| Provider Name | Wheeler John Dale |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780707174 PECOS PAC ID: 7315995917 Enrollment ID: I20181031001148 |
| Provider Name | Andrew J Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174052948 PECOS PAC ID: 8224307400 Enrollment ID: I20181101000404 |
| Provider Name | David Stephen Heppner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336189695 PECOS PAC ID: 4486892767 Enrollment ID: I20181101000855 |
| Provider Name | Kristin J Abbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952883084 PECOS PAC ID: 7911250329 Enrollment ID: I20181101002589 |
| Provider Name | Edgardo David Rivera-rivera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710151303 PECOS PAC ID: 1759694615 Enrollment ID: I20181102001310 |
| Provider Name | Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20181107002889 |
| Provider Name | Matthew Paparo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508831975 PECOS PAC ID: 0143245530 Enrollment ID: I20181108002081 |
| Provider Name | George F Barker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245221696 PECOS PAC ID: 7719877232 Enrollment ID: I20181121002726 |
| Provider Name | Brittony C Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710462270 PECOS PAC ID: 4688928070 Enrollment ID: I20181121002849 |
| Provider Name | Ashley Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912486689 PECOS PAC ID: 2961746870 Enrollment ID: I20181204002183 |
| Provider Name | Christina Tatara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760912026 PECOS PAC ID: 4688945363 Enrollment ID: I20181204003437 |
| Provider Name | Storey Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922587500 PECOS PAC ID: 0345584199 Enrollment ID: I20181204003923 |
| Provider Name | Melodie A Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053725085 PECOS PAC ID: 3274877030 Enrollment ID: I20181205000290 |
| Provider Name | Kayla J Wolf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275029498 PECOS PAC ID: 1658615463 Enrollment ID: I20181205002451 |
| Provider Name | Jorge Capella-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093866808 PECOS PAC ID: 4688932635 Enrollment ID: I20181206000053 |
| Provider Name | Meredith Roth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205305950 PECOS PAC ID: 5193069771 Enrollment ID: I20181208000406 |
| Provider Name | Teresa L Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184911158 PECOS PAC ID: 0547504094 Enrollment ID: I20181210003201 |
| Provider Name | Peter Y Shi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336569904 PECOS PAC ID: 6901178946 Enrollment ID: I20181212003108 |
| Provider Name | Traci A. Neuenschwander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093281636 PECOS PAC ID: 1153666433 Enrollment ID: I20181213002488 |
| Provider Name | Ibrahim H Abou Daya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790950715 PECOS PAC ID: 8022154921 Enrollment ID: I20181217002747 |
| Provider Name | Regina Frederick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447731302 PECOS PAC ID: 6305181553 Enrollment ID: I20181217003007 |
| Provider Name | Sarah Mossburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215410782 PECOS PAC ID: 1456696590 Enrollment ID: I20181218003938 |
| Provider Name | Dina Abi Fadel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528234135 PECOS PAC ID: 4880872209 Enrollment ID: I20181219000510 |
| Provider Name | Mckenna Renee Brauner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023598760 PECOS PAC ID: 5496090441 Enrollment ID: I20181219000598 |
| Provider Name | Jodi Freed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861973687 PECOS PAC ID: 8729323779 Enrollment ID: I20181219000716 |
| Provider Name | Lauren Mcilrath-wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689155368 PECOS PAC ID: 4688919640 Enrollment ID: I20181219000926 |
| Provider Name | Subhash Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154797561 PECOS PAC ID: 1759687031 Enrollment ID: I20181220000357 |
| Provider Name | Amber Glessner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871068718 PECOS PAC ID: 6002151982 Enrollment ID: I20181220002598 |
| Provider Name | Mohammed S Ghazali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275540361 PECOS PAC ID: 6406009646 Enrollment ID: I20181221000036 |
| Provider Name | Nicole Pitts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558855197 PECOS PAC ID: 6103161021 Enrollment ID: I20181221000901 |
| Provider Name | Michael B Blackmon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043202849 PECOS PAC ID: 5698960102 Enrollment ID: I20190109000560 |
| Provider Name | Phil Brian Secrist |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1831695618 PECOS PAC ID: 2860738994 Enrollment ID: I20190110002979 |
| Provider Name | Rhonda Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669431144 PECOS PAC ID: 4688568835 Enrollment ID: I20190201001110 |
| Provider Name | Zachary Dillon |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1689178253 PECOS PAC ID: 6800134305 Enrollment ID: I20190207001931 |
| Provider Name | Nicolette A Winebrenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609341734 PECOS PAC ID: 2769721117 Enrollment ID: I20190228002136 |
| Provider Name | Margery Ann Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740228071 PECOS PAC ID: 4284607854 Enrollment ID: I20190305001021 |
| Provider Name | Amber Leighty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962975508 PECOS PAC ID: 0446590004 Enrollment ID: I20190318000901 |
| Provider Name | Juan R Jaramillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568579670 PECOS PAC ID: 7315993888 Enrollment ID: I20190319003070 |
| Provider Name | Amanda Bloomfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376016634 PECOS PAC ID: 2567703515 Enrollment ID: I20190401001921 |
| Provider Name | Renee Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497229231 PECOS PAC ID: 4587905419 Enrollment ID: I20190403000049 |
| Provider Name | Alana M Urness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659810877 PECOS PAC ID: 1557646064 Enrollment ID: I20190403001245 |
| Provider Name | Samuel Kimani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053576496 PECOS PAC ID: 8628203882 Enrollment ID: I20190411002547 |
| Provider Name | Anne Marie Dietz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720579329 PECOS PAC ID: 5991046245 Enrollment ID: I20190415000578 |
| Provider Name | Corrine E Stokes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457810814 PECOS PAC ID: 7416298666 Enrollment ID: I20190416002201 |
| Provider Name | Sarah Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801366042 PECOS PAC ID: 8123367901 Enrollment ID: I20190507001620 |
| Provider Name | Melanie R Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629532841 PECOS PAC ID: 5597007757 Enrollment ID: I20190508002647 |
| Provider Name | Taarif Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770716680 PECOS PAC ID: 1153579818 Enrollment ID: I20190509001218 |
| Provider Name | Fahad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922347400 PECOS PAC ID: 0244510584 Enrollment ID: I20190510001680 |
| Provider Name | Danielle J Emenhiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073078929 PECOS PAC ID: 6507109501 Enrollment ID: I20190514003097 |
| Provider Name | Simon Peter Crass |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336450766 PECOS PAC ID: 9830484112 Enrollment ID: I20190517001454 |
| Provider Name | Hariom Indravadan Joshi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457616351 PECOS PAC ID: 8921310046 Enrollment ID: I20190529000240 |
| Provider Name | Sheryl Ann Altamirano Dimayuga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457581001 PECOS PAC ID: 7113177288 Enrollment ID: I20190529000371 |
| Provider Name | Daniel Nwankwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639526007 PECOS PAC ID: 2860735248 Enrollment ID: I20190529000434 |
| Provider Name | Sunitha Boorle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033572441 PECOS PAC ID: 6709177579 Enrollment ID: I20190530000937 |
| Provider Name | Ashok Kapur |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356395859 PECOS PAC ID: 8224926241 Enrollment ID: I20190604001801 |
| Provider Name | Alinda Madhab Sarma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528411741 PECOS PAC ID: 2365720018 Enrollment ID: I20190619003415 |
| Provider Name | Jonathan R Lynch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942543251 PECOS PAC ID: 6901038132 Enrollment ID: I20190620002192 |
| Provider Name | Paul Hayes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295392272 PECOS PAC ID: 6103150313 Enrollment ID: I20190621001432 |
| Provider Name | Samantha Raffieed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053804666 PECOS PAC ID: 5890029870 Enrollment ID: I20190625002078 |
| Provider Name | Nicole O'neill Sonn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487996500 PECOS PAC ID: 3870895873 Enrollment ID: I20190625002241 |
| Provider Name | Efesomwan Aisien |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972867661 PECOS PAC ID: 9335457639 Enrollment ID: I20190625002620 |
| Provider Name | Dustin M Thomas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003078312 PECOS PAC ID: 4880823772 Enrollment ID: I20190626003546 |
| Provider Name | Rakesh K Subramanian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255695524 PECOS PAC ID: 8224346242 Enrollment ID: I20190626003623 |
| Provider Name | Kayleen A Snider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205493905 PECOS PAC ID: 2163756974 Enrollment ID: I20190628000179 |
| Provider Name | Sumit Rishi Chawla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407122740 PECOS PAC ID: 1951697531 Enrollment ID: I20190703000946 |
| Provider Name | Michael Cheezum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225235013 PECOS PAC ID: 6507000437 Enrollment ID: I20190710000266 |
| Provider Name | Frederick Stephens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306005988 PECOS PAC ID: 9133397920 Enrollment ID: I20190710000873 |
| Provider Name | Daniel W Hugenberg |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083979355 PECOS PAC ID: 4082854203 Enrollment ID: I20190710002202 |
| Provider Name | William Borders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063077261 PECOS PAC ID: 1153656293 Enrollment ID: I20190711003363 |
| Provider Name | Alexander R Tople |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831584739 PECOS PAC ID: 4688985054 Enrollment ID: I20190712001674 |
| Provider Name | Anne Noelle Mclaren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871987321 PECOS PAC ID: 1658662382 Enrollment ID: I20190712001977 |
| Provider Name | Christopher Martin Vachon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316366735 PECOS PAC ID: 5193944098 Enrollment ID: I20190716000866 |
| Provider Name | Patrick M Muehr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336534452 PECOS PAC ID: 0840501219 Enrollment ID: I20190717000165 |
| Provider Name | Michelle M Gombas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396001194 PECOS PAC ID: 9133425093 Enrollment ID: I20190719000843 |
| Provider Name | Mark Ronald Rohaus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316301971 PECOS PAC ID: 8820324353 Enrollment ID: I20190722002758 |
| Provider Name | Eric Shoemaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851749147 PECOS PAC ID: 7719278506 Enrollment ID: I20190722002937 |
| Provider Name | Kavitha Muthusamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508249988 PECOS PAC ID: 2567768716 Enrollment ID: I20190724001308 |
| Provider Name | Joseph William Mccollom |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1467717520 PECOS PAC ID: 4587808647 Enrollment ID: I20190725000651 |
| Provider Name | Jeana Renee Berger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790347524 PECOS PAC ID: 1850627027 Enrollment ID: I20190725001427 |
| Provider Name | Zhaodong Li |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043641475 PECOS PAC ID: 1759682180 Enrollment ID: I20190726001137 |
| Provider Name | Garrett Bennett |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1174884431 PECOS PAC ID: 5193949923 Enrollment ID: I20190801000633 |
| Provider Name | Reshma Rakesh Khatri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275737249 PECOS PAC ID: 6901964519 Enrollment ID: I20190801000839 |
| Provider Name | Julianne E Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093278509 PECOS PAC ID: 4183950868 Enrollment ID: I20190802000440 |
| Provider Name | Heather A Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437702511 PECOS PAC ID: 0840527222 Enrollment ID: I20190807003214 |
| Provider Name | Ethan Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285195339 PECOS PAC ID: 8527395474 Enrollment ID: I20190814004158 |
| Provider Name | Amber Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104480235 PECOS PAC ID: 6305173253 Enrollment ID: I20190815000113 |
| Provider Name | Danielle M Kammer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235699521 PECOS PAC ID: 1557698438 Enrollment ID: I20190815001066 |
| Provider Name | Danielle Marie Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750933560 PECOS PAC ID: 4688901465 Enrollment ID: I20190816001768 |
| Provider Name | Cindi Urick-greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477015428 PECOS PAC ID: 7517295124 Enrollment ID: I20190821000231 |
| Provider Name | Whitney Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184187619 PECOS PAC ID: 4082942602 Enrollment ID: I20190821000590 |
| Provider Name | Nicholas Defauw |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1578791398 PECOS PAC ID: 8224271978 Enrollment ID: I20190821000929 |
| Provider Name | Michael Rosen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639419971 PECOS PAC ID: 8426309386 Enrollment ID: I20190823003179 |
| Provider Name | Robert Harrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194385575 PECOS PAC ID: 0143558379 Enrollment ID: I20190826001089 |
| Provider Name | Rebecca Chantelois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992362131 PECOS PAC ID: 1557699618 Enrollment ID: I20190827003313 |
| Provider Name | Felisha Kiehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235692500 PECOS PAC ID: 9638407794 Enrollment ID: I20190827003368 |
| Provider Name | Amanda Horacek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104389121 PECOS PAC ID: 5496083560 Enrollment ID: I20190827003740 |
| Provider Name | Lindsey Ribel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043879158 PECOS PAC ID: 5890023964 Enrollment ID: I20190827003993 |
| Provider Name | Grant Gerard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639684285 PECOS PAC ID: 9133457203 Enrollment ID: I20190827004103 |
| Provider Name | Adeeba Nes-iadicola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023674629 PECOS PAC ID: 7214265297 Enrollment ID: I20190829000703 |
| Provider Name | Lisa Marie Piwoszkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639425291 PECOS PAC ID: 4880907393 Enrollment ID: I20190829000779 |
| Provider Name | Charles Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003477647 PECOS PAC ID: 8123357993 Enrollment ID: I20190904003242 |
| Provider Name | Erica L Zachrich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194372193 PECOS PAC ID: 6103155841 Enrollment ID: I20190905003241 |
| Provider Name | Rylie Nicole Ousley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659928356 PECOS PAC ID: 5496084840 Enrollment ID: I20190910001648 |
| Provider Name | Georges Debal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316386386 PECOS PAC ID: 4880923085 Enrollment ID: I20190913000957 |
| Provider Name | Nancy L Fru |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831516202 PECOS PAC ID: 1153644018 Enrollment ID: I20190913000975 |
| Provider Name | Lauren Kopicky |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295172682 PECOS PAC ID: 0547510513 Enrollment ID: I20190913001035 |
| Provider Name | Mary Jo Cochran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851944953 PECOS PAC ID: 5193054393 Enrollment ID: I20190913001159 |
| Provider Name | Emily Bartlett Schroeder |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306021118 PECOS PAC ID: 5294851564 Enrollment ID: I20190916003635 |
| Provider Name | Kelly Masarira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285176057 PECOS PAC ID: 3173859527 Enrollment ID: I20190917002381 |
| Provider Name | Erin Cade |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578128575 PECOS PAC ID: 7315277340 Enrollment ID: I20190918000781 |
| Provider Name | Kunal Dakshesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134672959 PECOS PAC ID: 0446580385 Enrollment ID: I20190919001775 |
| Provider Name | Leslie Angel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962063685 PECOS PAC ID: 6305176181 Enrollment ID: I20190920000743 |
| Provider Name | Bharat Bajantri |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043567886 PECOS PAC ID: 1759621683 Enrollment ID: I20190924000064 |
| Provider Name | Christina M Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184187999 PECOS PAC ID: 4880924430 Enrollment ID: I20190924001986 |
| Provider Name | James Schlotman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508186206 PECOS PAC ID: 9739401811 Enrollment ID: I20190924002912 |
| Provider Name | Kelly Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194385021 PECOS PAC ID: 6507196144 Enrollment ID: I20190925001760 |
| Provider Name | Grace Scharlach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992354914 PECOS PAC ID: 8325378433 Enrollment ID: I20191002001652 |
| Provider Name | Amber Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588217566 PECOS PAC ID: 8022349158 Enrollment ID: I20191003002575 |
| Provider Name | Rahul Ramesh Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477903326 PECOS PAC ID: 9537490610 Enrollment ID: I20191004001252 |
| Provider Name | Phyllis Ingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003328667 PECOS PAC ID: 5698039667 Enrollment ID: I20191008003920 |
| Provider Name | Shannon Decker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003469925 PECOS PAC ID: 7517298326 Enrollment ID: I20191009001616 |
| Provider Name | Brittany L Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992358063 PECOS PAC ID: 8325379019 Enrollment ID: I20191010001674 |
| Provider Name | Phillip Bassett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003461369 PECOS PAC ID: 6608107248 Enrollment ID: I20191011000686 |
| Provider Name | Kelsey A House |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710530605 PECOS PAC ID: 6709117138 Enrollment ID: I20191015003363 |
| Provider Name | Nida Aziz |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659716330 PECOS PAC ID: 2264780717 Enrollment ID: I20191022000464 |
| Provider Name | Lucy Elizabeth Peterson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790776425 PECOS PAC ID: 6002914371 Enrollment ID: I20191025000507 |
| Provider Name | Bethany Schultz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164076436 PECOS PAC ID: 0042542938 Enrollment ID: I20191025001298 |
| Provider Name | Craig Steven Berg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891034708 PECOS PAC ID: 0547492878 Enrollment ID: I20191031000894 |
| Provider Name | Emily Grindley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497309371 PECOS PAC ID: 7012249600 Enrollment ID: I20191031001497 |
| Provider Name | Pierre Andre Ovide |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215179643 PECOS PAC ID: 5597197665 Enrollment ID: I20191111001261 |
| Provider Name | Teofilo Lama |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902946247 PECOS PAC ID: 1456435817 Enrollment ID: I20191118001314 |
| Provider Name | Ashika R Thanju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477106326 PECOS PAC ID: 0547692220 Enrollment ID: I20191119000240 |
| Provider Name | Megan Schmitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205486206 PECOS PAC ID: 1355773847 Enrollment ID: I20191121003110 |
| Provider Name | Cheryl Gerard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831734086 PECOS PAC ID: 8820420227 Enrollment ID: I20191122000555 |
| Provider Name | Katie Fralick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649820366 PECOS PAC ID: 7012340474 Enrollment ID: I20191126001137 |
| Provider Name | Danielle M Berdahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003026493 PECOS PAC ID: 2668545708 Enrollment ID: I20191202002046 |
| Provider Name | Shamir Haji |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659684488 PECOS PAC ID: 8820268519 Enrollment ID: I20191204001920 |
| Provider Name | Carrie Meyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942851795 PECOS PAC ID: 4587097597 Enrollment ID: I20191205001271 |
| Provider Name | Lydia A Pfenniger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972703346 PECOS PAC ID: 0446303044 Enrollment ID: I20191209000080 |
| Provider Name | Mark Schamber |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1174083943 PECOS PAC ID: 0042644809 Enrollment ID: I20200102002472 |
| Provider Name | Amy Souers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003268707 PECOS PAC ID: 7517293897 Enrollment ID: I20200113001550 |
| Provider Name | Claude J Fortin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235225780 PECOS PAC ID: 8921904327 Enrollment ID: I20200113002470 |
| Provider Name | Riad Al Natour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891059077 PECOS PAC ID: 2365680600 Enrollment ID: I20200116000265 |
| Provider Name | Samantha Jane Schouweiler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326549486 PECOS PAC ID: 0547525859 Enrollment ID: I20200122001206 |
| Provider Name | Meagan K O'brien |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114379732 PECOS PAC ID: 3779877295 Enrollment ID: I20200129001207 |
| Provider Name | Kyle B Davidson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639662018 PECOS PAC ID: 4082960844 Enrollment ID: I20200208000031 |
| Provider Name | Gerald Tomasek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073928149 PECOS PAC ID: 2365711686 Enrollment ID: I20200217002664 |
| Provider Name | Leslie Waldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619516465 PECOS PAC ID: 0749617504 Enrollment ID: I20200218000453 |
| Provider Name | Nichol K. Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295377935 PECOS PAC ID: 7810324332 Enrollment ID: I20200224000619 |
| Provider Name | Audrey Sofair |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1326139833 PECOS PAC ID: 3072597905 Enrollment ID: I20200225000916 |
| Provider Name | Kyra Tatman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679768774 PECOS PAC ID: 2567522576 Enrollment ID: I20200305001237 |
| Provider Name | Joelle Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164069837 PECOS PAC ID: 2860820404 Enrollment ID: I20200315000018 |
| Provider Name | Omar Nabil Horani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962897264 PECOS PAC ID: 5294038501 Enrollment ID: I20200320002761 |
| Provider Name | Kathryn Confer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1306482864 PECOS PAC ID: 4486082641 Enrollment ID: I20200322000035 |
| Provider Name | Jodi Sandvik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902167794 PECOS PAC ID: 4284888009 Enrollment ID: I20200325003625 |
| Provider Name | Catherine Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053942458 PECOS PAC ID: 3476983230 Enrollment ID: I20200417001763 |
| Provider Name | Josie Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518425099 PECOS PAC ID: 2860828563 Enrollment ID: I20200424000119 |
| Provider Name | Taylor Paden |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902394836 PECOS PAC ID: 4284980384 Enrollment ID: I20200424000171 |
| Provider Name | Leah Brincefield-wermer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437783719 PECOS PAC ID: 3971933243 Enrollment ID: I20200429001072 |
| Provider Name | Hari Rasad Gourabathini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184012130 PECOS PAC ID: 6901236298 Enrollment ID: I20200429001983 |
| Provider Name | Ahmed Sharaan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386183614 PECOS PAC ID: 2163853342 Enrollment ID: I20200504002760 |
| Provider Name | Paige Tiernon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972135424 PECOS PAC ID: 2769813658 Enrollment ID: I20200508001750 |
| Provider Name | Michael Odaniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790146629 PECOS PAC ID: 2961795547 Enrollment ID: I20200509000187 |
| Provider Name | Alok Uprety |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205357852 PECOS PAC ID: 2567736077 Enrollment ID: I20200511003123 |
| Provider Name | Rasik Dhakal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649790783 PECOS PAC ID: 9234560012 Enrollment ID: I20200511003194 |
| Provider Name | Angela Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205460631 PECOS PAC ID: 1759712391 Enrollment ID: I20200514000813 |
| Provider Name | Robert Stephen Bednarek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1902291875 PECOS PAC ID: 2961722640 Enrollment ID: I20200514003117 |
| Provider Name | Melinda Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447886924 PECOS PAC ID: 1052742657 Enrollment ID: I20200514003138 |
| Provider Name | Jason Ummel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063892875 PECOS PAC ID: 6608297445 Enrollment ID: I20200602002116 |
| Provider Name | Dana Oberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598387250 PECOS PAC ID: 9335560010 Enrollment ID: I20200604002244 |
| Provider Name | Abigail Masters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881221893 PECOS PAC ID: 6103247754 Enrollment ID: I20200605002222 |
| Provider Name | Muhammad A Saeed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073922522 PECOS PAC ID: 8426322694 Enrollment ID: I20200612000465 |
| Provider Name | Courtney Riecken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649809732 PECOS PAC ID: 2567884836 Enrollment ID: I20200616001242 |
| Provider Name | Marcum Quinn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386621217 PECOS PAC ID: 2860686888 Enrollment ID: I20200616001312 |
| Provider Name | Sumiya Majeed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235351172 PECOS PAC ID: 5698967834 Enrollment ID: I20200623001748 |
| Provider Name | Vikki Ratcliff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932567138 PECOS PAC ID: 7810319332 Enrollment ID: I20200629002974 |
| Provider Name | Harris Imam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609220573 PECOS PAC ID: 2860776630 Enrollment ID: I20200710000382 |
| Provider Name | Terence Anguh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083033310 PECOS PAC ID: 5395043632 Enrollment ID: I20200724001883 |
| Provider Name | Jeffrey G Payumo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982130498 PECOS PAC ID: 2961771142 Enrollment ID: I20200724001944 |
| Provider Name | Fateh Mohit Kapur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659804334 PECOS PAC ID: 2163792201 Enrollment ID: I20200727000751 |
| Provider Name | Makayla Blain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821606500 PECOS PAC ID: 7911322284 Enrollment ID: I20200803003089 |
| Provider Name | Rony Shabou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982131355 PECOS PAC ID: 5193094217 Enrollment ID: I20200804001251 |
| Provider Name | Kalyani Korabathina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518165539 PECOS PAC ID: 3577625227 Enrollment ID: I20200805002655 |
| Provider Name | Kelsey Landis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730718180 PECOS PAC ID: 4183049281 Enrollment ID: I20200806002264 |
| Provider Name | Pratyusha Tantravahi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295198414 PECOS PAC ID: 5294021416 Enrollment ID: I20200807002796 |
| Provider Name | Cassandra Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447888409 PECOS PAC ID: 3870919582 Enrollment ID: I20200812001502 |
| Provider Name | Christina L Duncan-lothamer |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1891132098 PECOS PAC ID: 3971809567 Enrollment ID: I20200813001964 |
| Provider Name | Kristen Mackenzie Bagot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851902621 PECOS PAC ID: 7810313244 Enrollment ID: I20200817002063 |
| Provider Name | Lakshmi Devi Pathai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396270997 PECOS PAC ID: 5092131300 Enrollment ID: I20200818001085 |
| Provider Name | Kristen A Momenee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467078261 PECOS PAC ID: 4981020922 Enrollment ID: I20200820002077 |
| Provider Name | Jennifer Goranson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669009601 PECOS PAC ID: 1951728849 Enrollment ID: I20200824001136 |
| Provider Name | Alyce Danielle Branham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235759556 PECOS PAC ID: 3476970971 Enrollment ID: I20200828001950 |
| Provider Name | Mina S Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447783683 PECOS PAC ID: 3173893971 Enrollment ID: I20200831000709 |
| Provider Name | Tajinder Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336673375 PECOS PAC ID: 3577980952 Enrollment ID: I20200831001708 |
| Provider Name | Evan Asper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023464161 PECOS PAC ID: 3870888381 Enrollment ID: I20200901002446 |
| Provider Name | Brett Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194346072 PECOS PAC ID: 1759708803 Enrollment ID: I20200903001039 |
| Provider Name | Rodney Nolberto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205357142 PECOS PAC ID: 0143647206 Enrollment ID: I20200903001643 |
| Provider Name | Pooja P Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891225504 PECOS PAC ID: 2062839020 Enrollment ID: I20200905000114 |
| Provider Name | Kelly Soracco |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407466766 PECOS PAC ID: 8527486372 Enrollment ID: I20200911000302 |
| Provider Name | Bijaya Giri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902326259 PECOS PAC ID: 3072932185 Enrollment ID: I20200923000667 |
| Provider Name | Mohammed Almanasif |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669716858 PECOS PAC ID: 8729375316 Enrollment ID: I20200925001942 |
| Provider Name | Joshua Daniel Avery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952913279 PECOS PAC ID: 7214356088 Enrollment ID: I20200928002084 |
| Provider Name | Maria I Schiebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164040135 PECOS PAC ID: 4486073616 Enrollment ID: I20201007001781 |
| Provider Name | Andrea Jantson Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013318427 PECOS PAC ID: 6305266339 Enrollment ID: I20201013002806 |
| Provider Name | Hannah Alexis Thompson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528673282 PECOS PAC ID: 9335569888 Enrollment ID: I20201021003025 |
| Provider Name | Scott S Yen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821056581 PECOS PAC ID: 1951378751 Enrollment ID: I20201130002794 |
| Provider Name | Kirsten Metz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225647118 PECOS PAC ID: 9032520770 Enrollment ID: I20201201001814 |
| Provider Name | Nathan James Wrzesinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942802467 PECOS PAC ID: 0749691236 Enrollment ID: I20201207000338 |
| Provider Name | Christa Michelle Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457965972 PECOS PAC ID: 5698187029 Enrollment ID: I20201209001136 |
| Provider Name | William Beck |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669676151 PECOS PAC ID: 2769603802 Enrollment ID: I20201216001539 |
| Provider Name | Amy Hinkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962003038 PECOS PAC ID: 7416360060 Enrollment ID: I20201229000832 |
| Provider Name | Saef Izzy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376863266 PECOS PAC ID: 7517195639 Enrollment ID: I20201229003166 |
| Provider Name | Amanda Renee Macias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497361927 PECOS PAC ID: 0749693299 Enrollment ID: I20201230002424 |
| Provider Name | Gabriela North |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235743725 PECOS PAC ID: 3476966524 Enrollment ID: I20210108001530 |
| Provider Name | Michael John Dewinter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841889011 PECOS PAC ID: 0143633032 Enrollment ID: I20210114000893 |
| Provider Name | Michael Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548426653 PECOS PAC ID: 8022163229 Enrollment ID: I20210120001142 |
| Provider Name | Sarah Recker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669069167 PECOS PAC ID: 7214341957 Enrollment ID: I20210120003061 |
| Provider Name | Michael Christopher Gallmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073119574 PECOS PAC ID: 1153583265 Enrollment ID: I20210125001502 |
| Provider Name | Alendia Hartshorn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275707978 PECOS PAC ID: 3779727680 Enrollment ID: I20210129000769 |
| Provider Name | Kelsea Kay Lerose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124629936 PECOS PAC ID: 8628482742 Enrollment ID: I20210202001213 |
| Provider Name | Alexander Ondari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891057535 PECOS PAC ID: 8325285281 Enrollment ID: I20210202002834 |
| Provider Name | Sarah Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144810136 PECOS PAC ID: 7214342997 Enrollment ID: I20210210000295 |
| Provider Name | Justin Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427646405 PECOS PAC ID: 7810302585 Enrollment ID: I20210211001253 |
| Provider Name | Javad S Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831504844 PECOS PAC ID: 3274854914 Enrollment ID: I20210212001344 |
| Provider Name | Evan Blinn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467905315 PECOS PAC ID: 9739594136 Enrollment ID: I20210217001339 |
| Provider Name | Angela Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417563594 PECOS PAC ID: 4789099961 Enrollment ID: I20210222000812 |
| Provider Name | Jamilah Shubeilat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548492309 PECOS PAC ID: 8921317421 Enrollment ID: I20210226000701 |
| Provider Name | Aaron Chandler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245624154 PECOS PAC ID: 4587070487 Enrollment ID: I20210301001160 |
| Provider Name | Kara Peas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417555640 PECOS PAC ID: 8325454069 Enrollment ID: I20210304001050 |
| Provider Name | Arsalan Kabir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871085001 PECOS PAC ID: 8426486226 Enrollment ID: I20210305000135 |
| Provider Name | Steve Edward Sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447210505 PECOS PAC ID: 9032525688 Enrollment ID: I20210308000629 |
| Provider Name | Amy Jo Biedenbach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861552234 PECOS PAC ID: 6709292022 Enrollment ID: I20210311002110 |
| Provider Name | Amanda Jeanne Paden |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1508425471 PECOS PAC ID: 1355677428 Enrollment ID: I20210312000925 |
| Provider Name | Illya Danilchev |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1538762570 PECOS PAC ID: 7719393727 Enrollment ID: I20210316002301 |
| Provider Name | Kaylee Athena Horvath |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1073122396 PECOS PAC ID: 3476960485 Enrollment ID: I20210318000675 |
| Provider Name | Alyssa Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801417779 PECOS PAC ID: 7911314760 Enrollment ID: I20210324000615 |
| Provider Name | Kaitlyn J Chittick-myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790301257 PECOS PAC ID: 8527475383 Enrollment ID: I20210324000767 |
| Provider Name | Bryson James Robuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912508169 PECOS PAC ID: 1052728631 Enrollment ID: I20210326000741 |
| Provider Name | Rebecca L Kaminski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063894483 PECOS PAC ID: 7214241124 Enrollment ID: I20210330001184 |
| Provider Name | Manpreet Khemka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457509903 PECOS PAC ID: 6709017072 Enrollment ID: I20210401000981 |
| Provider Name | Shannon Elise Brisbin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972156990 PECOS PAC ID: 3375950603 Enrollment ID: I20210401001578 |
| Provider Name | Deepak Khemka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396922977 PECOS PAC ID: 0345499927 Enrollment ID: I20210401001832 |
| Provider Name | Myranda Glant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275121261 PECOS PAC ID: 6103233499 Enrollment ID: I20210405000365 |
| Provider Name | Joelle Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922529973 PECOS PAC ID: 4183058217 Enrollment ID: I20210409001280 |
| Provider Name | Karyn Jett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881298396 PECOS PAC ID: 1951719020 Enrollment ID: I20210410000038 |
| Provider Name | Jeffrey Odell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336129378 PECOS PAC ID: 1759520380 Enrollment ID: I20210413000785 |
| Provider Name | Jithmie Jayawickrema |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124636238 PECOS PAC ID: 8426466392 Enrollment ID: I20210413001933 |
| Provider Name | Ryan Birdsall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205299260 PECOS PAC ID: 1052606225 Enrollment ID: I20210413002711 |
| Provider Name | Morgan Mathews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598361685 PECOS PAC ID: 9234547993 Enrollment ID: I20210416001881 |
| Provider Name | An V Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467042663 PECOS PAC ID: 9830507599 Enrollment ID: I20210416002045 |
| Provider Name | Soyeun Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144453473 PECOS PAC ID: 0941575831 Enrollment ID: I20210419000319 |
| Provider Name | Ashley Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932752102 PECOS PAC ID: 2466860176 Enrollment ID: I20210419001715 |
| Provider Name | Lauren M Koffman |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1346531282 PECOS PAC ID: 2062726276 Enrollment ID: I20210422001654 |
| Provider Name | Nathan Reig Miner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932793478 PECOS PAC ID: 9739597154 Enrollment ID: I20210422002471 |
| Provider Name | Sathish K Pondaiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164874806 PECOS PAC ID: 8527304831 Enrollment ID: I20210426000173 |
| Provider Name | Ankur Sinha |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205218369 PECOS PAC ID: 5294070207 Enrollment ID: I20210428001708 |
| Provider Name | Natima Antone Alexander |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538721865 PECOS PAC ID: 0840609749 Enrollment ID: I20210505001737 |
| Provider Name | Kristen Knox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376126151 PECOS PAC ID: 8426467150 Enrollment ID: I20210511000656 |
| Provider Name | Lyndsay Butt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134714116 PECOS PAC ID: 4789093311 Enrollment ID: I20210511001094 |
| Provider Name | Christopher Heath Gambrel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285247403 PECOS PAC ID: 0840609293 Enrollment ID: I20210514001081 |
| Provider Name | Allison Turner |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1316100803 PECOS PAC ID: 6204066848 Enrollment ID: I20210517001563 |
| Provider Name | Angela Redding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124608724 PECOS PAC ID: 1355740572 Enrollment ID: I20210520001031 |
| Provider Name | Kara Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043894066 PECOS PAC ID: 8022417104 Enrollment ID: I20210521000728 |
| Provider Name | Kylie R Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578142931 PECOS PAC ID: 6507265477 Enrollment ID: I20210525003487 |
| Provider Name | Mallory B Haji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447611496 PECOS PAC ID: 5799077178 Enrollment ID: I20210526001635 |
| Provider Name | Shweta Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700365210 PECOS PAC ID: 4880093723 Enrollment ID: I20210526002704 |
| Provider Name | Joshua Napier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013981539 PECOS PAC ID: 2062509953 Enrollment ID: I20210527002676 |
| Provider Name | Jose Rafael Nunez Alvarado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396272936 PECOS PAC ID: 6002215449 Enrollment ID: I20210604000838 |
| Provider Name | Lee Ann Ann Pixley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013999341 PECOS PAC ID: 3870993140 Enrollment ID: I20210609000601 |
| Provider Name | Jamie Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710566914 PECOS PAC ID: 1557761384 Enrollment ID: I20210615002701 |
| Provider Name | Prabij N/a Dhungana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558866202 PECOS PAC ID: 6204236094 Enrollment ID: I20210616000891 |
| Provider Name | Matthew Bartock |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700272374 PECOS PAC ID: 5597052167 Enrollment ID: I20210618000647 |
| Provider Name | Drake Everson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255824512 PECOS PAC ID: 9830445683 Enrollment ID: I20210618000878 |
| Provider Name | Brian Johnson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952782021 PECOS PAC ID: 7214249317 Enrollment ID: I20210618001943 |
| Provider Name | Jessica Renee Wyss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659951234 PECOS PAC ID: 7810397338 Enrollment ID: I20210621000672 |
| Provider Name | Robert Koehler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740713171 PECOS PAC ID: 3779983200 Enrollment ID: I20210621001319 |
| Provider Name | Tabatha R North |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689280356 PECOS PAC ID: 6406257922 Enrollment ID: I20210622001431 |
| Provider Name | Rachel G Lilly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891223020 PECOS PAC ID: 5294085239 Enrollment ID: I20210629000163 |
| Provider Name | Sig-linda Jacobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033291323 PECOS PAC ID: 5698869980 Enrollment ID: I20210629002913 |
| Provider Name | Greshma Susan George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356828065 PECOS PAC ID: 5991106866 Enrollment ID: I20210629002942 |
| Provider Name | Meghan Renee Firestine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386148377 PECOS PAC ID: 3072914829 Enrollment ID: I20210630001921 |
| Provider Name | Sophia Lubrin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235523143 PECOS PAC ID: 3476954231 Enrollment ID: I20210630002214 |
| Provider Name | Rebecca Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003309378 PECOS PAC ID: 9830445691 Enrollment ID: I20210701000196 |
| Provider Name | Jenna Marie Roy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871178897 PECOS PAC ID: 7315348075 Enrollment ID: I20210701001937 |
| Provider Name | Jill Reinhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568044667 PECOS PAC ID: 5597166264 Enrollment ID: I20210701002011 |
| Provider Name | Amanda Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033676275 PECOS PAC ID: 7214338987 Enrollment ID: I20210701002014 |
| Provider Name | Christopher Smitson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1174865760 PECOS PAC ID: 7810289592 Enrollment ID: I20210701002161 |
| Provider Name | Charles Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467958520 PECOS PAC ID: 8527315860 Enrollment ID: I20210708003096 |
| Provider Name | Arvind Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316444748 PECOS PAC ID: 2961804166 Enrollment ID: I20210712000224 |
| Provider Name | Tabitha A Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184203192 PECOS PAC ID: 6709288913 Enrollment ID: I20210712000477 |
| Provider Name | Nicole Louise Mazzola-helmkamp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407433204 PECOS PAC ID: 7416359344 Enrollment ID: I20210714001682 |
| Provider Name | Bilal Chaarani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841686664 PECOS PAC ID: 8022366020 Enrollment ID: I20210719002055 |
| Provider Name | Nicholas Fox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780178004 PECOS PAC ID: 2769738525 Enrollment ID: I20210719003410 |
| Provider Name | Thomas W Etter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427411065 PECOS PAC ID: 9032400676 Enrollment ID: I20210722000780 |
| Provider Name | Kyle Carlson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255718367 PECOS PAC ID: 6103139712 Enrollment ID: I20210723001788 |
| Provider Name | Micah Yarrow Spencer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558850164 PECOS PAC ID: 8224383716 Enrollment ID: I20210723002056 |
| Provider Name | Tyler Atkins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114331493 PECOS PAC ID: 3779851662 Enrollment ID: I20210726001461 |
| Provider Name | Alexander Eugene Urban |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619363421 PECOS PAC ID: 3870814403 Enrollment ID: I20210730001805 |
| Provider Name | Aaditya Chandramouli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811493703 PECOS PAC ID: 8426385436 Enrollment ID: I20210730002006 |
| Provider Name | Brian Lamar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831682186 PECOS PAC ID: 2264788025 Enrollment ID: I20210803001874 |
| Provider Name | Rohan Mathur |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467847616 PECOS PAC ID: 5799084455 Enrollment ID: I20210803003471 |
| Provider Name | Kortney Dodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669045845 PECOS PAC ID: 7810391349 Enrollment ID: I20210805002737 |
| Provider Name | Kristie Stinchcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700454808 PECOS PAC ID: 8325442452 Enrollment ID: I20210811001041 |
| Provider Name | Kourtney Marie Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578162459 PECOS PAC ID: 9931503067 Enrollment ID: I20210811001142 |
| Provider Name | Cressilee Bryant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043699028 PECOS PAC ID: 0749583268 Enrollment ID: I20210812002737 |
| Provider Name | Carly Ann Nahrwold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669081618 PECOS PAC ID: 2365846334 Enrollment ID: I20210812002925 |
| Provider Name | Munazza Aslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598252801 PECOS PAC ID: 7113271545 Enrollment ID: I20210813001736 |
| Provider Name | Alexander Scott Robitaille |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396272837 PECOS PAC ID: 2961779384 Enrollment ID: I20210816000627 |
| Provider Name | Rory Sandberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184902447 PECOS PAC ID: 4789968165 Enrollment ID: I20210817001351 |
| Provider Name | Narine Shirvanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558856187 PECOS PAC ID: 4183029952 Enrollment ID: I20210818000754 |
| Provider Name | Brian L Davault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467946368 PECOS PAC ID: 6507112315 Enrollment ID: I20210819000681 |
| Provider Name | Alan Wayne Mcgee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255719191 PECOS PAC ID: 3375858988 Enrollment ID: I20210819001231 |
| Provider Name | Andrea Marie Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336768191 PECOS PAC ID: 8820419146 Enrollment ID: I20210820000683 |
| Provider Name | Elizabeth L Perkins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972279073 PECOS PAC ID: 0749685238 Enrollment ID: I20210820002881 |
| Provider Name | Rachel W Saunders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639551674 PECOS PAC ID: 6002129095 Enrollment ID: I20210824002286 |
| Provider Name | Aditya Vora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750794087 PECOS PAC ID: 4486999174 Enrollment ID: I20210831002508 |
| Provider Name | Amanda Marie Schraeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073110326 PECOS PAC ID: 2860802956 Enrollment ID: I20210831002815 |
| Provider Name | Ashley Berish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285167825 PECOS PAC ID: 0244500585 Enrollment ID: I20210901000400 |
| Provider Name | Madeliene E Gainers |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1679779565 PECOS PAC ID: 4688822703 Enrollment ID: I20210907001246 |
| Provider Name | Caitlin Mae Kamplain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295304376 PECOS PAC ID: 3173929502 Enrollment ID: I20210909001461 |
| Provider Name | Nicole Saunders |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366910978 PECOS PAC ID: 9537583463 Enrollment ID: I20210914001314 |
| Provider Name | Dennis Kellar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679683866 PECOS PAC ID: 8022003318 Enrollment ID: I20210920000700 |
| Provider Name | Caterina Polina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255924643 PECOS PAC ID: 3173920048 Enrollment ID: I20210920000949 |
| Provider Name | Amber Bartock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659047322 PECOS PAC ID: 9234536863 Enrollment ID: I20210924001683 |
| Provider Name | Jordan June Stein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104593698 PECOS PAC ID: 9032516547 Enrollment ID: I20210927001860 |
| Provider Name | Nauman Naeem |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093706764 PECOS PAC ID: 6002852084 Enrollment ID: I20210928000969 |
| Provider Name | Kevin D. Waldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356018543 PECOS PAC ID: 0840697181 Enrollment ID: I20210929000840 |
| Provider Name | Kerrick Marie Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053084319 PECOS PAC ID: 3971900242 Enrollment ID: I20210929001977 |
| Provider Name | James Robbins |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053606459 PECOS PAC ID: 2264658491 Enrollment ID: I20211005001362 |
| Provider Name | Pawel Zieba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699707794 PECOS PAC ID: 4082862792 Enrollment ID: I20211005002696 |
| Provider Name | Yana A Alekseeva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215469986 PECOS PAC ID: 2365840295 Enrollment ID: I20211007001562 |
| Provider Name | Whitney Grace Beiswanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629749437 PECOS PAC ID: 2365840048 Enrollment ID: I20211011001327 |
| Provider Name | Alisha Michelle Dickmeyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770255051 PECOS PAC ID: 0648678029 Enrollment ID: I20211015001100 |
| Provider Name | Stephen Magill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902148158 PECOS PAC ID: 1254754294 Enrollment ID: I20211029000774 |
| Provider Name | Jaime Goebel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871261040 PECOS PAC ID: 9830587526 Enrollment ID: I20211029000813 |
| Provider Name | Sajid Kadir |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821377953 PECOS PAC ID: 0941596753 Enrollment ID: I20211029000945 |
| Provider Name | Spandan Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902247604 PECOS PAC ID: 5395047732 Enrollment ID: I20211101002505 |
| Provider Name | Pooja N Pandit |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356721336 PECOS PAC ID: 9537477518 Enrollment ID: I20211102000147 |
| Provider Name | Ryan Patrick Phelan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619402112 PECOS PAC ID: 0244628766 Enrollment ID: I20211102001099 |
| Provider Name | John Farver |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1356624803 PECOS PAC ID: 4082889878 Enrollment ID: I20211103002645 |
| Provider Name | Patricia Hunt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194498741 PECOS PAC ID: 8325436785 Enrollment ID: I20211104000816 |
| Provider Name | Jordan Becker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710655220 PECOS PAC ID: 6608264098 Enrollment ID: I20211104001720 |
| Provider Name | Ashlyn Buttermore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871260125 PECOS PAC ID: 4688063035 Enrollment ID: I20211105001155 |
| Provider Name | Khushwant Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851884183 PECOS PAC ID: 8921353509 Enrollment ID: I20211109001184 |
| Provider Name | Ugoeze Nwokedi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538548763 PECOS PAC ID: 3870919897 Enrollment ID: I20211110000401 |
| Provider Name | Madelyn B Boggs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124796792 PECOS PAC ID: 5799174736 Enrollment ID: I20211115000140 |
| Provider Name | Adrian Chapa-rodriguez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396051462 PECOS PAC ID: 2860781929 Enrollment ID: I20211118001838 |
| Provider Name | Daniel Buchnea |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184856965 PECOS PAC ID: 0244520682 Enrollment ID: I20211123000946 |
| Provider Name | Jared Michael Benz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356697825 PECOS PAC ID: 4385932391 Enrollment ID: I20211130001214 |
| Provider Name | Hermela Tezera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760745483 PECOS PAC ID: 1254566979 Enrollment ID: I20211201000928 |
| Provider Name | Kirby Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942970348 PECOS PAC ID: 6406244193 Enrollment ID: I20211201001048 |
| Provider Name | Victoria L Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063177517 PECOS PAC ID: 0749670008 Enrollment ID: I20211201001847 |
| Provider Name | Wambui Waruingi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033313143 PECOS PAC ID: 4688808694 Enrollment ID: I20211206000438 |
| Provider Name | Isaac R Thimmesch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902230949 PECOS PAC ID: 0648660449 Enrollment ID: I20211210000521 |
| Provider Name | Andrew M Hersh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285924480 PECOS PAC ID: 6901120286 Enrollment ID: I20211215000475 |
| Provider Name | Erin S Salisbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912661430 PECOS PAC ID: 1759772171 Enrollment ID: I20211220000637 |
| Provider Name | Kathleen Maura Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760152110 PECOS PAC ID: 3375934797 Enrollment ID: I20211220000727 |
| Provider Name | Morgan Kay Crites |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780349167 PECOS PAC ID: 4183015506 Enrollment ID: I20211220000772 |
| Provider Name | James Starr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245292549 PECOS PAC ID: 6002700283 Enrollment ID: I20211220000791 |
| Provider Name | Erin Kelsey Shutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134884687 PECOS PAC ID: 6800287020 Enrollment ID: I20211223001600 |
| Provider Name | Diana Munoz-mendoza |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1710307541 PECOS PAC ID: 0547558850 Enrollment ID: I20211229000647 |
| Provider Name | Payam Sadry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558717611 PECOS PAC ID: 9234424060 Enrollment ID: I20220104000808 |
| Provider Name | Rebecca Milholland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063610376 PECOS PAC ID: 0244482057 Enrollment ID: I20220104001799 |
| Provider Name | Kari Ann Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205591856 PECOS PAC ID: 9032500772 Enrollment ID: I20220106002123 |
| Provider Name | Ashley Ueber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316601545 PECOS PAC ID: 4082005731 Enrollment ID: I20220106002470 |
| Provider Name | Emily Christine Vanderpool |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841865003 PECOS PAC ID: 0143612739 Enrollment ID: I20220111000850 |
| Provider Name | Katie Peksenak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518633924 PECOS PAC ID: 2062804677 Enrollment ID: I20220111001795 |
| Provider Name | Amir Gharaei |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063638773 PECOS PAC ID: 1456409358 Enrollment ID: I20220204001881 |
| Provider Name | Stacy Jean Kahl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295492668 PECOS PAC ID: 0749673176 Enrollment ID: I20220208001854 |
| Provider Name | Emily Kathryn Weatherhead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427717891 PECOS PAC ID: 4284027368 Enrollment ID: I20220214001162 |
| Provider Name | Subroto Kundu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063426302 PECOS PAC ID: 3274673629 Enrollment ID: I20220228000453 |
| Provider Name | Jasmyn Nicole Bair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568114783 PECOS PAC ID: 7810381357 Enrollment ID: I20220228001846 |
| Provider Name | Macy M Bradbury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003431073 PECOS PAC ID: 1658765698 Enrollment ID: I20220308001481 |
| Provider Name | Sarah Lenhart-webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558012831 PECOS PAC ID: 7719372697 Enrollment ID: I20220310001607 |
| Provider Name | Heather Doolittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629643317 PECOS PAC ID: 0345635223 Enrollment ID: I20220310001682 |
| Provider Name | Rita Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770675100 PECOS PAC ID: 7012044738 Enrollment ID: I20220310001825 |
| Provider Name | Roman Prosniak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992119440 PECOS PAC ID: 2163732249 Enrollment ID: I20220317001021 |
| Provider Name | Mohsin Ijaz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407160369 PECOS PAC ID: 7214228402 Enrollment ID: I20220317001943 |
| Provider Name | April Dawn Pletcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205072261 PECOS PAC ID: 2860558764 Enrollment ID: I20220317002390 |
| Provider Name | Aimie D Greulach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366013021 PECOS PAC ID: 5496140501 Enrollment ID: I20220328000086 |
| Provider Name | Kara Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073943387 PECOS PAC ID: 9133515224 Enrollment ID: I20220329000775 |
| Provider Name | Amanda Ringwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053070078 PECOS PAC ID: 3870989130 Enrollment ID: I20220413002246 |
| Provider Name | Reegan L Flattery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821754482 PECOS PAC ID: 5193111474 Enrollment ID: I20220414000095 |
| Provider Name | Jason Matthew Fansler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659037836 PECOS PAC ID: 0840686135 Enrollment ID: I20220414000425 |
| Provider Name | Jessica Bartock |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083977151 PECOS PAC ID: 0648569707 Enrollment ID: I20220415000537 |
| Provider Name | Olufunke Patience Momoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750041216 PECOS PAC ID: 4284021171 Enrollment ID: I20220422001975 |
| Provider Name | Angeline Zappitelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841882404 PECOS PAC ID: 2668887191 Enrollment ID: I20220429001834 |
| Provider Name | Luke Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457618050 PECOS PAC ID: 9739488339 Enrollment ID: I20220503000412 |
| Provider Name | Olivia Czerniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376294462 PECOS PAC ID: 0042697005 Enrollment ID: I20220512000357 |
| Provider Name | Adrian Lugo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215496237 PECOS PAC ID: 0345578175 Enrollment ID: I20220513000954 |
| Provider Name | Johnny S Salameh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053431700 PECOS PAC ID: 1951457894 Enrollment ID: I20220517000590 |
| Provider Name | Jenna Laughlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467815191 PECOS PAC ID: 1355633173 Enrollment ID: I20220517000712 |
| Provider Name | Thomas Pajewski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891839643 PECOS PAC ID: 4183632789 Enrollment ID: I20220603002082 |
| Provider Name | Kristina Crouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497497036 PECOS PAC ID: 1456739390 Enrollment ID: I20220603002539 |
| Provider Name | Joshua D Mccarron |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801289764 PECOS PAC ID: 4981918729 Enrollment ID: I20220606000514 |
| Provider Name | Jocelyn Bellairs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952982175 PECOS PAC ID: 4688052418 Enrollment ID: I20220607000101 |
| Provider Name | Sizhu Prosniak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689009193 PECOS PAC ID: 7810123171 Enrollment ID: I20220607000272 |
| Provider Name | Kaitlyn Hinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891398145 PECOS PAC ID: 7517374119 Enrollment ID: I20220607000351 |
| Provider Name | Jayson John Magbojos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346892908 PECOS PAC ID: 5890129282 Enrollment ID: I20220608002344 |
| Provider Name | Darcy Rose Wyss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275287559 PECOS PAC ID: 2264810837 Enrollment ID: I20220610000137 |
| Provider Name | Joshua Leichty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538669742 PECOS PAC ID: 5799032272 Enrollment ID: I20220622001939 |
| Provider Name | Aghogho Joy Ottahsmart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154062594 PECOS PAC ID: 7315326014 Enrollment ID: I20220627003272 |
| Provider Name | Zeleke Desse Kassahun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477536811 PECOS PAC ID: 9830189935 Enrollment ID: I20220627003580 |
| Provider Name | Andrew Piropato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639673650 PECOS PAC ID: 7911245576 Enrollment ID: I20220628000545 |
| Provider Name | Alexandra Nicole Bond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699411512 PECOS PAC ID: 2567841182 Enrollment ID: I20220628000771 |
| Provider Name | Abhishek Prabhu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801411657 PECOS PAC ID: 6608290028 Enrollment ID: I20220628003030 |
| Provider Name | Skyler J King |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407217920 PECOS PAC ID: 7618276965 Enrollment ID: I20220708000935 |
| Provider Name | Annette Elizabeth Edgell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750933412 PECOS PAC ID: 9830570563 Enrollment ID: I20220713000445 |
| Provider Name | Daniel Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407389307 PECOS PAC ID: 3072885631 Enrollment ID: I20220715000674 |
| Provider Name | Rebecca Holdgreve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932845930 PECOS PAC ID: 9739560103 Enrollment ID: I20220715001908 |
| Provider Name | Nathan A James |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164978144 PECOS PAC ID: 6800177064 Enrollment ID: I20220715002006 |
| Provider Name | Carina Amira Zahdeh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801391966 PECOS PAC ID: 2567719891 Enrollment ID: I20220718003750 |
| Provider Name | Jessica Macleod |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346852795 PECOS PAC ID: 8022499961 Enrollment ID: I20220722002473 |
| Provider Name | Samuel Louis Corey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1043620412 PECOS PAC ID: 1355644543 Enrollment ID: I20220729002564 |
| Provider Name | Angela Noel Troyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013666825 PECOS PAC ID: 0547642902 Enrollment ID: I20220801002727 |
| Provider Name | Abduljabbar Dheyab |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053607580 PECOS PAC ID: 2961709407 Enrollment ID: I20220805002229 |
| Provider Name | Saeed Chowdhry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780837922 PECOS PAC ID: 8325190416 Enrollment ID: I20220811001462 |
| Provider Name | Cassandra Geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669117644 PECOS PAC ID: 0345623112 Enrollment ID: I20220811003651 |
| Provider Name | Amber Wagley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699407668 PECOS PAC ID: 1153704929 Enrollment ID: I20220811003695 |
| Provider Name | Jenna Aldinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316293301 PECOS PAC ID: 5294955001 Enrollment ID: I20220812000889 |
| Provider Name | Shelby Payton Stone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720726284 PECOS PAC ID: 1052794765 Enrollment ID: I20220812002225 |
| Provider Name | Sandra S Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366187882 PECOS PAC ID: 4284017724 Enrollment ID: I20220817000980 |
| Provider Name | Serge Pierrecharles |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609167980 PECOS PAC ID: 3375850852 Enrollment ID: I20220817001022 |
| Provider Name | Mary E Knotts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487380499 PECOS PAC ID: 2264815513 Enrollment ID: I20220818001994 |
| Provider Name | Raya Jayne Beerbower |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1225768898 PECOS PAC ID: 3779966080 Enrollment ID: I20220819000775 |
| Provider Name | Sean Corcoran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043957459 PECOS PAC ID: 3870976905 Enrollment ID: I20220822003291 |
| Provider Name | Cameron Buzzard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891308896 PECOS PAC ID: 2365825452 Enrollment ID: I20220823002229 |
| Provider Name | Eric R Kimmel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619325974 PECOS PAC ID: 4385936509 Enrollment ID: I20220830001957 |
| Provider Name | Swikrit Pyakurel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992365449 PECOS PAC ID: 2466836069 Enrollment ID: I20220831001498 |
| Provider Name | Alicia Faith Stoffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720726805 PECOS PAC ID: 3375927981 Enrollment ID: I20220831001914 |
| Provider Name | David Segal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720730419 PECOS PAC ID: 6800270448 Enrollment ID: I20220831003116 |
| Provider Name | Tachira Tavarez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952741613 PECOS PAC ID: 7113225327 Enrollment ID: I20220901001107 |
| Provider Name | Alexandra Oyler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265169189 PECOS PAC ID: 5890179246 Enrollment ID: I20220902000145 |
| Provider Name | Tariq Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184281198 PECOS PAC ID: 3779812318 Enrollment ID: I20220902002258 |
| Provider Name | Garima Pudasaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326600115 PECOS PAC ID: 9032441704 Enrollment ID: I20220902002324 |
| Provider Name | Jennifer Weekes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265811913 PECOS PAC ID: 5193038479 Enrollment ID: I20220909001262 |
| Provider Name | Kyrie Allison Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336871318 PECOS PAC ID: 6002291929 Enrollment ID: I20220913003432 |
| Provider Name | Melissa Kay Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689393530 PECOS PAC ID: 2163807751 Enrollment ID: I20220919000591 |
| Provider Name | Rebecca Ann Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841937315 PECOS PAC ID: 3779968177 Enrollment ID: I20220921002828 |
| Provider Name | Rachel Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194457168 PECOS PAC ID: 8123403524 Enrollment ID: I20220921002850 |
| Provider Name | Tamara Shafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356420707 PECOS PAC ID: 7618997701 Enrollment ID: I20220921002876 |
| Provider Name | Emily Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407587611 PECOS PAC ID: 7315322724 Enrollment ID: I20220921003282 |
| Provider Name | Caylie Cappelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992438147 PECOS PAC ID: 3779968078 Enrollment ID: I20220922003550 |
| Provider Name | Sana Hussain Qureshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639444375 PECOS PAC ID: 2860751104 Enrollment ID: I20220927001311 |
| Provider Name | Jacqueline Rumschlag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205568862 PECOS PAC ID: 1052797024 Enrollment ID: I20220928000852 |
| Provider Name | Marissa A Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235807686 PECOS PAC ID: 8022494087 Enrollment ID: I20220929000803 |
| Provider Name | Leona Fay Beachy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962163840 PECOS PAC ID: 1153707732 Enrollment ID: I20221005001547 |
| Provider Name | Jenny Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750013785 PECOS PAC ID: 1658757273 Enrollment ID: I20221005003245 |
| Provider Name | Stephanie Gleason |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578026217 PECOS PAC ID: 3870828569 Enrollment ID: I20221006001939 |
| Provider Name | Vadzim Lapkouski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003305095 PECOS PAC ID: 5092191593 Enrollment ID: I20221006003244 |
| Provider Name | Regina Ann James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447987847 PECOS PAC ID: 7618353962 Enrollment ID: I20221010003251 |
| Provider Name | Misty Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487382719 PECOS PAC ID: 5698141166 Enrollment ID: I20221025001976 |
| Provider Name | Jessica Lynn Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629792221 PECOS PAC ID: 5092182410 Enrollment ID: I20221027001808 |
| Provider Name | Andrea Marushka |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255052064 PECOS PAC ID: 0446627715 Enrollment ID: I20221031002062 |
| Provider Name | Rayah L Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548938129 PECOS PAC ID: 5991172264 Enrollment ID: I20221031002084 |
| Provider Name | Amber Lineberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285352146 PECOS PAC ID: 6709253925 Enrollment ID: I20221101001544 |
| Provider Name | Jordyn Marie Trump |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386379980 PECOS PAC ID: 8426425646 Enrollment ID: I20221101001562 |
| Provider Name | Zachariah Slattery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184285975 PECOS PAC ID: 6406181635 Enrollment ID: I20221103001503 |
| Provider Name | Christopher A Fegley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003814476 PECOS PAC ID: 0648224352 Enrollment ID: I20221108000266 |
| Provider Name | Katherine Margaret Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285353979 PECOS PAC ID: 4688041346 Enrollment ID: I20221109001631 |
| Provider Name | Daniel R Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578284790 PECOS PAC ID: 1759758295 Enrollment ID: I20221112000206 |
| Provider Name | Austin Bolton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598296923 PECOS PAC ID: 8123420601 Enrollment ID: I20221116001476 |
| Provider Name | Stuart Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700271343 PECOS PAC ID: 8921312968 Enrollment ID: I20221117000409 |
| Provider Name | Hannah Marie Gamble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417625732 PECOS PAC ID: 6800264128 Enrollment ID: I20221117001906 |
| Provider Name | Amanjit Kaur Banwait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881314631 PECOS PAC ID: 9133597487 Enrollment ID: I20221117003046 |
| Provider Name | Haley Strack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588386635 PECOS PAC ID: 9739557893 Enrollment ID: I20221121001720 |
| Provider Name | Elizabeth Christine Combs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700595758 PECOS PAC ID: 9133597941 Enrollment ID: I20221129002827 |
| Provider Name | Yekaterina Neichtadt Neichtadt Hoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275194250 PECOS PAC ID: 5799010914 Enrollment ID: I20221201000515 |
| Provider Name | Sheila Wolfrum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194355982 PECOS PAC ID: 0345618955 Enrollment ID: I20221201000754 |
| Provider Name | Sara Coburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861115750 PECOS PAC ID: 5395113989 Enrollment ID: I20221202000620 |
| Provider Name | Stacy Ranae Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710632625 PECOS PAC ID: 3375911969 Enrollment ID: I20221202000675 |
| Provider Name | Jacob Shively |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215672928 PECOS PAC ID: 8628447240 Enrollment ID: I20221202002397 |
| Provider Name | Malik Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174181614 PECOS PAC ID: 7012247828 Enrollment ID: I20221205002663 |
| Provider Name | Brandon S Rentfrow |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1245992965 PECOS PAC ID: 1557730991 Enrollment ID: I20221207001782 |
| Provider Name | Carissa Vancamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346957917 PECOS PAC ID: 2365811569 Enrollment ID: I20221209002500 |
| Provider Name | Fazel Dinary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912347360 PECOS PAC ID: 8820397383 Enrollment ID: I20221209002520 |
| Provider Name | Thayer Nasereddin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215391701 PECOS PAC ID: 6901275106 Enrollment ID: I20221209002523 |
| Provider Name | Carter William Harold Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811564628 PECOS PAC ID: 0345641767 Enrollment ID: I20221215000107 |
| Provider Name | Jaime Deseda |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629495098 PECOS PAC ID: 1456638923 Enrollment ID: I20221216001541 |
| Provider Name | Philip Bao |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1881735207 PECOS PAC ID: 1254431570 Enrollment ID: I20221221002991 |
| Provider Name | Dana R Hardesty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962140756 PECOS PAC ID: 6608246137 Enrollment ID: I20221228000885 |
| Provider Name | Courtney Zimpfer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205545258 PECOS PAC ID: 9739559170 Enrollment ID: I20221230000357 |
| Provider Name | Rebecca Jo Gambrell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1447872957 PECOS PAC ID: 2163892456 Enrollment ID: I20230103000252 |
| Provider Name | Stephanie Marge Flaig-miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730748161 PECOS PAC ID: 9032444260 Enrollment ID: I20230105000304 |
| Provider Name | Thomas Easterday |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386026862 PECOS PAC ID: 8820429137 Enrollment ID: I20230117000482 |
| Provider Name | Mallory K. Pearson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407564537 PECOS PAC ID: 5991176653 Enrollment ID: I20230118000154 |
| Provider Name | Todd Frazier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285890426 PECOS PAC ID: 3173806155 Enrollment ID: I20230118001302 |
| Provider Name | Ryan Sullivan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447743232 PECOS PAC ID: 2860747920 Enrollment ID: I20230124003246 |
| Provider Name | Mohamed Askar |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1689340721 PECOS PAC ID: 1153792379 Enrollment ID: I20230126002387 |
| Provider Name | Amanda J Korn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659080844 PECOS PAC ID: 8123499217 Enrollment ID: I20230127002485 |
| Provider Name | Rachel Rinehart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780205369 PECOS PAC ID: 7012303886 Enrollment ID: I20230128000426 |
| Provider Name | Syed M Rizvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548376312 PECOS PAC ID: 4486687266 Enrollment ID: I20230201000955 |
| Provider Name | Mohammad Al-mahdawi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992236749 PECOS PAC ID: 1951674753 Enrollment ID: I20230211000205 |
| Provider Name | Erick Mendoza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427762913 PECOS PAC ID: 3274906144 Enrollment ID: I20230224001543 |
| Provider Name | Carlos Mejia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902427990 PECOS PAC ID: 6709203425 Enrollment ID: I20230224001579 |
| Provider Name | Victor Coloso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225090038 PECOS PAC ID: 3274636261 Enrollment ID: I20230303002012 |
| Provider Name | Megan M Krom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124773171 PECOS PAC ID: 6002289386 Enrollment ID: I20230307003041 |
| Provider Name | Kathryn Rudolph Diekhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780395681 PECOS PAC ID: 1153794433 Enrollment ID: I20230307003178 |
| Provider Name | Vivek Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922619345 PECOS PAC ID: 9436575784 Enrollment ID: I20230308002349 |
| Provider Name | Anamol Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629681499 PECOS PAC ID: 7810360997 Enrollment ID: I20230310002603 |
| Provider Name | Dustin Demuth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598479222 PECOS PAC ID: 4880068956 Enrollment ID: I20230314000255 |
| Provider Name | Jana Reese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982225298 PECOS PAC ID: 3476927542 Enrollment ID: I20230314000429 |
| Provider Name | Robert Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093421349 PECOS PAC ID: 4486028149 Enrollment ID: I20230320001430 |
| Provider Name | Julie Lynne Jacobsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770293516 PECOS PAC ID: 8123493236 Enrollment ID: I20230403001889 |
| Provider Name | Michael B Delong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699799189 PECOS PAC ID: 5799850541 Enrollment ID: I20230411001835 |
| Provider Name | Varoon Rathan Thavapalan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568740546 PECOS PAC ID: 6709000417 Enrollment ID: I20230417000514 |
| Provider Name | Kayde Schaefer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205464179 PECOS PAC ID: 2961878574 Enrollment ID: I20230417000852 |
| Provider Name | Sarthak Aryal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609487040 PECOS PAC ID: 3274950902 Enrollment ID: I20230424002758 |
| Provider Name | Usman Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205487824 PECOS PAC ID: 9830572387 Enrollment ID: I20230426001718 |
| Provider Name | Kelsie Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235842576 PECOS PAC ID: 9537524434 Enrollment ID: I20230428000193 |
| Provider Name | Hristina Siebenaler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669143566 PECOS PAC ID: 3375908296 Enrollment ID: I20230428001119 |
| Provider Name | Jessica Danielle Dorris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811444763 PECOS PAC ID: 3274998190 Enrollment ID: I20230428001164 |
| Provider Name | Claudia Goettler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326030123 PECOS PAC ID: 3870555105 Enrollment ID: I20230501001094 |
| Provider Name | Regina Pequignot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124734454 PECOS PAC ID: 9436514247 Enrollment ID: I20230501002264 |
| Provider Name | Alexis Victoria Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033818984 PECOS PAC ID: 0648636068 Enrollment ID: I20230509002783 |
| Provider Name | Mary Kuyvenhoven |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568098564 PECOS PAC ID: 7214355627 Enrollment ID: I20230510001074 |
| Provider Name | Lara Maria Lahr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942843701 PECOS PAC ID: 1456696616 Enrollment ID: I20230515000586 |
| Provider Name | Saeed Bajwa |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255439915 PECOS PAC ID: 7416843487 Enrollment ID: I20230518000776 |
| Provider Name | Melissa K Fearnow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801501127 PECOS PAC ID: 1052777869 Enrollment ID: I20230522001462 |
| Provider Name | Sadikshya Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285244830 PECOS PAC ID: 3678939493 Enrollment ID: I20230522002013 |
| Provider Name | Terah C. Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801597315 PECOS PAC ID: 4789041278 Enrollment ID: I20230526000365 |
| Provider Name | Nicholas James Skinner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013607548 PECOS PAC ID: 7810354339 Enrollment ID: I20230526001751 |
| Provider Name | Zain Inam Siddiqui |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467068502 PECOS PAC ID: 9638536105 Enrollment ID: I20230530000843 |
| Provider Name | Eileen Jill Ramos Muzzillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003343310 PECOS PAC ID: 3870906712 Enrollment ID: I20230601002499 |
| Provider Name | Ethel Ann Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518659739 PECOS PAC ID: 6002273828 Enrollment ID: I20230608002746 |
| Provider Name | Seejal Niraula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477167294 PECOS PAC ID: 1456718139 Enrollment ID: I20230612002258 |
| Provider Name | Diwakar Panta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942812698 PECOS PAC ID: 0547627242 Enrollment ID: I20230612003085 |
| Provider Name | Bradley Yurkanin |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114649597 PECOS PAC ID: 8022476555 Enrollment ID: I20230615001297 |
| Provider Name | Victor Hugo Cepeda |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033524715 PECOS PAC ID: 1355647314 Enrollment ID: I20230616001236 |
| Provider Name | Abigail Buckland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487345625 PECOS PAC ID: 3274991591 Enrollment ID: I20230620000331 |
| Provider Name | Syed Ather |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821034307 PECOS PAC ID: 4981609120 Enrollment ID: I20230620002156 |
| Provider Name | Arisha Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952729196 PECOS PAC ID: 0446477301 Enrollment ID: I20230621001947 |
| Provider Name | Taylor Marie Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629702220 PECOS PAC ID: 0749648848 Enrollment ID: I20230622000533 |
| Provider Name | Diedre Pulver |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174237952 PECOS PAC ID: 9537527643 Enrollment ID: I20230622001062 |
| Provider Name | Bilal Gondal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962799098 PECOS PAC ID: 0648402628 Enrollment ID: I20230622002399 |
| Provider Name | Chad Percifield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629569140 PECOS PAC ID: 4880941178 Enrollment ID: I20230628000288 |
| Provider Name | Kara Poley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215624275 PECOS PAC ID: 8224497615 Enrollment ID: I20230703001382 |
| Provider Name | James Patrick Mcdonald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659812824 PECOS PAC ID: 9537581731 Enrollment ID: I20230705002714 |
| Provider Name | Jamie Lynn Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477116853 PECOS PAC ID: 1153654728 Enrollment ID: I20230705002898 |
| Provider Name | Ibrahim Maghari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659986719 PECOS PAC ID: 6406276161 Enrollment ID: I20230706002900 |
| Provider Name | Hla Hla Wai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407473440 PECOS PAC ID: 2264852250 Enrollment ID: I20230707001164 |
| Provider Name | Myles Parker |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1730887951 PECOS PAC ID: 8628438454 Enrollment ID: I20230712001732 |
| Provider Name | Emilie Samp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104565027 PECOS PAC ID: 7911388780 Enrollment ID: I20230713001199 |
| Provider Name | Michael Jimmie Davis |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1639663255 PECOS PAC ID: 2668720970 Enrollment ID: I20230714001144 |
| Provider Name | Annalissa Kammeyer Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710515887 PECOS PAC ID: 6800218561 Enrollment ID: I20230715000247 |
| Provider Name | Ekaterina Dianova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306379789 PECOS PAC ID: 8628314325 Enrollment ID: I20230717001478 |
| Provider Name | Rameej Revanta Thapa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205449014 PECOS PAC ID: 5799145934 Enrollment ID: I20230719001319 |
| Provider Name | Anisha Galla |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1497455752 PECOS PAC ID: 7315307519 Enrollment ID: I20230719003906 |
| Provider Name | Kari Suzanne Peeper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730895111 PECOS PAC ID: 6709247604 Enrollment ID: I20230725001158 |
| Provider Name | Tara Engel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780363572 PECOS PAC ID: 5698136539 Enrollment ID: I20230725003282 |
| Provider Name | Corey Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417571209 PECOS PAC ID: 9335562859 Enrollment ID: I20230726000835 |
| Provider Name | Levi Yoder Smucker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700382785 PECOS PAC ID: 5597194639 Enrollment ID: I20230728002906 |
| Provider Name | Marisa Nicole Salmeri |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710382163 PECOS PAC ID: 1658732136 Enrollment ID: I20230731003165 |
| Provider Name | Leslie Jo Buzzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881386563 PECOS PAC ID: 7810358306 Enrollment ID: I20230731003800 |
| Provider Name | Sonya Rocquil Dubose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619681871 PECOS PAC ID: 6901267418 Enrollment ID: I20230801000577 |
| Provider Name | Courtney M Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013533926 PECOS PAC ID: 7719300292 Enrollment ID: I20230804000959 |
| Provider Name | Perica Davitkov |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629344734 PECOS PAC ID: 3476914441 Enrollment ID: I20230807003680 |
| Provider Name | Carson Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902420789 PECOS PAC ID: 3072936509 Enrollment ID: I20230810003839 |
| Provider Name | Molly Furman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750919866 PECOS PAC ID: 6002238896 Enrollment ID: I20230811000542 |
| Provider Name | Anya Menzies |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1033537345 PECOS PAC ID: 2163779893 Enrollment ID: I20230814001329 |
| Provider Name | Dominic J Hubley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275217382 PECOS PAC ID: 1759743289 Enrollment ID: I20230816001443 |
| Provider Name | Emily Sue Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619667151 PECOS PAC ID: 3678935889 Enrollment ID: I20230818001704 |
| Provider Name | William Dumouchelle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275232662 PECOS PAC ID: 2062885676 Enrollment ID: I20230818002850 |
| Provider Name | Abid Ali Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740800184 PECOS PAC ID: 5496177750 Enrollment ID: I20230822002216 |
| Provider Name | Cameron Jeffrey Lautzenheiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316621659 PECOS PAC ID: 5890158869 Enrollment ID: I20230824001761 |
| Provider Name | Hnin Nu Lwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528547932 PECOS PAC ID: 5890038285 Enrollment ID: I20230824001789 |
| Provider Name | Ambria Moten |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1558773408 PECOS PAC ID: 2567756901 Enrollment ID: I20230825000357 |
| Provider Name | Chinelo Ogbudinkpa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528414802 PECOS PAC ID: 8527352202 Enrollment ID: I20230825001232 |
| Provider Name | Bogna N Brzezinska |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1467815787 PECOS PAC ID: 1153613948 Enrollment ID: I20230830001761 |
| Provider Name | Chris Sloffer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073638185 PECOS PAC ID: 0143320481 Enrollment ID: I20230901000701 |
| Provider Name | Michael Wolfe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821008285 PECOS PAC ID: 0749209823 Enrollment ID: I20230908000290 |
| Provider Name | Elizabeth M Berkey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528266764 PECOS PAC ID: 7719878453 Enrollment ID: I20230908001531 |
| Provider Name | Hilary Toole |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467915348 PECOS PAC ID: 3577987015 Enrollment ID: I20230912003368 |
| Provider Name | Kenan Alibegovic |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285258053 PECOS PAC ID: 7214350768 Enrollment ID: I20230915002311 |
| Provider Name | Elisha Lynn Hardesty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205490877 PECOS PAC ID: 5991169369 Enrollment ID: I20230919000873 |
| Provider Name | Nicholas Sangiacomo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134904881 PECOS PAC ID: 8325402837 Enrollment ID: I20230921000708 |
| Provider Name | Saeed Kalantari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457837577 PECOS PAC ID: 1850773532 Enrollment ID: I20230922001751 |
| Provider Name | Miry Lanphere |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447740519 PECOS PAC ID: 1557749884 Enrollment ID: I20230929001925 |
| Provider Name | Angela Lynn Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295426260 PECOS PAC ID: 0042664567 Enrollment ID: I20231002001819 |
| Provider Name | Alicia Anne Speer |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1780396275 PECOS PAC ID: 3173977618 Enrollment ID: I20231002002560 |
| Provider Name | Vishank A Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922363712 PECOS PAC ID: 0547525701 Enrollment ID: I20231002003153 |
| Provider Name | Adrienne Schafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700661568 PECOS PAC ID: 6901251313 Enrollment ID: I20231004002602 |
| Provider Name | Akira Tsunawaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780395814 PECOS PAC ID: 0749635621 Enrollment ID: I20231012001677 |
| Provider Name | Marjorie D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164047312 PECOS PAC ID: 0244653129 Enrollment ID: I20231019001586 |
| Provider Name | Stacia Elizabeth Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306322177 PECOS PAC ID: 3476802760 Enrollment ID: I20231030002002 |
| Provider Name | Gary Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558488197 PECOS PAC ID: 3173614906 Enrollment ID: I20231102000279 |
| Provider Name | Harrison Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144909862 PECOS PAC ID: 1557718103 Enrollment ID: I20231103002139 |
| Provider Name | Lydia Elaine Hentz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952941908 PECOS PAC ID: 9234587601 Enrollment ID: I20231122002820 |
| Provider Name | Laura Jean Leins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790354835 PECOS PAC ID: 0042668477 Enrollment ID: I20231127000529 |
| Provider Name | Wenyao Yu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720772023 PECOS PAC ID: 9537517982 Enrollment ID: I20231127001606 |
| Provider Name | Janette Richardson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629647615 PECOS PAC ID: 6204284185 Enrollment ID: I20231204000886 |
| Provider Name | Sanam Baghshomali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922234830 PECOS PAC ID: 3870714645 Enrollment ID: I20231204001604 |
| Provider Name | Alexandra Maria De Lellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730877895 PECOS PAC ID: 1850740663 Enrollment ID: I20231205003045 |
| Provider Name | Jody Lynn Haddock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1588980999 PECOS PAC ID: 6002052693 Enrollment ID: I20231205003247 |
| Provider Name | Alex Wiedenhoeft |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346923257 PECOS PAC ID: 1759730344 Enrollment ID: I20231207002717 |
| Provider Name | Adam Kenneth Cloud |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548404643 PECOS PAC ID: 2769626795 Enrollment ID: I20231209000236 |
| Provider Name | Katrina Wyse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457348567 PECOS PAC ID: 0941221741 Enrollment ID: I20231209000574 |
| Provider Name | Asia Filatov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982193231 PECOS PAC ID: 3476808668 Enrollment ID: I20231211001626 |
| Provider Name | Randy Metcalf |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073506648 PECOS PAC ID: 4486685765 Enrollment ID: I20231212003720 |
| Provider Name | Michelle Salisbury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730502683 PECOS PAC ID: 7416187430 Enrollment ID: I20231212003779 |
| Provider Name | Annette Zacur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669086203 PECOS PAC ID: 1355761016 Enrollment ID: I20231214000241 |
| Provider Name | John Untisz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932430360 PECOS PAC ID: 0244477602 Enrollment ID: I20231216000351 |
| Provider Name | Taylor Schuman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679341366 PECOS PAC ID: 7810346731 Enrollment ID: I20231218000533 |
| Provider Name | Shauna Rae Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134993322 PECOS PAC ID: 2567812290 Enrollment ID: I20231221001186 |
| Provider Name | Ana Stephany Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588448989 PECOS PAC ID: 5991155509 Enrollment ID: I20231222000783 |
| Provider Name | Anne Fisher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346421864 PECOS PAC ID: 6204975428 Enrollment ID: I20231222001929 |
| Provider Name | Hayden Spryn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366229254 PECOS PAC ID: 2365892858 Enrollment ID: I20231226000420 |
| Provider Name | Jennifer Ann Hilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396527313 PECOS PAC ID: 4183075575 Enrollment ID: I20240110002436 |
| Provider Name | Vanessa Cavero Chavez |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1730496076 PECOS PAC ID: 8527370345 Enrollment ID: I20240111002493 |
| Provider Name | Shandi Blair Menzie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750155008 PECOS PAC ID: 3274984406 Enrollment ID: I20240111002838 |
| Provider Name | Riel E Sarno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134176811 PECOS PAC ID: 3577518158 Enrollment ID: I20240124000486 |
| Provider Name | Ian Gatchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487235024 PECOS PAC ID: 1951710581 Enrollment ID: I20240126003008 |
| Provider Name | Seth Offerle Baker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598333999 PECOS PAC ID: 6608219159 Enrollment ID: I20240212002678 |
| Provider Name | Patricia L Rich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386750149 PECOS PAC ID: 2961406442 Enrollment ID: I20240221003905 |
| Provider Name | Jessica L Slattery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245518927 PECOS PAC ID: 9537331608 Enrollment ID: I20240228002516 |
| Provider Name | Ellie Postel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568230597 PECOS PAC ID: 4880039445 Enrollment ID: I20240305002903 |
| Provider Name | Elijah Klepper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073378261 PECOS PAC ID: 5496191827 Enrollment ID: I20240307003760 |
| Provider Name | Pedro Roca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427059278 PECOS PAC ID: 9133122856 Enrollment ID: I20240314000197 |
| Provider Name | Parth Anantbhai Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326655630 PECOS PAC ID: 7517303225 Enrollment ID: I20240315001229 |
| Provider Name | Nathan Locke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295154854 PECOS PAC ID: 8729384375 Enrollment ID: I20240319002046 |
| Provider Name | Heather Sue Bleeke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467995035 PECOS PAC ID: 1658718523 Enrollment ID: I20240327002256 |
| Provider Name | Mary C Hostetter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225260060 PECOS PAC ID: 0143668913 Enrollment ID: I20240329002288 |
| Provider Name | Nikhil J Shastri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871671271 PECOS PAC ID: 3476613167 Enrollment ID: I20240404000556 |
| Provider Name | Brooke Randol |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275269623 PECOS PAC ID: 7719325067 Enrollment ID: I20240404003306 |
| Provider Name | Neil Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487828653 PECOS PAC ID: 1759568389 Enrollment ID: I20240408000886 |
| Provider Name | Sable Locke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043630916 PECOS PAC ID: 8325344872 Enrollment ID: I20240412001552 |
| Provider Name | Ricardo M Mccall |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265413876 PECOS PAC ID: 3375594591 Enrollment ID: I20240417000368 |
| Provider Name | Saadullah Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700836517 PECOS PAC ID: 0648216341 Enrollment ID: I20240419002615 |
| Provider Name | Tyler Neuman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962274100 PECOS PAC ID: 4183063399 Enrollment ID: I20240422001133 |
| Provider Name | Matt Ryan Givens |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1962754523 PECOS PAC ID: 9638518749 Enrollment ID: I20240422001523 |
| Provider Name | Michael Yuzhou Shao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1508196122 PECOS PAC ID: 5496903296 Enrollment ID: I20240424003818 |
| Provider Name | Kenneth Scott Yew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396717419 PECOS PAC ID: 7810185626 Enrollment ID: I20240513002205 |
| Provider Name | Jesse Wright |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1972375665 PECOS PAC ID: 0648611913 Enrollment ID: I20240517000590 |
| Provider Name | Jaimin Amin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588955066 PECOS PAC ID: 8820212723 Enrollment ID: I20240522003058 |
| Provider Name | Taylor Robert Ipsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346877636 PECOS PAC ID: 2769824622 Enrollment ID: I20240523000294 |
| Provider Name | Brianna Mae Householder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265206338 PECOS PAC ID: 0547602484 Enrollment ID: I20240523003295 |
| Provider Name | Felicia N Treesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619748852 PECOS PAC ID: 1850733700 Enrollment ID: I20240523003642 |
| Provider Name | Yabtsega Moges |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588055404 PECOS PAC ID: 9638403116 Enrollment ID: I20240524000470 |
| Provider Name | Abinash Parajuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174198428 PECOS PAC ID: 7012359730 Enrollment ID: I20240528001067 |
| Provider Name | Steven Michael Dandalides |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679558472 PECOS PAC ID: 5799733200 Enrollment ID: I20240530002295 |
| Provider Name | Sara Keshtvarz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760010292 PECOS PAC ID: 3577005941 Enrollment ID: I20240613000502 |
| Provider Name | Glenn Pottmeyer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417452475 PECOS PAC ID: 5890042147 Enrollment ID: I20240617001810 |
| Provider Name | Sakshi Kapur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174034896 PECOS PAC ID: 7113460254 Enrollment ID: I20240618001918 |
| Provider Name | Megan Marie Salzmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538925367 PECOS PAC ID: 8921541756 Enrollment ID: I20240620002700 |
| Provider Name | Mehnoor Durrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699352997 PECOS PAC ID: 1153864871 Enrollment ID: I20240621001772 |
| Provider Name | Evan Brian Westrick |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962857219 PECOS PAC ID: 5496154296 Enrollment ID: I20240621003699 |
| Provider Name | Rowann Aiman Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275252975 PECOS PAC ID: 6709320104 Enrollment ID: I20240626002914 |
| Provider Name | Sailendra Kumar Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205419926 PECOS PAC ID: 5496299588 Enrollment ID: I20240701000691 |
| Provider Name | Morgan Ariel Buchs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164839007 PECOS PAC ID: 0042754780 Enrollment ID: I20240705000086 |
| Provider Name | Audra Deardorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467946111 PECOS PAC ID: 4082950571 Enrollment ID: I20240705000089 |
| Provider Name | Kevin C Bui |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144727546 PECOS PAC ID: 1052788940 Enrollment ID: I20240705000108 |
| Provider Name | Christopher M Evenson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730541004 PECOS PAC ID: 6406141506 Enrollment ID: I20240705000303 |
| Provider Name | Brayden Claye Clark |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316787823 PECOS PAC ID: 5496299158 Enrollment ID: I20240705000554 |
| Provider Name | Mukund Venu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083838817 PECOS PAC ID: 0143461996 Enrollment ID: I20240709000199 |
| Provider Name | Jessica Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184487365 PECOS PAC ID: 1456896778 Enrollment ID: I20240711000794 |
| Provider Name | Manasi Manoj Godbole |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841710613 PECOS PAC ID: 8123362563 Enrollment ID: I20240711000952 |
| Provider Name | Moaz Bin Zia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417442245 PECOS PAC ID: 2668717976 Enrollment ID: I20240715000138 |
| Provider Name | Ransford Commey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326329905 PECOS PAC ID: 5799057113 Enrollment ID: I20240717001356 |
| Provider Name | Sara K Ford-terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518746502 PECOS PAC ID: 3274079819 Enrollment ID: I20240719001076 |
| Provider Name | Alexandria N Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881443240 PECOS PAC ID: 9739625245 Enrollment ID: I20240720000199 |
| Provider Name | Michelle Elise Wiese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003348343 PECOS PAC ID: 1456629435 Enrollment ID: I20240723003449 |
| Provider Name | Alexandra Elizabeth Ortiz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659995033 PECOS PAC ID: 5496177180 Enrollment ID: I20240724000718 |
| Provider Name | Ahmad Taftaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932780707 PECOS PAC ID: 4082150297 Enrollment ID: I20240724002387 |
| Provider Name | Jacquelyn Geraldine Small |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225694102 PECOS PAC ID: 3476889874 Enrollment ID: I20240726002587 |
| Provider Name | Aaron K Lambert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1295146355 PECOS PAC ID: 8729524673 Enrollment ID: I20240726002756 |
| Provider Name | Tyler Bruce Schwartz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1407611569 PECOS PAC ID: 2062958952 Enrollment ID: I20240727000333 |
| Provider Name | Courtney Ann Steffensmeier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356109128 PECOS PAC ID: 8527505312 Enrollment ID: I20240729003941 |
| Provider Name | Nathan Richards |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1972367803 PECOS PAC ID: 9537606959 Enrollment ID: I20240802003191 |
| Provider Name | Jennifer Leigh Hatton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386931434 PECOS PAC ID: 6608018932 Enrollment ID: I20240806003724 |
| Provider Name | Ilysa R Diamond |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356596332 PECOS PAC ID: 6204998396 Enrollment ID: I20240807004414 |
| Provider Name | Sara Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013764984 PECOS PAC ID: 3274070248 Enrollment ID: I20240808000668 |
| Provider Name | Vinay Katukuri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992860597 PECOS PAC ID: 2365490323 Enrollment ID: I20240808001682 |
| Provider Name | Mahmoud Khreis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619379427 PECOS PAC ID: 3870866494 Enrollment ID: I20240808002290 |
| Provider Name | Barton Wade Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003267246 PECOS PAC ID: 1052608262 Enrollment ID: I20240809001012 |
| Provider Name | Richard George |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912941196 PECOS PAC ID: 0244234003 Enrollment ID: I20240813000732 |
| Provider Name | Gena T Manley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275576670 PECOS PAC ID: 1759370539 Enrollment ID: I20240815002662 |
| Provider Name | Mateo Nicholson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659833366 PECOS PAC ID: 2668897687 Enrollment ID: I20240821003832 |
| Provider Name | Jenna Rae Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720838816 PECOS PAC ID: 6800335845 Enrollment ID: I20240822001467 |
| Provider Name | Bailey Marie Beery |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1629840186 PECOS PAC ID: 0143769042 Enrollment ID: I20240822004557 |
| Provider Name | Sujan Shrestha-karki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407434269 PECOS PAC ID: 4284173774 Enrollment ID: I20240828002811 |
| Provider Name | Rebecca Ann Hendrickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619717717 PECOS PAC ID: 9638619794 Enrollment ID: I20240904003613 |
| Provider Name | Vaishali Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033669734 PECOS PAC ID: 2163704917 Enrollment ID: I20240906002689 |
| Provider Name | Ga-ram Han |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1891299376 PECOS PAC ID: 9335498906 Enrollment ID: I20240909002456 |
| Provider Name | Natalie Huynh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679101398 PECOS PAC ID: 3274951892 Enrollment ID: I20240910002354 |
| Provider Name | Bree Murua-cuney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508287723 PECOS PAC ID: 5890235394 Enrollment ID: I20240911002061 |
| Provider Name | Maureen Kioko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235976648 PECOS PAC ID: 4284174632 Enrollment ID: I20240911004072 |
| Provider Name | Ruth Tangonan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952894198 PECOS PAC ID: 9931456183 Enrollment ID: I20240912001283 |
| Provider Name | Andrew Berry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487049193 PECOS PAC ID: 9537464565 Enrollment ID: I20240916001112 |
| Provider Name | Alayna Lynn Kitchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528835436 PECOS PAC ID: 6305387390 Enrollment ID: I20240918000342 |
| Provider Name | Linsey Bullock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770939084 PECOS PAC ID: 7719278803 Enrollment ID: I20240919002178 |
| Provider Name | Kristina Girardot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720818495 PECOS PAC ID: 1850832312 Enrollment ID: I20240924002814 |
| Provider Name | Neva Mccague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811605884 PECOS PAC ID: 6901265446 Enrollment ID: I20241001003424 |
| Provider Name | Abdo Saad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518149830 PECOS PAC ID: 6800038977 Enrollment ID: I20241002000758 |
| Provider Name | Hemanth K Gavini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073522504 PECOS PAC ID: 5698779965 Enrollment ID: I20241008002391 |
| Provider Name | Hunter Freeman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144056441 PECOS PAC ID: 7012449317 Enrollment ID: I20241011000328 |
| Provider Name | Kayla Nordman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174360366 PECOS PAC ID: 0446782759 Enrollment ID: I20241011000508 |
| Provider Name | Patricia Clark |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053335349 PECOS PAC ID: 5890792170 Enrollment ID: I20241021001241 |
| Provider Name | Darlene Daly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093712457 PECOS PAC ID: 6204926157 Enrollment ID: I20241022000842 |
| Provider Name | Stephen Markowiak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851710321 PECOS PAC ID: 5193029700 Enrollment ID: I20241023001375 |
| Provider Name | Hasan Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053739995 PECOS PAC ID: 3173890514 Enrollment ID: I20241029000338 |
| Provider Name | Alyssa Doak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568201986 PECOS PAC ID: 9638602659 Enrollment ID: I20241030000671 |
| Provider Name | Emily Inez Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730900424 PECOS PAC ID: 4981138146 Enrollment ID: I20241111000962 |
| Provider Name | Jennifer Bellinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497372767 PECOS PAC ID: 0941734628 Enrollment ID: I20241118002101 |
| Provider Name | Craig M Bone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073668075 PECOS PAC ID: 4789625278 Enrollment ID: I20241119004531 |
| Provider Name | Melanie Nicole Garvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952137259 PECOS PAC ID: 7810422318 Enrollment ID: I20241120003446 |
| Provider Name | Hanna Schreiber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871310235 PECOS PAC ID: 5890221600 Enrollment ID: I20241203004392 |
| Provider Name | Christopher Dougherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1720336548 PECOS PAC ID: 9335392034 Enrollment ID: I20241209002453 |
| Provider Name | Gary Fornera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265464887 PECOS PAC ID: 8729986898 Enrollment ID: I20241211001590 |
| Provider Name | Amy Hardiek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508247388 PECOS PAC ID: 4789110966 Enrollment ID: I20241211002406 |
| Provider Name | John Maul |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1326014382 PECOS PAC ID: 6800826751 Enrollment ID: I20241216000694 |
| Provider Name | Stacey Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346075322 PECOS PAC ID: 0042747891 Enrollment ID: I20241218002326 |
| Provider Name | Jonathan Grossman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093210114 PECOS PAC ID: 6002142411 Enrollment ID: I20241223001979 |
| Provider Name | Hayley Samantha Robuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548911324 PECOS PAC ID: 9032647839 Enrollment ID: I20250107003263 |
| Provider Name | Kayleigh Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053135418 PECOS PAC ID: 0648708404 Enrollment ID: I20250108001612 |
| Provider Name | Robert Hoadley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578007480 PECOS PAC ID: 5597037515 Enrollment ID: I20250113000572 |
| Provider Name | Cassidy Marie Mcafee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437977220 PECOS PAC ID: 1658809827 Enrollment ID: I20250115003368 |
| Provider Name | Stacy Nicole Nicole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891516167 PECOS PAC ID: 4385172469 Enrollment ID: I20250117000420 |
| Provider Name | Shaoxuan Guo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346064136 PECOS PAC ID: 4981133832 Enrollment ID: I20250122003267 |
| Provider Name | Heath Ford |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1518730621 PECOS PAC ID: 9032648811 Enrollment ID: I20250123001212 |
| Provider Name | Angela M Olvera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083906895 PECOS PAC ID: 4880123538 Enrollment ID: I20250124000354 |
| Provider Name | Simhachalam Gurugubelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891281820 PECOS PAC ID: 4587913827 Enrollment ID: I20250129001625 |
| Provider Name | Avik Sarkar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528383403 PECOS PAC ID: 8224326558 Enrollment ID: I20250131000722 |
| Provider Name | Olivia Smart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053127225 PECOS PAC ID: 0244769438 Enrollment ID: I20250203001659 |
| Provider Name | Wissam A Bleibel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558477489 PECOS PAC ID: 9830199637 Enrollment ID: I20250207002749 |
| Provider Name | Heather Sue Bleeke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467995035 PECOS PAC ID: 1658718523 Enrollment ID: I20250211001773 |
| Provider Name | Vicki Paige Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518783414 PECOS PAC ID: 4880124320 Enrollment ID: I20250212002950 |
| Provider Name | Haroon Shahid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659697290 PECOS PAC ID: 4789813965 Enrollment ID: I20250214003174 |
| Provider Name | Timothy Jessie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679573034 PECOS PAC ID: 2163499591 Enrollment ID: I20250215000149 |
| Provider Name | Heather Sateesh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821491820 PECOS PAC ID: 0042431272 Enrollment ID: I20250219000709 |
| Provider Name | Wonhee Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053872515 PECOS PAC ID: 2860726536 Enrollment ID: I20250219001862 |
| Provider Name | Rajaninder Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679905202 PECOS PAC ID: 9436441615 Enrollment ID: I20250222000278 |
| Provider Name | Brice Boby Abraham |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1386492197 PECOS PAC ID: 9638699416 Enrollment ID: I20250224002067 |
| Provider Name | Abigail Bever |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043024045 PECOS PAC ID: 2466972047 Enrollment ID: I20250226001655 |
| Provider Name | Hamza Quadri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760942023 PECOS PAC ID: 5799015558 Enrollment ID: I20250306000110 |
| Provider Name | Kendra Elizabeth Dempsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1063235471 PECOS PAC ID: 6608397682 Enrollment ID: I20250306001425 |
| Provider Name | Howard Levene |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1952574774 PECOS PAC ID: 8325191513 Enrollment ID: I20250307002820 |
| Provider Name | Aditya Kalakonda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952742587 PECOS PAC ID: 9931494283 Enrollment ID: I20250307003179 |
| Provider Name | Lauren Kline |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093593550 PECOS PAC ID: 2860849544 Enrollment ID: I20250312001688 |
| Provider Name | Chelsie Mcsorley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033929856 PECOS PAC ID: 7719409663 Enrollment ID: I20250320000128 |
| Provider Name | Raj Ashokbhai Devani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558094532 PECOS PAC ID: 5193247906 Enrollment ID: I20250321001471 |
| Provider Name | Noah Michael Lewin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295542645 PECOS PAC ID: 1052834579 Enrollment ID: I20250325003910 |
| Provider Name | Hina Wazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013677921 PECOS PAC ID: 2769923515 Enrollment ID: I20250327001133 |
| Provider Name | Holly J Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508673047 PECOS PAC ID: 1254854342 Enrollment ID: I20250331000077 |
| Provider Name | Makayla Ann Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073345872 PECOS PAC ID: 6103340872 Enrollment ID: I20250403003665 |
| Provider Name | Madison Santilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275338006 PECOS PAC ID: 7810411956 Enrollment ID: I20250409003841 |
| Provider Name | Travis Samples |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770393415 PECOS PAC ID: 0244755916 Enrollment ID: I20250416000452 |
| Provider Name | Kelly Fiechter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538974381 PECOS PAC ID: 2860917440 Enrollment ID: I20250416000762 |
| Provider Name | Wyatt Jeffry Gottschalk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639989379 PECOS PAC ID: 8921523457 Enrollment ID: I20250417000948 |
| Provider Name | Sarah Griffith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538984323 PECOS PAC ID: 6901321264 Enrollment ID: I20250418001072 |
| Provider Name | Gary Luckman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225001472 PECOS PAC ID: 3173592995 Enrollment ID: I20250422002897 |
| Provider Name | Zahnee Badgley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578387080 PECOS PAC ID: 7416473210 Enrollment ID: I20250424001999 |
| Provider Name | Malin Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437824224 PECOS PAC ID: 5597152207 Enrollment ID: I20250425000135 |
| Provider Name | Sowjanya Naha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821471293 PECOS PAC ID: 2860740040 Enrollment ID: I20250425001562 |
| Provider Name | Debra Lousie Rorick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194565259 PECOS PAC ID: 9234655820 Enrollment ID: I20250428000870 |
| Provider Name | Kushal Naha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639586506 PECOS PAC ID: 2062765506 Enrollment ID: I20250428002509 |
| Provider Name | Amar S Naik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457433955 PECOS PAC ID: 1456426923 Enrollment ID: I20250430002041 |
| Provider Name | Samantha Dayawansa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376980649 PECOS PAC ID: 5890078950 Enrollment ID: I20250503000136 |
| Provider Name | Allison Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831908920 PECOS PAC ID: 5597282475 Enrollment ID: I20250505001456 |
| Provider Name | Andrew S Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609365477 PECOS PAC ID: 4587025945 Enrollment ID: I20250507002025 |
| Provider Name | Phyllis E Schreiner-tata |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760952535 PECOS PAC ID: 8820515398 Enrollment ID: I20250508000112 |
| Provider Name | Cheryl Bennett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932307238 PECOS PAC ID: 2163949439 Enrollment ID: I20250509001159 |
| Provider Name | Rylee Lynn Storms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356152334 PECOS PAC ID: 1052839826 Enrollment ID: I20250515001224 |
| Provider Name | Mohamed Mandeel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366934077 PECOS PAC ID: 6406196039 Enrollment ID: I20250520001618 |
| Provider Name | Luke Alexander Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730640574 PECOS PAC ID: 0042738239 Enrollment ID: I20250521000384 |
| Provider Name | Lauren Killion |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568084978 PECOS PAC ID: 0648799650 Enrollment ID: I20250522001983 |
| Provider Name | Reese Mackenzie Weslow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710709589 PECOS PAC ID: 6608395561 Enrollment ID: I20250522003103 |
| Provider Name | Mo'ath Nassar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407230279 PECOS PAC ID: 2860798667 Enrollment ID: I20250530001921 |
| Provider Name | Brandon Witte |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164211298 PECOS PAC ID: 4486163102 Enrollment ID: I20250604001234 |
| Provider Name | Daniel Andersen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841856515 PECOS PAC ID: 2961739453 Enrollment ID: I20250604003100 |
| Provider Name | Jordyn Marie Husted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093527756 PECOS PAC ID: 7416467451 Enrollment ID: I20250610000881 |
| Provider Name | Katelyn Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518766294 PECOS PAC ID: 4880104561 Enrollment ID: I20250611002154 |
| Provider Name | Kabita Paudel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144963141 PECOS PAC ID: 2769992262 Enrollment ID: I20250612000696 |
| Provider Name | Aubrey Monson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1104420777 PECOS PAC ID: 7416369616 Enrollment ID: I20250612001346 |
| Provider Name | Bridgette Niese |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1841092046 PECOS PAC ID: 2961913470 Enrollment ID: I20250612002523 |
| Provider Name | Kelsey Elizabeth Elett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255003364 PECOS PAC ID: 1850802802 Enrollment ID: I20250617000379 |
| Provider Name | Srijan Adhikari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053846188 PECOS PAC ID: 1052683869 Enrollment ID: I20250620001615 |
| Provider Name | Jeffrey Fanning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962442087 PECOS PAC ID: 1456355445 Enrollment ID: I20250630001162 |
| Provider Name | Carter Filchak |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1053118364 PECOS PAC ID: 7810407756 Enrollment ID: I20250630003198 |
| Provider Name | Renate Gyenge Wright |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245868751 PECOS PAC ID: 9335561166 Enrollment ID: I20250702002821 |
| Provider Name | Peter Ali |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669961033 PECOS PAC ID: 1557616364 Enrollment ID: I20250703002684 |
| Provider Name | Richard Tejedor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780608653 PECOS PAC ID: 1951340520 Enrollment ID: I20250708000378 |
| Provider Name | Abdelaziz Saleh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699769307 PECOS PAC ID: 3779501101 Enrollment ID: I20250708000485 |
| Provider Name | Nicholas August Zehner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730820275 PECOS PAC ID: 2264946250 Enrollment ID: I20250710002011 |
| Provider Name | Allison Vorndran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306577556 PECOS PAC ID: 2062891989 Enrollment ID: I20250710002063 |
| Provider Name | Haitam Buaisha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558770743 PECOS PAC ID: 4486933678 Enrollment ID: I20250710003263 |
| Provider Name | William Ely Brading |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730810763 PECOS PAC ID: 8527447440 Enrollment ID: I20250710003780 |
| Provider Name | Alexandria Larsen-hallock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942888441 PECOS PAC ID: 1557746328 Enrollment ID: I20250711000298 |
| Provider Name | Shaun Hansel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225616550 PECOS PAC ID: 1557876281 Enrollment ID: I20250712000087 |
| Provider Name | Abdul Hameed Jan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366184350 PECOS PAC ID: 8426563990 Enrollment ID: I20250714003049 |
| Provider Name | Monique Chireau Wubbenhorst |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255417515 PECOS PAC ID: 7911993514 Enrollment ID: I20250715002522 |
| Provider Name | Kelly Zolman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730985144 PECOS PAC ID: 0547775876 Enrollment ID: I20250715002799 |
| Provider Name | Monica Call |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023749264 PECOS PAC ID: 9234518143 Enrollment ID: I20250716001276 |
| Provider Name | Aleena Danae Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477202877 PECOS PAC ID: 2567840457 Enrollment ID: I20250716001734 |
| Provider Name | Laura Quinones Velez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326350125 PECOS PAC ID: 7719283241 Enrollment ID: I20250716001782 |
| Provider Name | Haider Syed Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972234813 PECOS PAC ID: 4082089842 Enrollment ID: I20250716003343 |
| Provider Name | Jodi Lee Tinkel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952341471 PECOS PAC ID: 5799788329 Enrollment ID: I20250718001803 |
| Provider Name | Dalia Aziz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720540545 PECOS PAC ID: 8527390616 Enrollment ID: I20250721000642 |
| Provider Name | Dimitar Krastev |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861029027 PECOS PAC ID: 6507276904 Enrollment ID: I20250721001798 |
| Provider Name | Julia Montejo |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1578592275 PECOS PAC ID: 2466474796 Enrollment ID: I20250721002784 |
| Provider Name | Praveen Sateesh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629218219 PECOS PAC ID: 7315116217 Enrollment ID: I20250724003173 |
| Provider Name | Jacqueline Baughman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265329247 PECOS PAC ID: 0648787499 Enrollment ID: I20250728002019 |
| Provider Name | Amr Nabaah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851737647 PECOS PAC ID: 6709182082 Enrollment ID: I20250730001696 |
| Provider Name | Anjali Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982494720 PECOS PAC ID: 8729595095 Enrollment ID: I20250730002600 |
| Provider Name | Jenny Lin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1013145515 PECOS PAC ID: 4880842061 Enrollment ID: I20250801001632 |
| Provider Name | Stephanie Mann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497859714 PECOS PAC ID: 5597746339 Enrollment ID: I20250801001875 |
| Provider Name | Franklin Dong |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1902604887 PECOS PAC ID: 7416465828 Enrollment ID: I20250805003742 |
| Provider Name | Thomas Wright |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962963892 PECOS PAC ID: 4587990767 Enrollment ID: I20250806000881 |
| Provider Name | Marc Larsen-hallock |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295362614 PECOS PAC ID: 0941605117 Enrollment ID: I20250812004124 |
| Provider Name | Jacob Rosner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225661523 PECOS PAC ID: 8224439955 Enrollment ID: I20250814001475 |
| Provider Name | Romy Abou Mrad |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1851655518 PECOS PAC ID: 8022379924 Enrollment ID: I20250818000481 |
| Provider Name | David Funk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225778301 PECOS PAC ID: 5991204901 Enrollment ID: I20250818000881 |
| Provider Name | Jacob Kirby Myers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154213056 PECOS PAC ID: 3375042120 Enrollment ID: I20250818004320 |
| Provider Name | Ned John Panara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922082130 PECOS PAC ID: 1850345208 Enrollment ID: I20250819000922 |
| Provider Name | Nang Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497495568 PECOS PAC ID: 3870967797 Enrollment ID: I20250821001714 |
| Provider Name | Nicole Alexandra Hagen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093503583 PECOS PAC ID: 8729588876 Enrollment ID: I20250822002341 |
| Provider Name | Amritpal Anand |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770701716 PECOS PAC ID: 3274625678 Enrollment ID: I20250823000090 |
| Provider Name | Abhinav Goyal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578970273 PECOS PAC ID: 9436574357 Enrollment ID: I20250823000275 |
| Provider Name | Mohamed Noureldin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437689437 PECOS PAC ID: 6002241858 Enrollment ID: I20250825003825 |
| Provider Name | Michael Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508506502 PECOS PAC ID: 9436523354 Enrollment ID: I20250904000154 |
| Provider Name | Courtney Reeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427507805 PECOS PAC ID: 4082117429 Enrollment ID: I20250911004433 |
| Provider Name | Haidar Kabbani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144203753 PECOS PAC ID: 0749201994 Enrollment ID: I20250915002125 |
| Provider Name | Chelsea Faith Render-dye |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932550555 PECOS PAC ID: 4880198506 Enrollment ID: I20250917000141 |
| Provider Name | Matthew Mcadams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417698978 PECOS PAC ID: 1456735273 Enrollment ID: I20250920000359 |
| Provider Name | Alma Aveytia Camacho |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659909166 PECOS PAC ID: 8527563287 Enrollment ID: I20250924001035 |
| Provider Name | Kirthi Lilley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063733111 PECOS PAC ID: 8820390875 Enrollment ID: I20250930000485 |
| Provider Name | Kaitlyn A Henricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811882095 PECOS PAC ID: 3375049117 Enrollment ID: I20251001001488 |
| Provider Name | Anna Levine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912569047 PECOS PAC ID: 5799013140 Enrollment ID: I20251001002444 |
| Provider Name | Shehzad Nawaz Merwat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891700597 PECOS PAC ID: 5698870343 Enrollment ID: I20251002001498 |
| Provider Name | Kayla Rose Hoeffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003707241 PECOS PAC ID: 5193221380 Enrollment ID: I20251006002382 |
| Provider Name | Matthew Tescula |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861952202 PECOS PAC ID: 3476097239 Enrollment ID: I20251007002161 |
| Provider Name | Roy Small |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841245370 PECOS PAC ID: 7012045651 Enrollment ID: I20251009004277 |
| Provider Name | Mina Gayed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336679794 PECOS PAC ID: 6406239508 Enrollment ID: I20251017001519 |
| Provider Name | Michaela K Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497549992 PECOS PAC ID: 4284123571 Enrollment ID: I20251028001108 |
| Provider Name | Dominic Colella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932530680 PECOS PAC ID: 2769719715 Enrollment ID: I20251031002887 |
| Provider Name | Alexis Irene Mcclure |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780490235 PECOS PAC ID: 6406345024 Enrollment ID: I20251101000199 |
| Provider Name | Hayley Mahorney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538053202 PECOS PAC ID: 9638660004 Enrollment ID: I20251113000875 |
| Provider Name | Collin Quinlan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659262483 PECOS PAC ID: 3779074745 Enrollment ID: I20251118001679 |
| Provider Name | Jennifer Kimball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144116088 PECOS PAC ID: 2567953458 Enrollment ID: I20251119000259 |
| Provider Name | Pankti Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770961021 PECOS PAC ID: 9032453618 Enrollment ID: I20251119000272 |
| Provider Name | Yazan Adhami |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1073311940 PECOS PAC ID: 0244722957 Enrollment ID: I20251120002439 |
| Provider Name | Jennifer Brow |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710116603 PECOS PAC ID: 2668638503 Enrollment ID: I20251121000574 |
| Provider Name | Amanda Mekota |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1679468326 PECOS PAC ID: 8426540063 Enrollment ID: I20251121002298 |
| Provider Name | Lauren Beckmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922989367 PECOS PAC ID: 0345732897 Enrollment ID: I20251122000580 |
| Provider Name | Kaleigh Koler |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1366240731 PECOS PAC ID: 9537652409 Enrollment ID: I20251201001753 |
| Provider Name | Robert Mullin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356978183 PECOS PAC ID: 7911322508 Enrollment ID: I20251201002888 |
| Provider Name | Esther Christine Rodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629940531 PECOS PAC ID: 5991298614 Enrollment ID: I20251202001640 |
| Provider Name | Brianna Mohler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366331761 PECOS PAC ID: 0749773372 Enrollment ID: I20251203000552 |
| Provider Name | Tristan Ashford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558237438 PECOS PAC ID: 7012401003 Enrollment ID: I20251208002303 |
| Provider Name | Dorothy Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497883169 PECOS PAC ID: 4587757042 Enrollment ID: I20251212000762 |
| Provider Name | Krishna Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992159537 PECOS PAC ID: 3274821277 Enrollment ID: I20251216002616 |
| Provider Name | Athanasios Desalermos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982961066 PECOS PAC ID: 5092932830 Enrollment ID: I20251218001673 |
| Provider Name | Laura C Hockey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083351522 PECOS PAC ID: 6305377144 Enrollment ID: I20251223001958 |
| Provider Name | Christopher Fuertes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700147147 PECOS PAC ID: 9133478779 Enrollment ID: I20251229001360 |
| Provider Name | Ryan Alexander Crouch |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1144041476 PECOS PAC ID: 2769978675 Enrollment ID: I20251230003289 |
| Provider Name | Amber R Pfeiffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922983063 PECOS PAC ID: 7214423961 Enrollment ID: I20251231003215 |
| Provider Name | Emma Lee Barney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922971076 PECOS PAC ID: 9537655105 Enrollment ID: I20260102002406 |
| Provider Name | Samantha Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194690677 PECOS PAC ID: 7416443932 Enrollment ID: I20260105000880 |
| Provider Name | Rachel Marie Hallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518835750 PECOS PAC ID: 1153817606 Enrollment ID: I20260105001681 |
| Provider Name | Alexandra Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710481734 PECOS PAC ID: 5496143067 Enrollment ID: I20260106001875 |
| Provider Name | Matthew James Holland |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1639990906 PECOS PAC ID: 9032695945 Enrollment ID: I20260110000144 |
| Provider Name | Nathaniel S Leahy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295607679 PECOS PAC ID: 0941786743 Enrollment ID: I20260112002082 |
| Provider Name | Dmytro Orel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700466398 PECOS PAC ID: 3577049113 Enrollment ID: I20260113003053 |
| Provider Name | Lauren Brianne Kinniry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255210472 PECOS PAC ID: 2769968270 Enrollment ID: I20260114001715 |
| Provider Name | David Gloss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821278912 PECOS PAC ID: 6204967359 Enrollment ID: I20260116001970 |
| Provider Name | Sheresa Rae Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114001237 PECOS PAC ID: 4385748201 Enrollment ID: I20260116002363 |
| Provider Name | Edwin Peters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912990870 PECOS PAC ID: 6002874674 Enrollment ID: I20260127000940 |
| Provider Name | David Markenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093781726 PECOS PAC ID: 9133167836 Enrollment ID: I20260127004380 |
| Provider Name | Emma O'connor |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1962268573 PECOS PAC ID: 7517307705 Enrollment ID: I20260128000357 |
| Provider Name | Melissa Rumple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306715180 PECOS PAC ID: 4183102957 Enrollment ID: I20260202003465 |
| Provider Name | Sasikala Xavier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700742335 PECOS PAC ID: 2163900739 Enrollment ID: I20260204001159 |
| Provider Name | Michael Vanoever |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780296558 PECOS PAC ID: 3971914706 Enrollment ID: I20260205000163 |
| Provider Name | Caleb Alan Eggenberger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194466870 PECOS PAC ID: 4486133766 Enrollment ID: I20260206002588 |
| Provider Name | Sandeep Singh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1821260670 PECOS PAC ID: 1153301353 Enrollment ID: I20260209002561 |
| Provider Name | Erica Tauck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922459957 PECOS PAC ID: 5395016158 Enrollment ID: I20260213002352 |
| Provider Name | Dakotah Olivia-george Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689465130 PECOS PAC ID: 2264912419 Enrollment ID: I20260217000705 |
| Provider Name | Kiran Wasiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467143321 PECOS PAC ID: 6608356498 Enrollment ID: I20260219002318 |
| Provider Name | James Michael Roush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568075513 PECOS PAC ID: 8224519806 Enrollment ID: I20260221000662 |
| Provider Name | Brian Su |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205307154 PECOS PAC ID: 4688036031 Enrollment ID: I20260224004598 |
| Provider Name | Elisabeth Ferlic |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1114185634 PECOS PAC ID: 4587702881 Enrollment ID: I20260227000309 |
| Provider Name | Clare Ann Coddington Heckathorn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467124149 PECOS PAC ID: 9335537422 Enrollment ID: I20260227002793 |
| Provider Name | Juan Alfredo Caceres Noguera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457798290 PECOS PAC ID: 2961710413 Enrollment ID: I20260302000730 |
| Provider Name | Gerardo Heredia Melero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174839401 PECOS PAC ID: 0648413583 Enrollment ID: I20260304000935 |
| Provider Name | Evan Reinhart |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578068284 PECOS PAC ID: 0244587608 Enrollment ID: I20260304002834 |
| Provider Name | Maria Jolanta Swiatkowska |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427462464 PECOS PAC ID: 1850873118 Enrollment ID: I20260305001498 |
| Provider Name | Samantha Swantek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538660469 PECOS PAC ID: 7517375959 Enrollment ID: I20260316000167 |
| Provider Name | Ryleigh Cottingham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760341432 PECOS PAC ID: 6406330638 Enrollment ID: I20260325001700 |
| Provider Name | Hannah Anne Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356046528 PECOS PAC ID: 4587021282 Enrollment ID: I20260326000343 |
| Provider Name | Kimberly Therese Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093928285 PECOS PAC ID: 4789709379 Enrollment ID: I20260328000174 |
| Provider Name | Kristen N Azzue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043175250 PECOS PAC ID: 1850876608 Enrollment ID: I20260330002070 |
| Provider Name | Bailey Weigle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689524464 PECOS PAC ID: 5092290577 Enrollment ID: I20260402000444 |
| Provider Name | Sukhraj Singh |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316224579 PECOS PAC ID: 2668632068 Enrollment ID: I20260402003140 |
| Provider Name | Hannah Christine Stemen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881557171 PECOS PAC ID: 3971078239 Enrollment ID: I20260406000786 |
| Provider Name | Robert Still |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659373801 PECOS PAC ID: 3274562913 Enrollment ID: I20260406002130 |
| Provider Name | Alexa Ann Nickelson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689470163 PECOS PAC ID: 6002381274 Enrollment ID: I20260406003561 |
| Provider Name | Diana Vradii |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1972768166 PECOS PAC ID: 9436385655 Enrollment ID: I20260410000567 |
| Provider Name | Abhimanyu Ravalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275105801 PECOS PAC ID: 3577039643 Enrollment ID: I20260416000576 |
| Provider Name | Courtney Marie James |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538026281 PECOS PAC ID: 9830665736 Enrollment ID: I20260417002393 |
| Provider Name | Amber Auriti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194678730 PECOS PAC ID: 8325514839 Enrollment ID: I20260421002525 |
| Provider Name | Anna Sylvester |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114596475 PECOS PAC ID: 9830666387 Enrollment ID: I20260422001477 |
| Provider Name | Nina Carmela R Tamayo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740697986 PECOS PAC ID: 3375814189 Enrollment ID: I20260427001480 |
| Provider Name | Melanie Christine Eix |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518812619 PECOS PAC ID: 2264909258 Enrollment ID: I20260428000590 |
| Provider Name | Sai Anudeep Kollipara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598457129 PECOS PAC ID: 6103272935 Enrollment ID: I20260430000399 |
| Provider Name | Tonia Sue Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437090784 PECOS PAC ID: 8224505979 Enrollment ID: I20260430000548 |
| Provider Name | Michael Purdy-sachs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578250478 PECOS PAC ID: 2163881467 Enrollment ID: I20260430001011 |
| Provider Name | Jennifer L Bepple |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104087584 PECOS PAC ID: 6800935735 Enrollment ID: I20260501003391 |
| Provider Name | Brooke Nichole Freese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356091623 PECOS PAC ID: 5597233908 Enrollment ID: I20260505000377 |
| Provider Name | Jimmy Parikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740596261 PECOS PAC ID: 5799937488 Enrollment ID: I20260505001328 |
| Provider Name | Mark Wells |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215926597 PECOS PAC ID: 9638140163 Enrollment ID: I20260506002085 |
| Provider Name | Natalie Lynn Haffner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417891672 PECOS PAC ID: 9436627403 Enrollment ID: I20260507002623 |
| Provider Name | Audrey Elise Bradford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578415089 PECOS PAC ID: 3971071812 Enrollment ID: I20260508000905 |
| Provider Name | Sardar Shah-khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811421597 PECOS PAC ID: 3173893732 Enrollment ID: I20260513000864 |
| Provider Name | Andrew Mcbride |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275574329 PECOS PAC ID: 1951393586 Enrollment ID: I20260514000701 |
| Provider Name | Judy Ann Tillapaugh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558153981 PECOS PAC ID: 8729557632 Enrollment ID: I20260520000186 |
| Provider Name | Jason Winegardner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639010580 PECOS PAC ID: 5890265458 Enrollment ID: I20260526001220 |
| Provider Name | Amanda Marie Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700723830 PECOS PAC ID: 1658841002 Enrollment ID: I20260527000562 |
| Provider Name | Elaine Buchmeier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801743497 PECOS PAC ID: 3577033760 Enrollment ID: I20260528004268 |
| Provider Name | Devin Scott Spivey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174218945 PECOS PAC ID: 3375997489 Enrollment ID: I20260603003307 |
| Provider Name | Alexa Porter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396674511 PECOS PAC ID: 8527539287 Enrollment ID: I20260604000191 |
| Provider Name | Jonathan William Broyles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578909297 PECOS PAC ID: 0749751113 Enrollment ID: I20260605002856 |
| Provider Name | Rebekah Diller |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346102282 PECOS PAC ID: 7911478292 Enrollment ID: I20260608002455 |
| Provider Name | Imran Ali Sayed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922365899 PECOS PAC ID: 7618283474 Enrollment ID: I20260609003229 |
| Provider Name | Maxwell Akanbi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457977613 PECOS PAC ID: 8224451737 Enrollment ID: I20260611000944 |
| Provider Name | Kennedy Christine Nies |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700527603 PECOS PAC ID: 5799141131 Enrollment ID: I20260612002354 |
| Provider Name | Brandon Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417358482 PECOS PAC ID: 9032438734 Enrollment ID: I20260612003498 |
| Provider Name | Sherry Lynn Schoening |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538008453 PECOS PAC ID: 3870065220 Enrollment ID: I20260616004247 |
| Provider Name | Jeffrey John Oury |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679109532 PECOS PAC ID: 6305318767 Enrollment ID: I20260616004669 |
| Provider Name | Maia Reiley |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528557089 PECOS PAC ID: 9537414982 Enrollment ID: I20260622002380 |
| Provider Name | Sarah Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821701541 PECOS PAC ID: 1951773399 Enrollment ID: I20260624000281 |
| Provider Name | Cassandra Leigh Linn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841022266 PECOS PAC ID: 5092254946 Enrollment ID: I20260624004709 |
| Provider Name | Hannah Helena Hess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174498778 PECOS PAC ID: 1052884368 Enrollment ID: I20260626002720 |
| Provider Name | Dennis Brandon Runyon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669311932 PECOS PAC ID: 8628541976 Enrollment ID: I20260626004014 |
| Provider Name | Chance Benner |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184116436 PECOS PAC ID: 7012323652 Enrollment ID: I20260626004266 |
| Mailing Address | Practice Location Address |
|---|---|
| Parkview Physicians Group 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: (260) 373-9700 | Parkview Physicians Group 3909 New Vision Dr, Fort Wayne, IN 46845-1725 Ph: (260) 469-6602 |