| Affinity Physicians LLC. | |
|
455 Toll Gate Rd Warwick RI 02886-2759 | |
| (401) 737-7010 | |
| (401) 736-4546 |
| Full Name | Affinity Physicians LLC. |
|---|---|
| Speciality | Internal Medicine |
| Location | 455 Toll Gate Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Dawn Lynn Rodgers (MANAGER PAYER ENROLLMENT) |
| Authorized Official Contact | 4012730641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Physicians LLC. 455 Toll Gate Rd Prc And Credentialing Warwick RI 02886-2759 Ph: (401) 273-0641 | Affinity Physicians LLC. 455 Toll Gate Rd Warwick RI 02886-2759 Ph: (401) 737-7010 |
| NPI Number | 1184944662 |
|---|---|
| Provider Enumeration Date | 06/07/2010 |
| Last Update Date | 04/15/2026 |
| Certification Date | 04/15/2026 |
| Medicare PECOS PAC ID | 0244413391 |
|---|---|
| Medicare Enrollment ID | O20110326000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184944662 | NPI | - | NPPES |
| AF82916 | Medicaid | RI |
| Provider Name | Joanne E Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174597330 PECOS PAC ID: 6406760883 Enrollment ID: I20031119000096 |
| Provider Name | Nadah B Zafar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205842341 PECOS PAC ID: 9032010541 Enrollment ID: I20040117000010 |
| Provider Name | Kathleen M Rotondo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972570422 PECOS PAC ID: 9638070758 Enrollment ID: I20040120000672 |
| Provider Name | Karen Mcgoldrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154341212 PECOS PAC ID: 1951203777 Enrollment ID: I20040122000886 |
| Provider Name | Ellen L Andrews-manocchia |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306967104 PECOS PAC ID: 4486556206 Enrollment ID: I20040122000894 |
| Provider Name | Tolga N Kokturk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083645592 PECOS PAC ID: 9032011879 Enrollment ID: I20040122000998 |
| Provider Name | Lisa R Domagalski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295782787 PECOS PAC ID: 4385537596 Enrollment ID: I20040203000393 |
| Provider Name | Liudvikas J Jagminas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659354488 PECOS PAC ID: 4587557566 Enrollment ID: I20040204000301 |
| Provider Name | Jane R Sharp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013926633 PECOS PAC ID: 8628961612 Enrollment ID: I20040204000337 |
| Provider Name | Gabriele G Hughes |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578564845 PECOS PAC ID: 6507750221 Enrollment ID: I20040212000100 |
| Provider Name | Lisa A. Uebelacker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528151230 PECOS PAC ID: 2163317694 Enrollment ID: I20040216000381 |
| Provider Name | Laina E Crowthers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215953716 PECOS PAC ID: 4587550322 Enrollment ID: I20040226001113 |
| Provider Name | Matthew Ricketson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790708469 PECOS PAC ID: 7810885142 Enrollment ID: I20040309000240 |
| Provider Name | Thomas J Raimondo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245236918 PECOS PAC ID: 5193712396 Enrollment ID: I20040429000205 |
| Provider Name | Razib Khaund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497733547 PECOS PAC ID: 4183614316 Enrollment ID: I20040518000470 |
| Provider Name | Michele R Gange |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467479543 PECOS PAC ID: 6901888031 Enrollment ID: I20040603000102 |
| Provider Name | Beatriz M Demoranville |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699795443 PECOS PAC ID: 4385626381 Enrollment ID: I20040609000024 |
| Provider Name | Michael L Stanchina |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518989367 PECOS PAC ID: 1557345188 Enrollment ID: I20040614000359 |
| Provider Name | Laura M Ofstead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437106382 PECOS PAC ID: 1850286683 Enrollment ID: I20040614000931 |
| Provider Name | Iris L Tong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033150586 PECOS PAC ID: 2567446966 Enrollment ID: I20040615000051 |
| Provider Name | Rachel L Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811937907 PECOS PAC ID: 9638153034 Enrollment ID: I20040615000064 |
| Provider Name | Douglas L Blecker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538106240 PECOS PAC ID: 4183608532 Enrollment ID: I20040615000446 |
| Provider Name | Jean E Twomey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255350450 PECOS PAC ID: 4183609852 Enrollment ID: I20040618000935 |
| Provider Name | Duane T Golomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801924170 PECOS PAC ID: 3476538315 Enrollment ID: I20040623000967 |
| Provider Name | John S Vitelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740268754 PECOS PAC ID: 4183601487 Enrollment ID: I20040706000280 |
| Provider Name | Kathleen C Bowling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750307419 PECOS PAC ID: 1759368939 Enrollment ID: I20040706000847 |
| Provider Name | Niharika D Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558394833 PECOS PAC ID: 3274511001 Enrollment ID: I20040709000008 |
| Provider Name | Ralph F Santoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710098249 PECOS PAC ID: 9830178912 Enrollment ID: I20040714000758 |
| Provider Name | William a Palumbo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063562486 PECOS PAC ID: 7517946080 Enrollment ID: I20040717000363 |
| Provider Name | Ghulam Mustafa Surti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861499675 PECOS PAC ID: 1456331354 Enrollment ID: I20040721001569 |
| Provider Name | Diane M Reali Marini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558336669 PECOS PAC ID: 6305816281 Enrollment ID: I20040728000930 |
| Provider Name | Jennifer F Jarbeau |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023012572 PECOS PAC ID: 6709850068 Enrollment ID: I20040823000783 |
| Provider Name | Chelsy Caren |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346207602 PECOS PAC ID: 3072588490 Enrollment ID: I20040830000684 |
| Provider Name | Rabin F Chandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477536415 PECOS PAC ID: 9436125283 Enrollment ID: I20040903000011 |
| Provider Name | Richard Leach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407852155 PECOS PAC ID: 0446228621 Enrollment ID: I20040924000546 |
| Provider Name | Sara R Ford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013989425 PECOS PAC ID: 8921077462 Enrollment ID: I20040930000705 |
| Provider Name | Peter Petropoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346291903 PECOS PAC ID: 2264491802 Enrollment ID: I20041008000049 |
| Provider Name | Maria T Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114982857 PECOS PAC ID: 4183529837 Enrollment ID: I20041011000023 |
| Provider Name | Stefan G Kostadinov |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871524173 PECOS PAC ID: 8426018771 Enrollment ID: I20041012001111 |
| Provider Name | Edward J Marcaccio |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073511218 PECOS PAC ID: 4082674833 Enrollment ID: I20041015000213 |
| Provider Name | Sun Ho Ahn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457322299 PECOS PAC ID: 9234126525 Enrollment ID: I20041021000655 |
| Provider Name | Joseph a Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356324248 PECOS PAC ID: 3072576479 Enrollment ID: I20041108000005 |
| Provider Name | Daren Dennis Girard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053390138 PECOS PAC ID: 4486619327 Enrollment ID: I20041119000859 |
| Provider Name | Debra Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649386442 PECOS PAC ID: 7517922768 Enrollment ID: I20041130000092 |
| Provider Name | Mary Minn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699746438 PECOS PAC ID: 3870483928 Enrollment ID: I20041130000210 |
| Provider Name | Kathleen Shilko |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295764660 PECOS PAC ID: 0941266761 Enrollment ID: I20041203000378 |
| Provider Name | Michael D Beitle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659318392 PECOS PAC ID: 9234196122 Enrollment ID: I20041213000400 |
| Provider Name | Juan R. Sanchez Esteban |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972587673 PECOS PAC ID: 8527025725 Enrollment ID: I20041220000000 |
| Provider Name | Linh Mong Tran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326264706 PECOS PAC ID: 3971552589 Enrollment ID: I20050120000436 |
| Provider Name | Gladys H Telang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063466621 PECOS PAC ID: 1557312352 Enrollment ID: I20050209000721 |
| Provider Name | Jennifer C Rao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538434634 PECOS PAC ID: 8820040231 Enrollment ID: I20050214000883 |
| Provider Name | Charles Eaton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942283841 PECOS PAC ID: 1658323688 Enrollment ID: I20050217000469 |
| Provider Name | Paul Costigan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366438756 PECOS PAC ID: 0648222679 Enrollment ID: I20050217000479 |
| Provider Name | Joan M Spencer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1760450753 PECOS PAC ID: 5496726994 Enrollment ID: I20050218000036 |
| Provider Name | David J Cicerchia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386699064 PECOS PAC ID: 3476530452 Enrollment ID: I20050218000746 |
| Provider Name | Jonathan a Gastel |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922042514 PECOS PAC ID: 1951388933 Enrollment ID: I20050218000768 |
| Provider Name | Steven N Graff |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1164461364 PECOS PAC ID: 7416934484 Enrollment ID: I20050218000825 |
| Provider Name | Annmarie a Jurczak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508883596 PECOS PAC ID: 7315990025 Enrollment ID: I20050222000942 |
| Provider Name | Marygene M Santa Teresa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336158344 PECOS PAC ID: 0345131819 Enrollment ID: I20050225000429 |
| Provider Name | Steven J Rainone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801093992 PECOS PAC ID: 9335192541 Enrollment ID: I20050228001043 |
| Provider Name | Deirdre E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326032004 PECOS PAC ID: 5799738886 Enrollment ID: I20050301000679 |
| Provider Name | Rebecca J Crichton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023038460 PECOS PAC ID: 2769437862 Enrollment ID: I20050322000017 |
| Provider Name | Dilek Cermik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780663286 PECOS PAC ID: 5799731840 Enrollment ID: I20050322001146 |
| Provider Name | Fred a Brosco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356361927 PECOS PAC ID: 5496792657 Enrollment ID: I20050411000258 |
| Provider Name | Christie a Rishworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487683173 PECOS PAC ID: 6901843994 Enrollment ID: I20050412000162 |
| Provider Name | Patricia a Karwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700883568 PECOS PAC ID: 7517904238 Enrollment ID: I20050414000360 |
| Provider Name | Caroline M Skudlarek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821015892 PECOS PAC ID: 6800834128 Enrollment ID: I20050418001341 |
| Provider Name | John Cribb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265526891 PECOS PAC ID: 9234179102 Enrollment ID: I20050510000982 |
| Provider Name | Eric P Berthiaume |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235223843 PECOS PAC ID: 7315987120 Enrollment ID: I20050510001217 |
| Provider Name | Joseph H Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477549632 PECOS PAC ID: 8820038656 Enrollment ID: I20050511000013 |
| Provider Name | Angela Fishman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437235983 PECOS PAC ID: 6608817168 Enrollment ID: I20050519000883 |
| Provider Name | Plakyil Joseph |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1821070418 PECOS PAC ID: 6709828338 Enrollment ID: I20050524001249 |
| Provider Name | Umberto Capuano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700827466 PECOS PAC ID: 2769428531 Enrollment ID: I20050701000181 |
| Provider Name | David Carcieri |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265440598 PECOS PAC ID: 9032148077 Enrollment ID: I20050810000071 |
| Provider Name | Tracey M Guthrie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255345849 PECOS PAC ID: 6901837269 Enrollment ID: I20050825000999 |
| Provider Name | Mary Helen Hohenhaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164476370 PECOS PAC ID: 3678505633 Enrollment ID: I20050909000977 |
| Provider Name | Kristopher Davignon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386601201 PECOS PAC ID: 6204807068 Enrollment ID: I20051012001001 |
| Provider Name | Donna D Kelly |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730118241 PECOS PAC ID: 5890711295 Enrollment ID: I20051014000481 |
| Provider Name | Pedro Barros |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649276494 PECOS PAC ID: 7214954676 Enrollment ID: I20051026000158 |
| Provider Name | James W Ziegler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346209459 PECOS PAC ID: 4385685437 Enrollment ID: I20051027000584 |
| Provider Name | Alex Etienne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447221866 PECOS PAC ID: 4385662436 Enrollment ID: I20051107000859 |
| Provider Name | Mara G Coyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801832902 PECOS PAC ID: 0547289878 Enrollment ID: I20051116000542 |
| Provider Name | Kathy a Rebeiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073539813 PECOS PAC ID: 0143249144 Enrollment ID: I20051118000642 |
| Provider Name | Leah a Berg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992772438 PECOS PAC ID: 6507886116 Enrollment ID: I20051128000855 |
| Provider Name | Martin J Furman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689688590 PECOS PAC ID: 9830119981 Enrollment ID: I20051203000027 |
| Provider Name | William M Sikov |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811916661 PECOS PAC ID: 8527081793 Enrollment ID: I20060113000456 |
| Provider Name | Richard a Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457328221 PECOS PAC ID: 7810926466 Enrollment ID: I20060128000072 |
| Provider Name | Helen Geigenmiller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295712321 PECOS PAC ID: 1759395668 Enrollment ID: I20060131000276 |
| Provider Name | Pamela High |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831143023 PECOS PAC ID: 4183638844 Enrollment ID: I20060201000714 |
| Provider Name | Gary G Wharton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265459143 PECOS PAC ID: 4183639560 Enrollment ID: I20060207000807 |
| Provider Name | Elizabeth Cadoret |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538135595 PECOS PAC ID: 4385659382 Enrollment ID: I20060213000417 |
| Provider Name | Carol a Wheeler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083608194 PECOS PAC ID: 7810902301 Enrollment ID: I20060221000343 |
| Provider Name | Mary Beth Welesko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487601431 PECOS PAC ID: 3971510959 Enrollment ID: I20060316000059 |
| Provider Name | Arshad Iqbal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174564983 PECOS PAC ID: 6800805425 Enrollment ID: I20060410000658 |
| Provider Name | Ana Fulton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144273301 PECOS PAC ID: 0547272973 Enrollment ID: I20060628000291 |
| Provider Name | Vivian W Sung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700821014 PECOS PAC ID: 9931112711 Enrollment ID: I20060720000418 |
| Provider Name | Altug Koymen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336170893 PECOS PAC ID: 7012910201 Enrollment ID: I20060808000283 |
| Provider Name | Danielle T Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740217090 PECOS PAC ID: 6709889751 Enrollment ID: I20060814000202 |
| Provider Name | Edith P Mcconaughey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558391979 PECOS PAC ID: 5496758005 Enrollment ID: I20060822000265 |
| Provider Name | Linda a Steinhardt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558390369 PECOS PAC ID: 8820091341 Enrollment ID: I20060822000499 |
| Provider Name | Robin M Masi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801812227 PECOS PAC ID: 3375547631 Enrollment ID: I20060830000050 |
| Provider Name | Jody a Underwood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528003712 PECOS PAC ID: 5496759292 Enrollment ID: I20060911000186 |
| Provider Name | Elisabeth Howard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124032396 PECOS PAC ID: 2365459351 Enrollment ID: I20060926000493 |
| Provider Name | Brittany S Hampton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003839234 PECOS PAC ID: 8820093842 Enrollment ID: I20060926000511 |
| Provider Name | Katie Hamblett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881635639 PECOS PAC ID: 9931105277 Enrollment ID: I20061010000715 |
| Provider Name | Janet B Lefkowitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235149865 PECOS PAC ID: 7911903968 Enrollment ID: I20061013000363 |
| Provider Name | Allison L Bernier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053429332 PECOS PAC ID: 4789680778 Enrollment ID: I20061016000115 |
| Provider Name | Erin C Brousseau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851498000 PECOS PAC ID: 2961409925 Enrollment ID: I20061104000031 |
| Provider Name | Alisa Merolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598860389 PECOS PAC ID: 8224036413 Enrollment ID: I20061122000414 |
| Provider Name | Michelle J. Brodeur |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710964846 PECOS PAC ID: 1759389729 Enrollment ID: I20061129000531 |
| Provider Name | Matthew J Thran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841302601 PECOS PAC ID: 4284634387 Enrollment ID: I20070112000229 |
| Provider Name | David J Broza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083652408 PECOS PAC ID: 9739189812 Enrollment ID: I20070115000245 |
| Provider Name | Peter W Wolferseder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003874058 PECOS PAC ID: 5193726420 Enrollment ID: I20070129000528 |
| Provider Name | Paula E Hughes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841211554 PECOS PAC ID: 3375545353 Enrollment ID: I20070203000158 |
| Provider Name | Stacy J Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033209895 PECOS PAC ID: 5395847545 Enrollment ID: I20070219000754 |
| Provider Name | Jeannine Giovanni |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346354156 PECOS PAC ID: 6002888682 Enrollment ID: I20070223000642 |
| Provider Name | Kevin E Baill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114939170 PECOS PAC ID: 4385607621 Enrollment ID: I20070224000147 |
| Provider Name | Christine K Cassel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902882343 PECOS PAC ID: 9032173984 Enrollment ID: I20070228000558 |
| Provider Name | Peter B Rintels |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1871577999 PECOS PAC ID: 8426151424 Enrollment ID: I20070313000097 |
| Provider Name | Lynn Morriseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891855391 PECOS PAC ID: 4789685942 Enrollment ID: I20070414000112 |
| Provider Name | Lauren Talbert |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386727592 PECOS PAC ID: 7214033919 Enrollment ID: I20070425000691 |
| Provider Name | John F Jardine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801864772 PECOS PAC ID: 3678678935 Enrollment ID: I20070427000513 |
| Provider Name | Sadaf Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710091335 PECOS PAC ID: 1153345541 Enrollment ID: I20070522000612 |
| Provider Name | Heather Hurlburt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932278322 PECOS PAC ID: 9335247410 Enrollment ID: I20070613000637 |
| Provider Name | Reema Husain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104983428 PECOS PAC ID: 5092813055 Enrollment ID: I20070614000491 |
| Provider Name | Laurie J Laverty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588786610 PECOS PAC ID: 2668572454 Enrollment ID: I20070709000547 |
| Provider Name | Sandra F Wright |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306886072 PECOS PAC ID: 0042223364 Enrollment ID: I20070710001029 |
| Provider Name | Bryan Jay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770631368 PECOS PAC ID: 1658471891 Enrollment ID: I20070717000348 |
| Provider Name | Rebecca H Allen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669457735 PECOS PAC ID: 7517903941 Enrollment ID: I20070815000529 |
| Provider Name | Alvaro J Olivares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528072261 PECOS PAC ID: 0648364661 Enrollment ID: I20070921000435 |
| Provider Name | Nina Ji |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427023977 PECOS PAC ID: 0749223782 Enrollment ID: I20071003000234 |
| Provider Name | Martha a Pizzarello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154311314 PECOS PAC ID: 0143292151 Enrollment ID: I20071129000633 |
| Provider Name | John Gelzhiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013100759 PECOS PAC ID: 5799874574 Enrollment ID: I20071130000567 |
| Provider Name | Julie Forrest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780698357 PECOS PAC ID: 1759471618 Enrollment ID: I20071214000595 |
| Provider Name | Linda a Carro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1871502526 PECOS PAC ID: 5294816724 Enrollment ID: I20080122000622 |
| Provider Name | Edward Sheehan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982799599 PECOS PAC ID: 1254413644 Enrollment ID: I20080123000935 |
| Provider Name | Sharon L Silverman Shepard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124086053 PECOS PAC ID: 3274615547 Enrollment ID: I20080124000652 |
| Provider Name | Shari G Bronsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386604890 PECOS PAC ID: 5597756205 Enrollment ID: I20080204000659 |
| Provider Name | Thomas Edward Noonan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679534572 PECOS PAC ID: 4688607245 Enrollment ID: I20080207000159 |
| Provider Name | Molly a Fox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154500882 PECOS PAC ID: 0941383129 Enrollment ID: I20080211000805 |
| Provider Name | Linda a Hunter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356363592 PECOS PAC ID: 8426131582 Enrollment ID: I20080212000629 |
| Provider Name | Kristen Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114111705 PECOS PAC ID: 2567545536 Enrollment ID: I20080213000762 |
| Provider Name | Andrea E Arena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912972753 PECOS PAC ID: 3577570928 Enrollment ID: I20080221000533 |
| Provider Name | Debra a Karinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598722605 PECOS PAC ID: 4486739604 Enrollment ID: I20080312000575 |
| Provider Name | Tara a Capuano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992834253 PECOS PAC ID: 1456438175 Enrollment ID: I20080404000713 |
| Provider Name | Karen Ann Sclama |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144297698 PECOS PAC ID: 4880671239 Enrollment ID: I20080417000230 |
| Provider Name | Linda L Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326052077 PECOS PAC ID: 7214006162 Enrollment ID: I20080519000023 |
| Provider Name | Kamir Pabon Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255504734 PECOS PAC ID: 5496824898 Enrollment ID: I20080527000024 |
| Provider Name | Thomas Mancini |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265540868 PECOS PAC ID: 0547330623 Enrollment ID: I20080602000080 |
| Provider Name | Megan Gaynor-charette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609992197 PECOS PAC ID: 2961572953 Enrollment ID: I20080603000262 |
| Provider Name | Douglas B Genereux |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518049469 PECOS PAC ID: 7810067329 Enrollment ID: I20080610000006 |
| Provider Name | Gina G La Prova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184690299 PECOS PAC ID: 5799856241 Enrollment ID: I20080611000547 |
| Provider Name | Christine Gendreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902085871 PECOS PAC ID: 0244301620 Enrollment ID: I20080612000007 |
| Provider Name | Edward S Thomas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1154327245 PECOS PAC ID: 7810068004 Enrollment ID: I20080616000425 |
| Provider Name | Mauro a Colavita |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760403778 PECOS PAC ID: 4183525330 Enrollment ID: I20080617000165 |
| Provider Name | Agustin G Yip |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457413171 PECOS PAC ID: 2769555051 Enrollment ID: I20080721000018 |
| Provider Name | Jennifer Greene Welch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174741656 PECOS PAC ID: 9537233788 Enrollment ID: I20080806000028 |
| Provider Name | Melissa a Ludwig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396800850 PECOS PAC ID: 1951479948 Enrollment ID: I20081003000416 |
| Provider Name | David J Coia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629181268 PECOS PAC ID: 5193883452 Enrollment ID: I20081015000581 |
| Provider Name | Margaret Howard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053341891 PECOS PAC ID: 1355409483 Enrollment ID: I20081018000196 |
| Provider Name | Joseph Mcnamara |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497771752 PECOS PAC ID: 2062570856 Enrollment ID: I20081023000181 |
| Provider Name | Louis Charron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255367546 PECOS PAC ID: 8729146493 Enrollment ID: I20081024000013 |
| Provider Name | Stephanie E Potts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265576227 PECOS PAC ID: 4789744244 Enrollment ID: I20081114000005 |
| Provider Name | Aaron W Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356497176 PECOS PAC ID: 5597825976 Enrollment ID: I20081114000298 |
| Provider Name | Ellen B Hoffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760639280 PECOS PAC ID: 1658431077 Enrollment ID: I20081114000610 |
| Provider Name | John Douglas Nisbet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255357737 PECOS PAC ID: 5991865065 Enrollment ID: I20081119000254 |
| Provider Name | Kristin Lombardi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346467164 PECOS PAC ID: 9234299090 Enrollment ID: I20081124000466 |
| Provider Name | Joseph B Guarnaccia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235164427 PECOS PAC ID: 0244391357 Enrollment ID: I20081208000729 |
| Provider Name | Nicole C Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053595322 PECOS PAC ID: 2961564349 Enrollment ID: I20081218000381 |
| Provider Name | David Bader |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710913868 PECOS PAC ID: 6901995208 Enrollment ID: I20090129000402 |
| Provider Name | John Murphy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326077892 PECOS PAC ID: 0840389144 Enrollment ID: I20090217000575 |
| Provider Name | Tanya Booker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407054679 PECOS PAC ID: 5799841029 Enrollment ID: I20090311000361 |
| Provider Name | Margaret Tryforos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295710879 PECOS PAC ID: 7618034877 Enrollment ID: I20090316000522 |
| Provider Name | David C Anthony |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508847377 PECOS PAC ID: 3971660879 Enrollment ID: I20090320000105 |
| Provider Name | Andrew Chisholm |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063650976 PECOS PAC ID: 6608933387 Enrollment ID: I20090325000010 |
| Provider Name | Marianne Woodruff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285875062 PECOS PAC ID: 5294884698 Enrollment ID: I20090514000043 |
| Provider Name | Jared R Matteson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265673107 PECOS PAC ID: 0648320143 Enrollment ID: I20090603000523 |
| Provider Name | Michael S Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467619825 PECOS PAC ID: 3870644636 Enrollment ID: I20090708000197 |
| Provider Name | Amir B Bernaba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477766749 PECOS PAC ID: 7810049640 Enrollment ID: I20090709000020 |
| Provider Name | A Michael Coppa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114964251 PECOS PAC ID: 7810049954 Enrollment ID: I20090721000074 |
| Provider Name | Michael Connolly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841410743 PECOS PAC ID: 0648323758 Enrollment ID: I20090806000204 |
| Provider Name | Srilakshmi G Mitta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083829774 PECOS PAC ID: 0749341733 Enrollment ID: I20090817000483 |
| Provider Name | Jeffrey Borkan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154304996 PECOS PAC ID: 0345395620 Enrollment ID: I20090910000367 |
| Provider Name | Cassandra L Carberry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639231673 PECOS PAC ID: 4789730979 Enrollment ID: I20090912000020 |
| Provider Name | Mariam Fayek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316997588 PECOS PAC ID: 6800874090 Enrollment ID: I20090912000023 |
| Provider Name | Poonam K Modha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679611842 PECOS PAC ID: 1153467444 Enrollment ID: I20090929000512 |
| Provider Name | Elaine E Piasecki |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437361532 PECOS PAC ID: 8628114691 Enrollment ID: I20091005000455 |
| Provider Name | Dwight J Rouse |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770591190 PECOS PAC ID: 3971577198 Enrollment ID: I20091021000722 |
| Provider Name | Philip M Trupiano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073684361 PECOS PAC ID: 5698794105 Enrollment ID: I20091023000339 |
| Provider Name | Andrew Peter Mcgrath |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205979473 PECOS PAC ID: 1951497874 Enrollment ID: I20091030000260 |
| Provider Name | Meredith B Geary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982837910 PECOS PAC ID: 5991844474 Enrollment ID: I20091121000020 |
| Provider Name | Nnenna C Okpara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093813313 PECOS PAC ID: 6406875632 Enrollment ID: I20091208000467 |
| Provider Name | Barbara L Alksninis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447586490 PECOS PAC ID: 5193865319 Enrollment ID: I20091221000153 |
| Provider Name | Rachel J Sperry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346576410 PECOS PAC ID: 9234279233 Enrollment ID: I20091223000390 |
| Provider Name | Michael W Lucarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689639874 PECOS PAC ID: 4880734763 Enrollment ID: I20091228000507 |
| Provider Name | Rafael E Padilla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508975194 PECOS PAC ID: 9931244407 Enrollment ID: I20100309000034 |
| Provider Name | Brydie C Thomasian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861516361 PECOS PAC ID: 0244375582 Enrollment ID: I20100311000043 |
| Provider Name | Catherine a Degood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386861623 PECOS PAC ID: 0941335145 Enrollment ID: I20100312000621 |
| Provider Name | Henry Cabrera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750549622 PECOS PAC ID: 1456412634 Enrollment ID: I20100326000791 |
| Provider Name | Victoria C Chang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104952761 PECOS PAC ID: 6901980747 Enrollment ID: I20100430000578 |
| Provider Name | Kimberly Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043419617 PECOS PAC ID: 8921134313 Enrollment ID: I20100520000690 |
| Provider Name | Matthew a Esposito |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215918396 PECOS PAC ID: 9537245055 Enrollment ID: I20100609000710 |
| Provider Name | Anthony Lombardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154372472 PECOS PAC ID: 5193855609 Enrollment ID: I20100610000062 |
| Provider Name | Michael P Koster |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912031295 PECOS PAC ID: 8628109535 Enrollment ID: I20100621000709 |
| Provider Name | Kevin W Boog |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306160023 PECOS PAC ID: 1254462492 Enrollment ID: I20100701000466 |
| Provider Name | Robert Shalvoy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154368926 PECOS PAC ID: 7214069491 Enrollment ID: I20100723000430 |
| Provider Name | Ashley R Stuckey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457441321 PECOS PAC ID: 3870522212 Enrollment ID: I20100730000632 |
| Provider Name | Kyle Wohlrab |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447413505 PECOS PAC ID: 1254464076 Enrollment ID: I20100730000665 |
| Provider Name | Erica J Hardy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558390914 PECOS PAC ID: 1052480662 Enrollment ID: I20100805000217 |
| Provider Name | Linda Hanley |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740483742 PECOS PAC ID: 4385778075 Enrollment ID: I20100817000800 |
| Provider Name | Hop V Vu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417003096 PECOS PAC ID: 1850466475 Enrollment ID: I20100901000063 |
| Provider Name | Taro Minami |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538275854 PECOS PAC ID: 8729102363 Enrollment ID: I20100902000710 |
| Provider Name | Robert V Hance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144283276 PECOS PAC ID: 7315001435 Enrollment ID: I20100910000340 |
| Provider Name | Robert E Binek |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356348817 PECOS PAC ID: 2466644505 Enrollment ID: I20101008000448 |
| Provider Name | Fadya Elrayess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285746925 PECOS PAC ID: 0749369965 Enrollment ID: I20101103000906 |
| Provider Name | Meryl Gail Goldhaber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326033242 PECOS PAC ID: 5597959429 Enrollment ID: I20101104000313 |
| Provider Name | Nicholas G Guerina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699885863 PECOS PAC ID: 1557318359 Enrollment ID: I20101111000251 |
| Provider Name | Christine E Montross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841352556 PECOS PAC ID: 7416142310 Enrollment ID: I20101117000113 |
| Provider Name | William M Corrao |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033132816 PECOS PAC ID: 2567497332 Enrollment ID: I20101209000810 |
| Provider Name | Sergio F Rodriguez Serrano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952547846 PECOS PAC ID: 7315134780 Enrollment ID: I20101210000524 |
| Provider Name | Jennifer Gass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225065139 PECOS PAC ID: 2466404264 Enrollment ID: I20110120001174 |
| Provider Name | Sheridan a Stringer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760782213 PECOS PAC ID: 5092994673 Enrollment ID: I20110128000155 |
| Provider Name | Norman G Chou |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396713905 PECOS PAC ID: 9335328749 Enrollment ID: I20110131000743 |
| Provider Name | Chien Ren Sung |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1336167220 PECOS PAC ID: 5698955045 Enrollment ID: I20110202000593 |
| Provider Name | Betty Vohr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215956420 PECOS PAC ID: 0840470670 Enrollment ID: I20110210000496 |
| Provider Name | Raymond O Powrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588687511 PECOS PAC ID: 7911187471 Enrollment ID: I20110215001198 |
| Provider Name | Erin Hogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992746135 PECOS PAC ID: 4688855976 Enrollment ID: I20110218000864 |
| Provider Name | Cynthia L Loncar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700819273 PECOS PAC ID: 9436330784 Enrollment ID: I20110221000552 |
| Provider Name | Steven a Rasmussen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225042633 PECOS PAC ID: 4486835634 Enrollment ID: I20110222000727 |
| Provider Name | Cunxian Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629097837 PECOS PAC ID: 0941481907 Enrollment ID: I20110223000948 |
| Provider Name | Mohammad Quddus |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346273505 PECOS PAC ID: 4587845102 Enrollment ID: I20110301001112 |
| Provider Name | Tanya Orie Rogo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417123886 PECOS PAC ID: 7416139316 Enrollment ID: I20110315000029 |
| Provider Name | David Edmonson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750440699 PECOS PAC ID: 8123041589 Enrollment ID: I20110315000765 |
| Provider Name | Alice Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407854797 PECOS PAC ID: 1254309016 Enrollment ID: I20110316000523 |
| Provider Name | Robert Heinl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679541213 PECOS PAC ID: 8921281676 Enrollment ID: I20110318000016 |
| Provider Name | Monique E Depaepe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124057328 PECOS PAC ID: 9234312810 Enrollment ID: I20110318000438 |
| Provider Name | Lisa D Boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740206309 PECOS PAC ID: 7113947144 Enrollment ID: I20110330000457 |
| Provider Name | Caitlin Saint Aubin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285834119 PECOS PAC ID: 3274717517 Enrollment ID: I20110411000394 |
| Provider Name | Laura Shawhughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548325848 PECOS PAC ID: 7214029164 Enrollment ID: I20110516000233 |
| Provider Name | Brett Goudie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679627798 PECOS PAC ID: 4284736463 Enrollment ID: I20110617000205 |
| Provider Name | Joyce J OU |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083771992 PECOS PAC ID: 4284812751 Enrollment ID: I20110705000202 |
| Provider Name | Renee R Eger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992796106 PECOS PAC ID: 3678741691 Enrollment ID: I20110719000216 |
| Provider Name | Tzong Huei H Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467611020 PECOS PAC ID: 8426174731 Enrollment ID: I20110725000106 |
| Provider Name | Sevak Stepanian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497918965 PECOS PAC ID: 1951570381 Enrollment ID: I20110801000856 |
| Provider Name | Bethany S Snow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528368354 PECOS PAC ID: 1658550827 Enrollment ID: I20110822000093 |
| Provider Name | Anh-tai V Dang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487846648 PECOS PAC ID: 4183895659 Enrollment ID: I20110914000596 |
| Provider Name | Debra Goldman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679593701 PECOS PAC ID: 9032380175 Enrollment ID: I20110921000026 |
| Provider Name | Doris T Costello |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093768848 PECOS PAC ID: 6901077981 Enrollment ID: I20110923000052 |
| Provider Name | Katherine D Mccleary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811150238 PECOS PAC ID: 9739351834 Enrollment ID: I20111014000350 |
| Provider Name | Karen a Holler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750474599 PECOS PAC ID: 0042356404 Enrollment ID: I20111020000703 |
| Provider Name | Edward I Suh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881899094 PECOS PAC ID: 5991978462 Enrollment ID: I20111027000717 |
| Provider Name | Benjamin D Greenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750395349 PECOS PAC ID: 1951575513 Enrollment ID: I20111116000256 |
| Provider Name | Audrey R. Tyrka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669486098 PECOS PAC ID: 0547434185 Enrollment ID: I20111117000352 |
| Provider Name | Carin a Got |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255533071 PECOS PAC ID: 8527232982 Enrollment ID: I20111121000439 |
| Provider Name | Stephen R Carr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194756379 PECOS PAC ID: 6901846781 Enrollment ID: I20111130000348 |
| Provider Name | Nayana D. Chennapatna Manjunath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073708939 PECOS PAC ID: 0143495309 Enrollment ID: I20111216000297 |
| Provider Name | Gail a Petters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679530133 PECOS PAC ID: 1254506421 Enrollment ID: I20111216000394 |
| Provider Name | Jinen Thakkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922251875 PECOS PAC ID: 3375718422 Enrollment ID: I20111219000652 |
| Provider Name | Frank V Corrigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790823912 PECOS PAC ID: 9133395858 Enrollment ID: I20111230000339 |
| Provider Name | Paul a Disilvestro |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1174559603 PECOS PAC ID: 4486622891 Enrollment ID: I20120113000464 |
| Provider Name | Luisa Skoble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003820432 PECOS PAC ID: 0749175743 Enrollment ID: I20120113000617 |
| Provider Name | Debra K Filardo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619978624 PECOS PAC ID: 4688841398 Enrollment ID: I20120120000611 |
| Provider Name | Andrew Maslow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578529780 PECOS PAC ID: 2264609981 Enrollment ID: I20120120000797 |
| Provider Name | Sung Hee Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548214513 PECOS PAC ID: 1951568914 Enrollment ID: I20120202000012 |
| Provider Name | Gregory Dubel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902896939 PECOS PAC ID: 5092972752 Enrollment ID: I20120208000060 |
| Provider Name | Stephen P Salloway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891701116 PECOS PAC ID: 3971761172 Enrollment ID: I20120220000443 |
| Provider Name | Gary P. Epstein-lubow |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689688582 PECOS PAC ID: 7214195171 Enrollment ID: I20120223000114 |
| Provider Name | Brian D Cilley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760668487 PECOS PAC ID: 3173656667 Enrollment ID: I20120227000817 |
| Provider Name | Bruce Andrew Koplan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083663298 PECOS PAC ID: 6507051810 Enrollment ID: I20120306000024 |
| Provider Name | Charles Rardin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497788657 PECOS PAC ID: 7214958677 Enrollment ID: I20120307000241 |
| Provider Name | James D Kramarz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558632851 PECOS PAC ID: 6709046675 Enrollment ID: I20120330000087 |
| Provider Name | Lisa Lachapelle Donahue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093742777 PECOS PAC ID: 0547332215 Enrollment ID: I20120426000005 |
| Provider Name | Carmen Monzon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902839285 PECOS PAC ID: 1456513530 Enrollment ID: I20120507000743 |
| Provider Name | Beth Cronin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417126251 PECOS PAC ID: 4284898552 Enrollment ID: I20120618000363 |
| Provider Name | Chester M Hedgepeth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063409233 PECOS PAC ID: 7012940471 Enrollment ID: I20120718000079 |
| Provider Name | Jaimie Estrella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124388152 PECOS PAC ID: 6507012465 Enrollment ID: I20120808000424 |
| Provider Name | Elizabeth Burchard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174595680 PECOS PAC ID: 8022142512 Enrollment ID: I20120810000463 |
| Provider Name | Katy W Deblois |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578713426 PECOS PAC ID: 7416103098 Enrollment ID: I20120815000010 |
| Provider Name | Emily L Colyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164675005 PECOS PAC ID: 2961659099 Enrollment ID: I20120824000525 |
| Provider Name | Anad Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346504149 PECOS PAC ID: 0840447975 Enrollment ID: I20120824000555 |
| Provider Name | Michael H Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366602054 PECOS PAC ID: 2769631365 Enrollment ID: I20120925000436 |
| Provider Name | Felipe Vivas Orozco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790914158 PECOS PAC ID: 5597914168 Enrollment ID: I20120926000299 |
| Provider Name | Natalia Belosloudtseva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629347638 PECOS PAC ID: 1153570734 Enrollment ID: I20120926000400 |
| Provider Name | Cara a Mathews |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1659540490 PECOS PAC ID: 4880843689 Enrollment ID: I20121011000770 |
| Provider Name | Jeanne M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710121314 PECOS PAC ID: 5698925220 Enrollment ID: I20121017000356 |
| Provider Name | Elizabeth L Sullivan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356506398 PECOS PAC ID: 7517117898 Enrollment ID: I20121023000011 |
| Provider Name | Geetika Tewary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124258017 PECOS PAC ID: 6608026927 Enrollment ID: I20121023000526 |
| Provider Name | Richard K Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992936744 PECOS PAC ID: 4082864236 Enrollment ID: I20121024000060 |
| Provider Name | Jason Boulware |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013211168 PECOS PAC ID: 8628236387 Enrollment ID: I20121024000165 |
| Provider Name | Kirsten L Hull |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447488259 PECOS PAC ID: 8022268150 Enrollment ID: I20121025000253 |
| Provider Name | Ahmed a Hamed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053689992 PECOS PAC ID: 8921259664 Enrollment ID: I20121106000548 |
| Provider Name | Melissa a Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316295298 PECOS PAC ID: 3476704131 Enrollment ID: I20121107000069 |
| Provider Name | Holly Helen Cromwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548297658 PECOS PAC ID: 4880600956 Enrollment ID: I20121109000002 |
| Provider Name | Elizabeth Lokich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770758419 PECOS PAC ID: 9032362181 Enrollment ID: I20130123000451 |
| Provider Name | Nicole J Durfey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316032063 PECOS PAC ID: 3678593589 Enrollment ID: I20130128000276 |
| Provider Name | Christine Marie Charpentier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699876656 PECOS PAC ID: 6406832237 Enrollment ID: I20130211000448 |
| Provider Name | Jennifer L Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437364023 PECOS PAC ID: 3274788369 Enrollment ID: I20130220000426 |
| Provider Name | Lindsay M Lichtenfels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164761003 PECOS PAC ID: 8123263720 Enrollment ID: I20130403000082 |
| Provider Name | Chanika Phornphutkul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639124530 PECOS PAC ID: 2668486754 Enrollment ID: I20130403000436 |
| Provider Name | Jonathon D Shapiro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932447489 PECOS PAC ID: 4082859434 Enrollment ID: I20130408000055 |
| Provider Name | Allison Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962741348 PECOS PAC ID: 9436395449 Enrollment ID: I20130418000049 |
| Provider Name | Kristen E Zaleski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710258215 PECOS PAC ID: 6507004876 Enrollment ID: I20130528000188 |
| Provider Name | Jenny Healey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700972528 PECOS PAC ID: 6901991496 Enrollment ID: I20130529000485 |
| Provider Name | Hadeel Zainah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457515603 PECOS PAC ID: 4486893666 Enrollment ID: I20130619000283 |
| Provider Name | Garrick C Stewart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295771541 PECOS PAC ID: 1759559156 Enrollment ID: I20130622000034 |
| Provider Name | Nicole B Barton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063746592 PECOS PAC ID: 3173665742 Enrollment ID: I20130703000515 |
| Provider Name | Ruisheng Yao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174889190 PECOS PAC ID: 2668612789 Enrollment ID: I20130712000143 |
| Provider Name | Ira Whitten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376785428 PECOS PAC ID: 7719127414 Enrollment ID: I20130712000176 |
| Provider Name | Amy R Halt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770713596 PECOS PAC ID: 3072754555 Enrollment ID: I20130725000491 |
| Provider Name | Kamaljeet Singh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447411012 PECOS PAC ID: 1850532821 Enrollment ID: I20130802000579 |
| Provider Name | Johnna a Pratt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245345156 PECOS PAC ID: 3274775119 Enrollment ID: I20130806000536 |
| Provider Name | Theodor Ene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629235486 PECOS PAC ID: 2961557491 Enrollment ID: I20130814000009 |
| Provider Name | Peter a Kirk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811255821 PECOS PAC ID: 7810139177 Enrollment ID: I20130815000639 |
| Provider Name | George V Cristescu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568606960 PECOS PAC ID: 1254501323 Enrollment ID: I20130820000003 |
| Provider Name | Albert a Scappaticci |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992967699 PECOS PAC ID: 3870736416 Enrollment ID: I20130829000013 |
| Provider Name | Teresa M Maine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801237235 PECOS PAC ID: 9638312879 Enrollment ID: I20130906000771 |
| Provider Name | Hussain Khawaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770734436 PECOS PAC ID: 7214100346 Enrollment ID: I20130919000433 |
| Provider Name | Christopher Furey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245551571 PECOS PAC ID: 2668616293 Enrollment ID: I20130920000067 |
| Provider Name | Melissa M Murphy |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1629110382 PECOS PAC ID: 7517100290 Enrollment ID: I20130920000167 |
| Provider Name | Manoj Gurung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609186337 PECOS PAC ID: 1052555315 Enrollment ID: I20130926000689 |
| Provider Name | Natasha Bica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568693497 PECOS PAC ID: 7315194644 Enrollment ID: I20131002000177 |
| Provider Name | Molly E Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831363621 PECOS PAC ID: 6800044256 Enrollment ID: I20131002000280 |
| Provider Name | Michelle B Ristuccia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356789549 PECOS PAC ID: 8123253440 Enrollment ID: I20131022001987 |
| Provider Name | Debra J Moorhead |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386718492 PECOS PAC ID: 9638305501 Enrollment ID: I20131125000004 |
| Provider Name | Kathryn M Finn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487081931 PECOS PAC ID: 1951538560 Enrollment ID: I20131205000752 |
| Provider Name | Danielle M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477989929 PECOS PAC ID: 9436386489 Enrollment ID: I20131218001152 |
| Provider Name | Lynn a Curran |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548356322 PECOS PAC ID: 3779711122 Enrollment ID: I20140110001602 |
| Provider Name | Ambreen Ijaz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194831925 PECOS PAC ID: 1951579929 Enrollment ID: I20140113000627 |
| Provider Name | Jeanette N Thibault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669809653 PECOS PAC ID: 5890923197 Enrollment ID: I20140113001444 |
| Provider Name | Amr Abdel Kader |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033447578 PECOS PAC ID: 4385873090 Enrollment ID: I20140129000440 |
| Provider Name | Audrey M Boyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346686102 PECOS PAC ID: 4183853393 Enrollment ID: I20140211001457 |
| Provider Name | Fred M Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962469932 PECOS PAC ID: 8325074982 Enrollment ID: I20140225000329 |
| Provider Name | Rodolfo M Galinatti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114356342 PECOS PAC ID: 9638300023 Enrollment ID: I20140328000168 |
| Provider Name | Kate M Zaluski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558599464 PECOS PAC ID: 4688805831 Enrollment ID: I20140401001278 |
| Provider Name | Kimberly Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164861175 PECOS PAC ID: 6204068083 Enrollment ID: I20140409001453 |
| Provider Name | Roberta M Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841409976 PECOS PAC ID: 0941369771 Enrollment ID: I20140418000748 |
| Provider Name | Maria Barros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700135316 PECOS PAC ID: 4284867698 Enrollment ID: I20140508001360 |
| Provider Name | Elizabeth Gomes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730498171 PECOS PAC ID: 0446402838 Enrollment ID: I20140520000519 |
| Provider Name | Jason D Salter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568575496 PECOS PAC ID: 6901950641 Enrollment ID: I20140613000011 |
| Provider Name | James Deady |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538595699 PECOS PAC ID: 0042434540 Enrollment ID: I20140623002058 |
| Provider Name | Emma Banks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831521061 PECOS PAC ID: 7416172788 Enrollment ID: I20140628000006 |
| Provider Name | Cynthia a Voytas |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1356765846 PECOS PAC ID: 7113142712 Enrollment ID: I20140715000505 |
| Provider Name | Amy E Bieringer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700205812 PECOS PAC ID: 3173749983 Enrollment ID: I20140730001687 |
| Provider Name | Nicole L. Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093757916 PECOS PAC ID: 4981820719 Enrollment ID: I20140730002461 |
| Provider Name | Bradley Denardo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508026261 PECOS PAC ID: 1052538741 Enrollment ID: I20140804000217 |
| Provider Name | Tina M Ellis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497072631 PECOS PAC ID: 9436376787 Enrollment ID: I20140808001682 |
| Provider Name | Nicole Siegert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750678082 PECOS PAC ID: 1759510506 Enrollment ID: I20140818000913 |
| Provider Name | Pooja Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932496098 PECOS PAC ID: 4486893146 Enrollment ID: I20140821002268 |
| Provider Name | Michael H Sisitsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316046063 PECOS PAC ID: 6204001209 Enrollment ID: I20140918001553 |
| Provider Name | Rebecca J Ondrus Santille |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629389994 PECOS PAC ID: 3274753280 Enrollment ID: I20140925000514 |
| Provider Name | Yayra Musabek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750677969 PECOS PAC ID: 7911127980 Enrollment ID: I20140926000170 |
| Provider Name | Stephanie J Czech |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104237874 PECOS PAC ID: 2567682016 Enrollment ID: I20141003001190 |
| Provider Name | Laurie Hoffman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659509859 PECOS PAC ID: 8022239052 Enrollment ID: I20141016000964 |
| Provider Name | Jason Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669570024 PECOS PAC ID: 7113149352 Enrollment ID: I20141104000564 |
| Provider Name | Elisabeth C Mcgowan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528155074 PECOS PAC ID: 3678667144 Enrollment ID: I20141118001702 |
| Provider Name | Robin a Schiappa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306116405 PECOS PAC ID: 4688996580 Enrollment ID: I20141204000133 |
| Provider Name | Ana M Abrantes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205000544 PECOS PAC ID: 9931422326 Enrollment ID: I20141215002209 |
| Provider Name | Brandon a Gaudiano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831359009 PECOS PAC ID: 9537482393 Enrollment ID: I20141231000290 |
| Provider Name | Armenag Antranigian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225430820 PECOS PAC ID: 3678896388 Enrollment ID: I20150106000114 |
| Provider Name | Van Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174789754 PECOS PAC ID: 0547584690 Enrollment ID: I20150120000564 |
| Provider Name | Elizabeth Mayhall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942514039 PECOS PAC ID: 6103140298 Enrollment ID: I20150120001999 |
| Provider Name | Jami a Star |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821079856 PECOS PAC ID: 5991797797 Enrollment ID: I20150410001507 |
| Provider Name | Karen L Steinmetz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013102276 PECOS PAC ID: 2860711074 Enrollment ID: I20150508001388 |
| Provider Name | Gina M Connerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720399793 PECOS PAC ID: 9436470168 Enrollment ID: I20150608000312 |
| Provider Name | James Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609277094 PECOS PAC ID: 6507187143 Enrollment ID: I20150608001061 |
| Provider Name | Jane M Chandley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255509212 PECOS PAC ID: 5890006134 Enrollment ID: I20150612001685 |
| Provider Name | Deanna M. Wall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114963022 PECOS PAC ID: 5890723035 Enrollment ID: I20150630001691 |
| Provider Name | Jennifer L Platt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831577188 PECOS PAC ID: 5092028274 Enrollment ID: I20150716002067 |
| Provider Name | Vincent Varamo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114213410 PECOS PAC ID: 9537472782 Enrollment ID: I20150717001102 |
| Provider Name | Travis Cotton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255574570 PECOS PAC ID: 5991921595 Enrollment ID: I20150717001683 |
| Provider Name | Lynne a Bisbano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245234517 PECOS PAC ID: 6305944877 Enrollment ID: I20150729008817 |
| Provider Name | Ani Megerdichian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831580661 PECOS PAC ID: 2264746122 Enrollment ID: I20150805008486 |
| Provider Name | James M Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811257850 PECOS PAC ID: 1153548425 Enrollment ID: I20150805009291 |
| Provider Name | Elizabeth Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407237100 PECOS PAC ID: 3173837994 Enrollment ID: I20150806010564 |
| Provider Name | Zachary M Robbins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942525431 PECOS PAC ID: 5395050397 Enrollment ID: I20150820010214 |
| Provider Name | Nicole Korbly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952586018 PECOS PAC ID: 1557596673 Enrollment ID: I20150825003088 |
| Provider Name | Jessica Pineda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831416312 PECOS PAC ID: 2668610031 Enrollment ID: I20150826000803 |
| Provider Name | Nwamaka M Onwugbenu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730409921 PECOS PAC ID: 4385950294 Enrollment ID: I20150908001805 |
| Provider Name | Wayne Boyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518103829 PECOS PAC ID: 5698082857 Enrollment ID: I20150921001506 |
| Provider Name | Huai Jen Yang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861787772 PECOS PAC ID: 6901038702 Enrollment ID: I20150921001991 |
| Provider Name | Kimberly Lamendola |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285968578 PECOS PAC ID: 8426230897 Enrollment ID: I20151006002778 |
| Provider Name | Brittany Catherine Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013383454 PECOS PAC ID: 2769790971 Enrollment ID: I20151007001401 |
| Provider Name | Athene Ka Wing Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518349620 PECOS PAC ID: 3072822451 Enrollment ID: I20151026002455 |
| Provider Name | Rebecca Macdonell Yilmaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174883136 PECOS PAC ID: 7618194705 Enrollment ID: I20151027002669 |
| Provider Name | Brian B Theyel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538480637 PECOS PAC ID: 3971803032 Enrollment ID: I20151123001251 |
| Provider Name | Alicja Kreczko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124314695 PECOS PAC ID: 2668773979 Enrollment ID: I20151210001236 |
| Provider Name | Gretchen M Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285017350 PECOS PAC ID: 5597066175 Enrollment ID: I20151228000517 |
| Provider Name | Noah S Siegel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1861506776 PECOS PAC ID: 7416033204 Enrollment ID: I20160126000598 |
| Provider Name | Michelle Gorgone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740501618 PECOS PAC ID: 5395911275 Enrollment ID: I20160201001218 |
| Provider Name | Danielle Wiesner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689048860 PECOS PAC ID: 2163727405 Enrollment ID: I20160224000318 |
| Provider Name | Vita J Lamberson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184915662 PECOS PAC ID: 9830317965 Enrollment ID: I20160224002157 |
| Provider Name | Daniel Piascik |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184097784 PECOS PAC ID: 8729383997 Enrollment ID: I20160225001587 |
| Provider Name | Augusto Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639407679 PECOS PAC ID: 7315189776 Enrollment ID: I20160229000501 |
| Provider Name | Diandra L Fallone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548627391 PECOS PAC ID: 5496052128 Enrollment ID: I20160324000380 |
| Provider Name | Jessica Morse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700245792 PECOS PAC ID: 3971800111 Enrollment ID: I20160401001267 |
| Provider Name | Jessica W. Cronin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255603130 PECOS PAC ID: 9032417621 Enrollment ID: I20160414001859 |
| Provider Name | Karen a Rugg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730408220 PECOS PAC ID: 8426356692 Enrollment ID: I20160421001071 |
| Provider Name | Cerena Reid-maynard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053759258 PECOS PAC ID: 9436448438 Enrollment ID: I20160513002052 |
| Provider Name | Mark Vahid Salmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366880130 PECOS PAC ID: 9931408226 Enrollment ID: I20160701000319 |
| Provider Name | Adam H Levin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124383526 PECOS PAC ID: 8921391830 Enrollment ID: I20160728002418 |
| Provider Name | Reshma Kent Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972943413 PECOS PAC ID: 8527351352 Enrollment ID: I20160801001200 |
| Provider Name | Natasha R Rybak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932301330 PECOS PAC ID: 9133349855 Enrollment ID: I20160810001979 |
| Provider Name | Dayna Burrell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982743779 PECOS PAC ID: 3274601869 Enrollment ID: I20160810002825 |
| Provider Name | Sabina Danielle Holland |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1306075015 PECOS PAC ID: 7517102452 Enrollment ID: I20160815001235 |
| Provider Name | Erik Hoy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508084377 PECOS PAC ID: 8426214768 Enrollment ID: I20160825000280 |
| Provider Name | Christopher Malgieri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396030730 PECOS PAC ID: 9032405956 Enrollment ID: I20160901000891 |
| Provider Name | Matthew T Oliver |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295028611 PECOS PAC ID: 4284920125 Enrollment ID: I20160901001438 |
| Provider Name | Neal Madhani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477866861 PECOS PAC ID: 5092966762 Enrollment ID: I20160902001727 |
| Provider Name | Cari Azevedo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932570207 PECOS PAC ID: 3173826468 Enrollment ID: I20160907000900 |
| Provider Name | Swee Lim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780847376 PECOS PAC ID: 3870735806 Enrollment ID: I20160914000169 |
| Provider Name | Sherry a Matook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881828929 PECOS PAC ID: 7911294921 Enrollment ID: I20160919002343 |
| Provider Name | Michael G Ross |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1700172418 PECOS PAC ID: 4880824788 Enrollment ID: I20160920000273 |
| Provider Name | Eric Boettjer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306390869 PECOS PAC ID: 2264720382 Enrollment ID: I20161005001613 |
| Provider Name | Emily R Mccue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700289881 PECOS PAC ID: 3971891987 Enrollment ID: I20161006001811 |
| Provider Name | Meghan Henry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821379876 PECOS PAC ID: 6800184607 Enrollment ID: I20161011001996 |
| Provider Name | Amanda L Furness |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063872133 PECOS PAC ID: 1557659174 Enrollment ID: I20161014001448 |
| Provider Name | Alexandra Lauren Gottier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689128548 PECOS PAC ID: 0840588364 Enrollment ID: I20161014001753 |
| Provider Name | Jessica Lussier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215481536 PECOS PAC ID: 2668750969 Enrollment ID: I20161020000854 |
| Provider Name | Rajendrasinh Rathod |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417159229 PECOS PAC ID: 2062699937 Enrollment ID: I20161025000980 |
| Provider Name | Maggie Kuch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164869806 PECOS PAC ID: 3173801032 Enrollment ID: I20161027000258 |
| Provider Name | Jonathan R Argo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366732331 PECOS PAC ID: 4587943170 Enrollment ID: I20161123000731 |
| Provider Name | Phyllis Dennery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245275783 PECOS PAC ID: 6507752318 Enrollment ID: I20161123000911 |
| Provider Name | Karen Hasenstab |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700811817 PECOS PAC ID: 7911287412 Enrollment ID: I20161129000670 |
| Provider Name | Heather a Remy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427208255 PECOS PAC ID: 8325328842 Enrollment ID: I20161129001416 |
| Provider Name | Silvia Chiang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356577001 PECOS PAC ID: 1759532153 Enrollment ID: I20161214001640 |
| Provider Name | Ariane M Myrtle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083863773 PECOS PAC ID: 6103960596 Enrollment ID: I20170104000835 |
| Provider Name | Kathleen Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235553264 PECOS PAC ID: 7012204506 Enrollment ID: I20170203002468 |
| Provider Name | Claire Elizbeth Fortier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922341700 PECOS PAC ID: 8224252424 Enrollment ID: I20170213002048 |
| Provider Name | Gerald Murphy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679020523 PECOS PAC ID: 5890079859 Enrollment ID: I20170313000366 |
| Provider Name | Gildasio S De Oliveira |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811084254 PECOS PAC ID: 8820095979 Enrollment ID: I20170315000312 |
| Provider Name | Bevin Doyle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255878302 PECOS PAC ID: 9931484433 Enrollment ID: I20170324000609 |
| Provider Name | Nadeem Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447682117 PECOS PAC ID: 2567749187 Enrollment ID: I20170509002661 |
| Provider Name | John Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700299625 PECOS PAC ID: 5991082380 Enrollment ID: I20170512001688 |
| Provider Name | Edward Hurley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558621599 PECOS PAC ID: 1052698370 Enrollment ID: I20170515000801 |
| Provider Name | Teresa Slomka |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932410081 PECOS PAC ID: 0345517363 Enrollment ID: I20170523002143 |
| Provider Name | Martha B Kole-white |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477993160 PECOS PAC ID: 1153626965 Enrollment ID: I20170525001234 |
| Provider Name | Elizabeth Kettyle |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780735613 PECOS PAC ID: 4183717788 Enrollment ID: I20170525002309 |
| Provider Name | Heather Barone Boyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619400116 PECOS PAC ID: 1052689395 Enrollment ID: I20170609002037 |
| Provider Name | Melissa Russo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205034519 PECOS PAC ID: 4981852811 Enrollment ID: I20170615001533 |
| Provider Name | Jamie Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811300890 PECOS PAC ID: 3678870110 Enrollment ID: I20170619000910 |
| Provider Name | Kristen Hannigan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750828596 PECOS PAC ID: 4284902032 Enrollment ID: I20170620000284 |
| Provider Name | Ashley M Langella |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023457850 PECOS PAC ID: 6800186461 Enrollment ID: I20170620002711 |
| Provider Name | Kyle Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881037018 PECOS PAC ID: 8628368255 Enrollment ID: I20170622000917 |
| Provider Name | Rachael Biancuzzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023421948 PECOS PAC ID: 9133497647 Enrollment ID: I20170623001671 |
| Provider Name | Kim Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396188710 PECOS PAC ID: 0648409698 Enrollment ID: I20170706000001 |
| Provider Name | Ara Tachjian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063790061 PECOS PAC ID: 5092931436 Enrollment ID: I20170724000622 |
| Provider Name | Morgan Motia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578975215 PECOS PAC ID: 3870882608 Enrollment ID: I20170728001909 |
| Provider Name | Heather W Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568983633 PECOS PAC ID: 0648541219 Enrollment ID: I20170801002406 |
| Provider Name | Abigail Wetzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972032530 PECOS PAC ID: 8921379330 Enrollment ID: I20170803001292 |
| Provider Name | Heather Schatten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548621055 PECOS PAC ID: 7618248980 Enrollment ID: I20170804000073 |
| Provider Name | Rachel Beard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962639690 PECOS PAC ID: 6305002361 Enrollment ID: I20170808003609 |
| Provider Name | Zobeida Diaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407019342 PECOS PAC ID: 3173757382 Enrollment ID: I20170818000574 |
| Provider Name | Ashley E Desjardins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649704271 PECOS PAC ID: 4284906447 Enrollment ID: I20170823000383 |
| Provider Name | Nancy Lasson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679572390 PECOS PAC ID: 6103993456 Enrollment ID: I20170824000832 |
| Provider Name | Ida Kruse |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710409214 PECOS PAC ID: 2062784903 Enrollment ID: I20170828001162 |
| Provider Name | Katrina Sivo-souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124557756 PECOS PAC ID: 8628342623 Enrollment ID: I20170914000680 |
| Provider Name | Geoffrey Hayward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982882445 PECOS PAC ID: 4981873866 Enrollment ID: I20170927003935 |
| Provider Name | Amy Fenimore Snyder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528585379 PECOS PAC ID: 0446524532 Enrollment ID: I20170928002284 |
| Provider Name | Daria Szkwarko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427319193 PECOS PAC ID: 1254569270 Enrollment ID: I20171005003677 |
| Provider Name | Christopher Marek Szlezak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073757340 PECOS PAC ID: 9739321191 Enrollment ID: I20171011000386 |
| Provider Name | Adrienne Pietraszka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154840254 PECOS PAC ID: 4284909698 Enrollment ID: I20171011002836 |
| Provider Name | Benjamin J Javery |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477077493 PECOS PAC ID: 6204102247 Enrollment ID: I20171019000897 |
| Provider Name | Ashley C Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619490398 PECOS PAC ID: 2365718285 Enrollment ID: I20171020001871 |
| Provider Name | Nicole F. Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801285663 PECOS PAC ID: 0143596809 Enrollment ID: I20171024002766 |
| Provider Name | Alexander Cohen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386905495 PECOS PAC ID: 1759689581 Enrollment ID: I20171030000313 |
| Provider Name | Caroline Hunter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720374655 PECOS PAC ID: 6507002870 Enrollment ID: I20171115000897 |
| Provider Name | Daniella Teape |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811222300 PECOS PAC ID: 4688955784 Enrollment ID: I20171120003597 |
| Provider Name | Heather a Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023209145 PECOS PAC ID: 9537326749 Enrollment ID: I20171128002178 |
| Provider Name | Scott a Handley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316949209 PECOS PAC ID: 0749315943 Enrollment ID: I20171204000212 |
| Provider Name | Benjamin J Hilliker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982950879 PECOS PAC ID: 9830461250 Enrollment ID: I20171208000421 |
| Provider Name | Sara J Deasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396164307 PECOS PAC ID: 8628294287 Enrollment ID: I20180113000013 |
| Provider Name | Gerda Newcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417331521 PECOS PAC ID: 6901167725 Enrollment ID: I20180219000853 |
| Provider Name | Nina Kohli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447515580 PECOS PAC ID: 5890081194 Enrollment ID: I20180227002110 |
| Provider Name | Paul J Baker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730592379 PECOS PAC ID: 5092017095 Enrollment ID: I20180302001750 |
| Provider Name | Thomas M Doran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881004489 PECOS PAC ID: 4183948953 Enrollment ID: I20180306002486 |
| Provider Name | Daniella Ann Lennon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578079422 PECOS PAC ID: 6901167931 Enrollment ID: I20180307001751 |
| Provider Name | Vanessa Lauren Marzilli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265931265 PECOS PAC ID: 8224390877 Enrollment ID: I20180320002519 |
| Provider Name | Shivali Marketkar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740627884 PECOS PAC ID: 9638396187 Enrollment ID: I20180503000292 |
| Provider Name | Gianna E Petrone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497168892 PECOS PAC ID: 4183921794 Enrollment ID: I20180510001623 |
| Provider Name | Chelsea Sara Farias |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710439757 PECOS PAC ID: 4284901554 Enrollment ID: I20180514002782 |
| Provider Name | Dominic Kleinhenz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275970303 PECOS PAC ID: 5890912513 Enrollment ID: I20180516000832 |
| Provider Name | Jerry Felix |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851741672 PECOS PAC ID: 0547555054 Enrollment ID: I20180524001705 |
| Provider Name | Nina Ayala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669899522 PECOS PAC ID: 9133418270 Enrollment ID: I20180605002695 |
| Provider Name | Brittany Rowles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194260984 PECOS PAC ID: 3173878030 Enrollment ID: I20180618000150 |
| Provider Name | Leanne Elizabeth Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912122607 PECOS PAC ID: 4385999242 Enrollment ID: I20180618000461 |
| Provider Name | Ciaran J Mcnamee |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124019351 PECOS PAC ID: 0143291591 Enrollment ID: I20180618001779 |
| Provider Name | Libertad Flores |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437564028 PECOS PAC ID: 2567717176 Enrollment ID: I20180622002148 |
| Provider Name | Roma Bhuta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396151668 PECOS PAC ID: 3971859760 Enrollment ID: I20180710000740 |
| Provider Name | Anais a Ovalle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396127189 PECOS PAC ID: 0941517460 Enrollment ID: I20180717002557 |
| Provider Name | Jamie Greenman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639589377 PECOS PAC ID: 0143514109 Enrollment ID: I20180717002636 |
| Provider Name | Micaela Morris Condon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063846681 PECOS PAC ID: 6305193459 Enrollment ID: I20180719002584 |
| Provider Name | Christian S Pope |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558366419 PECOS PAC ID: 8628157914 Enrollment ID: I20180724002176 |
| Provider Name | Nicole Elizabeth Gleyzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679952220 PECOS PAC ID: 1456665686 Enrollment ID: I20180724003070 |
| Provider Name | Meena Theva |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033524624 PECOS PAC ID: 7113222910 Enrollment ID: I20180725000525 |
| Provider Name | Ariana Paula Bensusan |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1831418599 PECOS PAC ID: 3870787435 Enrollment ID: I20180725001218 |
| Provider Name | Benjamin Patterson Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184986705 PECOS PAC ID: 0143523597 Enrollment ID: I20180725002523 |
| Provider Name | Charles Hackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629464748 PECOS PAC ID: 7517261605 Enrollment ID: I20180727000980 |
| Provider Name | Kayla Elise Capizzano Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811246275 PECOS PAC ID: 0547415366 Enrollment ID: I20180802001040 |
| Provider Name | Ran Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598008369 PECOS PAC ID: 6800164047 Enrollment ID: I20180813003105 |
| Provider Name | Holly Amber Hayes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760978183 PECOS PAC ID: 6103175757 Enrollment ID: I20180815002888 |
| Provider Name | Gofran K Tarabulsi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881039352 PECOS PAC ID: 7911200563 Enrollment ID: I20180827000041 |
| Provider Name | Chelsea Erin Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114306776 PECOS PAC ID: 0143533679 Enrollment ID: I20180912002456 |
| Provider Name | Johann Nikolas Patlak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871868075 PECOS PAC ID: 1052697000 Enrollment ID: I20180912002545 |
| Provider Name | Rishi Ramesh Lulla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801811591 PECOS PAC ID: 6103828124 Enrollment ID: I20180920002463 |
| Provider Name | Alexander Lubin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457795015 PECOS PAC ID: 9133470479 Enrollment ID: I20180925002935 |
| Provider Name | David Wesley Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235618497 PECOS PAC ID: 4981955127 Enrollment ID: I20180926003189 |
| Provider Name | Lauren Houle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083194377 PECOS PAC ID: 6002167137 Enrollment ID: I20180928000038 |
| Provider Name | Emily Elizabeth Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861930489 PECOS PAC ID: 9537411095 Enrollment ID: I20181010002764 |
| Provider Name | Elizabeth Ann Decker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811257934 PECOS PAC ID: 9032463120 Enrollment ID: I20181107003425 |
| Provider Name | Munirat Omodele Adebimpe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457876716 PECOS PAC ID: 0042585010 Enrollment ID: I20181121000943 |
| Provider Name | Sarah P Stern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376054361 PECOS PAC ID: 7719221951 Enrollment ID: I20181129001004 |
| Provider Name | Peter Wu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528002425 PECOS PAC ID: 5395789804 Enrollment ID: I20181203002510 |
| Provider Name | Jennifer a Rosenbaum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538548102 PECOS PAC ID: 8820301153 Enrollment ID: I20190109002110 |
| Provider Name | Michelle Lynn Buffington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558640540 PECOS PAC ID: 1153588546 Enrollment ID: I20190115000774 |
| Provider Name | Drew M Romanelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699284869 PECOS PAC ID: 8123379070 Enrollment ID: I20190121001183 |
| Provider Name | Pinak B Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750371480 PECOS PAC ID: 3577593052 Enrollment ID: I20190212002870 |
| Provider Name | Tammi Marie Krystal Phillip |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659614337 PECOS PAC ID: 6002110202 Enrollment ID: I20190215001417 |
| Provider Name | Caitlin S Lawrence |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629458047 PECOS PAC ID: 1153626809 Enrollment ID: I20190424002716 |
| Provider Name | Melanie A. Faust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982127510 PECOS PAC ID: 0244572725 Enrollment ID: I20190502001778 |
| Provider Name | Benjamin Powell Christian |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1730307588 PECOS PAC ID: 5890921860 Enrollment ID: I20190503000024 |
| Provider Name | Diane Depasquale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710264015 PECOS PAC ID: 2264656529 Enrollment ID: I20190510001820 |
| Provider Name | Salley Pels |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114100104 PECOS PAC ID: 8426182866 Enrollment ID: I20190514000490 |
| Provider Name | Atin Jindal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124574918 PECOS PAC ID: 1052699246 Enrollment ID: I20190520001516 |
| Provider Name | Briana Hawksley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255839247 PECOS PAC ID: 9739422429 Enrollment ID: I20190521001494 |
| Provider Name | Devon Flaherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770900953 PECOS PAC ID: 0244580991 Enrollment ID: I20190612000433 |
| Provider Name | Alyssa Lynne Norris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609431444 PECOS PAC ID: 0941533558 Enrollment ID: I20190613003081 |
| Provider Name | Joseph M. Greco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740782671 PECOS PAC ID: 5294099776 Enrollment ID: I20190621002056 |
| Provider Name | Patrick John Schule |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871989905 PECOS PAC ID: 2567700925 Enrollment ID: I20190624001063 |
| Provider Name | Adam Korrick Lewkowitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669748406 PECOS PAC ID: 2961791710 Enrollment ID: I20190702001996 |
| Provider Name | Allegra Bernardo Matook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851852412 PECOS PAC ID: 6204160765 Enrollment ID: I20190703000672 |
| Provider Name | Kate J Baccari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396054128 PECOS PAC ID: 0446439277 Enrollment ID: I20190705000341 |
| Provider Name | Benjamin Robinson Adler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538515606 PECOS PAC ID: 1254620222 Enrollment ID: I20190710002063 |
| Provider Name | Andrew Matson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1134462393 PECOS PAC ID: 2567719933 Enrollment ID: I20190712001152 |
| Provider Name | Hannah Murdock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285194290 PECOS PAC ID: 9234464058 Enrollment ID: I20190716000645 |
| Provider Name | Jennifer Enos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285016006 PECOS PAC ID: 5395058234 Enrollment ID: I20190719002093 |
| Provider Name | Junyang Lou |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336315712 PECOS PAC ID: 3072663418 Enrollment ID: I20190726000078 |
| Provider Name | Ana Sofia Barber De Brito |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457862070 PECOS PAC ID: 7113272378 Enrollment ID: I20190729000213 |
| Provider Name | James B. Higgs |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457783383 PECOS PAC ID: 7810122355 Enrollment ID: I20190730002306 |
| Provider Name | Mary Beth Sutter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962723205 PECOS PAC ID: 9436392545 Enrollment ID: I20190813000525 |
| Provider Name | Melissa-jean M Suttmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467925842 PECOS PAC ID: 3678801412 Enrollment ID: I20190819000648 |
| Provider Name | Jennifer Rossi-stephens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912569120 PECOS PAC ID: 2961731468 Enrollment ID: I20190909003198 |
| Provider Name | Thomas M Tadros |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043400187 PECOS PAC ID: 4183700479 Enrollment ID: I20190917003096 |
| Provider Name | Louisa Isoud Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770130692 PECOS PAC ID: 9436489820 Enrollment ID: I20190927001336 |
| Provider Name | Geeta J Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134772437 PECOS PAC ID: 6901136118 Enrollment ID: I20191001000767 |
| Provider Name | Zain Khalid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295117661 PECOS PAC ID: 5092046797 Enrollment ID: I20191010002067 |
| Provider Name | Nivedita Muralidhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568819407 PECOS PAC ID: 9335434786 Enrollment ID: I20191018000301 |
| Provider Name | Dana L Egan-sherry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780032557 PECOS PAC ID: 8022303130 Enrollment ID: I20191023001639 |
| Provider Name | Kathryn Helen Tente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447735758 PECOS PAC ID: 1052643996 Enrollment ID: I20191028000170 |
| Provider Name | Megan Elizabeth Auld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053716993 PECOS PAC ID: 7719200906 Enrollment ID: I20191029000533 |
| Provider Name | Robyn M Gagnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336373695 PECOS PAC ID: 2062744725 Enrollment ID: I20191029003280 |
| Provider Name | Robert John Tavares |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013278902 PECOS PAC ID: 9830499292 Enrollment ID: I20191030002341 |
| Provider Name | Terri Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871923698 PECOS PAC ID: 5698020931 Enrollment ID: I20191031001301 |
| Provider Name | Meghan K Collier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245524644 PECOS PAC ID: 6002148343 Enrollment ID: I20191106000120 |
| Provider Name | Nicole Andree Croteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457806580 PECOS PAC ID: 4486086766 Enrollment ID: I20191107003313 |
| Provider Name | Eilean L. Attwood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154551901 PECOS PAC ID: 6002002789 Enrollment ID: I20191108001549 |
| Provider Name | Alyssa Jeanne Caouette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821576307 PECOS PAC ID: 5294167813 Enrollment ID: I20191119002415 |
| Provider Name | Emily Martell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508407388 PECOS PAC ID: 5597198838 Enrollment ID: I20191127001431 |
| Provider Name | Colleen Griffin Mcsweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689946170 PECOS PAC ID: 1355774100 Enrollment ID: I20191209001438 |
| Provider Name | Matthew Mcmullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245686088 PECOS PAC ID: 9133416217 Enrollment ID: I20191216002324 |
| Provider Name | Murli K Raman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013918903 PECOS PAC ID: 9638067200 Enrollment ID: I20191223001236 |
| Provider Name | Jennifer a Sardella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992280911 PECOS PAC ID: 4385078922 Enrollment ID: I20200107001677 |
| Provider Name | Sarah Picard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619519865 PECOS PAC ID: 8628403003 Enrollment ID: I20200113000719 |
| Provider Name | Sandra Dee Peasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316958127 PECOS PAC ID: 2163416116 Enrollment ID: I20200115002514 |
| Provider Name | Kiley Elizabeth Fair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841832235 PECOS PAC ID: 2668807850 Enrollment ID: I20200116000518 |
| Provider Name | Melissa Ally Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376030957 PECOS PAC ID: 6901231927 Enrollment ID: I20200122001808 |
| Provider Name | Laura Ann Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982102018 PECOS PAC ID: 3072949650 Enrollment ID: I20200129002051 |
| Provider Name | Latoya Lange-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831733922 PECOS PAC ID: 0941636054 Enrollment ID: I20200210001566 |
| Provider Name | Virginia Mensah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831416403 PECOS PAC ID: 1850541509 Enrollment ID: I20200217000657 |
| Provider Name | Mara Sansevero |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295951143 PECOS PAC ID: 4486605490 Enrollment ID: I20200225001667 |
| Provider Name | Jeffrey J Hunter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295975423 PECOS PAC ID: 2668623315 Enrollment ID: I20200225001803 |
| Provider Name | Genesis Morel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316596661 PECOS PAC ID: 5799112983 Enrollment ID: I20200228000474 |
| Provider Name | Aldea Yanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396015491 PECOS PAC ID: 6507293701 Enrollment ID: I20200228000567 |
| Provider Name | Alexis C Gimovsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740422401 PECOS PAC ID: 1658503750 Enrollment ID: I20200303002666 |
| Provider Name | Stephanie Grzych |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871125039 PECOS PAC ID: 0547698458 Enrollment ID: I20200306001251 |
| Provider Name | Jessica Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467974873 PECOS PAC ID: 2365716644 Enrollment ID: I20200309000951 |
| Provider Name | Mary Ann Ann Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588905046 PECOS PAC ID: 0345510459 Enrollment ID: I20200309001167 |
| Provider Name | Julie a Knutson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013146109 PECOS PAC ID: 0244537918 Enrollment ID: I20200320001424 |
| Provider Name | Lynn Ellen Przystac |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104452747 PECOS PAC ID: 8921438938 Enrollment ID: I20200415000382 |
| Provider Name | Kimberley L Chiappone |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821150533 PECOS PAC ID: 1759475809 Enrollment ID: I20200423000755 |
| Provider Name | Lutdavone K Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295361665 PECOS PAC ID: 9931539251 Enrollment ID: I20200428000948 |
| Provider Name | Vrithi Shah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417316399 PECOS PAC ID: 3577993781 Enrollment ID: I20200430000302 |
| Provider Name | Hannah Eizabeth Masse |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265066492 PECOS PAC ID: 7719318948 Enrollment ID: I20200504000465 |
| Provider Name | Stephanie L Aaron |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063941540 PECOS PAC ID: 7911338033 Enrollment ID: I20200505002083 |
| Provider Name | Joshua S Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841641008 PECOS PAC ID: 1850658824 Enrollment ID: I20200506001482 |
| Provider Name | Saikiran Earasi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083145452 PECOS PAC ID: 8224469044 Enrollment ID: I20200512001159 |
| Provider Name | Christine Foley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073924106 PECOS PAC ID: 7315295557 Enrollment ID: I20200513001907 |
| Provider Name | Aaron WP Maxwell |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235542655 PECOS PAC ID: 7618299819 Enrollment ID: I20200514002366 |
| Provider Name | Ziad Fersan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881941540 PECOS PAC ID: 0941575120 Enrollment ID: I20200521001720 |
| Provider Name | Brenda Satterthwaite |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760825061 PECOS PAC ID: 6204160534 Enrollment ID: I20200526001816 |
| Provider Name | Arvind Murthy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598927527 PECOS PAC ID: 3779712427 Enrollment ID: I20200604003002 |
| Provider Name | Matthew Pommerening |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245586650 PECOS PAC ID: 9335448844 Enrollment ID: I20200622000600 |
| Provider Name | Jennifer L Eaton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821119074 PECOS PAC ID: 8820198518 Enrollment ID: I20200625002855 |
| Provider Name | Ambrish Jha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467972182 PECOS PAC ID: 9133489826 Enrollment ID: I20200630002816 |
| Provider Name | Vendhan Ramanujam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275913949 PECOS PAC ID: 7618205816 Enrollment ID: I20200729000602 |
| Provider Name | Ariana Carvajal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912438581 PECOS PAC ID: 2860766565 Enrollment ID: I20200729002742 |
| Provider Name | Darif Krasnow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649704966 PECOS PAC ID: 9032534508 Enrollment ID: I20200730002152 |
| Provider Name | Whitney Hudak |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295364362 PECOS PAC ID: 5294150777 Enrollment ID: I20200730002595 |
| Provider Name | Elias Jabbour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598172082 PECOS PAC ID: 4284938564 Enrollment ID: I20200731001136 |
| Provider Name | Laurie Isabella |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821613639 PECOS PAC ID: 1254756505 Enrollment ID: I20200803002172 |
| Provider Name | Jan M Karczewski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902291099 PECOS PAC ID: 4385069632 Enrollment ID: I20200803002457 |
| Provider Name | Sarah M Kleinman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881843324 PECOS PAC ID: 8426117318 Enrollment ID: I20200803002636 |
| Provider Name | Micaela a Weaver |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1992111884 PECOS PAC ID: 4385989474 Enrollment ID: I20200805000694 |
| Provider Name | Michelle Yvonne Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275196479 PECOS PAC ID: 9739504937 Enrollment ID: I20200805001564 |
| Provider Name | May-tal Sauerbrun-cutler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881900496 PECOS PAC ID: 0042527004 Enrollment ID: I20200807000889 |
| Provider Name | Kaylee J Mattiello |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447886171 PECOS PAC ID: 4082031844 Enrollment ID: I20200826000297 |
| Provider Name | Mauricio F Villamar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346655032 PECOS PAC ID: 9436463320 Enrollment ID: I20200828001396 |
| Provider Name | Molly Anne Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629598685 PECOS PAC ID: 3779900030 Enrollment ID: I20200901001518 |
| Provider Name | Maya Mistry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710410113 PECOS PAC ID: 5294093746 Enrollment ID: I20200903002183 |
| Provider Name | Michael S Picchioni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730147679 PECOS PAC ID: 3173667961 Enrollment ID: I20200908003387 |
| Provider Name | Aaron W Kaiser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043591662 PECOS PAC ID: 0840581070 Enrollment ID: I20200924002484 |
| Provider Name | Manpreet Kochhar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952788994 PECOS PAC ID: 6204256076 Enrollment ID: I20201015003049 |
| Provider Name | Erica Ann Ferrini |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093913501 PECOS PAC ID: 5092847665 Enrollment ID: I20201027001738 |
| Provider Name | Olivia Rae Sharkey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215575808 PECOS PAC ID: 6800206087 Enrollment ID: I20201028002125 |
| Provider Name | Caroline S. Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366051849 PECOS PAC ID: 5698185320 Enrollment ID: I20201106002177 |
| Provider Name | Mary-kate P Earley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952937997 PECOS PAC ID: 5395155063 Enrollment ID: I20201109000930 |
| Provider Name | Lindo Spencer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306877147 PECOS PAC ID: 9335239151 Enrollment ID: I20201111002007 |
| Provider Name | Julia Kristine Shinnick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306295746 PECOS PAC ID: 8123439353 Enrollment ID: I20201119001497 |
| Provider Name | Odinaka Anyanwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053843482 PECOS PAC ID: 0244641470 Enrollment ID: I20201119001930 |
| Provider Name | Melissa Gleckel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194145037 PECOS PAC ID: 6709002082 Enrollment ID: I20201124002148 |
| Provider Name | Dana Leigh Ayoub |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780103192 PECOS PAC ID: 2264844430 Enrollment ID: I20201211000309 |
| Provider Name | Sabrina O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003422775 PECOS PAC ID: 4385056456 Enrollment ID: I20201214002394 |
| Provider Name | Taylor Ettore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942613443 PECOS PAC ID: 5395966261 Enrollment ID: I20201221001136 |
| Provider Name | Jared Wortzman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750737664 PECOS PAC ID: 3375830359 Enrollment ID: I20201221001679 |
| Provider Name | Matthew Evan Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093192825 PECOS PAC ID: 5395056642 Enrollment ID: I20201230001921 |
| Provider Name | Thomas Pavlovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114988235 PECOS PAC ID: 7214967199 Enrollment ID: I20210108000757 |
| Provider Name | Heather J Losee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467754333 PECOS PAC ID: 0143474858 Enrollment ID: I20210108001458 |
| Provider Name | Jessica B Castronovo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740222421 PECOS PAC ID: 9931513363 Enrollment ID: I20210127000118 |
| Provider Name | Samira Ouklilane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265048250 PECOS PAC ID: 3072929868 Enrollment ID: I20210302001795 |
| Provider Name | Kristen Angell Sundin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841632189 PECOS PAC ID: 4183030802 Enrollment ID: I20210304000538 |
| Provider Name | Methodius G Tuuli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326225202 PECOS PAC ID: 2567533490 Enrollment ID: I20210304000562 |
| Provider Name | Kayla Nicole Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275124067 PECOS PAC ID: 0840607594 Enrollment ID: I20210325001871 |
| Provider Name | Jennifer Anna Unger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669583522 PECOS PAC ID: 7517050511 Enrollment ID: I20210325002152 |
| Provider Name | Yasin Abul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235517889 PECOS PAC ID: 5395092456 Enrollment ID: I20210326001209 |
| Provider Name | Erica Truesdale-greil |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710340229 PECOS PAC ID: 4880976745 Enrollment ID: I20210331001433 |
| Provider Name | Linda Aguiar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457965998 PECOS PAC ID: 5890109243 Enrollment ID: I20210402000569 |
| Provider Name | Jessica L Bobola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538752597 PECOS PAC ID: 2769890151 Enrollment ID: I20210423001917 |
| Provider Name | Sami Dahdal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700316668 PECOS PAC ID: 2860736477 Enrollment ID: I20210505002185 |
| Provider Name | James Vincent Lemieux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538766415 PECOS PAC ID: 1759790405 Enrollment ID: I20210510000585 |
| Provider Name | Aimee James |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700469541 PECOS PAC ID: 0840699724 Enrollment ID: I20210526000414 |
| Provider Name | Lincoln Peter Tirpaeck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245625045 PECOS PAC ID: 3173836830 Enrollment ID: I20210601001908 |
| Provider Name | Deeksha Bakshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639664709 PECOS PAC ID: 9830446905 Enrollment ID: I20210604001469 |
| Provider Name | Nicole V Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356874085 PECOS PAC ID: 2365711421 Enrollment ID: I20210607002386 |
| Provider Name | Hui Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487149944 PECOS PAC ID: 9032466131 Enrollment ID: I20210609002957 |
| Provider Name | Isha Shah |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1326490699 PECOS PAC ID: 3779879762 Enrollment ID: I20210614003073 |
| Provider Name | Daehee Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245572726 PECOS PAC ID: 2961734165 Enrollment ID: I20210617002415 |
| Provider Name | Ammar El Sara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477800472 PECOS PAC ID: 5395002489 Enrollment ID: I20210618001665 |
| Provider Name | Loretta M Marion |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285690313 PECOS PAC ID: 1254325046 Enrollment ID: I20210622001458 |
| Provider Name | Meghan C Riddle |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1760773683 PECOS PAC ID: 8527361021 Enrollment ID: I20210712000832 |
| Provider Name | Charissa Dinobile |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740713114 PECOS PAC ID: 9931501160 Enrollment ID: I20210712001117 |
| Provider Name | Lyndsay a Dematteo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346869583 PECOS PAC ID: 9032523576 Enrollment ID: I20210713002207 |
| Provider Name | Nkenna Odom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972098465 PECOS PAC ID: 1153723119 Enrollment ID: I20210713002742 |
| Provider Name | Mary H Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952814097 PECOS PAC ID: 8628331311 Enrollment ID: I20210714002933 |
| Provider Name | Melanie E Gelfand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316358559 PECOS PAC ID: 9830592542 Enrollment ID: I20210719002325 |
| Provider Name | Fallon Danielle Guin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083280556 PECOS PAC ID: 7012310758 Enrollment ID: I20210719003242 |
| Provider Name | Angela Jacavone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548752272 PECOS PAC ID: 1355698432 Enrollment ID: I20210720000361 |
| Provider Name | Holly Tindall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699391086 PECOS PAC ID: 5294138970 Enrollment ID: I20210720000936 |
| Provider Name | Tyler G Rose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386213916 PECOS PAC ID: 4880097419 Enrollment ID: I20210720003261 |
| Provider Name | Megan a Lovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922642800 PECOS PAC ID: 6507292612 Enrollment ID: I20210722000847 |
| Provider Name | Emily Xue |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629424064 PECOS PAC ID: 2668760950 Enrollment ID: I20210730000753 |
| Provider Name | Cally Rodrigues |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174193387 PECOS PAC ID: 4284038076 Enrollment ID: I20210802000141 |
| Provider Name | Anne K Dulski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881121507 PECOS PAC ID: 8527462704 Enrollment ID: I20210810002965 |
| Provider Name | Samantha Saccoccia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891274189 PECOS PAC ID: 7214280619 Enrollment ID: I20210810003277 |
| Provider Name | Thomas C O'brien |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801246491 PECOS PAC ID: 4183919202 Enrollment ID: I20210810003310 |
| Provider Name | Patrick Thomas Mcgann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912034364 PECOS PAC ID: 2769600964 Enrollment ID: I20210813001421 |
| Provider Name | Julia P Mayne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922535186 PECOS PAC ID: 3072931013 Enrollment ID: I20210823000731 |
| Provider Name | Katherine G Miller |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1558775577 PECOS PAC ID: 1456657212 Enrollment ID: I20210831002785 |
| Provider Name | Jill L Maron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609830454 PECOS PAC ID: 2668479270 Enrollment ID: I20210901000136 |
| Provider Name | Brandon P Lentine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124413380 PECOS PAC ID: 3870896137 Enrollment ID: I20210901002927 |
| Provider Name | Andrea Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174034557 PECOS PAC ID: 0941568570 Enrollment ID: I20210902001986 |
| Provider Name | Corey Lynn Orama |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275103566 PECOS PAC ID: 2163828708 Enrollment ID: I20210908001191 |
| Provider Name | Tyler M Weisberger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093219818 PECOS PAC ID: 0143577239 Enrollment ID: I20210922000035 |
| Provider Name | Anuradha Ramaswamy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023113644 PECOS PAC ID: 0345273066 Enrollment ID: I20210928003411 |
| Provider Name | Nina Tatevian |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154377000 PECOS PAC ID: 4688723703 Enrollment ID: I20211004002265 |
| Provider Name | Emily Ruth Cohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437824265 PECOS PAC ID: 9638577455 Enrollment ID: I20211008001860 |
| Provider Name | Megan S Hallonquist |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760050538 PECOS PAC ID: 6901204213 Enrollment ID: I20211015002658 |
| Provider Name | Estefania Santamaria Flores |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407387764 PECOS PAC ID: 0749553212 Enrollment ID: I20211022000833 |
| Provider Name | Seth David Lampert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518494988 PECOS PAC ID: 8022419977 Enrollment ID: I20211025001736 |
| Provider Name | Yun-an Tseng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881955797 PECOS PAC ID: 4587958046 Enrollment ID: I20211108000466 |
| Provider Name | Cameron Fletcher |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063088730 PECOS PAC ID: 3476942566 Enrollment ID: I20211110002946 |
| Provider Name | Lauren Rose Schiappa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144837790 PECOS PAC ID: 6103215892 Enrollment ID: I20211118001862 |
| Provider Name | Dmitry Drozhzhin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336596709 PECOS PAC ID: 2264729334 Enrollment ID: I20211201002024 |
| Provider Name | Fatima Jibrel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386171973 PECOS PAC ID: 2365711629 Enrollment ID: I20211210001786 |
| Provider Name | Courtney Harrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871258285 PECOS PAC ID: 1759772320 Enrollment ID: I20211216000279 |
| Provider Name | Melissa Lapine Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972696003 PECOS PAC ID: 6103217815 Enrollment ID: I20220106000773 |
| Provider Name | Safiyah Hosein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558710335 PECOS PAC ID: 2466870357 Enrollment ID: I20220111002755 |
| Provider Name | Emily Rupert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912665001 PECOS PAC ID: 1951793439 Enrollment ID: I20220112002056 |
| Provider Name | Zachary W Lipsman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659759330 PECOS PAC ID: 6103132121 Enrollment ID: I20220125002084 |
| Provider Name | Tara Lacoursiere |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265940019 PECOS PAC ID: 3870986789 Enrollment ID: I20220216001874 |
| Provider Name | Julia M Longo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417629734 PECOS PAC ID: 4880088053 Enrollment ID: I20220304000054 |
| Provider Name | Meaghan Elizabeth Moriarty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578143947 PECOS PAC ID: 6507252194 Enrollment ID: I20220407001489 |
| Provider Name | Amanda Beth Shehadeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598223422 PECOS PAC ID: 1456694629 Enrollment ID: I20220407001618 |
| Provider Name | Andrea Dolaher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386122315 PECOS PAC ID: 1153673108 Enrollment ID: I20220413001077 |
| Provider Name | Giovanna Fischer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144977448 PECOS PAC ID: 7012304934 Enrollment ID: I20220425000442 |
| Provider Name | Abigail Lawrence |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356082515 PECOS PAC ID: 8224425970 Enrollment ID: I20220427000829 |
| Provider Name | Amanda Jean Pascua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891383477 PECOS PAC ID: 8729475322 Enrollment ID: I20220429000858 |
| Provider Name | Weston David Banker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447902820 PECOS PAC ID: 4183011653 Enrollment ID: I20220502001301 |
| Provider Name | Morganne a Kraines |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942958046 PECOS PAC ID: 1355728494 Enrollment ID: I20220511002065 |
| Provider Name | Christian Glardon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184920928 PECOS PAC ID: 4284882440 Enrollment ID: I20220521000023 |
| Provider Name | Pamela L Riley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922362011 PECOS PAC ID: 6800273301 Enrollment ID: I20220524000260 |
| Provider Name | Tina Marie Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386237154 PECOS PAC ID: 2769860147 Enrollment ID: I20220526001796 |
| Provider Name | Matthew Raymond Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790245553 PECOS PAC ID: 6305172164 Enrollment ID: I20220526001984 |
| Provider Name | John Lee |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740630995 PECOS PAC ID: 1355614454 Enrollment ID: I20220531002620 |
| Provider Name | Ahmad Physicians Muammar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992367189 PECOS PAC ID: 4880921345 Enrollment ID: I20220601000544 |
| Provider Name | Akinobu Itoh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396005211 PECOS PAC ID: 9133374499 Enrollment ID: I20220602002197 |
| Provider Name | Rachel M Mihalos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871962563 PECOS PAC ID: 1759769730 Enrollment ID: I20220602003016 |
| Provider Name | Emily S Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922290600 PECOS PAC ID: 6103040050 Enrollment ID: I20220603001039 |
| Provider Name | Jesse W Dalton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568952745 PECOS PAC ID: 5890042048 Enrollment ID: I20220607003153 |
| Provider Name | Kerri Lynn Secreto |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346994027 PECOS PAC ID: 9133507767 Enrollment ID: I20220609001609 |
| Provider Name | Jonathan Nyce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093177008 PECOS PAC ID: 4880930247 Enrollment ID: I20220610000053 |
| Provider Name | Kira Physicians Neel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245790013 PECOS PAC ID: 6800123357 Enrollment ID: I20220613002267 |
| Provider Name | Hisham S Hourani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932202918 PECOS PAC ID: 6103900964 Enrollment ID: I20220616000797 |
| Provider Name | Denis a Tereb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457493751 PECOS PAC ID: 7517927882 Enrollment ID: I20220617002154 |
| Provider Name | Amelia Vera Tajik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801454491 PECOS PAC ID: 4486033271 Enrollment ID: I20220624001900 |
| Provider Name | Angela Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588186514 PECOS PAC ID: 7911264973 Enrollment ID: I20220627002382 |
| Provider Name | Adam C Matson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417447574 PECOS PAC ID: 3072860220 Enrollment ID: I20220705002014 |
| Provider Name | Stephen M Hendriksen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811125073 PECOS PAC ID: 3779715701 Enrollment ID: I20220707002001 |
| Provider Name | Shirley Mengalle Dione |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235624891 PECOS PAC ID: 9830579754 Enrollment ID: I20220708001749 |
| Provider Name | Hailey N Bossio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356836928 PECOS PAC ID: 8729335872 Enrollment ID: I20220708003070 |
| Provider Name | Elisa K Mceachern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275064198 PECOS PAC ID: 0042555765 Enrollment ID: I20220713002456 |
| Provider Name | Juliana M Plante |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467962720 PECOS PAC ID: 6204192131 Enrollment ID: I20220719002881 |
| Provider Name | Alison a Little |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942612734 PECOS PAC ID: 3779700158 Enrollment ID: I20220720000352 |
| Provider Name | Benjamin S Misemer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720493315 PECOS PAC ID: 0042582892 Enrollment ID: I20220720000522 |
| Provider Name | Mehtap Haktanir Abul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265979421 PECOS PAC ID: 4688005994 Enrollment ID: I20220720002649 |
| Provider Name | Seth Daniel Bourn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851698260 PECOS PAC ID: 4385821578 Enrollment ID: I20220728000763 |
| Provider Name | Andrew Sandefer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1366726804 PECOS PAC ID: 4183006851 Enrollment ID: I20220728001486 |
| Provider Name | Rachel Johanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215136817 PECOS PAC ID: 7618006198 Enrollment ID: I20220801001294 |
| Provider Name | Daryl Selen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699122010 PECOS PAC ID: 5698060929 Enrollment ID: I20220802002456 |
| Provider Name | Juan Cotte Cabarcas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528545373 PECOS PAC ID: 3577892546 Enrollment ID: I20220802002965 |
| Provider Name | Daryl Selen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699122010 PECOS PAC ID: 5698060929 Enrollment ID: I20220802003303 |
| Provider Name | Sara a Armaiz-flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043674583 PECOS PAC ID: 3173905494 Enrollment ID: I20220803002772 |
| Provider Name | Hannah L Fassel Justus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255696951 PECOS PAC ID: 2668788159 Enrollment ID: I20220804001339 |
| Provider Name | Alison Diana Block |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679863609 PECOS PAC ID: 3476784299 Enrollment ID: I20220804001608 |
| Provider Name | Laurie Ann Oliveira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568947349 PECOS PAC ID: 6608169388 Enrollment ID: I20220804003443 |
| Provider Name | Kerri Ellen Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063159002 PECOS PAC ID: 4284017666 Enrollment ID: I20220817002871 |
| Provider Name | Rosalie M Elkinton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760035612 PECOS PAC ID: 9133552953 Enrollment ID: I20220818001203 |
| Provider Name | Lisa Ann Panzini |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821132432 PECOS PAC ID: 5597813709 Enrollment ID: I20220818003544 |
| Provider Name | Elizabeth Sacco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871166850 PECOS PAC ID: 5597149229 Enrollment ID: I20220830002656 |
| Provider Name | Caroline R Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346339298 PECOS PAC ID: 1658412093 Enrollment ID: I20220830004087 |
| Provider Name | Martha Christine Moe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689827990 PECOS PAC ID: 7618025073 Enrollment ID: I20220831001603 |
| Provider Name | Monique Marie Morales |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033760814 PECOS PAC ID: 6507290103 Enrollment ID: I20220922001581 |
| Provider Name | Catharine R Scully |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013562776 PECOS PAC ID: 7012392392 Enrollment ID: I20220922002767 |
| Provider Name | Danielle Cookson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457843963 PECOS PAC ID: 4183963382 Enrollment ID: I20220922003036 |
| Provider Name | Joseph F Geary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659006674 PECOS PAC ID: 9931584224 Enrollment ID: I20220922003182 |
| Provider Name | Maria Paula Caramez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548557549 PECOS PAC ID: 5991963316 Enrollment ID: I20221006000690 |
| Provider Name | Kimberly Rose Matteson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326773516 PECOS PAC ID: 5395111264 Enrollment ID: I20221018000802 |
| Provider Name | Kirsten Faith Veitch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710607502 PECOS PAC ID: 0749656247 Enrollment ID: I20221025003001 |
| Provider Name | Hasene O Kasaroglu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396854311 PECOS PAC ID: 2668406638 Enrollment ID: I20221028000262 |
| Provider Name | Kendra Levi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184116816 PECOS PAC ID: 4486901584 Enrollment ID: I20221102002886 |
| Provider Name | Matthew B. Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962965905 PECOS PAC ID: 8325376528 Enrollment ID: I20221104001829 |
| Provider Name | Jessica Hitte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861126997 PECOS PAC ID: 1850769290 Enrollment ID: I20221116001579 |
| Provider Name | Kadesha Collins Fletcher |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851639702 PECOS PAC ID: 6305168493 Enrollment ID: I20221116002419 |
| Provider Name | Emily K Stallings |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649879313 PECOS PAC ID: 3870906290 Enrollment ID: I20221117000366 |
| Provider Name | Catherine Rim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528486446 PECOS PAC ID: 8426384546 Enrollment ID: I20221121002705 |
| Provider Name | Ashley P Marley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942921705 PECOS PAC ID: 7618345455 Enrollment ID: I20221129000081 |
| Provider Name | Donna Marie Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760858211 PECOS PAC ID: 2860861705 Enrollment ID: I20221215000685 |
| Provider Name | Tomo Tarui |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578732053 PECOS PAC ID: 3274701339 Enrollment ID: I20221220000184 |
| Provider Name | Brittany Meaghan Wallin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518613090 PECOS PAC ID: 1052798626 Enrollment ID: I20230110000265 |
| Provider Name | Jeffrey H Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326417304 PECOS PAC ID: 5294106530 Enrollment ID: I20230124000971 |
| Provider Name | Mihaela Podovei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902006174 PECOS PAC ID: 3971627621 Enrollment ID: I20230124001694 |
| Provider Name | Nicholas Ian Kuttner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760191282 PECOS PAC ID: 0042681306 Enrollment ID: I20230124001798 |
| Provider Name | Tariro Mupombwa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033523675 PECOS PAC ID: 2567789159 Enrollment ID: I20230131000692 |
| Provider Name | Evelyn Y Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033719570 PECOS PAC ID: 5698147429 Enrollment ID: I20230203002664 |
| Provider Name | Ashley Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083324529 PECOS PAC ID: 0446621031 Enrollment ID: I20230206000055 |
| Provider Name | Lynne Brownell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679615140 PECOS PAC ID: 9931256336 Enrollment ID: I20230212000007 |
| Provider Name | Brooke M Richer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194482828 PECOS PAC ID: 0244627909 Enrollment ID: I20230216000465 |
| Provider Name | Katrina K Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699482182 PECOS PAC ID: 2264805761 Enrollment ID: I20230303001052 |
| Provider Name | Kimberly Abbaticola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467045278 PECOS PAC ID: 5092188466 Enrollment ID: I20230306001441 |
| Provider Name | Brian Patrick Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427755818 PECOS PAC ID: 1456725225 Enrollment ID: I20230316002886 |
| Provider Name | Melanie a Talmadge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255070520 PECOS PAC ID: 7517331747 Enrollment ID: I20230329002422 |
| Provider Name | Stephanie Barak |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104900083 PECOS PAC ID: 2668472440 Enrollment ID: I20230406001344 |
| Provider Name | James R Dyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255309845 PECOS PAC ID: 9739122185 Enrollment ID: I20230412002384 |
| Provider Name | Gerald L Weinhouse |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740247337 PECOS PAC ID: 9739262817 Enrollment ID: I20230419001649 |
| Provider Name | Ahsan Farid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669025490 PECOS PAC ID: 3476919820 Enrollment ID: I20230510001098 |
| Provider Name | Lucasjorge Santana De Castro Alves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447810742 PECOS PAC ID: 6709242159 Enrollment ID: I20230510001327 |
| Provider Name | Jacob Martin Beane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063100873 PECOS PAC ID: 8224494471 Enrollment ID: I20230515001492 |
| Provider Name | Heinrich-karl V Greenblatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477014884 PECOS PAC ID: 8628302387 Enrollment ID: I20230522002079 |
| Provider Name | Erin Elizabeth Barlow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902963978 PECOS PAC ID: 6406043298 Enrollment ID: I20230526001155 |
| Provider Name | Christopher Cote |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780303024 PECOS PAC ID: 9032576079 Enrollment ID: I20230606002052 |
| Provider Name | Padmini a Manrai |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427570423 PECOS PAC ID: 0840560033 Enrollment ID: I20230606002054 |
| Provider Name | Karen H Sweitzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417421884 PECOS PAC ID: 7416299334 Enrollment ID: I20230606002817 |
| Provider Name | Jonathan T Vanadore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043773286 PECOS PAC ID: 6406183623 Enrollment ID: I20230607000522 |
| Provider Name | Kathryn Fokas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326738071 PECOS PAC ID: 4486011384 Enrollment ID: I20230608001252 |
| Provider Name | Jennifer Bender Bakkensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548624943 PECOS PAC ID: 8527352533 Enrollment ID: I20230609000134 |
| Provider Name | Jonathan T Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225727563 PECOS PAC ID: 7618334269 Enrollment ID: I20230613001794 |
| Provider Name | Mangaladevi Patil |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255865309 PECOS PAC ID: 6406126465 Enrollment ID: I20230614002153 |
| Provider Name | Yasmin Bata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649807819 PECOS PAC ID: 1759705874 Enrollment ID: I20230615002064 |
| Provider Name | Ayesha Hassan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346762515 PECOS PAC ID: 4789009333 Enrollment ID: I20230621002639 |
| Provider Name | Leslie Annette Vargas Galvan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780104208 PECOS PAC ID: 1456745942 Enrollment ID: I20230626002517 |
| Provider Name | Rabia Amir |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891227708 PECOS PAC ID: 4587022256 Enrollment ID: I20230628001447 |
| Provider Name | Anna C Tyson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598226995 PECOS PAC ID: 1052647765 Enrollment ID: I20230628001760 |
| Provider Name | Melissa Muriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265154850 PECOS PAC ID: 9335518620 Enrollment ID: I20230705002264 |
| Provider Name | Thomas J Seery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639198096 PECOS PAC ID: 3274719257 Enrollment ID: I20230707001056 |
| Provider Name | Thomas Michael Atwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164942504 PECOS PAC ID: 7113358466 Enrollment ID: I20230708000447 |
| Provider Name | Margaret Thorsen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366001836 PECOS PAC ID: 1850719576 Enrollment ID: I20230711000103 |
| Provider Name | Kaila S Madera-stein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457942286 PECOS PAC ID: 5597125351 Enrollment ID: I20230712002835 |
| Provider Name | Kevin Gibas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679009658 PECOS PAC ID: 1355613399 Enrollment ID: I20230714001760 |
| Provider Name | Andrey V Dolinko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811346141 PECOS PAC ID: 4486077989 Enrollment ID: I20230718003353 |
| Provider Name | Max R Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720409519 PECOS PAC ID: 8921422031 Enrollment ID: I20230720001915 |
| Provider Name | Joshua Potvin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013413012 PECOS PAC ID: 4486990108 Enrollment ID: I20230721002379 |
| Provider Name | Abigail Finger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790342376 PECOS PAC ID: 7911230727 Enrollment ID: I20230731003415 |
| Provider Name | Eric M Mastrogiacomo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063876423 PECOS PAC ID: 4880019538 Enrollment ID: I20230802003019 |
| Provider Name | Angelica R Gigliello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528688983 PECOS PAC ID: 9830513688 Enrollment ID: I20230803000216 |
| Provider Name | Victoria a Adewale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467015024 PECOS PAC ID: 1052647344 Enrollment ID: I20230803002121 |
| Provider Name | Lamara Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356748545 PECOS PAC ID: 6305208323 Enrollment ID: I20230808002573 |
| Provider Name | Alicia Rodrigues |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902460082 PECOS PAC ID: 3375905094 Enrollment ID: I20230811003334 |
| Provider Name | Andrew W Dixon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174865562 PECOS PAC ID: 7012235245 Enrollment ID: I20230815001997 |
| Provider Name | Farah Joyce Aslanzadeh |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1508576646 PECOS PAC ID: 1951763358 Enrollment ID: I20230817000224 |
| Provider Name | Stephanie G Braunthal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124555073 PECOS PAC ID: 7810268406 Enrollment ID: I20230817003358 |
| Provider Name | Shakti Rau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386164226 PECOS PAC ID: 6305229956 Enrollment ID: I20230818000318 |
| Provider Name | Edward D Huey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306008982 PECOS PAC ID: 4880719780 Enrollment ID: I20230821003263 |
| Provider Name | Kimberly a Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780213629 PECOS PAC ID: 0840616801 Enrollment ID: I20230822001183 |
| Provider Name | Kristen Beaumier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811674419 PECOS PAC ID: 4880057520 Enrollment ID: I20230829002845 |
| Provider Name | Gillian E Chase |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336708635 PECOS PAC ID: 0244650018 Enrollment ID: I20230830003504 |
| Provider Name | Laura J Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508552977 PECOS PAC ID: 9830552272 Enrollment ID: I20230831003732 |
| Provider Name | Rebecca Lorraine Bennard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558064774 PECOS PAC ID: 5698139814 Enrollment ID: I20230906003631 |
| Provider Name | Ashley Pekera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407496961 PECOS PAC ID: 4385074707 Enrollment ID: I20230907001974 |
| Provider Name | Stephanie Lynn Cheves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376136077 PECOS PAC ID: 7012371941 Enrollment ID: I20230912000662 |
| Provider Name | Jenny Han |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154881985 PECOS PAC ID: 8224452016 Enrollment ID: I20230927003805 |
| Provider Name | Maggie O Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104505700 PECOS PAC ID: 1052765880 Enrollment ID: I20230928000695 |
| Provider Name | Genevie G Dill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427727403 PECOS PAC ID: 7517311913 Enrollment ID: I20231003001733 |
| Provider Name | Kayle Sarah Shapero |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689101693 PECOS PAC ID: 6901175629 Enrollment ID: I20231004003808 |
| Provider Name | Selvin S Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073040333 PECOS PAC ID: 5890032668 Enrollment ID: I20231006002570 |
| Provider Name | Michael Quarella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689293656 PECOS PAC ID: 3971927732 Enrollment ID: I20231010001857 |
| Provider Name | Rachel R Murphy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235815432 PECOS PAC ID: 7315393741 Enrollment ID: I20231021000187 |
| Provider Name | Desiree Steimer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366701062 PECOS PAC ID: 1557613544 Enrollment ID: I20231116001033 |
| Provider Name | Sarbattama Sen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932137445 PECOS PAC ID: 1759300247 Enrollment ID: I20231118000292 |
| Provider Name | Adam Harrison Hobbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306623467 PECOS PAC ID: 0749638153 Enrollment ID: I20231126000070 |
| Provider Name | Ealaf Shemmeri |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760749667 PECOS PAC ID: 5395017362 Enrollment ID: I20231128000083 |
| Provider Name | Natalie J Laubach Santaro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659044758 PECOS PAC ID: 0345635397 Enrollment ID: I20231207000950 |
| Provider Name | Christopher David Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962274886 PECOS PAC ID: 7618326786 Enrollment ID: I20231214001762 |
| Provider Name | Meghan E Minuto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811775687 PECOS PAC ID: 9133578198 Enrollment ID: I20231215001848 |
| Provider Name | Po-hun Chou |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376315184 PECOS PAC ID: 4587013453 Enrollment ID: I20231218002796 |
| Provider Name | Rachel Elizabeth Paulin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811408156 PECOS PAC ID: 4284085044 Enrollment ID: I20240105003873 |
| Provider Name | Nina Moneymaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144749649 PECOS PAC ID: 6204192511 Enrollment ID: I20240117000160 |
| Provider Name | Aaron Bond Morris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093150518 PECOS PAC ID: 8527410984 Enrollment ID: I20240122001834 |
| Provider Name | Elizabeth J Parent |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154916187 PECOS PAC ID: 5496108631 Enrollment ID: I20240124002346 |
| Provider Name | Joshua D Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063432755 PECOS PAC ID: 8527411768 Enrollment ID: I20240124002573 |
| Provider Name | Erin Lynne Ursillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033625769 PECOS PAC ID: 3375996457 Enrollment ID: I20240124004308 |
| Provider Name | Ariana Verducci |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225634900 PECOS PAC ID: 1557739562 Enrollment ID: I20240206001217 |
| Provider Name | Alicia Rae Tavares |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023421534 PECOS PAC ID: 1951744069 Enrollment ID: I20240206001851 |
| Provider Name | Lenty Gordon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609359074 PECOS PAC ID: 6507209624 Enrollment ID: I20240206002195 |
| Provider Name | Marybeth Ferretti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174808109 PECOS PAC ID: 1951744002 Enrollment ID: I20240206003045 |
| Provider Name | Leonard R Bertheau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912079500 PECOS PAC ID: 8729170402 Enrollment ID: I20240215003557 |
| Provider Name | Alexandrina M Gomes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245744606 PECOS PAC ID: 2466785936 Enrollment ID: I20240215003924 |
| Provider Name | Rebecca Lynn Dunkailo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770517435 PECOS PAC ID: 2062418510 Enrollment ID: I20240221003074 |
| Provider Name | Sherriah Baker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922872290 PECOS PAC ID: 3072957661 Enrollment ID: I20240222002230 |
| Provider Name | Ashleigh Shiffler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144744921 PECOS PAC ID: 4082972872 Enrollment ID: I20240229001958 |
| Provider Name | Sharon Cicchetti Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538105903 PECOS PAC ID: 0941421085 Enrollment ID: I20240308003025 |
| Provider Name | Sadeq K M Islam |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952894560 PECOS PAC ID: 5193072247 Enrollment ID: I20240313003539 |
| Provider Name | Margaret Anne Rousseau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568224822 PECOS PAC ID: 9931545787 Enrollment ID: I20240314002824 |
| Provider Name | Jenny B Quilty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548885635 PECOS PAC ID: 4789021163 Enrollment ID: I20240320003775 |
| Provider Name | Emily Lynn Clark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851727028 PECOS PAC ID: 5890065023 Enrollment ID: I20240323000472 |
| Provider Name | Lenna M Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457116444 PECOS PAC ID: 6204273394 Enrollment ID: I20240325003427 |
| Provider Name | Kelly R Degiulio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215478102 PECOS PAC ID: 5890133219 Enrollment ID: I20240404002101 |
| Provider Name | Jennifer Howe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649899543 PECOS PAC ID: 2668896770 Enrollment ID: I20240404002491 |
| Provider Name | Lauren E Abern |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851528467 PECOS PAC ID: 8729237722 Enrollment ID: I20240410002183 |
| Provider Name | Laura Michelle Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174388292 PECOS PAC ID: 8820437130 Enrollment ID: I20240419001196 |
| Provider Name | Alisse K Hauspurg-janicki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639432180 PECOS PAC ID: 4587960133 Enrollment ID: I20240502001082 |
| Provider Name | Stephanie T Ros Saposnik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396077962 PECOS PAC ID: 2062680671 Enrollment ID: I20240502004000 |
| Provider Name | Madeline B Benz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508625625 PECOS PAC ID: 9739520743 Enrollment ID: I20240508001823 |
| Provider Name | Henry Huang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013544162 PECOS PAC ID: 4385044593 Enrollment ID: I20240513003131 |
| Provider Name | Anne E Belzowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083095681 PECOS PAC ID: 1456616226 Enrollment ID: I20240515003750 |
| Provider Name | Raja Ramis Akhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326609488 PECOS PAC ID: 0345681755 Enrollment ID: I20240516002090 |
| Provider Name | Eduardo Soares Cirne De Toledo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477164127 PECOS PAC ID: 2769924992 Enrollment ID: I20240604000441 |
| Provider Name | Tanya Gendron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881369122 PECOS PAC ID: 8628476603 Enrollment ID: I20240604004211 |
| Provider Name | Semsa Gogcu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790965150 PECOS PAC ID: 6204007875 Enrollment ID: I20240605001341 |
| Provider Name | Ean Z Jury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356924161 PECOS PAC ID: 4486054004 Enrollment ID: I20240606003394 |
| Provider Name | Avery Zierk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548766595 PECOS PAC ID: 0446508626 Enrollment ID: I20240610000613 |
| Provider Name | Leah H Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962866848 PECOS PAC ID: 5092000745 Enrollment ID: I20240613000176 |
| Provider Name | William Grobman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508895129 PECOS PAC ID: 9830220730 Enrollment ID: I20240618001052 |
| Provider Name | Elizabeth Glatfelter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891304176 PECOS PAC ID: 7618383233 Enrollment ID: I20240618001821 |
| Provider Name | Karim Anis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285128702 PECOS PAC ID: 0840693669 Enrollment ID: I20240620001407 |
| Provider Name | Sfurti Nath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417266081 PECOS PAC ID: 1658674601 Enrollment ID: I20240624004946 |
| Provider Name | Efe E Cudjoe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215565189 PECOS PAC ID: 0244652014 Enrollment ID: I20240625002426 |
| Provider Name | Karina Sanders |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952863896 PECOS PAC ID: 3274867841 Enrollment ID: I20240625003804 |
| Provider Name | Ashwini R Bhat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194258020 PECOS PAC ID: 6406121268 Enrollment ID: I20240628003091 |
| Provider Name | Jessica M Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548849284 PECOS PAC ID: 1254730161 Enrollment ID: I20240701003934 |
| Provider Name | Rachel Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881222362 PECOS PAC ID: 4880013671 Enrollment ID: I20240703001191 |
| Provider Name | Sarah Eve Dreyer-oren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720839202 PECOS PAC ID: 2062956642 Enrollment ID: I20240708001211 |
| Provider Name | Sakshi Duggal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437720356 PECOS PAC ID: 7214332923 Enrollment ID: I20240709001432 |
| Provider Name | Renee M Desaulniers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508192832 PECOS PAC ID: 7012452535 Enrollment ID: I20240709002534 |
| Provider Name | Kyle Flattery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740803360 PECOS PAC ID: 7517373343 Enrollment ID: I20240718000499 |
| Provider Name | Fatih Kokdere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992329692 PECOS PAC ID: 6204257843 Enrollment ID: I20240719002861 |
| Provider Name | Brian C Temple |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508249640 PECOS PAC ID: 7517380173 Enrollment ID: I20240722000463 |
| Provider Name | Allison Ernestine Payne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346779956 PECOS PAC ID: 7517365190 Enrollment ID: I20240722000857 |
| Provider Name | Alexandrea L Craft |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003229758 PECOS PAC ID: 3577009950 Enrollment ID: I20240722002298 |
| Provider Name | Rosanne M Zandvliet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861021263 PECOS PAC ID: 6406392331 Enrollment ID: I20240726002159 |
| Provider Name | Stevens Eric Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790366565 PECOS PAC ID: 9436550852 Enrollment ID: I20240729002375 |
| Provider Name | Mohammad Hashim Mustehsan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013449057 PECOS PAC ID: 4587101019 Enrollment ID: I20240801003916 |
| Provider Name | Stephen Lammers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093278285 PECOS PAC ID: 3375904303 Enrollment ID: I20240802001843 |
| Provider Name | Maggie a Bacon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710506274 PECOS PAC ID: 0840614830 Enrollment ID: I20240806000845 |
| Provider Name | Brandon W Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700374881 PECOS PAC ID: 3173878618 Enrollment ID: I20240806000941 |
| Provider Name | Michael G Murray |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285126896 PECOS PAC ID: 3375898059 Enrollment ID: I20240807003871 |
| Provider Name | Marina Kreiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598429870 PECOS PAC ID: 5890150346 Enrollment ID: I20240808001157 |
| Provider Name | Deena Kishawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457989295 PECOS PAC ID: 0749727733 Enrollment ID: I20240808001381 |
| Provider Name | Liora Gafen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285488213 PECOS PAC ID: 5193262194 Enrollment ID: I20240808001790 |
| Provider Name | Shaina L Belsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194345140 PECOS PAC ID: 6709208739 Enrollment ID: I20240808002409 |
| Provider Name | Luke Klumpp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881051902 PECOS PAC ID: 9335687920 Enrollment ID: I20240814001233 |
| Provider Name | Abigail Leah Soscia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003562885 PECOS PAC ID: 9638617277 Enrollment ID: I20240814003389 |
| Provider Name | Kimberly Ann Luckett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558952143 PECOS PAC ID: 0749660413 Enrollment ID: I20240819000472 |
| Provider Name | Thomas Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780096495 PECOS PAC ID: 8426275843 Enrollment ID: I20240821000775 |
| Provider Name | Rose Ann My Huynh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043839541 PECOS PAC ID: 5294274288 Enrollment ID: I20240821004975 |
| Provider Name | Tommy D. Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750910402 PECOS PAC ID: 5698198232 Enrollment ID: I20240828001200 |
| Provider Name | Alyssa Vecchio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326626649 PECOS PAC ID: 3779022298 Enrollment ID: I20240828003998 |
| Provider Name | Christina Maria Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821702580 PECOS PAC ID: 3678013745 Enrollment ID: I20240904003947 |
| Provider Name | Michelle Alexandra Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518726207 PECOS PAC ID: 1456891241 Enrollment ID: I20240906003832 |
| Provider Name | Megan M Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023431269 PECOS PAC ID: 6901346519 Enrollment ID: I20240910003505 |
| Provider Name | Rodrigo Fernandez Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215463807 PECOS PAC ID: 7315281425 Enrollment ID: I20240918003222 |
| Provider Name | Felix Pimentel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285473975 PECOS PAC ID: 4688105505 Enrollment ID: I20241002004098 |
| Provider Name | George N Baison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942680418 PECOS PAC ID: 3779882246 Enrollment ID: I20241010000410 |
| Provider Name | Ryan D Boehm |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124342159 PECOS PAC ID: 8022397595 Enrollment ID: I20241014004223 |
| Provider Name | Erin C Curtis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831552280 PECOS PAC ID: 9638464100 Enrollment ID: I20241016001863 |
| Provider Name | Ajay Yechuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659860369 PECOS PAC ID: 6800289273 Enrollment ID: I20241106000740 |
| Provider Name | Jeffrey M Drood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558419770 PECOS PAC ID: 1456249481 Enrollment ID: I20241106001021 |
| Provider Name | Caroline Elizabeth Auslander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376360800 PECOS PAC ID: 0446784904 Enrollment ID: I20241107000373 |
| Provider Name | Sunil Kapur |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144458399 PECOS PAC ID: 4789837865 Enrollment ID: I20241111001424 |
| Provider Name | Heather N Nisbet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205380698 PECOS PAC ID: 8729513403 Enrollment ID: I20241119002595 |
| Provider Name | Sarah Louise Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275350696 PECOS PAC ID: 8224563895 Enrollment ID: I20241120001447 |
| Provider Name | Caroline Joan Violette |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861914319 PECOS PAC ID: 2062947104 Enrollment ID: I20241126000922 |
| Provider Name | Ashley Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861222978 PECOS PAC ID: 5799211421 Enrollment ID: I20241205000510 |
| Provider Name | Sonia B Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124609318 PECOS PAC ID: 5395145890 Enrollment ID: I20241205001000 |
| Provider Name | Jasmina Klapic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770986515 PECOS PAC ID: 6103142492 Enrollment ID: I20241211000576 |
| Provider Name | Shushan Veranyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104356559 PECOS PAC ID: 7214359132 Enrollment ID: I20241211002598 |
| Provider Name | Luce Auriane Kassi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043779101 PECOS PAC ID: 7214261965 Enrollment ID: I20241218000848 |
| Provider Name | Dulce M Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891518379 PECOS PAC ID: 2961930987 Enrollment ID: I20250103002184 |
| Provider Name | Stefano Gabriele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366070146 PECOS PAC ID: 3870917974 Enrollment ID: I20250107000585 |
| Provider Name | Jessica S Loeung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598584302 PECOS PAC ID: 3779011424 Enrollment ID: I20250109001446 |
| Provider Name | Ana Rabasco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306329875 PECOS PAC ID: 8022546142 Enrollment ID: I20250116001868 |
| Provider Name | Jessica Nicole Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255901310 PECOS PAC ID: 0547667479 Enrollment ID: I20250128003209 |
| Provider Name | Amanda M Fabian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134938194 PECOS PAC ID: 2163952235 Enrollment ID: I20250205002278 |
| Provider Name | Justin Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346061520 PECOS PAC ID: 0446780407 Enrollment ID: I20250206002103 |
| Provider Name | Dinah L. Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275148934 PECOS PAC ID: 2860922523 Enrollment ID: I20250211000057 |
| Provider Name | Florence M Hosseini Aslinia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972611994 PECOS PAC ID: 8729023783 Enrollment ID: I20250224002090 |
| Provider Name | Jacob Luke Varela |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699585190 PECOS PAC ID: 8729509898 Enrollment ID: I20250305001492 |
| Provider Name | Ashley Marie Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639945363 PECOS PAC ID: 1052833225 Enrollment ID: I20250317003138 |
| Provider Name | Kathleen Bicknell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205676962 PECOS PAC ID: 3476076126 Enrollment ID: I20250403000028 |
| Provider Name | Susan a Gingrich |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841371002 PECOS PAC ID: 6204885528 Enrollment ID: I20250407000573 |
| Provider Name | Kenisha Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336885722 PECOS PAC ID: 6608256425 Enrollment ID: I20250408002172 |
| Provider Name | Emily Maria Liakos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487452363 PECOS PAC ID: 6103340047 Enrollment ID: I20250411002479 |
| Provider Name | Cailey Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467264853 PECOS PAC ID: 3577087436 Enrollment ID: I20250411003017 |
| Provider Name | Vladimir K Gotlieb |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073516142 PECOS PAC ID: 4789586306 Enrollment ID: I20250424002038 |
| Provider Name | Brittany Rosenfeld |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881342731 PECOS PAC ID: 3072900182 Enrollment ID: I20250507001414 |
| Provider Name | Carmen Monthe-dreze |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992020382 PECOS PAC ID: 8224272091 Enrollment ID: I20250508000329 |
| Provider Name | Prakriti Gaba |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619401742 PECOS PAC ID: 7517484892 Enrollment ID: I20250509001379 |
| Provider Name | Ahmed Mohamed Osman Ahmed Mahgoub |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912552696 PECOS PAC ID: 0446588651 Enrollment ID: I20250528002125 |
| Provider Name | Simarjeet Brar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134615669 PECOS PAC ID: 6709305204 Enrollment ID: I20250528002401 |
| Provider Name | Zachary Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538801824 PECOS PAC ID: 6002325727 Enrollment ID: I20250604001289 |
| Provider Name | Georges Abi Roustom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548871908 PECOS PAC ID: 9335566082 Enrollment ID: I20250604001321 |
| Provider Name | Lesley Ilene Balbirnie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063151595 PECOS PAC ID: 3173032893 Enrollment ID: I20250604001338 |
| Provider Name | Victoria Ashley Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801692991 PECOS PAC ID: 9335658962 Enrollment ID: I20250604001532 |
| Provider Name | Kimia Davoodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972233914 PECOS PAC ID: 3476933508 Enrollment ID: I20250604001945 |
| Provider Name | Tejveer Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629703129 PECOS PAC ID: 6406365014 Enrollment ID: I20250604003041 |
| Provider Name | Abey Sam Abraham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568955813 PECOS PAC ID: 8426304874 Enrollment ID: I20250605000525 |
| Provider Name | Meghan Jeanne Kulak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326615451 PECOS PAC ID: 3971909953 Enrollment ID: I20250605000695 |
| Provider Name | Christopher Blake |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710504956 PECOS PAC ID: 9133527971 Enrollment ID: I20250605001550 |
| Provider Name | Korin Hayguhi Karabulut Kapici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134771264 PECOS PAC ID: 1759789837 Enrollment ID: I20250605001725 |
| Provider Name | Anna Marie Pacheco Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164938387 PECOS PAC ID: 2961803226 Enrollment ID: I20250610000160 |
| Provider Name | Kathryn Margaret Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043845514 PECOS PAC ID: 9537562228 Enrollment ID: I20250610001147 |
| Provider Name | Sean Rogers |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528563426 PECOS PAC ID: 4789937251 Enrollment ID: I20250610003663 |
| Provider Name | Diana Villanueva Donmez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801356332 PECOS PAC ID: 7012395239 Enrollment ID: I20250611000258 |
| Provider Name | Emily Kingry Carroll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629500913 PECOS PAC ID: 1052688017 Enrollment ID: I20250611001482 |
| Provider Name | Zachary a Gandee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801467931 PECOS PAC ID: 2365835204 Enrollment ID: I20250612002008 |
| Provider Name | Chao Ji |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386228120 PECOS PAC ID: 2860801495 Enrollment ID: I20250612003950 |
| Provider Name | Edwin Mandieka |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295239945 PECOS PAC ID: 1456604255 Enrollment ID: I20250618003171 |
| Provider Name | Matthew S Diorio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437720653 PECOS PAC ID: 9931592292 Enrollment ID: I20250619000665 |
| Provider Name | John Sweet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184203259 PECOS PAC ID: 3375943830 Enrollment ID: I20250624000957 |
| Provider Name | Vasupradha Suresh Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427618719 PECOS PAC ID: 2567796097 Enrollment ID: I20250624002185 |
| Provider Name | Dhira Patel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912707928 PECOS PAC ID: 8820500564 Enrollment ID: I20250626001889 |
| Provider Name | Yashmi Mahat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811458268 PECOS PAC ID: 5496080772 Enrollment ID: I20250626003567 |
| Provider Name | Brittany Ann Ricci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104452127 PECOS PAC ID: 9931569548 Enrollment ID: I20250701002284 |
| Provider Name | Cameron Seth Charme |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487235560 PECOS PAC ID: 8325448830 Enrollment ID: I20250708000567 |
| Provider Name | Anne Shee CC Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922099688 PECOS PAC ID: 4385604602 Enrollment ID: I20250708000883 |
| Provider Name | Mackenzie Mcnamara |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447967096 PECOS PAC ID: 5496269961 Enrollment ID: I20250708001035 |
| Provider Name | Yasmin Yokigal Lachir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205586252 PECOS PAC ID: 6406235092 Enrollment ID: I20250708001548 |
| Provider Name | William Grayson Tennant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982283313 PECOS PAC ID: 2860896594 Enrollment ID: I20250708003706 |
| Provider Name | German Valdez |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952938680 PECOS PAC ID: 7012421118 Enrollment ID: I20250710000393 |
| Provider Name | Cheryl-ann Gomez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366021073 PECOS PAC ID: 1850806183 Enrollment ID: I20250715002687 |
| Provider Name | Pauline Helene Lauper Bagatelas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104566082 PECOS PAC ID: 8729468798 Enrollment ID: I20250718003012 |
| Provider Name | Riyana Lalani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134879695 PECOS PAC ID: 3870972474 Enrollment ID: I20250722001322 |
| Provider Name | Abhay Mathur |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649732702 PECOS PAC ID: 1153837307 Enrollment ID: I20250723002684 |
| Provider Name | Hajira Chaudhry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144882192 PECOS PAC ID: 7618202284 Enrollment ID: I20250726000150 |
| Provider Name | Kristen Donna Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295184141 PECOS PAC ID: 5395121388 Enrollment ID: I20250729004621 |
| Provider Name | Gasper Gasperlin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578190914 PECOS PAC ID: 0143644120 Enrollment ID: I20250801000233 |
| Provider Name | Elena Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720757354 PECOS PAC ID: 9234535345 Enrollment ID: I20250811001948 |
| Provider Name | Erin Frances Kilduff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821988510 PECOS PAC ID: 7012937329 Enrollment ID: I20250812000216 |
| Provider Name | Samantha Jane Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801526736 PECOS PAC ID: 4284014572 Enrollment ID: I20250812003159 |
| Provider Name | Megan B Martin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679256838 PECOS PAC ID: 3678072279 Enrollment ID: I20250820000772 |
| Provider Name | Jonah Ruddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962964544 PECOS PAC ID: 2860729969 Enrollment ID: I20250821001712 |
| Provider Name | Haley Susan Gauthier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356239099 PECOS PAC ID: 5597265249 Enrollment ID: I20250826002927 |
| Provider Name | Mohammed Ali Jaloudi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194249565 PECOS PAC ID: 2769452630 Enrollment ID: I20250828003534 |
| Provider Name | Erick Jonathan Fedorenko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558253369 PECOS PAC ID: 3375045966 Enrollment ID: I20250904000026 |
| Provider Name | Alexandra Pundru |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821985813 PECOS PAC ID: 7012419583 Enrollment ID: I20250904002162 |
| Provider Name | Fidencio Saldana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316917404 PECOS PAC ID: 4880662964 Enrollment ID: I20250908004179 |
| Provider Name | Cheyenne Teresa Reyes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356071492 PECOS PAC ID: 5092217869 Enrollment ID: I20250909002698 |
| Provider Name | Theodore Stanton Kaiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447133186 PECOS PAC ID: 9032612122 Enrollment ID: I20250913000279 |
| Provider Name | Nicole Catherine Polillio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033004189 PECOS PAC ID: 6800399783 Enrollment ID: I20250915003530 |
| Provider Name | Amanda Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538951975 PECOS PAC ID: 9335643840 Enrollment ID: I20250918000566 |
| Provider Name | Felicia Renee Cramer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164999330 PECOS PAC ID: 0648775080 Enrollment ID: I20250925003135 |
| Provider Name | Preeti Sunderaraman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083388771 PECOS PAC ID: 4385149665 Enrollment ID: I20250926001254 |
| Provider Name | Christina Stang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003354234 PECOS PAC ID: 3476885526 Enrollment ID: I20250929000043 |
| Provider Name | Emma Alice Grant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861364358 PECOS PAC ID: 1951807510 Enrollment ID: I20251002000525 |
| Provider Name | Jiwon Min |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326816398 PECOS PAC ID: 4082110440 Enrollment ID: I20251003001813 |
| Provider Name | Anya Krause |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295433274 PECOS PAC ID: 3971957689 Enrollment ID: I20251008000430 |
| Provider Name | Jennifer Poillucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467836254 PECOS PAC ID: 5991004780 Enrollment ID: I20251009001322 |
| Provider Name | Monica Tawadros |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104404904 PECOS PAC ID: 4082015391 Enrollment ID: I20251017000215 |
| Provider Name | Kathryn Cully Kurchena |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538747548 PECOS PAC ID: 2365846904 Enrollment ID: I20251023002643 |
| Provider Name | Moira Barrett Nolan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578453684 PECOS PAC ID: 1850881434 Enrollment ID: I20251104000456 |
| Provider Name | Alyssa Nicole De Vito-izzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336015445 PECOS PAC ID: 1254821663 Enrollment ID: I20251105000740 |
| Provider Name | Katelyn Michelle Foley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487212593 PECOS PAC ID: 7214426303 Enrollment ID: I20251203000674 |
| Provider Name | Brooklyn Tolkacz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376274001 PECOS PAC ID: 1153780689 Enrollment ID: I20251211001284 |
| Provider Name | Samantha L. Yu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144183377 PECOS PAC ID: 3375037435 Enrollment ID: I20251216001937 |
| Provider Name | Lauren E Aponte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649942954 PECOS PAC ID: 0941673602 Enrollment ID: I20251223001610 |
| Provider Name | Edward Osharhire Omerhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770979346 PECOS PAC ID: 8921303827 Enrollment ID: I20260114000169 |
| Provider Name | William Filippone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295540268 PECOS PAC ID: 6305322983 Enrollment ID: I20260114000174 |
| Provider Name | Olivia Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922973668 PECOS PAC ID: 8325525728 Enrollment ID: I20260115003549 |
| Provider Name | Paige Noel Olausen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255225330 PECOS PAC ID: 7810474111 Enrollment ID: I20260116001795 |
| Provider Name | Christine Sarza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558151530 PECOS PAC ID: 1456838788 Enrollment ID: I20260116002818 |
| Provider Name | Kristen Constance Morelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225488521 PECOS PAC ID: 6800176645 Enrollment ID: I20260213001183 |
| Provider Name | Leah E Rubin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558818088 PECOS PAC ID: 3678852167 Enrollment ID: I20260225001550 |
| Provider Name | Mohamed Wagdy Mohamed Elsayed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982135364 PECOS PAC ID: 1153668264 Enrollment ID: I20260225002129 |
| Provider Name | Julia Rose Bodah |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275484222 PECOS PAC ID: 9931681251 Enrollment ID: I20260305002807 |
| Provider Name | Shayna Vega |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861029118 PECOS PAC ID: 8123402443 Enrollment ID: I20260312000973 |
| Provider Name | Susan Victoria Fernandez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1467526772 PECOS PAC ID: 8628024361 Enrollment ID: I20260312003611 |
| Provider Name | Andres Sobrado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700308699 PECOS PAC ID: 7113313883 Enrollment ID: I20260317003292 |
| Provider Name | Kevin Joseph Dyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578128989 PECOS PAC ID: 7113336538 Enrollment ID: I20260317004341 |
| Provider Name | Sarah Anne Freiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922962117 PECOS PAC ID: 5395210181 Enrollment ID: I20260409000757 |
| Provider Name | Elsa Kathryn Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194676775 PECOS PAC ID: 3072089382 Enrollment ID: I20260415001131 |
| Provider Name | Emily R Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427914787 PECOS PAC ID: 2860969110 Enrollment ID: I20260424000516 |
| Provider Name | Jessica Topitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184143851 PECOS PAC ID: 2860969755 Enrollment ID: I20260429000064 |
| Provider Name | Lindy Kathlyn Howe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962360131 PECOS PAC ID: 4082182845 Enrollment ID: I20260511000418 |
| Provider Name | Anna T Dennis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235816042 PECOS PAC ID: 1850745084 Enrollment ID: I20260608000739 |
Heal & Flourish Psychotherapy, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Toll Gate Rd Ste 206, Warwick, RI 02886 Phone: 401-318-7688 |
Healing Hearts Counseling LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Main Ave, Warwick, RI 02886 Phone: 401-269-9392 |
The Center for Psychological Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3296 Post Rd Ste 2a, Warwick, RI 02886 Phone: 401-739-1010 Fax: 401-739-1110 |
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