| Atrius Health, Inc. | |
|
133 Brookline Ave Boston MA 02215-3904 | |
| (617) 421-1000 | |
| (617) 421-6084 |
| Full Name | Atrius Health, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 133 Brookline Ave, Boston, Massachusetts |
| Authorized Official Name and Position | Christopher Andreoli (PRESIDENT) |
| Authorized Official Contact | 6175598042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrius Health, Inc. 275 Grove St Suite 3-300 Auburndale MA 02466-2272 Ph: (617) 559-8374 | Atrius Health, Inc. 133 Brookline Ave Boston MA 02215-3904 Ph: (617) 421-1000 |
| NPI Number | 1871639914 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 4789588641 |
|---|---|
| Medicare Enrollment ID | O20031121000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871639914 | NPI | - | NPPES |
| 42732 | Other | MA | BEACON HEALTH PLAN |
| M16856 | Other | MA | BLUE CROSS |
| Provider Name | Vandhana Sharda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841290475 PECOS PAC ID: 7315843331 Enrollment ID: I20031210000726 |
| Provider Name | Tu Mai Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740338524 PECOS PAC ID: 9638075484 Enrollment ID: I20031211000337 |
| Provider Name | Kevin Edward Mccarthy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851302590 PECOS PAC ID: 7214835180 Enrollment ID: I20031230000253 |
| Provider Name | Edward F Rabe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902827231 PECOS PAC ID: 0547169401 Enrollment ID: I20040108000798 |
| Provider Name | Shahab Mohiuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447225834 PECOS PAC ID: 8123920824 Enrollment ID: I20040123000002 |
| Provider Name | Veena Molagavalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487600979 PECOS PAC ID: 8527961770 Enrollment ID: I20040127001007 |
| Provider Name | Tanya M Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376539262 PECOS PAC ID: 6608779947 Enrollment ID: I20040202000634 |
| Provider Name | Shelagh Macropoulos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497967798 PECOS PAC ID: 2062307440 Enrollment ID: I20040216000711 |
| Provider Name | Benjamin a Kruskal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245218353 PECOS PAC ID: 3971498379 Enrollment ID: I20040216000821 |
| Provider Name | Irving S Epstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972557833 PECOS PAC ID: 2163317330 Enrollment ID: I20040217000512 |
| Provider Name | James C Chou |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285661652 PECOS PAC ID: 5294621876 Enrollment ID: I20040223000657 |
| Provider Name | Donald H Perlo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366555260 PECOS PAC ID: 7315833480 Enrollment ID: I20040225000710 |
| Provider Name | Susan M Leighton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730110313 PECOS PAC ID: 5193613115 Enrollment ID: I20040310000209 |
| Provider Name | Robin Bromberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528548609 PECOS PAC ID: 5193614790 Enrollment ID: I20040312000024 |
| Provider Name | Marc a Rosenthal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346225083 PECOS PAC ID: 0749170678 Enrollment ID: I20040316000918 |
| Provider Name | Gary Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841251204 PECOS PAC ID: 5496646275 Enrollment ID: I20040322001352 |
| Provider Name | Steven W Dipillo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104807122 PECOS PAC ID: 9931091949 Enrollment ID: I20040325001198 |
| Provider Name | Elizabeth P Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346200565 PECOS PAC ID: 3577455096 Enrollment ID: I20040329000376 |
| Provider Name | Holly Kantor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760468060 PECOS PAC ID: 7517859028 Enrollment ID: I20040329000915 |
| Provider Name | Arthur B Haffner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548245277 PECOS PAC ID: 7113919648 Enrollment ID: I20040402000297 |
| Provider Name | Maureen A. Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548397268 PECOS PAC ID: 6002808482 Enrollment ID: I20040402001270 |
| Provider Name | William F Boyd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922066885 PECOS PAC ID: 8628062940 Enrollment ID: I20040412000110 |
| Provider Name | Janet L Flory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467411421 PECOS PAC ID: 3375537368 Enrollment ID: I20040413000354 |
| Provider Name | Jeanne M Enneguess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912965369 PECOS PAC ID: 9133113095 Enrollment ID: I20040413000958 |
| Provider Name | Shaenaeus M Graf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306800560 PECOS PAC ID: 1456346865 Enrollment ID: I20040415001291 |
| Provider Name | Krista S Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932352895 PECOS PAC ID: 7315933991 Enrollment ID: I20040421000079 |
| Provider Name | Sarah C Gates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376580548 PECOS PAC ID: 2961499058 Enrollment ID: I20040429000907 |
| Provider Name | Christopher John Kwolek |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689665309 PECOS PAC ID: 7315937356 Enrollment ID: I20040513000292 |
| Provider Name | Alan Berrick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427059831 PECOS PAC ID: 5597746354 Enrollment ID: I20040527000185 |
| Provider Name | Susan M Racine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316936495 PECOS PAC ID: 2365424694 Enrollment ID: I20040602000257 |
| Provider Name | Louis a Bley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285724526 PECOS PAC ID: 6406838408 Enrollment ID: I20040603000662 |
| Provider Name | Ana C Domingues |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356490908 PECOS PAC ID: 4385546084 Enrollment ID: I20040610000357 |
| Provider Name | Margaret Denise Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457325722 PECOS PAC ID: 4183607815 Enrollment ID: I20040611001088 |
| Provider Name | Robin S Gross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326155995 PECOS PAC ID: 0840274338 Enrollment ID: I20040614000947 |
| Provider Name | James Demetroulakos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326011180 PECOS PAC ID: 4789668138 Enrollment ID: I20040615000400 |
| Provider Name | Arielle L Adrien Jean |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386691160 PECOS PAC ID: 1355326018 Enrollment ID: I20040618000850 |
| Provider Name | Bruce M Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396793543 PECOS PAC ID: 6507843208 Enrollment ID: I20040701000104 |
| Provider Name | Kerry Anne Stone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851399125 PECOS PAC ID: 1658351887 Enrollment ID: I20040720001155 |
| Provider Name | Dawn M Peters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174599104 PECOS PAC ID: 3779553615 Enrollment ID: I20040728001345 |
| Provider Name | Jeannine J Stanwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932269958 PECOS PAC ID: 5395715015 Enrollment ID: I20040729001047 |
| Provider Name | Mary T Chou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588623961 PECOS PAC ID: 8022088509 Enrollment ID: I20040730000684 |
| Provider Name | Danka Samardzic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942268438 PECOS PAC ID: 8123099538 Enrollment ID: I20040802000146 |
| Provider Name | Marcia M Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225068299 PECOS PAC ID: 1759352834 Enrollment ID: I20040803000638 |
| Provider Name | Renee Aversano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962402255 PECOS PAC ID: 5395716401 Enrollment ID: I20040803000800 |
| Provider Name | Celia M Repucci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104075779 PECOS PAC ID: 5799756516 Enrollment ID: I20040804001498 |
| Provider Name | Patricia Lopresti |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962625640 PECOS PAC ID: 4183695828 Enrollment ID: I20040804001696 |
| Provider Name | Ida P Gorenburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053386771 PECOS PAC ID: 4082685722 Enrollment ID: I20040804001701 |
| Provider Name | Tao Yang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740278985 PECOS PAC ID: 0648242180 Enrollment ID: I20040806000354 |
| Provider Name | Michael J Ross |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609832989 PECOS PAC ID: 7012989577 Enrollment ID: I20040806000481 |
| Provider Name | Scott D James |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922084458 PECOS PAC ID: 7719959048 Enrollment ID: I20040809000292 |
| Provider Name | Mary C Gosney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023169919 PECOS PAC ID: 6800868019 Enrollment ID: I20040809000989 |
| Provider Name | Marlene S Odonnell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316910235 PECOS PAC ID: 1456323229 Enrollment ID: I20040811000969 |
| Provider Name | Joseph F Audette |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1992789911 PECOS PAC ID: 9436122082 Enrollment ID: I20040813000053 |
| Provider Name | Renee M Mckinney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750329041 PECOS PAC ID: 5395719827 Enrollment ID: I20040821000012 |
| Provider Name | Nancy F Radden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831134105 PECOS PAC ID: 9638143670 Enrollment ID: I20040824001350 |
| Provider Name | Daniel S Mishkin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801822564 PECOS PAC ID: 4981670858 Enrollment ID: I20040902000921 |
| Provider Name | Jane S Bae |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841238318 PECOS PAC ID: 0648246256 Enrollment ID: I20040904000074 |
| Provider Name | Walter M Jo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043250004 PECOS PAC ID: 9133195696 Enrollment ID: I20040909000791 |
| Provider Name | Harsh C Sanchorawala |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497783294 PECOS PAC ID: 7315913878 Enrollment ID: I20040909000829 |
| Provider Name | Denise M Morin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306878830 PECOS PAC ID: 6901873447 Enrollment ID: I20040914000460 |
| Provider Name | Olga E Golub |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275580912 PECOS PAC ID: 2860461183 Enrollment ID: I20041001000920 |
| Provider Name | Irena Maier |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235161779 PECOS PAC ID: 5991774226 Enrollment ID: I20041001000952 |
| Provider Name | Marcy a Cheifetz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003825415 PECOS PAC ID: 3870495328 Enrollment ID: I20041001000984 |
| Provider Name | Susan C Sullivan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871649160 PECOS PAC ID: 0840250072 Enrollment ID: I20041013000092 |
| Provider Name | Katherine K Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912988486 PECOS PAC ID: 1153381710 Enrollment ID: I20041018000778 |
| Provider Name | Leslie S Eldeiry |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801805221 PECOS PAC ID: 6709847262 Enrollment ID: I20041019001087 |
| Provider Name | Marcelo C Campos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790770121 PECOS PAC ID: 5890756837 Enrollment ID: I20041022000316 |
| Provider Name | Diane M Brockmeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467499574 PECOS PAC ID: 1951363381 Enrollment ID: I20041028000687 |
| Provider Name | Mark D Raizin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699702290 PECOS PAC ID: 3678536026 Enrollment ID: I20041108000427 |
| Provider Name | William G. Griever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316013006 PECOS PAC ID: 6507821394 Enrollment ID: I20041122000084 |
| Provider Name | Judit Saenz-badillos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770563694 PECOS PAC ID: 1951366707 Enrollment ID: I20041122000475 |
| Provider Name | Robert J Greene |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1205843893 PECOS PAC ID: 7012984131 Enrollment ID: I20041215000784 |
| Provider Name | Iqubal S Dhaliwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770694556 PECOS PAC ID: 3173581105 Enrollment ID: I20041222000414 |
| Provider Name | John Malolepszy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508993163 PECOS PAC ID: 6800708058 Enrollment ID: I20050110000229 |
| Provider Name | Mary C. Bethoney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790856177 PECOS PAC ID: 9133181571 Enrollment ID: I20050111000383 |
| Provider Name | Jeffrey S Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154312346 PECOS PAC ID: 8224087093 Enrollment ID: I20050119000474 |
| Provider Name | Elisabeth N Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497811822 PECOS PAC ID: 4385694736 Enrollment ID: I20050125000056 |
| Provider Name | Matthew J Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831157791 PECOS PAC ID: 5799736203 Enrollment ID: I20050202000268 |
| Provider Name | Karen E Klein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154309235 PECOS PAC ID: 3779534557 Enrollment ID: I20050209000513 |
| Provider Name | David H Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356343032 PECOS PAC ID: 6507817301 Enrollment ID: I20050209000673 |
| Provider Name | Louis G Jenis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285636993 PECOS PAC ID: 5991756694 Enrollment ID: I20050209000777 |
| Provider Name | Martha K Richardson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467567420 PECOS PAC ID: 7618928334 Enrollment ID: I20050209000922 |
| Provider Name | Julia Y Logan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053343590 PECOS PAC ID: 2567414865 Enrollment ID: I20050215000626 |
| Provider Name | Linda M Cohen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144207887 PECOS PAC ID: 5799737888 Enrollment ID: I20050217000095 |
| Provider Name | Stephanie S Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568439370 PECOS PAC ID: 6709838733 Enrollment ID: I20050217000424 |
| Provider Name | Moira a Cunningham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437120995 PECOS PAC ID: 4688627433 Enrollment ID: I20050222000334 |
| Provider Name | Francine M Monahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902862246 PECOS PAC ID: 9032162805 Enrollment ID: I20050222000531 |
| Provider Name | Jane a Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063615870 PECOS PAC ID: 1951354638 Enrollment ID: I20050222000693 |
| Provider Name | Leann R Canty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205807781 PECOS PAC ID: 8628021615 Enrollment ID: I20050302000513 |
| Provider Name | David M Meenan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649217308 PECOS PAC ID: 9436102357 Enrollment ID: I20050302000806 |
| Provider Name | Brittanny L Boulanger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184600348 PECOS PAC ID: 9335193275 Enrollment ID: I20050303000722 |
| Provider Name | Cheryl a Lucchetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164582201 PECOS PAC ID: 1355395526 Enrollment ID: I20050310000280 |
| Provider Name | Nahum Vishniavsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972555373 PECOS PAC ID: 6305891870 Enrollment ID: I20050317000326 |
| Provider Name | Jonathan S. Forman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386641785 PECOS PAC ID: 9537115514 Enrollment ID: I20050323000200 |
| Provider Name | James a Goldman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1780681981 PECOS PAC ID: 4486600467 Enrollment ID: I20050323000262 |
| Provider Name | Susan Wong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1811051311 PECOS PAC ID: 4688620628 Enrollment ID: I20050323000654 |
| Provider Name | Alex Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134101629 PECOS PAC ID: 3476509340 Enrollment ID: I20050323001059 |
| Provider Name | Giovanni a Dambrosio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598738510 PECOS PAC ID: 6507812435 Enrollment ID: I20050324000008 |
| Provider Name | Gilbert L Brodsky |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699734657 PECOS PAC ID: 3476509241 Enrollment ID: I20050324000421 |
| Provider Name | Joseph a Hill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821182635 PECOS PAC ID: 1254387053 Enrollment ID: I20050324000650 |
| Provider Name | Leo R Muido |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093762676 PECOS PAC ID: 3870549512 Enrollment ID: I20050325000484 |
| Provider Name | Peter J Dimatteo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073570453 PECOS PAC ID: 5991751539 Enrollment ID: I20050325000558 |
| Provider Name | Carol L Rosenberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659387744 PECOS PAC ID: 3870549470 Enrollment ID: I20050328000270 |
| Provider Name | Jessica Small |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699736587 PECOS PAC ID: 4981650405 Enrollment ID: I20050329000100 |
| Provider Name | Julie M Jankelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265410609 PECOS PAC ID: 6709832157 Enrollment ID: I20050329000514 |
| Provider Name | Robert C Jandl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770572315 PECOS PAC ID: 8820980600 Enrollment ID: I20050330000168 |
| Provider Name | Mary Jane Mccarron |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770577678 PECOS PAC ID: 8628025822 Enrollment ID: I20050331000023 |
| Provider Name | Joseph F Horan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669440111 PECOS PAC ID: 3072560879 Enrollment ID: I20050404001078 |
| Provider Name | Ralph a Iannuzzi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538193396 PECOS PAC ID: 6709859648 Enrollment ID: I20050405000496 |
| Provider Name | Francis X Campion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730150285 PECOS PAC ID: 1456308121 Enrollment ID: I20050405000535 |
| Provider Name | David B Krieger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346219326 PECOS PAC ID: 7618924382 Enrollment ID: I20050405000551 |
| Provider Name | Roderick H Crocker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053310367 PECOS PAC ID: 4981651668 Enrollment ID: I20050405000631 |
| Provider Name | Michael D Achey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578574703 PECOS PAC ID: 5193798494 Enrollment ID: I20050405001264 |
| Provider Name | Milton a Drake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750354700 PECOS PAC ID: 4284681800 Enrollment ID: I20050406000360 |
| Provider Name | Ellen Spar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285686386 PECOS PAC ID: 1052368537 Enrollment ID: I20050406000954 |
| Provider Name | Jonathan M Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003917626 PECOS PAC ID: 0345297735 Enrollment ID: I20050407000621 |
| Provider Name | Elizabeth B Tarnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942209390 PECOS PAC ID: 0941247258 Enrollment ID: I20050408000305 |
| Provider Name | James K Piper |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518913706 PECOS PAC ID: 2264479542 Enrollment ID: I20050408000887 |
| Provider Name | Marcia F Dworkind |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174504526 PECOS PAC ID: 8123065281 Enrollment ID: I20050411001195 |
| Provider Name | Mark T Boehnert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083690614 PECOS PAC ID: 9830136993 Enrollment ID: I20050411001217 |
| Provider Name | David J. Petillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285669614 PECOS PAC ID: 4082651096 Enrollment ID: I20050412000362 |
| Provider Name | Joyce M Camac Weiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942271416 PECOS PAC ID: 9234176181 Enrollment ID: I20050412000765 |
| Provider Name | Wendy H Farnsworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477588234 PECOS PAC ID: 0244277119 Enrollment ID: I20050412000926 |
| Provider Name | Geoffrey S Hirsowitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649299744 PECOS PAC ID: 4385681253 Enrollment ID: I20050412000972 |
| Provider Name | John M Cornwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023007259 PECOS PAC ID: 1951399468 Enrollment ID: I20050412001395 |
| Provider Name | Michael Higgins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730251661 PECOS PAC ID: 2668419177 Enrollment ID: I20050414001281 |
| Provider Name | Srdjan S Nedeljkovic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457347015 PECOS PAC ID: 1254379084 Enrollment ID: I20050421000492 |
| Provider Name | Peter A. Barrant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215913835 PECOS PAC ID: 3779521547 Enrollment ID: I20050421000910 |
| Provider Name | Nada G Samaha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457308181 PECOS PAC ID: 5092754457 Enrollment ID: I20050426001038 |
| Provider Name | Sara F Kelly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164491957 PECOS PAC ID: 4587603857 Enrollment ID: I20050426001171 |
| Provider Name | Bradley M Denker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669438727 PECOS PAC ID: 6507836699 Enrollment ID: I20050426001306 |
| Provider Name | Shyla Shrinath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568435576 PECOS PAC ID: 8820037187 Enrollment ID: I20050427000475 |
| Provider Name | Nsa E Henshaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427018605 PECOS PAC ID: 9234178419 Enrollment ID: I20050427000669 |
| Provider Name | Robert M Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164405130 PECOS PAC ID: 5092754150 Enrollment ID: I20050427001330 |
| Provider Name | Nancy a Jurczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245461235 PECOS PAC ID: 8123067238 Enrollment ID: I20050428000255 |
| Provider Name | Ross C Reel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891723011 PECOS PAC ID: 5799724316 Enrollment ID: I20050503000204 |
| Provider Name | Cristina J Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144214867 PECOS PAC ID: 7416997002 Enrollment ID: I20050503000787 |
| Provider Name | Susan K Millet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730270240 PECOS PAC ID: 1850331455 Enrollment ID: I20050503000894 |
| Provider Name | Jonathan R Ellis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932155637 PECOS PAC ID: 4880667187 Enrollment ID: I20050503000907 |
| Provider Name | Christina L Wei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639167257 PECOS PAC ID: 0749220317 Enrollment ID: I20050504000031 |
| Provider Name | Carol a Burd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114998036 PECOS PAC ID: 2961442769 Enrollment ID: I20050511000632 |
| Provider Name | Anne M Mccaffrey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639149404 PECOS PAC ID: 2466493994 Enrollment ID: I20050516000365 |
| Provider Name | Deborah M Jonas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932106143 PECOS PAC ID: 3870534936 Enrollment ID: I20050518001139 |
| Provider Name | Catherine M Devine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770557142 PECOS PAC ID: 2163463951 Enrollment ID: I20050523000291 |
| Provider Name | Brian B Bloom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164403580 PECOS PAC ID: 6406898154 Enrollment ID: I20050524000364 |
| Provider Name | Andrea M Forde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760451025 PECOS PAC ID: 1153363429 Enrollment ID: I20050526000259 |
| Provider Name | Barbara T Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609834563 PECOS PAC ID: 6709829666 Enrollment ID: I20050602000478 |
| Provider Name | Ahmed S Basheer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467416958 PECOS PAC ID: 2365485091 Enrollment ID: I20050603000699 |
| Provider Name | Marilyn S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003813536 PECOS PAC ID: 1254375520 Enrollment ID: I20050616001189 |
| Provider Name | Stewart H Lecker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184661134 PECOS PAC ID: 7113961327 Enrollment ID: I20050617000287 |
| Provider Name | Robert G Atkind |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831236405 PECOS PAC ID: 4789629619 Enrollment ID: I20050622000305 |
| Provider Name | Debra a Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043289200 PECOS PAC ID: 7911942446 Enrollment ID: I20050624000152 |
| Provider Name | Suzanne L Russell-curtis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679797708 PECOS PAC ID: 0042255440 Enrollment ID: I20050627000432 |
| Provider Name | Helen P Mastro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730152638 PECOS PAC ID: 8224073549 Enrollment ID: I20050627000734 |
| Provider Name | Nancy S Loughridge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386715878 PECOS PAC ID: 7911943105 Enrollment ID: I20050628000844 |
| Provider Name | Sharon a Siwiec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548226731 PECOS PAC ID: 0941246045 Enrollment ID: I20050629000368 |
| Provider Name | Mary E Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053372813 PECOS PAC ID: 1052357126 Enrollment ID: I20050629000864 |
| Provider Name | Patricia a Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174583223 PECOS PAC ID: 2769428838 Enrollment ID: I20050629000877 |
| Provider Name | John Danziger |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730161142 PECOS PAC ID: 4789650284 Enrollment ID: I20050629000917 |
| Provider Name | Cheryl Y Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528037132 PECOS PAC ID: 5395781157 Enrollment ID: I20050701000085 |
| Provider Name | Sandra S Yoon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164402954 PECOS PAC ID: 3678519485 Enrollment ID: I20050701000465 |
| Provider Name | John B Lazor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821089921 PECOS PAC ID: 6709822281 Enrollment ID: I20050706000871 |
| Provider Name | Ellen S Sigman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306947668 PECOS PAC ID: 0648216085 Enrollment ID: I20050707000248 |
| Provider Name | Jonathan S Friedes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780606160 PECOS PAC ID: 6103862578 Enrollment ID: I20050707000495 |
| Provider Name | Charles T Buzanis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487764965 PECOS PAC ID: 2264478569 Enrollment ID: I20050707000766 |
| Provider Name | Gigi L Anchan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346225208 PECOS PAC ID: 2860428083 Enrollment ID: I20050711000512 |
| Provider Name | Eric M Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205812443 PECOS PAC ID: 4284660150 Enrollment ID: I20050712000682 |
| Provider Name | Phoebe S Lewit Olhava |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568414696 PECOS PAC ID: 0042246936 Enrollment ID: I20050712000904 |
| Provider Name | Hyman Glick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699830075 PECOS PAC ID: 5799711198 Enrollment ID: I20050715000825 |
| Provider Name | Christopher M Andreoli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134112188 PECOS PAC ID: 9739116831 Enrollment ID: I20050720000629 |
| Provider Name | Sonia Beauvais |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891733218 PECOS PAC ID: 7315974078 Enrollment ID: I20050725000547 |
| Provider Name | Alan H Green |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689698441 PECOS PAC ID: 2062449671 Enrollment ID: I20050725001012 |
| Provider Name | Madeline Figueroa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316986409 PECOS PAC ID: 9638106255 Enrollment ID: I20050725001073 |
| Provider Name | Joann S Ganim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568440477 PECOS PAC ID: 2567499148 Enrollment ID: I20050726000267 |
| Provider Name | Melinda D Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033111711 PECOS PAC ID: 0042248569 Enrollment ID: I20050727000209 |
| Provider Name | Margaret Gentile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902865967 PECOS PAC ID: 5991733370 Enrollment ID: I20050727000681 |
| Provider Name | Sheena John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396784823 PECOS PAC ID: 8123056504 Enrollment ID: I20050727000711 |
| Provider Name | Kara K Erdody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982673240 PECOS PAC ID: 4587692991 Enrollment ID: I20050727000958 |
| Provider Name | Patricia E Tonra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487710836 PECOS PAC ID: 3375571748 Enrollment ID: I20050728000196 |
| Provider Name | Jung Yoon Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801995055 PECOS PAC ID: 9032147301 Enrollment ID: I20050728000275 |
| Provider Name | Margaret Ullmann Weil |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952374894 PECOS PAC ID: 3779511704 Enrollment ID: I20050801000796 |
| Provider Name | Yanping Wen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295767721 PECOS PAC ID: 1355379264 Enrollment ID: I20050802000303 |
| Provider Name | Pamela Lee Mok |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134107733 PECOS PAC ID: 3476581067 Enrollment ID: I20050804000059 |
| Provider Name | Mary E Blanchette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609916410 PECOS PAC ID: 1052340643 Enrollment ID: I20050804000117 |
| Provider Name | Michael S Glazier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306824941 PECOS PAC ID: 4385673912 Enrollment ID: I20050804000424 |
| Provider Name | Dina M Deldon Saltin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922059518 PECOS PAC ID: 4880623933 Enrollment ID: I20050809000366 |
| Provider Name | David B Rubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225065493 PECOS PAC ID: 4587694211 Enrollment ID: I20050812000746 |
| Provider Name | Riad K Mortada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902974256 PECOS PAC ID: 1456381094 Enrollment ID: I20050815000202 |
| Provider Name | Eric P Carkner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568441095 PECOS PAC ID: 3476583683 Enrollment ID: I20050817000752 |
| Provider Name | Steven Lampert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457364176 PECOS PAC ID: 0143250092 Enrollment ID: I20050819000527 |
| Provider Name | Karen J Allard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194719245 PECOS PAC ID: 0143250977 Enrollment ID: I20050822000180 |
| Provider Name | Michael P Kenney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306800875 PECOS PAC ID: 6406887298 Enrollment ID: I20050822000725 |
| Provider Name | Daniel G Tarlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124130091 PECOS PAC ID: 9830120542 Enrollment ID: I20050823000313 |
| Provider Name | Christopher a Teitleman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457352338 PECOS PAC ID: 2466483136 Enrollment ID: I20050823000797 |
| Provider Name | Sung K Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891793766 PECOS PAC ID: 5991736548 Enrollment ID: I20050824000357 |
| Provider Name | Mary P Osborne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184654535 PECOS PAC ID: 3870524358 Enrollment ID: I20050824000690 |
| Provider Name | Jeffrey R Garber |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841230372 PECOS PAC ID: 7618908666 Enrollment ID: I20050830000082 |
| Provider Name | James E Phillips |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912988189 PECOS PAC ID: 3577594464 Enrollment ID: I20050831000058 |
| Provider Name | Julie L Stepanian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558358408 PECOS PAC ID: 0042242919 Enrollment ID: I20050831000732 |
| Provider Name | Christopher P Deangelis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376534388 PECOS PAC ID: 4486686151 Enrollment ID: I20050901000647 |
| Provider Name | Donald G Keamy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568453660 PECOS PAC ID: 9436181955 Enrollment ID: I20050906000933 |
| Provider Name | Constance S Barr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740280643 PECOS PAC ID: 7416980404 Enrollment ID: I20050912000056 |
| Provider Name | Mark J Eubanks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619955465 PECOS PAC ID: 5991738817 Enrollment ID: I20050912001245 |
| Provider Name | Anne Kofke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396961934 PECOS PAC ID: 4789617655 Enrollment ID: I20050913000218 |
| Provider Name | Richard H Blair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225075914 PECOS PAC ID: 1951334184 Enrollment ID: I20050916000840 |
| Provider Name | Alan D Brush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043281942 PECOS PAC ID: 2769415868 Enrollment ID: I20050917000397 |
| Provider Name | Mark B Stockman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518975267 PECOS PAC ID: 4385677483 Enrollment ID: I20050917000407 |
| Provider Name | Richard H Feit |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003842055 PECOS PAC ID: 0840224499 Enrollment ID: I20050922000732 |
| Provider Name | Walid G Bader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134184161 PECOS PAC ID: 6204860562 Enrollment ID: I20050926000702 |
| Provider Name | Mahnoosh Eslami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871545509 PECOS PAC ID: 6800820002 Enrollment ID: I20050926001069 |
| Provider Name | Paul J Feiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336113067 PECOS PAC ID: 4385679562 Enrollment ID: I20050927001395 |
| Provider Name | James P Roseto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194768531 PECOS PAC ID: 1759316540 Enrollment ID: I20050929001093 |
| Provider Name | Vera T Fajtova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1750491312 PECOS PAC ID: 4082649751 Enrollment ID: I20050930000507 |
| Provider Name | Rebecca K Schwartz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679518526 PECOS PAC ID: 2163457797 Enrollment ID: I20051003000012 |
| Provider Name | Arun Mukherjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205817806 PECOS PAC ID: 4880619048 Enrollment ID: I20051007000116 |
| Provider Name | Eugenio M Candal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457327728 PECOS PAC ID: 0840215935 Enrollment ID: I20051007000508 |
| Provider Name | Steven J Shields |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336235324 PECOS PAC ID: 3173549011 Enrollment ID: I20051019000976 |
| Provider Name | Eyiuche N Okeke |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275502890 PECOS PAC ID: 9537185335 Enrollment ID: I20051020000935 |
| Provider Name | Joyce N Callaghan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154474575 PECOS PAC ID: 8123044617 Enrollment ID: I20051024000831 |
| Provider Name | Prashant Wadhwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609855865 PECOS PAC ID: 3072530146 Enrollment ID: I20051027000933 |
| Provider Name | Elizabeth Kass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710906169 PECOS PAC ID: 1951328897 Enrollment ID: I20051029000115 |
| Provider Name | Andrew W Chapman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144214776 PECOS PAC ID: 5193743565 Enrollment ID: I20051103000857 |
| Provider Name | Venkata G Satyam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851344774 PECOS PAC ID: 5890713978 Enrollment ID: I20051107001109 |
| Provider Name | Kambiz Zandi Nejad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164469789 PECOS PAC ID: 4981623147 Enrollment ID: I20051116000765 |
| Provider Name | Thomas J Lynch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497725584 PECOS PAC ID: 6204855430 Enrollment ID: I20051117000156 |
| Provider Name | Kam Ling L Ma |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033232376 PECOS PAC ID: 2567482250 Enrollment ID: I20051123000581 |
| Provider Name | Dianne Healy Quadros |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376528992 PECOS PAC ID: 1658391008 Enrollment ID: I20051130000180 |
| Provider Name | Allyson Campagna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003881624 PECOS PAC ID: 6002836491 Enrollment ID: I20051130000445 |
| Provider Name | Gregory a Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942213509 PECOS PAC ID: 2264452523 Enrollment ID: I20051201000118 |
| Provider Name | Cecilia M Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538160684 PECOS PAC ID: 3678594512 Enrollment ID: I20051207000774 |
| Provider Name | Sheryl M Barkan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760448971 PECOS PAC ID: 7012938954 Enrollment ID: I20051207000794 |
| Provider Name | Kalana K Mordarski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396704003 PECOS PAC ID: 6406877224 Enrollment ID: I20051208000443 |
| Provider Name | Christine G Florence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699744979 PECOS PAC ID: 4789605544 Enrollment ID: I20051208000686 |
| Provider Name | Paula J Cassford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275513525 PECOS PAC ID: 1658305057 Enrollment ID: I20051208000807 |
| Provider Name | Donna L Gerry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871552836 PECOS PAC ID: 2961423413 Enrollment ID: I20051212000578 |
| Provider Name | Susan Louise Adamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316916604 PECOS PAC ID: 3577584960 Enrollment ID: I20051213000599 |
| Provider Name | Jonathan S Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497812101 PECOS PAC ID: 1759302144 Enrollment ID: I20051213000605 |
| Provider Name | Brenda J Gray |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750430187 PECOS PAC ID: 2365463569 Enrollment ID: I20051215000593 |
| Provider Name | Nathan W Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184638629 PECOS PAC ID: 6608899547 Enrollment ID: I20060106000344 |
| Provider Name | Hazel E Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487613576 PECOS PAC ID: 8224051586 Enrollment ID: I20060112000592 |
| Provider Name | Monica S Ruehli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477622959 PECOS PAC ID: 9335163427 Enrollment ID: I20060117000081 |
| Provider Name | Elizabeth B Caronna |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174514855 PECOS PAC ID: 7810911864 Enrollment ID: I20060118000318 |
| Provider Name | Susan Bove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497719124 PECOS PAC ID: 2466476353 Enrollment ID: I20060118000671 |
| Provider Name | Richard E Whitehead |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811958648 PECOS PAC ID: 7416946116 Enrollment ID: I20060120000324 |
| Provider Name | Joanne Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174592497 PECOS PAC ID: 1355365040 Enrollment ID: I20060120000544 |
| Provider Name | Gail M Libowsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255390019 PECOS PAC ID: 4183648892 Enrollment ID: I20060120000691 |
| Provider Name | Margaret a Duggan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467671313 PECOS PAC ID: 5193749752 Enrollment ID: I20060123000109 |
| Provider Name | Linda a Campelia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477522647 PECOS PAC ID: 7911921440 Enrollment ID: I20060123000883 |
| Provider Name | Wen Yee Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396701777 PECOS PAC ID: 0648294116 Enrollment ID: I20060124000074 |
| Provider Name | Jianjun J Wu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952371650 PECOS PAC ID: 4284658675 Enrollment ID: I20060125000039 |
| Provider Name | Megan J Collyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215097464 PECOS PAC ID: 9133143407 Enrollment ID: I20060125000738 |
| Provider Name | Melissa W Goldbach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447485099 PECOS PAC ID: 7911912761 Enrollment ID: I20060215000221 |
| Provider Name | Angela D Mergel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073577722 PECOS PAC ID: 9638184401 Enrollment ID: I20060215000425 |
| Provider Name | Marina Freyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215916408 PECOS PAC ID: 8921014440 Enrollment ID: I20060221000618 |
| Provider Name | Jennifer L Bell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225128291 PECOS PAC ID: 7012923303 Enrollment ID: I20060223000429 |
| Provider Name | Jeanine E Marrocco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023002649 PECOS PAC ID: 8729094818 Enrollment ID: I20060227000605 |
| Provider Name | Elisa L Valente |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316999683 PECOS PAC ID: 9830106293 Enrollment ID: I20060310000130 |
| Provider Name | Mary K Barker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215908132 PECOS PAC ID: 4486662764 Enrollment ID: I20060328000628 |
| Provider Name | Donald M Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558437244 PECOS PAC ID: 0446292502 Enrollment ID: I20060330000634 |
| Provider Name | Jack S Krushell |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1558328609 PECOS PAC ID: 0042228116 Enrollment ID: I20060331000057 |
| Provider Name | Mei L Mellott |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427095470 PECOS PAC ID: 9436167418 Enrollment ID: I20060403000345 |
| Provider Name | Michael S Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457345175 PECOS PAC ID: 7810906617 Enrollment ID: I20060405000640 |
| Provider Name | Ronald B Etskovitz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578587085 PECOS PAC ID: 6709895535 Enrollment ID: I20060406000191 |
| Provider Name | Sanjay Shrivastava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639187479 PECOS PAC ID: 8224047071 Enrollment ID: I20060406000327 |
| Provider Name | Joyce R Child |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003822529 PECOS PAC ID: 0840209607 Enrollment ID: I20060406000447 |
| Provider Name | Holly M Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114020328 PECOS PAC ID: 1456360072 Enrollment ID: I20060410000654 |
| Provider Name | Rene S Psichos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184621617 PECOS PAC ID: 5092724344 Enrollment ID: I20060413000377 |
| Provider Name | Allison Goodman Orourke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083689467 PECOS PAC ID: 4486663622 Enrollment ID: I20060417000144 |
| Provider Name | Michael H Ayer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770649584 PECOS PAC ID: 6406865658 Enrollment ID: I20060417000221 |
| Provider Name | Diane M Foley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285698050 PECOS PAC ID: 4688683766 Enrollment ID: I20060418000545 |
| Provider Name | Nuala a Heespelink |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679536569 PECOS PAC ID: 0648280594 Enrollment ID: I20060424000002 |
| Provider Name | Corinne Mahoney |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003871898 PECOS PAC ID: 2567472145 Enrollment ID: I20060426000783 |
| Provider Name | Mead F Northrop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982630968 PECOS PAC ID: 8123039997 Enrollment ID: I20060508000595 |
| Provider Name | Denise L Farrell-sanseverino |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760532378 PECOS PAC ID: 2062423502 Enrollment ID: I20060511000228 |
| Provider Name | Linda M Rice |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1780737593 PECOS PAC ID: 7315958865 Enrollment ID: I20060511000295 |
| Provider Name | Michael S Shusterman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780680488 PECOS PAC ID: 9739190299 Enrollment ID: I20060511000337 |
| Provider Name | Kathryn M Kielty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417914359 PECOS PAC ID: 7719998939 Enrollment ID: I20060531000129 |
| Provider Name | Mandira Ray |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659338606 PECOS PAC ID: 9931112927 Enrollment ID: I20060714000273 |
| Provider Name | Sarah L Wingerter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992745376 PECOS PAC ID: 9032122692 Enrollment ID: I20060726000364 |
| Provider Name | Christopher M Leahy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023049525 PECOS PAC ID: 9537151790 Enrollment ID: I20060727000252 |
| Provider Name | Dyan Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376590950 PECOS PAC ID: 1254304553 Enrollment ID: I20060801000068 |
| Provider Name | Elisabeth S Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154364404 PECOS PAC ID: 7810900123 Enrollment ID: I20060802000402 |
| Provider Name | Stephanie R Lewis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821018516 PECOS PAC ID: 3476556580 Enrollment ID: I20060810000165 |
| Provider Name | Arash Tabaee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962499608 PECOS PAC ID: 6507828878 Enrollment ID: I20060810000417 |
| Provider Name | Amanda K Geary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740236421 PECOS PAC ID: 2062415946 Enrollment ID: I20060815000021 |
| Provider Name | Lawrence C Unger |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063468262 PECOS PAC ID: 6204839947 Enrollment ID: I20060817000517 |
| Provider Name | Samar Choubah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588698245 PECOS PAC ID: 5991738122 Enrollment ID: I20060818000055 |
| Provider Name | David S Yassa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013951656 PECOS PAC ID: 8820092802 Enrollment ID: I20060905000554 |
| Provider Name | Carol Hong Richon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255374872 PECOS PAC ID: 2769486406 Enrollment ID: I20060911000620 |
| Provider Name | Sarah B Zifcak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952369555 PECOS PAC ID: 4486659778 Enrollment ID: I20060920000077 |
| Provider Name | Priya T Wagner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912963554 PECOS PAC ID: 4880699073 Enrollment ID: I20060921000366 |
| Provider Name | Heather H Bligh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003920471 PECOS PAC ID: 9032114277 Enrollment ID: I20060922000096 |
| Provider Name | Stephen J Ferzoco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508823808 PECOS PAC ID: 2466457338 Enrollment ID: I20060927000411 |
| Provider Name | Katherine J Hanaway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457375727 PECOS PAC ID: 1850396771 Enrollment ID: I20060928000263 |
| Provider Name | Cecilia T Hurst |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033177795 PECOS PAC ID: 6002812500 Enrollment ID: I20061005000408 |
| Provider Name | Julie a Krutiak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487677043 PECOS PAC ID: 1153327614 Enrollment ID: I20061006000273 |
| Provider Name | Anil R Gullapalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144272659 PECOS PAC ID: 2860407392 Enrollment ID: I20061006000334 |
| Provider Name | Jessica L Dupuis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134225394 PECOS PAC ID: 4880692698 Enrollment ID: I20061109000560 |
| Provider Name | Svetlana a Shkuratov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255347597 PECOS PAC ID: 0042218786 Enrollment ID: I20061113000489 |
| Provider Name | Brett M Carswell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669451464 PECOS PAC ID: 9133127152 Enrollment ID: I20061129000152 |
| Provider Name | Jeanine G Reczek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417044553 PECOS PAC ID: 7911905963 Enrollment ID: I20061129000366 |
| Provider Name | Sigal Dagiely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295813509 PECOS PAC ID: 1850399858 Enrollment ID: I20061130000252 |
| Provider Name | Anne B Dixon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205881794 PECOS PAC ID: 0345265849 Enrollment ID: I20061202000104 |
| Provider Name | Kevin B Martin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124107123 PECOS PAC ID: 6608875364 Enrollment ID: I20061207000317 |
| Provider Name | Emily K Chin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386724896 PECOS PAC ID: 9739188103 Enrollment ID: I20061212000499 |
| Provider Name | Meredith P Gilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528058781 PECOS PAC ID: 1658371455 Enrollment ID: I20061229000159 |
| Provider Name | Clemence St-cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598867087 PECOS PAC ID: 9436159928 Enrollment ID: I20070108000046 |
| Provider Name | Mei-yu Hsu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609864404 PECOS PAC ID: 2062418239 Enrollment ID: I20070115000109 |
| Provider Name | Sreelekha Gopinath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497853337 PECOS PAC ID: 1850391921 Enrollment ID: I20070115000121 |
| Provider Name | Ramya Prabhakar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1194751396 PECOS PAC ID: 0941202741 Enrollment ID: I20070207000512 |
| Provider Name | Eric W Horton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629032511 PECOS PAC ID: 7618919374 Enrollment ID: I20070215000162 |
| Provider Name | Judith E Paprin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881754398 PECOS PAC ID: 5193827426 Enrollment ID: I20070216000391 |
| Provider Name | Julie L Wentworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487719951 PECOS PAC ID: 7315049376 Enrollment ID: I20070221000350 |
| Provider Name | Jeffrey R Ristaino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629058979 PECOS PAC ID: 7113020058 Enrollment ID: I20070313000496 |
| Provider Name | Nancy F Arena |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417063025 PECOS PAC ID: 0345344008 Enrollment ID: I20070406000098 |
| Provider Name | Michelle M Barr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720142714 PECOS PAC ID: 5092810622 Enrollment ID: I20070410000449 |
| Provider Name | Peggy P. Chou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528056520 PECOS PAC ID: 1951331255 Enrollment ID: I20070413000351 |
| Provider Name | Jeffrey Gorvine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376553636 PECOS PAC ID: 9931189248 Enrollment ID: I20070418000413 |
| Provider Name | Matthew W Benz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356369763 PECOS PAC ID: 6507962453 Enrollment ID: I20070509000493 |
| Provider Name | Caitlin L Mann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558478164 PECOS PAC ID: 8022115567 Enrollment ID: I20070518000015 |
| Provider Name | Catherine C Davis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366476038 PECOS PAC ID: 9133226558 Enrollment ID: I20070521000059 |
| Provider Name | Rebecca S Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053318683 PECOS PAC ID: 8628175064 Enrollment ID: I20070521000318 |
| Provider Name | Carolyn L Siegal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851459093 PECOS PAC ID: 8022912559 Enrollment ID: I20070522000112 |
| Provider Name | Rana M Levitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649267766 PECOS PAC ID: 5698872679 Enrollment ID: I20070526000002 |
| Provider Name | Jahansouz Shokri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710980230 PECOS PAC ID: 3375594526 Enrollment ID: I20070612000835 |
| Provider Name | Chien H Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750399374 PECOS PAC ID: 9032114806 Enrollment ID: I20070612000837 |
| Provider Name | Joyce Rao Panganamala |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639391683 PECOS PAC ID: 9133228158 Enrollment ID: I20070615000376 |
| Provider Name | Emily L Waldon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639374275 PECOS PAC ID: 3375642788 Enrollment ID: I20070626000705 |
| Provider Name | Marcus W Tjia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376605089 PECOS PAC ID: 2961502075 Enrollment ID: I20070702000575 |
| Provider Name | Gregg A. Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902820756 PECOS PAC ID: 5395845135 Enrollment ID: I20070710000427 |
| Provider Name | Karen R Ashworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336276898 PECOS PAC ID: 2860593761 Enrollment ID: I20070723000266 |
| Provider Name | David R Dobroski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588646061 PECOS PAC ID: 0840381182 Enrollment ID: I20070801000265 |
| Provider Name | Ka Yi Lo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992914964 PECOS PAC ID: 3375634546 Enrollment ID: I20070802000596 |
| Provider Name | Michelle J Beaupre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851303655 PECOS PAC ID: 3870684376 Enrollment ID: I20070814000016 |
| Provider Name | Mandeep S Dhadly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730144981 PECOS PAC ID: 7719070259 Enrollment ID: I20070829000696 |
| Provider Name | David E Mcginnis |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1689634115 PECOS PAC ID: 0840266052 Enrollment ID: I20070911000215 |
| Provider Name | Dahlia S. Riad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396736708 PECOS PAC ID: 1850364167 Enrollment ID: I20070918000342 |
| Provider Name | Charlene M Weigel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912115387 PECOS PAC ID: 9133213044 Enrollment ID: I20070924000199 |
| Provider Name | Carol O Leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225126832 PECOS PAC ID: 3870688120 Enrollment ID: I20071001000694 |
| Provider Name | Donna E Siracuse-lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326023904 PECOS PAC ID: 0446347314 Enrollment ID: I20071025000190 |
| Provider Name | Haewook Han |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053506618 PECOS PAC ID: 4587751672 Enrollment ID: I20071106000837 |
| Provider Name | Sara L Smoller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306031174 PECOS PAC ID: 4587752225 Enrollment ID: I20071114000284 |
| Provider Name | Elza M Riedl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245419035 PECOS PAC ID: 2062500424 Enrollment ID: I20071119000210 |
| Provider Name | Daniel H Slater |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518947282 PECOS PAC ID: 4284722398 Enrollment ID: I20071126000503 |
| Provider Name | Nicole M. Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821284456 PECOS PAC ID: 5991894776 Enrollment ID: I20071130000543 |
| Provider Name | Xinping Ren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275665135 PECOS PAC ID: 6901996602 Enrollment ID: I20071219000118 |
| Provider Name | Dana M Fanning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831168798 PECOS PAC ID: 7911928395 Enrollment ID: I20071219000421 |
| Provider Name | Jeremy J Cook |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1023221082 PECOS PAC ID: 1850481268 Enrollment ID: I20071221000008 |
| Provider Name | Marcelo Stephen Sampang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336328566 PECOS PAC ID: 3678653938 Enrollment ID: I20071228000160 |
| Provider Name | Debra a Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760519979 PECOS PAC ID: 3971683129 Enrollment ID: I20071231000377 |
| Provider Name | Lakshmi Sivasankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497799779 PECOS PAC ID: 9739280694 Enrollment ID: I20080104000024 |
| Provider Name | Emily K Serrano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609066794 PECOS PAC ID: 3375624737 Enrollment ID: I20080111000399 |
| Provider Name | Shuchi Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487642732 PECOS PAC ID: 8426130477 Enrollment ID: I20080129000636 |
| Provider Name | Charles Chidi W Obasiolu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013022078 PECOS PAC ID: 8224111364 Enrollment ID: I20080212000470 |
| Provider Name | Taryn M Flowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548445208 PECOS PAC ID: 2961585047 Enrollment ID: I20080213000088 |
| Provider Name | Daniel S Blander |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720159627 PECOS PAC ID: 2668556317 Enrollment ID: I20080220000171 |
| Provider Name | Shari Tomasetti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972717973 PECOS PAC ID: 9133203631 Enrollment ID: I20080222000008 |
| Provider Name | Ann M Walter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215978291 PECOS PAC ID: 2860577319 Enrollment ID: I20080310000013 |
| Provider Name | Pascale Carbonara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194755850 PECOS PAC ID: 1254416514 Enrollment ID: I20080311000282 |
| Provider Name | Thomas G Cody |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225104912 PECOS PAC ID: 7214013549 Enrollment ID: I20080326000613 |
| Provider Name | Joo Y Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497724173 PECOS PAC ID: 5294811428 Enrollment ID: I20080327000556 |
| Provider Name | Yevgeniy F Drakhlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487601118 PECOS PAC ID: 0345349288 Enrollment ID: I20080408000782 |
| Provider Name | Elizabeth Levine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962412957 PECOS PAC ID: 5799884631 Enrollment ID: I20080409000023 |
| Provider Name | Beth a Cerce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386668796 PECOS PAC ID: 5890894737 Enrollment ID: I20080409000025 |
| Provider Name | Mary F Plantamura |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003088121 PECOS PAC ID: 9032297957 Enrollment ID: I20080417000403 |
| Provider Name | Kenneth B Yoffe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326037235 PECOS PAC ID: 0840378410 Enrollment ID: I20080422000884 |
| Provider Name | Jyoti Yadav |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154402956 PECOS PAC ID: 8325083629 Enrollment ID: I20080506000686 |
| Provider Name | Laura S Cowan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891961892 PECOS PAC ID: 3779652029 Enrollment ID: I20080513000485 |
| Provider Name | Bryan Clark Bordeaux |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972560696 PECOS PAC ID: 5092721126 Enrollment ID: I20080521000258 |
| Provider Name | Tonya M Spinale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457526006 PECOS PAC ID: 3173692621 Enrollment ID: I20080523000140 |
| Provider Name | Kasia Filipek Moskal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982702957 PECOS PAC ID: 4284710898 Enrollment ID: I20080605000829 |
| Provider Name | Laurie a Tarnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497752034 PECOS PAC ID: 5799855359 Enrollment ID: I20080609000483 |
| Provider Name | Lesli E Warren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538327390 PECOS PAC ID: 4284705401 Enrollment ID: I20080616000682 |
| Provider Name | Mary E Odegaard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942291349 PECOS PAC ID: 8921170044 Enrollment ID: I20080708000018 |
| Provider Name | Kapil Kumar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972602282 PECOS PAC ID: 7315019239 Enrollment ID: I20080709000227 |
| Provider Name | Elisa I Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942268362 PECOS PAC ID: 3870665771 Enrollment ID: I20080710000015 |
| Provider Name | Claire Cronin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720084833 PECOS PAC ID: 6204934581 Enrollment ID: I20080715000109 |
| Provider Name | Katrina Klaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295841427 PECOS PAC ID: 9032282637 Enrollment ID: I20080715000569 |
| Provider Name | Angela V Turalba |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992853220 PECOS PAC ID: 9133293996 Enrollment ID: I20080729000140 |
| Provider Name | Mary a Vadnais |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265605174 PECOS PAC ID: 7719051416 Enrollment ID: I20080729000562 |
| Provider Name | Mirza Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780683276 PECOS PAC ID: 7618939521 Enrollment ID: I20080730000607 |
| Provider Name | Ashley D Eaton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700899200 PECOS PAC ID: 8426067190 Enrollment ID: I20080801000183 |
| Provider Name | Fern a Wirth |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982692240 PECOS PAC ID: 9234203415 Enrollment ID: I20080806000361 |
| Provider Name | Rachel Agrin-silva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083898753 PECOS PAC ID: 2264506278 Enrollment ID: I20080808000067 |
| Provider Name | Allen D Hamdan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164489217 PECOS PAC ID: 3779658596 Enrollment ID: I20080813000611 |
| Provider Name | Aaron M Levine |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1619032315 PECOS PAC ID: 7214029339 Enrollment ID: I20080820000064 |
| Provider Name | James P Hahn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194881052 PECOS PAC ID: 9436224847 Enrollment ID: I20080820000232 |
| Provider Name | Lisa Larsson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326029638 PECOS PAC ID: 7113092149 Enrollment ID: I20080826000428 |
| Provider Name | Anna W Rosenquist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922134758 PECOS PAC ID: 3375610140 Enrollment ID: I20080919000267 |
| Provider Name | Thomas Isaac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811939374 PECOS PAC ID: 8325115835 Enrollment ID: I20080925000398 |
| Provider Name | Dhrumil Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194985846 PECOS PAC ID: 5395812606 Enrollment ID: I20080927000161 |
| Provider Name | Deborah J Mclucas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366580953 PECOS PAC ID: 3779650908 Enrollment ID: I20080930000230 |
| Provider Name | Elizabeth M Stankiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528214772 PECOS PAC ID: 1557439197 Enrollment ID: I20081008000841 |
| Provider Name | Rachael F Fawcett |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1801879945 PECOS PAC ID: 6507934007 Enrollment ID: I20081010000476 |
| Provider Name | Scott W Mcdonough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902058647 PECOS PAC ID: 7012085327 Enrollment ID: I20081014000023 |
| Provider Name | David Z Grace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619043304 PECOS PAC ID: 8820030984 Enrollment ID: I20081020000045 |
| Provider Name | Justin B Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437329190 PECOS PAC ID: 4789742404 Enrollment ID: I20081024000454 |
| Provider Name | Meghan K Bride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710062161 PECOS PAC ID: 1052417359 Enrollment ID: I20081027000184 |
| Provider Name | Mridul a Kontamwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477743870 PECOS PAC ID: 9032277629 Enrollment ID: I20081027000333 |
| Provider Name | Marshall S Katz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124024013 PECOS PAC ID: 4183712961 Enrollment ID: I20081103000061 |
| Provider Name | Mahmoud Moawad Elnaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689860215 PECOS PAC ID: 6204995475 Enrollment ID: I20081103000159 |
| Provider Name | Anila G Jacob |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700829348 PECOS PAC ID: 2365473899 Enrollment ID: I20081104000297 |
| Provider Name | Pamela J Troyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487719027 PECOS PAC ID: 3678632403 Enrollment ID: I20081107000243 |
| Provider Name | Maureen Marre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316059785 PECOS PAC ID: 1052470820 Enrollment ID: I20081107000583 |
| Provider Name | Henrietta Kernan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265585202 PECOS PAC ID: 0345309001 Enrollment ID: I20081110000591 |
| Provider Name | Stephanie C Robillard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215992532 PECOS PAC ID: 0749250371 Enrollment ID: I20081111000357 |
| Provider Name | Amy N Ship |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972523397 PECOS PAC ID: 8426118407 Enrollment ID: I20081120000486 |
| Provider Name | Samy S Sidhom |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043474208 PECOS PAC ID: 5496815482 Enrollment ID: I20081120000513 |
| Provider Name | Caitlin E Polillio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508083213 PECOS PAC ID: 5890855803 Enrollment ID: I20081120000756 |
| Provider Name | Mark Vecchiotti |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184640450 PECOS PAC ID: 5496835035 Enrollment ID: I20081206000144 |
| Provider Name | D Scott Gilbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033274436 PECOS PAC ID: 5799847448 Enrollment ID: I20081215000567 |
| Provider Name | Cynthia L Mazzoni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588620892 PECOS PAC ID: 9032271127 Enrollment ID: I20081226000016 |
| Provider Name | Roberto D Cavalieros |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649289133 PECOS PAC ID: 4082695499 Enrollment ID: I20081226000212 |
| Provider Name | Danielle E Mishkin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134301567 PECOS PAC ID: 1759443872 Enrollment ID: I20081229000100 |
| Provider Name | Chiamaka I Okechukwu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548407612 PECOS PAC ID: 7618031238 Enrollment ID: I20090127000327 |
| Provider Name | Bethany a Dunn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659578029 PECOS PAC ID: 5294899662 Enrollment ID: I20090129000355 |
| Provider Name | Wedad Almasri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598728297 PECOS PAC ID: 3971568981 Enrollment ID: I20090131000035 |
| Provider Name | Marybeth Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760435390 PECOS PAC ID: 1850455817 Enrollment ID: I20090205000608 |
| Provider Name | Karin L. Cunnie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477534105 PECOS PAC ID: 3375608359 Enrollment ID: I20090209000460 |
| Provider Name | Leonid Shturman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104851435 PECOS PAC ID: 3678638343 Enrollment ID: I20090212000121 |
| Provider Name | Erica E Truscello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487806600 PECOS PAC ID: 0244395895 Enrollment ID: I20090213000185 |
| Provider Name | Marina M Alfisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417925207 PECOS PAC ID: 4284799735 Enrollment ID: I20090217000156 |
| Provider Name | Noelle S Lawler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538126412 PECOS PAC ID: 6103982640 Enrollment ID: I20090306000483 |
| Provider Name | Derek D Lichter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578700563 PECOS PAC ID: 1850457268 Enrollment ID: I20090311000109 |
| Provider Name | Han-ting Lin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114019148 PECOS PAC ID: 6204914542 Enrollment ID: I20090429000632 |
| Provider Name | Sean Sheeran |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689627614 PECOS PAC ID: 4880763036 Enrollment ID: I20090504000245 |
| Provider Name | Martin M Dolan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1326088386 PECOS PAC ID: 5092711184 Enrollment ID: I20090505000049 |
| Provider Name | Daniel a Chapman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215171228 PECOS PAC ID: 9739238205 Enrollment ID: I20090513000310 |
| Provider Name | Bita Tabesh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033156708 PECOS PAC ID: 2961551056 Enrollment ID: I20090520000258 |
| Provider Name | Erynn B Yang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114135746 PECOS PAC ID: 5799835468 Enrollment ID: I20090618000458 |
| Provider Name | Bruno J West |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720286073 PECOS PAC ID: 9931270337 Enrollment ID: I20090618000549 |
| Provider Name | Sandra a Quintal |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1568602613 PECOS PAC ID: 2365593613 Enrollment ID: I20090625000563 |
| Provider Name | Niamh Carroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023149069 PECOS PAC ID: 0648321539 Enrollment ID: I20090707000160 |
| Provider Name | Jasmin F Bhathena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386626299 PECOS PAC ID: 4284786005 Enrollment ID: I20090708000702 |
| Provider Name | Beth J Plante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245259654 PECOS PAC ID: 4486707833 Enrollment ID: I20090801000036 |
| Provider Name | Anisha Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588866990 PECOS PAC ID: 5991859910 Enrollment ID: I20090810000653 |
| Provider Name | Dana H Sackton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194942821 PECOS PAC ID: 3072667757 Enrollment ID: I20090814000104 |
| Provider Name | Nancy Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396809885 PECOS PAC ID: 2365543832 Enrollment ID: I20090818000678 |
| Provider Name | Amee Rathod |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043405442 PECOS PAC ID: 9133275357 Enrollment ID: I20090914000153 |
| Provider Name | Christopher Baranano |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245449552 PECOS PAC ID: 2466508569 Enrollment ID: I20090915000158 |
| Provider Name | Sabrina S Selim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760602114 PECOS PAC ID: 4082760103 Enrollment ID: I20090915000366 |
| Provider Name | Joseph P Deangelis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528247731 PECOS PAC ID: 5597837252 Enrollment ID: I20090919000059 |
| Provider Name | Kara a Chisholm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548485741 PECOS PAC ID: 9234285693 Enrollment ID: I20090926000076 |
| Provider Name | Jaime L Marani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821226440 PECOS PAC ID: 2567508625 Enrollment ID: I20091005000399 |
| Provider Name | Elizabeth J Small Pal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568410694 PECOS PAC ID: 3476690389 Enrollment ID: I20091027000056 |
| Provider Name | Roberto Mastroianni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174856744 PECOS PAC ID: 7618015991 Enrollment ID: I20091105000630 |
| Provider Name | Tracy a Deleskey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942534003 PECOS PAC ID: 9931247277 Enrollment ID: I20091106000442 |
| Provider Name | Demetra M Panomitros |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366588626 PECOS PAC ID: 0244295285 Enrollment ID: I20091113000065 |
| Provider Name | Shreegouri B Savkur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184957813 PECOS PAC ID: 4789722414 Enrollment ID: I20091117000367 |
| Provider Name | Alla Borisovna Sherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427383637 PECOS PAC ID: 6800935388 Enrollment ID: I20091121000021 |
| Provider Name | Wen-chih Shih |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619931771 PECOS PAC ID: 3375682198 Enrollment ID: I20091208000031 |
| Provider Name | Jennifer C Millen |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1831221795 PECOS PAC ID: 2264572866 Enrollment ID: I20091211000439 |
| Provider Name | Jean J Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447258736 PECOS PAC ID: 4880734151 Enrollment ID: I20091217000075 |
| Provider Name | Andre Dejam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467594259 PECOS PAC ID: 5890835854 Enrollment ID: I20091223000059 |
| Provider Name | Sarita M Fage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487981684 PECOS PAC ID: 5597805317 Enrollment ID: I20091229000403 |
| Provider Name | Marie G Cantave-ayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124354691 PECOS PAC ID: 1951442714 Enrollment ID: I20091231000130 |
| Provider Name | Colleen Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508192303 PECOS PAC ID: 3072654672 Enrollment ID: I20100105000155 |
| Provider Name | Kathleen S Murphy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376513747 PECOS PAC ID: 7315088317 Enrollment ID: I20100113000547 |
| Provider Name | Rachel a Perla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245202191 PECOS PAC ID: 8820131717 Enrollment ID: I20100201000248 |
| Provider Name | Monika E Kolodziej |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811024623 PECOS PAC ID: 8921141524 Enrollment ID: I20100204000466 |
| Provider Name | Rachel B Flynn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093865750 PECOS PAC ID: 4385610559 Enrollment ID: I20100216000179 |
| Provider Name | Paul L Arcand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750350849 PECOS PAC ID: 9739274978 Enrollment ID: I20100218000296 |
| Provider Name | Karen B Shore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699975672 PECOS PAC ID: 1850435074 Enrollment ID: I20100225000349 |
| Provider Name | Marcy B Hersh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215918172 PECOS PAC ID: 5698800944 Enrollment ID: I20100312000081 |
| Provider Name | Marina Borocov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326372483 PECOS PAC ID: 8820123185 Enrollment ID: I20100312000145 |
| Provider Name | Subbuluxmi Natarajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063599686 PECOS PAC ID: 5799711495 Enrollment ID: I20100315000357 |
| Provider Name | Elizabeth S Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689902629 PECOS PAC ID: 3274662911 Enrollment ID: I20100519000014 |
| Provider Name | Tatjana Dujmic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336289099 PECOS PAC ID: 2365571726 Enrollment ID: I20100522000105 |
| Provider Name | Diane G Bourque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235395773 PECOS PAC ID: 2466581624 Enrollment ID: I20100526000389 |
| Provider Name | Christopher W Adams |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871777615 PECOS PAC ID: 2264562057 Enrollment ID: I20100604000289 |
| Provider Name | Steven W Paskal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568491454 PECOS PAC ID: 3971635269 Enrollment ID: I20100722000408 |
| Provider Name | Katie C Daley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831175868 PECOS PAC ID: 3072646587 Enrollment ID: I20100804001071 |
| Provider Name | Joseph M Ciccone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255505574 PECOS PAC ID: 3971636374 Enrollment ID: I20100805000745 |
| Provider Name | Nandini Mani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851303242 PECOS PAC ID: 7214061613 Enrollment ID: I20100820000794 |
| Provider Name | Erica T Ghosh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760696140 PECOS PAC ID: 1254455504 Enrollment ID: I20100824000642 |
| Provider Name | David a Pace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871730150 PECOS PAC ID: 6305998378 Enrollment ID: I20100825000198 |
| Provider Name | Emily S Kachinsky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487807541 PECOS PAC ID: 8921140377 Enrollment ID: I20100830000390 |
| Provider Name | Mary D Warzynski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316909013 PECOS PAC ID: 3072637586 Enrollment ID: I20100903000513 |
| Provider Name | Marlene V Lane |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194795179 PECOS PAC ID: 7810011343 Enrollment ID: I20100903000722 |
| Provider Name | Sandeep Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417915562 PECOS PAC ID: 7214052109 Enrollment ID: I20100915000949 |
| Provider Name | Lily S Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245435163 PECOS PAC ID: 9032234927 Enrollment ID: I20100915000951 |
| Provider Name | Florian Koci |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780885285 PECOS PAC ID: 1355466095 Enrollment ID: I20100917000408 |
| Provider Name | Martin Tropper November |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457383978 PECOS PAC ID: 9638294291 Enrollment ID: I20100920000521 |
| Provider Name | Geetha K Athappilly |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730235318 PECOS PAC ID: 9436297868 Enrollment ID: I20100921001116 |
| Provider Name | Shanthy Sridhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639121627 PECOS PAC ID: 3274659313 Enrollment ID: I20100927001067 |
| Provider Name | Shirley W Chung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174580823 PECOS PAC ID: 5698891471 Enrollment ID: I20100929001135 |
| Provider Name | Kathleen Lord Naples |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861456857 PECOS PAC ID: 0042336836 Enrollment ID: I20100929001160 |
| Provider Name | Lars C Erickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518957190 PECOS PAC ID: 7012959059 Enrollment ID: I20100929001420 |
| Provider Name | Naila Wahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598762411 PECOS PAC ID: 6901098045 Enrollment ID: I20101007001403 |
| Provider Name | Rashika S Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962468868 PECOS PAC ID: 2769674720 Enrollment ID: I20101008000334 |
| Provider Name | Deborah N Platek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760581334 PECOS PAC ID: 8729270798 Enrollment ID: I20101008000396 |
| Provider Name | Teresa a Borkowski |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1568496313 PECOS PAC ID: 5395937361 Enrollment ID: I20101008000501 |
| Provider Name | Michael D Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619065687 PECOS PAC ID: 2264624261 Enrollment ID: I20101008000787 |
| Provider Name | Stephen C Kaplan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629236849 PECOS PAC ID: 0547452336 Enrollment ID: I20101012000926 |
| Provider Name | Andrew R Angel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417927724 PECOS PAC ID: 5193917896 Enrollment ID: I20101013001026 |
| Provider Name | Oliver O Kendall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649417924 PECOS PAC ID: 4183817745 Enrollment ID: I20101015000438 |
| Provider Name | Matthew Philip Bock |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346494184 PECOS PAC ID: 3274726799 Enrollment ID: I20101015001292 |
| Provider Name | Scott R Perman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669478368 PECOS PAC ID: 3476746934 Enrollment ID: I20101018000521 |
| Provider Name | Anjini Virmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912959339 PECOS PAC ID: 5991998361 Enrollment ID: I20101018000707 |
| Provider Name | Aida K Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366647984 PECOS PAC ID: 5698968626 Enrollment ID: I20101021001172 |
| Provider Name | Farah Malary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649591983 PECOS PAC ID: 4284827254 Enrollment ID: I20101022000221 |
| Provider Name | Diego L. Martinucci Canto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811161011 PECOS PAC ID: 0244423135 Enrollment ID: I20101025000093 |
| Provider Name | Jonathan Peter Bickel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922134212 PECOS PAC ID: 9032210703 Enrollment ID: I20101025000283 |
| Provider Name | Jehane C Johnston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235136508 PECOS PAC ID: 7113110982 Enrollment ID: I20101025001093 |
| Provider Name | Runna F Moussa Pervane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215190087 PECOS PAC ID: 5193919801 Enrollment ID: I20101027000010 |
| Provider Name | Jayme L Sloan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487817847 PECOS PAC ID: 9830383892 Enrollment ID: I20101103000822 |
| Provider Name | Andrew Scott |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457567471 PECOS PAC ID: 7810181732 Enrollment ID: I20101104000108 |
| Provider Name | Stephen D Morris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073621603 PECOS PAC ID: 8628262540 Enrollment ID: I20101104000121 |
| Provider Name | Randi J Kirstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538166335 PECOS PAC ID: 5092909804 Enrollment ID: I20101104001334 |
| Provider Name | Paul Mathew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245495050 PECOS PAC ID: 4981757028 Enrollment ID: I20101105000240 |
| Provider Name | Janet Li |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003882564 PECOS PAC ID: 0547210783 Enrollment ID: I20101105000342 |
| Provider Name | Nichole J Panico |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326353327 PECOS PAC ID: 2567657398 Enrollment ID: I20101105001176 |
| Provider Name | Meredith J Mulhearn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194927509 PECOS PAC ID: 2163617630 Enrollment ID: I20101110000058 |
| Provider Name | Carissa Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20101117001009 |
| Provider Name | Silvina Padro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528022936 PECOS PAC ID: 4183659055 Enrollment ID: I20101118000192 |
| Provider Name | Michele F Greenwald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124006754 PECOS PAC ID: 7517153380 Enrollment ID: I20101119000429 |
| Provider Name | Allison Keel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114142932 PECOS PAC ID: 1052507787 Enrollment ID: I20101120000166 |
| Provider Name | Lauren E Bettencourt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538277926 PECOS PAC ID: 1456547843 Enrollment ID: I20101124000646 |
| Provider Name | Hien Tue Tierney |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1265648919 PECOS PAC ID: 3779770474 Enrollment ID: I20101207000997 |
| Provider Name | Sara L Ellison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356658769 PECOS PAC ID: 1951598424 Enrollment ID: I20101209000553 |
| Provider Name | Alan Barry Weitberg |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730146036 PECOS PAC ID: 6507804465 Enrollment ID: I20101218000001 |
| Provider Name | Shideh Amirifeli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083763890 PECOS PAC ID: 2062600877 Enrollment ID: I20101221000569 |
| Provider Name | Teryl D Pett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538118971 PECOS PAC ID: 5890873194 Enrollment ID: I20101222000012 |
| Provider Name | Susan C Ryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942268875 PECOS PAC ID: 1759579311 Enrollment ID: I20101223000136 |
| Provider Name | Jillian M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083923130 PECOS PAC ID: 1759560865 Enrollment ID: I20110121000170 |
| Provider Name | Rajesh Kapur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538191010 PECOS PAC ID: 2365621166 Enrollment ID: I20110126000303 |
| Provider Name | Lindsay J Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609026129 PECOS PAC ID: 3779762307 Enrollment ID: I20110127000795 |
| Provider Name | Jeffrey a Yablonski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962472126 PECOS PAC ID: 9234319518 Enrollment ID: I20110203000147 |
| Provider Name | John M Kauffman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720052038 PECOS PAC ID: 0143400275 Enrollment ID: I20110207000982 |
| Provider Name | James a Lombardo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851390835 PECOS PAC ID: 1052498979 Enrollment ID: I20110215000107 |
| Provider Name | Margaret R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568601078 PECOS PAC ID: 7315128303 Enrollment ID: I20110224000025 |
| Provider Name | Mark P Dematteo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922044015 PECOS PAC ID: 5294916938 Enrollment ID: I20110301000014 |
| Provider Name | Mina Sehizadeh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124332994 PECOS PAC ID: 8527240753 Enrollment ID: I20110309000996 |
| Provider Name | Scott D. Hamelin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427359579 PECOS PAC ID: 1557544608 Enrollment ID: I20110326000020 |
| Provider Name | David S Cunningham |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407158769 PECOS PAC ID: 9537343363 Enrollment ID: I20110401000843 |
| Provider Name | Gabrielle E Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619272366 PECOS PAC ID: 9335323047 Enrollment ID: I20110405000063 |
| Provider Name | Lisa M Billings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083916928 PECOS PAC ID: 5890979223 Enrollment ID: I20110411000157 |
| Provider Name | Sheila Spitzak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306178314 PECOS PAC ID: 2264616523 Enrollment ID: I20110411000548 |
| Provider Name | Rebecca J Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528037694 PECOS PAC ID: 1658392048 Enrollment ID: I20110519000480 |
| Provider Name | Argyro Tsiaras |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336248871 PECOS PAC ID: 7517143837 Enrollment ID: I20110520000034 |
| Provider Name | Elaine E Metcalf |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649366592 PECOS PAC ID: 6901084896 Enrollment ID: I20110623000484 |
| Provider Name | Scott F Cameron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154645711 PECOS PAC ID: 4082892369 Enrollment ID: I20110711000548 |
| Provider Name | Amy J Wu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891958831 PECOS PAC ID: 2769650266 Enrollment ID: I20110728000423 |
| Provider Name | Wooseung Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457500688 PECOS PAC ID: 6002085396 Enrollment ID: I20110802000663 |
| Provider Name | Michelle G Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316259138 PECOS PAC ID: 4688843873 Enrollment ID: I20110804000066 |
| Provider Name | Katelyn Scagnelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760634943 PECOS PAC ID: 4284803420 Enrollment ID: I20110804000621 |
| Provider Name | Avi J Grunin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215195318 PECOS PAC ID: 2062681703 Enrollment ID: I20110813000021 |
| Provider Name | Rebecca S Hunter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932309358 PECOS PAC ID: 9436328101 Enrollment ID: I20110815000370 |
| Provider Name | Jordan R Gutweiler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811079536 PECOS PAC ID: 6709055486 Enrollment ID: I20110815000520 |
| Provider Name | Wei Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407010705 PECOS PAC ID: 3476722174 Enrollment ID: I20110815000743 |
| Provider Name | Chia a Haddad |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366508202 PECOS PAC ID: 6103096599 Enrollment ID: I20110822000376 |
| Provider Name | Stephanie L Blenner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518946466 PECOS PAC ID: 9931204013 Enrollment ID: I20110823000543 |
| Provider Name | Michal F Tomczak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295909661 PECOS PAC ID: 0244400489 Enrollment ID: I20110826000184 |
| Provider Name | Chris Sambaziotis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578866513 PECOS PAC ID: 5395915151 Enrollment ID: I20110902000527 |
| Provider Name | Rachel L Gross |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811157522 PECOS PAC ID: 0446420244 Enrollment ID: I20110906000427 |
| Provider Name | Veronica Delriccio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457519407 PECOS PAC ID: 0749451342 Enrollment ID: I20110912000154 |
| Provider Name | Joe Kimura |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346271681 PECOS PAC ID: 4486711314 Enrollment ID: I20110912000181 |
| Provider Name | Lauren a Hittner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508025149 PECOS PAC ID: 9436320892 Enrollment ID: I20110915000758 |
| Provider Name | Anil K Neeli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669619789 PECOS PAC ID: 2769653062 Enrollment ID: I20110919000028 |
| Provider Name | Michael S Shairs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790950772 PECOS PAC ID: 4183895410 Enrollment ID: I20110919000340 |
| Provider Name | Catherine M Lukas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295023471 PECOS PAC ID: 6800067927 Enrollment ID: I20110922000088 |
| Provider Name | Jesse E Foote |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932366465 PECOS PAC ID: 5092986067 Enrollment ID: I20110922000731 |
| Provider Name | Prativa Basnet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225203755 PECOS PAC ID: 6800067802 Enrollment ID: I20110923000292 |
| Provider Name | Nancy Sidhom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972883817 PECOS PAC ID: 5395917546 Enrollment ID: I20111011000744 |
| Provider Name | Deborah R Schnipper |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1063650463 PECOS PAC ID: 5193997062 Enrollment ID: I20111019000308 |
| Provider Name | Brianne M Mahoney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881892701 PECOS PAC ID: 0042483604 Enrollment ID: I20111027000487 |
| Provider Name | Karen P Mckay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396736765 PECOS PAC ID: 0143493304 Enrollment ID: I20111103000248 |
| Provider Name | Paola S. Richard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609174200 PECOS PAC ID: 7113190109 Enrollment ID: I20111108000595 |
| Provider Name | Sven-christian Carlsson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891008397 PECOS PAC ID: 8921292657 Enrollment ID: I20111109000034 |
| Provider Name | Patricia M Peters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184883548 PECOS PAC ID: 2466626197 Enrollment ID: I20111115000650 |
| Provider Name | Jameson R Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689953465 PECOS PAC ID: 4082889597 Enrollment ID: I20111213000022 |
| Provider Name | Elizabeth a Dupuis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255317061 PECOS PAC ID: 2264607456 Enrollment ID: I20111216000672 |
| Provider Name | Taylor Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194006726 PECOS PAC ID: 7618143777 Enrollment ID: I20111221000010 |
| Provider Name | Ann Klinkusoom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942585831 PECOS PAC ID: 6103083951 Enrollment ID: I20120206000634 |
| Provider Name | Jennifer L Denaro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336345628 PECOS PAC ID: 7416117635 Enrollment ID: I20120327000065 |
| Provider Name | Lauren O Katz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619247855 PECOS PAC ID: 1850552522 Enrollment ID: I20120406000007 |
| Provider Name | Erin J Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740558402 PECOS PAC ID: 6204097363 Enrollment ID: I20120417000368 |
| Provider Name | Juanita D Belton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164729737 PECOS PAC ID: 5991966012 Enrollment ID: I20120418000086 |
| Provider Name | Sara I Lozano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902021884 PECOS PAC ID: 9830259472 Enrollment ID: I20120504000567 |
| Provider Name | Aileen a Abesamis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619056546 PECOS PAC ID: 9830351766 Enrollment ID: I20120510000056 |
| Provider Name | Gregory T Brennan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629300124 PECOS PAC ID: 0941326862 Enrollment ID: I20120515000035 |
| Provider Name | Alicia W Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629341516 PECOS PAC ID: 5799948436 Enrollment ID: I20120517000050 |
| Provider Name | Christopher Colozzo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851664429 PECOS PAC ID: 3678736063 Enrollment ID: I20120522001228 |
| Provider Name | Amy L Kahn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710172903 PECOS PAC ID: 4688768534 Enrollment ID: I20120613000403 |
| Provider Name | Karim M Awad |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1295939189 PECOS PAC ID: 0244495067 Enrollment ID: I20120629000158 |
| Provider Name | Alicia M. Quesnel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1306051289 PECOS PAC ID: 6709041411 Enrollment ID: I20120703000174 |
| Provider Name | Michelle a Lally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679657845 PECOS PAC ID: 1850484262 Enrollment ID: I20120703000525 |
| Provider Name | Seth E Homer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598993735 PECOS PAC ID: 8820254048 Enrollment ID: I20120716000360 |
| Provider Name | Bradley a Switzer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184779969 PECOS PAC ID: 2961668520 Enrollment ID: I20120725000984 |
| Provider Name | David J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821373671 PECOS PAC ID: 9133385552 Enrollment ID: I20120730000159 |
| Provider Name | Tara M Burgess |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790018356 PECOS PAC ID: 4486810744 Enrollment ID: I20120801000050 |
| Provider Name | David M Dildine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508094772 PECOS PAC ID: 1557527843 Enrollment ID: I20120801000473 |
| Provider Name | Maria D Fung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164457156 PECOS PAC ID: 1456507441 Enrollment ID: I20120807000486 |
| Provider Name | Andrea Maria Jodat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497016141 PECOS PAC ID: 6406002377 Enrollment ID: I20120808000549 |
| Provider Name | Emily K Coskun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326205790 PECOS PAC ID: 2466609078 Enrollment ID: I20120904000102 |
| Provider Name | Anissa E Dickerson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821351404 PECOS PAC ID: 4587811054 Enrollment ID: I20120906000252 |
| Provider Name | Holly B Leith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023334786 PECOS PAC ID: 0749437218 Enrollment ID: I20120906000277 |
| Provider Name | Nicole M Larue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457527277 PECOS PAC ID: 0547420762 Enrollment ID: I20121009000649 |
| Provider Name | Cynthia J Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619940285 PECOS PAC ID: 7416107107 Enrollment ID: I20121015000186 |
| Provider Name | Kimberly S Fitzgerald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750320586 PECOS PAC ID: 8325298003 Enrollment ID: I20121016000401 |
| Provider Name | Jenna a Loughlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174806947 PECOS PAC ID: 1456501006 Enrollment ID: I20121017000544 |
| Provider Name | Hagen Yang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902015266 PECOS PAC ID: 4688824717 Enrollment ID: I20121025000237 |
| Provider Name | Carolyn F Baxter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902152275 PECOS PAC ID: 3870743784 Enrollment ID: I20121030000054 |
| Provider Name | Amanda L Breneman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801145149 PECOS PAC ID: 0446400238 Enrollment ID: I20121102000181 |
| Provider Name | Mark C Boardman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659626620 PECOS PAC ID: 5799936514 Enrollment ID: I20121102000561 |
| Provider Name | Srinivas Bodapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841465655 PECOS PAC ID: 5698820637 Enrollment ID: I20121108000395 |
| Provider Name | Melissa B Draves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902100845 PECOS PAC ID: 8224280102 Enrollment ID: I20121129000341 |
| Provider Name | Jenny W Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386993152 PECOS PAC ID: 7911159652 Enrollment ID: I20121204000319 |
| Provider Name | Brian B Guarnotta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255319885 PECOS PAC ID: 8325290083 Enrollment ID: I20121204000482 |
| Provider Name | Taylor H Monica |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326275819 PECOS PAC ID: 1951569102 Enrollment ID: I20121206000114 |
| Provider Name | Meghan Dean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770834582 PECOS PAC ID: 7517119076 Enrollment ID: I20121207000008 |
| Provider Name | Kendrah B Nealon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740474998 PECOS PAC ID: 5294987715 Enrollment ID: I20121210000108 |
| Provider Name | Karen S Bikofsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720337207 PECOS PAC ID: 6709038227 Enrollment ID: I20121210000151 |
| Provider Name | Kari a Druker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730430158 PECOS PAC ID: 5597918144 Enrollment ID: I20130109000494 |
| Provider Name | Laurence a Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174574198 PECOS PAC ID: 0840281457 Enrollment ID: I20130115000015 |
| Provider Name | Julia Nevarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033463039 PECOS PAC ID: 2163675588 Enrollment ID: I20130116000158 |
| Provider Name | Dana M Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255564209 PECOS PAC ID: 5597918763 Enrollment ID: I20130122000163 |
| Provider Name | Hye Young Im |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528291903 PECOS PAC ID: 1850545609 Enrollment ID: I20130204000342 |
| Provider Name | Jenny Y Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902035280 PECOS PAC ID: 3971757600 Enrollment ID: I20130206000012 |
| Provider Name | Susan M Dusenbery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598987471 PECOS PAC ID: 9436241114 Enrollment ID: I20130207000048 |
| Provider Name | Simona Sava |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750692240 PECOS PAC ID: 4284888652 Enrollment ID: I20130212000339 |
| Provider Name | Anna J Groskin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225264088 PECOS PAC ID: 2264686591 Enrollment ID: I20130213000493 |
| Provider Name | Jillian Leigh Shannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598001216 PECOS PAC ID: 5193970259 Enrollment ID: I20130222000030 |
| Provider Name | Linda Brenner Semela |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922263771 PECOS PAC ID: 3779760517 Enrollment ID: I20130227000423 |
| Provider Name | Georges S Almacari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326152216 PECOS PAC ID: 8123279437 Enrollment ID: I20130304000300 |
| Provider Name | Lindsay a Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861746596 PECOS PAC ID: 2567617053 Enrollment ID: I20130307000351 |
| Provider Name | Lauren E Hufnagle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598001984 PECOS PAC ID: 5890930192 Enrollment ID: I20130314000000 |
| Provider Name | Elise R Bender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003044272 PECOS PAC ID: 8426293556 Enrollment ID: I20130320000692 |
| Provider Name | Kavya Singareddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356634778 PECOS PAC ID: 2668617176 Enrollment ID: I20130403000282 |
| Provider Name | Natalie J. Paris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770829418 PECOS PAC ID: 3072759240 Enrollment ID: I20130412000128 |
| Provider Name | Kathryn E Gantman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285984542 PECOS PAC ID: 1658518865 Enrollment ID: I20130507000601 |
| Provider Name | Elizabeth I Molina Ortiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023219524 PECOS PAC ID: 1759470222 Enrollment ID: I20130514000336 |
| Provider Name | Andrea Rhodes Morris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295093045 PECOS PAC ID: 0446495667 Enrollment ID: I20130514000372 |
| Provider Name | Kimberly P Liner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285962290 PECOS PAC ID: 1052559002 Enrollment ID: I20130603000308 |
| Provider Name | Margaret R Barsam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598747412 PECOS PAC ID: 9335387117 Enrollment ID: I20130606000545 |
| Provider Name | Danielle a Macfarlane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659614147 PECOS PAC ID: 6204074925 Enrollment ID: I20130607000238 |
| Provider Name | Yamini J Howe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598982332 PECOS PAC ID: 8224278080 Enrollment ID: I20130628000309 |
| Provider Name | Kristen a Kiely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114277498 PECOS PAC ID: 1557501186 Enrollment ID: I20130702000749 |
| Provider Name | Suzanne R Longley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144563115 PECOS PAC ID: 2860632387 Enrollment ID: I20130705000295 |
| Provider Name | Robert Todd Lancaster |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1093773673 PECOS PAC ID: 2264608157 Enrollment ID: I20130716000295 |
| Provider Name | Caitlin M Neri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649324062 PECOS PAC ID: 1850563263 Enrollment ID: I20130805000532 |
| Provider Name | Maria W Fradinho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184850703 PECOS PAC ID: 8325280761 Enrollment ID: I20130814000168 |
| Provider Name | Jeffrey J Rock |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417958158 PECOS PAC ID: 5890865281 Enrollment ID: I20130826000740 |
| Provider Name | Anne N. Hackman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316142748 PECOS PAC ID: 8628246949 Enrollment ID: I20130904000724 |
| Provider Name | Sarah N Ashley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821344748 PECOS PAC ID: 4183874605 Enrollment ID: I20130905000471 |
| Provider Name | Hubert L Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750601654 PECOS PAC ID: 8022252238 Enrollment ID: I20130910000059 |
| Provider Name | Philip J Ciampa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215084181 PECOS PAC ID: 8628116928 Enrollment ID: I20130910000294 |
| Provider Name | Scott a Kaplan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467680017 PECOS PAC ID: 4082858170 Enrollment ID: I20130911000089 |
| Provider Name | Revital Yehezkel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073741633 PECOS PAC ID: 6608010681 Enrollment ID: I20130912000352 |
| Provider Name | Damaris D Nou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275770042 PECOS PAC ID: 1456599828 Enrollment ID: I20130919000519 |
| Provider Name | Linda Nancy Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366618464 PECOS PAC ID: 8123288552 Enrollment ID: I20130926000448 |
| Provider Name | Ryan Tappin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548602956 PECOS PAC ID: 5092949313 Enrollment ID: I20130927000513 |
| Provider Name | Yueling Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891079836 PECOS PAC ID: 2769616473 Enrollment ID: I20131014000264 |
| Provider Name | Darcy W Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831533538 PECOS PAC ID: 8628202173 Enrollment ID: I20131016000941 |
| Provider Name | Lisa a Manning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316288210 PECOS PAC ID: 1557595055 Enrollment ID: I20131017000402 |
| Provider Name | Kaitlyn P Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609218072 PECOS PAC ID: 2961637285 Enrollment ID: I20131022001919 |
| Provider Name | Caren a Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003258658 PECOS PAC ID: 9931334521 Enrollment ID: I20131107001011 |
| Provider Name | Ralph J Emile |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225476948 PECOS PAC ID: 2163658394 Enrollment ID: I20131119000075 |
| Provider Name | Thomas J Snediker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215366042 PECOS PAC ID: 4688800402 Enrollment ID: I20131126000463 |
| Provider Name | Adetokunbo O Olotu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538332861 PECOS PAC ID: 6406082221 Enrollment ID: I20131126000473 |
| Provider Name | Linda G Fidrocki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023139375 PECOS PAC ID: 4789810516 Enrollment ID: I20131126000757 |
| Provider Name | Elisha J Hisoler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407289895 PECOS PAC ID: 4688800360 Enrollment ID: I20131203000051 |
| Provider Name | Lambia a Mitropoulos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497097232 PECOS PAC ID: 3072749688 Enrollment ID: I20131203001418 |
| Provider Name | Katie M Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245663756 PECOS PAC ID: 8628204252 Enrollment ID: I20131203002164 |
| Provider Name | Brian Clifford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043401573 PECOS PAC ID: 5395971923 Enrollment ID: I20131204000122 |
| Provider Name | Abhijeet Kashyap |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710299615 PECOS PAC ID: 6406083823 Enrollment ID: I20131210002006 |
| Provider Name | Veronica Y Wu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427497015 PECOS PAC ID: 6608003934 Enrollment ID: I20131212001180 |
| Provider Name | Nicolette a Oleng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104142520 PECOS PAC ID: 5092943415 Enrollment ID: I20140110000657 |
| Provider Name | Kelly L Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003248204 PECOS PAC ID: 2961630306 Enrollment ID: I20140110001167 |
| Provider Name | Dorothy C Fillion |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891900361 PECOS PAC ID: 0143459651 Enrollment ID: I20140203001814 |
| Provider Name | Joel B Krier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558527762 PECOS PAC ID: 2163611005 Enrollment ID: I20140207000081 |
| Provider Name | Eumene Ching |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407832975 PECOS PAC ID: 8921237066 Enrollment ID: I20140212001076 |
| Provider Name | Tiffany E Borsari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558624130 PECOS PAC ID: 9133375587 Enrollment ID: I20140228000155 |
| Provider Name | Stephanie P Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972933307 PECOS PAC ID: 3971734641 Enrollment ID: I20140321000355 |
| Provider Name | Ashley M Hershkovitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306276290 PECOS PAC ID: 5092946673 Enrollment ID: I20140324002104 |
| Provider Name | Neeti Jha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184843559 PECOS PAC ID: 4880778406 Enrollment ID: I20140328001262 |
| Provider Name | Lisa M. Fleming |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1104098482 PECOS PAC ID: 0143451328 Enrollment ID: I20140401001980 |
| Provider Name | Richard A. Klaich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528289741 PECOS PAC ID: 4486887619 Enrollment ID: I20140423002121 |
| Provider Name | Sara M. Barcia |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932434966 PECOS PAC ID: 5799912283 Enrollment ID: I20140430000962 |
| Provider Name | Lindsay S Brunel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194958074 PECOS PAC ID: 4082837844 Enrollment ID: I20140523000007 |
| Provider Name | Laura Z Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932188414 PECOS PAC ID: 3779707948 Enrollment ID: I20140609000775 |
| Provider Name | Dawn M Folan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972920858 PECOS PAC ID: 7810111770 Enrollment ID: I20140616000512 |
| Provider Name | Fernando Jorge Martinez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255598165 PECOS PAC ID: 4981890340 Enrollment ID: I20140618001928 |
| Provider Name | Deep H Vora |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962836221 PECOS PAC ID: 3476777137 Enrollment ID: I20140619000892 |
| Provider Name | Tobin M Abraham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1568629376 PECOS PAC ID: 3678711439 Enrollment ID: I20140623001839 |
| Provider Name | Rinabahen B Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710312384 PECOS PAC ID: 9931324142 Enrollment ID: I20140702000233 |
| Provider Name | Neli Z Marcheva |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215368923 PECOS PAC ID: 0345465324 Enrollment ID: I20140707002110 |
| Provider Name | John D Chisholm |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639291792 PECOS PAC ID: 1759480528 Enrollment ID: I20140714000651 |
| Provider Name | Heidi Belle Prather |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1053630582 PECOS PAC ID: 3577788256 Enrollment ID: I20140714001779 |
| Provider Name | Belinda a Bulas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578760708 PECOS PAC ID: 4183840713 Enrollment ID: I20140717000174 |
| Provider Name | Jessica L Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952538787 PECOS PAC ID: 6709044084 Enrollment ID: I20140725001887 |
| Provider Name | Jane Fishler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134370968 PECOS PAC ID: 0143491936 Enrollment ID: I20140731000125 |
| Provider Name | Lisa a Hill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1932545324 PECOS PAC ID: 4385860188 Enrollment ID: I20140731001913 |
| Provider Name | Gloria Lee Kazakov |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730329160 PECOS PAC ID: 9931326659 Enrollment ID: I20140804001404 |
| Provider Name | Golrokh J Sepehr |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790089159 PECOS PAC ID: 0840417432 Enrollment ID: I20140805001481 |
| Provider Name | Erica Dommasch |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1003136771 PECOS PAC ID: 5698907103 Enrollment ID: I20140808001835 |
| Provider Name | Harry a Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861478505 PECOS PAC ID: 2961460118 Enrollment ID: I20140818000150 |
| Provider Name | Johanna Burke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629331616 PECOS PAC ID: 3870710734 Enrollment ID: I20140818000187 |
| Provider Name | Elyse Plante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255754644 PECOS PAC ID: 1456579010 Enrollment ID: I20140825001001 |
| Provider Name | Jennifer E Bastis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164684015 PECOS PAC ID: 7315014206 Enrollment ID: I20140905000605 |
| Provider Name | Ehsan Azimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437475829 PECOS PAC ID: 6709004641 Enrollment ID: I20140905001767 |
| Provider Name | Dana S Munday |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124437249 PECOS PAC ID: 6305064270 Enrollment ID: I20140908000116 |
| Provider Name | Sunny R Chavan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154619682 PECOS PAC ID: 8527287341 Enrollment ID: I20140910000069 |
| Provider Name | Allyson L Cohen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215228598 PECOS PAC ID: 9638398241 Enrollment ID: I20140915000098 |
| Provider Name | Nicole M Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194132225 PECOS PAC ID: 8325267966 Enrollment ID: I20140915000960 |
| Provider Name | Arunima Rajbhandary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003104084 PECOS PAC ID: 0840419396 Enrollment ID: I20140915001746 |
| Provider Name | Michael Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306830484 PECOS PAC ID: 1951405729 Enrollment ID: I20140916000244 |
| Provider Name | Victor M Verkade |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215354030 PECOS PAC ID: 7810116811 Enrollment ID: I20140923001968 |
| Provider Name | Christine a Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861815441 PECOS PAC ID: 7416187786 Enrollment ID: I20141001000545 |
| Provider Name | Nadereh Nasserhelali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871814079 PECOS PAC ID: 6103052972 Enrollment ID: I20141001001406 |
| Provider Name | Linda J Geib |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154720969 PECOS PAC ID: 4183845811 Enrollment ID: I20141022002167 |
| Provider Name | Anilkumar Katta |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1740444991 PECOS PAC ID: 2860634680 Enrollment ID: I20141023002249 |
| Provider Name | Meaghan E Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902247257 PECOS PAC ID: 0840412896 Enrollment ID: I20141107000459 |
| Provider Name | Sarah Palmer Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306008149 PECOS PAC ID: 0446421093 Enrollment ID: I20141111001052 |
| Provider Name | Scott a Orrahood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376606061 PECOS PAC ID: 1456673706 Enrollment ID: I20141124000908 |
| Provider Name | Kaitlin a Thomas-frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639578792 PECOS PAC ID: 6103149158 Enrollment ID: I20141223000824 |
| Provider Name | Jacquelyn E Pennie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134536055 PECOS PAC ID: 8123341831 Enrollment ID: I20150106000105 |
| Provider Name | Nicole Hebert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700295300 PECOS PAC ID: 0143543702 Enrollment ID: I20150107000148 |
| Provider Name | Ann V Hession |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427135722 PECOS PAC ID: 0143544486 Enrollment ID: I20150115001025 |
| Provider Name | Kristin M Corapi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295982007 PECOS PAC ID: 3577730803 Enrollment ID: I20150121000259 |
| Provider Name | Kathi a Grafe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417350042 PECOS PAC ID: 3577888270 Enrollment ID: I20150220000148 |
| Provider Name | Erika E Line-nitu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376808766 PECOS PAC ID: 5597987941 Enrollment ID: I20150311001760 |
| Provider Name | Tricia K Wurster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639292006 PECOS PAC ID: 8325364128 Enrollment ID: I20150312001964 |
| Provider Name | Christine R Saba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396097135 PECOS PAC ID: 5193042729 Enrollment ID: I20150319001814 |
| Provider Name | Maboh Achiri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134526676 PECOS PAC ID: 3173840311 Enrollment ID: I20150326001408 |
| Provider Name | Jennifer R Roache |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346665148 PECOS PAC ID: 0244557486 Enrollment ID: I20150326001476 |
| Provider Name | Lauralee C Ferriell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588945208 PECOS PAC ID: 4183895295 Enrollment ID: I20150409001232 |
| Provider Name | Randi L Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841699980 PECOS PAC ID: 5597083006 Enrollment ID: I20150414000345 |
| Provider Name | Suzanne H Burleigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366415226 PECOS PAC ID: 8628398302 Enrollment ID: I20150520001288 |
| Provider Name | Fernando J Roca Vall-llobera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669645453 PECOS PAC ID: 1850518614 Enrollment ID: I20150521000543 |
| Provider Name | John J Tsay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164632691 PECOS PAC ID: 7315177664 Enrollment ID: I20150629001906 |
| Provider Name | Patricia a Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164822664 PECOS PAC ID: 2961714654 Enrollment ID: I20150709000849 |
| Provider Name | Archana T Seethala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1376772665 PECOS PAC ID: 9638301633 Enrollment ID: I20150721002447 |
| Provider Name | Galina Feldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366797219 PECOS PAC ID: 7911211859 Enrollment ID: I20150805007634 |
| Provider Name | Jeffrey H William |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033439716 PECOS PAC ID: 4981919644 Enrollment ID: I20150811003893 |
| Provider Name | Sveta Shah Oza |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073740940 PECOS PAC ID: 0648586644 Enrollment ID: I20150908000992 |
| Provider Name | Margarita Burdetsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558404814 PECOS PAC ID: 7911214705 Enrollment ID: I20150910002054 |
| Provider Name | Giana Maria Pagliocco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699173666 PECOS PAC ID: 1153638507 Enrollment ID: I20150916003103 |
| Provider Name | Veena T Mathew |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023302445 PECOS PAC ID: 9335371780 Enrollment ID: I20150918001103 |
| Provider Name | Sarah B Mazerall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972733483 PECOS PAC ID: 4284941329 Enrollment ID: I20150922001232 |
| Provider Name | Sritharani Kandasamy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265839336 PECOS PAC ID: 0446567440 Enrollment ID: I20150923000283 |
| Provider Name | Xi Chen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1285940973 PECOS PAC ID: 7719148717 Enrollment ID: I20150924002722 |
| Provider Name | Linda D Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225405400 PECOS PAC ID: 1254649049 Enrollment ID: I20150928001998 |
| Provider Name | Rachel E Furnas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356647531 PECOS PAC ID: 6002090586 Enrollment ID: I20150929001443 |
| Provider Name | Lisa Ann Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235404336 PECOS PAC ID: 9638487788 Enrollment ID: I20151009000462 |
| Provider Name | Kristen Moore Kowalski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487036257 PECOS PAC ID: 5496063570 Enrollment ID: I20151009001716 |
| Provider Name | Myfanwy G. Callahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538428685 PECOS PAC ID: 1456583442 Enrollment ID: I20151012001588 |
| Provider Name | Jessica N Yang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053727339 PECOS PAC ID: 0143530097 Enrollment ID: I20151105001893 |
| Provider Name | Dawn S Mullins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568453728 PECOS PAC ID: 7618053133 Enrollment ID: I20151106001523 |
| Provider Name | Prarthana Kumari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831566215 PECOS PAC ID: 5597075275 Enrollment ID: I20151109002067 |
| Provider Name | Karri a Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780060426 PECOS PAC ID: 6305156027 Enrollment ID: I20151110000942 |
| Provider Name | Marlene a Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003282963 PECOS PAC ID: 2365752086 Enrollment ID: I20151110001078 |
| Provider Name | Meredith M Kenly |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619354859 PECOS PAC ID: 7012227689 Enrollment ID: I20151111000400 |
| Provider Name | Binu B. Philips |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1942474895 PECOS PAC ID: 3577740216 Enrollment ID: I20151116000788 |
| Provider Name | Jill F Ashcraft |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316205909 PECOS PAC ID: 0547560765 Enrollment ID: I20151119001969 |
| Provider Name | Kari M Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598136095 PECOS PAC ID: 4385944990 Enrollment ID: I20151204000363 |
| Provider Name | Michael D Mccarthy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477828382 PECOS PAC ID: 6608022512 Enrollment ID: I20151204002303 |
| Provider Name | Daria M Karos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710935416 PECOS PAC ID: 2365743218 Enrollment ID: I20151217001224 |
| Provider Name | Kara a Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366813263 PECOS PAC ID: 4284935040 Enrollment ID: I20151221000862 |
| Provider Name | Alyssa M Tulipano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396116901 PECOS PAC ID: 5193026623 Enrollment ID: I20151229000148 |
| Provider Name | Shan Marie Stoffolano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669692661 PECOS PAC ID: 6406157957 Enrollment ID: I20151229001015 |
| Provider Name | Michelle C Mcginnis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841662574 PECOS PAC ID: 1951603075 Enrollment ID: I20160106002655 |
| Provider Name | Naomi Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225409279 PECOS PAC ID: 0749582427 Enrollment ID: I20160112002996 |
| Provider Name | Elizabeth M. Glavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265803373 PECOS PAC ID: 4082917604 Enrollment ID: I20160114001536 |
| Provider Name | Meredith J Stanizzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720451016 PECOS PAC ID: 7416252457 Enrollment ID: I20160229001978 |
| Provider Name | Zoe Paschkis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043681646 PECOS PAC ID: 0244536050 Enrollment ID: I20160303002513 |
| Provider Name | Sheva Mirdamadi- Tehrani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689030579 PECOS PAC ID: 4082911953 Enrollment ID: I20160322000405 |
| Provider Name | Matthew D Zawasky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841669256 PECOS PAC ID: 1759688427 Enrollment ID: I20160323001241 |
| Provider Name | Andrew D Bassett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063691715 PECOS PAC ID: 1254638455 Enrollment ID: I20160404000937 |
| Provider Name | Brittany L. Szczepanski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114348331 PECOS PAC ID: 1759603806 Enrollment ID: I20160404001191 |
| Provider Name | Lisa F Gormley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073843215 PECOS PAC ID: 4183923915 Enrollment ID: I20160429000970 |
| Provider Name | Lindsay D Hussey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235547613 PECOS PAC ID: 9234455890 Enrollment ID: I20160504000124 |
| Provider Name | Harmony R Abejuela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316259492 PECOS PAC ID: 4981903390 Enrollment ID: I20160505001006 |
| Provider Name | Tara E Fein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376641910 PECOS PAC ID: 1557650710 Enrollment ID: I20160512000076 |
| Provider Name | Lilia a Cuozzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548268956 PECOS PAC ID: 2769771880 Enrollment ID: I20160512001942 |
| Provider Name | Samer S Nasser |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922276294 PECOS PAC ID: 2567508880 Enrollment ID: I20160607000000 |
| Provider Name | Dana G an |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215108238 PECOS PAC ID: 8325338965 Enrollment ID: I20160609001552 |
| Provider Name | Alice Simcoe-matthews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548624208 PECOS PAC ID: 7719278266 Enrollment ID: I20160614001337 |
| Provider Name | Laura K Mansfield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023337995 PECOS PAC ID: 6507157427 Enrollment ID: I20160624000280 |
| Provider Name | Miin Roh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629333166 PECOS PAC ID: 0749419158 Enrollment ID: I20160707001249 |
| Provider Name | Charles D Hannum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104265834 PECOS PAC ID: 5092004382 Enrollment ID: I20160722001072 |
| Provider Name | Pranav O Oza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780810572 PECOS PAC ID: 0840448361 Enrollment ID: I20160802001352 |
| Provider Name | Vito Louis Pugliano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245524974 PECOS PAC ID: 8628375979 Enrollment ID: I20160818000171 |
| Provider Name | Teresa M Zabik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568445732 PECOS PAC ID: 8022303874 Enrollment ID: I20160818001672 |
| Provider Name | Jenna M Oconnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215375860 PECOS PAC ID: 3971730672 Enrollment ID: I20160906000311 |
| Provider Name | Holly P Kilim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871800649 PECOS PAC ID: 6709172448 Enrollment ID: I20160907001390 |
| Provider Name | Molly Higgins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952650640 PECOS PAC ID: 9032405550 Enrollment ID: I20160909001444 |
| Provider Name | Jeremy Richmon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871658369 PECOS PAC ID: 1456410232 Enrollment ID: I20160914000026 |
| Provider Name | Anita Deshpande |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104115559 PECOS PAC ID: 5698907483 Enrollment ID: I20160921000113 |
| Provider Name | Christopher Jackson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053601765 PECOS PAC ID: 7719282326 Enrollment ID: I20160921000755 |
| Provider Name | Daniel F Hartman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609977784 PECOS PAC ID: 7416051040 Enrollment ID: I20160922001392 |
| Provider Name | Sandra M Meyerson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487634564 PECOS PAC ID: 6507153350 Enrollment ID: I20160922001767 |
| Provider Name | Adam Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699069559 PECOS PAC ID: 4385899020 Enrollment ID: I20160930000157 |
| Provider Name | Shaun Wason |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134242803 PECOS PAC ID: 9638348386 Enrollment ID: I20160930001560 |
| Provider Name | Laura Daniela Michelis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891052684 PECOS PAC ID: 0345472858 Enrollment ID: I20161017001901 |
| Provider Name | Eugene Yoshio Fukudome |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083740401 PECOS PAC ID: 3971766510 Enrollment ID: I20161018002885 |
| Provider Name | Dinah Super |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720461957 PECOS PAC ID: 1052699378 Enrollment ID: I20161020001520 |
| Provider Name | Scott M Souther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033550157 PECOS PAC ID: 5193033041 Enrollment ID: I20161021001331 |
| Provider Name | John a Zambrano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730422593 PECOS PAC ID: 6901184183 Enrollment ID: I20161021001407 |
| Provider Name | Emily D Pugh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548525033 PECOS PAC ID: 9537447750 Enrollment ID: I20161024000113 |
| Provider Name | Joanne Golburgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639143266 PECOS PAC ID: 3274811302 Enrollment ID: I20161025001338 |
| Provider Name | Rachel L Conner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407263304 PECOS PAC ID: 0345460424 Enrollment ID: I20161028000689 |
| Provider Name | Sarah D Hundley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619376340 PECOS PAC ID: 6507144318 Enrollment ID: I20161031000106 |
| Provider Name | Anna R Sjogren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699031963 PECOS PAC ID: 0143452441 Enrollment ID: I20161101001706 |
| Provider Name | William E Fitzgerald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659636496 PECOS PAC ID: 6608155056 Enrollment ID: I20161108001394 |
| Provider Name | Michelle Morse |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528402070 PECOS PAC ID: 2860771144 Enrollment ID: I20161108002602 |
| Provider Name | Lisa Golightly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811148778 PECOS PAC ID: 2062791064 Enrollment ID: I20161115001931 |
| Provider Name | Sarah E. Post |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679911135 PECOS PAC ID: 7911134390 Enrollment ID: I20161117001117 |
| Provider Name | Katherine Elizabeth Aurigemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548716996 PECOS PAC ID: 8729367594 Enrollment ID: I20161118000208 |
| Provider Name | Karen G Braunwald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780754267 PECOS PAC ID: 9830478569 Enrollment ID: I20161121000024 |
| Provider Name | Danielle M Dupre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245664564 PECOS PAC ID: 0143500637 Enrollment ID: I20161129000153 |
| Provider Name | Qiang Zeng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134495286 PECOS PAC ID: 4082927660 Enrollment ID: I20161129000369 |
| Provider Name | Megan H Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821330556 PECOS PAC ID: 4183942444 Enrollment ID: I20161129001237 |
| Provider Name | Craig E Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316979941 PECOS PAC ID: 1355330390 Enrollment ID: I20161129002142 |
| Provider Name | Hongchao Zhou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578821237 PECOS PAC ID: 0648550194 Enrollment ID: I20161129002505 |
| Provider Name | Artemis D Panagopoulos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164801486 PECOS PAC ID: 6800176280 Enrollment ID: I20161130000941 |
| Provider Name | Stephanie Maire Nunes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952776213 PECOS PAC ID: 1355621517 Enrollment ID: I20161205000532 |
| Provider Name | Samantha M Blais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619427929 PECOS PAC ID: 8729369368 Enrollment ID: I20161220000380 |
| Provider Name | Alan C Wong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740418466 PECOS PAC ID: 7911219290 Enrollment ID: I20170113000256 |
| Provider Name | Meghan R Tanglis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306388020 PECOS PAC ID: 5890077424 Enrollment ID: I20170117000182 |
| Provider Name | Nicole Y Sonneborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801198080 PECOS PAC ID: 4385826452 Enrollment ID: I20170123000020 |
| Provider Name | Nicole M Ikeda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952858441 PECOS PAC ID: 0840572681 Enrollment ID: I20170131000975 |
| Provider Name | Krystine M Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245774728 PECOS PAC ID: 1355624172 Enrollment ID: I20170201001799 |
| Provider Name | Genevieve B Lumsden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922542489 PECOS PAC ID: 9537442801 Enrollment ID: I20170210001548 |
| Provider Name | Jacques J Reichling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285055582 PECOS PAC ID: 3779867601 Enrollment ID: I20170221001842 |
| Provider Name | Joy a Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235594763 PECOS PAC ID: 0648554501 Enrollment ID: I20170222000011 |
| Provider Name | Jessica F Neves |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639627649 PECOS PAC ID: 3577847870 Enrollment ID: I20170306001694 |
| Provider Name | Brian J Schneider |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982999801 PECOS PAC ID: 8325324296 Enrollment ID: I20170406002160 |
| Provider Name | Ajay K Singla |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1609813260 PECOS PAC ID: 6608898374 Enrollment ID: I20170412001642 |
| Provider Name | Aram N Demirjian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164661906 PECOS PAC ID: 9335290428 Enrollment ID: I20170419001032 |
| Provider Name | Laurie C Mckechnie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477916153 PECOS PAC ID: 5294012647 Enrollment ID: I20170511002721 |
| Provider Name | Laura E Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245551712 PECOS PAC ID: 2860769791 Enrollment ID: I20170525000916 |
| Provider Name | Anna L Goldman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639493653 PECOS PAC ID: 6901040773 Enrollment ID: I20170613002018 |
| Provider Name | Lily Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659632883 PECOS PAC ID: 4688981871 Enrollment ID: I20170621002950 |
| Provider Name | Kaitlyn Ruvolo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508157462 PECOS PAC ID: 9436381274 Enrollment ID: I20170712001135 |
| Provider Name | Andrew H Locke |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922445055 PECOS PAC ID: 0840508644 Enrollment ID: I20170717000474 |
| Provider Name | Jeremy Whyman |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1255603452 PECOS PAC ID: 2264702067 Enrollment ID: I20170727001875 |
| Provider Name | Preeti Mehrotra |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982839734 PECOS PAC ID: 6406127000 Enrollment ID: I20170731003262 |
| Provider Name | Kimberly a King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295257467 PECOS PAC ID: 9436420411 Enrollment ID: I20170809003148 |
| Provider Name | Sarah E Ingham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023302494 PECOS PAC ID: 1153638028 Enrollment ID: I20170810000393 |
| Provider Name | Sharon R Shung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326465279 PECOS PAC ID: 9739499765 Enrollment ID: I20170810001734 |
| Provider Name | Toru Endo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265618086 PECOS PAC ID: 2365673621 Enrollment ID: I20170810002807 |
| Provider Name | Timothy a Karthas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790102291 PECOS PAC ID: 7810268638 Enrollment ID: I20170811001700 |
| Provider Name | Meaghan F Gagnon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336537307 PECOS PAC ID: 6305162397 Enrollment ID: I20170815000034 |
| Provider Name | Jennifer Ruoyu Bai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407226160 PECOS PAC ID: 1951673649 Enrollment ID: I20170815003102 |
| Provider Name | Elizabeth M Wozniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730529140 PECOS PAC ID: 1052683919 Enrollment ID: I20170828002161 |
| Provider Name | Brenna L Curran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710342183 PECOS PAC ID: 8527332006 Enrollment ID: I20170921002760 |
| Provider Name | Noelle C Kellicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245769074 PECOS PAC ID: 9032484423 Enrollment ID: I20171011001866 |
| Provider Name | Diana Rumrill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700948437 PECOS PAC ID: 2961778469 Enrollment ID: I20171028000333 |
| Provider Name | Nancy a Resteghini |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205122876 PECOS PAC ID: 2365740222 Enrollment ID: I20171101000279 |
| Provider Name | Elizabeth a Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124278866 PECOS PAC ID: 1052678422 Enrollment ID: I20171121000273 |
| Provider Name | Nicole A. Levine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376053025 PECOS PAC ID: 8729347083 Enrollment ID: I20180111001683 |
| Provider Name | Christina M Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609381748 PECOS PAC ID: 1951661412 Enrollment ID: I20180201002690 |
| Provider Name | Serene S Williams-kasili |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144696675 PECOS PAC ID: 8325308596 Enrollment ID: I20180207003005 |
| Provider Name | James J Moriarty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588105571 PECOS PAC ID: 6901166727 Enrollment ID: I20180215001699 |
| Provider Name | Qura Tul Ain Rashid |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1568777035 PECOS PAC ID: 6901109560 Enrollment ID: I20180223001288 |
| Provider Name | Alexis C Lampros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386097632 PECOS PAC ID: 4981965100 Enrollment ID: I20180305001922 |
| Provider Name | James M Gillan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679072607 PECOS PAC ID: 5294096244 Enrollment ID: I20180307002767 |
| Provider Name | Vannary Khim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093220428 PECOS PAC ID: 5092076919 Enrollment ID: I20180309000507 |
| Provider Name | Juliann Manning |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831616614 PECOS PAC ID: 8022370493 Enrollment ID: I20180322002534 |
| Provider Name | Melissa H Bergman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467618033 PECOS PAC ID: 1254574270 Enrollment ID: I20180326002607 |
| Provider Name | Cristina Portugal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225549025 PECOS PAC ID: 9133482110 Enrollment ID: I20180405000692 |
| Provider Name | Bonnie Sosis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295702751 PECOS PAC ID: 1153684915 Enrollment ID: I20180410001287 |
| Provider Name | Allison E Bolton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760676316 PECOS PAC ID: 6406110568 Enrollment ID: I20180426001139 |
| Provider Name | Steven E Kahan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639261860 PECOS PAC ID: 5799728192 Enrollment ID: I20180507001183 |
| Provider Name | Brieanne V Midura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700087954 PECOS PAC ID: 5991069528 Enrollment ID: I20180508001899 |
| Provider Name | Chithra Susan Kuriakose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497256374 PECOS PAC ID: 2860756186 Enrollment ID: I20180514000329 |
| Provider Name | Husne Turkcan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568861243 PECOS PAC ID: 3072877307 Enrollment ID: I20180514000679 |
| Provider Name | Nicole A.C. Jagodowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033507868 PECOS PAC ID: 1759645047 Enrollment ID: I20180515000672 |
| Provider Name | Diane K Silverman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881664043 PECOS PAC ID: 1850655150 Enrollment ID: I20180515001237 |
| Provider Name | Lily a Maltz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336434026 PECOS PAC ID: 8123285459 Enrollment ID: I20180515002848 |
| Provider Name | Jarrod Stein |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861997017 PECOS PAC ID: 0345505087 Enrollment ID: I20180529002751 |
| Provider Name | Sarah M Alimi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942703186 PECOS PAC ID: 0749243186 Enrollment ID: I20180608000166 |
| Provider Name | Walter L Champion |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811257975 PECOS PAC ID: 2264701341 Enrollment ID: I20180627001754 |
| Provider Name | Sarita Konka |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1790047520 PECOS PAC ID: 4183916794 Enrollment ID: I20180627002280 |
| Provider Name | Catherine Jin Tang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972869477 PECOS PAC ID: 8820216104 Enrollment ID: I20180627002319 |
| Provider Name | Aaron W Beck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013349315 PECOS PAC ID: 3072869056 Enrollment ID: I20180705000927 |
| Provider Name | Evan C Tschirhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205217411 PECOS PAC ID: 0941510242 Enrollment ID: I20180726001869 |
| Provider Name | James Lagamo Dawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194164988 PECOS PAC ID: 8729208210 Enrollment ID: I20180727001140 |
| Provider Name | Marni N Roitfarb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417136789 PECOS PAC ID: 2466700778 Enrollment ID: I20180802002291 |
| Provider Name | Sang a Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285086041 PECOS PAC ID: 2668720657 Enrollment ID: I20180808000518 |
| Provider Name | Elinor Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265852347 PECOS PAC ID: 8820305972 Enrollment ID: I20180820000111 |
| Provider Name | Matthew S Sadowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619453859 PECOS PAC ID: 7618226630 Enrollment ID: I20180823001437 |
| Provider Name | Karen R Tenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316324460 PECOS PAC ID: 0446567945 Enrollment ID: I20180829004446 |
| Provider Name | Erica Maher |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548753569 PECOS PAC ID: 5496005332 Enrollment ID: I20180913002590 |
| Provider Name | Courtney N Sandler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164746178 PECOS PAC ID: 0446477194 Enrollment ID: I20180917000068 |
| Provider Name | Andrew M Cox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275929986 PECOS PAC ID: 7810248572 Enrollment ID: I20180920000144 |
| Provider Name | Danielle Jeannette Belanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467943621 PECOS PAC ID: 8224389804 Enrollment ID: I20180920001222 |
| Provider Name | Evangelos Messaris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689892481 PECOS PAC ID: 8820268139 Enrollment ID: I20180924002763 |
| Provider Name | Samantha Anne Minski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760830632 PECOS PAC ID: 9133471840 Enrollment ID: I20181008003096 |
| Provider Name | Magen Mary Sokol |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093200545 PECOS PAC ID: 2264785328 Enrollment ID: I20181019001668 |
| Provider Name | Michael Joseph Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922592930 PECOS PAC ID: 7618220310 Enrollment ID: I20181026000460 |
| Provider Name | Caitlin D Ceresia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866384 PECOS PAC ID: 8628322393 Enrollment ID: I20181115001081 |
| Provider Name | Amanda M Jasiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831670785 PECOS PAC ID: 5991049272 Enrollment ID: I20181128001776 |
| Provider Name | Alexandra F Steeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619450913 PECOS PAC ID: 8628312808 Enrollment ID: I20181128001795 |
| Provider Name | Caroline M Luce |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083189849 PECOS PAC ID: 8921343385 Enrollment ID: I20181213001345 |
| Provider Name | Edward J Bahng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790165546 PECOS PAC ID: 7911242730 Enrollment ID: I20181226002111 |
| Provider Name | Megan C Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265808901 PECOS PAC ID: 8426393059 Enrollment ID: I20181228002281 |
| Provider Name | Vincent G Champion |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972728814 PECOS PAC ID: 6406001411 Enrollment ID: I20190114000686 |
| Provider Name | Kelly M Terral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376045237 PECOS PAC ID: 8022354984 Enrollment ID: I20190114002279 |
| Provider Name | Danielle Shih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588038210 PECOS PAC ID: 6608113121 Enrollment ID: I20190122003121 |
| Provider Name | Lesley a Coco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639677834 PECOS PAC ID: 5092052142 Enrollment ID: I20190128000832 |
| Provider Name | Megan Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225414378 PECOS PAC ID: 5597060863 Enrollment ID: I20190301000733 |
| Provider Name | Ronni L Goldsmith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447241625 PECOS PAC ID: 0749529162 Enrollment ID: I20190301002170 |
| Provider Name | Lindsey F Naparstek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477887669 PECOS PAC ID: 7214277078 Enrollment ID: I20190314001653 |
| Provider Name | Amy S Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487175055 PECOS PAC ID: 3678813441 Enrollment ID: I20190314002106 |
| Provider Name | Deann L Isherwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356813398 PECOS PAC ID: 9830439389 Enrollment ID: I20190319002449 |
| Provider Name | Anshu Kumari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780093492 PECOS PAC ID: 2668761891 Enrollment ID: I20190321002429 |
| Provider Name | Yoon K. Cho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861880395 PECOS PAC ID: 7618262247 Enrollment ID: I20190403000451 |
| Provider Name | Craig B. Monsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053615856 PECOS PAC ID: 3476789678 Enrollment ID: I20190408000321 |
| Provider Name | Megan Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649679523 PECOS PAC ID: 0446559744 Enrollment ID: I20190429000132 |
| Provider Name | Hannah N Josephson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962961011 PECOS PAC ID: 8820330426 Enrollment ID: I20190501001206 |
| Provider Name | Carolyn L Dinjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912464793 PECOS PAC ID: 2668714817 Enrollment ID: I20190508002188 |
| Provider Name | Swapna P Vantzelfde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114286473 PECOS PAC ID: 6608183884 Enrollment ID: I20190510000771 |
| Provider Name | Shu Yang |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588044259 PECOS PAC ID: 7315255809 Enrollment ID: I20190618002204 |
| Provider Name | Danbi Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407315112 PECOS PAC ID: 5092049403 Enrollment ID: I20190618003070 |
| Provider Name | Kathryn F Bitner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942710298 PECOS PAC ID: 3779817952 Enrollment ID: I20190621000309 |
| Provider Name | Shannon E Dorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780080317 PECOS PAC ID: 2163756073 Enrollment ID: I20190626003982 |
| Provider Name | Jesse Xiaolong Yang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407126113 PECOS PAC ID: 2769717172 Enrollment ID: I20190708001852 |
| Provider Name | Amanda G Harrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225438716 PECOS PAC ID: 2264750769 Enrollment ID: I20190711000660 |
| Provider Name | Alexander Loewner Pleet |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902210123 PECOS PAC ID: 7719297175 Enrollment ID: I20190711003322 |
| Provider Name | Karen W Jeng-miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720460447 PECOS PAC ID: 0143524298 Enrollment ID: I20190718002259 |
| Provider Name | Bryan M. Dolan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801259296 PECOS PAC ID: 1052603180 Enrollment ID: I20190806002824 |
| Provider Name | Melina Isabel Morkin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912318122 PECOS PAC ID: 9931327582 Enrollment ID: I20190812002088 |
| Provider Name | Nora L Watson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538507793 PECOS PAC ID: 7416183793 Enrollment ID: I20190820001083 |
| Provider Name | Tara D Marczak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558756866 PECOS PAC ID: 1759619810 Enrollment ID: I20190827003225 |
| Provider Name | Sarah S Roderick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962864041 PECOS PAC ID: 3577858968 Enrollment ID: I20190905002256 |
| Provider Name | Galen G Harnden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730506098 PECOS PAC ID: 4082924535 Enrollment ID: I20190918002425 |
| Provider Name | Lizet Balazi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356711865 PECOS PAC ID: 0143519108 Enrollment ID: I20190919002070 |
| Provider Name | Vanessa Pascoe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669718920 PECOS PAC ID: 4082918867 Enrollment ID: I20190920001654 |
| Provider Name | Lisa M Leblanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831741917 PECOS PAC ID: 8820328495 Enrollment ID: I20190924002735 |
| Provider Name | Rachel L Caso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922651199 PECOS PAC ID: 8224369012 Enrollment ID: I20191009000778 |
| Provider Name | Erin M Lager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861849192 PECOS PAC ID: 9335434505 Enrollment ID: I20191016001232 |
| Provider Name | Varun G Khedekar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164943312 PECOS PAC ID: 1658602024 Enrollment ID: I20191016001374 |
| Provider Name | Mehnaz Khan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740575067 PECOS PAC ID: 1850604356 Enrollment ID: I20191016001688 |
| Provider Name | Christina H Tierney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700229937 PECOS PAC ID: 7618212044 Enrollment ID: I20191028001580 |
| Provider Name | Laura E Jarvi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881241925 PECOS PAC ID: 0345672606 Enrollment ID: I20191107002403 |
| Provider Name | Navya Saras Nambudiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609239573 PECOS PAC ID: 5395039333 Enrollment ID: I20191113000666 |
| Provider Name | Kristen Pasters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881957108 PECOS PAC ID: 0143652800 Enrollment ID: I20191118002834 |
| Provider Name | Salah Alrakawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760467526 PECOS PAC ID: 8921247685 Enrollment ID: I20191120001580 |
| Provider Name | Luke Addison Stevens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477949287 PECOS PAC ID: 5193027217 Enrollment ID: I20191204002670 |
| Provider Name | Christopher P Morrison |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518344001 PECOS PAC ID: 9436468303 Enrollment ID: I20191211000136 |
| Provider Name | Leslie-ann Alexander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922445675 PECOS PAC ID: 5890087662 Enrollment ID: I20191220000848 |
| Provider Name | Cindy Oneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366934572 PECOS PAC ID: 6002240074 Enrollment ID: I20191227001405 |
| Provider Name | Laura Milburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679125165 PECOS PAC ID: 5294160545 Enrollment ID: I20200115001941 |
| Provider Name | Paul Comerford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184061723 PECOS PAC ID: 7719238690 Enrollment ID: I20200207002098 |
| Provider Name | Lauren Millhollin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508414343 PECOS PAC ID: 2961838768 Enrollment ID: I20200213001689 |
| Provider Name | Janet E Calderaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922668383 PECOS PAC ID: 2264860048 Enrollment ID: I20200309001748 |
| Provider Name | Elaine M Lyons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1407224926 PECOS PAC ID: 2264860857 Enrollment ID: I20200313000583 |
| Provider Name | Riva H Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578116133 PECOS PAC ID: 6002244654 Enrollment ID: I20200316000389 |
| Provider Name | Geoffrey E Stoker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326458779 PECOS PAC ID: 9931327905 Enrollment ID: I20200327001220 |
| Provider Name | Kwai Y Lam |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760014732 PECOS PAC ID: 8527497999 Enrollment ID: I20200406002382 |
| Provider Name | Tayler M Benner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972089969 PECOS PAC ID: 5597016006 Enrollment ID: I20200409000275 |
| Provider Name | Sydney Hausman Engel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851929988 PECOS PAC ID: 5890126023 Enrollment ID: I20200504000595 |
| Provider Name | Nicole C De Paz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710337696 PECOS PAC ID: 4587951389 Enrollment ID: I20200508001520 |
| Provider Name | Lillian D Sharapova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215577432 PECOS PAC ID: 0345663969 Enrollment ID: I20200714003448 |
| Provider Name | Katherine Anne White |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588280382 PECOS PAC ID: 2860815446 Enrollment ID: I20200715001222 |
| Provider Name | Andrey Prilutskiy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588026538 PECOS PAC ID: 8921394065 Enrollment ID: I20200721001159 |
| Provider Name | Matthew Knabel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417489667 PECOS PAC ID: 0446675896 Enrollment ID: I20200803002030 |
| Provider Name | Jamie L Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760839609 PECOS PAC ID: 5991121337 Enrollment ID: I20200817002536 |
| Provider Name | Michael L Light |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063837292 PECOS PAC ID: 0749596302 Enrollment ID: I20200818003147 |
| Provider Name | Dahlia Banerji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003103367 PECOS PAC ID: 4486926656 Enrollment ID: I20200820000937 |
| Provider Name | David C Mccarthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740711506 PECOS PAC ID: 6103197553 Enrollment ID: I20200821001380 |
| Provider Name | Linda H Du |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083024152 PECOS PAC ID: 8729324561 Enrollment ID: I20200821002337 |
| Provider Name | Anita Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699164533 PECOS PAC ID: 4587935903 Enrollment ID: I20200826000910 |
| Provider Name | Cornelia Waring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134743222 PECOS PAC ID: 9133547870 Enrollment ID: I20200914000486 |
| Provider Name | Alexander Morales |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972985760 PECOS PAC ID: 5294041174 Enrollment ID: I20200918000569 |
| Provider Name | Joshua W Dubow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710415567 PECOS PAC ID: 1759653835 Enrollment ID: I20200921001685 |
| Provider Name | Jacqueline E Calvo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770843914 PECOS PAC ID: 9537489489 Enrollment ID: I20200928001034 |
| Provider Name | Ian Hopewood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720517303 PECOS PAC ID: 3779852116 Enrollment ID: I20201001000496 |
| Provider Name | Emily N Holden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366971327 PECOS PAC ID: 2769755859 Enrollment ID: I20201002001761 |
| Provider Name | Elise M Bognanno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528407350 PECOS PAC ID: 1153565668 Enrollment ID: I20201009000743 |
| Provider Name | Paige Graham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811523913 PECOS PAC ID: 4082034079 Enrollment ID: I20201013001205 |
| Provider Name | Benjamin D Weintraub |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386639011 PECOS PAC ID: 5991858797 Enrollment ID: I20201016001687 |
| Provider Name | Steven B Micucci |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740674217 PECOS PAC ID: 5991086472 Enrollment ID: I20201019001796 |
| Provider Name | Maryalice Wolfe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437506029 PECOS PAC ID: 6103246475 Enrollment ID: I20201027000353 |
| Provider Name | Tyler Zachary Gillingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936353 PECOS PAC ID: 1759791882 Enrollment ID: I20201102000062 |
| Provider Name | Diana V Uglova |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841381225 PECOS PAC ID: 9436388766 Enrollment ID: I20201110001065 |
| Provider Name | Sawyer F Emmer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639533268 PECOS PAC ID: 9234423310 Enrollment ID: I20201112000704 |
| Provider Name | Narine Ourfalian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982220026 PECOS PAC ID: 6103236542 Enrollment ID: I20201113000729 |
| Provider Name | Jessica M Ahlemeyer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588297345 PECOS PAC ID: 1355752783 Enrollment ID: I20201116001925 |
| Provider Name | John C Sooy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053844928 PECOS PAC ID: 6709158827 Enrollment ID: I20201119003243 |
| Provider Name | Aurada Cholapranee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427463132 PECOS PAC ID: 4981948775 Enrollment ID: I20201130002400 |
| Provider Name | Zhuo Zoe Geng |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164841870 PECOS PAC ID: 4587964903 Enrollment ID: I20201130002509 |
| Provider Name | Elena M Stukalin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891951331 PECOS PAC ID: 8628480076 Enrollment ID: I20201209001884 |
| Provider Name | Eliza Suscovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528672730 PECOS PAC ID: 1052723186 Enrollment ID: I20201215001321 |
| Provider Name | Annette Radzevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417923772 PECOS PAC ID: 5092127001 Enrollment ID: I20201216001828 |
| Provider Name | Julia E. Hankin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396052965 PECOS PAC ID: 7315168028 Enrollment ID: I20201218002200 |
| Provider Name | Gaethane T Belacy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912542978 PECOS PAC ID: 8022420793 Enrollment ID: I20201222001699 |
| Provider Name | Meaghan N Clarke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013515048 PECOS PAC ID: 5395158430 Enrollment ID: I20210108000852 |
| Provider Name | Liang Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922369313 PECOS PAC ID: 2769895598 Enrollment ID: I20210115000262 |
| Provider Name | Julia Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992308035 PECOS PAC ID: 6305259169 Enrollment ID: I20210115001346 |
| Provider Name | Samantha E Silsbee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154950954 PECOS PAC ID: 8628482304 Enrollment ID: I20210121001650 |
| Provider Name | Lillianna L Griggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669082962 PECOS PAC ID: 7810301470 Enrollment ID: I20210122001950 |
| Provider Name | Juliana Martins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912521956 PECOS PAC ID: 5799199923 Enrollment ID: I20210130000033 |
| Provider Name | Sarah Dowst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891382016 PECOS PAC ID: 1658786082 Enrollment ID: I20210217002726 |
| Provider Name | Tena P Chau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528669264 PECOS PAC ID: 9234544578 Enrollment ID: I20210218000230 |
| Provider Name | Sarah E Simpson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861009334 PECOS PAC ID: 0648686014 Enrollment ID: I20210309002782 |
| Provider Name | Courtney Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578174215 PECOS PAC ID: 4082021076 Enrollment ID: I20210317002586 |
| Provider Name | Sarah S Donohue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326630906 PECOS PAC ID: 2264840065 Enrollment ID: I20210415001911 |
| Provider Name | Felicia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881204840 PECOS PAC ID: 7618385402 Enrollment ID: I20210427000664 |
| Provider Name | Kylie Altavesta |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235776832 PECOS PAC ID: 4981013042 Enrollment ID: I20210503001426 |
| Provider Name | Jacqueline S Hirshberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437559416 PECOS PAC ID: 1355740481 Enrollment ID: I20210524000110 |
| Provider Name | Deborah R Forman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962539742 PECOS PAC ID: 1153720289 Enrollment ID: I20210524000171 |
| Provider Name | Hang I Lam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235747874 PECOS PAC ID: 9537568522 Enrollment ID: I20210524002863 |
| Provider Name | Yun- Ting Eric Yeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013356971 PECOS PAC ID: 6103225156 Enrollment ID: I20210525002318 |
| Provider Name | Cara Weinstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083009971 PECOS PAC ID: 7416356266 Enrollment ID: I20210527000134 |
| Provider Name | Felipe Fernandez Del Castillo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740639681 PECOS PAC ID: 5193016715 Enrollment ID: I20210610003025 |
| Provider Name | Kayla Milch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255949889 PECOS PAC ID: 9436559572 Enrollment ID: I20210611001086 |
| Provider Name | Suphaphorn Manela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679185284 PECOS PAC ID: 5890195572 Enrollment ID: I20210617001010 |
| Provider Name | Tiffany G Huynh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134771017 PECOS PAC ID: 6103226766 Enrollment ID: I20210618000483 |
| Provider Name | Junsu Kim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932774684 PECOS PAC ID: 5597165043 Enrollment ID: I20210621002177 |
| Provider Name | Bijan Salari |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861886681 PECOS PAC ID: 7911299664 Enrollment ID: I20210625000060 |
| Provider Name | Sarah L Rockwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144809401 PECOS PAC ID: 8224439195 Enrollment ID: I20210629003064 |
| Provider Name | Joseph P Bravoco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619381225 PECOS PAC ID: 3072851237 Enrollment ID: I20210731000014 |
| Provider Name | Caitlin Bast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558945071 PECOS PAC ID: 7113321852 Enrollment ID: I20210803002250 |
| Provider Name | Naomi Stasia Siwy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326615246 PECOS PAC ID: 1456755834 Enrollment ID: I20210806001250 |
| Provider Name | Michael P Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922503945 PECOS PAC ID: 2961751516 Enrollment ID: I20210806001733 |
| Provider Name | Cortney Louise Ensor |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215512850 PECOS PAC ID: 2961806971 Enrollment ID: I20210812000195 |
| Provider Name | Chelsea R Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083119226 PECOS PAC ID: 3678820560 Enrollment ID: I20210817000654 |
| Provider Name | Emily K Staudenmaier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255861423 PECOS PAC ID: 5991040404 Enrollment ID: I20210818002896 |
| Provider Name | Suruchi Kamalkant Gupta |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487069290 PECOS PAC ID: 7911263017 Enrollment ID: I20210820003003 |
| Provider Name | Rizwana Sabeeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417479437 PECOS PAC ID: 6103163639 Enrollment ID: I20210826001398 |
| Provider Name | Brian M Schurko |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1407237910 PECOS PAC ID: 7012224157 Enrollment ID: I20210826002130 |
| Provider Name | Chandler H Tuomey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235701343 PECOS PAC ID: 1355746561 Enrollment ID: I20210826002153 |
| Provider Name | Kaila Cuticchia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366020349 PECOS PAC ID: 7517362536 Enrollment ID: I20210828000282 |
| Provider Name | Emily Domingue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255822920 PECOS PAC ID: 3274939251 Enrollment ID: I20210831003017 |
| Provider Name | Nnenna O Onyemauwa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982037438 PECOS PAC ID: 6002040318 Enrollment ID: I20210901000270 |
| Provider Name | Melissa a Ziogas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003142316 PECOS PAC ID: 7113330895 Enrollment ID: I20210901002312 |
| Provider Name | Beshoy R Sidhom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427545243 PECOS PAC ID: 7315296951 Enrollment ID: I20210902003151 |
| Provider Name | Natalie Kendall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326615865 PECOS PAC ID: 5698171205 Enrollment ID: I20210908000416 |
| Provider Name | Amanda Blair Shapiro |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558937904 PECOS PAC ID: 0749686368 Enrollment ID: I20210908000575 |
| Provider Name | Gareth D Marshall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487159851 PECOS PAC ID: 1456758598 Enrollment ID: I20210916001300 |
| Provider Name | Ann M W Sylvester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154796936 PECOS PAC ID: 6800293887 Enrollment ID: I20210916003441 |
| Provider Name | Alina S Bahlavouni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508361064 PECOS PAC ID: 3375892169 Enrollment ID: I20210917000552 |
| Provider Name | Sergio Proenca Ramoa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083009641 PECOS PAC ID: 6507111044 Enrollment ID: I20210920002390 |
| Provider Name | Rebecca Grace Wildman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134614217 PECOS PAC ID: 9537411509 Enrollment ID: I20210927002959 |
| Provider Name | Hagger Ali |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396107579 PECOS PAC ID: 6406127257 Enrollment ID: I20210927003362 |
| Provider Name | Haoli Jin |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1700182300 PECOS PAC ID: 8224287198 Enrollment ID: I20211004000154 |
| Provider Name | Tayla a Curran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962071886 PECOS PAC ID: 1052719150 Enrollment ID: I20211004002031 |
| Provider Name | Siobhan Flaherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851974497 PECOS PAC ID: 6103224084 Enrollment ID: I20211006003326 |
| Provider Name | Kristen Grace Daugherty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669047189 PECOS PAC ID: 5496153397 Enrollment ID: I20211007000456 |
| Provider Name | Kaitlyn M Shoelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073289542 PECOS PAC ID: 0244638898 Enrollment ID: I20211012001403 |
| Provider Name | Cara M Rodriguez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710002373 PECOS PAC ID: 5193123784 Enrollment ID: I20211012003157 |
| Provider Name | Marissa B. Zodikoff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548737281 PECOS PAC ID: 6608274295 Enrollment ID: I20211012003318 |
| Provider Name | Aubrey F Lipshutz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326638339 PECOS PAC ID: 3274931712 Enrollment ID: I20211013001817 |
| Provider Name | Yi Cao |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639551914 PECOS PAC ID: 9931516044 Enrollment ID: I20211019002315 |
| Provider Name | Meaghan Wadman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265032528 PECOS PAC ID: 4789072042 Enrollment ID: I20211019003134 |
| Provider Name | Theresa H Hurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669070389 PECOS PAC ID: 2062800329 Enrollment ID: I20211020000025 |
| Provider Name | Meghan Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215604772 PECOS PAC ID: 8527456243 Enrollment ID: I20211029002107 |
| Provider Name | Daniela Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851819437 PECOS PAC ID: 4880082460 Enrollment ID: I20211101002575 |
| Provider Name | Erika SB El Madi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871176321 PECOS PAC ID: 2668860180 Enrollment ID: I20211102001236 |
| Provider Name | Olivia a Slezik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891378733 PECOS PAC ID: 4880082320 Enrollment ID: I20211102002046 |
| Provider Name | Maura P Mulvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750923322 PECOS PAC ID: 1658760947 Enrollment ID: I20211108000387 |
| Provider Name | Joshua W Leigh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134758287 PECOS PAC ID: 9638568678 Enrollment ID: I20211115000382 |
| Provider Name | Molly Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093381360 PECOS PAC ID: 0840680229 Enrollment ID: I20211129000129 |
| Provider Name | Courtney Robbel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1982091922 PECOS PAC ID: 9234487380 Enrollment ID: I20211129002274 |
| Provider Name | Jennifer M Liano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295223972 PECOS PAC ID: 0749519478 Enrollment ID: I20211130000438 |
| Provider Name | Lisa Hsu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285127357 PECOS PAC ID: 6103216221 Enrollment ID: I20211204000101 |
| Provider Name | Amanda C Bowers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568824902 PECOS PAC ID: 6002180197 Enrollment ID: I20211206002183 |
| Provider Name | Richard X Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033765169 PECOS PAC ID: 3375975246 Enrollment ID: I20211208001927 |
| Provider Name | Rodrigo Valderrabano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184805186 PECOS PAC ID: 2163698234 Enrollment ID: I20211213001451 |
| Provider Name | Michelle a Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588281125 PECOS PAC ID: 3274924642 Enrollment ID: I20211217001893 |
| Provider Name | Samantha C Livermore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639840978 PECOS PAC ID: 0345631735 Enrollment ID: I20211218000114 |
| Provider Name | Brian Lin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578868485 PECOS PAC ID: 8820232333 Enrollment ID: I20211228000660 |
| Provider Name | Amy C Tracy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720741705 PECOS PAC ID: 7911398821 Enrollment ID: I20220104002188 |
| Provider Name | Lauren Kaplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033680541 PECOS PAC ID: 5395137616 Enrollment ID: I20220119000973 |
| Provider Name | Dilasha Mahat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386093573 PECOS PAC ID: 6103113907 Enrollment ID: I20220119002449 |
| Provider Name | Jennifer Grondell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972111581 PECOS PAC ID: 6103218003 Enrollment ID: I20220127000880 |
| Provider Name | Vanessa Gironda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831853514 PECOS PAC ID: 9931592649 Enrollment ID: I20220201002413 |
| Provider Name | Erin Venezia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184248882 PECOS PAC ID: 4284027905 Enrollment ID: I20220201002506 |
| Provider Name | Sara Ruth Bagge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376113928 PECOS PAC ID: 4789077652 Enrollment ID: I20220217001172 |
| Provider Name | Sayre M. Ciriello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497097521 PECOS PAC ID: 6800118787 Enrollment ID: I20220221001660 |
| Provider Name | Meaghan E Zisk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609531847 PECOS PAC ID: 0941694327 Enrollment ID: I20220301000961 |
| Provider Name | Tracey M Silveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477204048 PECOS PAC ID: 8820482219 Enrollment ID: I20220301001080 |
| Provider Name | Lauren Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285126565 PECOS PAC ID: 7719371822 Enrollment ID: I20220304001601 |
| Provider Name | George J Dechello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912435835 PECOS PAC ID: 3779977798 Enrollment ID: I20220308000959 |
| Provider Name | Linda a Bergin Fallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942201827 PECOS PAC ID: 4385039270 Enrollment ID: I20220310002405 |
| Provider Name | Heather R Barrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770183279 PECOS PAC ID: 4789079351 Enrollment ID: I20220317000523 |
| Provider Name | Julia a Keleher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649936287 PECOS PAC ID: 3577958941 Enrollment ID: I20220322000491 |
| Provider Name | Razvan I Arsenescu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477560316 PECOS PAC ID: 7416122486 Enrollment ID: I20220324000979 |
| Provider Name | Claudia L Ma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790245041 PECOS PAC ID: 4486988102 Enrollment ID: I20220408000542 |
| Provider Name | Sameer Sheth |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326301524 PECOS PAC ID: 7113168089 Enrollment ID: I20220413000226 |
| Provider Name | Kellie a Condon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093468894 PECOS PAC ID: 7719374990 Enrollment ID: I20220419001544 |
| Provider Name | Taia Tieland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023627106 PECOS PAC ID: 9830586916 Enrollment ID: I20220419001905 |
| Provider Name | Dimitri Lamisere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770232787 PECOS PAC ID: 1658768460 Enrollment ID: I20220426001938 |
| Provider Name | Lorraine J Dsa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982359949 PECOS PAC ID: 6800283573 Enrollment ID: I20220427001584 |
| Provider Name | Nicole Ann Thibault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972245421 PECOS PAC ID: 0244627925 Enrollment ID: I20220427002088 |
| Provider Name | Rachel a Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568065373 PECOS PAC ID: 7416344999 Enrollment ID: I20220502001830 |
| Provider Name | Timothy C Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386254886 PECOS PAC ID: 9638598246 Enrollment ID: I20220512001691 |
| Provider Name | Victoria K Karkantis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760954606 PECOS PAC ID: 7416334370 Enrollment ID: I20220513001909 |
| Provider Name | Payman Rakhzay Jaf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104587195 PECOS PAC ID: 6507243466 Enrollment ID: I20220513001940 |
| Provider Name | Cassidy Grieco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306428941 PECOS PAC ID: 9830576701 Enrollment ID: I20220514000072 |
| Provider Name | Sarah E Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174272165 PECOS PAC ID: 2567840770 Enrollment ID: I20220531001689 |
| Provider Name | Dana L Blanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750593935 PECOS PAC ID: 5890173892 Enrollment ID: I20220603000430 |
| Provider Name | Svetlana Leeds |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528257805 PECOS PAC ID: 6507244522 Enrollment ID: I20220603000986 |
| Provider Name | Wayra Ysi Salazar Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316195696 PECOS PAC ID: 2163650706 Enrollment ID: I20220610002308 |
| Provider Name | Mary Pappalardo-raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174770754 PECOS PAC ID: 7517346323 Enrollment ID: I20220624002427 |
| Provider Name | Megan Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720579774 PECOS PAC ID: 8921342213 Enrollment ID: I20220629000423 |
| Provider Name | James a Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871987628 PECOS PAC ID: 0143600676 Enrollment ID: I20220630001179 |
| Provider Name | Erin Caulfield Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295233500 PECOS PAC ID: 5496135139 Enrollment ID: I20220712001208 |
| Provider Name | Tina Shiang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548792492 PECOS PAC ID: 6507115565 Enrollment ID: I20220718001562 |
| Provider Name | Sarah M Ghabbour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861056111 PECOS PAC ID: 1658752951 Enrollment ID: I20220718003142 |
| Provider Name | Hannah E Lategan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326544081 PECOS PAC ID: 7315286150 Enrollment ID: I20220727001874 |
| Provider Name | Caitlin E Mayhew |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366010142 PECOS PAC ID: 2466834155 Enrollment ID: I20220727002745 |
| Provider Name | Tara Ricci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063012581 PECOS PAC ID: 7315329737 Enrollment ID: I20220802001912 |
| Provider Name | Catherine R Creedon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821732868 PECOS PAC ID: 2062894330 Enrollment ID: I20220803000520 |
| Provider Name | James Steven Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477010197 PECOS PAC ID: 9234464686 Enrollment ID: I20220803000689 |
| Provider Name | Danielle Vitiello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992794085 PECOS PAC ID: 7911927751 Enrollment ID: I20220805000047 |
| Provider Name | Angelika Hofmeister |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689761967 PECOS PAC ID: 2264583194 Enrollment ID: I20220805000945 |
| Provider Name | Katelyn a Kalutkiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518451848 PECOS PAC ID: 0840544508 Enrollment ID: I20220823001552 |
| Provider Name | Manan Jain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073072138 PECOS PAC ID: 9335476084 Enrollment ID: I20220825000966 |
| Provider Name | Lisa P Zywot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700381357 PECOS PAC ID: 0648654616 Enrollment ID: I20220825002268 |
| Provider Name | Ashley T Disciullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710637806 PECOS PAC ID: 9537543517 Enrollment ID: I20220825002949 |
| Provider Name | Jessica N Linnell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194491316 PECOS PAC ID: 1951785849 Enrollment ID: I20220825003641 |
| Provider Name | Omar Alani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689634073 PECOS PAC ID: 0345248209 Enrollment ID: I20220907002389 |
| Provider Name | David B Nagle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538516141 PECOS PAC ID: 7012203540 Enrollment ID: I20220909000383 |
| Provider Name | Rebecca M Muscanell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497250104 PECOS PAC ID: 4880942986 Enrollment ID: I20220914001901 |
| Provider Name | Kinneri Mehta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396131678 PECOS PAC ID: 9032428768 Enrollment ID: I20220915000888 |
| Provider Name | Jeremy E Slosberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720441132 PECOS PAC ID: 6901145135 Enrollment ID: I20220915003069 |
| Provider Name | Daniela E Love |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578191987 PECOS PAC ID: 0941618789 Enrollment ID: I20220921003138 |
| Provider Name | Cristina Felice Stefanescu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629531371 PECOS PAC ID: 1052646817 Enrollment ID: I20220928001014 |
| Provider Name | Zachary C Liao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538692207 PECOS PAC ID: 0840617668 Enrollment ID: I20221007000467 |
| Provider Name | Katelyn Magazzu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922732627 PECOS PAC ID: 4789060104 Enrollment ID: I20221007000794 |
| Provider Name | Rachel B.C. Psoinos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821485780 PECOS PAC ID: 0941519839 Enrollment ID: I20221012000461 |
| Provider Name | Colleen M Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669106563 PECOS PAC ID: 1052787330 Enrollment ID: I20221012002190 |
| Provider Name | Vy Le |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457089559 PECOS PAC ID: 3779959879 Enrollment ID: I20221014000399 |
| Provider Name | Shivaun E Pike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003548744 PECOS PAC ID: 6800262726 Enrollment ID: I20221018002811 |
| Provider Name | George P Sam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669190187 PECOS PAC ID: 1658748876 Enrollment ID: I20221101001329 |
| Provider Name | Christopher a Alonzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265812226 PECOS PAC ID: 6103138706 Enrollment ID: I20221101002749 |
| Provider Name | Hala O Ali Ibrahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902469877 PECOS PAC ID: 9931576980 Enrollment ID: I20221103000777 |
| Provider Name | Stephanie a Randazzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255882684 PECOS PAC ID: 5395112379 Enrollment ID: I20221103002289 |
| Provider Name | Stacy B Sanders |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891135216 PECOS PAC ID: 8123244357 Enrollment ID: I20221111001489 |
| Provider Name | Ambika Kattula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891226940 PECOS PAC ID: 9234409756 Enrollment ID: I20221115003299 |
| Provider Name | Nicolette Melo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770251845 PECOS PAC ID: 4688042930 Enrollment ID: I20221117003073 |
| Provider Name | Jenny Roche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871228080 PECOS PAC ID: 4688042468 Enrollment ID: I20221129001523 |
| Provider Name | Jennifer Hayden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619697091 PECOS PAC ID: 7113395849 Enrollment ID: I20221130000769 |
| Provider Name | Sheila Tohmc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881202588 PECOS PAC ID: 7810366267 Enrollment ID: I20221207002249 |
| Provider Name | Jeremy D O'neil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932823382 PECOS PAC ID: 1052780186 Enrollment ID: I20221213001561 |
| Provider Name | James Whitney Diamantopoulos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871225904 PECOS PAC ID: 7416326178 Enrollment ID: I20221220001199 |
| Provider Name | Sheena a Fremault Miacedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073230140 PECOS PAC ID: 7810367398 Enrollment ID: I20221227000646 |
| Provider Name | Kimberly Michelle Zia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720464936 PECOS PAC ID: 6103135652 Enrollment ID: I20230103001841 |
| Provider Name | Kourtney Kacian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154059277 PECOS PAC ID: 3779953864 Enrollment ID: I20230106000203 |
| Provider Name | Shay Darcey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518581354 PECOS PAC ID: 0143690099 Enrollment ID: I20230110002327 |
| Provider Name | Matthew Prokey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356077721 PECOS PAC ID: 9436529336 Enrollment ID: I20230111000952 |
| Provider Name | Heather H Mark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770238230 PECOS PAC ID: 7719361591 Enrollment ID: I20230112000998 |
| Provider Name | Rachel S Rosan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548904386 PECOS PAC ID: 0345611786 Enrollment ID: I20230124000294 |
| Provider Name | Michael C Gill |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003195843 PECOS PAC ID: 3870750862 Enrollment ID: I20230131002888 |
| Provider Name | Emily a Strange |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164157830 PECOS PAC ID: 2264804939 Enrollment ID: I20230206001152 |
| Provider Name | Kevin Sun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316460652 PECOS PAC ID: 7517339781 Enrollment ID: I20230216001328 |
| Provider Name | Jessica Jennely Alexis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609572486 PECOS PAC ID: 5193198307 Enrollment ID: I20230308001519 |
| Provider Name | Erika E Sian Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831826536 PECOS PAC ID: 5496129595 Enrollment ID: I20230313000439 |
| Provider Name | Wesley Dean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063036994 PECOS PAC ID: 3971977430 Enrollment ID: I20230323001856 |
| Provider Name | Addulmeth Eang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578282505 PECOS PAC ID: 9032583224 Enrollment ID: I20230330001718 |
| Provider Name | Kalubi Muganguzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952958332 PECOS PAC ID: 4082089982 Enrollment ID: I20230406001363 |
| Provider Name | Shimontini Mitra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235576836 PECOS PAC ID: 1557610599 Enrollment ID: I20230407001063 |
| Provider Name | Lindsey Raymond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972266088 PECOS PAC ID: 2062887813 Enrollment ID: I20230407001179 |
| Provider Name | Paul Magazzu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750007084 PECOS PAC ID: 2860867413 Enrollment ID: I20230412001994 |
| Provider Name | Allison M Barry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437881182 PECOS PAC ID: 2264807692 Enrollment ID: I20230417001085 |
| Provider Name | Kathleen F Marchetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285356469 PECOS PAC ID: 3577938919 Enrollment ID: I20230417001783 |
| Provider Name | April Tak L. Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891419461 PECOS PAC ID: 8426423815 Enrollment ID: I20230418000358 |
| Provider Name | Rosemary Farahmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740803691 PECOS PAC ID: 2163847211 Enrollment ID: I20230425001772 |
| Provider Name | Averi Leahy Gibson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871084277 PECOS PAC ID: 4082960547 Enrollment ID: I20230510000624 |
| Provider Name | Ashley Demirali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710559158 PECOS PAC ID: 8527452127 Enrollment ID: I20230512000170 |
| Provider Name | Jonathan Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578068409 PECOS PAC ID: 2567794621 Enrollment ID: I20230516000460 |
| Provider Name | Michelle Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952003386 PECOS PAC ID: 2264898113 Enrollment ID: I20230518000999 |
| Provider Name | Laura M Willard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861632143 PECOS PAC ID: 6204292154 Enrollment ID: I20230518001301 |
| Provider Name | Kyuwon Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427544584 PECOS PAC ID: 3577929215 Enrollment ID: I20230522003379 |
| Provider Name | Nathan Petrou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437786100 PECOS PAC ID: 7012373624 Enrollment ID: I20230523002438 |
| Provider Name | Eimile a Barletta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699472217 PECOS PAC ID: 2567829641 Enrollment ID: I20230605002438 |
| Provider Name | Jennifer A. Boudrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629782834 PECOS PAC ID: 2163889254 Enrollment ID: I20230605003132 |
| Provider Name | Caitlin Serva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942932306 PECOS PAC ID: 3870950819 Enrollment ID: I20230606001985 |
| Provider Name | Brenna Murray |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689377095 PECOS PAC ID: 5597122184 Enrollment ID: I20230613003083 |
| Provider Name | Alison Bialecki |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699124792 PECOS PAC ID: 8224329883 Enrollment ID: I20230614000600 |
| Provider Name | Danielle Cusato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114675139 PECOS PAC ID: 1355709866 Enrollment ID: I20230615000568 |
| Provider Name | Eukeria Asamoah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801596341 PECOS PAC ID: 0749648632 Enrollment ID: I20230626001230 |
| Provider Name | Aaron M Birnbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023645249 PECOS PAC ID: 1850712688 Enrollment ID: I20230629001380 |
| Provider Name | Zohar Weinstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467081307 PECOS PAC ID: 4981000213 Enrollment ID: I20230630001517 |
| Provider Name | Nancy M Mignosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396900908 PECOS PAC ID: 4082073531 Enrollment ID: I20230701000095 |
| Provider Name | Mackenzi B Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700445566 PECOS PAC ID: 0749612083 Enrollment ID: I20230710000565 |
| Provider Name | Lauren Tajima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780875922 PECOS PAC ID: 0244699254 Enrollment ID: I20230710001225 |
| Provider Name | Caroline E Macisaac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639868599 PECOS PAC ID: 5698134534 Enrollment ID: I20230710002863 |
| Provider Name | Sophie Norgaard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1356026421 PECOS PAC ID: 3173982972 Enrollment ID: I20230711001207 |
| Provider Name | Lara K. Wosepka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174164982 PECOS PAC ID: 1759740517 Enrollment ID: I20230711003438 |
| Provider Name | Kevin T Grafmiller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063944635 PECOS PAC ID: 4385913128 Enrollment ID: I20230712002409 |
| Provider Name | Elise M Velia |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073204392 PECOS PAC ID: 6800256652 Enrollment ID: I20230712002674 |
| Provider Name | Julia C Steinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043668270 PECOS PAC ID: 0345600078 Enrollment ID: I20230713001123 |
| Provider Name | Tiffany Pasqua |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215668942 PECOS PAC ID: 5799145454 Enrollment ID: I20230713002013 |
| Provider Name | Courtney Ann Hart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174286330 PECOS PAC ID: 4587024823 Enrollment ID: I20230718001652 |
| Provider Name | Danielle M Harn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023703436 PECOS PAC ID: 6608237417 Enrollment ID: I20230726002265 |
| Provider Name | John Butterworth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992328033 PECOS PAC ID: 8123489887 Enrollment ID: I20230728000816 |
| Provider Name | Olivia G Lavoie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790418770 PECOS PAC ID: 9335500909 Enrollment ID: I20230728001640 |
| Provider Name | Susan Ruosu Liu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033641774 PECOS PAC ID: 0143593400 Enrollment ID: I20230801000182 |
| Provider Name | Lucienne Pompulus-claude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679034441 PECOS PAC ID: 4789045287 Enrollment ID: I20230801000294 |
| Provider Name | Vijay Venugopal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568844314 PECOS PAC ID: 5193070217 Enrollment ID: I20230803000472 |
| Provider Name | Brittany Klein |
|---|---|
| Provider Type | Practitioner - Oral Medicine |
| Provider Identifiers | NPI Number: 1114554219 PECOS PAC ID: 3375905243 Enrollment ID: I20230810000385 |
| Provider Name | Eugene H. Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114585239 PECOS PAC ID: 9739415258 Enrollment ID: I20230818000793 |
| Provider Name | Alice M Kai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851829329 PECOS PAC ID: 4587026687 Enrollment ID: I20230821002635 |
| Provider Name | Caroline Moria Mcgovern |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477242865 PECOS PAC ID: 3274995345 Enrollment ID: I20230822001607 |
| Provider Name | Jennifer N Leibovitch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1740714864 PECOS PAC ID: 2466799978 Enrollment ID: I20230825001672 |
| Provider Name | Liat G Chernoff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669188272 PECOS PAC ID: 6608239884 Enrollment ID: I20230906001234 |
| Provider Name | Jee C Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225659881 PECOS PAC ID: 1052775053 Enrollment ID: I20230908002955 |
| Provider Name | Trevor Schott |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1831570498 PECOS PAC ID: 1557678612 Enrollment ID: I20230918000336 |
| Provider Name | Kevin Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982165585 PECOS PAC ID: 4284964313 Enrollment ID: I20230918001651 |
| Provider Name | Mary K. Coughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376234021 PECOS PAC ID: 9830553148 Enrollment ID: I20230919003046 |
| Provider Name | Jacqueline Flaherty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316622640 PECOS PAC ID: 3971957234 Enrollment ID: I20230921000219 |
| Provider Name | Erin Caplan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831405059 PECOS PAC ID: 1759735038 Enrollment ID: I20230921000814 |
| Provider Name | Noelle Beynor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154994069 PECOS PAC ID: 8729432232 Enrollment ID: I20231002001591 |
| Provider Name | Adrienne-leigh D Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699482786 PECOS PAC ID: 1557715026 Enrollment ID: I20231003000062 |
| Provider Name | Mrinalini R Prasanna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164911061 PECOS PAC ID: 4183975956 Enrollment ID: I20231005003240 |
| Provider Name | Sandra Helen Reyes Pinzon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992239560 PECOS PAC ID: 8426325150 Enrollment ID: I20231010002433 |
| Provider Name | Victoria Small |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871373746 PECOS PAC ID: 4688029408 Enrollment ID: I20231016000376 |
| Provider Name | Sarah R. Begley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891471967 PECOS PAC ID: 9638524259 Enrollment ID: I20231017000412 |
| Provider Name | Jackson Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114703964 PECOS PAC ID: 5496101800 Enrollment ID: I20231020002308 |
| Provider Name | Maeve Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124707278 PECOS PAC ID: 4385090745 Enrollment ID: I20231023000422 |
| Provider Name | Danielle Sara Calliontzis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184355075 PECOS PAC ID: 3678929718 Enrollment ID: I20231026001637 |
| Provider Name | Dana Hankard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467238196 PECOS PAC ID: 3072969088 Enrollment ID: I20231027001046 |
| Provider Name | Valerie Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548976772 PECOS PAC ID: 8022464965 Enrollment ID: I20231027002908 |
| Provider Name | Rachel Ceccarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083242648 PECOS PAC ID: 4880014646 Enrollment ID: I20231030003289 |
| Provider Name | Ashley T Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154532364 PECOS PAC ID: 6305027632 Enrollment ID: I20231113001217 |
| Provider Name | Jamie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750160974 PECOS PAC ID: 5799133385 Enrollment ID: I20231120002550 |
| Provider Name | Christine Koval |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073956900 PECOS PAC ID: 7810298791 Enrollment ID: I20231121000371 |
| Provider Name | Joseph P. Rearick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447890785 PECOS PAC ID: 5294183869 Enrollment ID: I20231121002467 |
| Provider Name | Tara V Saco |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1104245174 PECOS PAC ID: 9638402183 Enrollment ID: I20231129003038 |
| Provider Name | Hayley Bukow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295407708 PECOS PAC ID: 9133510696 Enrollment ID: I20231207002984 |
| Provider Name | Elias Pfister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821860362 PECOS PAC ID: 8729438973 Enrollment ID: I20231229001483 |
| Provider Name | My Phu Luong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396465217 PECOS PAC ID: 7618328675 Enrollment ID: I20240104000963 |
| Provider Name | Alexandra L Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063026946 PECOS PAC ID: 8628429602 Enrollment ID: I20240104001761 |
| Provider Name | Mohammed Hassan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598489536 PECOS PAC ID: 1052762937 Enrollment ID: I20240104001911 |
| Provider Name | Rajee Joyce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427039882 PECOS PAC ID: 9234580713 Enrollment ID: I20240109002874 |
| Provider Name | Christopher W. Durgin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033738364 PECOS PAC ID: 3678924958 Enrollment ID: I20240111000634 |
| Provider Name | Quynh Tran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841983723 PECOS PAC ID: 5799136917 Enrollment ID: I20240111002525 |
| Provider Name | Emily Sammartino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174107353 PECOS PAC ID: 4486005600 Enrollment ID: I20240111002683 |
| Provider Name | Patricia Ellis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982904249 PECOS PAC ID: 4486006483 Enrollment ID: I20240116000501 |
| Provider Name | Kristen Powers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740452705 PECOS PAC ID: 1658723663 Enrollment ID: I20240116000549 |
| Provider Name | Adia Niara Wilson-dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447859004 PECOS PAC ID: 2961854971 Enrollment ID: I20240116000744 |
| Provider Name | Marc a Schwendemann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922669902 PECOS PAC ID: 1153773007 Enrollment ID: I20240117000649 |
| Provider Name | Matthew Paul Fuller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053030759 PECOS PAC ID: 0345692737 Enrollment ID: I20240122002932 |
| Provider Name | Madison Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306596606 PECOS PAC ID: 4981057098 Enrollment ID: I20240125000285 |
| Provider Name | Samantha Fischbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730956921 PECOS PAC ID: 8820441975 Enrollment ID: I20240125001637 |
| Provider Name | Christine Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992120893 PECOS PAC ID: 5294178422 Enrollment ID: I20240205003119 |
| Provider Name | Ning N Xie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225714553 PECOS PAC ID: 7113360298 Enrollment ID: I20240206000766 |
| Provider Name | Elizabeth C Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467852590 PECOS PAC ID: 7214370998 Enrollment ID: I20240209000923 |
| Provider Name | Steven Elsesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104386861 PECOS PAC ID: 6103250444 Enrollment ID: I20240209002652 |
| Provider Name | Jillian K Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396477386 PECOS PAC ID: 3577906130 Enrollment ID: I20240210000142 |
| Provider Name | Jessica E Baer Karnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326416322 PECOS PAC ID: 1658653340 Enrollment ID: I20240222003079 |
| Provider Name | Taylor Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750150710 PECOS PAC ID: 9739525304 Enrollment ID: I20240306002438 |
| Provider Name | Alison E Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689287195 PECOS PAC ID: 0244676716 Enrollment ID: I20240307001177 |
| Provider Name | Emily Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942837737 PECOS PAC ID: 3274979380 Enrollment ID: I20240312001780 |
| Provider Name | Jill C Sahai |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144606617 PECOS PAC ID: 7315383247 Enrollment ID: I20240313002655 |
| Provider Name | Shannon M Trainor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669251732 PECOS PAC ID: 3274970348 Enrollment ID: I20240325002714 |
| Provider Name | Kathleen Speese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710633649 PECOS PAC ID: 8729455035 Enrollment ID: I20240326002247 |
| Provider Name | Victoria K.A. Koch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699294322 PECOS PAC ID: 8820435811 Enrollment ID: I20240326003455 |
| Provider Name | Juliana S Chahine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336904010 PECOS PAC ID: 1254779374 Enrollment ID: I20240409000347 |
| Provider Name | Marianne D Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083674311 PECOS PAC ID: 0840246377 Enrollment ID: I20240409001379 |
| Provider Name | Caroline L. Burbank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316538549 PECOS PAC ID: 5698114205 Enrollment ID: I20240416001501 |
| Provider Name | Christine R Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720781958 PECOS PAC ID: 2163869041 Enrollment ID: I20240418003922 |
| Provider Name | Mikaila Mottola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811609498 PECOS PAC ID: 9032573985 Enrollment ID: I20240422000948 |
| Provider Name | Kimberly a Law |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093387961 PECOS PAC ID: 9436599081 Enrollment ID: I20240430000097 |
| Provider Name | Julia Rubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558120998 PECOS PAC ID: 4486094034 Enrollment ID: I20240430000298 |
| Provider Name | Michael Serou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396809471 PECOS PAC ID: 4587751003 Enrollment ID: I20240502001868 |
| Provider Name | Mackenzie J Donohoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669175048 PECOS PAC ID: 2769823871 Enrollment ID: I20240507002662 |
| Provider Name | Sean Foley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225769565 PECOS PAC ID: 4789025651 Enrollment ID: I20240509000265 |
| Provider Name | Maxine Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861125890 PECOS PAC ID: 5991146839 Enrollment ID: I20240509002991 |
| Provider Name | My-the T Trinh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710730221 PECOS PAC ID: 2062853831 Enrollment ID: I20240510000314 |
| Provider Name | Jillian Blanche Poomcharoen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669074308 PECOS PAC ID: 2668813387 Enrollment ID: I20240513002649 |
| Provider Name | Lan Hoang Ho |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235814674 PECOS PAC ID: 3476994609 Enrollment ID: I20240517003190 |
| Provider Name | Shirline Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609202340 PECOS PAC ID: 1456792605 Enrollment ID: I20240518000239 |
| Provider Name | Natasha Thivya Thiagalingam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043886476 PECOS PAC ID: 7810390093 Enrollment ID: I20240520002484 |
| Provider Name | Jacob W Slater |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689245094 PECOS PAC ID: 0648612804 Enrollment ID: I20240521000270 |
| Provider Name | Katherine Ellen Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649866617 PECOS PAC ID: 7113331687 Enrollment ID: I20240523003448 |
| Provider Name | Kemealo Diane Moussatcha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245833805 PECOS PAC ID: 7113469818 Enrollment ID: I20240610002648 |
| Provider Name | Katherine Comstock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063251734 PECOS PAC ID: 5193267680 Enrollment ID: I20240612001993 |
| Provider Name | Zenia Chakladar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003678277 PECOS PAC ID: 8729520143 Enrollment ID: I20240612003171 |
| Provider Name | Jessica Chung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740972876 PECOS PAC ID: 0345783684 Enrollment ID: I20240614003166 |
| Provider Name | Grace Ho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306533112 PECOS PAC ID: 9830632181 Enrollment ID: I20240614003452 |
| Provider Name | Jana C Shumate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215610415 PECOS PAC ID: 9931642030 Enrollment ID: I20240618000305 |
| Provider Name | Cheryl L Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790301851 PECOS PAC ID: 4587107685 Enrollment ID: I20240618000606 |
| Provider Name | Sukran Ergin-yanmaz |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1184690711 PECOS PAC ID: 3870520844 Enrollment ID: I20240618004049 |
| Provider Name | Amir Mor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427481761 PECOS PAC ID: 1759659949 Enrollment ID: I20240619000597 |
| Provider Name | Regan Roat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932693686 PECOS PAC ID: 5395098073 Enrollment ID: I20240620000615 |
| Provider Name | Christopher Nicholas Inra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649701467 PECOS PAC ID: 5597033209 Enrollment ID: I20240620000880 |
| Provider Name | Nina Caroline Lasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861199572 PECOS PAC ID: 1153864061 Enrollment ID: I20240620001608 |
| Provider Name | Devin Driscoll |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1881153989 PECOS PAC ID: 0840524674 Enrollment ID: I20240625000051 |
| Provider Name | Michaela D Gee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396518130 PECOS PAC ID: 1355884834 Enrollment ID: I20240625002937 |
| Provider Name | Chantal Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669024931 PECOS PAC ID: 6709114697 Enrollment ID: I20240625003489 |
| Provider Name | Melissa Faith Tannenbaum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639732589 PECOS PAC ID: 1052855293 Enrollment ID: I20240628002727 |
| Provider Name | Olivia Diprete |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619538808 PECOS PAC ID: 8628303674 Enrollment ID: I20240628002895 |
| Provider Name | Nicole Connaughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235912072 PECOS PAC ID: 3173067006 Enrollment ID: I20240702001383 |
| Provider Name | Joanna Wang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336608157 PECOS PAC ID: 5294062402 Enrollment ID: I20240711001326 |
| Provider Name | Savarah P Aidun |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639800253 PECOS PAC ID: 3577008705 Enrollment ID: I20240712000420 |
| Provider Name | Mackenzie G Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033897731 PECOS PAC ID: 4284170994 Enrollment ID: I20240718000587 |
| Provider Name | Samantha Tuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700572245 PECOS PAC ID: 5991241606 Enrollment ID: I20240718000657 |
| Provider Name | Elizabeth Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225602105 PECOS PAC ID: 3678973435 Enrollment ID: I20240730001908 |
| Provider Name | Jacqueline Conti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649979733 PECOS PAC ID: 1355888033 Enrollment ID: I20240730003147 |
| Provider Name | Adina Ion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144330119 PECOS PAC ID: 3577451657 Enrollment ID: I20240731000055 |
| Provider Name | Kirajean Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942068622 PECOS PAC ID: 1254878564 Enrollment ID: I20240805002446 |
| Provider Name | Perry Beth Dinardo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811574148 PECOS PAC ID: 4082015714 Enrollment ID: I20240808000966 |
| Provider Name | Richard D Sun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316526825 PECOS PAC ID: 9537606512 Enrollment ID: I20240808001119 |
| Provider Name | Gerard L Rubin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801113386 PECOS PAC ID: 1951544162 Enrollment ID: I20240808001319 |
| Provider Name | Emily Kleinlein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700654969 PECOS PAC ID: 2769929603 Enrollment ID: I20240808004023 |
| Provider Name | Sarah a Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790552842 PECOS PAC ID: 9537607288 Enrollment ID: I20240813003879 |
| Provider Name | James Wren |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972863124 PECOS PAC ID: 8325288996 Enrollment ID: I20240815004133 |
| Provider Name | Meaghan Rennick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861234031 PECOS PAC ID: 3971041393 Enrollment ID: I20240816001463 |
| Provider Name | Irene Kamikazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962277228 PECOS PAC ID: 7113465535 Enrollment ID: I20240816001626 |
| Provider Name | Nicole Del Vecchio-moccia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598538019 PECOS PAC ID: 5294273512 Enrollment ID: I20240819001452 |
| Provider Name | Kristy Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194418418 PECOS PAC ID: 9032657192 Enrollment ID: I20240820002976 |
| Provider Name | Thet Su Win |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225693765 PECOS PAC ID: 5698214476 Enrollment ID: I20240823003120 |
| Provider Name | Nilse Lene G Dos Santos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306423835 PECOS PAC ID: 6103227574 Enrollment ID: I20240826000612 |
| Provider Name | Trucia Cassagnol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457670218 PECOS PAC ID: 9032428339 Enrollment ID: I20240830001436 |
| Provider Name | John Stallman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144294117 PECOS PAC ID: 7214941616 Enrollment ID: I20240905000779 |
| Provider Name | Sarah Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497593917 PECOS PAC ID: 6305386186 Enrollment ID: I20240906003602 |
| Provider Name | Sam S Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255160917 PECOS PAC ID: 0941740757 Enrollment ID: I20240907000264 |
| Provider Name | Sharon Naomi Geerts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710509096 PECOS PAC ID: 6709203078 Enrollment ID: I20240911000927 |
| Provider Name | Linda Puopolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134978257 PECOS PAC ID: 1254871577 Enrollment ID: I20240912002140 |
| Provider Name | Sarah J Fawcett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063106086 PECOS PAC ID: 9133669450 Enrollment ID: I20240912002265 |
| Provider Name | Jessica F Medor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114259447 PECOS PAC ID: 6204376403 Enrollment ID: I20240913001189 |
| Provider Name | Hannah Grassi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043054711 PECOS PAC ID: 7719428606 Enrollment ID: I20240918004231 |
| Provider Name | Margaret Ruane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578394359 PECOS PAC ID: 8123569019 Enrollment ID: I20240918004447 |
| Provider Name | Suzanne Elise Valcheva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134741465 PECOS PAC ID: 7012333495 Enrollment ID: I20240919000553 |
| Provider Name | Micah Ulrich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811524069 PECOS PAC ID: 8224454756 Enrollment ID: I20240924000511 |
| Provider Name | Gabrielle Elise Dombek |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1699160804 PECOS PAC ID: 6800337247 Enrollment ID: I20240925001530 |
| Provider Name | Olivia P Bane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053144956 PECOS PAC ID: 5890226146 Enrollment ID: I20240927001250 |
| Provider Name | Priya Wadhera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821589433 PECOS PAC ID: 3476955170 Enrollment ID: I20240930001008 |
| Provider Name | Anh D Hong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720820640 PECOS PAC ID: 2163953308 Enrollment ID: I20240930001214 |
| Provider Name | Amanda Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639706559 PECOS PAC ID: 2769892207 Enrollment ID: I20241002000905 |
| Provider Name | Jerome Seitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831718600 PECOS PAC ID: 0648701201 Enrollment ID: I20241007002090 |
| Provider Name | Joyce Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891314217 PECOS PAC ID: 0547792806 Enrollment ID: I20241011002960 |
| Provider Name | Maansi Aghera |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1225887292 PECOS PAC ID: 0446782916 Enrollment ID: I20241022003426 |
| Provider Name | Kayla Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376393181 PECOS PAC ID: 7719410471 Enrollment ID: I20241101003045 |
| Provider Name | Zoe Kashin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851119069 PECOS PAC ID: 6103350301 Enrollment ID: I20241111002658 |
| Provider Name | Jillian Lawlor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710734769 PECOS PAC ID: 7214461243 Enrollment ID: I20241113000713 |
| Provider Name | Natanie Shainker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396110540 PECOS PAC ID: 6406182302 Enrollment ID: I20241122001175 |
| Provider Name | Olivia T.o Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669209664 PECOS PAC ID: 6800322686 Enrollment ID: I20241204002801 |
| Provider Name | Pei-li Huang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245227206 PECOS PAC ID: 4082996772 Enrollment ID: I20241206000069 |
| Provider Name | Hannah Lejeune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134957095 PECOS PAC ID: 6608302773 Enrollment ID: I20241212001753 |
| Provider Name | Hannah M Geick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942982780 PECOS PAC ID: 3072049006 Enrollment ID: I20241213000183 |
| Provider Name | Andrea Ruby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215763727 PECOS PAC ID: 7113453002 Enrollment ID: I20241216003548 |
| Provider Name | Alexis Manzella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083461248 PECOS PAC ID: 3375070139 Enrollment ID: I20241218002878 |
| Provider Name | Jennifer K Plourde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619791027 PECOS PAC ID: 0648707976 Enrollment ID: I20241226001944 |
| Provider Name | Thomas Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669823100 PECOS PAC ID: 0749573186 Enrollment ID: I20250116001827 |
| Provider Name | Michelle Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821813536 PECOS PAC ID: 8820526916 Enrollment ID: I20250117000953 |
| Provider Name | Dena Vicente |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568191104 PECOS PAC ID: 1052840881 Enrollment ID: I20250123003017 |
| Provider Name | Kara a Cochran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427894377 PECOS PAC ID: 6305375080 Enrollment ID: I20250124001768 |
| Provider Name | Shirin Jafari-lloyd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316328818 PECOS PAC ID: 1658628185 Enrollment ID: I20250128000730 |
| Provider Name | Christina Yapoudjian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760210629 PECOS PAC ID: 1254860588 Enrollment ID: I20250130003116 |
| Provider Name | Sarah E. Morrissey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336981976 PECOS PAC ID: 5799215489 Enrollment ID: I20250211001328 |
| Provider Name | Julia Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942045067 PECOS PAC ID: 1254861958 Enrollment ID: I20250211001617 |
| Provider Name | Shyanne St. Paul |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801615737 PECOS PAC ID: 0042740755 Enrollment ID: I20250211001811 |
| Provider Name | Nichole M Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053903831 PECOS PAC ID: 3779990395 Enrollment ID: I20250212000218 |
| Provider Name | Camara Kadete |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558101360 PECOS PAC ID: 3173053618 Enrollment ID: I20250212002828 |
| Provider Name | Kathryn Newcomb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245085463 PECOS PAC ID: 9133649007 Enrollment ID: I20250221001911 |
| Provider Name | Sara J Guevara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124559653 PECOS PAC ID: 4789096397 Enrollment ID: I20250304002377 |
| Provider Name | Isabella Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912787466 PECOS PAC ID: 3274055868 Enrollment ID: I20250324003233 |
| Provider Name | Christopher J Mistretta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700694833 PECOS PAC ID: 0648793968 Enrollment ID: I20250327002041 |
| Provider Name | Anarkali R Morrill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588169775 PECOS PAC ID: 7810247145 Enrollment ID: I20250415003645 |
| Provider Name | Olivia Sanderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164233581 PECOS PAC ID: 2365967395 Enrollment ID: I20250422002746 |
| Provider Name | Samantha Beaudoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558176438 PECOS PAC ID: 6103341185 Enrollment ID: I20250423000092 |
| Provider Name | Rajesh N Soni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235147380 PECOS PAC ID: 9133298029 Enrollment ID: I20250502002792 |
| Provider Name | Micque E Mortela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881326791 PECOS PAC ID: 4789101569 Enrollment ID: I20250506000466 |
| Provider Name | Allison J Belmonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801141668 PECOS PAC ID: 3375052673 Enrollment ID: I20250529003264 |
| Provider Name | Steven Nicholas Baldassano |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417585076 PECOS PAC ID: 6204253800 Enrollment ID: I20250602000798 |
| Provider Name | Mariya a Kornilova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891380499 PECOS PAC ID: 0143739177 Enrollment ID: I20250602002351 |
| Provider Name | Mark Amirault |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356802441 PECOS PAC ID: 4587086228 Enrollment ID: I20250604002438 |
| Provider Name | Lauren Mendelson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841652815 PECOS PAC ID: 3971898529 Enrollment ID: I20250617002973 |
| Provider Name | John Paul Nsubuga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164089777 PECOS PAC ID: 8022344795 Enrollment ID: I20250620002684 |
| Provider Name | Dennis Dwan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174140172 PECOS PAC ID: 8224540927 Enrollment ID: I20250626001054 |
| Provider Name | Nityasri Sankar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447900618 PECOS PAC ID: 6204219793 Enrollment ID: I20250703000732 |
| Provider Name | Alexandra M Gianci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104572999 PECOS PAC ID: 7012420870 Enrollment ID: I20250703001177 |
| Provider Name | Emma L Lucey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831838937 PECOS PAC ID: 9436533288 Enrollment ID: I20250707001910 |
| Provider Name | Kathryn P Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164044756 PECOS PAC ID: 3577966159 Enrollment ID: I20250715001153 |
| Provider Name | Tess Curran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790361715 PECOS PAC ID: 1658886056 Enrollment ID: I20250715001660 |
| Provider Name | Gabriela L. Rufo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528827540 PECOS PAC ID: 1759897739 Enrollment ID: I20250718000272 |
| Provider Name | Eva Petrow |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962023234 PECOS PAC ID: 6709200363 Enrollment ID: I20250718001730 |
| Provider Name | Hillary Mullan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881213858 PECOS PAC ID: 3678089935 Enrollment ID: I20250723001299 |
| Provider Name | Kristen D. Mcgourty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336348010 PECOS PAC ID: 7517474653 Enrollment ID: I20250724002761 |
| Provider Name | Kathryn Asch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821981739 PECOS PAC ID: 1052828902 Enrollment ID: I20250725004131 |
| Provider Name | Joseph Ditrapani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407479223 PECOS PAC ID: 0749607893 Enrollment ID: I20250804002221 |
| Provider Name | Stephanie Von Csiky-sessoms |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1780212795 PECOS PAC ID: 9133545114 Enrollment ID: I20250815001439 |
| Provider Name | Rushil R Naik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821766494 PECOS PAC ID: 0648652370 Enrollment ID: I20250828001157 |
| Provider Name | Anna H Tommasini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699235028 PECOS PAC ID: 3476880030 Enrollment ID: I20250829001257 |
| Provider Name | Mohammed Ghare |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104386010 PECOS PAC ID: 9537661277 Enrollment ID: I20250903003171 |
| Provider Name | Jessica Means |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821527417 PECOS PAC ID: 5092217133 Enrollment ID: I20250908000786 |
| Provider Name | Rajiv Nauth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205729191 PECOS PAC ID: 1254834666 Enrollment ID: I20250911003538 |
| Provider Name | Michelle L Zanconato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942557731 PECOS PAC ID: 7315440427 Enrollment ID: I20250914000052 |
| Provider Name | Stephanie Gioioso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356163257 PECOS PAC ID: 2860995974 Enrollment ID: I20250914000062 |
| Provider Name | Sarah Liber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285457317 PECOS PAC ID: 7416451380 Enrollment ID: I20250916000879 |
| Provider Name | Omar M Mohamed |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1982109336 PECOS PAC ID: 0042567018 Enrollment ID: I20250916003628 |
| Provider Name | Sarah Megan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720974397 PECOS PAC ID: 3577067198 Enrollment ID: I20250917002530 |
| Provider Name | Robert J Mccormick |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1386271203 PECOS PAC ID: 1850701293 Enrollment ID: I20250918000797 |
| Provider Name | Daniel Lovell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942760913 PECOS PAC ID: 9335475680 Enrollment ID: I20250922000022 |
| Provider Name | Stacy Handler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831712751 PECOS PAC ID: 6103248547 Enrollment ID: I20250930002681 |
| Provider Name | Gillian D. Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164228532 PECOS PAC ID: 8123524980 Enrollment ID: I20251001000308 |
| Provider Name | Michelle Y Oliveri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437048337 PECOS PAC ID: 8729584586 Enrollment ID: I20251001000427 |
| Provider Name | Lindsay M Shettle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831086461 PECOS PAC ID: 5395242507 Enrollment ID: I20251006002973 |
| Provider Name | Nicole Siegert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750678082 PECOS PAC ID: 1759510506 Enrollment ID: I20251013000438 |
| Provider Name | Emily Keiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770470346 PECOS PAC ID: 8921595018 Enrollment ID: I20251014000166 |
| Provider Name | Elizabeth Nechev |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013894948 PECOS PAC ID: 4486141538 Enrollment ID: I20251014001216 |
| Provider Name | Ariel Park |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386221091 PECOS PAC ID: 2062815137 Enrollment ID: I20251014002227 |
| Provider Name | Megan Pinette |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053805390 PECOS PAC ID: 1557859543 Enrollment ID: I20251022000721 |
| Provider Name | Haider Asad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1811190838 PECOS PAC ID: 0840361663 Enrollment ID: I20251104000249 |
| Provider Name | Ani E Papazian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760132245 PECOS PAC ID: 8527558717 Enrollment ID: I20251106001744 |
| Provider Name | Erin M Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790596021 PECOS PAC ID: 8123518321 Enrollment ID: I20251106001956 |
| Provider Name | Arya Sharifzadeh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689202087 PECOS PAC ID: 6709208192 Enrollment ID: I20251107003181 |
| Provider Name | Alexa N Petkewich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508757287 PECOS PAC ID: 7911497680 Enrollment ID: I20251111000365 |
| Provider Name | Marcos E Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467242834 PECOS PAC ID: 2466942149 Enrollment ID: I20251111000700 |
| Provider Name | Mackenzie a Libera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801684196 PECOS PAC ID: 2668963356 Enrollment ID: I20251111000875 |
| Provider Name | Brandon C Onyechefule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962381327 PECOS PAC ID: 2365933009 Enrollment ID: I20251111002033 |
| Provider Name | Marissa E Pepicelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699648998 PECOS PAC ID: 3274024898 Enrollment ID: I20251112000304 |
| Provider Name | Paula Jean Mcevoy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053356329 PECOS PAC ID: 3274945852 Enrollment ID: I20251117002220 |
| Provider Name | Tiffany T Sheng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720668973 PECOS PAC ID: 2567865355 Enrollment ID: I20251118000493 |
| Provider Name | Miranda J Vieira |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710762075 PECOS PAC ID: 3577054543 Enrollment ID: I20251118001303 |
| Provider Name | Stephanie Shongut |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225877996 PECOS PAC ID: 0244722676 Enrollment ID: I20251124001663 |
| Provider Name | Jenessa Dieterle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902372824 PECOS PAC ID: 7315283371 Enrollment ID: I20251202000962 |
| Provider Name | Nusiraiu Tippa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801687595 PECOS PAC ID: 1355834375 Enrollment ID: I20251208000542 |
| Provider Name | Abigail Y Gil-costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316750219 PECOS PAC ID: 0840784781 Enrollment ID: I20251209002374 |
| Provider Name | Dempsey K Goodale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235014754 PECOS PAC ID: 3870087646 Enrollment ID: I20251209003486 |
| Provider Name | Megan M Mahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699642694 PECOS PAC ID: 7416441266 Enrollment ID: I20251210000855 |
| Provider Name | Emma S Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245005016 PECOS PAC ID: 1052806049 Enrollment ID: I20251217001901 |
| Provider Name | Christine M Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215432091 PECOS PAC ID: 9032468822 Enrollment ID: I20251217002093 |
| Provider Name | Joseph Olandt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558153494 PECOS PAC ID: 0840785440 Enrollment ID: I20251222000041 |
| Provider Name | Caitlin S Refkofsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023882131 PECOS PAC ID: 8022503374 Enrollment ID: I20251223003896 |
| Provider Name | Emily G Kugeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346133022 PECOS PAC ID: 1951896232 Enrollment ID: I20251224000048 |
| Provider Name | Brittany Alberta Jaso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053160507 PECOS PAC ID: 0345736310 Enrollment ID: I20251229002781 |
| Provider Name | Caroline H Louttit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770202772 PECOS PAC ID: 4183110935 Enrollment ID: I20251231000989 |
| Provider Name | Hilary V Dobel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528934544 PECOS PAC ID: 2062421100 Enrollment ID: I20260120000120 |
| Provider Name | Laura Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225898109 PECOS PAC ID: 3476030487 Enrollment ID: I20260121003082 |
| Provider Name | Julia Bender Stern |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568044691 PECOS PAC ID: 7315486495 Enrollment ID: I20260205003413 |
| Provider Name | Gabrielle M Bernier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770476111 PECOS PAC ID: 6901385962 Enrollment ID: I20260210000969 |
| Provider Name | Amber L Torvund |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679439855 PECOS PAC ID: 4486136934 Enrollment ID: I20260304000731 |
| Provider Name | Michela Tufts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568320703 PECOS PAC ID: 3971085937 Enrollment ID: I20260307000098 |
| Provider Name | Courtney a Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982562773 PECOS PAC ID: 9436633872 Enrollment ID: I20260324001363 |
| Provider Name | Jarell a Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699640631 PECOS PAC ID: 3779058847 Enrollment ID: I20260407000125 |
| Provider Name | Hannah Echo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558257642 PECOS PAC ID: 7113492281 Enrollment ID: I20260407000205 |
| Provider Name | Radhika a Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134093321 PECOS PAC ID: 2567937634 Enrollment ID: I20260407000299 |
| Provider Name | Shea Allison Nagle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346826039 PECOS PAC ID: 1355727181 Enrollment ID: I20260416002844 |
| Provider Name | Sabine M Schmitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730180035 PECOS PAC ID: 7517433121 Enrollment ID: I20260420002827 |
| Provider Name | Emily Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326810672 PECOS PAC ID: 3173090362 Enrollment ID: I20260424001702 |
| Provider Name | Jovana Calvillo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558099564 PECOS PAC ID: 7315414232 Enrollment ID: I20260429001022 |
| Provider Name | Billie A. Starks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407004476 PECOS PAC ID: 2860960580 Enrollment ID: I20260511002404 |
| Provider Name | Poonam Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578301222 PECOS PAC ID: 3870039969 Enrollment ID: I20260514001070 |
| Provider Name | Kristin S Boal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982980652 PECOS PAC ID: 8527537992 Enrollment ID: I20260514002555 |
| Provider Name | Pierre R Jecrois |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164957247 PECOS PAC ID: 4789154006 Enrollment ID: I20260528001534 |
| Provider Name | Bailey L Maiato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710857347 PECOS PAC ID: 9638649957 Enrollment ID: I20260528001732 |
| Provider Name | Yu-hsun Wang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871070532 PECOS PAC ID: 5799255618 Enrollment ID: I20260601002106 |
| Provider Name | Julie S Guilmette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255582508 PECOS PAC ID: 7719157171 Enrollment ID: I20260602001114 |
| Provider Name | Julie a Bertocchi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952773731 PECOS PAC ID: 9537601083 Enrollment ID: I20260602002874 |
| Provider Name | Sonia Altaf |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942856794 PECOS PAC ID: 1355671421 Enrollment ID: I20260612000702 |
| Provider Name | Amanda C Priest |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760955900 PECOS PAC ID: 7012489644 Enrollment ID: I20260616000331 |
| Provider Name | Casey M Savoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619827482 PECOS PAC ID: 1153894266 Enrollment ID: I20260619002248 |
| Provider Name | Jessica C Langston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154282283 PECOS PAC ID: 7719469295 Enrollment ID: I20260622003479 |
The Collaborative Counseling Center LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 Arlington St Ste 500, Boston, MA 02116 Phone: 617-651-1101 |
Meditelecare of Massachusetts, PLLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 84 State St, Boston, MA 02109 Phone: 860-788-6404 Fax: 860-829-0495 |
Ahead Massachusetts Medical PC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Liberty Sq # 2523, Boston, MA 02109 Phone: 855-306-7786 Fax: 415-367-3629 |
Harvard Vanguard Medical Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Brookline Ave, Boston, MA 02215 Phone: 617-421-1000 Fax: 617-421-1191 |
Trust Therapeutics LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 100 Cambridge St Fl 14, Boston, MA 02114 Phone: 413-372-8572 |
Dr. Laura Fasciano LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Arch St Fl 8, Boston, MA 02110 Phone: 203-530-6979 |