| Baptist Health Deaconess Medical Group Inc | |
|
800 Hospital Dr Fl 1 Madisonville KY 42431-1658 | |
| (502) 326-3800 | |
| (270) 326-3508 |
| Full Name | Baptist Health Deaconess Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Hospital Dr Fl 1, Madisonville, Kentucky |
| Authorized Official Name and Position | Kimberly Ashby (VICE PRESIDENT) |
| Authorized Official Contact | 2708255781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Health Deaconess Medical Group Inc Po Box 632122 Cincinnati OH 45263-4166 Ph: (270) 825-5781 | Baptist Health Deaconess Medical Group Inc 800 Hospital Dr Fl 1 Madisonville KY 42431-1658 Ph: (502) 326-3800 |
| NPI Number | 1437730942 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 10/18/2023 |
| Certification Date | 10/18/2023 |
| Medicare PECOS PAC ID | 6103220330 |
|---|---|
| Medicare Enrollment ID | O20210810000993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437730942 | NPI | - | NPPES |
| Provider Name | Kellye L Tapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972540276 PECOS PAC ID: 8820999683 Enrollment ID: I20040115000843 |
| Provider Name | Cathrine Stevenson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700983335 PECOS PAC ID: 3870496094 Enrollment ID: I20040127000833 |
| Provider Name | Carey Lee Dodds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922069210 PECOS PAC ID: 1951395250 Enrollment ID: I20040410000107 |
| Provider Name | Colleen Ryan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649292376 PECOS PAC ID: 0648172247 Enrollment ID: I20040420001199 |
| Provider Name | James Carpenter Dodds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154375897 PECOS PAC ID: 4688656374 Enrollment ID: I20040605000206 |
| Provider Name | Vinay Puri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275531345 PECOS PAC ID: 3274504667 Enrollment ID: I20040802000027 |
| Provider Name | Jamie T Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184646630 PECOS PAC ID: 0648249458 Enrollment ID: I20040929000073 |
| Provider Name | T Mark Stanfield |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689771396 PECOS PAC ID: 2365354628 Enrollment ID: I20041004000053 |
| Provider Name | James M Donley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912953811 PECOS PAC ID: 8325099369 Enrollment ID: I20050207000721 |
| Provider Name | William T Mcclure |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548218456 PECOS PAC ID: 5496708141 Enrollment ID: I20050223000146 |
| Provider Name | Lebnan S Saad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689648412 PECOS PAC ID: 2264469113 Enrollment ID: I20050721000719 |
| Provider Name | Brian W Chaney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124029160 PECOS PAC ID: 2668400649 Enrollment ID: I20050801000367 |
| Provider Name | Cheri L Fogle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518959923 PECOS PAC ID: 5294764122 Enrollment ID: I20050810000865 |
| Provider Name | Peter E Clemens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326021296 PECOS PAC ID: 9032138409 Enrollment ID: I20051115000403 |
| Provider Name | Deepak N Kapadia |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023065745 PECOS PAC ID: 1759301336 Enrollment ID: I20051129000254 |
| Provider Name | Kent E Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780780783 PECOS PAC ID: 9234143454 Enrollment ID: I20060126000814 |
| Provider Name | Muhammad Akram |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902803737 PECOS PAC ID: 1456322932 Enrollment ID: I20060207000000 |
| Provider Name | Subin Jain |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437131166 PECOS PAC ID: 7012925852 Enrollment ID: I20060405000186 |
| Provider Name | Bhaskaran N Sreekumar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538140165 PECOS PAC ID: 4082678651 Enrollment ID: I20060424000396 |
| Provider Name | Tausif Sayied |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417973793 PECOS PAC ID: 2961415526 Enrollment ID: I20060726000349 |
| Provider Name | Kenneth R Hargrove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467413047 PECOS PAC ID: 0547154700 Enrollment ID: I20060926000503 |
| Provider Name | John A Dacosta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932133642 PECOS PAC ID: 1052355344 Enrollment ID: I20070212000590 |
| Provider Name | Jamie V Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831239284 PECOS PAC ID: 0840398681 Enrollment ID: I20070601000520 |
| Provider Name | Kristy L Chappell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073514030 PECOS PAC ID: 3870547243 Enrollment ID: I20070724000569 |
| Provider Name | Tracy R Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558324715 PECOS PAC ID: 3173529146 Enrollment ID: I20070806000526 |
| Provider Name | Harold D Haller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1972577823 PECOS PAC ID: 6608771175 Enrollment ID: I20071210000255 |
| Provider Name | William J Crump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326144502 PECOS PAC ID: 6103906466 Enrollment ID: I20071228000172 |
| Provider Name | Mark J Littlehale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174544514 PECOS PAC ID: 4183791999 Enrollment ID: I20080920000058 |
| Provider Name | Carrie June Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821195447 PECOS PAC ID: 4284702531 Enrollment ID: I20081014000281 |
| Provider Name | Darren C Chapman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487607610 PECOS PAC ID: 9335187053 Enrollment ID: I20090107000232 |
| Provider Name | Mitzi N Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245481811 PECOS PAC ID: 9335290477 Enrollment ID: I20090630000478 |
| Provider Name | Willard L Keith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669534194 PECOS PAC ID: 3678465929 Enrollment ID: I20090720000267 |
| Provider Name | Ervin Anaya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841337219 PECOS PAC ID: 5294887147 Enrollment ID: I20090723000466 |
| Provider Name | Douglas Milligan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497765556 PECOS PAC ID: 8325192685 Enrollment ID: I20090820000602 |
| Provider Name | James D Mcnevin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861576878 PECOS PAC ID: 8820136757 Enrollment ID: I20091112000441 |
| Provider Name | William A Logan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871699884 PECOS PAC ID: 2365583440 Enrollment ID: I20100112000272 |
| Provider Name | Thomas A Gallo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316043466 PECOS PAC ID: 5991847824 Enrollment ID: I20100115000075 |
| Provider Name | Robert Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194822817 PECOS PAC ID: 2365541372 Enrollment ID: I20100115000102 |
| Provider Name | Dianne Goodale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497851562 PECOS PAC ID: 8820195456 Enrollment ID: I20100115000390 |
| Provider Name | Mohan K Rao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063519718 PECOS PAC ID: 2365336542 Enrollment ID: I20100129000235 |
| Provider Name | Michael L Hack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619073681 PECOS PAC ID: 3173666369 Enrollment ID: I20100210000697 |
| Provider Name | Jacob Nunamaker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356411508 PECOS PAC ID: 9234143447 Enrollment ID: I20100317000825 |
| Provider Name | Eric L Bandy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881695815 PECOS PAC ID: 3971638305 Enrollment ID: I20100324000112 |
| Provider Name | Thomas Scott Neely |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487619771 PECOS PAC ID: 2567569965 Enrollment ID: I20100416000296 |
| Provider Name | Pamela Reed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356310429 PECOS PAC ID: 8921090473 Enrollment ID: I20101202000950 |
| Provider Name | Jonathan Manuel Rey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679745368 PECOS PAC ID: 1254529613 Enrollment ID: I20101229000507 |
| Provider Name | Erin L Larkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659676526 PECOS PAC ID: 9830370360 Enrollment ID: I20110216000915 |
| Provider Name | Russell E Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932406212 PECOS PAC ID: 1153505334 Enrollment ID: I20110413000163 |
| Provider Name | Amy M Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326330564 PECOS PAC ID: 8820275480 Enrollment ID: I20110607000737 |
| Provider Name | Lori W Spraggs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588993554 PECOS PAC ID: 1557539897 Enrollment ID: I20110712000714 |
| Provider Name | Sergio E Chang Figueroa |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447498522 PECOS PAC ID: 2062681083 Enrollment ID: I20110809000486 |
| Provider Name | Hunter Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801068861 PECOS PAC ID: 8820268659 Enrollment ID: I20110902000262 |
| Provider Name | Paul Albert Tennant |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245402353 PECOS PAC ID: 6406027408 Enrollment ID: I20110923000231 |
| Provider Name | Shawn L Price |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902023278 PECOS PAC ID: 5496948648 Enrollment ID: I20110926000813 |
| Provider Name | Simon Spilkin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578728002 PECOS PAC ID: 6305017062 Enrollment ID: I20110929000270 |
| Provider Name | Peter E Locken |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396837159 PECOS PAC ID: 1355428434 Enrollment ID: I20111026000807 |
| Provider Name | Abby Jo Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003189267 PECOS PAC ID: 2163681834 Enrollment ID: I20120315000699 |
| Provider Name | Scott P Kellie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235352147 PECOS PAC ID: 9537325279 Enrollment ID: I20120724000496 |
| Provider Name | Spencer E Romine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659535409 PECOS PAC ID: 8921254459 Enrollment ID: I20120815000662 |
| Provider Name | Billy Fralish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407149560 PECOS PAC ID: 8022266386 Enrollment ID: I20120912000451 |
| Provider Name | Manmeet Sandhu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639355910 PECOS PAC ID: 6608056858 Enrollment ID: I20120913000201 |
| Provider Name | Jane Hope Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881037323 PECOS PAC ID: 0547407470 Enrollment ID: I20130513000279 |
| Provider Name | Lior N Shamai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093963563 PECOS PAC ID: 7315189016 Enrollment ID: I20130808000722 |
| Provider Name | Agatha Critchfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639336019 PECOS PAC ID: 9234253915 Enrollment ID: I20131022000065 |
| Provider Name | David C Jamora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538420666 PECOS PAC ID: 5597995027 Enrollment ID: I20140303001199 |
| Provider Name | Sandra W Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932509270 PECOS PAC ID: 7911126156 Enrollment ID: I20140919001354 |
| Provider Name | Callie Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851470496 PECOS PAC ID: 6507961596 Enrollment ID: I20140922001505 |
| Provider Name | Shelly D Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871909903 PECOS PAC ID: 6204056260 Enrollment ID: I20140925002349 |
| Provider Name | Alicia M Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538563960 PECOS PAC ID: 0143543520 Enrollment ID: I20141217000462 |
| Provider Name | Paul C Shahidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871937508 PECOS PAC ID: 2668795709 Enrollment ID: I20141222002647 |
| Provider Name | Sarah Ruth Peyton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033507561 PECOS PAC ID: 3779808621 Enrollment ID: I20150217001346 |
| Provider Name | Leslie W Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851784383 PECOS PAC ID: 3476870601 Enrollment ID: I20150326001278 |
| Provider Name | Chelcia Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053702282 PECOS PAC ID: 6709105133 Enrollment ID: I20150506000204 |
| Provider Name | Sandeep Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225332133 PECOS PAC ID: 7618297219 Enrollment ID: I20150521002485 |
| Provider Name | Ashley Dossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194125245 PECOS PAC ID: 9436470317 Enrollment ID: I20150603002341 |
| Provider Name | Kristie N Friedrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174850812 PECOS PAC ID: 6103961578 Enrollment ID: I20150716002096 |
| Provider Name | Ashley Jessup |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306257332 PECOS PAC ID: 7618283391 Enrollment ID: I20150825005287 |
| Provider Name | Sheena Buchanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104185511 PECOS PAC ID: 5991011660 Enrollment ID: I20150826002657 |
| Provider Name | Austin Alexander Beck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641273 PECOS PAC ID: 8022324631 Enrollment ID: I20150827001171 |
| Provider Name | Joshua D Stevens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780979930 PECOS PAC ID: 7911144985 Enrollment ID: I20151008002472 |
| Provider Name | Dena Lynn Kommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174813240 PECOS PAC ID: 5193980928 Enrollment ID: I20151008002637 |
| Provider Name | Bryce Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538570569 PECOS PAC ID: 8527378207 Enrollment ID: I20151109001954 |
| Provider Name | Leigh Ann Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356725717 PECOS PAC ID: 0042528952 Enrollment ID: I20151215002849 |
| Provider Name | Shabeer Abubucker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174620165 PECOS PAC ID: 0840386777 Enrollment ID: I20160108000241 |
| Provider Name | Jessica Leigh Anderson-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639534241 PECOS PAC ID: 4789987504 Enrollment ID: I20160127002547 |
| Provider Name | Tejas Jayendrabhai Modi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912245267 PECOS PAC ID: 5496974198 Enrollment ID: I20160726002397 |
| Provider Name | Rami Jambeih |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538397245 PECOS PAC ID: 5294980058 Enrollment ID: I20160902001085 |
| Provider Name | Brandon Kellie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649413063 PECOS PAC ID: 8527206655 Enrollment ID: I20160906001050 |
| Provider Name | Walker L Estes |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336585777 PECOS PAC ID: 5698077840 Enrollment ID: I20161011000186 |
| Provider Name | Michael R Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730422791 PECOS PAC ID: 3779893839 Enrollment ID: I20161028001718 |
| Provider Name | Brandi Lea Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568911600 PECOS PAC ID: 2668750365 Enrollment ID: I20161101000894 |
| Provider Name | Chelsea Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598213647 PECOS PAC ID: 1254610512 Enrollment ID: I20161109002999 |
| Provider Name | Timothy I Durbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639620859 PECOS PAC ID: 3779863238 Enrollment ID: I20161129002745 |
| Provider Name | Whitney Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790239085 PECOS PAC ID: 6507146347 Enrollment ID: I20161213001211 |
| Provider Name | Robert Willis |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225033434 PECOS PAC ID: 5991705618 Enrollment ID: I20161221001313 |
| Provider Name | Charles Godo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790796316 PECOS PAC ID: 8224073150 Enrollment ID: I20170301002662 |
| Provider Name | Julie Marie Guess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316488059 PECOS PAC ID: 1456637347 Enrollment ID: I20170406002812 |
| Provider Name | Ashleigh Hickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063963676 PECOS PAC ID: 3678850914 Enrollment ID: I20170515001828 |
| Provider Name | Tavia Danielle Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790213999 PECOS PAC ID: 3476821679 Enrollment ID: I20170612001892 |
| Provider Name | Vinay Nidadavolu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750660734 PECOS PAC ID: 2961771456 Enrollment ID: I20170626002337 |
| Provider Name | Anthony J Voelkel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780826784 PECOS PAC ID: 3779739719 Enrollment ID: I20170725001069 |
| Provider Name | Gina Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750803284 PECOS PAC ID: 9032480165 Enrollment ID: I20170807003603 |
| Provider Name | Sumalatha V Satoor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457336679 PECOS PAC ID: 6901941251 Enrollment ID: I20170915002446 |
| Provider Name | Crystal L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689124141 PECOS PAC ID: 9830461771 Enrollment ID: I20171102003385 |
| Provider Name | Eric L Lo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497782023 PECOS PAC ID: 8123193208 Enrollment ID: I20171212003043 |
| Provider Name | Joy D Goben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649785759 PECOS PAC ID: 7315206885 Enrollment ID: I20180109002876 |
| Provider Name | Laurie A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992211700 PECOS PAC ID: 9335408632 Enrollment ID: I20180112000426 |
| Provider Name | Amy Nicole Mercer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083117451 PECOS PAC ID: 9830452077 Enrollment ID: I20180420001670 |
| Provider Name | Ronald Reagan Gilley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134462658 PECOS PAC ID: 2860774403 Enrollment ID: I20180502001840 |
| Provider Name | Devalkumar Jitendrabhai Rajyaguru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083951719 PECOS PAC ID: 9739496332 Enrollment ID: I20180727002695 |
| Provider Name | Jacob A Bishop |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013324136 PECOS PAC ID: 6507144698 Enrollment ID: I20180904001593 |
| Provider Name | Charlie Clay Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710462924 PECOS PAC ID: 0244584118 Enrollment ID: I20181112001776 |
| Provider Name | Alyssa Louise Stubblefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871063404 PECOS PAC ID: 6901142363 Enrollment ID: I20190107002685 |
| Provider Name | Maryssa Jean Coyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427521772 PECOS PAC ID: 2668719592 Enrollment ID: I20190130001063 |
| Provider Name | Meredith Elaine Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194298042 PECOS PAC ID: 6002154598 Enrollment ID: I20190207001422 |
| Provider Name | Douglas J Hatler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932178829 PECOS PAC ID: 1052442332 Enrollment ID: I20190307002380 |
| Provider Name | Naveen Kumar Reddy Bondalapati |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104147214 PECOS PAC ID: 3779724406 Enrollment ID: I20190405002326 |
| Provider Name | Kristen Noele Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659831568 PECOS PAC ID: 5395088306 Enrollment ID: I20190514003288 |
| Provider Name | William Porter |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245530203 PECOS PAC ID: 0345488037 Enrollment ID: I20190531001290 |
| Provider Name | Jared Leet |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639251192 PECOS PAC ID: 1456684125 Enrollment ID: I20190612000305 |
| Provider Name | Ashley Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700442514 PECOS PAC ID: 9537493895 Enrollment ID: I20190620002720 |
| Provider Name | Adnan Sultan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659635381 PECOS PAC ID: 9335380203 Enrollment ID: I20190729001866 |
| Provider Name | Sarah Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366836892 PECOS PAC ID: 4486958907 Enrollment ID: I20190730004699 |
| Provider Name | Roxanne Krupinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376103093 PECOS PAC ID: 6204164619 Enrollment ID: I20190822004051 |
| Provider Name | Alissa Delano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437702826 PECOS PAC ID: 4183953219 Enrollment ID: I20190913002732 |
| Provider Name | Sydney Caron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467000109 PECOS PAC ID: 8628308673 Enrollment ID: I20190918001419 |
| Provider Name | Kristin Wickham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013368968 PECOS PAC ID: 8527359231 Enrollment ID: I20191017002100 |
| Provider Name | Lindsey Erin Crook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326696212 PECOS PAC ID: 3476885104 Enrollment ID: I20191030002488 |
| Provider Name | William Stephen O'hearn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548753023 PECOS PAC ID: 8325470503 Enrollment ID: I20191108000186 |
| Provider Name | Jami Coyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235770918 PECOS PAC ID: 2860825023 Enrollment ID: I20191203000877 |
| Provider Name | Michelle Lee Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407490584 PECOS PAC ID: 2466885983 Enrollment ID: I20191213000588 |
| Provider Name | Amy Lynn Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609417211 PECOS PAC ID: 7517391899 Enrollment ID: I20191218003297 |
| Provider Name | Lauren M Legrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851938807 PECOS PAC ID: 8729414073 Enrollment ID: I20200204002028 |
| Provider Name | Kayla Brooke Creekmur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013549716 PECOS PAC ID: 2961839006 Enrollment ID: I20200302000399 |
| Provider Name | Robbie Leigh Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427680412 PECOS PAC ID: 1254760739 Enrollment ID: I20200403002221 |
| Provider Name | Leo J Moody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548782568 PECOS PAC ID: 2264782010 Enrollment ID: I20200413003878 |
| Provider Name | Kimberly D Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215558481 PECOS PAC ID: 4486085438 Enrollment ID: I20200507002379 |
| Provider Name | Jessica L Utley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528697869 PECOS PAC ID: 7618390758 Enrollment ID: I20200708002806 |
| Provider Name | Jinee Brooks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790349520 PECOS PAC ID: 6608294541 Enrollment ID: I20200909003231 |
| Provider Name | Stephen J Dick |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568427144 PECOS PAC ID: 3870542129 Enrollment ID: I20201217000713 |
| Provider Name | Nicholas Rensing |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134569908 PECOS PAC ID: 5092067322 Enrollment ID: I20210113000260 |
| Provider Name | Nicholas J Zarkadis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033558259 PECOS PAC ID: 3375957970 Enrollment ID: I20210121002452 |
| Provider Name | John H Greinwald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275547457 PECOS PAC ID: 9537215330 Enrollment ID: I20210204002142 |
| Provider Name | Hassan Mohammed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740844570 PECOS PAC ID: 3971917857 Enrollment ID: I20210204002265 |
| Provider Name | Amit Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528401676 PECOS PAC ID: 3375823297 Enrollment ID: I20210212002236 |
| Provider Name | Christian Maluf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548223464 PECOS PAC ID: 2567362726 Enrollment ID: I20210215000732 |
| Provider Name | Nadia Carolina Azuero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528622677 PECOS PAC ID: 2163839804 Enrollment ID: I20210325001614 |
| Provider Name | Allison Perkins |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083896047 PECOS PAC ID: 5991928574 Enrollment ID: I20210602003030 |
| Provider Name | Puneet Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427498674 PECOS PAC ID: 7719272210 Enrollment ID: I20210603002578 |
| Provider Name | Michael Wood |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1659391548 PECOS PAC ID: 8224178751 Enrollment ID: I20210604000862 |
| Provider Name | Ahmad R Rahman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1184071110 PECOS PAC ID: 4385980192 Enrollment ID: I20210608003580 |
| Provider Name | Wei Wei |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154536142 PECOS PAC ID: 7911131826 Enrollment ID: I20210615003607 |
| Provider Name | Amelia Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831622117 PECOS PAC ID: 5193074763 Enrollment ID: I20210706003428 |
| Provider Name | Ellen Louise Beach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205328002 PECOS PAC ID: 7113322322 Enrollment ID: I20210826001975 |
| Provider Name | Fady Moustarah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134355399 PECOS PAC ID: 5799080271 Enrollment ID: I20211018002721 |
| Provider Name | Adam D Bier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477786747 PECOS PAC ID: 5799910584 Enrollment ID: I20211019001568 |
| Provider Name | Megan M Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376148247 PECOS PAC ID: 4587054523 Enrollment ID: I20211206001034 |
| Provider Name | Folaranmi Ajiboye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386273654 PECOS PAC ID: 2264822071 Enrollment ID: I20211210001090 |
| Provider Name | Eric Aodh O'reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366051922 PECOS PAC ID: 6608266317 Enrollment ID: I20211210001256 |
| Provider Name | Stuart D Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841829124 PECOS PAC ID: 6406246123 Enrollment ID: I20211210001767 |
| Provider Name | Andrew Banks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316501307 PECOS PAC ID: 5395135933 Enrollment ID: I20211214000923 |
| Provider Name | Darshan S Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710347588 PECOS PAC ID: 9931463593 Enrollment ID: I20211214001290 |
| Provider Name | Lohita Nulu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346879624 PECOS PAC ID: 2961892534 Enrollment ID: I20211214002076 |
| Provider Name | Kyle A Romines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174152458 PECOS PAC ID: 5890186159 Enrollment ID: I20211220002667 |
| Provider Name | Thomas Jerome Melton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811314222 PECOS PAC ID: 8123319118 Enrollment ID: I20220114001875 |
| Provider Name | Victoire Kelley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528277324 PECOS PAC ID: 6901093400 Enrollment ID: I20220124000611 |
| Provider Name | Mary Virginia Ellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285300772 PECOS PAC ID: 8527450519 Enrollment ID: I20220125002374 |
| Provider Name | Alyssa Sue Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114684065 PECOS PAC ID: 1254724776 Enrollment ID: I20220205000068 |
| Provider Name | Tabitha M Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275122897 PECOS PAC ID: 7618361460 Enrollment ID: I20220222000970 |
| Provider Name | Patrick J Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568054922 PECOS PAC ID: 4981011863 Enrollment ID: I20220307000589 |
| Provider Name | Tanya Dean Mckinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205415775 PECOS PAC ID: 2264828730 Enrollment ID: I20220408002285 |
| Provider Name | Ashley Brooke Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710508395 PECOS PAC ID: 1153718614 Enrollment ID: I20220502000932 |
| Provider Name | Erin Deal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851986277 PECOS PAC ID: 9436538725 Enrollment ID: I20220616000686 |
| Provider Name | Kyle Vernon Conway |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720425028 PECOS PAC ID: 7113151671 Enrollment ID: I20220629003926 |
| Provider Name | Reuben Anthony Macias |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174977508 PECOS PAC ID: 9638563919 Enrollment ID: I20220707003717 |
| Provider Name | Elizabeth A Crouch |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417101825 PECOS PAC ID: 9436314713 Enrollment ID: I20220708001609 |
| Provider Name | Joshua H Clapp |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124569454 PECOS PAC ID: 3678821808 Enrollment ID: I20220712000820 |
| Provider Name | Bonnie Elizabeth Burden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619607421 PECOS PAC ID: 5193106326 Enrollment ID: I20220720000871 |
| Provider Name | David Alan Ladden |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093764284 PECOS PAC ID: 2264411214 Enrollment ID: I20220728001072 |
| Provider Name | Hari Krishna Ankem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518597699 PECOS PAC ID: 1456733666 Enrollment ID: I20220804002894 |
| Provider Name | Sara Margaret Wing |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104354414 PECOS PAC ID: 4082983796 Enrollment ID: I20220804003853 |
| Provider Name | Mitchell Clark Harris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356721617 PECOS PAC ID: 8820497449 Enrollment ID: I20220817000526 |
| Provider Name | Jonathan Tyler Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265936603 PECOS PAC ID: 7416331236 Enrollment ID: I20220829001247 |
| Provider Name | Tehmina Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033797774 PECOS PAC ID: 4486038148 Enrollment ID: I20220829003391 |
| Provider Name | Sara Catherine Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164169439 PECOS PAC ID: 8224412754 Enrollment ID: I20220901002667 |
| Provider Name | Nickolas S Mcintosh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548550049 PECOS PAC ID: 5890193692 Enrollment ID: I20220907002419 |
| Provider Name | Anne Margaret Hernaez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215517578 PECOS PAC ID: 5395120174 Enrollment ID: I20220914002694 |
| Provider Name | Christy Tapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447979000 PECOS PAC ID: 9931584604 Enrollment ID: I20220915003101 |
| Provider Name | Asha Baby Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417535154 PECOS PAC ID: 7810373008 Enrollment ID: I20220926000625 |
| Provider Name | Maria A Palacios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548848187 PECOS PAC ID: 8123404068 Enrollment ID: I20220930000358 |
| Provider Name | Cal J. Zimmerman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659653400 PECOS PAC ID: 1557747334 Enrollment ID: I20220930002540 |
| Provider Name | Sonia Lanae Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760879993 PECOS PAC ID: 0244651768 Enrollment ID: I20221018001734 |
| Provider Name | Lacey Jaye Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558097923 PECOS PAC ID: 5890163414 Enrollment ID: I20221201001257 |
| Provider Name | Traci Lynn Harwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952018079 PECOS PAC ID: 2466821798 Enrollment ID: I20221208002312 |
| Provider Name | Luke Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447959606 PECOS PAC ID: 0648644195 Enrollment ID: I20230323001097 |
| Provider Name | Chukwunweike John Nwosu |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346651130 PECOS PAC ID: 2264659507 Enrollment ID: I20230512002022 |
| Provider Name | Milena Goldshmidt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295095594 PECOS PAC ID: 0749589968 Enrollment ID: I20230531003019 |
| Provider Name | Shilpa Rampey Venkata Naga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164942553 PECOS PAC ID: 2062870009 Enrollment ID: I20230622002661 |
| Provider Name | Riaz Rahman |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1275630717 PECOS PAC ID: 8729077235 Enrollment ID: I20230626001352 |
| Provider Name | Catherine S Montz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124760616 PECOS PAC ID: 1355701681 Enrollment ID: I20230719000784 |
| Provider Name | Mohammad Hadi Masood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346982824 PECOS PAC ID: 6204296429 Enrollment ID: I20230720000504 |
| Provider Name | Marium Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215679782 PECOS PAC ID: 0547620627 Enrollment ID: I20230720003339 |
| Provider Name | Navaneetha Krishnan Sheshadri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184966715 PECOS PAC ID: 8527330307 Enrollment ID: I20230824003022 |
| Provider Name | Trista Marie Newville |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528324712 PECOS PAC ID: 9830406461 Enrollment ID: I20230830001453 |
| Provider Name | Paige Ann Patterson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245013226 PECOS PAC ID: 2365805702 Enrollment ID: I20230831003435 |
| Provider Name | Shea Nichole Heady |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295518256 PECOS PAC ID: 8921462144 Enrollment ID: I20230906003289 |
| Provider Name | Steven Alan Marks |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528046547 PECOS PAC ID: 6901855147 Enrollment ID: I20230925003726 |
| Provider Name | Tiffany Dawn Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508523796 PECOS PAC ID: 7113371840 Enrollment ID: I20230928001182 |
| Provider Name | Abby Brooke Neville |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326721895 PECOS PAC ID: 8628423894 Enrollment ID: I20231006002803 |
| Provider Name | Arun Agrawal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932300241 PECOS PAC ID: 2365629359 Enrollment ID: I20231107003765 |
| Provider Name | Hoda Ahwazi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952980336 PECOS PAC ID: 7416333620 Enrollment ID: I20231211002128 |
| Provider Name | Gauty Athouriste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699417162 PECOS PAC ID: 0648623116 Enrollment ID: I20240131003456 |
| Provider Name | Danielle Mccarthur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245617505 PECOS PAC ID: 5597097410 Enrollment ID: I20240208001202 |
| Provider Name | Glenn W Mclaughlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447289970 PECOS PAC ID: 3072417427 Enrollment ID: I20240214003805 |
| Provider Name | Cody Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306404090 PECOS PAC ID: 3779928148 Enrollment ID: I20240226003030 |
Caris Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 S Main St Ste 104, Madisonville, KY 42431 Phone: 270-681-2273 | |
Ohio Valley Neurology Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-825-6601 Fax: 270-825-7352 | |
Trover Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 N Franklin St, Madisonville, KY 42431 Phone: 270-825-7355 | |
Hope & Healing Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 429 N Franklin St, Madisonville, KY 42431 Phone: 270-836-1179 | |
Synergy Counseling And Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 N Main St, Madisonville, KY 42431 Phone: 270-245-2205 | |
Dynamic Behavior Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2325 Ridgewood Dr, Madisonville, KY 42431 Phone: 270-339-0127 | |
Get Set Go Health & Wellness Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 N Main St, Madisonville, KY 42431 Phone: 270-875-4332 |