| Behavioral Health Center | |
|
1190 37th St Vero Beach FL 32960-6507 | |
| (772) 567-4311 | |
| Not Available |
| Full Name | Behavioral Health Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1190 37th St, Vero Beach, Florida |
| Authorized Official Name and Position | Jeffrey L Susi (CEO) |
| Authorized Official Contact | 7725674311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Center 1000 36th St Vero Beach FL 32960-4862 Ph: () - | Behavioral Health Center 1190 37th St Vero Beach FL 32960-6507 Ph: (772) 567-4311 |
| NPI Number | 1710933031 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 09/16/2019 |
| Medicare PECOS PAC ID | 9234130329 |
|---|---|
| Medicare Enrollment ID | O20070116000060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710933031 | NPI | - | NPPES |
| 275383902 | Medicaid | FL | |
| 39813A | Other | FL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Martha Nunez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447362181 PECOS PAC ID: 3678466307 Enrollment ID: I20040205000695 |
| Provider Name | Dalwyn M Sealy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568425072 PECOS PAC ID: 9638069875 Enrollment ID: I20040322000794 |
| Provider Name | Nikitas J Kleopoulos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659391142 PECOS PAC ID: 1254222862 Enrollment ID: I20040323001067 |
| Provider Name | Donald J Portell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992731004 PECOS PAC ID: 0648171645 Enrollment ID: I20040323001526 |
| Provider Name | Geoffrey B Wolf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083637862 PECOS PAC ID: 3476444985 Enrollment ID: I20040323001745 |
| Provider Name | Guido Nodal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427064435 PECOS PAC ID: 7911999404 Enrollment ID: I20040402000684 |
| Provider Name | Margaret W Weeks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780681155 PECOS PAC ID: 4789679713 Enrollment ID: I20040419000431 |
| Provider Name | Heather S Nagel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598761165 PECOS PAC ID: 7517954373 Enrollment ID: I20040426001373 |
| Provider Name | Peter H Joyce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265438287 PECOS PAC ID: 3476446816 Enrollment ID: I20040428000908 |
| Provider Name | David Almasy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366485468 PECOS PAC ID: 8527059989 Enrollment ID: I20040524000504 |
| Provider Name | Gary R Silverman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003812025 PECOS PAC ID: 0042292070 Enrollment ID: I20040603000833 |
| Provider Name | Michelle J Abramson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699738179 PECOS PAC ID: 3779566054 Enrollment ID: I20040608001307 |
| Provider Name | Falguni S Sura |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205878584 PECOS PAC ID: 4587647334 Enrollment ID: I20040611000478 |
| Provider Name | Kathryn Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417977364 PECOS PAC ID: 0648255315 Enrollment ID: I20040618000930 |
| Provider Name | Sheela R Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316907801 PECOS PAC ID: 4486639168 Enrollment ID: I20040618000987 |
| Provider Name | Gwendolynn D Johnson Randall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184676975 PECOS PAC ID: 5597660811 Enrollment ID: I20040626000051 |
| Provider Name | Laura Lee Hanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437118080 PECOS PAC ID: 6305816810 Enrollment ID: I20040730000239 |
| Provider Name | Lucille A Vandevere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174577365 PECOS PAC ID: 5395716633 Enrollment ID: I20040802001104 |
| Provider Name | Arturo R Castro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427052901 PECOS PAC ID: 3476526930 Enrollment ID: I20040823001350 |
| Provider Name | Christine M Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174592224 PECOS PAC ID: 7517948136 Enrollment ID: I20040903000307 |
| Provider Name | Tarannum S Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356354344 PECOS PAC ID: 3779550827 Enrollment ID: I20040916000859 |
| Provider Name | Pablo A. Bejarano |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1073532818 PECOS PAC ID: 1951370287 Enrollment ID: I20041001000976 |
| Provider Name | Simon T Symeonides |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417051954 PECOS PAC ID: 9830184399 Enrollment ID: I20041021000931 |
| Provider Name | Mark E Gonwa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275601437 PECOS PAC ID: 5799748414 Enrollment ID: I20041104000413 |
| Provider Name | Caroline Kedem |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295736692 PECOS PAC ID: 6103892344 Enrollment ID: I20041105000409 |
| Provider Name | Gerard Joseph Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982730867 PECOS PAC ID: 6406843887 Enrollment ID: I20041109001072 |
| Provider Name | George Mitchell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851352520 PECOS PAC ID: 5991771990 Enrollment ID: I20041112000221 |
| Provider Name | Lyssette L Cardona Bonet |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1588624191 PECOS PAC ID: 4082672449 Enrollment ID: I20041231000024 |
| Provider Name | Nuclair A Montgomery Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538135496 PECOS PAC ID: 8820042799 Enrollment ID: I20050303000919 |
| Provider Name | Andre G Vendryes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194708669 PECOS PAC ID: 5092760033 Enrollment ID: I20050316000316 |
| Provider Name | Paula Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801827092 PECOS PAC ID: 4284674235 Enrollment ID: I20050509000931 |
| Provider Name | Edward Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669459517 PECOS PAC ID: 9739123761 Enrollment ID: I20050610000552 |
| Provider Name | John S Suen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710987292 PECOS PAC ID: 9133163512 Enrollment ID: I20050616000401 |
| Provider Name | Ronald Hartnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851352868 PECOS PAC ID: 4587691720 Enrollment ID: I20050720000199 |
| Provider Name | Laura H Wolf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619990231 PECOS PAC ID: 1052340015 Enrollment ID: I20050810000219 |
| Provider Name | Matjaz Sebenik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720047939 PECOS PAC ID: 0547290124 Enrollment ID: I20050813000198 |
| Provider Name | Clarence B Yates |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962444620 PECOS PAC ID: 3173554870 Enrollment ID: I20050823000246 |
| Provider Name | David W Lazan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871568303 PECOS PAC ID: 5395770317 Enrollment ID: I20050929000155 |
| Provider Name | George J Fyffe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295795813 PECOS PAC ID: 0648161604 Enrollment ID: I20060315000641 |
| Provider Name | Bruno Dipasquale |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154371169 PECOS PAC ID: 5092718940 Enrollment ID: I20060814000381 |
| Provider Name | Ira Gleiberman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669451670 PECOS PAC ID: 3274538640 Enrollment ID: I20060919000424 |
| Provider Name | Samuel Watkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588661797 PECOS PAC ID: 1153327093 Enrollment ID: I20061017000005 |
| Provider Name | Nazish Masoodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356384127 PECOS PAC ID: 7618974387 Enrollment ID: I20061024000025 |
| Provider Name | Jeffrey S Jacobs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730142597 PECOS PAC ID: 9638176860 Enrollment ID: I20061101000499 |
| Provider Name | Michael C Phillips |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740215433 PECOS PAC ID: 1355349101 Enrollment ID: I20061110000202 |
| Provider Name | Felix Bigay Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417917618 PECOS PAC ID: 6406856517 Enrollment ID: I20070112000300 |
| Provider Name | Damon R Salzman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184672701 PECOS PAC ID: 0840259479 Enrollment ID: I20070127000001 |
| Provider Name | Carmen Escobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215956107 PECOS PAC ID: 8628172327 Enrollment ID: I20070409000020 |
| Provider Name | John P Lindenthal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942201355 PECOS PAC ID: 5294710216 Enrollment ID: I20070621000466 |
| Provider Name | John C Brock |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154327393 PECOS PAC ID: 3678674538 Enrollment ID: I20070721000010 |
| Provider Name | Patricia M Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548365000 PECOS PAC ID: 8921088816 Enrollment ID: I20070817000111 |
| Provider Name | Russell C Brockwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578503785 PECOS PAC ID: 4486747557 Enrollment ID: I20070905000595 |
| Provider Name | Patrice W Wadsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760609960 PECOS PAC ID: 3971698820 Enrollment ID: I20071008000036 |
| Provider Name | James C Dozier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578675211 PECOS PAC ID: 3173419256 Enrollment ID: I20071029000651 |
| Provider Name | Kiran Reddy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1073589842 PECOS PAC ID: 4183711500 Enrollment ID: I20071101000547 |
| Provider Name | Allison M Bain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770527061 PECOS PAC ID: 5395635015 Enrollment ID: I20071107000296 |
| Provider Name | Doris A Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548286446 PECOS PAC ID: 8426146077 Enrollment ID: I20071114000436 |
| Provider Name | Barbara Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467564104 PECOS PAC ID: 6002903697 Enrollment ID: I20071115000065 |
| Provider Name | Thet Lin Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295742476 PECOS PAC ID: 6406852482 Enrollment ID: I20080104000616 |
| Provider Name | Su Su Naing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427241215 PECOS PAC ID: 4981794401 Enrollment ID: I20080107000240 |
| Provider Name | Alex Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467490623 PECOS PAC ID: 4486738853 Enrollment ID: I20080223000003 |
| Provider Name | Manesh Mathew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841242112 PECOS PAC ID: 6800866823 Enrollment ID: I20080225000215 |
| Provider Name | Stephen G Patterson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194748905 PECOS PAC ID: 1658456595 Enrollment ID: I20080317000373 |
| Provider Name | Daniel G Vanuno |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730360413 PECOS PAC ID: 1759450976 Enrollment ID: I20080514000359 |
| Provider Name | Bruce M Grossman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851359731 PECOS PAC ID: 7810067824 Enrollment ID: I20080603000429 |
| Provider Name | Kathryn Abaco Binkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386794253 PECOS PAC ID: 9931279304 Enrollment ID: I20080604000198 |
| Provider Name | Danielle S Weinert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154595064 PECOS PAC ID: 1658443015 Enrollment ID: I20080701000240 |
| Provider Name | Yakov Gitin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194742015 PECOS PAC ID: 0840261285 Enrollment ID: I20080806000260 |
| Provider Name | Deni Malave-huertas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700077021 PECOS PAC ID: 9638245046 Enrollment ID: I20080909000637 |
| Provider Name | Randall J Wilke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457547416 PECOS PAC ID: 8022106681 Enrollment ID: I20080915000539 |
| Provider Name | Luis Cisneros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184703399 PECOS PAC ID: 8426135104 Enrollment ID: I20081201000410 |
| Provider Name | Melissa I Jordan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669545315 PECOS PAC ID: 5799846879 Enrollment ID: I20081208000423 |
| Provider Name | Howard T Tee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972543486 PECOS PAC ID: 2163480526 Enrollment ID: I20090109000346 |
| Provider Name | Michelle M Dompenciel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093950370 PECOS PAC ID: 0941364012 Enrollment ID: I20090204000449 |
| Provider Name | Mauricio Cohen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1386717114 PECOS PAC ID: 9739244971 Enrollment ID: I20090223000147 |
| Provider Name | Jason Scott Weisstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003817693 PECOS PAC ID: 3375514367 Enrollment ID: I20090811000447 |
| Provider Name | Ramon G Lugo-sanchez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134357957 PECOS PAC ID: 3274688445 Enrollment ID: I20090911000551 |
| Provider Name | Edward B Savage |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528030731 PECOS PAC ID: 5799703849 Enrollment ID: I20090930000108 |
| Provider Name | Maria Julia Diacovo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285755132 PECOS PAC ID: 9032255351 Enrollment ID: I20090930000125 |
| Provider Name | Christopher Charles Hollinger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295855617 PECOS PAC ID: 1254477300 Enrollment ID: I20091005000279 |
| Provider Name | Sonya M Pease |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588677884 PECOS PAC ID: 3870631138 Enrollment ID: I20091107000019 |
| Provider Name | Brooke R Lenz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114157781 PECOS PAC ID: 2062551211 Enrollment ID: I20091201000030 |
| Provider Name | Nancy Y Tokarz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609968866 PECOS PAC ID: 6406996727 Enrollment ID: I20091217000522 |
| Provider Name | George Nichols |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427050152 PECOS PAC ID: 1254323744 Enrollment ID: I20091229000650 |
| Provider Name | Hector M Santiago |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780656900 PECOS PAC ID: 9931259645 Enrollment ID: I20100202000230 |
| Provider Name | Joseph J Zerega |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033167663 PECOS PAC ID: 1557458718 Enrollment ID: I20100217000290 |
| Provider Name | Heidi Sue Empey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750326443 PECOS PAC ID: 8123162922 Enrollment ID: I20100217000491 |
| Provider Name | Lori D Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477783447 PECOS PAC ID: 1153465430 Enrollment ID: I20100224000868 |
| Provider Name | Michael P Tonner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740280122 PECOS PAC ID: 3577698877 Enrollment ID: I20100311000670 |
| Provider Name | Arthur J Splendoria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346246659 PECOS PAC ID: 1153456942 Enrollment ID: I20100318000478 |
| Provider Name | Gregory D Mackay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346277613 PECOS PAC ID: 2466549621 Enrollment ID: I20100322000279 |
| Provider Name | Charles E Eberhart |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255367660 PECOS PAC ID: 6901993161 Enrollment ID: I20100322000360 |
| Provider Name | Sung Il Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477552917 PECOS PAC ID: 5698735280 Enrollment ID: I20100406000507 |
| Provider Name | Mary E Quillinan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235134750 PECOS PAC ID: 1456488147 Enrollment ID: I20100429000353 |
| Provider Name | Mark A Laporta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720168826 PECOS PAC ID: 9032247895 Enrollment ID: I20100514000615 |
| Provider Name | Nit Khamvongs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316038532 PECOS PAC ID: 0547351785 Enrollment ID: I20100526000594 |
| Provider Name | Alexander G Justicz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1265497473 PECOS PAC ID: 3971496696 Enrollment ID: I20100615000084 |
| Provider Name | Christopher P Tardif |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528096708 PECOS PAC ID: 0840387890 Enrollment ID: I20100722000711 |
| Provider Name | Enanore E Okumagba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588991855 PECOS PAC ID: 0840332342 Enrollment ID: I20100806000160 |
| Provider Name | Andrew W Goodrich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649281460 PECOS PAC ID: 3678607645 Enrollment ID: I20100812000266 |
| Provider Name | Richard E Whisnant |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386635688 PECOS PAC ID: 2163563776 Enrollment ID: I20100824001130 |
| Provider Name | Ramesh Ramanathan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477530681 PECOS PAC ID: 9335205848 Enrollment ID: I20100901000261 |
| Provider Name | Guy R Ulrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720084056 PECOS PAC ID: 3678699758 Enrollment ID: I20100927000335 |
| Provider Name | Charles Wilbur Mackett |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1366416232 PECOS PAC ID: 2264471366 Enrollment ID: I20100929001117 |
| Provider Name | Timmy Q Nguyen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831243112 PECOS PAC ID: 4284750084 Enrollment ID: I20100929001341 |
| Provider Name | Kenneth R Fromkin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578523056 PECOS PAC ID: 8820280068 Enrollment ID: I20101007000052 |
| Provider Name | Jennifer E Angell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689894149 PECOS PAC ID: 2668565177 Enrollment ID: I20101008001119 |
| Provider Name | Alastair Cathcart Kennedy |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578504635 PECOS PAC ID: 6406891878 Enrollment ID: I20101011001149 |
| Provider Name | Tammy Hughes Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801100631 PECOS PAC ID: 5890988273 Enrollment ID: I20101020000182 |
| Provider Name | Raul J Rosenthal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487617270 PECOS PAC ID: 8527251792 Enrollment ID: I20101020000424 |
| Provider Name | Asha Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225128861 PECOS PAC ID: 6800959693 Enrollment ID: I20101026001370 |
| Provider Name | Nestor Galvez-jimenez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609830371 PECOS PAC ID: 1355535279 Enrollment ID: I20101104000124 |
| Provider Name | Mariana E Berho |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1629037981 PECOS PAC ID: 6002001179 Enrollment ID: I20101115000829 |
| Provider Name | Jennifer Anthony |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538257613 PECOS PAC ID: 4587756101 Enrollment ID: I20101229000971 |
| Provider Name | Silvia G Haas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609105378 PECOS PAC ID: 8123156619 Enrollment ID: I20101230001006 |
| Provider Name | Pamelia A Guilford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154502102 PECOS PAC ID: 9335328723 Enrollment ID: I20110201000678 |
| Provider Name | Kristen R Ward |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578895066 PECOS PAC ID: 2163604919 Enrollment ID: I20110315000785 |
| Provider Name | Daniel Glotzer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669414520 PECOS PAC ID: 5799731048 Enrollment ID: I20110323000712 |
| Provider Name | Ballapuram Adhinarayanan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508833211 PECOS PAC ID: 1456536879 Enrollment ID: I20110429000241 |
| Provider Name | Jose R Irizarry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952374225 PECOS PAC ID: 5193802684 Enrollment ID: I20110708000559 |
| Provider Name | Marie R Prinsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366554107 PECOS PAC ID: 2062480254 Enrollment ID: I20110805000284 |
| Provider Name | Alexandra M Soriano Caminero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558691006 PECOS PAC ID: 9436328960 Enrollment ID: I20110817000719 |
| Provider Name | David A Hurst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093975161 PECOS PAC ID: 4486825726 Enrollment ID: I20110919000429 |
| Provider Name | Patricia P Rahal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952682460 PECOS PAC ID: 3779755467 Enrollment ID: I20110929000763 |
| Provider Name | Michael A Munz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093712572 PECOS PAC ID: 1850283581 Enrollment ID: I20111021000224 |
| Provider Name | Dennis C King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033178173 PECOS PAC ID: 6709870207 Enrollment ID: I20111026000741 |
| Provider Name | John F Hoffmann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972634541 PECOS PAC ID: 7719001692 Enrollment ID: I20111028000630 |
| Provider Name | Janet M Hurlburt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083697858 PECOS PAC ID: 3476728866 Enrollment ID: I20111214000068 |
| Provider Name | Matthew S Zoffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336108059 PECOS PAC ID: 1052588308 Enrollment ID: I20120127000173 |
| Provider Name | Sarah J Wittenrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972758779 PECOS PAC ID: 1456518448 Enrollment ID: I20120202000351 |
| Provider Name | Nicolas A Brozzi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831366483 PECOS PAC ID: 6305033416 Enrollment ID: I20120320000569 |
| Provider Name | Caroline R Mcknight |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093942633 PECOS PAC ID: 7911047410 Enrollment ID: I20120427000676 |
| Provider Name | Michael L Sprague |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982728879 PECOS PAC ID: 4880748854 Enrollment ID: I20120521000348 |
| Provider Name | Pamela O Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548562747 PECOS PAC ID: 3173786308 Enrollment ID: I20120524000680 |
| Provider Name | Ryan M Dahlgren |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1215133871 PECOS PAC ID: 8325201502 Enrollment ID: I20120525000545 |
| Provider Name | Diego A Maldonado |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568673630 PECOS PAC ID: 0547331860 Enrollment ID: I20120606000404 |
| Provider Name | Mark Horvath |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598977076 PECOS PAC ID: 4385775766 Enrollment ID: I20120706000259 |
| Provider Name | Valentyn V Tyulmenkov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548269178 PECOS PAC ID: 4880665470 Enrollment ID: I20120719000098 |
| Provider Name | Andrea S Kradman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992032254 PECOS PAC ID: 0749319358 Enrollment ID: I20120723000166 |
| Provider Name | Cristina Dupree Mcclure |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124343660 PECOS PAC ID: 8325295694 Enrollment ID: I20120822000372 |
| Provider Name | Danita B Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528298155 PECOS PAC ID: 4587811740 Enrollment ID: I20120823000698 |
| Provider Name | Michelle Tammeri Turshon-schramm |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639434251 PECOS PAC ID: 8426205162 Enrollment ID: I20120830000735 |
| Provider Name | Melvyn A Lobo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447226006 PECOS PAC ID: 1254365190 Enrollment ID: I20120928000601 |
| Provider Name | Katherine E Skypek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659654259 PECOS PAC ID: 1355503491 Enrollment ID: I20121116000199 |
| Provider Name | Oszkar Szentirmai |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285771543 PECOS PAC ID: 8426209362 Enrollment ID: I20121127000254 |
| Provider Name | Meghan Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346586237 PECOS PAC ID: 9830342112 Enrollment ID: I20130117000321 |
| Provider Name | Marc G Apple |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1164422697 PECOS PAC ID: 1557367638 Enrollment ID: I20130131000218 |
| Provider Name | Federico Mariano Canavosio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679721393 PECOS PAC ID: 4587801576 Enrollment ID: I20130510000434 |
| Provider Name | Tessey C Jose |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285836726 PECOS PAC ID: 0840439238 Enrollment ID: I20130614000538 |
| Provider Name | Jeffrey Eisenstein |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528220597 PECOS PAC ID: 7517108012 Enrollment ID: I20130725000748 |
| Provider Name | Daiana Jazon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316288921 PECOS PAC ID: 7719129097 Enrollment ID: I20130815000890 |
| Provider Name | Celestine Ann Mararac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919764 PECOS PAC ID: 9537306733 Enrollment ID: I20130903000798 |
| Provider Name | Manuel D Domagtoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730511221 PECOS PAC ID: 0749415065 Enrollment ID: I20131022001711 |
| Provider Name | Julie Weiss |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1992133078 PECOS PAC ID: 2769617356 Enrollment ID: I20131107000992 |
| Provider Name | Danielle Lind Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346680352 PECOS PAC ID: 2163658949 Enrollment ID: I20131127000461 |
| Provider Name | Erica A Demaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487927901 PECOS PAC ID: 6103087259 Enrollment ID: I20140211000609 |
| Provider Name | Susan D Agrama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992895577 PECOS PAC ID: 2961479399 Enrollment ID: I20140410000853 |
| Provider Name | Richard Rothman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164733143 PECOS PAC ID: 9739321472 Enrollment ID: I20140521001433 |
| Provider Name | Hermes S Velasquez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770593097 PECOS PAC ID: 0244235992 Enrollment ID: I20140522001565 |
| Provider Name | Beaujon O Davidson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407081987 PECOS PAC ID: 0042434672 Enrollment ID: I20140620001465 |
| Provider Name | Ivan Todorov Stoev |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730119595 PECOS PAC ID: 7214176874 Enrollment ID: I20140630000978 |
| Provider Name | Jhonstanley Searcy Schnaeidr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104160357 PECOS PAC ID: 0941426993 Enrollment ID: I20140728001351 |
| Provider Name | Cynthia Louise Marano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619242377 PECOS PAC ID: 1951562776 Enrollment ID: I20140818001876 |
| Provider Name | David Lopez |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689877243 PECOS PAC ID: 2466611413 Enrollment ID: I20140822002449 |
| Provider Name | Michelle Maria Jabeth-bacon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609282102 PECOS PAC ID: 5395964829 Enrollment ID: I20140916001811 |
| Provider Name | Zeguang Ren |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1770640856 PECOS PAC ID: 8224257613 Enrollment ID: I20140917001456 |
| Provider Name | Mercedes Ficarra |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326220062 PECOS PAC ID: 9537355920 Enrollment ID: I20140930001794 |
| Provider Name | Ashley R Scent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194130815 PECOS PAC ID: 0345460028 Enrollment ID: I20140930002797 |
| Provider Name | Gerri A Kroop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356756894 PECOS PAC ID: 6002037074 Enrollment ID: I20141016002613 |
| Provider Name | Mary L. Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326448093 PECOS PAC ID: 6103148408 Enrollment ID: I20141121002090 |
| Provider Name | Stacie Griffis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881980092 PECOS PAC ID: 3678790144 Enrollment ID: I20141125001390 |
| Provider Name | John F Greskovich |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568574077 PECOS PAC ID: 9032153960 Enrollment ID: I20150205001980 |
| Provider Name | Kathleen Fraga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346411121 PECOS PAC ID: 2163740093 Enrollment ID: I20150406000788 |
| Provider Name | Edward Mauricio Noguera |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063549723 PECOS PAC ID: 2163527771 Enrollment ID: I20150407000756 |
| Provider Name | Wendy C Sturrock |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215329354 PECOS PAC ID: 4385964808 Enrollment ID: I20150526000821 |
| Provider Name | Andrey Lima |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538475835 PECOS PAC ID: 2264752674 Enrollment ID: I20150527001603 |
| Provider Name | Sheronda D Drisdom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770929994 PECOS PAC ID: 9335460435 Enrollment ID: I20150601002534 |
| Provider Name | Angela M Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326431438 PECOS PAC ID: 7315268331 Enrollment ID: I20150603000382 |
| Provider Name | Heather Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962894360 PECOS PAC ID: 4082935887 Enrollment ID: I20150604002726 |
| Provider Name | Haane G Massarotti |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1518194083 PECOS PAC ID: 9739326638 Enrollment ID: I20150713000516 |
| Provider Name | Camilo I Garcia Gracia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346563855 PECOS PAC ID: 8224341185 Enrollment ID: I20150721001827 |
| Provider Name | Abhiman B Cheeyandira |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710142419 PECOS PAC ID: 7618197385 Enrollment ID: I20150722005089 |
| Provider Name | Kimberly R Foncham Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750773255 PECOS PAC ID: 2860705548 Enrollment ID: I20150723009451 |
| Provider Name | Karla M Arce |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922319110 PECOS PAC ID: 4082921911 Enrollment ID: I20150909003048 |
| Provider Name | Dennys Reyes Candedo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245598036 PECOS PAC ID: 8022333848 Enrollment ID: I20151019001753 |
| Provider Name | Lisa A Lima |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568652287 PECOS PAC ID: 7214184969 Enrollment ID: I20151104001508 |
| Provider Name | Kadian Simmonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508240888 PECOS PAC ID: 6901106046 Enrollment ID: I20151123000735 |
| Provider Name | Mary L Oberst |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174510168 PECOS PAC ID: 8123030020 Enrollment ID: I20151123002577 |
| Provider Name | Ervin Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1699145417 PECOS PAC ID: 6709186570 Enrollment ID: I20151201000011 |
| Provider Name | Alisha V Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821381542 PECOS PAC ID: 6608093968 Enrollment ID: I20160115000929 |
| Provider Name | Daniel Wubneh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407174923 PECOS PAC ID: 1052615770 Enrollment ID: I20160201001143 |
| Provider Name | Tanveer K Chaudhry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679747604 PECOS PAC ID: 2062646706 Enrollment ID: I20160202000673 |
| Provider Name | Diane Marie Ruhr |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205874799 PECOS PAC ID: 3577464213 Enrollment ID: I20160217002164 |
| Provider Name | Kristine E Courty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649605098 PECOS PAC ID: 9234434978 Enrollment ID: I20160218000523 |
| Provider Name | Umair Tariq |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285994863 PECOS PAC ID: 1951606243 Enrollment ID: I20160224002099 |
| Provider Name | Adetola Ajibade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174882906 PECOS PAC ID: 4385949338 Enrollment ID: I20160229002129 |
| Provider Name | Felice E Haake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093943128 PECOS PAC ID: 9739345273 Enrollment ID: I20160302000942 |
| Provider Name | Tran Tran T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215296678 PECOS PAC ID: 1951523190 Enrollment ID: I20160310001679 |
| Provider Name | Morgan P Courty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104181775 PECOS PAC ID: 8729384060 Enrollment ID: I20160311001018 |
| Provider Name | Ashley Canipe |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164680641 PECOS PAC ID: 2466759238 Enrollment ID: I20160322000681 |
| Provider Name | Theresa A Prescott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457404576 PECOS PAC ID: 6507164530 Enrollment ID: I20160407001408 |
| Provider Name | Joshua M Rio |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750757639 PECOS PAC ID: 7911205810 Enrollment ID: I20160408001375 |
| Provider Name | Segundo Joel Cardenas- Goicoechea |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1720143852 PECOS PAC ID: 2860633039 Enrollment ID: I20160408001564 |
| Provider Name | Carla S Mcwilliams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164652624 PECOS PAC ID: 3577706878 Enrollment ID: I20160415000155 |
| Provider Name | Patricia A Malinowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477580751 PECOS PAC ID: 5991893984 Enrollment ID: I20160516001101 |
| Provider Name | Malgorzata Beckman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487627360 PECOS PAC ID: 1850314063 Enrollment ID: I20160713000754 |
| Provider Name | Kristy G Crawford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457641912 PECOS PAC ID: 4880860097 Enrollment ID: I20160830000102 |
| Provider Name | Bruce Mccune |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649214040 PECOS PAC ID: 8426142381 Enrollment ID: I20160921002709 |
| Provider Name | Sabrina M Seus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033452578 PECOS PAC ID: 7113214388 Enrollment ID: I20161003001530 |
| Provider Name | Brett A Faulknier |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1346380771 PECOS PAC ID: 1951456029 Enrollment ID: I20161028001439 |
| Provider Name | George William Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790183168 PECOS PAC ID: 0547549479 Enrollment ID: I20161117001432 |
| Provider Name | Sasha K Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972943454 PECOS PAC ID: 7416190913 Enrollment ID: I20161117002738 |
| Provider Name | Beatrice L Memet |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417170499 PECOS PAC ID: 9234228370 Enrollment ID: I20161215002014 |
| Provider Name | John Lindsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952366270 PECOS PAC ID: 3173505500 Enrollment ID: I20161229000712 |
| Provider Name | Joshua D Leibner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417247032 PECOS PAC ID: 1850672981 Enrollment ID: I20170104001949 |
| Provider Name | Macresia A Braziel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124493432 PECOS PAC ID: 8628350865 Enrollment ID: I20170123001700 |
| Provider Name | Vimal Mittal |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992742084 PECOS PAC ID: 5294765228 Enrollment ID: I20170124002387 |
| Provider Name | Kali Freeman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427375625 PECOS PAC ID: 6901023597 Enrollment ID: I20170316000513 |
| Provider Name | Kelly M Katz |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1437606142 PECOS PAC ID: 0143506204 Enrollment ID: I20170404002317 |
| Provider Name | Julie Bruder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336683903 PECOS PAC ID: 0345526778 Enrollment ID: I20170419000174 |
| Provider Name | Alice C Dastrup |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053859595 PECOS PAC ID: 6709163629 Enrollment ID: I20170502002643 |
| Provider Name | Suzanne L Kirby |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245305598 PECOS PAC ID: 6800783119 Enrollment ID: I20170522000241 |
| Provider Name | Elvia I Goez-gutierrez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1669746731 PECOS PAC ID: 2264701887 Enrollment ID: I20170712003554 |
| Provider Name | Marc-alain Babi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831483841 PECOS PAC ID: 5991075277 Enrollment ID: I20170719001421 |
| Provider Name | Paul Berg |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1194254888 PECOS PAC ID: 2769753466 Enrollment ID: I20170728002389 |
| Provider Name | Lawren Alexandria Bril |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730627076 PECOS PAC ID: 4284905118 Enrollment ID: I20170810001137 |
| Provider Name | Wilson Cueva |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1366608713 PECOS PAC ID: 4486839008 Enrollment ID: I20170814002664 |
| Provider Name | Felicia Howard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407191208 PECOS PAC ID: 7618286865 Enrollment ID: I20170815000333 |
| Provider Name | Nikola Matson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861920373 PECOS PAC ID: 3476825548 Enrollment ID: I20170824000790 |
| Provider Name | Samantha M Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538570403 PECOS PAC ID: 5193019891 Enrollment ID: I20170913000438 |
| Provider Name | Karl Christopher Elser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699737650 PECOS PAC ID: 9931155728 Enrollment ID: I20170916000127 |
| Provider Name | Brandon J Rein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124384987 PECOS PAC ID: 5092958819 Enrollment ID: I20171025002519 |
| Provider Name | Samuel Trosman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750657243 PECOS PAC ID: 6204102510 Enrollment ID: I20171031002412 |
| Provider Name | Marc Kaufmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609132190 PECOS PAC ID: 0840423893 Enrollment ID: I20171107000459 |
| Provider Name | Denise V Cardenal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164861977 PECOS PAC ID: 8325341878 Enrollment ID: I20171107001785 |
| Provider Name | Deborah Bishop Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437112562 PECOS PAC ID: 8325209711 Enrollment ID: I20171108001399 |
| Provider Name | Jason A Franco |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1114438116 PECOS PAC ID: 1355607755 Enrollment ID: I20171116002348 |
| Provider Name | Ravinder Hilton Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639256456 PECOS PAC ID: 9234234808 Enrollment ID: I20171120003310 |
| Provider Name | Lauren Meece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295111383 PECOS PAC ID: 0446535223 Enrollment ID: I20171206003176 |
| Provider Name | Charles A Bongiorno |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417117714 PECOS PAC ID: 1456575182 Enrollment ID: I20171212000674 |
| Provider Name | Justin Jye Chou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154611150 PECOS PAC ID: 9638487630 Enrollment ID: I20171218000394 |
| Provider Name | Marilyn C Horvit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447762638 PECOS PAC ID: 1850659855 Enrollment ID: I20171221000128 |
| Provider Name | Ravishankar Shivashankar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003198938 PECOS PAC ID: 9537475116 Enrollment ID: I20171229000510 |
| Provider Name | Karely Cabrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104114958 PECOS PAC ID: 1658669783 Enrollment ID: I20171229001331 |
| Provider Name | Julie A Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457879314 PECOS PAC ID: 0345509816 Enrollment ID: I20180109002721 |
| Provider Name | Ryan Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679983670 PECOS PAC ID: 3678832540 Enrollment ID: I20180123000104 |
| Provider Name | Juan C Bird |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669606109 PECOS PAC ID: 8527381235 Enrollment ID: I20180201000281 |
| Provider Name | Wendy Phreud Edmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013458561 PECOS PAC ID: 8224398110 Enrollment ID: I20180214002910 |
| Provider Name | Lisa Halpern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598773228 PECOS PAC ID: 9234132762 Enrollment ID: I20180319000025 |
| Provider Name | Ramiro Daza |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1396883534 PECOS PAC ID: 7214010594 Enrollment ID: I20180404002678 |
| Provider Name | Roy C Mason |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306878764 PECOS PAC ID: 2668374109 Enrollment ID: I20180427000690 |
| Provider Name | Martine C Apollon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063961605 PECOS PAC ID: 7113282146 Enrollment ID: I20180522002989 |
| Provider Name | Ian Ross Drexler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265722888 PECOS PAC ID: 2860776812 Enrollment ID: I20180608000920 |
| Provider Name | Vitaly Borodin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659702553 PECOS PAC ID: 9638424765 Enrollment ID: I20180613003139 |
| Provider Name | Trevor J Applehof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801275789 PECOS PAC ID: 6002122363 Enrollment ID: I20180618002207 |
| Provider Name | Lauren E Applehof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336527837 PECOS PAC ID: 1355640848 Enrollment ID: I20180625002220 |
| Provider Name | Monica L Multani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497114649 PECOS PAC ID: 9830482553 Enrollment ID: I20180626002997 |
| Provider Name | Collin Kitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275945800 PECOS PAC ID: 3375856685 Enrollment ID: I20180820002710 |
| Provider Name | Dawn Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821479809 PECOS PAC ID: 7810202454 Enrollment ID: I20180921001063 |
| Provider Name | Philip F Bongiorno |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073512422 PECOS PAC ID: 1658270939 Enrollment ID: I20181105001471 |
| Provider Name | Leslie Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285125567 PECOS PAC ID: 8527312487 Enrollment ID: I20181112001321 |
| Provider Name | Dian Feng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710145453 PECOS PAC ID: 6901950112 Enrollment ID: I20181115001181 |
| Provider Name | Laurie Michelle Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841618683 PECOS PAC ID: 9335483569 Enrollment ID: I20181129000666 |
| Provider Name | Genise L Owens |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1871078568 PECOS PAC ID: 0143564245 Enrollment ID: I20181130000178 |
| Provider Name | Jeffrey W Miller |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447311618 PECOS PAC ID: 7416957584 Enrollment ID: I20181212001553 |
| Provider Name | Silvia T Bunting |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548366594 PECOS PAC ID: 6103823216 Enrollment ID: I20181213002917 |
| Provider Name | Jessica Elizabeth Maitland |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1700360294 PECOS PAC ID: 1254676182 Enrollment ID: I20181221001094 |
| Provider Name | Desmond Fonji |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285976720 PECOS PAC ID: 3870884265 Enrollment ID: I20190102001594 |
| Provider Name | Anna Joy Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1235618042 PECOS PAC ID: 1759627201 Enrollment ID: I20190104000684 |
| Provider Name | Ivana M Parody |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1679977854 PECOS PAC ID: 4688960370 Enrollment ID: I20190111002784 |
| Provider Name | Neal B Mccollum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780846683 PECOS PAC ID: 7810028206 Enrollment ID: I20190115002730 |
| Provider Name | Mansour Afshani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447395454 PECOS PAC ID: 6204928682 Enrollment ID: I20190123002439 |
| Provider Name | James P Adcock |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1124596697 PECOS PAC ID: 4789921958 Enrollment ID: I20190125000773 |
| Provider Name | Angelica Quintero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639562184 PECOS PAC ID: 4183917172 Enrollment ID: I20190125000928 |
| Provider Name | Steven L Seever |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114029139 PECOS PAC ID: 8022017524 Enrollment ID: I20190125001147 |
| Provider Name | Tracy Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023387909 PECOS PAC ID: 3375881048 Enrollment ID: I20190205003411 |
| Provider Name | Jason Fernandes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093282279 PECOS PAC ID: 5193063337 Enrollment ID: I20190213000772 |
| Provider Name | Dorotie Andre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285099440 PECOS PAC ID: 8123366341 Enrollment ID: I20190214000263 |
| Provider Name | Mariastella Giovinazzo Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346726262 PECOS PAC ID: 2769720986 Enrollment ID: I20190214000275 |
| Provider Name | Kimberly Nachelle Stinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427239276 PECOS PAC ID: 3971828476 Enrollment ID: I20190220002994 |
| Provider Name | Sandra H Bolanos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992968853 PECOS PAC ID: 6406090349 Enrollment ID: I20190222001450 |
| Provider Name | Kelly A Collura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548738248 PECOS PAC ID: 8022357607 Enrollment ID: I20190226000807 |
| Provider Name | Tiffany G Minnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720537343 PECOS PAC ID: 8921347519 Enrollment ID: I20190226001328 |
| Provider Name | Raymond Sutkowski |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1083970909 PECOS PAC ID: 2163650375 Enrollment ID: I20190318002357 |
| Provider Name | James M Krick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679542195 PECOS PAC ID: 0244264638 Enrollment ID: I20190321001125 |
| Provider Name | Jose Navia |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346204542 PECOS PAC ID: 0446262711 Enrollment ID: I20190322001880 |
| Provider Name | Elizabeth A Joseph |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245790252 PECOS PAC ID: 3375876923 Enrollment ID: I20190613000491 |
| Provider Name | Mallory Anne Weatherly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518521251 PECOS PAC ID: 9133452790 Enrollment ID: I20190613001092 |
| Provider Name | Lisa L Go |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932209970 PECOS PAC ID: 6406983295 Enrollment ID: I20190617001453 |
| Provider Name | Nicole Marie Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013422872 PECOS PAC ID: 3274867460 Enrollment ID: I20190621000530 |
| Provider Name | David J Peter |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1811955412 PECOS PAC ID: 0749304772 Enrollment ID: I20190709001605 |
| Provider Name | Tina Lorraine Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831759539 PECOS PAC ID: 2860728102 Enrollment ID: I20190724003935 |
| Provider Name | Lori K Posk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669573317 PECOS PAC ID: 3375549553 Enrollment ID: I20190726002335 |
| Provider Name | Brittany Macwilliam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982257101 PECOS PAC ID: 0143557306 Enrollment ID: I20190809002142 |
| Provider Name | Jonathan Braue |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1801283171 PECOS PAC ID: 7719281229 Enrollment ID: I20190812000461 |
| Provider Name | Mistyann-blue N Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750645131 PECOS PAC ID: 7517216179 Enrollment ID: I20190826002515 |
| Provider Name | Sara Huser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316359664 PECOS PAC ID: 7012136732 Enrollment ID: I20190923001769 |
| Provider Name | Rafael A Arteta-bulos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1457323404 PECOS PAC ID: 9234163551 Enrollment ID: I20190924000914 |
| Provider Name | Pamela C Kirwin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770515447 PECOS PAC ID: 5092720268 Enrollment ID: I20191205002211 |
| Provider Name | Matthew J Noonan |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1215969951 PECOS PAC ID: 7416943428 Enrollment ID: I20191212003028 |
| Provider Name | Amber L Dunn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619100120 PECOS PAC ID: 8729221684 Enrollment ID: I20191226000940 |
| Provider Name | Tyler C Fearns |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1336786995 PECOS PAC ID: 9234563057 Enrollment ID: I20200102000730 |
| Provider Name | Paul A Skaff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962402099 PECOS PAC ID: 1456330208 Enrollment ID: I20200129001375 |
| Provider Name | Tyrone R Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831741149 PECOS PAC ID: 2567898901 Enrollment ID: I20200204001047 |
| Provider Name | Clay Greeson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730318403 PECOS PAC ID: 7810202512 Enrollment ID: I20200213001146 |
| Provider Name | Nicole A Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912546755 PECOS PAC ID: 3274960737 Enrollment ID: I20200221001092 |
| Provider Name | Jena Christine Marini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528604915 PECOS PAC ID: 2365879483 Enrollment ID: I20200228002340 |
| Provider Name | Stephanie W Brooker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467096321 PECOS PAC ID: 2860820578 Enrollment ID: I20200311002272 |
| Provider Name | Peter Evans |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215965405 PECOS PAC ID: 7012920812 Enrollment ID: I20200323000317 |
| Provider Name | Jennifer Noel Prigg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730171885 PECOS PAC ID: 2264462852 Enrollment ID: I20200331002726 |
| Provider Name | Juan Uribe |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295967826 PECOS PAC ID: 4183948003 Enrollment ID: I20200413001308 |
| Provider Name | Haley Macon Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508401068 PECOS PAC ID: 8022448745 Enrollment ID: I20200421001895 |
| Provider Name | Georgios Hatzoudis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164642096 PECOS PAC ID: 3678655198 Enrollment ID: I20200528000730 |
| Provider Name | Patricia Liceth Auzenne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295277879 PECOS PAC ID: 8628499472 Enrollment ID: I20200602002503 |
| Provider Name | Stephen R Rogers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316041510 PECOS PAC ID: 8224007133 Enrollment ID: I20200615001400 |
| Provider Name | Christina Lee Meerheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245861517 PECOS PAC ID: 4587086814 Enrollment ID: I20200615002669 |
| Provider Name | Carlos Gonzalez Lengua |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568732451 PECOS PAC ID: 0547533408 Enrollment ID: I20200617001857 |
| Provider Name | Sean Patrick Mcgregor |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1194101840 PECOS PAC ID: 0840585790 Enrollment ID: I20200709000065 |
| Provider Name | Nazar Sharak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306384839 PECOS PAC ID: 7315360260 Enrollment ID: I20200710000181 |
| Provider Name | Shaina Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639719164 PECOS PAC ID: 2860815628 Enrollment ID: I20200713001101 |
| Provider Name | Sooreh Dodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700124211 PECOS PAC ID: 8628385788 Enrollment ID: I20200713001424 |
| Provider Name | Ana Isabel Pena |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023403706 PECOS PAC ID: 4981917234 Enrollment ID: I20200713002810 |
| Provider Name | Kathryn Lee Anderson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891149993 PECOS PAC ID: 8628347184 Enrollment ID: I20200715003526 |
| Provider Name | Erica Tudor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992337638 PECOS PAC ID: 0840614384 Enrollment ID: I20200716003612 |
| Provider Name | Roberto Rey Dios |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487835211 PECOS PAC ID: 5294978235 Enrollment ID: I20200716003616 |
| Provider Name | Louis House |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265402002 PECOS PAC ID: 1658314828 Enrollment ID: I20200717002706 |
| Provider Name | Lauren Elizabeth Sloat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467079731 PECOS PAC ID: 2163847443 Enrollment ID: I20200804000143 |
| Provider Name | Brianna Starr Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295240554 PECOS PAC ID: 7911323670 Enrollment ID: I20200812003202 |
| Provider Name | Jeff Chapa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730160037 PECOS PAC ID: 9739169004 Enrollment ID: I20200820000791 |
| Provider Name | Kathleen Berkowitz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255387486 PECOS PAC ID: 2163459645 Enrollment ID: I20200821000821 |
| Provider Name | Amber M Harp |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1427674795 PECOS PAC ID: 9133546468 Enrollment ID: I20200901000531 |
| Provider Name | John P Bernhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437439619 PECOS PAC ID: 3577730498 Enrollment ID: I20200903001817 |
| Provider Name | Qaisar Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346322823 PECOS PAC ID: 6709978117 Enrollment ID: I20200916001020 |
| Provider Name | Dustin Burnham |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1346790011 PECOS PAC ID: 2062790587 Enrollment ID: I20200917000470 |
| Provider Name | Abigail D'souza |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1326654138 PECOS PAC ID: 3577983931 Enrollment ID: I20201023001289 |
| Provider Name | Dan Cornell |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609857028 PECOS PAC ID: 2769522036 Enrollment ID: I20201026000039 |
| Provider Name | Blaise Baxter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1487681342 PECOS PAC ID: 6507763232 Enrollment ID: I20201104000418 |
| Provider Name | Delia Smith |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487636379 PECOS PAC ID: 5496851206 Enrollment ID: I20201112000021 |
| Provider Name | Lisa Eleanor Bosworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679174593 PECOS PAC ID: 6800208802 Enrollment ID: I20201216001424 |
| Provider Name | Aamir Badruddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871769331 PECOS PAC ID: 1052462157 Enrollment ID: I20201217002545 |
| Provider Name | Kettelene Philogene Mcmorris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194342048 PECOS PAC ID: 7719392158 Enrollment ID: I20210218000110 |
| Provider Name | Brian Burkey |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023117454 PECOS PAC ID: 1153330386 Enrollment ID: I20210226000032 |
| Provider Name | Raghavendra Charan Makam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235378217 PECOS PAC ID: 5890961205 Enrollment ID: I20210301000315 |
| Provider Name | Peter Brooks |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073558037 PECOS PAC ID: 6507899317 Enrollment ID: I20210304000278 |
| Provider Name | Jimmy Ghostine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134245210 PECOS PAC ID: 9638598527 Enrollment ID: I20210311002436 |
| Provider Name | Rachelle Hagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821686668 PECOS PAC ID: 6406263227 Enrollment ID: I20210323002304 |
| Provider Name | Amanda Kalan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629178397 PECOS PAC ID: 9830198514 Enrollment ID: I20210422002992 |
| Provider Name | David Lowery |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528297769 PECOS PAC ID: 6507092095 Enrollment ID: I20210428000094 |
| Provider Name | Houssein Abdul Sater |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619256377 PECOS PAC ID: 2860783990 Enrollment ID: I20210504000441 |
| Provider Name | Daniel D Coelho |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457392367 PECOS PAC ID: 7012109903 Enrollment ID: I20210512002708 |
| Provider Name | Diasmene Gaspard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083204077 PECOS PAC ID: 1456760792 Enrollment ID: I20210517002156 |
| Provider Name | Edward Pellerano Guzman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255600607 PECOS PAC ID: 2769700848 Enrollment ID: I20210617000764 |
| Provider Name | Mauricio Mandel Brigido |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1982259461 PECOS PAC ID: 2860721016 Enrollment ID: I20210623004055 |
| Provider Name | Alex V Mejia Garcia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952582611 PECOS PAC ID: 6406161728 Enrollment ID: I20210727002870 |
| Provider Name | Nicholas Golden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619978343 PECOS PAC ID: 7719069913 Enrollment ID: I20210728000836 |
| Provider Name | Ashley Grall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326630443 PECOS PAC ID: 0042613978 Enrollment ID: I20210729000882 |
| Provider Name | Sarah A Vogler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1427256395 PECOS PAC ID: 1658521851 Enrollment ID: I20210805000571 |
| Provider Name | Kruti J Yagnik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114380763 PECOS PAC ID: 9133415870 Enrollment ID: I20210805002386 |
| Provider Name | Javier Quintero Betancourt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699125237 PECOS PAC ID: 6901142454 Enrollment ID: I20210806001777 |
| Provider Name | Rochelle Rosian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1053347864 PECOS PAC ID: 8921011784 Enrollment ID: I20210810001054 |
| Provider Name | Howard Fussell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467782193 PECOS PAC ID: 1951437045 Enrollment ID: I20210811001904 |
| Provider Name | Christopher W Fleming |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245684158 PECOS PAC ID: 6507137742 Enrollment ID: I20210811003631 |
| Provider Name | Eleni A Tousimis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609972033 PECOS PAC ID: 3870586332 Enrollment ID: I20210813000786 |
| Provider Name | Kelly Tharp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538653423 PECOS PAC ID: 7618372343 Enrollment ID: I20210818003740 |
| Provider Name | Irene Rahman-garcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780176164 PECOS PAC ID: 0446655567 Enrollment ID: I20210826002626 |
| Provider Name | Amanda Spector |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780925255 PECOS PAC ID: 4082916762 Enrollment ID: I20210827002992 |
| Provider Name | Lauren Emily Tokarz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346811312 PECOS PAC ID: 9638574684 Enrollment ID: I20210830000846 |
| Provider Name | Elizabeth Ann Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619540796 PECOS PAC ID: 6507262599 Enrollment ID: I20210830002768 |
| Provider Name | Bradford Sklow |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1518057140 PECOS PAC ID: 1052326022 Enrollment ID: I20210914000620 |
| Provider Name | Yadira Mishelle Augello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639843329 PECOS PAC ID: 2668879370 Enrollment ID: I20210923000236 |
| Provider Name | Terry P Olivas |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1154404598 PECOS PAC ID: 4789684408 Enrollment ID: I20211001000374 |
| Provider Name | Crystal Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750816153 PECOS PAC ID: 3476951666 Enrollment ID: I20211001000485 |
| Provider Name | Kendall Wyckoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235809120 PECOS PAC ID: 4981002912 Enrollment ID: I20211006000682 |
| Provider Name | Sarah N Burr |
|---|---|
| Provider Type | Practitioner - Anesthesiology Assistant |
| Provider Identifiers | NPI Number: 1982370284 PECOS PAC ID: 4486042413 Enrollment ID: I20211025002422 |
| Provider Name | Naomi England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346826054 PECOS PAC ID: 9830588250 Enrollment ID: I20211105000022 |
| Provider Name | Eugene T Mcelwee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649290784 PECOS PAC ID: 3173528460 Enrollment ID: I20211117003327 |
| Provider Name | Grettel Rodriguez Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063836005 PECOS PAC ID: 2466770672 Enrollment ID: I20211206000621 |
| Provider Name | Amy Balog |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720346869 PECOS PAC ID: 2365690302 Enrollment ID: I20211206001927 |
| Provider Name | Charles Salzberg |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1497711972 PECOS PAC ID: 4587686183 Enrollment ID: I20211207000419 |
| Provider Name | Kristopher Coontz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417299058 PECOS PAC ID: 2961420369 Enrollment ID: I20220105001268 |
| Provider Name | Luis Velazco Davila |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992016539 PECOS PAC ID: 2062652704 Enrollment ID: I20220118001676 |
| Provider Name | Maria Isabel Almira Suarez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184800666 PECOS PAC ID: 6305080391 Enrollment ID: I20220218002233 |
| Provider Name | Ashley Mays |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1407155153 PECOS PAC ID: 4587971049 Enrollment ID: I20220318000500 |
| Provider Name | Anthony Mistretta |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1851341531 PECOS PAC ID: 6103929450 Enrollment ID: I20220323000368 |
| Provider Name | Janine Benedetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689206856 PECOS PAC ID: 5597151456 Enrollment ID: I20220401002398 |
| Provider Name | Luis Argote-greene M.d. |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598877748 PECOS PAC ID: 8820304587 Enrollment ID: I20220418000920 |
| Provider Name | Laura Sullivan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386805794 PECOS PAC ID: 6901091016 Enrollment ID: I20220429000006 |
| Provider Name | Timothy Murray |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063481596 PECOS PAC ID: 7214909944 Enrollment ID: I20220429001897 |
| Provider Name | Esther Yoon |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639571698 PECOS PAC ID: 2264769892 Enrollment ID: I20220505001861 |
| Provider Name | Xingcao Nie |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730458449 PECOS PAC ID: 1759506496 Enrollment ID: I20220509000866 |
| Provider Name | Maria M Leinonen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518408947 PECOS PAC ID: 7517292667 Enrollment ID: I20220524000807 |
| Provider Name | Thomas F Olson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578859914 PECOS PAC ID: 8224358585 Enrollment ID: I20220524003295 |
| Provider Name | Kevin Kinyanjui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154880037 PECOS PAC ID: 0042699597 Enrollment ID: I20220614001294 |
| Provider Name | Jean-pierre Obeid |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770012411 PECOS PAC ID: 2961774112 Enrollment ID: I20220622000872 |
| Provider Name | Fouad A Abuzeid |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255793642 PECOS PAC ID: 0244525335 Enrollment ID: I20220627003643 |
| Provider Name | Alexandra Mikhael |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053795484 PECOS PAC ID: 9537461413 Enrollment ID: I20220705000001 |
| Provider Name | Katelin Mcginnis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033737861 PECOS PAC ID: 6406236603 Enrollment ID: I20220706001738 |
| Provider Name | Kelly Cleerdin Barrett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760013734 PECOS PAC ID: 2264812163 Enrollment ID: I20220709000634 |
| Provider Name | Jose A Quesada |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740749712 PECOS PAC ID: 3678954070 Enrollment ID: I20220718000068 |
| Provider Name | Jamil Syed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417485236 PECOS PAC ID: 0345511945 Enrollment ID: I20220720003970 |
| Provider Name | Joseph Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437610458 PECOS PAC ID: 7618358714 Enrollment ID: I20220721000102 |
| Provider Name | Allan M Welter-frost |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1407260490 PECOS PAC ID: 9830317379 Enrollment ID: I20220728001794 |
| Provider Name | Teresa Ann Eury |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588397483 PECOS PAC ID: 9133501513 Enrollment ID: I20220802000431 |
| Provider Name | Melissa Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023116605 PECOS PAC ID: 9931208055 Enrollment ID: I20220804002773 |
| Provider Name | Lubka B. Ilieva |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306206040 PECOS PAC ID: 5698157501 Enrollment ID: I20220809000315 |
| Provider Name | Indley Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689037665 PECOS PAC ID: 5395167761 Enrollment ID: I20220811001195 |
| Provider Name | Christopher Trotter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538321393 PECOS PAC ID: 0648583096 Enrollment ID: I20220817003699 |
| Provider Name | John H Seymour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093247249 PECOS PAC ID: 1951648005 Enrollment ID: I20220822002970 |
| Provider Name | Stephen W Kwong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366947871 PECOS PAC ID: 7012390040 Enrollment ID: I20220823003962 |
| Provider Name | Kelsey Elizabeth Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659834919 PECOS PAC ID: 4284017278 Enrollment ID: I20220824002595 |
| Provider Name | Sharon C Gahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558405050 PECOS PAC ID: 5092892000 Enrollment ID: I20220829001233 |
| Provider Name | David Melnick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548765969 PECOS PAC ID: 0648666842 Enrollment ID: I20220829001546 |
| Provider Name | Mohamed E Ghonimy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821437427 PECOS PAC ID: 0446548101 Enrollment ID: I20220831003211 |
| Provider Name | Jenny S Placido Disla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891182879 PECOS PAC ID: 8921344177 Enrollment ID: I20220831003284 |
| Provider Name | Ronald Cossman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932161619 PECOS PAC ID: 8921083064 Enrollment ID: I20220908000015 |
| Provider Name | Hemali V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477110591 PECOS PAC ID: 5395120810 Enrollment ID: I20220920002871 |
| Provider Name | Andrea Jones |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407140650 PECOS PAC ID: 0446496319 Enrollment ID: I20220928000183 |
| Provider Name | Kelly Mckinell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982850087 PECOS PAC ID: 8022142033 Enrollment ID: I20221013001304 |
| Provider Name | Ramanuj Chakravarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477843837 PECOS PAC ID: 0345460531 Enrollment ID: I20221017000754 |
| Provider Name | Madhu Unnikrishnan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1093093619 PECOS PAC ID: 8022330612 Enrollment ID: I20221017002116 |
| Provider Name | Lucille Malvina Fantauzzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609401967 PECOS PAC ID: 1153797907 Enrollment ID: I20221019000431 |
| Provider Name | Amir Behdad |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1497978902 PECOS PAC ID: 8527192541 Enrollment ID: I20221121003310 |
| Provider Name | Gary Harter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609845312 PECOS PAC ID: 8123104437 Enrollment ID: I20221205000063 |
| Provider Name | Maria Defatima Pozuelo |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285681999 PECOS PAC ID: 6901846658 Enrollment ID: I20221217000311 |
| Provider Name | James Lasker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215956289 PECOS PAC ID: 0042113821 Enrollment ID: I20230105000674 |
| Provider Name | Kyle Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609010677 PECOS PAC ID: 2466699160 Enrollment ID: I20230110003031 |
| Provider Name | John Aita |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518956556 PECOS PAC ID: 9739311184 Enrollment ID: I20230116000732 |
| Provider Name | Michael W Howard |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1205549706 PECOS PAC ID: 0547631863 Enrollment ID: I20230125001173 |
| Provider Name | Mohamed Elgabaly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861656282 PECOS PAC ID: 9931366564 Enrollment ID: I20230222003264 |
| Provider Name | Mariejane Braza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144467515 PECOS PAC ID: 7618146218 Enrollment ID: I20230228000758 |
| Provider Name | Mehmet Karaca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336819705 PECOS PAC ID: 6305219726 Enrollment ID: I20230307000121 |
| Provider Name | Muhammad Shabbir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447560818 PECOS PAC ID: 6800030313 Enrollment ID: I20230317000370 |
| Provider Name | Abhishek Bhardwaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043661507 PECOS PAC ID: 5799070322 Enrollment ID: I20230331001414 |
| Provider Name | Carlos A Salazar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407261456 PECOS PAC ID: 7810216967 Enrollment ID: I20230419000592 |
| Provider Name | Samantha Kimberly Somwaru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053792218 PECOS PAC ID: 1052600061 Enrollment ID: I20230518000199 |
| Provider Name | Joanna Justine Fekieta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952004459 PECOS PAC ID: 5597121103 Enrollment ID: I20230523002370 |
| Provider Name | Karla Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144679606 PECOS PAC ID: 9638506280 Enrollment ID: I20230524002995 |
| Provider Name | Lia M Hoffner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679928774 PECOS PAC ID: 0143514729 Enrollment ID: I20230601000508 |
| Provider Name | Adesola Awomolo |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1699778894 PECOS PAC ID: 0840260212 Enrollment ID: I20230605001133 |
| Provider Name | Maria Martinez Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639606353 PECOS PAC ID: 5193156750 Enrollment ID: I20230618000046 |
| Provider Name | Evan Botti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891284840 PECOS PAC ID: 5193068849 Enrollment ID: I20230620001672 |
| Provider Name | Catherine Kowalski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346406865 PECOS PAC ID: 2365699444 Enrollment ID: I20230621000154 |
| Provider Name | Diana Maria Ronderos Botero |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568966562 PECOS PAC ID: 1658730395 Enrollment ID: I20230628004422 |
| Provider Name | Michael Dzombo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528697166 PECOS PAC ID: 1254761117 Enrollment ID: I20230712003734 |
| Provider Name | Michelle Likhtshteyn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922538800 PECOS PAC ID: 2062755861 Enrollment ID: I20230731000083 |
| Provider Name | Andrea Folds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912535923 PECOS PAC ID: 4789005000 Enrollment ID: I20230807002346 |
| Provider Name | Abigail Barnhart Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548945462 PECOS PAC ID: 8224490230 Enrollment ID: I20230808002031 |
| Provider Name | Miguel Rodriguez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306340963 PECOS PAC ID: 4880942192 Enrollment ID: I20230808003498 |
| Provider Name | Leonel Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780144733 PECOS PAC ID: 1052773017 Enrollment ID: I20230808003908 |
| Provider Name | Gavin C Harewood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255317285 PECOS PAC ID: 9335124429 Enrollment ID: I20230815003987 |
| Provider Name | Gabriel Colon Caballero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114220886 PECOS PAC ID: 3375814080 Enrollment ID: I20230901001253 |
| Provider Name | James H Wudel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942395215 PECOS PAC ID: 6103734819 Enrollment ID: I20230905000049 |
| Provider Name | Farah Fourcand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013302421 PECOS PAC ID: 5395042808 Enrollment ID: I20230911003841 |
| Provider Name | Sergeine Lezeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699302075 PECOS PAC ID: 1557725355 Enrollment ID: I20230912004261 |
| Provider Name | Gabriel Dunwoody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215619952 PECOS PAC ID: 6800250556 Enrollment ID: I20230913002145 |
| Provider Name | Mary Virginia Van Arsdall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447889522 PECOS PAC ID: 0749602084 Enrollment ID: I20231018000275 |
| Provider Name | Denise Elizabeth Pattison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356757843 PECOS PAC ID: 7517187149 Enrollment ID: I20231108000546 |
| Provider Name | Nikea Robinson Stovall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386369650 PECOS PAC ID: 0042667933 Enrollment ID: I20231115000365 |
| Provider Name | Elizabeth Parker Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679256630 PECOS PAC ID: 3779931258 Enrollment ID: I20231121003233 |
| Provider Name | Gilbert Ellis Ziel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710115647 PECOS PAC ID: 1951616648 Enrollment ID: I20231130001267 |
| Provider Name | Jordan Scott Galician |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295266427 PECOS PAC ID: 7315219706 Enrollment ID: I20231207002266 |
| Provider Name | Juan P Umana |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114610862 PECOS PAC ID: 8426415308 Enrollment ID: I20240109004402 |
| Provider Name | Vincent P Hancock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427580653 PECOS PAC ID: 5991042202 Enrollment ID: I20240207001017 |
| Provider Name | Kendra R Cagniart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093001109 PECOS PAC ID: 4688021660 Enrollment ID: I20240220002285 |
Fred J Petrilla Jr Phd & Associates Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 25th St, Vero Beach, FL 32960 Phone: 772-562-0777 Fax: 772-770-3285 | |
Mending Pieces, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 21st St Ste 300, Vero Beach, FL 32960 Phone: 772-584-5650 | |
Vero Beach Neurology And Research Institute Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1040 37th Pl, Suite 201, Vero Beach, FL 32960 Phone: 772-492-7051 | |
Ibelieve Maternal Wellness & Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 21st St Ste 300, Vero Beach, FL 32960 Phone: 772-778-4246 | |
Vero Beach Cognitive Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 17th St Ste M, Vero Beach, FL 32960 Phone: 772-584-3083 Fax: 772-218-3003 | |
Center For Mood Disorders Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 19th St, Suite C, Vero Beach, FL 32960 Phone: 772-224-1294 | |
James A. Robison, Psy.d., P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 20th Pl, Suite 2, Vero Beach, FL 32960 Phone: 772-794-7550 |