| Cbo Mrmc Emergency | |
|
555 E Cheves St Florence SC 29506-2617 | |
| (843) 777-2000 | |
| (843) 777-5035 |
| Full Name | Cbo Mrmc Emergency |
|---|---|
| Speciality | Emergency Medicine |
| Location | 555 E Cheves St, Florence, South Carolina |
| Authorized Official Name and Position | Samuel Fulton Ervin (SENIOR VP AND CFO) |
| Authorized Official Contact | 8437772910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cbo Mrmc Emergency Po Box 100567 Florence SC 29502-0567 Ph: (843) 777-5802 | Cbo Mrmc Emergency 555 E Cheves St Florence SC 29506-2617 Ph: (843) 777-2000 |
| NPI Number | 1154371433 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 7416851852 |
|---|---|
| Medicare Enrollment ID | O20031126000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154371433 | NPI | - | NPPES |
| 400514 | Medicaid | SC |
| Provider Name | John C Walthall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154321743 PECOS PAC ID: 8628981347 Enrollment ID: I20031110000239 |
| Provider Name | Donna K Blair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760445795 PECOS PAC ID: 8426952979 Enrollment ID: I20031125000731 |
| Provider Name | Antoinette R Tolbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487680799 PECOS PAC ID: 9830093269 Enrollment ID: I20031126000178 |
| Provider Name | Kelly L Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376500173 PECOS PAC ID: 0244135135 Enrollment ID: I20031204000143 |
| Provider Name | Amy L Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013915966 PECOS PAC ID: 0547165029 Enrollment ID: I20031208000099 |
| Provider Name | Mary Elizabeth Devine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770581928 PECOS PAC ID: 1850296344 Enrollment ID: I20031208000141 |
| Provider Name | Shyam Yallapragada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184620783 PECOS PAC ID: 4486550977 Enrollment ID: I20031208000211 |
| Provider Name | Dennis M Fraley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417954405 PECOS PAC ID: 0143126409 Enrollment ID: I20031209000428 |
| Provider Name | Prabal K Guha |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043277304 PECOS PAC ID: 8224935069 Enrollment ID: I20031218000453 |
| Provider Name | Carolyn B Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013989508 PECOS PAC ID: 5294628178 Enrollment ID: I20040204000820 |
| Provider Name | Michelle M Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093751836 PECOS PAC ID: 3072407071 Enrollment ID: I20040211000223 |
| Provider Name | David E Krusling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730104852 PECOS PAC ID: 8628967338 Enrollment ID: I20040311001038 |
| Provider Name | Anthony Geraci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932247657 PECOS PAC ID: 1951291905 Enrollment ID: I20040316000281 |
| Provider Name | Harmohan Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487608154 PECOS PAC ID: 9638163355 Enrollment ID: I20040414000273 |
| Provider Name | Kevin Herbert Roerden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558388421 PECOS PAC ID: 0840284410 Enrollment ID: I20040414001405 |
| Provider Name | Robert Maybon Barber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972503340 PECOS PAC ID: 7214922723 Enrollment ID: I20040415000517 |
| Provider Name | John R Mattheis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053361329 PECOS PAC ID: 8729075239 Enrollment ID: I20040427001354 |
| Provider Name | Jo Roberts Reid |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376651323 PECOS PAC ID: 4587650726 Enrollment ID: I20040428000263 |
| Provider Name | Ernest Singletary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215997010 PECOS PAC ID: 7012906159 Enrollment ID: I20040512000437 |
| Provider Name | Scott Saylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003896242 PECOS PAC ID: 2264421320 Enrollment ID: I20040512000637 |
| Provider Name | William Arthur Jackson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760471130 PECOS PAC ID: 0244221778 Enrollment ID: I20040521001107 |
| Provider Name | Diane Marie Ward Fox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700886413 PECOS PAC ID: 2466434709 Enrollment ID: I20040602000335 |
| Provider Name | William J Hanna |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346209053 PECOS PAC ID: 0143202655 Enrollment ID: I20040607000856 |
| Provider Name | Sarah J Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841285483 PECOS PAC ID: 4183608334 Enrollment ID: I20040615001291 |
| Provider Name | William M Hazelwood |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083687552 PECOS PAC ID: 0840275350 Enrollment ID: I20040621000124 |
| Provider Name | James R Yarnal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548234818 PECOS PAC ID: 7517942030 Enrollment ID: I20040621000240 |
| Provider Name | Christopher George Pelic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396853263 PECOS PAC ID: 7911982152 Enrollment ID: I20040622000270 |
| Provider Name | Abbas H Mansour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326092156 PECOS PAC ID: 9638060122 Enrollment ID: I20040628001235 |
| Provider Name | Allison K Slice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801869797 PECOS PAC ID: 9739166703 Enrollment ID: I20040707000941 |
| Provider Name | Peter D Hyman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508862681 PECOS PAC ID: 9335119445 Enrollment ID: I20040727001292 |
| Provider Name | Kimberly Karla Matthews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114987823 PECOS PAC ID: 7113997024 Enrollment ID: I20040728001110 |
| Provider Name | Meenakshi a Pande |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538198080 PECOS PAC ID: 9234109158 Enrollment ID: I20040728001162 |
| Provider Name | Elizabeth H Woodberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821062464 PECOS PAC ID: 4486626991 Enrollment ID: I20040806000198 |
| Provider Name | Anthony L Bostick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477517977 PECOS PAC ID: 6709859853 Enrollment ID: I20040817000358 |
| Provider Name | Anne H Everman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194711036 PECOS PAC ID: 8628042579 Enrollment ID: I20040825000770 |
| Provider Name | Emily J Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689756942 PECOS PAC ID: 6204800162 Enrollment ID: I20040825000812 |
| Provider Name | Thomas G Lewis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568469674 PECOS PAC ID: 4385619337 Enrollment ID: I20040908000959 |
| Provider Name | Christopher C Cornor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023095361 PECOS PAC ID: 6002884665 Enrollment ID: I20040921000933 |
| Provider Name | Sanaulla M Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255304705 PECOS PAC ID: 0941278170 Enrollment ID: I20040924000125 |
| Provider Name | Brendan E Smith |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588744957 PECOS PAC ID: 6608835681 Enrollment ID: I20041006000066 |
| Provider Name | Christopher Len Deese |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447230362 PECOS PAC ID: 1658331640 Enrollment ID: I20041014000059 |
| Provider Name | Susan P Bessellieu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649231374 PECOS PAC ID: 6800853003 Enrollment ID: I20041218000168 |
| Provider Name | Mary K Nickel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225099807 PECOS PAC ID: 9133021942 Enrollment ID: I20050107000051 |
| Provider Name | Brian Trezak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003913526 PECOS PAC ID: 1759331168 Enrollment ID: I20050124000901 |
| Provider Name | Frances L Mcinerny |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205891587 PECOS PAC ID: 0941286165 Enrollment ID: I20050315000380 |
| Provider Name | John L Wolford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740257641 PECOS PAC ID: 5991746596 Enrollment ID: I20050513000158 |
| Provider Name | Michelle H Pittard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285691568 PECOS PAC ID: 2668413188 Enrollment ID: I20050516000262 |
| Provider Name | Stephen W Askins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528088762 PECOS PAC ID: 7416998497 Enrollment ID: I20050519000854 |
| Provider Name | Adrian Doran Langley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083632830 PECOS PAC ID: 2860383635 Enrollment ID: I20050706000812 |
| Provider Name | Surendar Bhandari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780633453 PECOS PAC ID: 9537196969 Enrollment ID: I20050718000782 |
| Provider Name | John William Sonfield |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306810718 PECOS PAC ID: 2961431028 Enrollment ID: I20050809000463 |
| Provider Name | Susan Michelle Babb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366403016 PECOS PAC ID: 6709817471 Enrollment ID: I20050823000744 |
| Provider Name | Julio a Chalela |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200371 PECOS PAC ID: 5294787255 Enrollment ID: I20050824000841 |
| Provider Name | Peter a Ciancione |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700886173 PECOS PAC ID: 7810928769 Enrollment ID: I20050902000514 |
| Provider Name | Mitchell L Devlin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700888468 PECOS PAC ID: 9931131091 Enrollment ID: I20050909000164 |
| Provider Name | Saraswati C Srikantiah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659340073 PECOS PAC ID: 9931124773 Enrollment ID: I20051011000167 |
| Provider Name | Amit Vyankatesh Pande |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528025889 PECOS PAC ID: 8022037951 Enrollment ID: I20051121000210 |
| Provider Name | Jon Carter |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922007889 PECOS PAC ID: 7719952522 Enrollment ID: I20060126000185 |
| Provider Name | Gayle G Hill |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639254568 PECOS PAC ID: 1254391121 Enrollment ID: I20060206000210 |
| Provider Name | Joel a Onafowokan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790745495 PECOS PAC ID: 2769401389 Enrollment ID: I20060208000344 |
| Provider Name | Melissa Mae Mitchell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194784033 PECOS PAC ID: 5193731644 Enrollment ID: I20060221000849 |
| Provider Name | Melinda N Prisco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528050614 PECOS PAC ID: 7719993831 Enrollment ID: I20060228000103 |
| Provider Name | Richard G Gunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831190586 PECOS PAC ID: 7810903820 Enrollment ID: I20060301000081 |
| Provider Name | Harry a Jordan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124064738 PECOS PAC ID: 7618941535 Enrollment ID: I20060327000544 |
| Provider Name | Cory Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487767596 PECOS PAC ID: 3779592340 Enrollment ID: I20060410000186 |
| Provider Name | Antine Elaine Stenbit |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659475432 PECOS PAC ID: 2264491703 Enrollment ID: I20060504000729 |
| Provider Name | Walter E Connor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851359889 PECOS PAC ID: 5799796157 Enrollment ID: I20060522000175 |
| Provider Name | James C Smith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972543114 PECOS PAC ID: 9133131766 Enrollment ID: I20060626000123 |
| Provider Name | Nelda E Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215936422 PECOS PAC ID: 4183678154 Enrollment ID: I20060726000031 |
| Provider Name | Donya Todd Baker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336165695 PECOS PAC ID: 3971506031 Enrollment ID: I20060810000503 |
| Provider Name | Heather M Shelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932132693 PECOS PAC ID: 5496758096 Enrollment ID: I20060822000168 |
| Provider Name | James Thelbert Fields |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023087277 PECOS PAC ID: 1658376553 Enrollment ID: I20060928000075 |
| Provider Name | Joslyn L Angus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952374399 PECOS PAC ID: 5597761593 Enrollment ID: I20061016000136 |
| Provider Name | Douglass P Lilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134192313 PECOS PAC ID: 1658377650 Enrollment ID: I20061016000171 |
| Provider Name | Samuel G Dozier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043283039 PECOS PAC ID: 4082612858 Enrollment ID: I20061110000349 |
| Provider Name | Edward M Behling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154394583 PECOS PAC ID: 8729086442 Enrollment ID: I20061113000361 |
| Provider Name | Donald a Behling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437122439 PECOS PAC ID: 0446258164 Enrollment ID: I20061113000371 |
| Provider Name | Clarence R Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154394153 PECOS PAC ID: 1254339971 Enrollment ID: I20061113000383 |
| Provider Name | Timothy J Carr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376646166 PECOS PAC ID: 0547293698 Enrollment ID: I20061121000618 |
| Provider Name | Michael L Hodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548357445 PECOS PAC ID: 8820096852 Enrollment ID: I20061129000177 |
| Provider Name | John W Gause |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861465957 PECOS PAC ID: 4587663679 Enrollment ID: I20061219000412 |
| Provider Name | Katherine a Coffey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518904135 PECOS PAC ID: 1456353382 Enrollment ID: I20070206000631 |
| Provider Name | John Y Karl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831196773 PECOS PAC ID: 1355236407 Enrollment ID: I20070212000319 |
| Provider Name | Deborah L Wheeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306804646 PECOS PAC ID: 9436254430 Enrollment ID: I20070419000721 |
| Provider Name | Tammy R Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851418297 PECOS PAC ID: 7618078726 Enrollment ID: I20070719000359 |
| Provider Name | Yenney E Meza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225241854 PECOS PAC ID: 9133220254 Enrollment ID: I20070719000468 |
| Provider Name | Bryon K Frost |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841296324 PECOS PAC ID: 9638270457 Enrollment ID: I20070724000468 |
| Provider Name | Punit Baveja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548468754 PECOS PAC ID: 1951402619 Enrollment ID: I20070725000006 |
| Provider Name | Dana L Houseknecht |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215070248 PECOS PAC ID: 3274634712 Enrollment ID: I20070727000069 |
| Provider Name | Paul Vincent Demarco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568480671 PECOS PAC ID: 8224139605 Enrollment ID: I20070730000381 |
| Provider Name | Michael E Rowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619081205 PECOS PAC ID: 8729084462 Enrollment ID: I20070918000254 |
| Provider Name | Emmanuel Awuku Yirenkyi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326264425 PECOS PAC ID: 2466547575 Enrollment ID: I20071004000567 |
| Provider Name | Charles G Shissias |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124039334 PECOS PAC ID: 6608965710 Enrollment ID: I20071127000603 |
| Provider Name | Jessica T Wegmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518148642 PECOS PAC ID: 0941399109 Enrollment ID: I20071211000410 |
| Provider Name | Charles G Aldridge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154427680 PECOS PAC ID: 7416984679 Enrollment ID: I20080128000034 |
| Provider Name | Andrei V Talantov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285827469 PECOS PAC ID: 7517041577 Enrollment ID: I20080228000689 |
| Provider Name | Daniel L Booten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225048259 PECOS PAC ID: 8820985526 Enrollment ID: I20080306000079 |
| Provider Name | Jamie Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255517728 PECOS PAC ID: 6103904917 Enrollment ID: I20080418000575 |
| Provider Name | Amanda C Fowler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043412695 PECOS PAC ID: 2668565995 Enrollment ID: I20080422000671 |
| Provider Name | Richard C Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578506929 PECOS PAC ID: 4183696131 Enrollment ID: I20080527000079 |
| Provider Name | Rachel Bowen Caulder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003874348 PECOS PAC ID: 6800965575 Enrollment ID: I20080527000096 |
| Provider Name | Stephanie Dehart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407036957 PECOS PAC ID: 7618047093 Enrollment ID: I20080529000000 |
| Provider Name | Maged Guirguis Samaan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346270287 PECOS PAC ID: 4385749365 Enrollment ID: I20080530000392 |
| Provider Name | Arnold Murphy Bazzle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982610242 PECOS PAC ID: 7911076633 Enrollment ID: I20080612000283 |
| Provider Name | Stephen E Osaguona |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346387388 PECOS PAC ID: 6507937224 Enrollment ID: I20080624000043 |
| Provider Name | Marwan Kamil Elya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124169479 PECOS PAC ID: 5597837435 Enrollment ID: I20080709000359 |
| Provider Name | Charles a Kelly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760402473 PECOS PAC ID: 4880672633 Enrollment ID: I20080712000178 |
| Provider Name | H P Gibson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467416354 PECOS PAC ID: 9032144266 Enrollment ID: I20080722000231 |
| Provider Name | Lindsay Sullivan Powell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285820738 PECOS PAC ID: 1052485232 Enrollment ID: I20080806000362 |
| Provider Name | Longinus Olewuike Agor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265494686 PECOS PAC ID: 9638141211 Enrollment ID: I20080820000740 |
| Provider Name | Steven Edward Battle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932262029 PECOS PAC ID: 8123029105 Enrollment ID: I20080825000405 |
| Provider Name | Prakash S Beeraka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124098868 PECOS PAC ID: 1951203868 Enrollment ID: I20080902000313 |
| Provider Name | Jamie B Thompson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922260959 PECOS PAC ID: 8022185990 Enrollment ID: I20080917000881 |
| Provider Name | Vipul I Shah |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184839755 PECOS PAC ID: 3779650551 Enrollment ID: I20080919000342 |
| Provider Name | Ala' Abdel Jalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427267871 PECOS PAC ID: 5991868366 Enrollment ID: I20090112000112 |
| Provider Name | Christina L Andrew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770759706 PECOS PAC ID: 3779647276 Enrollment ID: I20090128000353 |
| Provider Name | Kathy M Thompkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295921591 PECOS PAC ID: 8729142237 Enrollment ID: I20090128000426 |
| Provider Name | Hamed Husssein Ali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275783425 PECOS PAC ID: 7214092766 Enrollment ID: I20090217000129 |
| Provider Name | Daniel M Mcnabb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134238371 PECOS PAC ID: 5294794558 Enrollment ID: I20090217000719 |
| Provider Name | Akinwale O Olatosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740201680 PECOS PAC ID: 9133285513 Enrollment ID: I20090310000389 |
| Provider Name | Patty a Reis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043458946 PECOS PAC ID: 4486711108 Enrollment ID: I20090325000384 |
| Provider Name | Vinod K Jona |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154361723 PECOS PAC ID: 0345397030 Enrollment ID: I20090415000580 |
| Provider Name | Ramesh a Bharadwaj |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467634030 PECOS PAC ID: 6002966330 Enrollment ID: I20090609000173 |
| Provider Name | Jeremy Robertson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396937934 PECOS PAC ID: 3072671023 Enrollment ID: I20090715000226 |
| Provider Name | Hossan Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346226453 PECOS PAC ID: 4688727340 Enrollment ID: I20090729000258 |
| Provider Name | Devin W Player |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083674964 PECOS PAC ID: 6608929641 Enrollment ID: I20090807000698 |
| Provider Name | Andrew J Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144218009 PECOS PAC ID: 7618072877 Enrollment ID: I20090812000386 |
| Provider Name | Jeremiah Christian Fowler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952543035 PECOS PAC ID: 4183779192 Enrollment ID: I20090827000014 |
| Provider Name | Allan E Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255524138 PECOS PAC ID: 2466443478 Enrollment ID: I20090921000701 |
| Provider Name | Chandar Raja Abboy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275583585 PECOS PAC ID: 6002858925 Enrollment ID: I20090922000365 |
| Provider Name | Ronnie Fisher Mcbryde |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417916388 PECOS PAC ID: 2163568098 Enrollment ID: I20091007000547 |
| Provider Name | Joy H Coursey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083707285 PECOS PAC ID: 7517004591 Enrollment ID: I20091023000221 |
| Provider Name | Kimberlie Marie Hitchcock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992034367 PECOS PAC ID: 7012050107 Enrollment ID: I20100212000044 |
| Provider Name | Michael D Pavy |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568405371 PECOS PAC ID: 3476697319 Enrollment ID: I20100216000767 |
| Provider Name | Joseph Destefano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508841032 PECOS PAC ID: 4688669526 Enrollment ID: I20100223000276 |
| Provider Name | Brent H White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194054049 PECOS PAC ID: 6103960588 Enrollment ID: I20100223000684 |
| Provider Name | Jarrod a Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912007105 PECOS PAC ID: 4880738269 Enrollment ID: I20100223000730 |
| Provider Name | Rajesh Bajaj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972543643 PECOS PAC ID: 1557451820 Enrollment ID: I20100310000704 |
| Provider Name | Hugh T Stoddard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497743595 PECOS PAC ID: 6709964075 Enrollment ID: I20100315000582 |
| Provider Name | Erika R King |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437157195 PECOS PAC ID: 7113053786 Enrollment ID: I20100407000625 |
| Provider Name | Sreenivas V Rao |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942242102 PECOS PAC ID: 6305973785 Enrollment ID: I20100415000647 |
| Provider Name | Nathan Rutledge Dail |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730418799 PECOS PAC ID: 0244368546 Enrollment ID: I20100506000812 |
| Provider Name | Clifford E Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477634129 PECOS PAC ID: 5799814893 Enrollment ID: I20100528000203 |
| Provider Name | Timothy Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972694628 PECOS PAC ID: 9436219656 Enrollment ID: I20100602000732 |
| Provider Name | Gerard Charles Jebaily |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598723520 PECOS PAC ID: 1557491503 Enrollment ID: I20100617000536 |
| Provider Name | Stephen Wyatt Orville |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295772754 PECOS PAC ID: 5597741900 Enrollment ID: I20100726000041 |
| Provider Name | James T Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376501106 PECOS PAC ID: 4981738994 Enrollment ID: I20100812000742 |
| Provider Name | Gavin M Leask |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548227804 PECOS PAC ID: 4789718792 Enrollment ID: I20100812000768 |
| Provider Name | Mark Anthony Vuletich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255409017 PECOS PAC ID: 1850297482 Enrollment ID: I20100813000539 |
| Provider Name | Evans P Holland |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649237900 PECOS PAC ID: 7113051871 Enrollment ID: I20100817000483 |
| Provider Name | Anil Om |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1972560332 PECOS PAC ID: 9830223502 Enrollment ID: I20100817000512 |
| Provider Name | Nicolette B Naso |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871550236 PECOS PAC ID: 2466586136 Enrollment ID: I20100817000532 |
| Provider Name | Thomas L Stoughton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316905144 PECOS PAC ID: 5496889164 Enrollment ID: I20100817000628 |
| Provider Name | Shannon Leigh Reece |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578874517 PECOS PAC ID: 6709910219 Enrollment ID: I20100819000760 |
| Provider Name | Alan M Blaker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255399069 PECOS PAC ID: 2264339084 Enrollment ID: I20100820001021 |
| Provider Name | Raymond R Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538183884 PECOS PAC ID: 9830112168 Enrollment ID: I20100923000213 |
| Provider Name | James D Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629074695 PECOS PAC ID: 8729270137 Enrollment ID: I20101004001027 |
| Provider Name | Jaime Gremillion |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710205679 PECOS PAC ID: 6002008786 Enrollment ID: I20101013000741 |
| Provider Name | Rabindra Sagunarthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184822959 PECOS PAC ID: 9335235027 Enrollment ID: I20101019000534 |
| Provider Name | Christopher R Snead |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467775650 PECOS PAC ID: 7315130515 Enrollment ID: I20101020000918 |
| Provider Name | Sebastine Elendu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073536074 PECOS PAC ID: 1658336979 Enrollment ID: I20101026000115 |
| Provider Name | James Dominic Lamm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255337358 PECOS PAC ID: 8729272349 Enrollment ID: I20101027001454 |
| Provider Name | Vinay Jagadeesha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518175777 PECOS PAC ID: 7517152945 Enrollment ID: I20101111000553 |
| Provider Name | Jason D Harrah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043297419 PECOS PAC ID: 3173584430 Enrollment ID: I20101206000297 |
| Provider Name | Darron J Molter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528105392 PECOS PAC ID: 8224219373 Enrollment ID: I20110222000818 |
| Provider Name | Cynthia Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649287087 PECOS PAC ID: 9032390158 Enrollment ID: I20110223000301 |
| Provider Name | Gopalbhai K Vaghela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013221589 PECOS PAC ID: 5799966834 Enrollment ID: I20110223000495 |
| Provider Name | William R Gammon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164419941 PECOS PAC ID: 3072794049 Enrollment ID: I20110223001017 |
| Provider Name | Elvin C Irvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902888357 PECOS PAC ID: 2264456003 Enrollment ID: I20110309000418 |
| Provider Name | Deann W Jebaily |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952530982 PECOS PAC ID: 5597947564 Enrollment ID: I20110311000618 |
| Provider Name | Patrick J Jebaily |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649432428 PECOS PAC ID: 7517141369 Enrollment ID: I20110404000189 |
| Provider Name | Guy E Mcclary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912168378 PECOS PAC ID: 4688858442 Enrollment ID: I20110404000223 |
| Provider Name | Alexander Matthew Drew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538321765 PECOS PAC ID: 9739363466 Enrollment ID: I20110405000252 |
| Provider Name | Morris J Washington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801970207 PECOS PAC ID: 6103725122 Enrollment ID: I20110408000416 |
| Provider Name | Candida Maria Loiselle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588981757 PECOS PAC ID: 1850575796 Enrollment ID: I20110418000581 |
| Provider Name | Shoukath Ansari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942292040 PECOS PAC ID: 3779569983 Enrollment ID: I20110428000045 |
| Provider Name | John William Bingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457665994 PECOS PAC ID: 9537347166 Enrollment ID: I20110629000333 |
| Provider Name | Nathan JS Almeida |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669697389 PECOS PAC ID: 8224216866 Enrollment ID: I20110629000514 |
| Provider Name | Abhijit a Raval |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508052275 PECOS PAC ID: 8325115108 Enrollment ID: I20110802000756 |
| Provider Name | Samuel J Skarote |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801985023 PECOS PAC ID: 5092605709 Enrollment ID: I20110810000180 |
| Provider Name | Christian F Reusche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932306545 PECOS PAC ID: 3678742244 Enrollment ID: I20110816000705 |
| Provider Name | Gary Douglas Bozeman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659348514 PECOS PAC ID: 6002085586 Enrollment ID: I20110818000332 |
| Provider Name | Michelle C Huxford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699932194 PECOS PAC ID: 5597899559 Enrollment ID: I20110819000255 |
| Provider Name | Lynn Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245436336 PECOS PAC ID: 9032389390 Enrollment ID: I20110824000907 |
| Provider Name | May F Suen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417254509 PECOS PAC ID: 7810167855 Enrollment ID: I20110830000237 |
| Provider Name | Ifeanyichu Madubobi Eruchalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043234834 PECOS PAC ID: 4880668037 Enrollment ID: I20110830000507 |
| Provider Name | Rajinder Parmar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891791570 PECOS PAC ID: 9032100953 Enrollment ID: I20110914000205 |
| Provider Name | Erik R Stopa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699935700 PECOS PAC ID: 8820129125 Enrollment ID: I20110928000438 |
| Provider Name | Jarrod Martin Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285672444 PECOS PAC ID: 0840202594 Enrollment ID: I20111003000489 |
| Provider Name | Gail Michelle Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316250301 PECOS PAC ID: 9739351305 Enrollment ID: I20111004000842 |
| Provider Name | Maddalithirumala S Charyalu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760626063 PECOS PAC ID: 9830240225 Enrollment ID: I20111021000007 |
| Provider Name | Kenneth E Kerr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750334777 PECOS PAC ID: 3476524828 Enrollment ID: I20111114000415 |
| Provider Name | Catherine W Mogy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356301378 PECOS PAC ID: 7012181233 Enrollment ID: I20111123000650 |
| Provider Name | Esther E Ikuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801078506 PECOS PAC ID: 6709930183 Enrollment ID: I20111206000064 |
| Provider Name | Jarett R Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275836462 PECOS PAC ID: 0648445403 Enrollment ID: I20111207000374 |
| Provider Name | Keith a Torgersen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598734923 PECOS PAC ID: 2365617818 Enrollment ID: I20111212000188 |
| Provider Name | Claudius Shuler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700815271 PECOS PAC ID: 2769658178 Enrollment ID: I20120106000498 |
| Provider Name | Timothy J Spurling |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407804909 PECOS PAC ID: 4486820644 Enrollment ID: I20120110000561 |
| Provider Name | Lewis D Carter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962708354 PECOS PAC ID: 9537336672 Enrollment ID: I20120112000856 |
| Provider Name | Ashley N Gerrald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265702229 PECOS PAC ID: 1951568823 Enrollment ID: I20120203000440 |
| Provider Name | Erik Dehlinger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073519542 PECOS PAC ID: 9739341512 Enrollment ID: I20120425000150 |
| Provider Name | John W Patton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508030313 PECOS PAC ID: 4082878657 Enrollment ID: I20120611000518 |
| Provider Name | Kimberly Anne Monnell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720092166 PECOS PAC ID: 6002880986 Enrollment ID: I20120712000149 |
| Provider Name | Matthew Lee Robison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386883973 PECOS PAC ID: 5294981866 Enrollment ID: I20120814000503 |
| Provider Name | Kiasha Tessa James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568776672 PECOS PAC ID: 7517113988 Enrollment ID: I20120820000304 |
| Provider Name | Ali Y Mansour |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427279017 PECOS PAC ID: 6800043878 Enrollment ID: I20120827000255 |
| Provider Name | Mary Smyrnioudis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306073440 PECOS PAC ID: 8325295348 Enrollment ID: I20120827000782 |
| Provider Name | John T Atkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487638169 PECOS PAC ID: 3274579727 Enrollment ID: I20120906000896 |
| Provider Name | Joseph L Kearney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699903849 PECOS PAC ID: 6901054154 Enrollment ID: I20120913000611 |
| Provider Name | Sheron Denise Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447548144 PECOS PAC ID: 6406004225 Enrollment ID: I20120919000419 |
| Provider Name | Bhawna Sethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104058130 PECOS PAC ID: 1355590613 Enrollment ID: I20121001000273 |
| Provider Name | Eric Lynn Kerley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770533523 PECOS PAC ID: 4183653520 Enrollment ID: I20121113000482 |
| Provider Name | Donna M Granger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215982608 PECOS PAC ID: 2860399987 Enrollment ID: I20121120000254 |
| Provider Name | Kelley Ford Shippey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245431105 PECOS PAC ID: 0345302949 Enrollment ID: I20130207000148 |
| Provider Name | Kikelomo Oshunkentan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588823629 PECOS PAC ID: 5496925182 Enrollment ID: I20130212000227 |
| Provider Name | David Floyd |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962740944 PECOS PAC ID: 5991950156 Enrollment ID: I20130220000106 |
| Provider Name | Vonny Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407108954 PECOS PAC ID: 9931354024 Enrollment ID: I20130220000492 |
| Provider Name | Rommel P Lu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1558575738 PECOS PAC ID: 7719011758 Enrollment ID: I20130221000077 |
| Provider Name | Daniel J Farmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245584051 PECOS PAC ID: 6800041666 Enrollment ID: I20130227000383 |
| Provider Name | Pawan a Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073560702 PECOS PAC ID: 3870569569 Enrollment ID: I20130326000346 |
| Provider Name | Jean Pablo Figueroa |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366781379 PECOS PAC ID: 1759527997 Enrollment ID: I20130415000092 |
| Provider Name | Wendy Wang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578603338 PECOS PAC ID: 0345489068 Enrollment ID: I20130610000407 |
| Provider Name | Candace Anne Aguiar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023262839 PECOS PAC ID: 1759521149 Enrollment ID: I20130708000580 |
| Provider Name | Richard Francis Duff |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447392444 PECOS PAC ID: 1153455290 Enrollment ID: I20130712000570 |
| Provider Name | Michelle R Puleo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619221652 PECOS PAC ID: 4183865967 Enrollment ID: I20130719000526 |
| Provider Name | Valarian a Bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730476342 PECOS PAC ID: 6204070485 Enrollment ID: I20130910000911 |
| Provider Name | Samuel Okoh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730381252 PECOS PAC ID: 9931277126 Enrollment ID: I20130910000984 |
| Provider Name | Katie E Jennings |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639498405 PECOS PAC ID: 7214171321 Enrollment ID: I20130911000389 |
| Provider Name | Fritz E Jean-gilles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033121751 PECOS PAC ID: 0840366472 Enrollment ID: I20131114000839 |
| Provider Name | Alyson E Eastep |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164864112 PECOS PAC ID: 3476789587 Enrollment ID: I20131120000683 |
| Provider Name | Cecilia Dyllis Boafoah Aduako |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679606867 PECOS PAC ID: 8527162080 Enrollment ID: I20131126000512 |
| Provider Name | Mahmood Shahab Sori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558662700 PECOS PAC ID: 8123254836 Enrollment ID: I20131127001725 |
| Provider Name | Morgan M Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184053779 PECOS PAC ID: 6103053152 Enrollment ID: I20131218001402 |
| Provider Name | Usman a Tohid |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508292483 PECOS PAC ID: 4587893367 Enrollment ID: I20140128001272 |
| Provider Name | Ramana Guduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184958035 PECOS PAC ID: 7911154455 Enrollment ID: I20140204000470 |
| Provider Name | Derek a Melby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033266473 PECOS PAC ID: 9638252760 Enrollment ID: I20140219001605 |
| Provider Name | Syed Gilani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447451182 PECOS PAC ID: 3678646288 Enrollment ID: I20140311000766 |
| Provider Name | Timothy L Hagen |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1205860897 PECOS PAC ID: 5294712170 Enrollment ID: I20140312000723 |
| Provider Name | Frederick R Freeman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720054646 PECOS PAC ID: 5698784429 Enrollment ID: I20140324000372 |
| Provider Name | Kristin R Cain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730502469 PECOS PAC ID: 1456582691 Enrollment ID: I20140401000706 |
| Provider Name | Glen Hybarger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720249899 PECOS PAC ID: 3678749975 Enrollment ID: I20140407000071 |
| Provider Name | Loretta Ann Bostic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629068705 PECOS PAC ID: 2466357280 Enrollment ID: I20140416000573 |
| Provider Name | Paulo Souza Silva |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477714194 PECOS PAC ID: 1052449477 Enrollment ID: I20140423001548 |
| Provider Name | Jeffrey Rossi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306080973 PECOS PAC ID: 4486887288 Enrollment ID: I20140501001328 |
| Provider Name | Benjamin Ellis Rawls |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003831710 PECOS PAC ID: 3173421492 Enrollment ID: I20140521001834 |
| Provider Name | Nowoghomwenma C Ibie |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073742953 PECOS PAC ID: 8729267638 Enrollment ID: I20140609001095 |
| Provider Name | Freda Marie Kerr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821255449 PECOS PAC ID: 3870652597 Enrollment ID: I20140708000907 |
| Provider Name | Jamie G Spicer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619224409 PECOS PAC ID: 6709002322 Enrollment ID: I20140716002493 |
| Provider Name | Kevin Lee Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558504316 PECOS PAC ID: 8628294295 Enrollment ID: I20140717001762 |
| Provider Name | Elizabeth a Harleston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194089789 PECOS PAC ID: 1052537511 Enrollment ID: I20140718002085 |
| Provider Name | David E Shupe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306192372 PECOS PAC ID: 5799901047 Enrollment ID: I20140723001416 |
| Provider Name | Larry V Carson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588764385 PECOS PAC ID: 4183600893 Enrollment ID: I20140806002472 |
| Provider Name | Alison P Smock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144541129 PECOS PAC ID: 8224255567 Enrollment ID: I20140811002174 |
| Provider Name | Michael D Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396064754 PECOS PAC ID: 6800037433 Enrollment ID: I20140820002002 |
| Provider Name | Brian Patrick Wall |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1821293689 PECOS PAC ID: 0749418200 Enrollment ID: I20140825002228 |
| Provider Name | Joel Mcreynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518941376 PECOS PAC ID: 0244202448 Enrollment ID: I20140910001057 |
| Provider Name | Eileen Kelly Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043458581 PECOS PAC ID: 4587712955 Enrollment ID: I20140916000903 |
| Provider Name | Mian Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629172028 PECOS PAC ID: 6800991894 Enrollment ID: I20140916001399 |
| Provider Name | Wael Zaki Aljishi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316105489 PECOS PAC ID: 3274773239 Enrollment ID: I20140922002823 |
| Provider Name | Melinda M Hensley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679729743 PECOS PAC ID: 3072679802 Enrollment ID: I20141003000061 |
| Provider Name | Nadia Parchment |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295056430 PECOS PAC ID: 3678793130 Enrollment ID: I20141003001627 |
| Provider Name | Marlo Denise Bruno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861787152 PECOS PAC ID: 5991921207 Enrollment ID: I20141008000267 |
| Provider Name | Jamie L Kenney Kalbuneh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336436591 PECOS PAC ID: 4789812124 Enrollment ID: I20141008000661 |
| Provider Name | Deepak Chowdhary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306895636 PECOS PAC ID: 7214104413 Enrollment ID: I20141013001286 |
| Provider Name | Aloysius F Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477821155 PECOS PAC ID: 1355562273 Enrollment ID: I20141017001873 |
| Provider Name | Ryan Mackenzie Connor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205274693 PECOS PAC ID: 8820219363 Enrollment ID: I20141024002143 |
| Provider Name | Shawn C Charest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659355998 PECOS PAC ID: 7214195478 Enrollment ID: I20141124000559 |
| Provider Name | Anton Marek Clemmons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225163454 PECOS PAC ID: 5799868451 Enrollment ID: I20141209002414 |
| Provider Name | Bryan Wayne Howington |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1184062416 PECOS PAC ID: 8426370008 Enrollment ID: I20141210001224 |
| Provider Name | Marcus O Vaught |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396001897 PECOS PAC ID: 2567784168 Enrollment ID: I20141210001814 |
| Provider Name | Trisha a Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104181742 PECOS PAC ID: 5991951790 Enrollment ID: I20141218001934 |
| Provider Name | Myra C Alton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417385709 PECOS PAC ID: 0446573687 Enrollment ID: I20141219001617 |
| Provider Name | Karim Nazer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174613004 PECOS PAC ID: 7719029800 Enrollment ID: I20150105000473 |
| Provider Name | Charles M Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700179249 PECOS PAC ID: 4880835396 Enrollment ID: I20150216000903 |
| Provider Name | Vinod K Doultani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487802377 PECOS PAC ID: 2668549924 Enrollment ID: I20150223001511 |
| Provider Name | Worku Mengesha Wondafrash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215233002 PECOS PAC ID: 8325229248 Enrollment ID: I20150324002790 |
| Provider Name | Hilliary M Goode |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164812046 PECOS PAC ID: 6507185220 Enrollment ID: I20150501000110 |
| Provider Name | Mhd a Alsaka |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184880049 PECOS PAC ID: 2264565456 Enrollment ID: I20150520002733 |
| Provider Name | Priyadarshan Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104947662 PECOS PAC ID: 8527128594 Enrollment ID: I20150616002022 |
| Provider Name | Roham Moftakhar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184689515 PECOS PAC ID: 5597958009 Enrollment ID: I20150620000027 |
| Provider Name | Andre St Christopher Dyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982022638 PECOS PAC ID: 6204147762 Enrollment ID: I20150624002313 |
| Provider Name | Tyler Kessler Greenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053519017 PECOS PAC ID: 3072604198 Enrollment ID: I20150629002945 |
| Provider Name | Natasha P Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154716181 PECOS PAC ID: 3375855810 Enrollment ID: I20150711000011 |
| Provider Name | Summer W Bryant-cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548643620 PECOS PAC ID: 4981918620 Enrollment ID: I20150807015521 |
| Provider Name | Subash Regmi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316113004 PECOS PAC ID: 1951589332 Enrollment ID: I20150922000854 |
| Provider Name | Tammi Patterson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740676808 PECOS PAC ID: 5799093514 Enrollment ID: I20150929000280 |
| Provider Name | Stephanie a Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174886709 PECOS PAC ID: 5395984744 Enrollment ID: I20150929001784 |
| Provider Name | Maureen C Byrd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548644560 PECOS PAC ID: 3173831807 Enrollment ID: I20150930001128 |
| Provider Name | Scott Randall Dryzer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164494621 PECOS PAC ID: 1557335395 Enrollment ID: I20151009001589 |
| Provider Name | Sisay Getahun Debebe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891083143 PECOS PAC ID: 1759690175 Enrollment ID: I20151026000046 |
| Provider Name | Michael Sinclair Bolick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699168104 PECOS PAC ID: 6204145543 Enrollment ID: I20151027002572 |
| Provider Name | Ashley D Locklear-batton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366882722 PECOS PAC ID: 0749590776 Enrollment ID: I20151103003229 |
| Provider Name | Bryan Patrick Fleming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962843755 PECOS PAC ID: 0547215642 Enrollment ID: I20151106002282 |
| Provider Name | Brian D Blaker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134495138 PECOS PAC ID: 6709011208 Enrollment ID: I20151110002968 |
| Provider Name | Nikunjkumar Trambaklal Modi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003131343 PECOS PAC ID: 1658671128 Enrollment ID: I20151207000077 |
| Provider Name | Jihad O Arteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174713846 PECOS PAC ID: 2567637093 Enrollment ID: I20151215002391 |
| Provider Name | Melissa Lynn Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518997444 PECOS PAC ID: 0345201950 Enrollment ID: I20151216002944 |
| Provider Name | Michele L Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932494861 PECOS PAC ID: 6406025212 Enrollment ID: I20160119000589 |
| Provider Name | Victor E Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396782900 PECOS PAC ID: 0345394052 Enrollment ID: I20160125002884 |
| Provider Name | Mahendrabhai Nagjibhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841240298 PECOS PAC ID: 0244258903 Enrollment ID: I20160201000815 |
| Provider Name | Terra L Kloth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285010611 PECOS PAC ID: 5698079358 Enrollment ID: I20160201002264 |
| Provider Name | William P Connors |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760486724 PECOS PAC ID: 0941324263 Enrollment ID: I20160215002565 |
| Provider Name | Alyssa Nicole Humphrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609002179 PECOS PAC ID: 7416009972 Enrollment ID: I20160216000860 |
| Provider Name | Ansal D Shah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1861767733 PECOS PAC ID: 5799932968 Enrollment ID: I20160229001102 |
| Provider Name | Roy Allen Harvey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902821804 PECOS PAC ID: 3072656669 Enrollment ID: I20160229001618 |
| Provider Name | Lamar Marquis Ward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437568706 PECOS PAC ID: 7012214455 Enrollment ID: I20160329002799 |
| Provider Name | Sherika Tarshall Stuckey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437531993 PECOS PAC ID: 6608183900 Enrollment ID: I20160401001629 |
| Provider Name | Dana Marie Huber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699131268 PECOS PAC ID: 6002114824 Enrollment ID: I20160412001370 |
| Provider Name | Ashley Ann Whittington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427414978 PECOS PAC ID: 5395986376 Enrollment ID: I20160427000051 |
| Provider Name | Fidelis Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20160428001402 |
| Provider Name | Kelash K Punjabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043516503 PECOS PAC ID: 3375721855 Enrollment ID: I20160429001411 |
| Provider Name | Caren E Chinich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508223322 PECOS PAC ID: 7618276908 Enrollment ID: I20160509002043 |
| Provider Name | Tareq Haidary |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356754154 PECOS PAC ID: 9032416110 Enrollment ID: I20160526000312 |
| Provider Name | Lisa Lanning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023207784 PECOS PAC ID: 2062596927 Enrollment ID: I20160526002481 |
| Provider Name | Robert a Craven |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518132257 PECOS PAC ID: 6204007669 Enrollment ID: I20160526002569 |
| Provider Name | Morgan M Armstrong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790148823 PECOS PAC ID: 1951692326 Enrollment ID: I20160615002569 |
| Provider Name | Christina Lenk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225197957 PECOS PAC ID: 2163587817 Enrollment ID: I20160629001027 |
| Provider Name | Srinivasa Reddy Reddy Kamatam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750721197 PECOS PAC ID: 3274835780 Enrollment ID: I20160719001606 |
| Provider Name | Rushiraj Chaitanya Laiwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497985303 PECOS PAC ID: 6002063757 Enrollment ID: I20160721002303 |
| Provider Name | Teresa Ann Yarborough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881088789 PECOS PAC ID: 5698069342 Enrollment ID: I20160803002272 |
| Provider Name | Gerald F O'malley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356300057 PECOS PAC ID: 8729086806 Enrollment ID: I20160818001926 |
| Provider Name | Satya Surya Narayana Varma Datla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003258237 PECOS PAC ID: 4981906138 Enrollment ID: I20160922001058 |
| Provider Name | Ashley a Harrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396110599 PECOS PAC ID: 1456648088 Enrollment ID: I20160927000162 |
| Provider Name | Timothy Roger Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902033624 PECOS PAC ID: 3870812829 Enrollment ID: I20161004001544 |
| Provider Name | Shawn Sullivan Fleming |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740542752 PECOS PAC ID: 0547412140 Enrollment ID: I20161005000991 |
| Provider Name | Hope B Mclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417308040 PECOS PAC ID: 5496043028 Enrollment ID: I20161013001083 |
| Provider Name | Hsiao L Soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366737132 PECOS PAC ID: 3173740529 Enrollment ID: I20161014001866 |
| Provider Name | Adam M Gude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225482524 PECOS PAC ID: 7810285293 Enrollment ID: I20161018002132 |
| Provider Name | William R Betz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710941133 PECOS PAC ID: 4789618216 Enrollment ID: I20161108002187 |
| Provider Name | Ashley Nicole Denmark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912388943 PECOS PAC ID: 6406135078 Enrollment ID: I20161122002485 |
| Provider Name | Angel Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881057602 PECOS PAC ID: 7911287115 Enrollment ID: I20161205002024 |
| Provider Name | Elizabeth Anne Sorg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144560111 PECOS PAC ID: 5597903898 Enrollment ID: I20161207001141 |
| Provider Name | Kinzie Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609258243 PECOS PAC ID: 5597062968 Enrollment ID: I20161212001861 |
| Provider Name | Lauren Nicole Shurtliff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164803193 PECOS PAC ID: 2668770868 Enrollment ID: I20161220001996 |
| Provider Name | Garrett Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518349158 PECOS PAC ID: 0648577023 Enrollment ID: I20161221001813 |
| Provider Name | Brady W Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295109270 PECOS PAC ID: 6507164951 Enrollment ID: I20161222000171 |
| Provider Name | Mohit Datta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720217102 PECOS PAC ID: 2961657176 Enrollment ID: I20161227000730 |
| Provider Name | Gina Shawkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730539347 PECOS PAC ID: 6709167166 Enrollment ID: I20161227001466 |
| Provider Name | Brooke Howell Perugini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538540562 PECOS PAC ID: 0941599013 Enrollment ID: I20170109000680 |
| Provider Name | Rajesh Rohilla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003074154 PECOS PAC ID: 8325210800 Enrollment ID: I20170217001843 |
| Provider Name | Bipin D Sarodia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467444752 PECOS PAC ID: 9234115338 Enrollment ID: I20170322000020 |
| Provider Name | Kittipong Burt Srisuwan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184163503 PECOS PAC ID: 1557647591 Enrollment ID: I20170406000183 |
| Provider Name | Tameru D Demsie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891081618 PECOS PAC ID: 4587836259 Enrollment ID: I20170420001596 |
| Provider Name | Benjamin Wells Weston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225419252 PECOS PAC ID: 3870890296 Enrollment ID: I20170524001451 |
| Provider Name | Emily Mae Whitehurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184165714 PECOS PAC ID: 9739457995 Enrollment ID: I20170613001499 |
| Provider Name | Carmen Amelia Taype-roberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609039734 PECOS PAC ID: 0547482663 Enrollment ID: I20170615001008 |
| Provider Name | Amanda G Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417490640 PECOS PAC ID: 1355610080 Enrollment ID: I20170711003407 |
| Provider Name | Robyn Hendrix |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205372992 PECOS PAC ID: 5496024291 Enrollment ID: I20170713001582 |
| Provider Name | Margaret a Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164719894 PECOS PAC ID: 9537380522 Enrollment ID: I20170717001242 |
| Provider Name | Karianne M Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982085916 PECOS PAC ID: 5092013292 Enrollment ID: I20170725000182 |
| Provider Name | Audrey B Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851836811 PECOS PAC ID: 3375814981 Enrollment ID: I20170731003501 |
| Provider Name | Danielle G Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447602057 PECOS PAC ID: 9032480645 Enrollment ID: I20170731003697 |
| Provider Name | Orran Coretta Bethea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295961985 PECOS PAC ID: 8123390820 Enrollment ID: I20170815003577 |
| Provider Name | Mallory B Chestnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811435670 PECOS PAC ID: 2365714003 Enrollment ID: I20170816000487 |
| Provider Name | Laura J Donnell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245656271 PECOS PAC ID: 2567681554 Enrollment ID: I20170816003585 |
| Provider Name | Sherrie Covarrubias |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669445219 PECOS PAC ID: 7719935972 Enrollment ID: I20170816003722 |
| Provider Name | Deborah Cintron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821195892 PECOS PAC ID: 6507833753 Enrollment ID: I20170823003015 |
| Provider Name | Kristy Jo Kethe Dozier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881139699 PECOS PAC ID: 9335411255 Enrollment ID: I20170828000184 |
| Provider Name | Pinky S Vaidya |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639467152 PECOS PAC ID: 6507154382 Enrollment ID: I20170828000461 |
| Provider Name | Donny V Huynh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942598560 PECOS PAC ID: 1153693080 Enrollment ID: I20170828000668 |
| Provider Name | Ofego Okpobrisi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790104024 PECOS PAC ID: 5294037123 Enrollment ID: I20170828001095 |
| Provider Name | Deborah L Kirby |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760698146 PECOS PAC ID: 0648340356 Enrollment ID: I20170830001311 |
| Provider Name | Hannah Elizabeth Pettigrew |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013363613 PECOS PAC ID: 2860765443 Enrollment ID: I20170901000973 |
| Provider Name | David D Buckland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700013570 PECOS PAC ID: 1355584657 Enrollment ID: I20170906002641 |
| Provider Name | Jordan Bennett Wicker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366979213 PECOS PAC ID: 1658644810 Enrollment ID: I20170911000062 |
| Provider Name | Jason O Hewett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568900686 PECOS PAC ID: 7719251537 Enrollment ID: I20170918002546 |
| Provider Name | Davinderbir S Pannu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306071725 PECOS PAC ID: 9638332158 Enrollment ID: I20170926000028 |
| Provider Name | Bonnie Flowe Patrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992856249 PECOS PAC ID: 4183679921 Enrollment ID: I20171002003712 |
| Provider Name | Anish Atulkumar Brahmbhatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437579778 PECOS PAC ID: 5395063127 Enrollment ID: I20171006001105 |
| Provider Name | Kimberly D Hunsucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134656606 PECOS PAC ID: 6305974320 Enrollment ID: I20171023000090 |
| Provider Name | Li Hua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780812198 PECOS PAC ID: 9032434758 Enrollment ID: I20171026000328 |
| Provider Name | Heather Linn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780620898 PECOS PAC ID: 0244234284 Enrollment ID: I20171030002286 |
| Provider Name | Abraham Thomas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134306566 PECOS PAC ID: 9032276258 Enrollment ID: I20171101002770 |
| Provider Name | Alyssa K Polson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366885790 PECOS PAC ID: 6608017942 Enrollment ID: I20171106002456 |
| Provider Name | David Estephan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508286550 PECOS PAC ID: 8022310085 Enrollment ID: I20171108001591 |
| Provider Name | Ravneet Bajwa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396033700 PECOS PAC ID: 7517191257 Enrollment ID: I20171128001510 |
| Provider Name | Paul a Ledford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295900959 PECOS PAC ID: 3375716061 Enrollment ID: I20171204002974 |
| Provider Name | Zulfiqar Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20171228000018 |
| Provider Name | Eunice Abrams |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942598909 PECOS PAC ID: 6608184841 Enrollment ID: I20180109002879 |
| Provider Name | Paul Abrams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619264280 PECOS PAC ID: 8729238381 Enrollment ID: I20180112000011 |
| Provider Name | Jonathan Lawson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992933584 PECOS PAC ID: 5698913390 Enrollment ID: I20180112000045 |
| Provider Name | Mohammed Taoudi Benchekroun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255561189 PECOS PAC ID: 9931355567 Enrollment ID: I20180124001187 |
| Provider Name | Rita R Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699285411 PECOS PAC ID: 8729348487 Enrollment ID: I20180129001872 |
| Provider Name | Donald Ray Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447208251 PECOS PAC ID: 0345264420 Enrollment ID: I20180206001040 |
| Provider Name | Donald Wade Morris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316965395 PECOS PAC ID: 8921073305 Enrollment ID: I20180317000026 |
| Provider Name | Hanaa Benchekroun Belabbes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013324730 PECOS PAC ID: 1052673670 Enrollment ID: I20180320001049 |
| Provider Name | Misty Audette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043631245 PECOS PAC ID: 6709017668 Enrollment ID: I20180320002898 |
| Provider Name | Whitney Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053822114 PECOS PAC ID: 2163784521 Enrollment ID: I20180322001697 |
| Provider Name | Segee R. Holley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225550700 PECOS PAC ID: 5092078436 Enrollment ID: I20180417000833 |
| Provider Name | Lisa M Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235637182 PECOS PAC ID: 6709140619 Enrollment ID: I20180501000702 |
| Provider Name | Maureen a Tumolo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891963286 PECOS PAC ID: 4385814235 Enrollment ID: I20180508001033 |
| Provider Name | Courtney Beattie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639685795 PECOS PAC ID: 7911261409 Enrollment ID: I20180509001782 |
| Provider Name | Machelle S Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689175408 PECOS PAC ID: 7719242767 Enrollment ID: I20180523000944 |
| Provider Name | Curtis Jamison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598055790 PECOS PAC ID: 6103041603 Enrollment ID: I20180613001170 |
| Provider Name | Srinadh Rao |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669455911 PECOS PAC ID: 1658301197 Enrollment ID: I20180621000008 |
| Provider Name | Tony G Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184121451 PECOS PAC ID: 6800142746 Enrollment ID: I20180706000359 |
| Provider Name | Kathy Juanita Horne Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043698848 PECOS PAC ID: 7810290137 Enrollment ID: I20180709003386 |
| Provider Name | Ravish Ashokkumar Kothari |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1497195390 PECOS PAC ID: 5890081855 Enrollment ID: I20180711001466 |
| Provider Name | Sheila Keasler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023332723 PECOS PAC ID: 0446381149 Enrollment ID: I20180717002255 |
| Provider Name | Marc J Comianos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013965532 PECOS PAC ID: 8022002203 Enrollment ID: I20180720000943 |
| Provider Name | Shannon Michelle Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831696491 PECOS PAC ID: 3476800178 Enrollment ID: I20180726002356 |
| Provider Name | Terri Jaggers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336158658 PECOS PAC ID: 0749247450 Enrollment ID: I20180802002423 |
| Provider Name | Olinda P Spencer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487072823 PECOS PAC ID: 0042568784 Enrollment ID: I20180813001053 |
| Provider Name | Nivedita P Adabala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932583671 PECOS PAC ID: 7214228907 Enrollment ID: I20180823002426 |
| Provider Name | Sandra M Francis Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497935183 PECOS PAC ID: 2567501208 Enrollment ID: I20180904001658 |
| Provider Name | Douglas Stofko |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1942525704 PECOS PAC ID: 7517100308 Enrollment ID: I20180907001353 |
| Provider Name | Peter Andrew Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871974808 PECOS PAC ID: 7214236959 Enrollment ID: I20180918003850 |
| Provider Name | Tatiana P Mccuen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417955329 PECOS PAC ID: 6608858188 Enrollment ID: I20181004002152 |
| Provider Name | Catherine a Carlson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558517565 PECOS PAC ID: 5395933246 Enrollment ID: I20181005001461 |
| Provider Name | Robin M Kass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457370140 PECOS PAC ID: 7315934890 Enrollment ID: I20181007000009 |
| Provider Name | Elizabeth a Haselden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205359502 PECOS PAC ID: 6002168853 Enrollment ID: I20181007000024 |
| Provider Name | Christopher Keen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528324050 PECOS PAC ID: 9133346943 Enrollment ID: I20181025001067 |
| Provider Name | Nicole Joyner-powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376072496 PECOS PAC ID: 2567732027 Enrollment ID: I20181106003173 |
| Provider Name | Kranthi K Sitammagari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184988776 PECOS PAC ID: 1355650466 Enrollment ID: I20181107002278 |
| Provider Name | Kristen Elizabeth Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932674645 PECOS PAC ID: 2264786763 Enrollment ID: I20181120002001 |
| Provider Name | Elina Levin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205193513 PECOS PAC ID: 4880986819 Enrollment ID: I20181127002210 |
| Provider Name | Lindsey M Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356828982 PECOS PAC ID: 3173867413 Enrollment ID: I20181127003493 |
| Provider Name | Heather Driggers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942734199 PECOS PAC ID: 1951645175 Enrollment ID: I20181129000272 |
| Provider Name | Abiy Mekoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023064938 PECOS PAC ID: 3678590346 Enrollment ID: I20181203003315 |
| Provider Name | Isaac Ikwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780017988 PECOS PAC ID: 0749503266 Enrollment ID: I20181211002180 |
| Provider Name | Huley Dru Shumpert Dickert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841639143 PECOS PAC ID: 6204058183 Enrollment ID: I20181212002159 |
| Provider Name | Shawna Michelle Price |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811336878 PECOS PAC ID: 7113151986 Enrollment ID: I20181213003218 |
| Provider Name | Vlad Apostol |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629334669 PECOS PAC ID: 7315264066 Enrollment ID: I20181219002513 |
| Provider Name | Teji Dhami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790104131 PECOS PAC ID: 0244539500 Enrollment ID: I20181219002927 |
| Provider Name | Sierra Fisher Ard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821571514 PECOS PAC ID: 4981949633 Enrollment ID: I20181227001135 |
| Provider Name | Chelsie Leonna Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457839532 PECOS PAC ID: 7517203698 Enrollment ID: I20190110000895 |
| Provider Name | Tonya D Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134606221 PECOS PAC ID: 2961748736 Enrollment ID: I20190115003853 |
| Provider Name | Benjamin C Mitchell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487121612 PECOS PAC ID: 1153668066 Enrollment ID: I20190131000891 |
| Provider Name | Lacie E Edmison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083878813 PECOS PAC ID: 8527295963 Enrollment ID: I20190131001625 |
| Provider Name | Diana Eileen Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023481041 PECOS PAC ID: 5496056392 Enrollment ID: I20190210000010 |
| Provider Name | Amar Mahendrakant Panchal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740506450 PECOS PAC ID: 0941448286 Enrollment ID: I20190213001940 |
| Provider Name | Kenneth Kalassian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700897048 PECOS PAC ID: 3173417292 Enrollment ID: I20190226001198 |
| Provider Name | Justin B Altman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417429432 PECOS PAC ID: 9032458344 Enrollment ID: I20190305000416 |
| Provider Name | Nichelle K Coleman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629526587 PECOS PAC ID: 0749568491 Enrollment ID: I20190306002881 |
| Provider Name | Stephanie Boice |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568928802 PECOS PAC ID: 4981944188 Enrollment ID: I20190326002623 |
| Provider Name | Pamela Pritchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912398843 PECOS PAC ID: 2365760907 Enrollment ID: I20190328002166 |
| Provider Name | Christopher L Petrey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245551795 PECOS PAC ID: 6002052644 Enrollment ID: I20190403000067 |
| Provider Name | Johnette P Touchberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265906218 PECOS PAC ID: 1557602232 Enrollment ID: I20190405001081 |
| Provider Name | Vasiliki Papathanasiou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003046889 PECOS PAC ID: 0547418501 Enrollment ID: I20190410002444 |
| Provider Name | Stephanie B Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326504127 PECOS PAC ID: 2668714213 Enrollment ID: I20190430002498 |
| Provider Name | Aliaksandr Savitski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053654863 PECOS PAC ID: 1658679170 Enrollment ID: I20190509001590 |
| Provider Name | Vicki Harden-taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760853873 PECOS PAC ID: 4880991652 Enrollment ID: I20190516000693 |
| Provider Name | Gregory Renck |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275645400 PECOS PAC ID: 2668557455 Enrollment ID: I20190605000364 |
| Provider Name | Michael John Hadnagy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164493839 PECOS PAC ID: 4385730399 Enrollment ID: I20190615000038 |
| Provider Name | Daniel R Troha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508126418 PECOS PAC ID: 4587972492 Enrollment ID: I20190628002047 |
| Provider Name | Arpit Khandelwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609281435 PECOS PAC ID: 3375828460 Enrollment ID: I20190719001925 |
| Provider Name | Alkesh Bhupendra Gajjar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841506227 PECOS PAC ID: 7113143736 Enrollment ID: I20190725001982 |
| Provider Name | Enrique Pena |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891038485 PECOS PAC ID: 4284907734 Enrollment ID: I20190801001607 |
| Provider Name | Nneamaka N Enwemnwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801026448 PECOS PAC ID: 4587803283 Enrollment ID: I20190806002065 |
| Provider Name | Richard Allan Schatz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922447739 PECOS PAC ID: 2365664026 Enrollment ID: I20190808001720 |
| Provider Name | Dustin L Eck |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124331863 PECOS PAC ID: 1254574577 Enrollment ID: I20190812002161 |
| Provider Name | Leslie Marie Armstrong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063970101 PECOS PAC ID: 2769725985 Enrollment ID: I20190813000918 |
| Provider Name | Paula Mcknight-leggette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568925337 PECOS PAC ID: 5698003457 Enrollment ID: I20190819001438 |
| Provider Name | Ravi J Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134535701 PECOS PAC ID: 7517231277 Enrollment ID: I20190821004149 |
| Provider Name | Yazan Haddadin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942464391 PECOS PAC ID: 9830377324 Enrollment ID: I20190822000871 |
| Provider Name | Elizabeth K Maree |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891258778 PECOS PAC ID: 7719216555 Enrollment ID: I20190904002186 |
| Provider Name | Ravikumar Jyotindra Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619337334 PECOS PAC ID: 7113210683 Enrollment ID: I20190905002668 |
| Provider Name | Brian S Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497894562 PECOS PAC ID: 4183777014 Enrollment ID: I20190911001019 |
| Provider Name | Amid Hamidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568813327 PECOS PAC ID: 1153650445 Enrollment ID: I20190911003815 |
| Provider Name | Julia Batten Hucks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184123242 PECOS PAC ID: 3678835642 Enrollment ID: I20190913000867 |
| Provider Name | Simy Vallikattukuzhiyil Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932526019 PECOS PAC ID: 3274859913 Enrollment ID: I20190925001239 |
| Provider Name | Akal Saagu Zeleke |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932639242 PECOS PAC ID: 8921378027 Enrollment ID: I20191001001431 |
| Provider Name | Matthew D Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467814293 PECOS PAC ID: 3577832252 Enrollment ID: I20191015002129 |
| Provider Name | Shannon Mcdowell Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346712445 PECOS PAC ID: 2668704842 Enrollment ID: I20191022001338 |
| Provider Name | Whitney L Sims |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073161634 PECOS PAC ID: 2567794662 Enrollment ID: I20191022003108 |
| Provider Name | Dustin Harvey Melton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316375694 PECOS PAC ID: 0941437396 Enrollment ID: I20191022003922 |
| Provider Name | Ashton Cagle Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508343526 PECOS PAC ID: 5092047092 Enrollment ID: I20191024000152 |
| Provider Name | Darrell J Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912406026 PECOS PAC ID: 8123350170 Enrollment ID: I20191024002255 |
| Provider Name | Rachel Kirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710417498 PECOS PAC ID: 7012288640 Enrollment ID: I20191028001939 |
| Provider Name | Nithasha Moideen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194176875 PECOS PAC ID: 9537494687 Enrollment ID: I20191107000826 |
| Provider Name | Omar Ahmad Ilyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528412764 PECOS PAC ID: 2062747116 Enrollment ID: I20191112003193 |
| Provider Name | Eskinder Nesrane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528415775 PECOS PAC ID: 6709219173 Enrollment ID: I20191126001846 |
| Provider Name | Katelyn Marie Mason |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356984322 PECOS PAC ID: 7315372893 Enrollment ID: I20200109001844 |
| Provider Name | Melissa L Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588200018 PECOS PAC ID: 6103252796 Enrollment ID: I20200129002789 |
| Provider Name | Jitendra K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265728281 PECOS PAC ID: 6002035045 Enrollment ID: I20200206001681 |
| Provider Name | Bhanji D Kundaria |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619906872 PECOS PAC ID: 3779653555 Enrollment ID: I20200211002412 |
| Provider Name | Aimee Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902466220 PECOS PAC ID: 5395171284 Enrollment ID: I20200213000802 |
| Provider Name | Carolina Marie Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588202758 PECOS PAC ID: 3476980327 Enrollment ID: I20200305001368 |
| Provider Name | Kishore Subnani |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1013151653 PECOS PAC ID: 7810269115 Enrollment ID: I20200310002204 |
| Provider Name | Avinesh Singh Bhar Jaswindar Singh |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1760634505 PECOS PAC ID: 0244472223 Enrollment ID: I20200317001905 |
| Provider Name | Denise Rena Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417507526 PECOS PAC ID: 9234567637 Enrollment ID: I20200318001818 |
| Provider Name | Jamie Solaine Shorter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558991711 PECOS PAC ID: 0941638159 Enrollment ID: I20200323002072 |
| Provider Name | Katelyn H Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053877761 PECOS PAC ID: 8022446137 Enrollment ID: I20200323002637 |
| Provider Name | Mohamed Mustafa Elsunni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376982348 PECOS PAC ID: 9335432327 Enrollment ID: I20200325001838 |
| Provider Name | Lasheena T Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942782305 PECOS PAC ID: 9931538659 Enrollment ID: I20200401001045 |
| Provider Name | Daniel Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215382296 PECOS PAC ID: 4587927561 Enrollment ID: I20200402003092 |
| Provider Name | Nicholas Xavier Jebaily |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710206909 PECOS PAC ID: 5799919015 Enrollment ID: I20200406000949 |
| Provider Name | Tara Katherine Bruno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235761768 PECOS PAC ID: 5294164489 Enrollment ID: I20200409002371 |
| Provider Name | Dwayne Narayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083619951 PECOS PAC ID: 5597909192 Enrollment ID: I20200410002231 |
| Provider Name | Michael Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225003593 PECOS PAC ID: 4587661277 Enrollment ID: I20200413003399 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20200415001398 |
| Provider Name | James John Murtagh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760655526 PECOS PAC ID: 5991859456 Enrollment ID: I20200417003045 |
| Provider Name | Lauren H. Kirven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710513270 PECOS PAC ID: 7618307398 Enrollment ID: I20200421000096 |
| Provider Name | Megan Rena Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326671157 PECOS PAC ID: 4981034295 Enrollment ID: I20200428000321 |
| Provider Name | Pramod Chopade |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386025658 PECOS PAC ID: 7719294784 Enrollment ID: I20200513002537 |
| Provider Name | Hanh Truong |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1881854024 PECOS PAC ID: 8224184882 Enrollment ID: I20200527001136 |
| Provider Name | Olukayode a Bamgbelu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164677845 PECOS PAC ID: 1557496965 Enrollment ID: I20200528003260 |
| Provider Name | Jason C Messervy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497169296 PECOS PAC ID: 9335365444 Enrollment ID: I20200602001318 |
| Provider Name | Sonya L Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174177570 PECOS PAC ID: 2365863115 Enrollment ID: I20200602002485 |
| Provider Name | Priscilla Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992332027 PECOS PAC ID: 0941621601 Enrollment ID: I20200604001412 |
| Provider Name | Michael W Sperling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326579392 PECOS PAC ID: 4587937826 Enrollment ID: I20200714002534 |
| Provider Name | Kalpit Himmatbhai Devani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649684077 PECOS PAC ID: 8729401302 Enrollment ID: I20200715001371 |
| Provider Name | Deleisha Mcfadden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437788056 PECOS PAC ID: 9032533161 Enrollment ID: I20200722003088 |
| Provider Name | Christopher Bradley Tyner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326661000 PECOS PAC ID: 8820412778 Enrollment ID: I20200723003671 |
| Provider Name | Philipp Eichler Talley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659892941 PECOS PAC ID: 9830460013 Enrollment ID: I20200730002071 |
| Provider Name | Ravi Hemant Parikh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205126422 PECOS PAC ID: 6002115193 Enrollment ID: I20200731002563 |
| Provider Name | Cyrus Isaac Kocherla |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841581469 PECOS PAC ID: 3971721184 Enrollment ID: I20200810002919 |
| Provider Name | Odianosen Obadan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902200835 PECOS PAC ID: 3375803265 Enrollment ID: I20200812001929 |
| Provider Name | Matthew Steven Lucky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841641966 PECOS PAC ID: 0840616587 Enrollment ID: I20200812002396 |
| Provider Name | Spencer G Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073001491 PECOS PAC ID: 0547514655 Enrollment ID: I20200813003834 |
| Provider Name | Jessica L Cvinar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255794780 PECOS PAC ID: 6103113758 Enrollment ID: I20200818000531 |
| Provider Name | Daniel R Gerry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639406598 PECOS PAC ID: 7911140454 Enrollment ID: I20200818001936 |
| Provider Name | Robin M Fuchs |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1346602596 PECOS PAC ID: 9830482447 Enrollment ID: I20200824000578 |
| Provider Name | Ryan Fuchs |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1700248952 PECOS PAC ID: 5890088470 Enrollment ID: I20200824000767 |
| Provider Name | Rika N Omalley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003024365 PECOS PAC ID: 7315011509 Enrollment ID: I20200831001357 |
| Provider Name | Frederick Caballes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225220262 PECOS PAC ID: 5991977977 Enrollment ID: I20200904000345 |
| Provider Name | Jason Alexis Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821301862 PECOS PAC ID: 9537312251 Enrollment ID: I20200914000610 |
| Provider Name | Vijeyaluxmy Motilal Nehru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841638939 PECOS PAC ID: 9739477381 Enrollment ID: I20200925000407 |
| Provider Name | Allie Whitley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356870299 PECOS PAC ID: 0143592774 Enrollment ID: I20200928002152 |
| Provider Name | Devam Pareshkumar Sheth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104164367 PECOS PAC ID: 1456659044 Enrollment ID: I20201001001811 |
| Provider Name | Robyn-ann Lee Hing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114468378 PECOS PAC ID: 2163708678 Enrollment ID: I20201008001108 |
| Provider Name | Bryan Daniel Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245750900 PECOS PAC ID: 2567733751 Enrollment ID: I20201013000356 |
| Provider Name | Roberto Aguilera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649658089 PECOS PAC ID: 9638468200 Enrollment ID: I20201016002193 |
| Provider Name | Viral P Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922207877 PECOS PAC ID: 0042301616 Enrollment ID: I20201020000149 |
| Provider Name | Hamza Khalid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063667608 PECOS PAC ID: 2668788902 Enrollment ID: I20201020002156 |
| Provider Name | Anthony M Consonery |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669917274 PECOS PAC ID: 4486930419 Enrollment ID: I20201027001999 |
| Provider Name | Marcus Markette Tedder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407467038 PECOS PAC ID: 4183034176 Enrollment ID: I20201103000503 |
| Provider Name | Angela Schafer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134516727 PECOS PAC ID: 7012209158 Enrollment ID: I20201106001860 |
| Provider Name | William Walsh Thomas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417393216 PECOS PAC ID: 8224393319 Enrollment ID: I20201116003156 |
| Provider Name | Xenequia Monique Guidry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598121493 PECOS PAC ID: 3779889746 Enrollment ID: I20201201000969 |
| Provider Name | Jorge Martin Paulino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841397866 PECOS PAC ID: 9830295476 Enrollment ID: I20201202001634 |
| Provider Name | James Lamousin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043227606 PECOS PAC ID: 8022000215 Enrollment ID: I20201204001705 |
| Provider Name | Hannah Marie Mccallum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285298190 PECOS PAC ID: 7012250483 Enrollment ID: I20201215001222 |
| Provider Name | David John Wallace |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1770780835 PECOS PAC ID: 5799957916 Enrollment ID: I20201216001619 |
| Provider Name | Michael L Blum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134115165 PECOS PAC ID: 3971500752 Enrollment ID: I20201217002819 |
| Provider Name | Erlinda Mercado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790898278 PECOS PAC ID: 0446216782 Enrollment ID: I20210203001378 |
| Provider Name | William Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932604915 PECOS PAC ID: 4082643168 Enrollment ID: I20210209000842 |
| Provider Name | John Chapman Whitlock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699362707 PECOS PAC ID: 9638584840 Enrollment ID: I20210222002121 |
| Provider Name | Richard Pianti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144601279 PECOS PAC ID: 2860813664 Enrollment ID: I20210319000149 |
| Provider Name | Stephenie L Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093322703 PECOS PAC ID: 9537576509 Enrollment ID: I20210319000289 |
| Provider Name | Ethan B Clontz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275131054 PECOS PAC ID: 9133536923 Enrollment ID: I20210323000943 |
| Provider Name | Nimit Nakul Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770997108 PECOS PAC ID: 8426342171 Enrollment ID: I20210331001652 |
| Provider Name | Jane Mangwi Fon-ndikum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205377629 PECOS PAC ID: 5092082180 Enrollment ID: I20210331001668 |
| Provider Name | Hannah G Sellers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356939995 PECOS PAC ID: 9931517851 Enrollment ID: I20210414000975 |
| Provider Name | Shahzad Iqbal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386667947 PECOS PAC ID: 7214965193 Enrollment ID: I20210423000475 |
| Provider Name | Ronson Hughes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811917586 PECOS PAC ID: 7113907304 Enrollment ID: I20210506000942 |
| Provider Name | Peter T Fortkort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649362138 PECOS PAC ID: 7719930429 Enrollment ID: I20210602002016 |
| Provider Name | Justin Ross Moore |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235339870 PECOS PAC ID: 5890955041 Enrollment ID: I20210607000286 |
| Provider Name | Manish Karamchandani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770078933 PECOS PAC ID: 5890030845 Enrollment ID: I20210611000665 |
| Provider Name | Heather D Horton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861754657 PECOS PAC ID: 0244476901 Enrollment ID: I20210617001640 |
| Provider Name | Leon Rosen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477661437 PECOS PAC ID: 5799758603 Enrollment ID: I20210623002284 |
| Provider Name | Sarah Campos Monell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316010853 PECOS PAC ID: 6709921166 Enrollment ID: I20210630004104 |
| Provider Name | Emily H Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669064481 PECOS PAC ID: 6305248238 Enrollment ID: I20210714001777 |
| Provider Name | Joshua Phillip Rouhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689161523 PECOS PAC ID: 4880947910 Enrollment ID: I20210716001102 |
| Provider Name | Chelsea Morgan Atkinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578137253 PECOS PAC ID: 5597168732 Enrollment ID: I20210726000767 |
| Provider Name | Katlyn Mccabe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306426127 PECOS PAC ID: 6901209865 Enrollment ID: I20210729002013 |
| Provider Name | Elliot Bradley Litteral |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386227908 PECOS PAC ID: 1850794660 Enrollment ID: I20210730000329 |
| Provider Name | David T Lake |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154853430 PECOS PAC ID: 6204103245 Enrollment ID: I20210805002004 |
| Provider Name | John D Morrissey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1740293984 PECOS PAC ID: 5597934422 Enrollment ID: I20210819001152 |
| Provider Name | Amaninder Jeet Singh Dhaliwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609215599 PECOS PAC ID: 9537454830 Enrollment ID: I20210825002785 |
| Provider Name | Nadine Zahar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386028728 PECOS PAC ID: 4082019237 Enrollment ID: I20210825003843 |
| Provider Name | Eric Charles Hart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790277911 PECOS PAC ID: 6507102134 Enrollment ID: I20210826003091 |
| Provider Name | Dipendra Sharma Chapagain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104314467 PECOS PAC ID: 6406102904 Enrollment ID: I20210826003268 |
| Provider Name | Ronald Scott Wells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891872008 PECOS PAC ID: 0941605976 Enrollment ID: I20210830000268 |
| Provider Name | Jamie Elizabeth Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063088862 PECOS PAC ID: 4587060462 Enrollment ID: I20210831003308 |
| Provider Name | Jeremy Allen Rhodes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285131912 PECOS PAC ID: 0345646709 Enrollment ID: I20210909002773 |
| Provider Name | Brian James Thacker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275037145 PECOS PAC ID: 2365779170 Enrollment ID: I20210914000989 |
| Provider Name | Brittany W Mimms |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609457431 PECOS PAC ID: 9638576713 Enrollment ID: I20210916003323 |
| Provider Name | Olivia M Dillenbeck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811588684 PECOS PAC ID: 5890192322 Enrollment ID: I20210924002127 |
| Provider Name | Olumuyiwa Joshua |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144322157 PECOS PAC ID: 5991748048 Enrollment ID: I20210929001626 |
| Provider Name | Vandana Yanamadala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467957787 PECOS PAC ID: 4385992288 Enrollment ID: I20211019001987 |
| Provider Name | Natalie R Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528734449 PECOS PAC ID: 0042608002 Enrollment ID: I20211022002474 |
| Provider Name | Sam Meshkinfam |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1952657348 PECOS PAC ID: 9032356720 Enrollment ID: I20211027000447 |
| Provider Name | Sherica Lynn Warfield Cain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558984203 PECOS PAC ID: 5799173555 Enrollment ID: I20211027001754 |
| Provider Name | Somtochukwu Nwokoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144725284 PECOS PAC ID: 8123378486 Enrollment ID: I20211027002023 |
| Provider Name | Glorimar Caldera Alvarado |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275935256 PECOS PAC ID: 4183014277 Enrollment ID: I20211203001378 |
| Provider Name | Jessica C Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760154447 PECOS PAC ID: 8022400415 Enrollment ID: I20220114001507 |
| Provider Name | Hannah Carsten Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609546472 PECOS PAC ID: 2466844790 Enrollment ID: I20220119001583 |
| Provider Name | Christel Laterice Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649651043 PECOS PAC ID: 7719998756 Enrollment ID: I20220121001380 |
| Provider Name | Jonathan Edward Crosby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801335203 PECOS PAC ID: 9739580929 Enrollment ID: I20220124002402 |
| Provider Name | Grant Garner Davidson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336708882 PECOS PAC ID: 1153745989 Enrollment ID: I20220128000814 |
| Provider Name | Melissa Faye Kirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811650286 PECOS PAC ID: 1355734765 Enrollment ID: I20220208000993 |
| Provider Name | Oleksandr Osipchuk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700045416 PECOS PAC ID: 3476604406 Enrollment ID: I20220209001267 |
| Provider Name | Jazmine Danielle Porterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235881772 PECOS PAC ID: 8123411311 Enrollment ID: I20220210002812 |
| Provider Name | Zulfia Kafanovna Subanbaeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881841229 PECOS PAC ID: 1254497712 Enrollment ID: I20220211001007 |
| Provider Name | Virginia M Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588197057 PECOS PAC ID: 0345570008 Enrollment ID: I20220317001381 |
| Provider Name | Wesley Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447600580 PECOS PAC ID: 6608261862 Enrollment ID: I20220325000079 |
| Provider Name | Ashley Arts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124609508 PECOS PAC ID: 4082000674 Enrollment ID: I20220407001359 |
| Provider Name | James Andry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205192838 PECOS PAC ID: 6002119633 Enrollment ID: I20220411000394 |
| Provider Name | Irene a Carrothers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003041831 PECOS PAC ID: 0547418238 Enrollment ID: I20220506000368 |
| Provider Name | Christopher E Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174643662 PECOS PAC ID: 4385749878 Enrollment ID: I20220518001144 |
| Provider Name | Matthew Chase Lustig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679006746 PECOS PAC ID: 7618254491 Enrollment ID: I20220610001484 |
| Provider Name | William S Outler-white |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194474767 PECOS PAC ID: 4880073303 Enrollment ID: I20220614000363 |
| Provider Name | Thuc Quyen Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033378195 PECOS PAC ID: 7416188834 Enrollment ID: I20220614001515 |
| Provider Name | Priya K Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821520578 PECOS PAC ID: 8022383249 Enrollment ID: I20220627003648 |
| Provider Name | Danielle Tamara Hoo Fatt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083031546 PECOS PAC ID: 9739311218 Enrollment ID: I20220712000382 |
| Provider Name | Matthew John Khayata |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982137204 PECOS PAC ID: 0941681936 Enrollment ID: I20220721003882 |
| Provider Name | Madison K Wulfeck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750801031 PECOS PAC ID: 2163788332 Enrollment ID: I20220725001940 |
| Provider Name | Jeffrey a Gulick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235313149 PECOS PAC ID: 2668525858 Enrollment ID: I20220728002090 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20220729000173 |
| Provider Name | Shannon Smith Tiebout |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205488848 PECOS PAC ID: 8224465042 Enrollment ID: I20220802000444 |
| Provider Name | Amber D Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053871467 PECOS PAC ID: 6709116551 Enrollment ID: I20220803001380 |
| Provider Name | Andrew Sonich Mullin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467016329 PECOS PAC ID: 3274868021 Enrollment ID: I20220808000090 |
| Provider Name | Jason T Hance |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528626520 PECOS PAC ID: 8628303260 Enrollment ID: I20220812002079 |
| Provider Name | Jesse Eugene Thompson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558921965 PECOS PAC ID: 9931431020 Enrollment ID: I20220813000596 |
| Provider Name | MU En Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467915256 PECOS PAC ID: 6800299579 Enrollment ID: I20220816000916 |
| Provider Name | Henry J Burchett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700446481 PECOS PAC ID: 9335479278 Enrollment ID: I20220825002825 |
| Provider Name | Christopher Bruck Zust |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831610989 PECOS PAC ID: 5496145039 Enrollment ID: I20220829000601 |
| Provider Name | Elizabeth L Vardell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255060679 PECOS PAC ID: 3072997279 Enrollment ID: I20220907003814 |
| Provider Name | Imene Boumaza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093109993 PECOS PAC ID: 8325423080 Enrollment ID: I20220915002358 |
| Provider Name | Donna R Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679204044 PECOS PAC ID: 0648655324 Enrollment ID: I20220915003258 |
| Provider Name | Kirsten K Van Demark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508507161 PECOS PAC ID: 6507241825 Enrollment ID: I20220922000210 |
| Provider Name | Prashant Upadhyaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003177361 PECOS PAC ID: 7911296587 Enrollment ID: I20221010000654 |
| Provider Name | Aileen C Cangiano-heath |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609074616 PECOS PAC ID: 9234544735 Enrollment ID: I20221010001201 |
| Provider Name | Mary B Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205566742 PECOS PAC ID: 4486020542 Enrollment ID: I20221014002441 |
| Provider Name | Racheal Denise Posey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891422275 PECOS PAC ID: 8325414196 Enrollment ID: I20221019001236 |
| Provider Name | Tammy B Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932712148 PECOS PAC ID: 6002282548 Enrollment ID: I20221025000356 |
| Provider Name | Philip I Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790166197 PECOS PAC ID: 4880926476 Enrollment ID: I20221031002562 |
| Provider Name | Yvette M Mbangowah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215590146 PECOS PAC ID: 4486984234 Enrollment ID: I20221107001255 |
| Provider Name | Nicole Alyssa Hogan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629598990 PECOS PAC ID: 4082980891 Enrollment ID: I20221107002293 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20221110000009 |
| Provider Name | Kerolos George Rizk |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346621703 PECOS PAC ID: 5294042081 Enrollment ID: I20221112000004 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20221117001694 |
| Provider Name | Rebecca M Dessez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306294236 PECOS PAC ID: 5799078838 Enrollment ID: I20221122003637 |
| Provider Name | Matthew a Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073595799 PECOS PAC ID: 0446225387 Enrollment ID: I20221130000983 |
| Provider Name | Kamel Munther Massarweh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518373737 PECOS PAC ID: 8123305950 Enrollment ID: I20221208002967 |
| Provider Name | Inyene Amos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275268856 PECOS PAC ID: 9931579109 Enrollment ID: I20230104001329 |
| Provider Name | Charles Adam Mccoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144516162 PECOS PAC ID: 5193964468 Enrollment ID: I20230109001756 |
| Provider Name | Annie Doyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962129486 PECOS PAC ID: 7911377999 Enrollment ID: I20230109001771 |
| Provider Name | Michael Craig Corso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194353250 PECOS PAC ID: 8527482264 Enrollment ID: I20230130002585 |
| Provider Name | Frank S Rosenbloom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306924691 PECOS PAC ID: 9234288416 Enrollment ID: I20230207003048 |
| Provider Name | Joy Denise Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376202838 PECOS PAC ID: 8820460066 Enrollment ID: I20230215002823 |
| Provider Name | Cesar Abraham Santillana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063974889 PECOS PAC ID: 9133508146 Enrollment ID: I20230222002276 |
| Provider Name | Denise Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821708744 PECOS PAC ID: 5193199164 Enrollment ID: I20230315001571 |
| Provider Name | Kenan a Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619472321 PECOS PAC ID: 7911256946 Enrollment ID: I20230316000359 |
| Provider Name | Arun Kumar Grover |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720145998 PECOS PAC ID: 2567456742 Enrollment ID: I20230317001795 |
| Provider Name | Denis Trinnel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760972368 PECOS PAC ID: 1658620307 Enrollment ID: I20230320000931 |
| Provider Name | Andrea Petrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841578424 PECOS PAC ID: 7113197989 Enrollment ID: I20230323000873 |
| Provider Name | Arfana a Kishan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457369175 PECOS PAC ID: 7517967474 Enrollment ID: I20230329000784 |
| Provider Name | Justin D Woods |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720658339 PECOS PAC ID: 8123493178 Enrollment ID: I20230405002016 |
| Provider Name | Joseph J Marmora |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730406760 PECOS PAC ID: 3173892213 Enrollment ID: I20230412000923 |
| Provider Name | Amanda Bryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902338262 PECOS PAC ID: 7012280415 Enrollment ID: I20230418000443 |
| Provider Name | Felicia Humphrey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144511833 PECOS PAC ID: 6709005960 Enrollment ID: I20230419002742 |
| Provider Name | Stacey Elizabeth Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679946008 PECOS PAC ID: 3779882667 Enrollment ID: I20230427002998 |
| Provider Name | Caleb Blaine Hudspath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891143053 PECOS PAC ID: 7618221102 Enrollment ID: I20230504000114 |
| Provider Name | Ashish M Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851372585 PECOS PAC ID: 1052482338 Enrollment ID: I20230509000223 |
| Provider Name | Jessica Marie Poley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134829849 PECOS PAC ID: 3870959414 Enrollment ID: I20230524000150 |
| Provider Name | Chandler H Heaps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174227276 PECOS PAC ID: 0941667430 Enrollment ID: I20230526000456 |
| Provider Name | Lora L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598451536 PECOS PAC ID: 6709243553 Enrollment ID: I20230609000264 |
| Provider Name | Samuel Jay Peretsman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912946336 PECOS PAC ID: 5092749093 Enrollment ID: I20230616002754 |
| Provider Name | Dawnna Monique Scipio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992434419 PECOS PAC ID: 5294193314 Enrollment ID: I20230622001435 |
| Provider Name | Bhavani Papudesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730718727 PECOS PAC ID: 0446660724 Enrollment ID: I20230622002155 |
| Provider Name | Amanda Kanipe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730821844 PECOS PAC ID: 3274991179 Enrollment ID: I20230703000811 |
| Provider Name | Kimberly Chong Zibert |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023300274 PECOS PAC ID: 5698091148 Enrollment ID: I20230706000795 |
| Provider Name | Sonika Malik |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346602810 PECOS PAC ID: 3971885682 Enrollment ID: I20230804002341 |
| Provider Name | Justin T De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20230809001697 |
| Provider Name | Julie Ann Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881395499 PECOS PAC ID: 1759743388 Enrollment ID: I20230815000925 |
| Provider Name | Tarandeep Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437516580 PECOS PAC ID: 9436447570 Enrollment ID: I20230816000372 |
| Provider Name | Arrvind Raghunath |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952753139 PECOS PAC ID: 9234411976 Enrollment ID: I20230818002124 |
| Provider Name | Danoushka Tememe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255742227 PECOS PAC ID: 5294950812 Enrollment ID: I20230822002544 |
| Provider Name | Van Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194214429 PECOS PAC ID: 0749664258 Enrollment ID: I20230908001351 |
| Provider Name | Aubrey Moyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861539926 PECOS PAC ID: 9537233275 Enrollment ID: I20230918001321 |
| Provider Name | Nicholas Koroneos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134622913 PECOS PAC ID: 9436503513 Enrollment ID: I20230922001538 |
| Provider Name | Muamer M Mujadzic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1366892705 PECOS PAC ID: 6800183625 Enrollment ID: I20230923000785 |
| Provider Name | Peter Duffy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548213481 PECOS PAC ID: 7911803242 Enrollment ID: I20230926000364 |
| Provider Name | Simbiat K Olayiwola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871122929 PECOS PAC ID: 7416303789 Enrollment ID: I20231023001194 |
| Provider Name | Valery Christian Batimba Bessi |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1164050613 PECOS PAC ID: 6800209800 Enrollment ID: I20231024001070 |
| Provider Name | Meron Tesfay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356603914 PECOS PAC ID: 4981906369 Enrollment ID: I20231024003292 |
| Provider Name | Rania a Habib |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1538395843 PECOS PAC ID: 8628335833 Enrollment ID: I20231205004036 |
| Provider Name | Sree R Chalasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922636042 PECOS PAC ID: 3971925405 Enrollment ID: I20231207003878 |
| Provider Name | Rhonda B Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275316325 PECOS PAC ID: 0941650618 Enrollment ID: I20231220003231 |
| Provider Name | Anna E Lark |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508646688 PECOS PAC ID: 7810347374 Enrollment ID: I20231222003093 |
| Provider Name | Courtney Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861264327 PECOS PAC ID: 7416308291 Enrollment ID: I20240105000931 |
| Provider Name | Everald Uriah Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922444363 PECOS PAC ID: 5991933327 Enrollment ID: I20240105004253 |
| Provider Name | Kristen Nicole Herring |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437721578 PECOS PAC ID: 4981000726 Enrollment ID: I20240116000880 |
| Provider Name | Hannah Marie Barney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255990677 PECOS PAC ID: 1658723366 Enrollment ID: I20240118001760 |
| Provider Name | Chandler Bray Graham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285414151 PECOS PAC ID: 7719339001 Enrollment ID: I20240123001920 |
| Provider Name | Bashar Obeidou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033297031 PECOS PAC ID: 4385558196 Enrollment ID: I20240126002230 |
| Provider Name | Sanjeev Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316905797 PECOS PAC ID: 3577588540 Enrollment ID: I20240212000203 |
| Provider Name | Tia Marie Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619481421 PECOS PAC ID: 6709147358 Enrollment ID: I20240221004405 |
| Provider Name | Lisa M Ryder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033644604 PECOS PAC ID: 4981943610 Enrollment ID: I20240228003854 |
| Provider Name | Melissa Channell Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679348452 PECOS PAC ID: 7012354624 Enrollment ID: I20240319000886 |
| Provider Name | Tomeka Lynn Harley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295513349 PECOS PAC ID: 1052758349 Enrollment ID: I20240321004119 |
| Provider Name | Lauren Lynn Bapst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588430714 PECOS PAC ID: 1254778590 Enrollment ID: I20240322001412 |
| Provider Name | Glenda F Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518027614 PECOS PAC ID: 6103831524 Enrollment ID: I20240322003196 |
| Provider Name | Tagore Sunkara |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306158134 PECOS PAC ID: 8729202734 Enrollment ID: I20240409000324 |
| Provider Name | Bruce J Kowalski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467479808 PECOS PAC ID: 5092602292 Enrollment ID: I20240424000222 |
| Provider Name | Olivia Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205249968 PECOS PAC ID: 8224378138 Enrollment ID: I20240430000877 |
| Provider Name | William Caldwell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205850153 PECOS PAC ID: 1355473182 Enrollment ID: I20240509002417 |
| Provider Name | Hayley Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225894090 PECOS PAC ID: 8224479621 Enrollment ID: I20240516001756 |
| Provider Name | Chelsea Dee Kamens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093336760 PECOS PAC ID: 2668813874 Enrollment ID: I20240517002693 |
| Provider Name | Joseph W Hardee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568420321 PECOS PAC ID: 9335103571 Enrollment ID: I20240523002030 |
| Provider Name | Brissa Araceli Westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740049634 PECOS PAC ID: 4789126160 Enrollment ID: I20240613000780 |
| Provider Name | Josie Ann Gagum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710751383 PECOS PAC ID: 7719420504 Enrollment ID: I20240621000600 |
| Provider Name | Jeffrey Watson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053629527 PECOS PAC ID: 3476873175 Enrollment ID: I20240627000055 |
| Provider Name | Sarah Anne Moll |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902562010 PECOS PAC ID: 7810431038 Enrollment ID: I20240628002215 |
| Provider Name | Lauren Taylor Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127245 PECOS PAC ID: 1850621962 Enrollment ID: I20240710004530 |
| Provider Name | Nathan Schmulewitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699733196 PECOS PAC ID: 5799718052 Enrollment ID: I20240716000112 |
| Provider Name | Ashley C Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366295040 PECOS PAC ID: 9537604236 Enrollment ID: I20240717001181 |
| Provider Name | Jennifer Phemister |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598008542 PECOS PAC ID: 1052623782 Enrollment ID: I20240725001444 |
| Provider Name | Kirsten S Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568048916 PECOS PAC ID: 7911309190 Enrollment ID: I20240731001684 |
| Provider Name | Kristin Gaffney |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720241318 PECOS PAC ID: 2163556523 Enrollment ID: I20240808001979 |
| Provider Name | Christian Alberto Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194390823 PECOS PAC ID: 1557761400 Enrollment ID: I20240815004287 |
| Provider Name | Swarna Sri Nalluru |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1326524182 PECOS PAC ID: 4981954583 Enrollment ID: I20240816001854 |
| Provider Name | Robin Bucy White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407606437 PECOS PAC ID: 4284173139 Enrollment ID: I20240823001485 |
| Provider Name | Samuel Kwakye Ayeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790362382 PECOS PAC ID: 4486193174 Enrollment ID: I20240826003522 |
| Provider Name | Jordann Leah Staples |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225590581 PECOS PAC ID: 7719217868 Enrollment ID: I20240826004348 |
| Provider Name | Rohan Joshi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841560745 PECOS PAC ID: 0446507628 Enrollment ID: I20240828001146 |
| Provider Name | Christoph W Sossou |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386185569 PECOS PAC ID: 9931525219 Enrollment ID: I20240904003876 |
| Provider Name | Megan Ilene Laughrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992383673 PECOS PAC ID: 4880060086 Enrollment ID: I20240904004305 |
| Provider Name | Christopher Dong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497329536 PECOS PAC ID: 8426457078 Enrollment ID: I20240905000960 |
| Provider Name | Brian Quigley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063617033 PECOS PAC ID: 6507966207 Enrollment ID: I20240905004622 |
| Provider Name | Farrah R Thompson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578023115 PECOS PAC ID: 8729528427 Enrollment ID: I20240909003434 |
| Provider Name | Michelle Schofield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104874056 PECOS PAC ID: 2062437106 Enrollment ID: I20240912000255 |
| Provider Name | Ankush Bansal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013913102 PECOS PAC ID: 6305947649 Enrollment ID: I20240913001829 |
| Provider Name | Kia S Persaud |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1891256624 PECOS PAC ID: 4284975467 Enrollment ID: I20240923002684 |
| Provider Name | Tee Jeter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417481896 PECOS PAC ID: 7911339171 Enrollment ID: I20240924000615 |
| Provider Name | William Kamens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659733798 PECOS PAC ID: 6204252976 Enrollment ID: I20240930002907 |
| Provider Name | Aisha Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942737069 PECOS PAC ID: 9234408881 Enrollment ID: I20241003001496 |
| Provider Name | Sandra Chinenye Okonkwo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801472071 PECOS PAC ID: 8426589151 Enrollment ID: I20241004000615 |
| Provider Name | Andrew Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295171734 PECOS PAC ID: 9537420245 Enrollment ID: I20241008002469 |
| Provider Name | James D Panetta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376721142 PECOS PAC ID: 0446397434 Enrollment ID: I20241008003844 |
| Provider Name | Kent Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184935983 PECOS PAC ID: 5395165757 Enrollment ID: I20241009001597 |
| Provider Name | Krisztina Anna Harsanyi-jilling |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922168376 PECOS PAC ID: 8527097039 Enrollment ID: I20241009004646 |
| Provider Name | Ronald David Anderson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780905588 PECOS PAC ID: 2668608555 Enrollment ID: I20241011003229 |
| Provider Name | Susan Andrea Waterman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376749333 PECOS PAC ID: 9537588819 Enrollment ID: I20241011003564 |
| Provider Name | Cody Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104241595 PECOS PAC ID: 1254753411 Enrollment ID: I20241014004405 |
| Provider Name | Mina Rizk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790286417 PECOS PAC ID: 1557758919 Enrollment ID: I20241016002291 |
| Provider Name | Jeffrey L Ortstadt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467480376 PECOS PAC ID: 4880631274 Enrollment ID: I20241018003409 |
| Provider Name | Tarika Chowdhary |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013440775 PECOS PAC ID: 1052656683 Enrollment ID: I20241021000367 |
| Provider Name | Dustin Plowman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801390257 PECOS PAC ID: 4880926120 Enrollment ID: I20241022000091 |
| Provider Name | Sunil Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821117219 PECOS PAC ID: 6002998804 Enrollment ID: I20241029000421 |
| Provider Name | Kazim Aykent |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568856482 PECOS PAC ID: 7618266867 Enrollment ID: I20241105000717 |
| Provider Name | Crystal Marie Kauffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083441851 PECOS PAC ID: 1951835537 Enrollment ID: I20241106000706 |
| Provider Name | Frances Oliver Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083814149 PECOS PAC ID: 1759512098 Enrollment ID: I20241106002474 |
| Provider Name | Taniya Pradhan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275709859 PECOS PAC ID: 3274751706 Enrollment ID: I20241106004324 |
| Provider Name | Mazen Awais |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477670834 PECOS PAC ID: 8921152984 Enrollment ID: I20241107003603 |
| Provider Name | Paul Schmidt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245252444 PECOS PAC ID: 1850359530 Enrollment ID: I20241111002483 |
| Provider Name | Ernest Spiotto |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902331747 PECOS PAC ID: 2961772314 Enrollment ID: I20241113000135 |
| Provider Name | Kirtenkumar Naileshkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104403815 PECOS PAC ID: 5395153225 Enrollment ID: I20241114000074 |
| Provider Name | Neerav G Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679774467 PECOS PAC ID: 5395878722 Enrollment ID: I20241118000572 |
| Provider Name | Brian Bruggeman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1356344626 PECOS PAC ID: 6305937392 Enrollment ID: I20241120003686 |
| Provider Name | Erica R Wilt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003253857 PECOS PAC ID: 5294084265 Enrollment ID: I20241121001203 |
| Provider Name | Christopher Maroules |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285861708 PECOS PAC ID: 6507050036 Enrollment ID: I20241121003090 |
| Provider Name | Amy R Harrison |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568620136 PECOS PAC ID: 3173774916 Enrollment ID: I20241122002281 |
| Provider Name | Alexis Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669748570 PECOS PAC ID: 5395005441 Enrollment ID: I20241127001141 |
| Provider Name | Hamidreza Abbasi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578060075 PECOS PAC ID: 6406194455 Enrollment ID: I20241202003121 |
| Provider Name | Elissa Anne Jebaily |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982281598 PECOS PAC ID: 3971905159 Enrollment ID: I20241204003166 |
| Provider Name | Joseph Michael Krissel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154857274 PECOS PAC ID: 8426315078 Enrollment ID: I20241218001211 |
| Provider Name | Taylor N Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578380515 PECOS PAC ID: 2264969864 Enrollment ID: I20241220000712 |
| Provider Name | Lorie Loreman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285612291 PECOS PAC ID: 4880626720 Enrollment ID: I20250109002345 |
| Provider Name | Terry Bauch |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790774768 PECOS PAC ID: 8628170065 Enrollment ID: I20250109002612 |
| Provider Name | Krista Marlee Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487497582 PECOS PAC ID: 1456889856 Enrollment ID: I20250113003810 |
| Provider Name | Carl Foulks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902898562 PECOS PAC ID: 2365432028 Enrollment ID: I20250115000269 |
| Provider Name | Prince Eleeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730700105 PECOS PAC ID: 9032557202 Enrollment ID: I20250117003204 |
| Provider Name | Edgard L Pereira |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730183187 PECOS PAC ID: 7113942038 Enrollment ID: I20250129002088 |
| Provider Name | Smriti Banthia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558544486 PECOS PAC ID: 9032390349 Enrollment ID: I20250204002274 |
| Provider Name | Steven Michael Assalita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184967937 PECOS PAC ID: 1850629536 Enrollment ID: I20250204002626 |
| Provider Name | Ahmed Saleh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811363625 PECOS PAC ID: 3678978293 Enrollment ID: I20250207000703 |
| Provider Name | Cessar Scott |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881852473 PECOS PAC ID: 6305034273 Enrollment ID: I20250207001589 |
| Provider Name | Vikram Brahmanandam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891962296 PECOS PAC ID: 3971803560 Enrollment ID: I20250207002984 |
| Provider Name | Grace K Vallejo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215564349 PECOS PAC ID: 0547703993 Enrollment ID: I20250217000089 |
| Provider Name | Mohit Bhasin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124070693 PECOS PAC ID: 2163435322 Enrollment ID: I20250228000997 |
| Provider Name | Neal Cameron Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811703994 PECOS PAC ID: 0840711693 Enrollment ID: I20250310000833 |
| Provider Name | Sophia Lincoln |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114556958 PECOS PAC ID: 6709292873 Enrollment ID: I20250310000986 |
| Provider Name | Alessandra Ferrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730676248 PECOS PAC ID: 6002161684 Enrollment ID: I20250310001819 |
| Provider Name | Megan Dery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174986749 PECOS PAC ID: 4486948668 Enrollment ID: I20250311000827 |
| Provider Name | Amanda Latasha Savage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871141341 PECOS PAC ID: 7416478037 Enrollment ID: I20250311002328 |
| Provider Name | Andrew Lane Kyzer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134934938 PECOS PAC ID: 3678095163 Enrollment ID: I20250313001542 |
| Provider Name | Reginald Deligent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154959161 PECOS PAC ID: 7810428968 Enrollment ID: I20250319001048 |
| Provider Name | Robert Dixon Nottingham |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871983007 PECOS PAC ID: 8527414622 Enrollment ID: I20250321003068 |
| Provider Name | Quicheretta Montrice Glasscho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275372021 PECOS PAC ID: 7214450535 Enrollment ID: I20250327001949 |
| Provider Name | Graceyn Floyd Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255144515 PECOS PAC ID: 2860915923 Enrollment ID: I20250328002738 |
| Provider Name | Rashonda Stuckey Malachi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669292983 PECOS PAC ID: 3577087337 Enrollment ID: I20250414002108 |
| Provider Name | Jose Falero-pomales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801373089 PECOS PAC ID: 5698001071 Enrollment ID: I20250415002331 |
| Provider Name | Alexander I Bustamante |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508839846 PECOS PAC ID: 1052559853 Enrollment ID: I20250417001731 |
| Provider Name | Marina Bogdanovic Odabasic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225099088 PECOS PAC ID: 8426062241 Enrollment ID: I20250423002480 |
| Provider Name | Ari David Leib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104993997 PECOS PAC ID: 0941391445 Enrollment ID: I20250425000366 |
| Provider Name | Mahnoor K. Mushtaq |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073361465 PECOS PAC ID: 2264958859 Enrollment ID: I20250428000786 |
| Provider Name | Brandon T Marion |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124384888 PECOS PAC ID: 1557619806 Enrollment ID: I20250429003569 |
| Provider Name | Venkata Sagi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194760066 PECOS PAC ID: 8628975828 Enrollment ID: I20250430000009 |
| Provider Name | Jackson Cohen Purvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720883093 PECOS PAC ID: 8325565104 Enrollment ID: I20250506000453 |
| Provider Name | Jorge Luis Taboada |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538365747 PECOS PAC ID: 6709940059 Enrollment ID: I20250507003146 |
| Provider Name | Jessica Thompson Spivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164216933 PECOS PAC ID: 9638698863 Enrollment ID: I20250521001783 |
| Provider Name | Nicole Watkins Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780405340 PECOS PAC ID: 7113446535 Enrollment ID: I20250528002977 |
| Provider Name | Ritwick Panicker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619914546 PECOS PAC ID: 0840208153 Enrollment ID: I20250624002888 |
| Provider Name | Lauren Stipp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093133704 PECOS PAC ID: 7810113610 Enrollment ID: I20250627001766 |
| Provider Name | Tibor Becske |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770598575 PECOS PAC ID: 7416918073 Enrollment ID: I20250629000037 |
| Provider Name | Samuel Ofoli Mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255081824 PECOS PAC ID: 0143755884 Enrollment ID: I20250725003380 |
| Provider Name | Maurice Barnes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730224320 PECOS PAC ID: 2860542867 Enrollment ID: I20250729004165 |
| Provider Name | Nicole Vazquez Plaza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639828502 PECOS PAC ID: 6002298346 Enrollment ID: I20250815003686 |
| Provider Name | Harris Noor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861066086 PECOS PAC ID: 7618359969 Enrollment ID: I20250820003037 |
| Provider Name | Sakshi Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386389401 PECOS PAC ID: 4486154507 Enrollment ID: I20250823000072 |
| Provider Name | Ravi Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831839893 PECOS PAC ID: 8921449778 Enrollment ID: I20250827000212 |
| Provider Name | Darshan Sarode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538576681 PECOS PAC ID: 8527311794 Enrollment ID: I20250829001281 |
| Provider Name | Sanita Raju |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689292260 PECOS PAC ID: 1355842345 Enrollment ID: I20250830000444 |
| Provider Name | Victor Iheanyichukwu Okoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215671714 PECOS PAC ID: 4587048194 Enrollment ID: I20250904004548 |
| Provider Name | Jeffrey Liubicich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730576257 PECOS PAC ID: 4486957867 Enrollment ID: I20250925004576 |
| Provider Name | Laura Baxley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538537048 PECOS PAC ID: 5092001099 Enrollment ID: I20251002003262 |
| Provider Name | Tracie Denise Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831086024 PECOS PAC ID: 7012413487 Enrollment ID: I20251003002133 |
| Provider Name | Joseph Antoun Mansour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083970016 PECOS PAC ID: 6709038268 Enrollment ID: I20251008001440 |
| Provider Name | Yuxuan Mao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346660768 PECOS PAC ID: 6305144981 Enrollment ID: I20251008003250 |
| Provider Name | Olayinka Afolabi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730526153 PECOS PAC ID: 3072804244 Enrollment ID: I20251009004699 |
| Provider Name | Bernard K Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336634328 PECOS PAC ID: 7911308598 Enrollment ID: I20251009004868 |
| Provider Name | Kaitlyn Tam Gannon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003797317 PECOS PAC ID: 2264929934 Enrollment ID: I20251015004322 |
| Provider Name | Taylor Morgan Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780564401 PECOS PAC ID: 9830688837 Enrollment ID: I20251030000215 |
| Provider Name | Marsha S Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700674033 PECOS PAC ID: 4385133289 Enrollment ID: I20251030002894 |
| Provider Name | Benson Lukose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871233791 PECOS PAC ID: 5496138885 Enrollment ID: I20251110000185 |
| Provider Name | Patience Agbonavbare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952651309 PECOS PAC ID: 4981844834 Enrollment ID: I20251124003109 |
| Provider Name | Laura Beth Chestnut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093684003 PECOS PAC ID: 3779075049 Enrollment ID: I20251124003202 |
| Provider Name | Neiza Prado Galarza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689695918 PECOS PAC ID: 6204874340 Enrollment ID: I20251201003642 |
| Provider Name | Luis G Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720035058 PECOS PAC ID: 2163574146 Enrollment ID: I20251208002571 |
| Provider Name | Priyeshkumar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407139256 PECOS PAC ID: 7618144312 Enrollment ID: I20251210001948 |
| Provider Name | Lorraine Abbie Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609746932 PECOS PAC ID: 5890280572 Enrollment ID: I20251219001750 |
| Provider Name | Ramesh Ashwath |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386698074 PECOS PAC ID: 9537123112 Enrollment ID: I20251229000860 |
| Provider Name | Jeremy Li Agostinho |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346602018 PECOS PAC ID: 1850794413 Enrollment ID: I20260212002583 |
| Provider Name | Chelsea Monquetta Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982569810 PECOS PAC ID: 1052891439 Enrollment ID: I20260216000060 |
| Provider Name | Brianna Zalewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497455372 PECOS PAC ID: 7012372592 Enrollment ID: I20260217001602 |
| Provider Name | Hannah E Woriax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245650159 PECOS PAC ID: 1951521780 Enrollment ID: I20260218002374 |
| Provider Name | Ashleigh Hawthorne |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851915656 PECOS PAC ID: 2062836489 Enrollment ID: I20260224002665 |
| Provider Name | Rodney Harris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326114125 PECOS PAC ID: 7416138458 Enrollment ID: I20260227002654 |
| Provider Name | Scott Rader |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891832184 PECOS PAC ID: 5799885406 Enrollment ID: I20260312001144 |
| Provider Name | Nnenna Mbabuike |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871785287 PECOS PAC ID: 0244558237 Enrollment ID: I20260422000530 |
| Provider Name | Mohammad Kayyali |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306340138 PECOS PAC ID: 8325422603 Enrollment ID: I20260518001903 |
| Provider Name | Chad Percifield |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629569140 PECOS PAC ID: 4880941178 Enrollment ID: I20260622001202 |
| Provider Name | Cara Lasley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356638613 PECOS PAC ID: 3274856372 Enrollment ID: I20260623001414 |
| Provider Name | Ashley Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588083760 PECOS PAC ID: 5294075115 Enrollment ID: I20260623002210 |
| Provider Name | Sarita Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134649932 PECOS PAC ID: 0446520076 Enrollment ID: I20260628000252 |
Janet D. Woolery,m.d., LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W Palmetto St, Florence, SC 29501 Phone: 843-667-6226 Fax: 843-667-6224 |
Aba Depot LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 E Cheves St Ste 280, Florence, SC 29506 Phone: 843-799-0076 Fax: 800-557-0208 |
Assure Behavioral Health Services of South Carolina Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Mcleod Aly, Florence, SC 29501 Phone: 252-933-7203 |
Empowered Wellness Counseling Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 W Palmetto St Ste 11, Florence, SC 29501 Phone: 843-489-8944 |
Nu-start & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601a W Lucas St, Florence, SC 29501 Phone: 843-453-6071 Fax: 843-665-8809 |
Florence Schools District One Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 E Old Marion Hwy, Florence, SC 29506 Phone: 843-678-4193 Fax: 843-664-8180 |