| Cincinnati Children's Hospital Medical Center | |
|
3333 Burnet Avenue Cincinnati OH 45229-3039 | |
| (513) 636-4225 | |
| (513) 636-2511 |
| Full Name | Cincinnati Children's Hospital Medical Center |
|---|---|
| Speciality | Pediatrics |
| Location | 3333 Burnet Avenue, Cincinnati, Ohio |
| Authorized Official Name and Position | Kimberly Givens (SR. DIRECTOR MEDICAL STAFF SERVICES) |
| Authorized Official Contact | 5136366977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue Mail Location 5021 Cincinnati OH 45229-3026 Ph: (513) 636-4225 | Cincinnati Children's Hospital Medical Center 3333 Burnet Avenue Cincinnati OH 45229-3039 Ph: (513) 636-4225 |
| NPI Number | 1609915784 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 8426955733 |
|---|---|
| Medicare Enrollment ID | O20031216000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609915784 | NPI | - | NPPES |
| 100280240C | Medicaid | KS | |
| 108749800 | Medicaid | FL | |
| 0001846001 | Medicaid | WV | |
| 100012670A | Medicaid | IN | |
| 001065780-0006 | Medicaid | PA | |
| 0307822 | Medicaid | OH | |
| 117749401 | Medicaid | WY | |
| 65823524 | Medicaid | CO | |
| 95901138 | Medicaid | KY | |
| QPA814 | Medicaid | SC | |
| 0738674 | Medicaid | IA | |
| 100690580B | Medicaid | OK | |
| 8674809 | Medicaid | NJ | |
| 1172363 | Other | KY | PASSPORT (NEONATAL) |
| 119659404 | Medicaid | TX | |
| 65901886 | Medicaid | KY | |
| 78904349 | Medicaid | KY | |
| 001065780-0005 | Medicaid | PA | |
| 02757106 | Medicaid | NY | |
| 1172052 | Other | KY | PASSPORT |
| 77903474 | Medicaid | KY |
| Provider Name | Gavin J Udstuen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962434373 PECOS PAC ID: 5890691067 Enrollment ID: I20031209000516 |
| Provider Name | Jonathan S Moulton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457391526 PECOS PAC ID: 0042116022 Enrollment ID: I20031210000555 |
| Provider Name | James Lawrence Leach |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1851362842 PECOS PAC ID: 6507762598 Enrollment ID: I20031210000584 |
| Provider Name | Donald Lee Batisky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396742474 PECOS PAC ID: 3870499569 Enrollment ID: I20031211001102 |
| Provider Name | Kathie Jo Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457498495 PECOS PAC ID: 2860390457 Enrollment ID: I20031219000817 |
| Provider Name | Shital N Parikh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184622359 PECOS PAC ID: 0446164917 Enrollment ID: I20031223000180 |
| Provider Name | Tara Proano-raps |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962451435 PECOS PAC ID: 3072412758 Enrollment ID: I20031231000540 |
| Provider Name | Katherine D Holland |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902830532 PECOS PAC ID: 7113827395 Enrollment ID: I20040113000213 |
| Provider Name | William Bernard Brinkman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336170059 PECOS PAC ID: 1951201144 Enrollment ID: I20040113000253 |
| Provider Name | Gregory Hall Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346284957 PECOS PAC ID: 5991607020 Enrollment ID: I20040121000252 |
| Provider Name | Gary Lee Geis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487680278 PECOS PAC ID: 4789587411 Enrollment ID: I20040130000000 |
| Provider Name | Hermine Isabel Brunner |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1124011259 PECOS PAC ID: 4082507140 Enrollment ID: I20040204000147 |
| Provider Name | Elaine M Urbina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821040692 PECOS PAC ID: 8820982200 Enrollment ID: I20040209000747 |
| Provider Name | Christopher Gerard Anton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245324698 PECOS PAC ID: 3072407089 Enrollment ID: I20040211000289 |
| Provider Name | Sunny Eusun Pitt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851356539 PECOS PAC ID: 7517851108 Enrollment ID: I20040213000011 |
| Provider Name | Lawrence Michael Dolan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013945161 PECOS PAC ID: 4880589308 Enrollment ID: I20040216000310 |
| Provider Name | Robert James Hopkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447281878 PECOS PAC ID: 4789579764 Enrollment ID: I20040218000704 |
| Provider Name | Patricia Mary Manning-courtney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780731794 PECOS PAC ID: 8921993734 Enrollment ID: I20040219000971 |
| Provider Name | Francis X Mccormack |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083671564 PECOS PAC ID: 3072408715 Enrollment ID: I20040220000202 |
| Provider Name | Beth M Kline-fath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346253598 PECOS PAC ID: 4284520750 Enrollment ID: I20040223001281 |
| Provider Name | Michele M Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417984543 PECOS PAC ID: 8426944323 Enrollment ID: I20040226000767 |
| Provider Name | Rebecca C Brady |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114958402 PECOS PAC ID: 9335036862 Enrollment ID: I20040301000639 |
| Provider Name | Mark J Meyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265490692 PECOS PAC ID: 4789573239 Enrollment ID: I20040312000402 |
| Provider Name | Rebeccah L Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295787596 PECOS PAC ID: 2567351794 Enrollment ID: I20040315000309 |
| Provider Name | Kirsten G Ahrens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154364834 PECOS PAC ID: 6002707072 Enrollment ID: I20040322000500 |
| Provider Name | Richard M Ruddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427086560 PECOS PAC ID: 1557252921 Enrollment ID: I20040324000121 |
| Provider Name | Gretchen Lynn Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891813978 PECOS PAC ID: 5890686299 Enrollment ID: I20040324000338 |
| Provider Name | Bruce Colston Trapnell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134177314 PECOS PAC ID: 1254223431 Enrollment ID: I20040325000420 |
| Provider Name | Robert Allan Shapiro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063579811 PECOS PAC ID: 7618869520 Enrollment ID: I20040326000051 |
| Provider Name | Wendy Jane Pomerantz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407883424 PECOS PAC ID: 4789576620 Enrollment ID: I20040326000190 |
| Provider Name | Brian Weiss |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033274840 PECOS PAC ID: 5890687693 Enrollment ID: I20040326000672 |
| Provider Name | Michael T. Sorter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124048392 PECOS PAC ID: 1557357589 Enrollment ID: I20040423000673 |
| Provider Name | Philippe F Backeljauw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770511883 PECOS PAC ID: 9032106919 Enrollment ID: I20040430000856 |
| Provider Name | Clifford Hoffmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346208733 PECOS PAC ID: 2668460411 Enrollment ID: I20040503000385 |
| Provider Name | Corinne E Lehmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831156827 PECOS PAC ID: 3072503820 Enrollment ID: I20040514000243 |
| Provider Name | Charles M Myer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568482735 PECOS PAC ID: 2860482080 Enrollment ID: I20040518000446 |
| Provider Name | Jay Paul Willging |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477573640 PECOS PAC ID: 2365432523 Enrollment ID: I20040518000679 |
| Provider Name | Thomas J Kabalin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992763437 PECOS PAC ID: 0648253682 Enrollment ID: I20040610000645 |
| Provider Name | Neil D Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942213194 PECOS PAC ID: 1658354600 Enrollment ID: I20040610000729 |
| Provider Name | Maria T Britto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316995293 PECOS PAC ID: 3779567912 Enrollment ID: I20040616000002 |
| Provider Name | Kimberly A Risma |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1497704951 PECOS PAC ID: 5698750859 Enrollment ID: I20040622000403 |
| Provider Name | Lee A Denson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598792087 PECOS PAC ID: 5496730681 Enrollment ID: I20040622000607 |
| Provider Name | Drew Harris Barzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285714741 PECOS PAC ID: 9234114422 Enrollment ID: I20040622000672 |
| Provider Name | Kathryn P Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770626855 PECOS PAC ID: 1153306352 Enrollment ID: I20040622000752 |
| Provider Name | Elizabeth Ann Templin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447287982 PECOS PAC ID: 8628053857 Enrollment ID: I20040622001034 |
| Provider Name | Jessica A Kahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104874502 PECOS PAC ID: 2860472958 Enrollment ID: I20040720001681 |
| Provider Name | Melissa Dawn Klein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952488686 PECOS PAC ID: 9335111533 Enrollment ID: I20040809000928 |
| Provider Name | Michelle Lynn Schrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982638540 PECOS PAC ID: 0941272900 Enrollment ID: I20040810000857 |
| Provider Name | Mehran Attari |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1760447148 PECOS PAC ID: 8820061237 Enrollment ID: I20040814000030 |
| Provider Name | Zeina Marcho Samaan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013947449 PECOS PAC ID: 8224005905 Enrollment ID: I20040913000781 |
| Provider Name | Lesley L Breech |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407804388 PECOS PAC ID: 3072582048 Enrollment ID: I20040927000766 |
| Provider Name | Richard A Falcone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144300237 PECOS PAC ID: 1254390735 Enrollment ID: I20041008001224 |
| Provider Name | Sarah W Riddle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669402095 PECOS PAC ID: 7719947431 Enrollment ID: I20041015000792 |
| Provider Name | Jacob Jan Hendrik Bleesing |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1841220167 PECOS PAC ID: 0648231241 Enrollment ID: I20041026000508 |
| Provider Name | Patricia Beatrice Eiler-sims |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528001138 PECOS PAC ID: 4981668274 Enrollment ID: I20041116001037 |
| Provider Name | Laurie Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508893686 PECOS PAC ID: 3870557754 Enrollment ID: I20041119000315 |
| Provider Name | Theodosia Kalfa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487684726 PECOS PAC ID: 3971568635 Enrollment ID: I20041123000050 |
| Provider Name | Jasenka D Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851310338 PECOS PAC ID: 6002871621 Enrollment ID: I20041123000622 |
| Provider Name | Andrew D Hershey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275567844 PECOS PAC ID: 1254397417 Enrollment ID: I20041208001224 |
| Provider Name | Melissa Pearl Delbello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609956101 PECOS PAC ID: 3173581766 Enrollment ID: I20041229000544 |
| Provider Name | Karin S Bierbrauer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750315313 PECOS PAC ID: 7719883719 Enrollment ID: I20050119000449 |
| Provider Name | Michael Marcotte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326046889 PECOS PAC ID: 5890751457 Enrollment ID: I20050203000265 |
| Provider Name | Meilan M Rutter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962439406 PECOS PAC ID: 4082665286 Enrollment ID: I20050204000446 |
| Provider Name | Michelle Myers Ernst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720037294 PECOS PAC ID: 8729030317 Enrollment ID: I20050211000091 |
| Provider Name | Maria A Calvo Garcia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356436109 PECOS PAC ID: 5799738555 Enrollment ID: I20050222000490 |
| Provider Name | Robert Michael Siegel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528048980 PECOS PAC ID: 4880647775 Enrollment ID: I20050303000158 |
| Provider Name | Robert Joseph Fleck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720094147 PECOS PAC ID: 6608820287 Enrollment ID: I20050307000387 |
| Provider Name | Pamela H Williams-arya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730123340 PECOS PAC ID: 1456305838 Enrollment ID: I20050309000104 |
| Provider Name | Mona E Mansour |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861420663 PECOS PAC ID: 6608820964 Enrollment ID: I20050309000595 |
| Provider Name | Deward H Voss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629076104 PECOS PAC ID: 1850345935 Enrollment ID: I20050310001105 |
| Provider Name | Christopher B Peltier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851361422 PECOS PAC ID: 7618922469 Enrollment ID: I20050315000656 |
| Provider Name | Juan Pablo Abonia |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1457300915 PECOS PAC ID: 9234184607 Enrollment ID: I20050318000062 |
| Provider Name | William F Balistreri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952338378 PECOS PAC ID: 7416903042 Enrollment ID: I20050328000414 |
| Provider Name | Lesley Doughty |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538111273 PECOS PAC ID: 8628025954 Enrollment ID: I20050407000977 |
| Provider Name | James Ian Geller |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1881625572 PECOS PAC ID: 9335186113 Enrollment ID: I20050413000497 |
| Provider Name | Ranjit S Chima |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376612465 PECOS PAC ID: 4789622887 Enrollment ID: I20050420000042 |
| Provider Name | Sonata Jodele |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336179662 PECOS PAC ID: 5395783369 Enrollment ID: I20050420000653 |
| Provider Name | Janice M Roeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841227519 PECOS PAC ID: 5799723334 Enrollment ID: I20050422000882 |
| Provider Name | Michael Brian Jordan |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1669537478 PECOS PAC ID: 4486693918 Enrollment ID: I20050425001173 |
| Provider Name | Daniel Choo |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1447270053 PECOS PAC ID: 5092756908 Enrollment ID: I20050520000005 |
| Provider Name | Masood Ahmad |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1699856559 PECOS PAC ID: 6204877038 Enrollment ID: I20050520001057 |
| Provider Name | Andrea Hinton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639177199 PECOS PAC ID: 0143262501 Enrollment ID: I20050525000860 |
| Provider Name | Manish Natvarlal Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821183260 PECOS PAC ID: 5799727848 Enrollment ID: I20050531000003 |
| Provider Name | Mohamed Abdou Mahmoud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164470209 PECOS PAC ID: 1658314117 Enrollment ID: I20050606000713 |
| Provider Name | Benjamin T Kerrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912934050 PECOS PAC ID: 0547203077 Enrollment ID: I20050606001200 |
| Provider Name | Adam Henry Kaufman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609819085 PECOS PAC ID: 3870536980 Enrollment ID: I20050608001009 |
| Provider Name | Anne M Lynch-jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942259437 PECOS PAC ID: 7719921923 Enrollment ID: I20050617000235 |
| Provider Name | Gary L Mcphail |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821027483 PECOS PAC ID: 0648214783 Enrollment ID: I20050620000231 |
| Provider Name | Jennifer Lynn Reed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083642490 PECOS PAC ID: 1850336637 Enrollment ID: I20050622000727 |
| Provider Name | Kristin H Coppage |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558369041 PECOS PAC ID: 3577508977 Enrollment ID: I20050627000443 |
| Provider Name | Paul S Kingma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225107311 PECOS PAC ID: 7618912940 Enrollment ID: I20050627000802 |
| Provider Name | Sue Ellen Poynter |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205888906 PECOS PAC ID: 6608812342 Enrollment ID: I20050701000797 |
| Provider Name | Parinda Apurva Mehta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710918495 PECOS PAC ID: 9638115298 Enrollment ID: I20050705000816 |
| Provider Name | Francesco Tindaro Mangano |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1780609131 PECOS PAC ID: 2769428325 Enrollment ID: I20050705000841 |
| Provider Name | Hamilton P Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386672269 PECOS PAC ID: 8022054451 Enrollment ID: I20050707000218 |
| Provider Name | Holly M Ippisch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104878966 PECOS PAC ID: 2264469691 Enrollment ID: I20050718000784 |
| Provider Name | Kathleen M Campbell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255406716 PECOS PAC ID: 2769411404 Enrollment ID: I20050811001074 |
| Provider Name | James M Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225153752 PECOS PAC ID: 8123058765 Enrollment ID: I20050815000170 |
| Provider Name | E Melinda Mahabee-gittens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437187556 PECOS PAC ID: 4183654650 Enrollment ID: I20050815000521 |
| Provider Name | David W Pruitt |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356421176 PECOS PAC ID: 4284520685 Enrollment ID: I20050829000379 |
| Provider Name | Allison J Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265489652 PECOS PAC ID: 8325070345 Enrollment ID: I20050909000723 |
| Provider Name | Paul J Gubanich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003871575 PECOS PAC ID: 2567495286 Enrollment ID: I20050914000113 |
| Provider Name | Ximena Soler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780642157 PECOS PAC ID: 0941260855 Enrollment ID: I20050919000589 |
| Provider Name | Evelyn Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982634531 PECOS PAC ID: 6507890670 Enrollment ID: I20050920000023 |
| Provider Name | Amy T Nathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851323646 PECOS PAC ID: 0547294613 Enrollment ID: I20050920000086 |
| Provider Name | Kimberly Cain-steinmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255392858 PECOS PAC ID: 0941226161 Enrollment ID: I20051018000200 |
| Provider Name | Tracy Vei-yie Ting |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962619965 PECOS PAC ID: 1052330644 Enrollment ID: I20051114000110 |
| Provider Name | Michelle L French |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902983760 PECOS PAC ID: 4880613314 Enrollment ID: I20051115000069 |
| Provider Name | Mia Lynn Mallory |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326075474 PECOS PAC ID: 5496774671 Enrollment ID: I20051116000940 |
| Provider Name | Joel I Sorger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295730588 PECOS PAC ID: 0749200905 Enrollment ID: I20051202000000 |
| Provider Name | Emily M Eagen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508809294 PECOS PAC ID: 6305866476 Enrollment ID: I20051205000145 |
| Provider Name | Stavra Alexandra Xanthakos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609805340 PECOS PAC ID: 0840210910 Enrollment ID: I20051205000161 |
| Provider Name | Tara D Lipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013940733 PECOS PAC ID: 5496775314 Enrollment ID: I20051206000841 |
| Provider Name | Jeffrey Epstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255380713 PECOS PAC ID: 2567484983 Enrollment ID: I20051229000353 |
| Provider Name | Susan L Lecates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740203652 PECOS PAC ID: 5294757399 Enrollment ID: I20060103000376 |
| Provider Name | Matthew R Mittiga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235166802 PECOS PAC ID: 6002890910 Enrollment ID: I20060111000462 |
| Provider Name | Ajay B Ponkshe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417956905 PECOS PAC ID: 5092771402 Enrollment ID: I20060117001017 |
| Provider Name | Karen Cristly Burns |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1912964560 PECOS PAC ID: 8921012402 Enrollment ID: I20060203000600 |
| Provider Name | Julie D Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518916717 PECOS PAC ID: 1850375528 Enrollment ID: I20060208000016 |
| Provider Name | Erica P Messer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588630289 PECOS PAC ID: 6406861459 Enrollment ID: I20060213000088 |
| Provider Name | Janet Margaret Boyle |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922063056 PECOS PAC ID: 2264448398 Enrollment ID: I20060228000211 |
| Provider Name | Mary A Staat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689606493 PECOS PAC ID: 1557377512 Enrollment ID: I20060228000436 |
| Provider Name | Judy A Reinhold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053376632 PECOS PAC ID: 5597772541 Enrollment ID: I20060315000644 |
| Provider Name | Carrie Z Kluger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942232731 PECOS PAC ID: 6800804477 Enrollment ID: I20060324000027 |
| Provider Name | Amal H Assaad |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1366491821 PECOS PAC ID: 5597774349 Enrollment ID: I20060406000324 |
| Provider Name | Rachael Ann Mohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851334460 PECOS PAC ID: 6305855156 Enrollment ID: I20060406000336 |
| Provider Name | Charles J Schubert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932140688 PECOS PAC ID: 2264441955 Enrollment ID: I20060407000001 |
| Provider Name | Michael P Nasser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093771628 PECOS PAC ID: 3173533262 Enrollment ID: I20060503000879 |
| Provider Name | Jennifer J Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063460558 PECOS PAC ID: 4981615382 Enrollment ID: I20060524000134 |
| Provider Name | Ross Louis Ristagno |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1740247782 PECOS PAC ID: 9436161437 Enrollment ID: I20060611000000 |
| Provider Name | Michele D Eckerle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821043308 PECOS PAC ID: 0143232181 Enrollment ID: I20060612000335 |
| Provider Name | Nancy Morwessel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235187188 PECOS PAC ID: 4789696535 Enrollment ID: I20060619000324 |
| Provider Name | Lisa Y Reebals |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902851249 PECOS PAC ID: 8224040894 Enrollment ID: I20060622000346 |
| Provider Name | Alexandra Szabova |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184672362 PECOS PAC ID: 7113939661 Enrollment ID: I20060627000026 |
| Provider Name | Jennifer M Kaplan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407899529 PECOS PAC ID: 8628080017 Enrollment ID: I20060630000001 |
| Provider Name | Kristen Wesselkamper |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730124785 PECOS PAC ID: 3870505100 Enrollment ID: I20060703000001 |
| Provider Name | Todd Arthur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407890098 PECOS PAC ID: 9335151638 Enrollment ID: I20060706000020 |
| Provider Name | Kelly C Byars |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811946387 PECOS PAC ID: 2264445386 Enrollment ID: I20060713000057 |
| Provider Name | Lara Ann Danziger-isakov |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356304158 PECOS PAC ID: 8820001803 Enrollment ID: I20060714000195 |
| Provider Name | Barbara E Hallinan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205868155 PECOS PAC ID: 1456364983 Enrollment ID: I20060728000094 |
| Provider Name | Tanya E Cahill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700830759 PECOS PAC ID: 9537172861 Enrollment ID: I20060803000008 |
| Provider Name | David Hooper |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245284397 PECOS PAC ID: 6800899923 Enrollment ID: I20060810000302 |
| Provider Name | Javier A Gonzalez Del Rey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295761088 PECOS PAC ID: 2163425000 Enrollment ID: I20060816000081 |
| Provider Name | Eleanor A Widdice |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578597985 PECOS PAC ID: 7719981257 Enrollment ID: I20060914000197 |
| Provider Name | Elizabeth P Schlaudecker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679588313 PECOS PAC ID: 4789689282 Enrollment ID: I20060915000147 |
| Provider Name | Mary T Matias Akhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720006760 PECOS PAC ID: 0547265076 Enrollment ID: I20060915000390 |
| Provider Name | Angela Lorts |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861407348 PECOS PAC ID: 2466457775 Enrollment ID: I20060920000184 |
| Provider Name | Arash Babaoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942243621 PECOS PAC ID: 8729083688 Enrollment ID: I20060927000306 |
| Provider Name | Holly Elizabeth Depinet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447291166 PECOS PAC ID: 2163427832 Enrollment ID: I20061002000550 |
| Provider Name | Jacqueline Collins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942301148 PECOS PAC ID: 1153327812 Enrollment ID: I20061020000150 |
| Provider Name | Robert Wilson Frenck |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558378943 PECOS PAC ID: 4486651494 Enrollment ID: I20061106000357 |
| Provider Name | Foong-yen Lim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235232224 PECOS PAC ID: 9537105648 Enrollment ID: I20061109000469 |
| Provider Name | Sarah D Corathers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548294911 PECOS PAC ID: 4082612791 Enrollment ID: I20061113000269 |
| Provider Name | Steven J Spalding |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346258605 PECOS PAC ID: 6901804129 Enrollment ID: I20061127000220 |
| Provider Name | Patrick Wharton Brady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093813172 PECOS PAC ID: 3476551441 Enrollment ID: I20061129000533 |
| Provider Name | Laura K Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174692008 PECOS PAC ID: 1658370325 Enrollment ID: I20061206000237 |
| Provider Name | Anusua R Dasgupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265507156 PECOS PAC ID: 4789683921 Enrollment ID: I20061215000287 |
| Provider Name | Thomas R. Korfhagen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952332116 PECOS PAC ID: 6103825385 Enrollment ID: I20061218000028 |
| Provider Name | Karin J Detchon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760599880 PECOS PAC ID: 2860491966 Enrollment ID: I20061219000513 |
| Provider Name | Narong Simakajornboon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083642565 PECOS PAC ID: 8527069632 Enrollment ID: I20070116000258 |
| Provider Name | Constance M Mcaneney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598792640 PECOS PAC ID: 9234130345 Enrollment ID: I20070116000275 |
| Provider Name | Nancy S Hagerman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376614313 PECOS PAC ID: 3678575677 Enrollment ID: I20070205000168 |
| Provider Name | Marielle Alexis Kabbouche |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205869013 PECOS PAC ID: 8123120631 Enrollment ID: I20070301000009 |
| Provider Name | Wendi Lin Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457486458 PECOS PAC ID: 9739282096 Enrollment ID: I20070307000502 |
| Provider Name | Joseph W Luria |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134157241 PECOS PAC ID: 3476656687 Enrollment ID: I20070308000339 |
| Provider Name | Rajaram Nagarajan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801948146 PECOS PAC ID: 4587767702 Enrollment ID: I20070308000388 |
| Provider Name | Melodie Blacklidge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689620841 PECOS PAC ID: 4082717509 Enrollment ID: I20070321000117 |
| Provider Name | Jeffrey Bruce Anderson |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972645984 PECOS PAC ID: 3173563715 Enrollment ID: I20070328000364 |
| Provider Name | William W Motley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316983505 PECOS PAC ID: 7315976776 Enrollment ID: I20070330000158 |
| Provider Name | Alan P Kenny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972646560 PECOS PAC ID: 4486758497 Enrollment ID: I20070402000135 |
| Provider Name | Nancy Abigail Crimmins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174657019 PECOS PAC ID: 0648375220 Enrollment ID: I20070411000142 |
| Provider Name | Stephen Andrew Spooner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598723611 PECOS PAC ID: 1355446832 Enrollment ID: I20070411000166 |
| Provider Name | Darcy A Krueger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427178284 PECOS PAC ID: 0749385763 Enrollment ID: I20070420000115 |
| Provider Name | Odile T Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316064728 PECOS PAC ID: 0446356158 Enrollment ID: I20070426000025 |
| Provider Name | Alessandro Dealarcon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083782601 PECOS PAC ID: 6204932502 Enrollment ID: I20070503000007 |
| Provider Name | Kurt R Schibler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508898313 PECOS PAC ID: 6608823646 Enrollment ID: I20070503000386 |
| Provider Name | Nathan Lowell Timm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043247968 PECOS PAC ID: 0244336345 Enrollment ID: I20070507000494 |
| Provider Name | Holly Renee Strike |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386785798 PECOS PAC ID: 5496852014 Enrollment ID: I20070516000218 |
| Provider Name | Trent R Hummel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225155831 PECOS PAC ID: 8729185160 Enrollment ID: I20070521000310 |
| Provider Name | Arnold Carlson Merrow |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952431074 PECOS PAC ID: 2062519234 Enrollment ID: I20070523000131 |
| Provider Name | James Philip Spaeth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942268388 PECOS PAC ID: 4183721392 Enrollment ID: I20070523000471 |
| Provider Name | Nan E Tobias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043332141 PECOS PAC ID: 9032216197 Enrollment ID: I20070524000253 |
| Provider Name | Shannon Kathleen White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861558900 PECOS PAC ID: 5991802910 Enrollment ID: I20070525000061 |
| Provider Name | Susan Elizabeth Sharp |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306979935 PECOS PAC ID: 4385742154 Enrollment ID: I20070604000167 |
| Provider Name | Tom K Lin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114136934 PECOS PAC ID: 5395845051 Enrollment ID: I20070710000690 |
| Provider Name | Kerry E Gorman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386855328 PECOS PAC ID: 2860593886 Enrollment ID: I20070720000577 |
| Provider Name | Jennifer K O'toole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184844193 PECOS PAC ID: 0941301600 Enrollment ID: I20070725000015 |
| Provider Name | Tanya Kowalczyk Mullins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710007125 PECOS PAC ID: 6002907532 Enrollment ID: I20070813000134 |
| Provider Name | Eric Mullins |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225238389 PECOS PAC ID: 8921190513 Enrollment ID: I20070828000307 |
| Provider Name | James Frank Cnota |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306821707 PECOS PAC ID: 3173615606 Enrollment ID: I20070828000774 |
| Provider Name | Mandi L Cafasso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437275146 PECOS PAC ID: 0840383071 Enrollment ID: I20070905000118 |
| Provider Name | Brad A Sobolewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851513493 PECOS PAC ID: 8325131162 Enrollment ID: I20070910000642 |
| Provider Name | Donna J Claes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073704797 PECOS PAC ID: 5890880223 Enrollment ID: I20071001000481 |
| Provider Name | Ahna Pai |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215018171 PECOS PAC ID: 3678668480 Enrollment ID: I20071008000587 |
| Provider Name | Joanne Cochrane Carey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043431653 PECOS PAC ID: 9133214976 Enrollment ID: I20071009000264 |
| Provider Name | Christine M White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568667780 PECOS PAC ID: 1153418041 Enrollment ID: I20071024000253 |
| Provider Name | Ellen S Springer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891726519 PECOS PAC ID: 1759478365 Enrollment ID: I20071030000051 |
| Provider Name | Lori A Aronson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487612586 PECOS PAC ID: 4688761299 Enrollment ID: I20071030000111 |
| Provider Name | Anita Gupta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1710024062 PECOS PAC ID: 3678661485 Enrollment ID: I20071113000060 |
| Provider Name | Kathryn Ann Wikenheiser Brokamp |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437179249 PECOS PAC ID: 7618066481 Enrollment ID: I20071130000454 |
| Provider Name | Todd A Ponsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588870752 PECOS PAC ID: 4183713886 Enrollment ID: I20071204000070 |
| Provider Name | Amy Rich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720273246 PECOS PAC ID: 3274623749 Enrollment ID: I20071220000395 |
| Provider Name | Jennifer Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891983011 PECOS PAC ID: 7810077815 Enrollment ID: I20080103000283 |
| Provider Name | Irina Rybalsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184668782 PECOS PAC ID: 3274613757 Enrollment ID: I20080109000737 |
| Provider Name | Kristin R Melton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659337970 PECOS PAC ID: 1355422759 Enrollment ID: I20080111000006 |
| Provider Name | Nancy Samol |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437366523 PECOS PAC ID: 8224110770 Enrollment ID: I20080123000603 |
| Provider Name | Karen D. Agricola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053456426 PECOS PAC ID: 7517040215 Enrollment ID: I20080218000448 |
| Provider Name | Dawn A Rothchild |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144348640 PECOS PAC ID: 8921182718 Enrollment ID: I20080304000185 |
| Provider Name | Katherine R Thoman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568648988 PECOS PAC ID: 8820173925 Enrollment ID: I20080313000536 |
| Provider Name | David L Moore |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497772941 PECOS PAC ID: 3274618111 Enrollment ID: I20080317000381 |
| Provider Name | Erika L Stalets |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861609034 PECOS PAC ID: 6709962970 Enrollment ID: I20080328000003 |
| Provider Name | Craig H Gosdin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558381764 PECOS PAC ID: 6002821212 Enrollment ID: I20080328000107 |
| Provider Name | Punam Malik |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477650422 PECOS PAC ID: 8325075377 Enrollment ID: I20080505000351 |
| Provider Name | Selena Hariharan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487606414 PECOS PAC ID: 3274612098 Enrollment ID: I20080506000201 |
| Provider Name | Karen M Mcdowell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033176912 PECOS PAC ID: 0042389793 Enrollment ID: I20080521000024 |
| Provider Name | Alexander Justin Towbin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285830141 PECOS PAC ID: 4284703968 Enrollment ID: I20080521000247 |
| Provider Name | Laura K Howell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871700898 PECOS PAC ID: 1254400815 Enrollment ID: I20080522000053 |
| Provider Name | Mario Patino |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447456967 PECOS PAC ID: 8325118714 Enrollment ID: I20080528000019 |
| Provider Name | Suzanne B Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700903424 PECOS PAC ID: 8123198116 Enrollment ID: I20080603000272 |
| Provider Name | Lori A Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063530475 PECOS PAC ID: 4688744238 Enrollment ID: I20080609000387 |
| Provider Name | Jaimie D Nathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598933194 PECOS PAC ID: 3476624974 Enrollment ID: I20080611000091 |
| Provider Name | Vidya Chidambaran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225237670 PECOS PAC ID: 0244301679 Enrollment ID: I20080612000507 |
| Provider Name | Valerie K Moniaci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114979325 PECOS PAC ID: 9032280367 Enrollment ID: I20080613000483 |
| Provider Name | Shannon R Myatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053438804 PECOS PAC ID: 6608947718 Enrollment ID: I20080618000004 |
| Provider Name | Jennifer L Huggins |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1780693499 PECOS PAC ID: 9931105889 Enrollment ID: I20080618000326 |
| Provider Name | Stephen W Standage |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1467642603 PECOS PAC ID: 2365514411 Enrollment ID: I20080707000110 |
| Provider Name | Irina S Parkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164697223 PECOS PAC ID: 6709959398 Enrollment ID: I20080715000419 |
| Provider Name | Scott Patrick Pentiuk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588871792 PECOS PAC ID: 9133292311 Enrollment ID: I20080722000057 |
| Provider Name | Karen W Burkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649398744 PECOS PAC ID: 0244304525 Enrollment ID: I20080805000227 |
| Provider Name | John P Perentesis |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679637698 PECOS PAC ID: 2466526660 Enrollment ID: I20080806000537 |
| Provider Name | Sarah A Godfrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558533406 PECOS PAC ID: 0941374078 Enrollment ID: I20080807000108 |
| Provider Name | Shannon M. Standridge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922219922 PECOS PAC ID: 3577637420 Enrollment ID: I20080811000464 |
| Provider Name | Richard James Czosek |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1124237920 PECOS PAC ID: 1153496021 Enrollment ID: I20080813000011 |
| Provider Name | Ernest H Lawhorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578618807 PECOS PAC ID: 7719052380 Enrollment ID: I20080815000318 |
| Provider Name | Jonathan Christian Howell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891902821 PECOS PAC ID: 5799850327 Enrollment ID: I20080818000161 |
| Provider Name | Jillian A Klein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780891705 PECOS PAC ID: 5799850012 Enrollment ID: I20080821000367 |
| Provider Name | Deepak Gopalakrishnan |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1093974867 PECOS PAC ID: 0941375265 Enrollment ID: I20080821000404 |
| Provider Name | Kamali Bouvay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770791287 PECOS PAC ID: 9931274255 Enrollment ID: I20080821000412 |
| Provider Name | Haleh Christine Heydarian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285841387 PECOS PAC ID: 8325113582 Enrollment ID: I20080822000206 |
| Provider Name | Martha G Seehausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205803376 PECOS PAC ID: 5597831503 Enrollment ID: I20080827000351 |
| Provider Name | Viral V Jain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790992832 PECOS PAC ID: 0345316113 Enrollment ID: I20080902000021 |
| Provider Name | Hemant Sawnani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649246109 PECOS PAC ID: 2466548771 Enrollment ID: I20080902000145 |
| Provider Name | Eileen M Kurowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124220199 PECOS PAC ID: 9739255589 Enrollment ID: I20080903000163 |
| Provider Name | Alexei Grom |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1619997715 PECOS PAC ID: 0244306835 Enrollment ID: I20080905000061 |
| Provider Name | Eunice E Blackmon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154540482 PECOS PAC ID: 2961579081 Enrollment ID: I20080916000050 |
| Provider Name | Alexander Miethke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114134301 PECOS PAC ID: 3971670860 Enrollment ID: I20080918000167 |
| Provider Name | Carri Rae Warshak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811051824 PECOS PAC ID: 3971608365 Enrollment ID: I20080919000384 |
| Provider Name | Jason Seth Frischer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760640692 PECOS PAC ID: 1052488517 Enrollment ID: I20080924000779 |
| Provider Name | Mark C Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750598710 PECOS PAC ID: 3678641800 Enrollment ID: I20081001000405 |
| Provider Name | Rebecca A Marsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306053566 PECOS PAC ID: 7911075908 Enrollment ID: I20081003000345 |
| Provider Name | Kenneth B Tegtmeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265447767 PECOS PAC ID: 9133297138 Enrollment ID: I20081003000501 |
| Provider Name | Kara B Markham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487863247 PECOS PAC ID: 2163581182 Enrollment ID: I20081106000030 |
| Provider Name | Emily Defranco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164635553 PECOS PAC ID: 0244339125 Enrollment ID: I20081111000871 |
| Provider Name | Brenna C Lejeune |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962665885 PECOS PAC ID: 7214097138 Enrollment ID: I20081122000184 |
| Provider Name | Jerzy W Stanek |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932359973 PECOS PAC ID: 9032270558 Enrollment ID: I20081203000001 |
| Provider Name | Danna M Premer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972611960 PECOS PAC ID: 7810050952 Enrollment ID: I20090115000160 |
| Provider Name | Michelle C Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548296692 PECOS PAC ID: 3274537840 Enrollment ID: I20090122000054 |
| Provider Name | Jessica Erin Cyran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295944403 PECOS PAC ID: 5890859763 Enrollment ID: I20090122000211 |
| Provider Name | Nicholas Christopher Newman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477528297 PECOS PAC ID: 1850455197 Enrollment ID: I20090130000416 |
| Provider Name | Adrienne M Hammill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568668085 PECOS PAC ID: 3375607617 Enrollment ID: I20090130000439 |
| Provider Name | Karishma Jay Tilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487899175 PECOS PAC ID: 3072678853 Enrollment ID: I20090211000004 |
| Provider Name | Julie M Rios |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225238058 PECOS PAC ID: 5496811150 Enrollment ID: I20090304000352 |
| Provider Name | Roger Cornwall |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1376633826 PECOS PAC ID: 7810980570 Enrollment ID: I20090319000484 |
| Provider Name | Mary Burwinkel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265649271 PECOS PAC ID: 8921165341 Enrollment ID: I20090330000156 |
| Provider Name | F Lynne Merk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548219017 PECOS PAC ID: 5698822781 Enrollment ID: I20090407000109 |
| Provider Name | Cynthia Wesolowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417902420 PECOS PAC ID: 1052468196 Enrollment ID: I20090407000516 |
| Provider Name | Kelsey Logan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497723076 PECOS PAC ID: 8426006230 Enrollment ID: I20090422000665 |
| Provider Name | Sarah L Hebbeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043408875 PECOS PAC ID: 8224186606 Enrollment ID: I20090423000719 |
| Provider Name | John M. Racadio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750394938 PECOS PAC ID: 3678648839 Enrollment ID: I20090507000611 |
| Provider Name | Heather R Huber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417112012 PECOS PAC ID: 8729136361 Enrollment ID: I20090508000101 |
| Provider Name | Jeffrey Simmons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528288800 PECOS PAC ID: 6406904903 Enrollment ID: I20090511000002 |
| Provider Name | Linda M Kollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336362466 PECOS PAC ID: 2466501515 Enrollment ID: I20090519000613 |
| Provider Name | Carol Chute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083737878 PECOS PAC ID: 7517016652 Enrollment ID: I20090520000657 |
| Provider Name | John J Mcauliffe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942268347 PECOS PAC ID: 1254480023 Enrollment ID: I20090527000531 |
| Provider Name | Michelle Brennan Lierl |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184673642 PECOS PAC ID: 4284784638 Enrollment ID: I20090607000000 |
| Provider Name | Allison Ann Divanovic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235346339 PECOS PAC ID: 0840340147 Enrollment ID: I20090608000510 |
| Provider Name | Kelly Hicks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1982897484 PECOS PAC ID: 4981755683 Enrollment ID: I20090618000761 |
| Provider Name | Daniel J Schumacher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720045974 PECOS PAC ID: 2567532484 Enrollment ID: I20090623000787 |
| Provider Name | Kevin Redmond |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1528050481 PECOS PAC ID: 4688725955 Enrollment ID: I20090626000011 |
| Provider Name | John Breneman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922090075 PECOS PAC ID: 9638148984 Enrollment ID: I20090626000034 |
| Provider Name | William Barrett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1124010228 PECOS PAC ID: 6901875251 Enrollment ID: I20090626000097 |
| Provider Name | Jeffrey A Nerad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023019262 PECOS PAC ID: 5193875011 Enrollment ID: I20090702000266 |
| Provider Name | Susannah Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518084425 PECOS PAC ID: 5698826576 Enrollment ID: I20090707000006 |
| Provider Name | Elena Duma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790728483 PECOS PAC ID: 4880745769 Enrollment ID: I20090707000103 |
| Provider Name | Lisa K Crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750399333 PECOS PAC ID: 8325190044 Enrollment ID: I20090710000124 |
| Provider Name | Karen E Jerardi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871703678 PECOS PAC ID: 6901958644 Enrollment ID: I20090710000276 |
| Provider Name | Timothy K Knilans |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629020482 PECOS PAC ID: 8325190606 Enrollment ID: I20090717000047 |
| Provider Name | Andrew F Beck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093924177 PECOS PAC ID: 6305998410 Enrollment ID: I20090721000722 |
| Provider Name | Kerith Elizabeth Spicknall |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1306053707 PECOS PAC ID: 8123170099 Enrollment ID: I20090723000663 |
| Provider Name | Thomas Boat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1184644791 PECOS PAC ID: 8022911759 Enrollment ID: I20090729000387 |
| Provider Name | Jennifer Dawn Bass |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174757066 PECOS PAC ID: 7911050083 Enrollment ID: I20090806000741 |
| Provider Name | Sergio V Delgado |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164502670 PECOS PAC ID: 2163575259 Enrollment ID: I20090807000198 |
| Provider Name | David N Franz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649204207 PECOS PAC ID: 2062565161 Enrollment ID: I20090807000214 |
| Provider Name | Scott Douglas Reeves |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952339061 PECOS PAC ID: 2668526567 Enrollment ID: I20090812000067 |
| Provider Name | Michael Gittelman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811924988 PECOS PAC ID: 2062566854 Enrollment ID: I20090813000041 |
| Provider Name | Michael Henrickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033187232 PECOS PAC ID: 8729018122 Enrollment ID: I20090819000324 |
| Provider Name | Stephanie Kennebeck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114954260 PECOS PAC ID: 0749334001 Enrollment ID: I20090820000548 |
| Provider Name | Robert Sisk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063614089 PECOS PAC ID: 5395839815 Enrollment ID: I20090821000120 |
| Provider Name | Erica Peiyeh Lin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912121500 PECOS PAC ID: 6800940974 Enrollment ID: I20090825000209 |
| Provider Name | Mounira Habli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295761054 PECOS PAC ID: 5395890487 Enrollment ID: I20090825000469 |
| Provider Name | Tracy Tiller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013952142 PECOS PAC ID: 4789739822 Enrollment ID: I20090826000224 |
| Provider Name | Angela Marie Statile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053528075 PECOS PAC ID: 5799830592 Enrollment ID: I20090831000445 |
| Provider Name | Steven Wei Wu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053529511 PECOS PAC ID: 0840345674 Enrollment ID: I20090901000002 |
| Provider Name | Gurjit Khurana-hershey |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1235214016 PECOS PAC ID: 3173678919 Enrollment ID: I20090901000127 |
| Provider Name | Seema R Bhatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609882125 PECOS PAC ID: 2567494826 Enrollment ID: I20090901000405 |
| Provider Name | Philip E Putnam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487684809 PECOS PAC ID: 1658426333 Enrollment ID: I20090901000539 |
| Provider Name | Beth A Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396769683 PECOS PAC ID: 3274688973 Enrollment ID: I20090902000042 |
| Provider Name | Benjamin S. Bolser |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336148865 PECOS PAC ID: 6709985104 Enrollment ID: I20090908000377 |
| Provider Name | Christine Phillips |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245447408 PECOS PAC ID: 8022163377 Enrollment ID: I20090910000043 |
| Provider Name | Julia F Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700055373 PECOS PAC ID: 7517013576 Enrollment ID: I20090917000038 |
| Provider Name | John H Greinwald |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275547457 PECOS PAC ID: 9537215330 Enrollment ID: I20090921000169 |
| Provider Name | Ellen A Lipstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427163591 PECOS PAC ID: 0143313163 Enrollment ID: I20090921000189 |
| Provider Name | Jennifer J Detzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114140217 PECOS PAC ID: 8729134549 Enrollment ID: I20090921000380 |
| Provider Name | Lisa J Francis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275540577 PECOS PAC ID: 3173529179 Enrollment ID: I20090921000432 |
| Provider Name | Paula Cuthrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457472938 PECOS PAC ID: 2466508874 Enrollment ID: I20090925000239 |
| Provider Name | Ashish Kumar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013007483 PECOS PAC ID: 9436148327 Enrollment ID: I20090928000278 |
| Provider Name | Lee Ann Elizabeth Conard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508838152 PECOS PAC ID: 9830167063 Enrollment ID: I20091001000277 |
| Provider Name | Lynn Babcock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457384992 PECOS PAC ID: 7315083466 Enrollment ID: I20091005000205 |
| Provider Name | Thomas Dewitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770640799 PECOS PAC ID: 2860538865 Enrollment ID: I20091006000036 |
| Provider Name | Pamela D Holmes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609086404 PECOS PAC ID: 3476699117 Enrollment ID: I20091009000169 |
| Provider Name | Samantha Mast |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962661595 PECOS PAC ID: 1951447614 Enrollment ID: I20091009000370 |
| Provider Name | Julia Anixt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043317662 PECOS PAC ID: 6103864335 Enrollment ID: I20091012000511 |
| Provider Name | Samuel Hanke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275743072 PECOS PAC ID: 3173669769 Enrollment ID: I20091013000362 |
| Provider Name | Hee Kyung Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568668796 PECOS PAC ID: 0446397681 Enrollment ID: I20091021000330 |
| Provider Name | Maureen O'brien |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710194881 PECOS PAC ID: 0345336764 Enrollment ID: I20091022000509 |
| Provider Name | Debra A Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407043169 PECOS PAC ID: 5799822755 Enrollment ID: I20091022000759 |
| Provider Name | Sheila Chandran |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588822282 PECOS PAC ID: 7618014457 Enrollment ID: I20091027000407 |
| Provider Name | Susan M Kuschnir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740350180 PECOS PAC ID: 0749327468 Enrollment ID: I20091028000432 |
| Provider Name | Shalonda K Slater |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962735639 PECOS PAC ID: 4688711237 Enrollment ID: I20091030000183 |
| Provider Name | Daniel Vonallmen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720171986 PECOS PAC ID: 8628153400 Enrollment ID: I20091111000388 |
| Provider Name | Nana Hawa Yayah Jones |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154596518 PECOS PAC ID: 1254479058 Enrollment ID: I20091117000057 |
| Provider Name | Betsy R Gerrein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760637987 PECOS PAC ID: 7618015306 Enrollment ID: I20091118000286 |
| Provider Name | Anna W Byars |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023041829 PECOS PAC ID: 5193864569 Enrollment ID: I20091124000172 |
| Provider Name | Kathleen A Mcgee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346361243 PECOS PAC ID: 7618016916 Enrollment ID: I20091130000124 |
| Provider Name | Susan Margaret Capuano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225156300 PECOS PAC ID: 9133268972 Enrollment ID: I20091208000185 |
| Provider Name | Monique L Goldschmidt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568671659 PECOS PAC ID: 9133269731 Enrollment ID: I20091211000472 |
| Provider Name | Julie K Weikert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891935714 PECOS PAC ID: 4880734904 Enrollment ID: I20091222000382 |
| Provider Name | Renee Kreeger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245441542 PECOS PAC ID: 5092883884 Enrollment ID: I20091229000000 |
| Provider Name | Michael K Farrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386719847 PECOS PAC ID: 4789725250 Enrollment ID: I20100106000032 |
| Provider Name | Lynn Kling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689792194 PECOS PAC ID: 4981745221 Enrollment ID: I20100107000813 |
| Provider Name | Stephanie Spear Filigno |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356495451 PECOS PAC ID: 8426190489 Enrollment ID: I20100128000922 |
| Provider Name | Barbara W Boat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932129137 PECOS PAC ID: 6901949908 Enrollment ID: I20100129000316 |
| Provider Name | Pramod Reddy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033276902 PECOS PAC ID: 7517035884 Enrollment ID: I20100208000411 |
| Provider Name | Lisa A Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003868837 PECOS PAC ID: 1355484627 Enrollment ID: I20100209000281 |
| Provider Name | Amy Shah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720284243 PECOS PAC ID: 5294878427 Enrollment ID: I20100210000148 |
| Provider Name | William Robert Defoor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811917420 PECOS PAC ID: 4880738285 Enrollment ID: I20100223000855 |
| Provider Name | Eugene Minevich |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982787768 PECOS PAC ID: 2264598259 Enrollment ID: I20100225000399 |
| Provider Name | Janise M Felblinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144558099 PECOS PAC ID: 7214072214 Enrollment ID: I20100302000511 |
| Provider Name | Candace J Hochstrasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124356175 PECOS PAC ID: 3173668613 Enrollment ID: I20100308000768 |
| Provider Name | Kelly Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750611810 PECOS PAC ID: 0244375335 Enrollment ID: I20100324000492 |
| Provider Name | Robin Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619109980 PECOS PAC ID: 0840326286 Enrollment ID: I20100324001256 |
| Provider Name | Anne W Lucky |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1285688150 PECOS PAC ID: 8628104775 Enrollment ID: I20100329000746 |
| Provider Name | Joyce Slusher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437270451 PECOS PAC ID: 1052447745 Enrollment ID: I20100406000062 |
| Provider Name | Lynn Olberding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427176528 PECOS PAC ID: 7416084173 Enrollment ID: I20100428000976 |
| Provider Name | Laura Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528090560 PECOS PAC ID: 0446388920 Enrollment ID: I20100504000020 |
| Provider Name | Stacey L. Ruth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548496508 PECOS PAC ID: 0941338479 Enrollment ID: I20100504000602 |
| Provider Name | Monica Vonahlefeld |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003849266 PECOS PAC ID: 6709914997 Enrollment ID: I20100510000001 |
| Provider Name | Beth E Haberman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184617946 PECOS PAC ID: 9133257983 Enrollment ID: I20100514000590 |
| Provider Name | Howard Saal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801827308 PECOS PAC ID: 8921136649 Enrollment ID: I20100517000447 |
| Provider Name | Michael A Lind |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033431788 PECOS PAC ID: 4082743786 Enrollment ID: I20100518000444 |
| Provider Name | Nancy Doan Leslie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356372783 PECOS PAC ID: 5193854420 Enrollment ID: I20100525001096 |
| Provider Name | John Morehous |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063429231 PECOS PAC ID: 0648309765 Enrollment ID: I20100528000407 |
| Provider Name | Victor F Garcia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982784088 PECOS PAC ID: 5698804664 Enrollment ID: I20100601000394 |
| Provider Name | Paul J Samuels |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073571469 PECOS PAC ID: 1759410624 Enrollment ID: I20100602000710 |
| Provider Name | Janene R Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255451415 PECOS PAC ID: 8123157922 Enrollment ID: I20100603000105 |
| Provider Name | Michael W Mellon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023088804 PECOS PAC ID: 7911055173 Enrollment ID: I20100609000195 |
| Provider Name | Michael A Helmrath |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477633733 PECOS PAC ID: 5698861623 Enrollment ID: I20100614000009 |
| Provider Name | Stella Davies |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780618462 PECOS PAC ID: 1658401724 Enrollment ID: I20100616000486 |
| Provider Name | Charles T Quinn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962465864 PECOS PAC ID: 7911066824 Enrollment ID: I20100616000600 |
| Provider Name | Cristina Tarango |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750509592 PECOS PAC ID: 8022162429 Enrollment ID: I20100616000678 |
| Provider Name | Kyle A Kaufman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457560682 PECOS PAC ID: 1557492279 Enrollment ID: I20100624000481 |
| Provider Name | Michael S Grimley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1780641555 PECOS PAC ID: 1658436605 Enrollment ID: I20100625000134 |
| Provider Name | Conrad R Cole |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700828464 PECOS PAC ID: 2769466374 Enrollment ID: I20100708000976 |
| Provider Name | Charles B Stevenson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457408338 PECOS PAC ID: 1153477880 Enrollment ID: I20100719000918 |
| Provider Name | Tara D Rhine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194921601 PECOS PAC ID: 6002948536 Enrollment ID: I20100720000463 |
| Provider Name | Jeffrey Robert Strawn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801947288 PECOS PAC ID: 9739232893 Enrollment ID: I20100720000953 |
| Provider Name | Kasiani C Myers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134325376 PECOS PAC ID: 7810020864 Enrollment ID: I20100728000721 |
| Provider Name | Joshua Schaffzin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508182049 PECOS PAC ID: 8022141910 Enrollment ID: I20100728001291 |
| Provider Name | Brian Douglas Coley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083652838 PECOS PAC ID: 4789717620 Enrollment ID: I20100729000495 |
| Provider Name | Kathleen L Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902005531 PECOS PAC ID: 4789734922 Enrollment ID: I20100809001139 |
| Provider Name | Ndidi I Unaka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184828055 PECOS PAC ID: 5597899781 Enrollment ID: I20100810000187 |
| Provider Name | Hillary Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174727135 PECOS PAC ID: 7012041114 Enrollment ID: I20100811000501 |
| Provider Name | Brian A Vander Brink |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245492750 PECOS PAC ID: 0244362671 Enrollment ID: I20100823000501 |
| Provider Name | Rebekah T Ridgeway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184885592 PECOS PAC ID: 4082738398 Enrollment ID: I20100824000087 |
| Provider Name | Cameron W Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922215805 PECOS PAC ID: 0244354280 Enrollment ID: I20100827000798 |
| Provider Name | Brad G Kurowski |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245435684 PECOS PAC ID: 5698899573 Enrollment ID: I20100830000325 |
| Provider Name | Tammatha Lingsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841501798 PECOS PAC ID: 1557485075 Enrollment ID: I20100903000699 |
| Provider Name | Stuart L Goldstein |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780764035 PECOS PAC ID: 0143395178 Enrollment ID: I20100914000694 |
| Provider Name | Jennifer Lynn Nicholas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467617126 PECOS PAC ID: 5193840619 Enrollment ID: I20100921000163 |
| Provider Name | James Mc Carthy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780652354 PECOS PAC ID: 4587745633 Enrollment ID: I20100923000875 |
| Provider Name | Charles Mehlman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790719235 PECOS PAC ID: 7113043126 Enrollment ID: I20100928000478 |
| Provider Name | Wendy A Chouteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467763045 PECOS PAC ID: 2365634342 Enrollment ID: I20101008000533 |
| Provider Name | Mary C Burkhardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164626032 PECOS PAC ID: 9032302245 Enrollment ID: I20101020000936 |
| Provider Name | Marilyn Stoops |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245353812 PECOS PAC ID: 1153515051 Enrollment ID: I20101104001078 |
| Provider Name | Jennifer Renee Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578877593 PECOS PAC ID: 0042405383 Enrollment ID: I20101111000893 |
| Provider Name | Mary E Sutton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215058623 PECOS PAC ID: 8123213261 Enrollment ID: I20101115000481 |
| Provider Name | Hillary Flint |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770794182 PECOS PAC ID: 6608062435 Enrollment ID: I20101119000054 |
| Provider Name | Jennifer A Sauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871616664 PECOS PAC ID: 6002002854 Enrollment ID: I20101119000280 |
| Provider Name | James D Myers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477652808 PECOS PAC ID: 9335335439 Enrollment ID: I20101201000950 |
| Provider Name | Elizabeth A Hein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487612859 PECOS PAC ID: 1355539180 Enrollment ID: I20101221000770 |
| Provider Name | Joseph P Previte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104884592 PECOS PAC ID: 5294923033 Enrollment ID: I20101221000856 |
| Provider Name | Elena Adler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851359913 PECOS PAC ID: 5799973467 Enrollment ID: I20101222000040 |
| Provider Name | Joel Brent Gunter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174581698 PECOS PAC ID: 8123216512 Enrollment ID: I20101229000835 |
| Provider Name | Kenneth Goldschneider |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578521944 PECOS PAC ID: 7911195235 Enrollment ID: I20101230000270 |
| Provider Name | Eric P Wittkugel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033177464 PECOS PAC ID: 4688863764 Enrollment ID: I20110105000118 |
| Provider Name | Junzheng Wu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851359285 PECOS PAC ID: 8325237415 Enrollment ID: I20110105000229 |
| Provider Name | Iris Gutmark-little |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811193337 PECOS PAC ID: 6709075567 Enrollment ID: I20110110000120 |
| Provider Name | Smokey J Clay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639154917 PECOS PAC ID: 0143419911 Enrollment ID: I20110110000282 |
| Provider Name | Rachel M Sheridan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1457540270 PECOS PAC ID: 0042409476 Enrollment ID: I20110114000902 |
| Provider Name | John Stafford Hutton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073717948 PECOS PAC ID: 1254510183 Enrollment ID: I20110125000681 |
| Provider Name | Joseph J Palermo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629096342 PECOS PAC ID: 4385626944 Enrollment ID: I20110202000095 |
| Provider Name | Joseph S Palumbo |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1447281076 PECOS PAC ID: 6709066434 Enrollment ID: I20110211000522 |
| Provider Name | Zachary N Paff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194949453 PECOS PAC ID: 2062692528 Enrollment ID: I20110216000010 |
| Provider Name | Kevin J Little |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841401148 PECOS PAC ID: 6204017684 Enrollment ID: I20110217000502 |
| Provider Name | Peter F. Sturm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245344084 PECOS PAC ID: 0143122739 Enrollment ID: I20110217000948 |
| Provider Name | Pornswan Ngamprasertwong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316276926 PECOS PAC ID: 7416138540 Enrollment ID: I20110223000384 |
| Provider Name | Jamie Gerdemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497065700 PECOS PAC ID: 1456532191 Enrollment ID: I20110301000033 |
| Provider Name | Nehal Ashvin Parikh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033147293 PECOS PAC ID: 0648452615 Enrollment ID: I20110311000534 |
| Provider Name | Christopher Joseph Statile |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831306851 PECOS PAC ID: 0547442568 Enrollment ID: I20110314000177 |
| Provider Name | Alan Brody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669566097 PECOS PAC ID: 2961577150 Enrollment ID: I20110314000688 |
| Provider Name | Candice Snyder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326240193 PECOS PAC ID: 5092998617 Enrollment ID: I20110319000021 |
| Provider Name | Michelle Parker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558672287 PECOS PAC ID: 6608068374 Enrollment ID: I20110321000318 |
| Provider Name | Eric Joseph Crotty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437253531 PECOS PAC ID: 8527133727 Enrollment ID: I20110322000630 |
| Provider Name | Jarod Kees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306140421 PECOS PAC ID: 2860675261 Enrollment ID: I20110322001090 |
| Provider Name | Christina A Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023131729 PECOS PAC ID: 8426231523 Enrollment ID: I20110328000570 |
| Provider Name | Sara Marie O'hara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447344874 PECOS PAC ID: 4486729670 Enrollment ID: I20110330000567 |
| Provider Name | Steven Jay Kraus |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073609681 PECOS PAC ID: 8628143807 Enrollment ID: I20110421000907 |
| Provider Name | Kathleen H Emery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851307268 PECOS PAC ID: 0941375117 Enrollment ID: I20110421000908 |
| Provider Name | Mary Greiner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922281757 PECOS PAC ID: 9133296940 Enrollment ID: I20110505000877 |
| Provider Name | Ann R Schwentker |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1780669226 PECOS PAC ID: 1759359334 Enrollment ID: I20110520000478 |
| Provider Name | Mary A Mcmahon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720171291 PECOS PAC ID: 1355528118 Enrollment ID: I20110602000518 |
| Provider Name | Jilda N Vargus-adams |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154401982 PECOS PAC ID: 7315124104 Enrollment ID: I20110603000166 |
| Provider Name | Lindsey B Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174828768 PECOS PAC ID: 4486832987 Enrollment ID: I20110706000078 |
| Provider Name | Shan Yin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558316414 PECOS PAC ID: 4789758640 Enrollment ID: I20110706000396 |
| Provider Name | Whitney K Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396941100 PECOS PAC ID: 0042498347 Enrollment ID: I20110708000187 |
| Provider Name | Brian S Pan |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1033310255 PECOS PAC ID: 6709054885 Enrollment ID: I20110714000873 |
| Provider Name | Sarah Ann Lawson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1649443219 PECOS PAC ID: 6305014440 Enrollment ID: I20110715000650 |
| Provider Name | Amy Donnellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881879179 PECOS PAC ID: 7911063136 Enrollment ID: I20110728000486 |
| Provider Name | Kaushal Mehta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750547071 PECOS PAC ID: 2567630932 Enrollment ID: I20110730000006 |
| Provider Name | Marsha L Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477674950 PECOS PAC ID: 4880863935 Enrollment ID: I20110808000355 |
| Provider Name | Don Hayes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568427656 PECOS PAC ID: 0547150104 Enrollment ID: I20110809000094 |
| Provider Name | Amber E Anastasi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639343874 PECOS PAC ID: 1951570985 Enrollment ID: I20110809000516 |
| Provider Name | Krista L Birkemeier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023265139 PECOS PAC ID: 4082883301 Enrollment ID: I20110809000700 |
| Provider Name | Terry L. Schwartz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528036506 PECOS PAC ID: 1355373655 Enrollment ID: I20110810000505 |
| Provider Name | Deborah Ann Elder |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306927454 PECOS PAC ID: 9931239571 Enrollment ID: I20110810000601 |
| Provider Name | Marguerite M. Care |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083709422 PECOS PAC ID: 1557436755 Enrollment ID: I20110810000677 |
| Provider Name | Bernadette L Koch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053324202 PECOS PAC ID: 2163597345 Enrollment ID: I20110815000525 |
| Provider Name | Mark M Mitsnefes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1013949957 PECOS PAC ID: 3870762370 Enrollment ID: I20110817000349 |
| Provider Name | Luke Pater |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386769461 PECOS PAC ID: 5496925232 Enrollment ID: I20110902000374 |
| Provider Name | Sara C Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114180890 PECOS PAC ID: 2466622071 Enrollment ID: I20110908001943 |
| Provider Name | Ellen L Air |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1881805174 PECOS PAC ID: 3173793759 Enrollment ID: I20110909002722 |
| Provider Name | Anna J Esbensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467730994 PECOS PAC ID: 2365613791 Enrollment ID: I20110915000482 |
| Provider Name | Kaaren B Shebesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396868956 PECOS PAC ID: 4183895477 Enrollment ID: I20110916000321 |
| Provider Name | Shanna M Guilfoyle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285929919 PECOS PAC ID: 6103097167 Enrollment ID: I20110922000569 |
| Provider Name | Daniel J Lovell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568482719 PECOS PAC ID: 7517138464 Enrollment ID: I20110926000339 |
| Provider Name | Jaime R Denning |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588820021 PECOS PAC ID: 5799956595 Enrollment ID: I20110928000343 |
| Provider Name | Nicole E Zahka |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659650570 PECOS PAC ID: 9638341217 Enrollment ID: I20111003000612 |
| Provider Name | Timothy E Brenkert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588747844 PECOS PAC ID: 1052472297 Enrollment ID: I20111012000507 |
| Provider Name | Chad E Connor |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1083739700 PECOS PAC ID: 7416129531 Enrollment ID: I20111015000073 |
| Provider Name | Andrew Timothy Trout |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437293917 PECOS PAC ID: 0345412102 Enrollment ID: I20111020000657 |
| Provider Name | Stephen D Warrick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508030685 PECOS PAC ID: 1052584851 Enrollment ID: I20111021000440 |
| Provider Name | Alvin H Crawford |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811921208 PECOS PAC ID: 8921271305 Enrollment ID: I20111031000344 |
| Provider Name | Ajay Kaul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356370092 PECOS PAC ID: 8921271818 Enrollment ID: I20111110000128 |
| Provider Name | Susan E Wiley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841231594 PECOS PAC ID: 0446424360 Enrollment ID: I20111110000557 |
| Provider Name | Raouf S Amin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871513994 PECOS PAC ID: 1850565649 Enrollment ID: I20111111000668 |
| Provider Name | Prasad Devarajan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235216011 PECOS PAC ID: 3577737360 Enrollment ID: I20111111000682 |
| Provider Name | William D Hardie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518048743 PECOS PAC ID: 0143494948 Enrollment ID: I20111112000035 |
| Provider Name | Gregory M Tiao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083794036 PECOS PAC ID: 0840464640 Enrollment ID: I20111112000072 |
| Provider Name | Laurie A Mitan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912955311 PECOS PAC ID: 4486828209 Enrollment ID: I20111114000119 |
| Provider Name | Michael J Rutter |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366509226 PECOS PAC ID: 6800060252 Enrollment ID: I20111121000297 |
| Provider Name | Barbara A Chini |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114008349 PECOS PAC ID: 4183898505 Enrollment ID: I20111122000221 |
| Provider Name | Joanna E Thomson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609040781 PECOS PAC ID: 7315111622 Enrollment ID: I20111123000387 |
| Provider Name | Abigial Fz Nye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427252246 PECOS PAC ID: 8022283902 Enrollment ID: I20111205000033 |
| Provider Name | Samuel A Kocoshis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891724530 PECOS PAC ID: 8921273731 Enrollment ID: I20111206000615 |
| Provider Name | Benjamin R Kinnear |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740424621 PECOS PAC ID: 3375718679 Enrollment ID: I20111215000385 |
| Provider Name | Karen A Kalinyak |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003846346 PECOS PAC ID: 2769657923 Enrollment ID: I20111216000214 |
| Provider Name | Carolyn H. Little |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558510925 PECOS PAC ID: 3577739994 Enrollment ID: I20120105000520 |
| Provider Name | Thomas D Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659581361 PECOS PAC ID: 7315114584 Enrollment ID: I20120111000972 |
| Provider Name | Ronald Edward Bokulic |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851472088 PECOS PAC ID: 7315078714 Enrollment ID: I20120112000262 |
| Provider Name | Candace M Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073894234 PECOS PAC ID: 3779750740 Enrollment ID: I20120113000400 |
| Provider Name | Virginia Miraldi-utz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891976775 PECOS PAC ID: 0446417521 Enrollment ID: I20120201000056 |
| Provider Name | Jennifer Lam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609030717 PECOS PAC ID: 9638245210 Enrollment ID: I20120202000931 |
| Provider Name | Emily J Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295012912 PECOS PAC ID: 0941467856 Enrollment ID: I20120204000024 |
| Provider Name | Stephanie L Rowland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508184250 PECOS PAC ID: 0345407128 Enrollment ID: I20120206000903 |
| Provider Name | Holly K Stahlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467745844 PECOS PAC ID: 8022277375 Enrollment ID: I20120306001050 |
| Provider Name | Jerod M Rone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952492258 PECOS PAC ID: 3476712423 Enrollment ID: I20120309000584 |
| Provider Name | Jennifer Alyson Ehrhardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407075724 PECOS PAC ID: 1153412119 Enrollment ID: I20120314000187 |
| Provider Name | Samir Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881600898 PECOS PAC ID: 7113077934 Enrollment ID: I20120320001008 |
| Provider Name | Crystal D. Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972825974 PECOS PAC ID: 6901066695 Enrollment ID: I20120404001020 |
| Provider Name | Hansel M Greiner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164605275 PECOS PAC ID: 6608037106 Enrollment ID: I20120410000424 |
| Provider Name | Sherri A Sievers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518085604 PECOS PAC ID: 1456512979 Enrollment ID: I20120410000609 |
| Provider Name | Susan L Meierjohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568740827 PECOS PAC ID: 4587825955 Enrollment ID: I20120411000424 |
| Provider Name | David Seth Cooper |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730123852 PECOS PAC ID: 1850354911 Enrollment ID: I20120417000288 |
| Provider Name | Cheryl S Brumbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669437463 PECOS PAC ID: 2466613245 Enrollment ID: I20120423000569 |
| Provider Name | Martha W. Willis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629191317 PECOS PAC ID: 6608038849 Enrollment ID: I20120503000544 |
| Provider Name | Amy B. Guiot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790715134 PECOS PAC ID: 5496918831 Enrollment ID: I20120522000803 |
| Provider Name | April L Flannery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164752663 PECOS PAC ID: 2365605458 Enrollment ID: I20120530000467 |
| Provider Name | Christine S Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457622268 PECOS PAC ID: 7517120561 Enrollment ID: I20120531000512 |
| Provider Name | Henry T Akinbi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063443240 PECOS PAC ID: 6305000282 Enrollment ID: I20120605000260 |
| Provider Name | Eric B England |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952509630 PECOS PAC ID: 4183802556 Enrollment ID: I20120608000204 |
| Provider Name | Rina Mina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518990605 PECOS PAC ID: 0749282259 Enrollment ID: I20120612000132 |
| Provider Name | Naomi R Vanhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013159474 PECOS PAC ID: 9032374970 Enrollment ID: I20120627000598 |
| Provider Name | Jay Dritz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477768869 PECOS PAC ID: 1759546989 Enrollment ID: I20120713000023 |
| Provider Name | Laura A Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245486638 PECOS PAC ID: 5890857155 Enrollment ID: I20120723000939 |
| Provider Name | Cherie A Torres Silva |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013901768 PECOS PAC ID: 0840273066 Enrollment ID: I20120727000718 |
| Provider Name | Michael Eric Gray |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700075330 PECOS PAC ID: 1951557800 Enrollment ID: I20120808000316 |
| Provider Name | Catherine K Hart |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346451655 PECOS PAC ID: 6305092826 Enrollment ID: I20120815000534 |
| Provider Name | Stephanie L Thaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871611962 PECOS PAC ID: 1557517026 Enrollment ID: I20120816000254 |
| Provider Name | John J Brewington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427291095 PECOS PAC ID: 9830345230 Enrollment ID: I20120816000769 |
| Provider Name | Stacie E. Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043449457 PECOS PAC ID: 4183871411 Enrollment ID: I20120821001119 |
| Provider Name | Robin Norris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184817686 PECOS PAC ID: 7113997214 Enrollment ID: I20120827000833 |
| Provider Name | Neepa Suresh Gurbani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205952306 PECOS PAC ID: 5395992333 Enrollment ID: I20120828000163 |
| Provider Name | Craig A Erickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770789273 PECOS PAC ID: 0143392597 Enrollment ID: I20120829000703 |
| Provider Name | Brian Keith Turpin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003023045 PECOS PAC ID: 0042468324 Enrollment ID: I20120911000396 |
| Provider Name | Brian P Kurtz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326265588 PECOS PAC ID: 3779625124 Enrollment ID: I20120912000268 |
| Provider Name | Katie A Meier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164666053 PECOS PAC ID: 8123276243 Enrollment ID: I20120914000556 |
| Provider Name | Benjamin E. Mizukawa |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013113539 PECOS PAC ID: 7618125758 Enrollment ID: I20120914000733 |
| Provider Name | Dane C Warner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821232711 PECOS PAC ID: 5991953648 Enrollment ID: I20120921000199 |
| Provider Name | Hani A Kushlaf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215190590 PECOS PAC ID: 7214083385 Enrollment ID: I20120928000372 |
| Provider Name | Beth Ann Baisden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386774727 PECOS PAC ID: 4587813936 Enrollment ID: I20121001000060 |
| Provider Name | Christopher S Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497721740 PECOS PAC ID: 9436154226 Enrollment ID: I20121008000248 |
| Provider Name | William L Worden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053593830 PECOS PAC ID: 0446409429 Enrollment ID: I20121008000265 |
| Provider Name | Adam A Vukovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003050980 PECOS PAC ID: 4688823446 Enrollment ID: I20121011000421 |
| Provider Name | Edward J Nehus |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1265694244 PECOS PAC ID: 5395994164 Enrollment ID: I20121011000454 |
| Provider Name | Megan C Hennigan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073757951 PECOS PAC ID: 0244489953 Enrollment ID: I20121012000075 |
| Provider Name | Laura M. Huss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235401282 PECOS PAC ID: 1759531486 Enrollment ID: I20121015000580 |
| Provider Name | Kate E Berz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1922272293 PECOS PAC ID: 7810146537 Enrollment ID: I20121016000670 |
| Provider Name | Jeffrey R Tenney |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891996609 PECOS PAC ID: 6709036007 Enrollment ID: I20121023000256 |
| Provider Name | David Morales |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407936818 PECOS PAC ID: 2163493495 Enrollment ID: I20121024000044 |
| Provider Name | Mark B Schapiro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457385957 PECOS PAC ID: 3678723848 Enrollment ID: I20121024000386 |
| Provider Name | Sing Sing Way |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1336220680 PECOS PAC ID: 8224089388 Enrollment ID: I20121024000481 |
| Provider Name | Maisam Ahmad Abu-el-haija |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467660423 PECOS PAC ID: 3173773231 Enrollment ID: I20121025000557 |
| Provider Name | Emily S Herman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538477757 PECOS PAC ID: 9436309408 Enrollment ID: I20121029000356 |
| Provider Name | Heather A Ciesielski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174703136 PECOS PAC ID: 2567550387 Enrollment ID: I20121029000666 |
| Provider Name | Vanessa A Olbrecht |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710182308 PECOS PAC ID: 5294985206 Enrollment ID: I20121029000796 |
| Provider Name | Katie M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548576531 PECOS PAC ID: 3577714286 Enrollment ID: I20121106000295 |
| Provider Name | Janet N Germann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396774840 PECOS PAC ID: 8022015221 Enrollment ID: I20121106000449 |
| Provider Name | Heather E Bensman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215221973 PECOS PAC ID: 7810148780 Enrollment ID: I20121127000577 |
| Provider Name | Normidaris Jimenez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114187507 PECOS PAC ID: 0749432649 Enrollment ID: I20121128000302 |
| Provider Name | Peter Deblank |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841497187 PECOS PAC ID: 7517119035 Enrollment ID: I20121210000152 |
| Provider Name | Nicolas Leth Madsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245348374 PECOS PAC ID: 1759533888 Enrollment ID: I20121218000245 |
| Provider Name | Kelly L Clapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306194162 PECOS PAC ID: 1557513512 Enrollment ID: I20121220000430 |
| Provider Name | Donald L Gilbert |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871663542 PECOS PAC ID: 9638322985 Enrollment ID: I20130116000582 |
| Provider Name | Veronica O Busso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952584955 PECOS PAC ID: 5092968131 Enrollment ID: I20130123000389 |
| Provider Name | Cindy W Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831376532 PECOS PAC ID: 6103977921 Enrollment ID: I20130130000326 |
| Provider Name | Christopher Eugene Dandoy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831416882 PECOS PAC ID: 8628102910 Enrollment ID: I20130204000305 |
| Provider Name | Katie Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326391517 PECOS PAC ID: 6204080716 Enrollment ID: I20130211000269 |
| Provider Name | David S. Spar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104097765 PECOS PAC ID: 1951556620 Enrollment ID: I20130301000445 |
| Provider Name | Carolyn M Burrows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801131347 PECOS PAC ID: 0941455414 Enrollment ID: I20130307000118 |
| Provider Name | Vincent A Mukkada |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316023021 PECOS PAC ID: 8022117845 Enrollment ID: I20130307000178 |
| Provider Name | Eric J Wall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659305050 PECOS PAC ID: 1456506856 Enrollment ID: I20130311000521 |
| Provider Name | Nagendra K Monangi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184703027 PECOS PAC ID: 0042455339 Enrollment ID: I20130313000500 |
| Provider Name | Clifford Chin |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1811911530 PECOS PAC ID: 8527165299 Enrollment ID: I20130318000495 |
| Provider Name | John D Morrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871586552 PECOS PAC ID: 1759526650 Enrollment ID: I20130325000534 |
| Provider Name | Lisa W Kuan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437193117 PECOS PAC ID: 5395980197 Enrollment ID: I20130327000386 |
| Provider Name | Jennifer Shoreman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447458344 PECOS PAC ID: 8527212638 Enrollment ID: I20130327000400 |
| Provider Name | Colleen M Klosterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114271020 PECOS PAC ID: 5193960862 Enrollment ID: I20130328000550 |
| Provider Name | Angel A Roudebush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538404157 PECOS PAC ID: 4880839570 Enrollment ID: I20130329000179 |
| Provider Name | Matthew O'rourke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891945895 PECOS PAC ID: 2769627488 Enrollment ID: I20130401000273 |
| Provider Name | Junichi Tamai |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821022203 PECOS PAC ID: 9931344595 Enrollment ID: I20130402000217 |
| Provider Name | James Joseph Mulloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083600936 PECOS PAC ID: 6507881554 Enrollment ID: I20130402000528 |
| Provider Name | Laura A. Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285763227 PECOS PAC ID: 7113162611 Enrollment ID: I20130404000562 |
| Provider Name | Sarah H Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356685531 PECOS PAC ID: 2466698899 Enrollment ID: I20130409000461 |
| Provider Name | Ebony Moorefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629064647 PECOS PAC ID: 4880830132 Enrollment ID: I20130411000536 |
| Provider Name | Gaby L Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437400405 PECOS PAC ID: 7810133436 Enrollment ID: I20130425000662 |
| Provider Name | Gail L Draut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902094980 PECOS PAC ID: 8921251307 Enrollment ID: I20130430000631 |
| Provider Name | Stephanie Melissa Magness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841541968 PECOS PAC ID: 6800033846 Enrollment ID: I20130509000634 |
| Provider Name | Rachel Elizabeth Fasbender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609118579 PECOS PAC ID: 3274771837 Enrollment ID: I20130521000701 |
| Provider Name | Sharat Chandra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508943093 PECOS PAC ID: 7113165580 Enrollment ID: I20130523000527 |
| Provider Name | Terri L Telesz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518219591 PECOS PAC ID: 8820236870 Enrollment ID: I20130603000249 |
| Provider Name | Crystal D Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760643993 PECOS PAC ID: 1759529480 Enrollment ID: I20130607000355 |
| Provider Name | Ilias Iliopoulos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437407905 PECOS PAC ID: 4183862857 Enrollment ID: I20130608000032 |
| Provider Name | Betsy J Adler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366564478 PECOS PAC ID: 7810136306 Enrollment ID: I20130612000713 |
| Provider Name | Matthew E Kelleher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619293875 PECOS PAC ID: 9436399813 Enrollment ID: I20130708000502 |
| Provider Name | Teresa A Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811232077 PECOS PAC ID: 0042450280 Enrollment ID: I20130711000051 |
| Provider Name | Lisa L Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457311078 PECOS PAC ID: 2860543139 Enrollment ID: I20130715000645 |
| Provider Name | Blaise V Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760495915 PECOS PAC ID: 1759457724 Enrollment ID: I20130806000399 |
| Provider Name | Jessica L Weberding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770821753 PECOS PAC ID: 6608018478 Enrollment ID: I20130806000957 |
| Provider Name | Kevin E Bove |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245331115 PECOS PAC ID: 4183866916 Enrollment ID: I20130807000813 |
| Provider Name | Anne M Fitz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689603326 PECOS PAC ID: 8729220306 Enrollment ID: I20130810000017 |
| Provider Name | Tracy N Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275885980 PECOS PAC ID: 4385886738 Enrollment ID: I20130814000380 |
| Provider Name | Aaron Paul Garrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659590990 PECOS PAC ID: 7517109838 Enrollment ID: I20130815000178 |
| Provider Name | Paul E Steele |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932314549 PECOS PAC ID: 8224270533 Enrollment ID: I20130816000268 |
| Provider Name | Nishant Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487848875 PECOS PAC ID: 8022251941 Enrollment ID: I20130826000145 |
| Provider Name | William Schnettler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194939264 PECOS PAC ID: 7618146622 Enrollment ID: I20130827000931 |
| Provider Name | Ivan Wilmot |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1598722233 PECOS PAC ID: 2264473149 Enrollment ID: I20130829000194 |
| Provider Name | Anne M Bradley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912059890 PECOS PAC ID: 8224002654 Enrollment ID: I20130829000376 |
| Provider Name | Patricia R Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790120996 PECOS PAC ID: 1951544188 Enrollment ID: I20130906000693 |
| Provider Name | Sarath Thikkurissy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922095181 PECOS PAC ID: 2769626951 Enrollment ID: I20130909000620 |
| Provider Name | Sally Ann Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386934040 PECOS PAC ID: 6608010848 Enrollment ID: I20130910000428 |
| Provider Name | Teri L Caudill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164514212 PECOS PAC ID: 2961646740 Enrollment ID: I20130917000599 |
| Provider Name | Kathi L Makoroff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215968573 PECOS PAC ID: 8729222484 Enrollment ID: I20130918000760 |
| Provider Name | Anne L Housholder |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1518100718 PECOS PAC ID: 6103065941 Enrollment ID: I20130926000891 |
| Provider Name | David W Buck |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427201755 PECOS PAC ID: 3375777253 Enrollment ID: I20131008001145 |
| Provider Name | Stephanie Weber |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568800910 PECOS PAC ID: 5698909539 Enrollment ID: I20131009000951 |
| Provider Name | Naomi Joffe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891135265 PECOS PAC ID: 1759515695 Enrollment ID: I20131009001053 |
| Provider Name | Patricia L Uebel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437373776 PECOS PAC ID: 4183858020 Enrollment ID: I20131009001170 |
| Provider Name | Russell E Ware |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174526735 PECOS PAC ID: 4385878180 Enrollment ID: I20131010000740 |
| Provider Name | Dan T Benscoter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487811907 PECOS PAC ID: 8325197759 Enrollment ID: I20131022002147 |
| Provider Name | Devin D. Tinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316379480 PECOS PAC ID: 4284869348 Enrollment ID: I20131025000349 |
| Provider Name | Jeffrey Walter Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407892193 PECOS PAC ID: 1153234026 Enrollment ID: I20131025001532 |
| Provider Name | Michael B Yang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609800077 PECOS PAC ID: 7113152224 Enrollment ID: I20131025001651 |
| Provider Name | Sudhakar Vadivelu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265588925 PECOS PAC ID: 3274770623 Enrollment ID: I20131028000196 |
| Provider Name | Joanne Kacperski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760611099 PECOS PAC ID: 9436301504 Enrollment ID: I20131028000395 |
| Provider Name | Amanda C Schondelmeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053555946 PECOS PAC ID: 1850527151 Enrollment ID: I20131114001697 |
| Provider Name | Hollie Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902121973 PECOS PAC ID: 2365678604 Enrollment ID: I20131115000663 |
| Provider Name | Christine L Schuler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649474487 PECOS PAC ID: 8527238617 Enrollment ID: I20131115001165 |
| Provider Name | John M Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225298086 PECOS PAC ID: 9931335023 Enrollment ID: I20131119001975 |
| Provider Name | Emily Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396946901 PECOS PAC ID: 5193919751 Enrollment ID: I20131121000219 |
| Provider Name | Anthony J Cavalieri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669683959 PECOS PAC ID: 6002042066 Enrollment ID: I20131121000397 |
| Provider Name | Abigail Laurie Matthews Hamberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023341450 PECOS PAC ID: 6800023151 Enrollment ID: I20131212001790 |
| Provider Name | Jami Steger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508174517 PECOS PAC ID: 1052509387 Enrollment ID: I20131217001319 |
| Provider Name | April L Barker-casey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578709457 PECOS PAC ID: 6204064959 Enrollment ID: I20140102000912 |
| Provider Name | Kellie A Kushner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326488792 PECOS PAC ID: 9830327584 Enrollment ID: I20140102000919 |
| Provider Name | Melissa A Gerstle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447690292 PECOS PAC ID: 1658509831 Enrollment ID: I20140115000642 |
| Provider Name | Sara E Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285934455 PECOS PAC ID: 0840471017 Enrollment ID: I20140116000928 |
| Provider Name | Melissa L Rice |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497728307 PECOS PAC ID: 5698860633 Enrollment ID: I20140123000726 |
| Provider Name | Christine Wolski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457677619 PECOS PAC ID: 1557590296 Enrollment ID: I20140129001420 |
| Provider Name | Theresa Guilbert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861466674 PECOS PAC ID: 3779588157 Enrollment ID: I20140217000683 |
| Provider Name | Kristin S Bramlage |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336381995 PECOS PAC ID: 2860621786 Enrollment ID: I20140218001273 |
| Provider Name | Pooja Khandelwal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821268293 PECOS PAC ID: 8921238858 Enrollment ID: I20140220000591 |
| Provider Name | Heidi R Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578994109 PECOS PAC ID: 2860622719 Enrollment ID: I20140220001306 |
| Provider Name | Shelly L Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083056451 PECOS PAC ID: 5597995118 Enrollment ID: I20140227001006 |
| Provider Name | Jason F Woodward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972726123 PECOS PAC ID: 6901999119 Enrollment ID: I20140228000824 |
| Provider Name | Michelle L Pennington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619304086 PECOS PAC ID: 4082844337 Enrollment ID: I20140305002038 |
| Provider Name | Michael J Sikora |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225202047 PECOS PAC ID: 6305076621 Enrollment ID: I20140307000105 |
| Provider Name | Jennifer Marie Mcallister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588867261 PECOS PAC ID: 8325237647 Enrollment ID: I20140307000352 |
| Provider Name | Matthew Noble Alder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609019470 PECOS PAC ID: 8729218946 Enrollment ID: I20140307000585 |
| Provider Name | Denise A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124082540 PECOS PAC ID: 4789814997 Enrollment ID: I20140310001497 |
| Provider Name | Grace D Shelby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316132111 PECOS PAC ID: 2860622867 Enrollment ID: I20140312001267 |
| Provider Name | Eniolami O Dosunmu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588810568 PECOS PAC ID: 5890841043 Enrollment ID: I20140319000806 |
| Provider Name | Angela J Younts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528495074 PECOS PAC ID: 3173754900 Enrollment ID: I20140320001065 |
| Provider Name | Margery M Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053349845 PECOS PAC ID: 8224269089 Enrollment ID: I20140320001900 |
| Provider Name | Lisa K Petiniot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134336100 PECOS PAC ID: 4688740145 Enrollment ID: I20140325001459 |
| Provider Name | Patricia S Kerregan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740603869 PECOS PAC ID: 6103057310 Enrollment ID: I20140331002036 |
| Provider Name | Philip Andrews Hagedorn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780900928 PECOS PAC ID: 6507097631 Enrollment ID: I20140402001656 |
| Provider Name | Julie M Bemerer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346431707 PECOS PAC ID: 2961664453 Enrollment ID: I20140404000160 |
| Provider Name | Christin N Diller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154751147 PECOS PAC ID: 3072745132 Enrollment ID: I20140404000432 |
| Provider Name | Lily Wang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356648984 PECOS PAC ID: 7911146444 Enrollment ID: I20140404001189 |
| Provider Name | Elizabeth J Rompies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285064311 PECOS PAC ID: 9335371145 Enrollment ID: I20140409002402 |
| Provider Name | Sammy Tabbah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205025632 PECOS PAC ID: 8527297027 Enrollment ID: I20140417001484 |
| Provider Name | Erin E Butt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346667664 PECOS PAC ID: 0345463659 Enrollment ID: I20140513002060 |
| Provider Name | Vicky M Minning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326397050 PECOS PAC ID: 5496978322 Enrollment ID: I20140522001037 |
| Provider Name | Daniel P Mallon |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699965988 PECOS PAC ID: 4183813348 Enrollment ID: I20140522002382 |
| Provider Name | Vasudha Narayanaswamy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407933997 PECOS PAC ID: 6002039757 Enrollment ID: I20140527000788 |
| Provider Name | Kevin H Overmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033400387 PECOS PAC ID: 4486877057 Enrollment ID: I20140529000674 |
| Provider Name | Lori A Herbst |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1174752067 PECOS PAC ID: 4183848930 Enrollment ID: I20140617001553 |
| Provider Name | Pamela Copass Huffaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568875847 PECOS PAC ID: 0547484362 Enrollment ID: I20140618001695 |
| Provider Name | Blair Simpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467689349 PECOS PAC ID: 9537315239 Enrollment ID: I20140619002147 |
| Provider Name | Russel Hirsch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285791160 PECOS PAC ID: 4981828597 Enrollment ID: I20140620000601 |
| Provider Name | Brian F Herbst |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396974259 PECOS PAC ID: 9638393259 Enrollment ID: I20140620000899 |
| Provider Name | Charles Monroe Myer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760693063 PECOS PAC ID: 1254556616 Enrollment ID: I20140627001758 |
| Provider Name | Phillip Paul Minar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740409036 PECOS PAC ID: 6507081437 Enrollment ID: I20140708001983 |
| Provider Name | Ravindra Arya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124305297 PECOS PAC ID: 2365667243 Enrollment ID: I20140709001151 |
| Provider Name | Stacey L Ishman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1245287101 PECOS PAC ID: 7810932274 Enrollment ID: I20140710001003 |
| Provider Name | Rebecca Shaffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528363561 PECOS PAC ID: 5799936134 Enrollment ID: I20140711002348 |
| Provider Name | Jordan Kharofa |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1699917088 PECOS PAC ID: 3173749702 Enrollment ID: I20140717000199 |
| Provider Name | Bobby Rajarshi Das |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295905552 PECOS PAC ID: 3678799244 Enrollment ID: I20140717001658 |
| Provider Name | Rebecca Woodbury Brewer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821262536 PECOS PAC ID: 6305062548 Enrollment ID: I20140724002086 |
| Provider Name | Abby Victoria Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437425022 PECOS PAC ID: 6709002819 Enrollment ID: I20140725002260 |
| Provider Name | Elif Erkan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295838324 PECOS PAC ID: 3173546207 Enrollment ID: I20140730001475 |
| Provider Name | Sheharyar Rizwan Durrani |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1164578761 PECOS PAC ID: 6507950664 Enrollment ID: I20140731001801 |
| Provider Name | Omar Younes Niss |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609075787 PECOS PAC ID: 3072730753 Enrollment ID: I20140805000583 |
| Provider Name | Debra Lynn Wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487772588 PECOS PAC ID: 1850470790 Enrollment ID: I20140805001369 |
| Provider Name | Rachel E. Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235361882 PECOS PAC ID: 9133346760 Enrollment ID: I20140805002907 |
| Provider Name | Lisa M. Remer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922266956 PECOS PAC ID: 1951528595 Enrollment ID: I20140805002948 |
| Provider Name | Cynthia Pettit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639267826 PECOS PAC ID: 9830316348 Enrollment ID: I20140806002506 |
| Provider Name | Melissa House |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124312087 PECOS PAC ID: 9830316397 Enrollment ID: I20140807001257 |
| Provider Name | Charles David Varnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659661734 PECOS PAC ID: 8820215213 Enrollment ID: I20140807002314 |
| Provider Name | Meredith Nelson Will |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134536568 PECOS PAC ID: 5395962781 Enrollment ID: I20140807002625 |
| Provider Name | Laura Kathryn Coleman Srivorakiat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033525340 PECOS PAC ID: 1759508153 Enrollment ID: I20140807002637 |
| Provider Name | Brittany Nicole Waddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497166953 PECOS PAC ID: 6204053606 Enrollment ID: I20140807002652 |
| Provider Name | Rachel Margaret Thienprayoon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437371101 PECOS PAC ID: 1052538469 Enrollment ID: I20140808000444 |
| Provider Name | Kathryn Jeanne Gieselman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295025393 PECOS PAC ID: 2365669629 Enrollment ID: I20140808002052 |
| Provider Name | Eileen Broomall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932355120 PECOS PAC ID: 4688714348 Enrollment ID: I20140814002735 |
| Provider Name | Ernest Pedapati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609010594 PECOS PAC ID: 7012135023 Enrollment ID: I20140903001952 |
| Provider Name | Jill Skladany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720331069 PECOS PAC ID: 0042438962 Enrollment ID: I20140905001053 |
| Provider Name | Jagroop Mavi Parikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164686929 PECOS PAC ID: 9931327897 Enrollment ID: I20140905002293 |
| Provider Name | Joseph Pressey |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275649543 PECOS PAC ID: 0941478010 Enrollment ID: I20140908002232 |
| Provider Name | Stephanie Eggert |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053741702 PECOS PAC ID: 5496974255 Enrollment ID: I20140910001335 |
| Provider Name | Andrea C Powers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215343165 PECOS PAC ID: 1456570050 Enrollment ID: I20140912001796 |
| Provider Name | Edward Bernard Cooper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457554628 PECOS PAC ID: 9830318450 Enrollment ID: I20140915000418 |
| Provider Name | Hitesh Deshmukh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447407200 PECOS PAC ID: 8123292117 Enrollment ID: I20140915002542 |
| Provider Name | Ashlee Kristen Bolger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336382902 PECOS PAC ID: 1153540661 Enrollment ID: I20140916001248 |
| Provider Name | Tracey Lynn Vanvliet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164846424 PECOS PAC ID: 4587883913 Enrollment ID: I20140917002757 |
| Provider Name | Paula Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104161322 PECOS PAC ID: 4880813054 Enrollment ID: I20140920000319 |
| Provider Name | William Peter Zurkuhlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306252499 PECOS PAC ID: 2163641275 Enrollment ID: I20140922001400 |
| Provider Name | Aubrey Coates |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851548234 PECOS PAC ID: 1153540257 Enrollment ID: I20140923001387 |
| Provider Name | Usha Deepa Nagaraj |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154597136 PECOS PAC ID: 4587883509 Enrollment ID: I20140923002627 |
| Provider Name | Giulia Castrigano |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659505162 PECOS PAC ID: 0648499756 Enrollment ID: I20140924000786 |
| Provider Name | Nichole Halliburton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275952368 PECOS PAC ID: 3971723941 Enrollment ID: I20140925002575 |
| Provider Name | David B Haslam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336167766 PECOS PAC ID: 0648425058 Enrollment ID: I20140929002460 |
| Provider Name | Jennifer Beitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700201969 PECOS PAC ID: 4082834601 Enrollment ID: I20141002002163 |
| Provider Name | Sarah Elizabeth Fitzgerald |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124233143 PECOS PAC ID: 5799905063 Enrollment ID: I20141008002355 |
| Provider Name | Leslie Ann Fitzharris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306986880 PECOS PAC ID: 2567682768 Enrollment ID: I20141010001896 |
| Provider Name | Coretta R Stallworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073943106 PECOS PAC ID: 5496976599 Enrollment ID: I20141014001306 |
| Provider Name | Stefanie W Benoit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457677536 PECOS PAC ID: 4082835038 Enrollment ID: I20141016001888 |
| Provider Name | Christopher Towe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538322755 PECOS PAC ID: 1052532025 Enrollment ID: I20141016002428 |
| Provider Name | Randi Mullaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134550932 PECOS PAC ID: 4880815703 Enrollment ID: I20141017001946 |
| Provider Name | Krista Nee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063702132 PECOS PAC ID: 3577784354 Enrollment ID: I20141020001942 |
| Provider Name | Gayle Elizabeth Roderer Hertenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043523376 PECOS PAC ID: 8921229717 Enrollment ID: I20141020001996 |
| Provider Name | Chet Villa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588868459 PECOS PAC ID: 2860613486 Enrollment ID: I20141024000661 |
| Provider Name | Brittany Belcastro Hubbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265722334 PECOS PAC ID: 8426279985 Enrollment ID: I20141027000348 |
| Provider Name | Cuixia Tian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649414533 PECOS PAC ID: 5496976698 Enrollment ID: I20141030002466 |
| Provider Name | Susan Beiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063843449 PECOS PAC ID: 7315169448 Enrollment ID: I20141105001460 |
| Provider Name | Laura Brower |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205066594 PECOS PAC ID: 3779748090 Enrollment ID: I20141108000176 |
| Provider Name | Eunice Hahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376727768 PECOS PAC ID: 2365664000 Enrollment ID: I20141112001518 |
| Provider Name | Julie L Ware |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598716763 PECOS PAC ID: 4981826427 Enrollment ID: I20141117001322 |
| Provider Name | Caitlin Litmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720384639 PECOS PAC ID: 6406178680 Enrollment ID: I20141124002234 |
| Provider Name | Thomas John Dye |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114192093 PECOS PAC ID: 9234451394 Enrollment ID: I20141201001808 |
| Provider Name | Michael Vossmeyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548290976 PECOS PAC ID: 4587986567 Enrollment ID: I20141202000825 |
| Provider Name | Nataline Stevens Lingren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386895167 PECOS PAC ID: 1850454836 Enrollment ID: I20141212001424 |
| Provider Name | Patrick William Whitlock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669655650 PECOS PAC ID: 4789830274 Enrollment ID: I20141215000543 |
| Provider Name | Ting Ting Fu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215224910 PECOS PAC ID: 3779717533 Enrollment ID: I20141217002809 |
| Provider Name | Kathryn Weaver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003050998 PECOS PAC ID: 6507189347 Enrollment ID: I20141230002314 |
| Provider Name | Beth Ann Moeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033519004 PECOS PAC ID: 7618290412 Enrollment ID: I20141231002132 |
| Provider Name | Holly Hanson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326364571 PECOS PAC ID: 9335462043 Enrollment ID: I20150105002211 |
| Provider Name | Melissa Rose Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093112187 PECOS PAC ID: 9931422532 Enrollment ID: I20150107001492 |
| Provider Name | Lori Luchtman-jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457377681 PECOS PAC ID: 4183607203 Enrollment ID: I20150123002080 |
| Provider Name | Maria Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376832774 PECOS PAC ID: 2466776349 Enrollment ID: I20150123002336 |
| Provider Name | Caroline Rentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437547429 PECOS PAC ID: 6709101371 Enrollment ID: I20150203001391 |
| Provider Name | Kristin M.w. Stackpole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295762706 PECOS PAC ID: 7012232317 Enrollment ID: I20150209000542 |
| Provider Name | Shane Edward Dulemba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144299843 PECOS PAC ID: 7719904218 Enrollment ID: I20150213001793 |
| Provider Name | Paula Seward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578794111 PECOS PAC ID: 9032434964 Enrollment ID: I20150217000450 |
| Provider Name | Katherine Rohrmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942607460 PECOS PAC ID: 3870818743 Enrollment ID: I20150217002112 |
| Provider Name | Stephen Ogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972844546 PECOS PAC ID: 6305161175 Enrollment ID: I20150219001149 |
| Provider Name | Cecilia Freihofer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801207782 PECOS PAC ID: 6507181278 Enrollment ID: I20150221000241 |
| Provider Name | Paige Marks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992095061 PECOS PAC ID: 2264758952 Enrollment ID: I20150223000949 |
| Provider Name | Haithem M Elhadi Babiker |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1982807053 PECOS PAC ID: 7214253988 Enrollment ID: I20150225000145 |
| Provider Name | Juli Sublett-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407191273 PECOS PAC ID: 4486808722 Enrollment ID: I20150225002251 |
| Provider Name | Paria M Wilson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023334273 PECOS PAC ID: 9234455866 Enrollment ID: I20150226000325 |
| Provider Name | Grant Paulsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568683548 PECOS PAC ID: 2264582972 Enrollment ID: I20150227001889 |
| Provider Name | Marc Mecoli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053562298 PECOS PAC ID: 4789833385 Enrollment ID: I20150306001357 |
| Provider Name | Carlos Enrique Prada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386851335 PECOS PAC ID: 3274859392 Enrollment ID: I20150309002408 |
| Provider Name | Daniel Gary Leino |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1689814071 PECOS PAC ID: 7517283567 Enrollment ID: I20150310000998 |
| Provider Name | Craig Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477941409 PECOS PAC ID: 5698091429 Enrollment ID: I20150313000336 |
| Provider Name | Ryan Roberts Loveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225467871 PECOS PAC ID: 6406071687 Enrollment ID: I20150324001439 |
| Provider Name | Gregg Kottyan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083904155 PECOS PAC ID: 5597083493 Enrollment ID: I20150403000946 |
| Provider Name | Carol Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265550776 PECOS PAC ID: 7315265089 Enrollment ID: I20150408001640 |
| Provider Name | Brooke Barnes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598721300 PECOS PAC ID: 8729122577 Enrollment ID: I20150417001222 |
| Provider Name | Melissa Forton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477981892 PECOS PAC ID: 6204061856 Enrollment ID: I20150420001091 |
| Provider Name | Catherine M Gordon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326110545 PECOS PAC ID: 0941376826 Enrollment ID: I20150429001809 |
| Provider Name | Katherine Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699904607 PECOS PAC ID: 0244559003 Enrollment ID: I20150429002553 |
| Provider Name | Anna Jolanta Ipsaro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104186584 PECOS PAC ID: 5991024606 Enrollment ID: I20150430002304 |
| Provider Name | Mary M Deskins-lemaster |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265500979 PECOS PAC ID: 5193814549 Enrollment ID: I20150430002701 |
| Provider Name | Julie Dversdall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871645994 PECOS PAC ID: 8325367980 Enrollment ID: I20150501001582 |
| Provider Name | Charulata Venkatesan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528273141 PECOS PAC ID: 1052461506 Enrollment ID: I20150501002046 |
| Provider Name | Lauren Elizabeth Capozza |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922360403 PECOS PAC ID: 1759600893 Enrollment ID: I20150512000977 |
| Provider Name | Theresa Frey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952565657 PECOS PAC ID: 4981872470 Enrollment ID: I20150514002155 |
| Provider Name | Roohi Kharofa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265674634 PECOS PAC ID: 4789840604 Enrollment ID: I20150514002162 |
| Provider Name | Nicole Sheanon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265582563 PECOS PAC ID: 2860516614 Enrollment ID: I20150515000166 |
| Provider Name | Lauren Riney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396036786 PECOS PAC ID: 7012237902 Enrollment ID: I20150515001628 |
| Provider Name | Stefanie Riddle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902122906 PECOS PAC ID: 1153641055 Enrollment ID: I20150515001881 |
| Provider Name | Mark Washam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831475649 PECOS PAC ID: 3779759832 Enrollment ID: I20150518002230 |
| Provider Name | Shawn Ahlfeld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730397704 PECOS PAC ID: 4486893690 Enrollment ID: I20150518002300 |
| Provider Name | Alexander Joseph Bondoc |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801002415 PECOS PAC ID: 6901023902 Enrollment ID: I20150519002808 |
| Provider Name | Holly Newkirk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861824989 PECOS PAC ID: 6204156979 Enrollment ID: I20150520001132 |
| Provider Name | Anne Barrow Peach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831529569 PECOS PAC ID: 3870813306 Enrollment ID: I20150522000959 |
| Provider Name | Andrew Redington |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619373537 PECOS PAC ID: 0345560884 Enrollment ID: I20150522001230 |
| Provider Name | Jennifer Ruberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821361536 PECOS PAC ID: 6608196159 Enrollment ID: I20150522001608 |
| Provider Name | Carrie Elizabeth Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043645997 PECOS PAC ID: 0941520415 Enrollment ID: I20150522002386 |
| Provider Name | Megan Zurkuhlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548676893 PECOS PAC ID: 2860712387 Enrollment ID: I20150526000724 |
| Provider Name | Amy Rebecca Long Rule |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942526199 PECOS PAC ID: 4789904137 Enrollment ID: I20150526002146 |
| Provider Name | Cassie Wardlaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528239779 PECOS PAC ID: 0648590034 Enrollment ID: I20150527000781 |
| Provider Name | Courtney Cinko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982920146 PECOS PAC ID: 5597085993 Enrollment ID: I20150527001038 |
| Provider Name | Kelly Fahey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053714436 PECOS PAC ID: 4587984828 Enrollment ID: I20150527002838 |
| Provider Name | Amanda Hoerst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447671730 PECOS PAC ID: 2567782865 Enrollment ID: I20150528001663 |
| Provider Name | Monique Marie Neace |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275579633 PECOS PAC ID: 1759524846 Enrollment ID: I20150528002788 |
| Provider Name | Amy Tower Mulcahy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821288648 PECOS PAC ID: 9335469568 Enrollment ID: I20150528002858 |
| Provider Name | Jodi Melinda Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184029894 PECOS PAC ID: 8729308978 Enrollment ID: I20150529000454 |
| Provider Name | Matthew William Zackoff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265792386 PECOS PAC ID: 4981924172 Enrollment ID: I20150529001514 |
| Provider Name | Charlotte Marie Walter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245559533 PECOS PAC ID: 3072834159 Enrollment ID: I20150601001836 |
| Provider Name | Akihiro Asai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063672830 PECOS PAC ID: 3375864374 Enrollment ID: I20150602002737 |
| Provider Name | Kelly Marie Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093118622 PECOS PAC ID: 5496076424 Enrollment ID: I20150603000488 |
| Provider Name | Emily Rachel Cooperstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598025579 PECOS PAC ID: 8325369366 Enrollment ID: I20150603000741 |
| Provider Name | Sarah Greenwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992997993 PECOS PAC ID: 4183706948 Enrollment ID: I20150603001570 |
| Provider Name | Elizabeth Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912309899 PECOS PAC ID: 2769703636 Enrollment ID: I20150603002165 |
| Provider Name | Ryan Allen Moore |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104090273 PECOS PAC ID: 6800117300 Enrollment ID: I20150609002982 |
| Provider Name | Sarrah Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609201003 PECOS PAC ID: 5991026353 Enrollment ID: I20150610001871 |
| Provider Name | Molly Leone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366873366 PECOS PAC ID: 0547581910 Enrollment ID: I20150610002147 |
| Provider Name | Amy Ryan Florez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417373648 PECOS PAC ID: 0345551685 Enrollment ID: I20150612001676 |
| Provider Name | Christopher Michael Siracusa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497081830 PECOS PAC ID: 7416268438 Enrollment ID: I20150617002607 |
| Provider Name | Ashley Brooke Green |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548400963 PECOS PAC ID: 8729235924 Enrollment ID: I20150626000791 |
| Provider Name | Katrina Lynn Peariso |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023283900 PECOS PAC ID: 1355583766 Enrollment ID: I20150629000349 |
| Provider Name | Danielle L Webster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912172891 PECOS PAC ID: 2466764774 Enrollment ID: I20150629002729 |
| Provider Name | Melissa Neeplo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619113552 PECOS PAC ID: 7517279854 Enrollment ID: I20150630000784 |
| Provider Name | Nathan Evanson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598081754 PECOS PAC ID: 4981916053 Enrollment ID: I20150701002114 |
| Provider Name | Francis Real |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649530031 PECOS PAC ID: 3476865452 Enrollment ID: I20150706000145 |
| Provider Name | Jennifer Elizabeth Desante |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992017255 PECOS PAC ID: 0244473361 Enrollment ID: I20150707002526 |
| Provider Name | Donnamaria E Cortezzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366609257 PECOS PAC ID: 9436461209 Enrollment ID: I20150708000389 |
| Provider Name | Anita Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093007536 PECOS PAC ID: 8527370303 Enrollment ID: I20150708000693 |
| Provider Name | Jonathan Russell Dillman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063530277 PECOS PAC ID: 8527116466 Enrollment ID: I20150708002949 |
| Provider Name | Kera Mcnelis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164784104 PECOS PAC ID: 8820236771 Enrollment ID: I20150710000958 |
| Provider Name | Nicole Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215146436 PECOS PAC ID: 2062725583 Enrollment ID: I20150713002256 |
| Provider Name | Jennifer Marcy Handzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225268543 PECOS PAC ID: 4385957786 Enrollment ID: I20150714001902 |
| Provider Name | Carley Riley |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972789915 PECOS PAC ID: 1456407634 Enrollment ID: I20150716001987 |
| Provider Name | Victoria Hartwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336400282 PECOS PAC ID: 5294048351 Enrollment ID: I20150717001808 |
| Provider Name | Daniel Medeiros Almeida |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083918874 PECOS PAC ID: 5799098869 Enrollment ID: I20150717001975 |
| Provider Name | Rachel B Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851667851 PECOS PAC ID: 7113230293 Enrollment ID: I20150717002404 |
| Provider Name | Amy Rouse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487906459 PECOS PAC ID: 1456664572 Enrollment ID: I20150720000582 |
| Provider Name | Jennifer Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144522475 PECOS PAC ID: 4486967528 Enrollment ID: I20150720001218 |
| Provider Name | Karen Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952343048 PECOS PAC ID: 4082612148 Enrollment ID: I20150722005531 |
| Provider Name | Stacey Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437405438 PECOS PAC ID: 1355655788 Enrollment ID: I20150729009944 |
| Provider Name | Alisha George |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700145976 PECOS PAC ID: 4486968799 Enrollment ID: I20150730012920 |
| Provider Name | Stephanie Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639313521 PECOS PAC ID: 7810139086 Enrollment ID: I20150731014636 |
| Provider Name | Heather Nichole Darrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316329808 PECOS PAC ID: 7113232703 Enrollment ID: I20150811005029 |
| Provider Name | Amy Byrne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407192396 PECOS PAC ID: 6204141690 Enrollment ID: I20150813011532 |
| Provider Name | Yemisi Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376704304 PECOS PAC ID: 5193994085 Enrollment ID: I20150818004083 |
| Provider Name | Jasleen Goel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093721318 PECOS PAC ID: 6406161553 Enrollment ID: I20150818005501 |
| Provider Name | Ali Kandil |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386900660 PECOS PAC ID: 0143535187 Enrollment ID: I20150819008505 |
| Provider Name | Cassie L Shipp |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235499633 PECOS PAC ID: 7810202728 Enrollment ID: I20150820010850 |
| Provider Name | Emily Hengehold Schmidlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790160240 PECOS PAC ID: 1254647944 Enrollment ID: I20150825005734 |
| Provider Name | Robin Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275879207 PECOS PAC ID: 9931415676 Enrollment ID: I20150826001406 |
| Provider Name | Katherine Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669868642 PECOS PAC ID: 7618283128 Enrollment ID: I20150828001756 |
| Provider Name | Kaitlyn M Holtman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518349307 PECOS PAC ID: 4082920046 Enrollment ID: I20150904002286 |
| Provider Name | Lindsay Alysse Mays |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972810109 PECOS PAC ID: 8628385440 Enrollment ID: I20150910002993 |
| Provider Name | Stephanie Gronlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720482268 PECOS PAC ID: 7618284027 Enrollment ID: I20150917001674 |
| Provider Name | Khalil El-chammas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285800276 PECOS PAC ID: 6608019153 Enrollment ID: I20150918000336 |
| Provider Name | Dena Theresa Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497158406 PECOS PAC ID: 3072820257 Enrollment ID: I20150921002240 |
| Provider Name | Emily A Mctate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265793087 PECOS PAC ID: 8123252731 Enrollment ID: I20150922003255 |
| Provider Name | Bona Mari Eilerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053530048 PECOS PAC ID: 3274840277 Enrollment ID: I20150923000637 |
| Provider Name | Anita Thoerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730302860 PECOS PAC ID: 5698083699 Enrollment ID: I20150924000949 |
| Provider Name | Lauren Shannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952786691 PECOS PAC ID: 5991013955 Enrollment ID: I20150924003237 |
| Provider Name | Erin Haag Breese |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1891956363 PECOS PAC ID: 0042437279 Enrollment ID: I20150925001639 |
| Provider Name | Katherine Kelly Bedard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225437783 PECOS PAC ID: 4981926201 Enrollment ID: I20150928001376 |
| Provider Name | Alexis Benscoter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831375815 PECOS PAC ID: 6800948316 Enrollment ID: I20150928002781 |
| Provider Name | Claire Aarnio-peterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538538749 PECOS PAC ID: 2264740935 Enrollment ID: I20150929002146 |
| Provider Name | Vinita Takiar |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083939318 PECOS PAC ID: 7012225790 Enrollment ID: I20150929002918 |
| Provider Name | Patricia Lee Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528386331 PECOS PAC ID: 9931417664 Enrollment ID: I20150930001005 |
| Provider Name | Sarah Golden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841599271 PECOS PAC ID: 0941518419 Enrollment ID: I20151002000182 |
| Provider Name | Elizabeth Marie Spitznagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417265406 PECOS PAC ID: 8224346531 Enrollment ID: I20151007000915 |
| Provider Name | Clara Fuentes Chlon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134488380 PECOS PAC ID: 3870802937 Enrollment ID: I20151013000186 |
| Provider Name | Kim Yvonne Mouti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053739672 PECOS PAC ID: 0840509915 Enrollment ID: I20151013000735 |
| Provider Name | Richelle Renee Guinigundo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851419352 PECOS PAC ID: 5294044368 Enrollment ID: I20151013000778 |
| Provider Name | Renee Napier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700103918 PECOS PAC ID: 2567771579 Enrollment ID: I20151014000331 |
| Provider Name | Kathleen Pompa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942452610 PECOS PAC ID: 8729397518 Enrollment ID: I20151016002364 |
| Provider Name | Dean W Beebe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659320125 PECOS PAC ID: 7810206232 Enrollment ID: I20151026000132 |
| Provider Name | Mark S Switzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174954176 PECOS PAC ID: 0840509246 Enrollment ID: I20151027000138 |
| Provider Name | Hazem Al Hnawi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154503738 PECOS PAC ID: 5092025015 Enrollment ID: I20151103003014 |
| Provider Name | Gregory Allan Szumlas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518994029 PECOS PAC ID: 3971813817 Enrollment ID: I20151105001504 |
| Provider Name | Victoria Ann Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154708766 PECOS PAC ID: 5193035863 Enrollment ID: I20151109001444 |
| Provider Name | Traci Hail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578932471 PECOS PAC ID: 6709196017 Enrollment ID: I20151116002279 |
| Provider Name | Jose L. Peiro-ibanez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578985305 PECOS PAC ID: 8325348659 Enrollment ID: I20151118001649 |
| Provider Name | Tracy A. Glauser |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558395111 PECOS PAC ID: 5092015339 Enrollment ID: I20151118001945 |
| Provider Name | Anne Halpin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700104668 PECOS PAC ID: 7618277567 Enrollment ID: I20151124002466 |
| Provider Name | Nicole Marie Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730558370 PECOS PAC ID: 0749580116 Enrollment ID: I20151208001471 |
| Provider Name | Katherine Hilligoss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215305156 PECOS PAC ID: 8527369933 Enrollment ID: I20151208003158 |
| Provider Name | Kristen M. Boyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669599395 PECOS PAC ID: 7911208905 Enrollment ID: I20151216001539 |
| Provider Name | Amil Hari Corinne Allen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003173220 PECOS PAC ID: 5496057739 Enrollment ID: I20160104002463 |
| Provider Name | Jessica Roach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962888107 PECOS PAC ID: 1355643602 Enrollment ID: I20160105000410 |
| Provider Name | Jayna Schumacher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598909483 PECOS PAC ID: 3577795467 Enrollment ID: I20160105001158 |
| Provider Name | Kelly Wendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902947047 PECOS PAC ID: 2668774779 Enrollment ID: I20160106002410 |
| Provider Name | Beth Rymeski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053440792 PECOS PAC ID: 5698077717 Enrollment ID: I20160106002645 |
| Provider Name | Amy Detoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396110482 PECOS PAC ID: 8921300773 Enrollment ID: I20160111001411 |
| Provider Name | Annmarie Matusak |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1265531636 PECOS PAC ID: 4587966338 Enrollment ID: I20160111001732 |
| Provider Name | Lauren Szulczewski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255716213 PECOS PAC ID: 0941502710 Enrollment ID: I20160111001992 |
| Provider Name | Tamika Lynn Auld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013373604 PECOS PAC ID: 7810290996 Enrollment ID: I20160122002106 |
| Provider Name | Patricia Ann Froese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649590357 PECOS PAC ID: 5294039574 Enrollment ID: I20160205002168 |
| Provider Name | Lynn Mcclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821279761 PECOS PAC ID: 9436249323 Enrollment ID: I20160209001478 |
| Provider Name | Kathy E. Wedig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477585263 PECOS PAC ID: 9638474190 Enrollment ID: I20160219002184 |
| Provider Name | Stacey Dornette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043523996 PECOS PAC ID: 9537464987 Enrollment ID: I20160223000033 |
| Provider Name | Heather Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528379419 PECOS PAC ID: 0840595799 Enrollment ID: I20160301002324 |
| Provider Name | Brittany Lynn Irwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033577192 PECOS PAC ID: 0749585610 Enrollment ID: I20160302000201 |
| Provider Name | Greggory Augustin Beckley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225325905 PECOS PAC ID: 1951532522 Enrollment ID: I20160325000516 |
| Provider Name | Danielle Rielag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083956007 PECOS PAC ID: 4183921729 Enrollment ID: I20160328001217 |
| Provider Name | Almeria Decker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750609020 PECOS PAC ID: 5890092324 Enrollment ID: I20160329001895 |
| Provider Name | Kristie Lovins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205195450 PECOS PAC ID: 1254650286 Enrollment ID: I20160329002902 |
| Provider Name | Kathryn Evans Swafford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780814160 PECOS PAC ID: 1951573161 Enrollment ID: I20160331002615 |
| Provider Name | Daniel Swarr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346552494 PECOS PAC ID: 8123332780 Enrollment ID: I20160331002719 |
| Provider Name | Elizabeth Ann Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609233428 PECOS PAC ID: 0547567703 Enrollment ID: I20160401001984 |
| Provider Name | Sonya Tang Girdwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215207238 PECOS PAC ID: 5991002156 Enrollment ID: I20160401002036 |
| Provider Name | William Timothy Myers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114292554 PECOS PAC ID: 1759688831 Enrollment ID: I20160405001430 |
| Provider Name | Allison Helton Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134599269 PECOS PAC ID: 6709184815 Enrollment ID: I20160405002571 |
| Provider Name | Sang Hoon Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649546185 PECOS PAC ID: 3072811140 Enrollment ID: I20160406001915 |
| Provider Name | Sara Szabo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861564916 PECOS PAC ID: 4385619907 Enrollment ID: I20160406002264 |
| Provider Name | Brooke A Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114384617 PECOS PAC ID: 2860790870 Enrollment ID: I20160407000751 |
| Provider Name | Grant Schulert |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033352059 PECOS PAC ID: 6305092776 Enrollment ID: I20160418001669 |
| Provider Name | Katherine Marie Hogan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659706802 PECOS PAC ID: 7719113547 Enrollment ID: I20160421001886 |
| Provider Name | Erin Jordan Nace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811356157 PECOS PAC ID: 3870892029 Enrollment ID: I20160422000880 |
| Provider Name | Katrina Rae Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427416999 PECOS PAC ID: 5597064642 Enrollment ID: I20160425001439 |
| Provider Name | Christine H Heubi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730314667 PECOS PAC ID: 7810136777 Enrollment ID: I20160426001571 |
| Provider Name | Sarah M. Vitolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710383328 PECOS PAC ID: 9931408986 Enrollment ID: I20160426002084 |
| Provider Name | Natalie White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568781458 PECOS PAC ID: 9335448109 Enrollment ID: I20160428001532 |
| Provider Name | Julia Ann Leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740670660 PECOS PAC ID: 3971802752 Enrollment ID: I20160428001829 |
| Provider Name | Rachel Anne Becker Herbst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366707366 PECOS PAC ID: 9335448869 Enrollment ID: I20160504000982 |
| Provider Name | Melissa Michelle Yockey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578927265 PECOS PAC ID: 3577852045 Enrollment ID: I20160523002265 |
| Provider Name | Moira A King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083075758 PECOS PAC ID: 7012207392 Enrollment ID: I20160526002425 |
| Provider Name | Emily Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447607429 PECOS PAC ID: 6901198241 Enrollment ID: I20160707001431 |
| Provider Name | Stephanie Manolis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497017990 PECOS PAC ID: 4981996139 Enrollment ID: I20160707001889 |
| Provider Name | Nicole R. Durkee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871981852 PECOS PAC ID: 5395037378 Enrollment ID: I20160712001910 |
| Provider Name | Danielle Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588924419 PECOS PAC ID: 8729217401 Enrollment ID: I20160727002904 |
| Provider Name | Krista Ann Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174832323 PECOS PAC ID: 2961796420 Enrollment ID: I20160805000313 |
| Provider Name | Katherine Elizabeth Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164711040 PECOS PAC ID: 6709024276 Enrollment ID: I20160811000786 |
| Provider Name | Jesse Michael Skoch |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639308182 PECOS PAC ID: 1456645332 Enrollment ID: I20160816001695 |
| Provider Name | Ragheed Katkhuda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003087982 PECOS PAC ID: 2163698762 Enrollment ID: I20160817003423 |
| Provider Name | Halley Wasserman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528202728 PECOS PAC ID: 8921393752 Enrollment ID: I20160818000902 |
| Provider Name | Kiersten Walther Ricci |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1548586704 PECOS PAC ID: 5799070520 Enrollment ID: I20160818001104 |
| Provider Name | Kevin Reid Dufendach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942510383 PECOS PAC ID: 5698948206 Enrollment ID: I20160824003066 |
| Provider Name | Katherine Edmunds |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215370804 PECOS PAC ID: 6002101029 Enrollment ID: I20160829003126 |
| Provider Name | Sheela Rath Geraghty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063443786 PECOS PAC ID: 2668642646 Enrollment ID: I20160829003343 |
| Provider Name | Stephen Porter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720021256 PECOS PAC ID: 3274508106 Enrollment ID: I20160831001775 |
| Provider Name | Alison Cress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093189920 PECOS PAC ID: 0244530103 Enrollment ID: I20160902001168 |
| Provider Name | Marissa Meredith Vawter-lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144546300 PECOS PAC ID: 6204122989 Enrollment ID: I20160906002254 |
| Provider Name | Esineya Natalia Chigaga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912341231 PECOS PAC ID: 5496041105 Enrollment ID: I20160907000242 |
| Provider Name | Alvin Christopher Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023276763 PECOS PAC ID: 4385837673 Enrollment ID: I20160907001296 |
| Provider Name | Nataline M. Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508117979 PECOS PAC ID: 5294043444 Enrollment ID: I20160909000007 |
| Provider Name | Heather E. Unrue |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619366630 PECOS PAC ID: 0547556920 Enrollment ID: I20160912000617 |
| Provider Name | Bridget Scott Hagood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164630422 PECOS PAC ID: 0143516534 Enrollment ID: I20160912001074 |
| Provider Name | Lisa Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073763306 PECOS PAC ID: 3779733290 Enrollment ID: I20160912002510 |
| Provider Name | Karen Elias Szczepanski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447287933 PECOS PAC ID: 9830485127 Enrollment ID: I20160913001800 |
| Provider Name | Ralph Eric Vatner |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013298264 PECOS PAC ID: 2062720261 Enrollment ID: I20160913002984 |
| Provider Name | Laura K. White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558335117 PECOS PAC ID: 3173819331 Enrollment ID: I20160914001755 |
| Provider Name | Laure Nicole Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962868307 PECOS PAC ID: 9739475914 Enrollment ID: I20160914002480 |
| Provider Name | Marci Lynne Conroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104370303 PECOS PAC ID: 9436445632 Enrollment ID: I20160914003036 |
| Provider Name | Timothy D Struve |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841582186 PECOS PAC ID: 8527206226 Enrollment ID: I20160915002405 |
| Provider Name | Angela Michelle Quatman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1831416866 PECOS PAC ID: 3476840489 Enrollment ID: I20160919002310 |
| Provider Name | Francisco Flores |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942219506 PECOS PAC ID: 4082745856 Enrollment ID: I20160923002021 |
| Provider Name | Paul William Spearman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649224239 PECOS PAC ID: 0345235230 Enrollment ID: I20160926002021 |
| Provider Name | Cheryl J Hartzell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821384660 PECOS PAC ID: 4385931906 Enrollment ID: I20160926002270 |
| Provider Name | Adam William Powell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922251453 PECOS PAC ID: 2365739984 Enrollment ID: I20160926002324 |
| Provider Name | Kelsey Allyse Carriere |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528449246 PECOS PAC ID: 4981913670 Enrollment ID: I20160927000533 |
| Provider Name | Lindsey Barrick Groskopf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245556661 PECOS PAC ID: 4789971227 Enrollment ID: I20160927000714 |
| Provider Name | Tiffany Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609229988 PECOS PAC ID: 5698062156 Enrollment ID: I20160927001448 |
| Provider Name | Lisa Eve Herrmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831415066 PECOS PAC ID: 9537302013 Enrollment ID: I20160928000832 |
| Provider Name | Cara Fosdick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750692778 PECOS PAC ID: 6800103854 Enrollment ID: I20160928001694 |
| Provider Name | Erik Hysinger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295052611 PECOS PAC ID: 3476840737 Enrollment ID: I20160929002550 |
| Provider Name | Elizabeth Louise Kramer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164712238 PECOS PAC ID: 2163710237 Enrollment ID: I20161005003126 |
| Provider Name | Lynn Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033435284 PECOS PAC ID: 2062700040 Enrollment ID: I20161006000724 |
| Provider Name | Allison Leigh Schwandner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821449075 PECOS PAC ID: 5597053546 Enrollment ID: I20161007000481 |
| Provider Name | Meredith Frost |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962845552 PECOS PAC ID: 4880982701 Enrollment ID: I20161010001292 |
| Provider Name | Debra Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457314759 PECOS PAC ID: 9234452954 Enrollment ID: I20161013001647 |
| Provider Name | Jennifer Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659657476 PECOS PAC ID: 8820386170 Enrollment ID: I20161019001759 |
| Provider Name | Danielle Graef |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902258056 PECOS PAC ID: 7315225695 Enrollment ID: I20161021000846 |
| Provider Name | Reema Chitalia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457755316 PECOS PAC ID: 7517245707 Enrollment ID: I20161021001498 |
| Provider Name | Caitlin Valentino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992148290 PECOS PAC ID: 5294035663 Enrollment ID: I20161024002860 |
| Provider Name | Stacy Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649724691 PECOS PAC ID: 4981982022 Enrollment ID: I20161025001860 |
| Provider Name | Michael Carlisle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164865838 PECOS PAC ID: 1850679812 Enrollment ID: I20161025002837 |
| Provider Name | Kristin Loiselle Rich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033560677 PECOS PAC ID: 2365720331 Enrollment ID: I20161025003021 |
| Provider Name | Bruna De Jesus Andrade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649639097 PECOS PAC ID: 4284912981 Enrollment ID: I20161101000974 |
| Provider Name | Robert Rossi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831451848 PECOS PAC ID: 0749584985 Enrollment ID: I20161107002646 |
| Provider Name | Kelli Dominick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659661742 PECOS PAC ID: 5496034753 Enrollment ID: I20161109002745 |
| Provider Name | Dionni Meek-silvers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184942047 PECOS PAC ID: 5799064705 Enrollment ID: I20161115002482 |
| Provider Name | Scott Brian Schwartz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346509338 PECOS PAC ID: 4981824380 Enrollment ID: I20161117002690 |
| Provider Name | Michelle Marcum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073060448 PECOS PAC ID: 3274812086 Enrollment ID: I20161118001862 |
| Provider Name | David N Mckinney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841519790 PECOS PAC ID: 6002196573 Enrollment ID: I20161130000357 |
| Provider Name | Brittney Wanninger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770036048 PECOS PAC ID: 5991085227 Enrollment ID: I20161202001781 |
| Provider Name | Tricia Michelle Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013467687 PECOS PAC ID: 3476832320 Enrollment ID: I20161205001672 |
| Provider Name | Allison Blackburn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770721326 PECOS PAC ID: 3779863816 Enrollment ID: I20161207002598 |
| Provider Name | Kelly Isabel Kamimura-nishimura |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639481096 PECOS PAC ID: 5890075873 Enrollment ID: I20161208001678 |
| Provider Name | Ashley Murray Luebrecht |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336697739 PECOS PAC ID: 4789964495 Enrollment ID: I20161214001407 |
| Provider Name | Brenda Kay Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740491034 PECOS PAC ID: 6103964291 Enrollment ID: I20161214001522 |
| Provider Name | Sheila Angeles-han |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225227291 PECOS PAC ID: 9133289655 Enrollment ID: I20161214002441 |
| Provider Name | Robert Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508313297 PECOS PAC ID: 9830470004 Enrollment ID: I20161229002020 |
| Provider Name | Heather Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093017444 PECOS PAC ID: 5193006310 Enrollment ID: I20161230001592 |
| Provider Name | Colette Larson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841627502 PECOS PAC ID: 7810278058 Enrollment ID: I20170103000478 |
| Provider Name | Melissa L Wagner-schuman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255692794 PECOS PAC ID: 2860773876 Enrollment ID: I20170106000390 |
| Provider Name | Maya Dewan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710299078 PECOS PAC ID: 2163704354 Enrollment ID: I20170124000838 |
| Provider Name | James Rick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568459642 PECOS PAC ID: 9032379219 Enrollment ID: I20170124001823 |
| Provider Name | Emily-ann E Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457713935 PECOS PAC ID: 6800178864 Enrollment ID: I20170126002413 |
| Provider Name | Colleen Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114469681 PECOS PAC ID: 8426330424 Enrollment ID: I20170127000906 |
| Provider Name | Rachel Breitenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679018402 PECOS PAC ID: 6800178682 Enrollment ID: I20170201000182 |
| Provider Name | Andrew Howard Schapiro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013212869 PECOS PAC ID: 0648493304 Enrollment ID: I20170201001233 |
| Provider Name | Heather Rieselman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679016190 PECOS PAC ID: 2769765841 Enrollment ID: I20170215002434 |
| Provider Name | Lynette Jillian Fenchel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912381211 PECOS PAC ID: 5991088965 Enrollment ID: I20170217000576 |
| Provider Name | Lisa Carol Paxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417250267 PECOS PAC ID: 8527341460 Enrollment ID: I20170220001118 |
| Provider Name | Melissa Eshleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649716424 PECOS PAC ID: 9032492921 Enrollment ID: I20170220002876 |
| Provider Name | Prasoon Verma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295013803 PECOS PAC ID: 6709160666 Enrollment ID: I20170222000161 |
| Provider Name | Kelly Sue Falcone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346783149 PECOS PAC ID: 8325322001 Enrollment ID: I20170223002041 |
| Provider Name | Valerie Marie Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720392749 PECOS PAC ID: 4486938131 Enrollment ID: I20170224002303 |
| Provider Name | Christina Ann Heinzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689918625 PECOS PAC ID: 4789968199 Enrollment ID: I20170303000094 |
| Provider Name | Chandra Manuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578002358 PECOS PAC ID: 3173807591 Enrollment ID: I20170303000734 |
| Provider Name | Michelle Christine Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275962292 PECOS PAC ID: 7719261882 Enrollment ID: I20170309001340 |
| Provider Name | Aubrey Ann Hunt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174966642 PECOS PAC ID: 5698050813 Enrollment ID: I20170329002984 |
| Provider Name | Justin T Tretter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972827772 PECOS PAC ID: 4587949789 Enrollment ID: I20170331000187 |
| Provider Name | Kate Mcfarland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174060685 PECOS PAC ID: 0941586721 Enrollment ID: I20170410001518 |
| Provider Name | Lauren Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124474275 PECOS PAC ID: 1557647039 Enrollment ID: I20170418000799 |
| Provider Name | Siobhan Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427494111 PECOS PAC ID: 5092091512 Enrollment ID: I20170418002557 |
| Provider Name | Kristin Marie Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215335062 PECOS PAC ID: 2668758905 Enrollment ID: I20170420002527 |
| Provider Name | Jennifer Treasure |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356761845 PECOS PAC ID: 1456637701 Enrollment ID: I20170420002732 |
| Provider Name | Shaun Mohan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619105939 PECOS PAC ID: 0648558395 Enrollment ID: I20170425001881 |
| Provider Name | Rebecca Lelii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770027591 PECOS PAC ID: 1355628272 Enrollment ID: I20170502002564 |
| Provider Name | Stephanie Lauren Roller Callow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861835340 PECOS PAC ID: 3173765161 Enrollment ID: I20170511001981 |
| Provider Name | Matthew Joel Lipshaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508202938 PECOS PAC ID: 4183916224 Enrollment ID: I20170512002166 |
| Provider Name | Gewalin Aungaroon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730457789 PECOS PAC ID: 2668768292 Enrollment ID: I20170515001756 |
| Provider Name | Natalie Marie Givens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174061782 PECOS PAC ID: 1759668049 Enrollment ID: I20170516001445 |
| Provider Name | Matthew Robert Wolfgang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902225196 PECOS PAC ID: 9830466044 Enrollment ID: I20170518000893 |
| Provider Name | Emily A Dowden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750812558 PECOS PAC ID: 2466729538 Enrollment ID: I20170519001232 |
| Provider Name | Melnea Paige |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811420037 PECOS PAC ID: 8325315401 Enrollment ID: I20170519001487 |
| Provider Name | Michelle Ann Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306379094 PECOS PAC ID: 2668749755 Enrollment ID: I20170519002107 |
| Provider Name | Mary F Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780834408 PECOS PAC ID: 8325315120 Enrollment ID: I20170526001995 |
| Provider Name | Alicia Caldwell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326481763 PECOS PAC ID: 0648402420 Enrollment ID: I20170531000398 |
| Provider Name | Jennifer Lee Cully |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1720215726 PECOS PAC ID: 6507134913 Enrollment ID: I20170607001975 |
| Provider Name | Sara Mary Zak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891055919 PECOS PAC ID: 5092083212 Enrollment ID: I20170612002964 |
| Provider Name | Mary Christa Krupski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053553768 PECOS PAC ID: 9133385081 Enrollment ID: I20170613001149 |
| Provider Name | Emmanuel L Chandler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881988954 PECOS PAC ID: 3274801337 Enrollment ID: I20170613002084 |
| Provider Name | Ethan Andrew Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457477358 PECOS PAC ID: 7719155324 Enrollment ID: I20170613002774 |
| Provider Name | David F Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043453848 PECOS PAC ID: 1456509090 Enrollment ID: I20170613002874 |
| Provider Name | Shannon Patton-baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104374438 PECOS PAC ID: 3072881069 Enrollment ID: I20170615001491 |
| Provider Name | Jennifer Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235593716 PECOS PAC ID: 0547538571 Enrollment ID: I20170616000470 |
| Provider Name | Jennifer E Rood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073914222 PECOS PAC ID: 7012285869 Enrollment ID: I20170620000627 |
| Provider Name | Kristen Lea Ruff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194145870 PECOS PAC ID: 0749558534 Enrollment ID: I20170620002006 |
| Provider Name | Keyna A Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881135218 PECOS PAC ID: 2264700889 Enrollment ID: I20170622000697 |
| Provider Name | Danielle L Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457779167 PECOS PAC ID: 2163649666 Enrollment ID: I20170623001509 |
| Provider Name | Niekoo Abbasian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396060984 PECOS PAC ID: 0840507646 Enrollment ID: I20170623002175 |
| Provider Name | Jessica Lynn Walters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487073540 PECOS PAC ID: 1254554793 Enrollment ID: I20170710001793 |
| Provider Name | Daniel Joseph Herchline |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497175723 PECOS PAC ID: 1355610924 Enrollment ID: I20170713001541 |
| Provider Name | Lindsey Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669902185 PECOS PAC ID: 8224307806 Enrollment ID: I20170713001796 |
| Provider Name | Garick David Hill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306034749 PECOS PAC ID: 1658524996 Enrollment ID: I20170714000664 |
| Provider Name | Neha Santucci |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417297789 PECOS PAC ID: 1850661000 Enrollment ID: I20170720000357 |
| Provider Name | Eboni Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053848143 PECOS PAC ID: 0840560835 Enrollment ID: I20170725000508 |
| Provider Name | Sandra Brook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316395411 PECOS PAC ID: 0840560843 Enrollment ID: I20170725000888 |
| Provider Name | Stephanie Nicole Kinney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396006938 PECOS PAC ID: 7315246741 Enrollment ID: I20170727004042 |
| Provider Name | Amy Taylor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1811213077 PECOS PAC ID: 5496026007 Enrollment ID: I20170731003745 |
| Provider Name | Kelly Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801323605 PECOS PAC ID: 2062783616 Enrollment ID: I20170801001526 |
| Provider Name | Yamini Soundarya Kuchipudi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013327394 PECOS PAC ID: 5890911135 Enrollment ID: I20170801003032 |
| Provider Name | Loren Nallu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013235597 PECOS PAC ID: 0143517623 Enrollment ID: I20170802003861 |
| Provider Name | Teresa Meier |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1427314004 PECOS PAC ID: 9830328038 Enrollment ID: I20170804001929 |
| Provider Name | Danielle Kristine Parham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104118629 PECOS PAC ID: 7810268018 Enrollment ID: I20170807001851 |
| Provider Name | Luke R Smart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881866432 PECOS PAC ID: 8921379058 Enrollment ID: I20170807003677 |
| Provider Name | Ian Christopher Brett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417377946 PECOS PAC ID: 4981975083 Enrollment ID: I20170808003300 |
| Provider Name | Sarah Luthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063708337 PECOS PAC ID: 3870714280 Enrollment ID: I20170809000288 |
| Provider Name | Meagan Lee Peek |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093014672 PECOS PAC ID: 4587935317 Enrollment ID: I20170811002463 |
| Provider Name | Leslie Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508388083 PECOS PAC ID: 7517239346 Enrollment ID: I20170814003296 |
| Provider Name | Emilia Connolly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700175940 PECOS PAC ID: 3971726472 Enrollment ID: I20170815002736 |
| Provider Name | Marialena Mouzaki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407062219 PECOS PAC ID: 1355613076 Enrollment ID: I20170815004261 |
| Provider Name | Leslie Farrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720372683 PECOS PAC ID: 9931328648 Enrollment ID: I20170815004308 |
| Provider Name | Nancy Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396063822 PECOS PAC ID: 3476825001 Enrollment ID: I20170817000077 |
| Provider Name | Bradley Patrick Skelton |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205290681 PECOS PAC ID: 3779855259 Enrollment ID: I20170817002739 |
| Provider Name | Andrew Strine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1952613101 PECOS PAC ID: 8022257476 Enrollment ID: I20170818003202 |
| Provider Name | Maria Obermeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194106427 PECOS PAC ID: 7517239957 Enrollment ID: I20170821001521 |
| Provider Name | Katherine Anne Vandenheuvel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1134362866 PECOS PAC ID: 2163794165 Enrollment ID: I20170825002737 |
| Provider Name | Hollie Christina West |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497071898 PECOS PAC ID: 6406128305 Enrollment ID: I20170825003399 |
| Provider Name | Jolyn Renee Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851813588 PECOS PAC ID: 8426321316 Enrollment ID: I20170828003642 |
| Provider Name | Murray Dock |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548321607 PECOS PAC ID: 1557634474 Enrollment ID: I20170829000287 |
| Provider Name | Molly Mchenry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558613661 PECOS PAC ID: 1153549563 Enrollment ID: I20170829004019 |
| Provider Name | Angie Thomure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649796707 PECOS PAC ID: 4688947377 Enrollment ID: I20170831000444 |
| Provider Name | Deborah Sue Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255457966 PECOS PAC ID: 3971632209 Enrollment ID: I20170906003497 |
| Provider Name | Tina Rajput |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932460672 PECOS PAC ID: 7113210238 Enrollment ID: I20170921002609 |
| Provider Name | Melissa Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417479544 PECOS PAC ID: 6709150006 Enrollment ID: I20170926002083 |
| Provider Name | Stephanie Oliveira |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538400593 PECOS PAC ID: 2769756808 Enrollment ID: I20170927004762 |
| Provider Name | Cheryl M.b. Bayart |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851650519 PECOS PAC ID: 2860766938 Enrollment ID: I20170928000981 |
| Provider Name | Andrew Lautz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477865533 PECOS PAC ID: 9638319940 Enrollment ID: I20171002003434 |
| Provider Name | Megan R Stone-heaberlin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912352857 PECOS PAC ID: 8628343316 Enrollment ID: I20171005001877 |
| Provider Name | Jennifer Anne Honerlaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932551504 PECOS PAC ID: 0840565164 Enrollment ID: I20171011003887 |
| Provider Name | Ashley O'donnell Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447650494 PECOS PAC ID: 4880969187 Enrollment ID: I20171012003023 |
| Provider Name | Brandy Nicole Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033588876 PECOS PAC ID: 6709151962 Enrollment ID: I20171013002854 |
| Provider Name | Katie L Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063939460 PECOS PAC ID: 8921374869 Enrollment ID: I20171020002759 |
| Provider Name | John Erich Pascoe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225328396 PECOS PAC ID: 2163798919 Enrollment ID: I20171023000272 |
| Provider Name | Siobhan Elizabeth Tellez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730603341 PECOS PAC ID: 0042586893 Enrollment ID: I20171023000408 |
| Provider Name | Margaret Elisabeth Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295265403 PECOS PAC ID: 4981970696 Enrollment ID: I20171025001298 |
| Provider Name | Deepika Suresh Rao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083930911 PECOS PAC ID: 8527376359 Enrollment ID: I20171026002628 |
| Provider Name | Jeffrey A Alten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437155306 PECOS PAC ID: 4981898111 Enrollment ID: I20171102000488 |
| Provider Name | Dien Ngoc Vu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932189362 PECOS PAC ID: 8729119367 Enrollment ID: I20171102000688 |
| Provider Name | Laura Katherine Hermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346769437 PECOS PAC ID: 3476819475 Enrollment ID: I20171107003510 |
| Provider Name | Caitlin Wesley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265809818 PECOS PAC ID: 3476819269 Enrollment ID: I20171110001552 |
| Provider Name | Laura Berenstain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467451302 PECOS PAC ID: 1557326394 Enrollment ID: I20171117000094 |
| Provider Name | Kendra Joy Homan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134645575 PECOS PAC ID: 5395001713 Enrollment ID: I20171117000387 |
| Provider Name | Amanda Flannery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871963660 PECOS PAC ID: 6800153206 Enrollment ID: I20171120000808 |
| Provider Name | Rachel Lynn Bayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518017102 PECOS PAC ID: 7911264320 Enrollment ID: I20171120001151 |
| Provider Name | Nicholas Morin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629367909 PECOS PAC ID: 3779882501 Enrollment ID: I20171128000087 |
| Provider Name | Kirsten Lynn Singer Reimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376776120 PECOS PAC ID: 1658638721 Enrollment ID: I20171128000134 |
| Provider Name | Allison Lea Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689118812 PECOS PAC ID: 9931466950 Enrollment ID: I20171129003446 |
| Provider Name | Scott R Callahan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790733194 PECOS PAC ID: 0840475422 Enrollment ID: I20171206002024 |
| Provider Name | Michael G Jerkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417377334 PECOS PAC ID: 1658597356 Enrollment ID: I20171211001476 |
| Provider Name | Jamie Lea Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770097305 PECOS PAC ID: 8426316803 Enrollment ID: I20171212001067 |
| Provider Name | Rula V Kanj |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609168707 PECOS PAC ID: 5597023994 Enrollment ID: I20171212002228 |
| Provider Name | Kara Jacqueline Neel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326558958 PECOS PAC ID: 3971861022 Enrollment ID: I20171218002778 |
| Provider Name | Elisa Marcuccio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881804672 PECOS PAC ID: 9335303676 Enrollment ID: I20171227001007 |
| Provider Name | Sarosh P Batlivala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730278391 PECOS PAC ID: 8123192945 Enrollment ID: I20180110002516 |
| Provider Name | Holly Lynn Skeens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407203508 PECOS PAC ID: 3476836032 Enrollment ID: I20180125003020 |
| Provider Name | Ana Catalina Catalina Arce Clachar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750674628 PECOS PAC ID: 9931469517 Enrollment ID: I20180130000396 |
| Provider Name | Jeremy C. Bell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932592755 PECOS PAC ID: 2961762372 Enrollment ID: I20180202002432 |
| Provider Name | Tiffany Alyse Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477051522 PECOS PAC ID: 1557621802 Enrollment ID: I20180205002267 |
| Provider Name | Joanna Lynn Brougham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740709203 PECOS PAC ID: 9133489412 Enrollment ID: I20180206000601 |
| Provider Name | Amber Marie Rose |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962900159 PECOS PAC ID: 2466712633 Enrollment ID: I20180207002743 |
| Provider Name | Tonie R Taft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740731975 PECOS PAC ID: 2961762992 Enrollment ID: I20180212001497 |
| Provider Name | Sarah L Zimmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699070599 PECOS PAC ID: 2567722523 Enrollment ID: I20180212002623 |
| Provider Name | Allison L. Bartlett |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770858995 PECOS PAC ID: 2567778921 Enrollment ID: I20180220002423 |
| Provider Name | Kurt Edward Schellinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609388958 PECOS PAC ID: 1456612092 Enrollment ID: I20180222003053 |
| Provider Name | Elizabeth Gosnell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962631549 PECOS PAC ID: 2567681976 Enrollment ID: I20180228001994 |
| Provider Name | Heather Ann Connor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063742773 PECOS PAC ID: 4284995200 Enrollment ID: I20180307001612 |
| Provider Name | Jessica Thielen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881139285 PECOS PAC ID: 0244591287 Enrollment ID: I20180307002386 |
| Provider Name | Karen Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235685942 PECOS PAC ID: 0547521502 Enrollment ID: I20180308000416 |
| Provider Name | Emily A Maiorana |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154834224 PECOS PAC ID: 7214299122 Enrollment ID: I20180312002597 |
| Provider Name | Melissa Picard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669856605 PECOS PAC ID: 8022370998 Enrollment ID: I20180313002225 |
| Provider Name | Megan Elizabeth O'maley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194240622 PECOS PAC ID: 6709148422 Enrollment ID: I20180316001623 |
| Provider Name | Michale Sung-jin Ok |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386933497 PECOS PAC ID: 6709171416 Enrollment ID: I20180328001618 |
| Provider Name | Brittany Evans Yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316293897 PECOS PAC ID: 5395992044 Enrollment ID: I20180405000355 |
| Provider Name | Angela Marie Scott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962881540 PECOS PAC ID: 2466715602 Enrollment ID: I20180420001711 |
| Provider Name | Jamie Ryan Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669987657 PECOS PAC ID: 3173886249 Enrollment ID: I20180424002753 |
| Provider Name | Amanda Marie Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376934901 PECOS PAC ID: 0345504478 Enrollment ID: I20180426000130 |
| Provider Name | Emily Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184124182 PECOS PAC ID: 6800150830 Enrollment ID: I20180427002002 |
| Provider Name | Laura Marie Doss |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093120529 PECOS PAC ID: 2961766993 Enrollment ID: I20180427002136 |
| Provider Name | Kelly Michelle Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154829927 PECOS PAC ID: 2769746700 Enrollment ID: I20180427002254 |
| Provider Name | Felicia Scaggs Huang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790048510 PECOS PAC ID: 4587967815 Enrollment ID: I20180515001137 |
| Provider Name | Arjun Bobby Sood |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487097341 PECOS PAC ID: 8628340106 Enrollment ID: I20180517003068 |
| Provider Name | Ji Yeon Jemma Kang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760703144 PECOS PAC ID: 2163732421 Enrollment ID: I20180521000851 |
| Provider Name | Matthew Michael Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710272034 PECOS PAC ID: 2365674819 Enrollment ID: I20180522001518 |
| Provider Name | Jodi Ann Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740416288 PECOS PAC ID: 4385909225 Enrollment ID: I20180524002593 |
| Provider Name | Matthew Monteleone |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124252945 PECOS PAC ID: 5799902011 Enrollment ID: I20180525001279 |
| Provider Name | Regina Vogt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730626607 PECOS PAC ID: 1658636410 Enrollment ID: I20180525001283 |
| Provider Name | Elizabeth Grace Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528572138 PECOS PAC ID: 9335404953 Enrollment ID: I20180601001578 |
| Provider Name | Teresa M Farmer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821588757 PECOS PAC ID: 3375808991 Enrollment ID: I20180601002033 |
| Provider Name | Lauren Michelle Spadafore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649715020 PECOS PAC ID: 4486919875 Enrollment ID: I20180606001863 |
| Provider Name | Ankita Zutshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982044335 PECOS PAC ID: 7416212816 Enrollment ID: I20180606002225 |
| Provider Name | Sean Michael Lang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144407958 PECOS PAC ID: 9335367580 Enrollment ID: I20180606002382 |
| Provider Name | Annie Raouf Amin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619102365 PECOS PAC ID: 4284852245 Enrollment ID: I20180620002991 |
| Provider Name | Laura Elizabeth Piper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245624097 PECOS PAC ID: 6608173521 Enrollment ID: I20180627003708 |
| Provider Name | Scott M Bolton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831489996 PECOS PAC ID: 3971720566 Enrollment ID: I20180703003101 |
| Provider Name | Bhargava Mullapudi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649584780 PECOS PAC ID: 1052534856 Enrollment ID: I20180705002502 |
| Provider Name | Timothy Erick Dribin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689949851 PECOS PAC ID: 8325325889 Enrollment ID: I20180709001709 |
| Provider Name | Hind N Moussa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639361595 PECOS PAC ID: 0345317418 Enrollment ID: I20180709003143 |
| Provider Name | Austin James Ostermeier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174919575 PECOS PAC ID: 3173870664 Enrollment ID: I20180713002331 |
| Provider Name | Kenneth Everett Mah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992037402 PECOS PAC ID: 7719164367 Enrollment ID: I20180718002330 |
| Provider Name | Kristina Marie Sketch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487153409 PECOS PAC ID: 5092062349 Enrollment ID: I20180718002425 |
| Provider Name | Gwendolyn J Feldhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063860112 PECOS PAC ID: 1557618451 Enrollment ID: I20180724002009 |
| Provider Name | Loren D.m. Pena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841486974 PECOS PAC ID: 0941397350 Enrollment ID: I20180731002304 |
| Provider Name | Keith Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518352590 PECOS PAC ID: 0547562886 Enrollment ID: I20180807000771 |
| Provider Name | Tasha Monique Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477949592 PECOS PAC ID: 0244589638 Enrollment ID: I20180817001798 |
| Provider Name | Basil K Williams |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942578356 PECOS PAC ID: 6305153297 Enrollment ID: I20180822001609 |
| Provider Name | Lyndsey Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013326131 PECOS PAC ID: 3779886692 Enrollment ID: I20180823003712 |
| Provider Name | Suryakumar Narayanasamy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831514611 PECOS PAC ID: 3577813336 Enrollment ID: I20180829002077 |
| Provider Name | Abby Lauren Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013319193 PECOS PAC ID: 5991055675 Enrollment ID: I20180829003272 |
| Provider Name | Stefani M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205329240 PECOS PAC ID: 9436409091 Enrollment ID: I20180904000441 |
| Provider Name | Whitney Gealy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710414735 PECOS PAC ID: 3274883756 Enrollment ID: I20180904001588 |
| Provider Name | Kesha Marie Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104108331 PECOS PAC ID: 8921358474 Enrollment ID: I20180905001176 |
| Provider Name | Bill Franklin Balzano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114419090 PECOS PAC ID: 6709136161 Enrollment ID: I20180905001889 |
| Provider Name | Monica Renee Whitehead |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801257308 PECOS PAC ID: 0446500300 Enrollment ID: I20180913003341 |
| Provider Name | Alexander J Hinnebusch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184124901 PECOS PAC ID: 6901157858 Enrollment ID: I20180917001323 |
| Provider Name | Jaclyn Marie Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215427703 PECOS PAC ID: 1355692161 Enrollment ID: I20180918002023 |
| Provider Name | Nan Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104189463 PECOS PAC ID: 2264783026 Enrollment ID: I20180918004338 |
| Provider Name | Tara Nicole Calhoun |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205216116 PECOS PAC ID: 6305142340 Enrollment ID: I20180920000335 |
| Provider Name | Matthew T Grace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528571254 PECOS PAC ID: 8921359506 Enrollment ID: I20180920001367 |
| Provider Name | Emily Catherine Daugherty |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285073569 PECOS PAC ID: 9830440437 Enrollment ID: I20180920001896 |
| Provider Name | Priya Durgadas Bolikal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376819474 PECOS PAC ID: 5799036307 Enrollment ID: I20180920002509 |
| Provider Name | Nancy Clemens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447645064 PECOS PAC ID: 2860743218 Enrollment ID: I20180924001974 |
| Provider Name | Michael Gregor Sherenian |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1821358029 PECOS PAC ID: 8325399751 Enrollment ID: I20180925001872 |
| Provider Name | Martine Lamy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588008841 PECOS PAC ID: 1153672373 Enrollment ID: I20180926002266 |
| Provider Name | Laquita M Jones |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063788974 PECOS PAC ID: 9032460282 Enrollment ID: I20180926004022 |
| Provider Name | Nicholette H.r. Kasman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790972487 PECOS PAC ID: 9234291113 Enrollment ID: I20180927000867 |
| Provider Name | Barbara Ann Rhymer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427530237 PECOS PAC ID: 6305198318 Enrollment ID: I20181002002511 |
| Provider Name | Vanessa Dawn Haywood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841778172 PECOS PAC ID: 2769734789 Enrollment ID: I20181002002955 |
| Provider Name | Adrienne P Borschuk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750881553 PECOS PAC ID: 9830441807 Enrollment ID: I20181003001123 |
| Provider Name | Sara Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154708303 PECOS PAC ID: 1951653856 Enrollment ID: I20181003003129 |
| Provider Name | Jennifer Lynn Kasten |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194049692 PECOS PAC ID: 1254683162 Enrollment ID: I20181003003464 |
| Provider Name | Maria Botros |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497287718 PECOS PAC ID: 6204188147 Enrollment ID: I20181004000869 |
| Provider Name | Wonshill Koh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205149200 PECOS PAC ID: 1658641139 Enrollment ID: I20181008001724 |
| Provider Name | Preston Nathaniel Dean |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841685419 PECOS PAC ID: 4183976731 Enrollment ID: I20181009001775 |
| Provider Name | Lisa Marie Clifford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487106761 PECOS PAC ID: 7911288782 Enrollment ID: I20181010003000 |
| Provider Name | Mayfred Owusu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992292395 PECOS PAC ID: 6901158344 Enrollment ID: I20181011002466 |
| Provider Name | Carla Batlivala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225476641 PECOS PAC ID: 8921233636 Enrollment ID: I20181015002146 |
| Provider Name | Anna L Peters |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861782930 PECOS PAC ID: 6608128814 Enrollment ID: I20181016001091 |
| Provider Name | Lizabeth A Darrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396187068 PECOS PAC ID: 8921350026 Enrollment ID: I20181017001648 |
| Provider Name | Andrew Bernard Collins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417218926 PECOS PAC ID: 3779836531 Enrollment ID: I20181024000633 |
| Provider Name | Kara Dolezal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316388655 PECOS PAC ID: 0042589681 Enrollment ID: I20181024000763 |
| Provider Name | Sanita Ley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568961472 PECOS PAC ID: 0345593190 Enrollment ID: I20181025000952 |
| Provider Name | Stephanie Davis-rodriguez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629464698 PECOS PAC ID: 1759634439 Enrollment ID: I20181025002967 |
| Provider Name | Nelson Garrett Rosen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346229028 PECOS PAC ID: 1254222326 Enrollment ID: I20181029002317 |
| Provider Name | Emily Anne Hickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356885305 PECOS PAC ID: 9537412044 Enrollment ID: I20181031001397 |
| Provider Name | Jennifer A Hellmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922398098 PECOS PAC ID: 3072730589 Enrollment ID: I20181101001251 |
| Provider Name | Meredith Posner Schuh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659631034 PECOS PAC ID: 4385949460 Enrollment ID: I20181105001495 |
| Provider Name | Lauren M Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669955910 PECOS PAC ID: 1951655034 Enrollment ID: I20181107002830 |
| Provider Name | Haley Schlottmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154817005 PECOS PAC ID: 0244584373 Enrollment ID: I20181108001366 |
| Provider Name | Lynn Thuy Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063949048 PECOS PAC ID: 9537413554 Enrollment ID: I20181109002685 |
| Provider Name | Allison Kaye Zoromski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972057586 PECOS PAC ID: 9931473642 Enrollment ID: I20181112001261 |
| Provider Name | Kristen Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982008918 PECOS PAC ID: 5799039632 Enrollment ID: I20181113001938 |
| Provider Name | Kelsey Nicole Mach |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427587393 PECOS PAC ID: 9234407784 Enrollment ID: I20181120003046 |
| Provider Name | Nicholas F. Hartley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568990471 PECOS PAC ID: 8921342197 Enrollment ID: I20181129002065 |
| Provider Name | Leigh Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689152019 PECOS PAC ID: 9638413727 Enrollment ID: I20181129003176 |
| Provider Name | Lisa Cassini Witte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598251241 PECOS PAC ID: 5698019644 Enrollment ID: I20181203002528 |
| Provider Name | Wendy Gail Ramalingam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487910089 PECOS PAC ID: 4385913839 Enrollment ID: I20181204002342 |
| Provider Name | Melanie Alaina Kennedy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699110973 PECOS PAC ID: 8426342544 Enrollment ID: I20181206003136 |
| Provider Name | Andrea Zawacki Beaton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295995157 PECOS PAC ID: 7416192281 Enrollment ID: I20181207000487 |
| Provider Name | Juan Villafane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538201744 PECOS PAC ID: 9739242769 Enrollment ID: I20181214002652 |
| Provider Name | Yinan Li |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124388566 PECOS PAC ID: 5597000463 Enrollment ID: I20181220002308 |
| Provider Name | Meera Kotagal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346482155 PECOS PAC ID: 1951532712 Enrollment ID: I20181226001691 |
| Provider Name | Laura Beth Davin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225503246 PECOS PAC ID: 3971849134 Enrollment ID: I20190108003443 |
| Provider Name | Alyce Victoria Belonis |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1487880738 PECOS PAC ID: 6406077072 Enrollment ID: I20190114003010 |
| Provider Name | Bryce Lawrence Willen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013337716 PECOS PAC ID: 2365754918 Enrollment ID: I20190115001977 |
| Provider Name | Jamie Wassler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104309244 PECOS PAC ID: 9537405345 Enrollment ID: I20190116001702 |
| Provider Name | Lauren Michelle Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467937433 PECOS PAC ID: 8123364874 Enrollment ID: I20190116003862 |
| Provider Name | Katherine Ann Menne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336651603 PECOS PAC ID: 4587900238 Enrollment ID: I20190116003901 |
| Provider Name | Joseph William Mcsoley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093057325 PECOS PAC ID: 7113161365 Enrollment ID: I20190117003250 |
| Provider Name | Katherine C Wellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750869822 PECOS PAC ID: 3375889967 Enrollment ID: I20190118002143 |
| Provider Name | Jose Miguel Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407123508 PECOS PAC ID: 4789921388 Enrollment ID: I20190118002891 |
| Provider Name | Kaitlyn Nichole Ashley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316436017 PECOS PAC ID: 0749527273 Enrollment ID: I20190122003349 |
| Provider Name | Lauren Marie Veith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255827978 PECOS PAC ID: 4183961527 Enrollment ID: I20190123003734 |
| Provider Name | Chelsea Herald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992288476 PECOS PAC ID: 5092052035 Enrollment ID: I20190129001020 |
| Provider Name | David Cox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578047585 PECOS PAC ID: 1355688169 Enrollment ID: I20190131001243 |
| Provider Name | George S Edwardson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841638004 PECOS PAC ID: 7618243742 Enrollment ID: I20190218002022 |
| Provider Name | David Schnadower |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558574400 PECOS PAC ID: 1254430648 Enrollment ID: I20190219003137 |
| Provider Name | Ariel Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144676628 PECOS PAC ID: 5294074928 Enrollment ID: I20190225001677 |
| Provider Name | Brea-anne Lauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952777575 PECOS PAC ID: 0749529238 Enrollment ID: I20190227002288 |
| Provider Name | Georgia Fielder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073901609 PECOS PAC ID: 7810287893 Enrollment ID: I20190306001316 |
| Provider Name | Mallory Hoffman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972865475 PECOS PAC ID: 2365736790 Enrollment ID: I20190321001689 |
| Provider Name | Yoori Noh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952869216 PECOS PAC ID: 5799025185 Enrollment ID: I20190321001770 |
| Provider Name | Daniel Vanleuven |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447613658 PECOS PAC ID: 8729370507 Enrollment ID: I20190322002013 |
| Provider Name | Kathryn Richardson Rasche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851872535 PECOS PAC ID: 7113267253 Enrollment ID: I20190327001852 |
| Provider Name | James Mcdonald Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639599368 PECOS PAC ID: 4587960703 Enrollment ID: I20190403000710 |
| Provider Name | Sailja Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962917054 PECOS PAC ID: 9638410418 Enrollment ID: I20190403002578 |
| Provider Name | Trisha Lauren Marshall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598177560 PECOS PAC ID: 3274755483 Enrollment ID: I20190403003121 |
| Provider Name | Kimberly Sue Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649556390 PECOS PAC ID: 4981945433 Enrollment ID: I20190409003613 |
| Provider Name | Karli Heiskell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477012920 PECOS PAC ID: 2961744073 Enrollment ID: I20190419000475 |
| Provider Name | Siga M Lenkauskas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710081898 PECOS PAC ID: 8628310646 Enrollment ID: I20190423001757 |
| Provider Name | Catherine M. Dierkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558832428 PECOS PAC ID: 3173865961 Enrollment ID: I20190426000664 |
| Provider Name | Rebecca J Hearne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548772833 PECOS PAC ID: 4789926593 Enrollment ID: I20190426001749 |
| Provider Name | Heather Dawn Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164988762 PECOS PAC ID: 1951643329 Enrollment ID: I20190506000432 |
| Provider Name | Kourtney N Pickens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306321609 PECOS PAC ID: 2769725829 Enrollment ID: I20190514000835 |
| Provider Name | Michelle Lynn Mauch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033689591 PECOS PAC ID: 4688917396 Enrollment ID: I20190521002347 |
| Provider Name | Sarah Ellen Diersing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932666138 PECOS PAC ID: 9830432327 Enrollment ID: I20190524001743 |
| Provider Name | Ashley M Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871016154 PECOS PAC ID: 7719220136 Enrollment ID: I20190528000484 |
| Provider Name | Kimberley Nicole Sikora |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124481635 PECOS PAC ID: 1153654231 Enrollment ID: I20190604002290 |
| Provider Name | Jami Ray Block |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902319254 PECOS PAC ID: 6406113307 Enrollment ID: I20190604002318 |
| Provider Name | Cristan Weekley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942768502 PECOS PAC ID: 1456684430 Enrollment ID: I20190605003190 |
| Provider Name | Craig Holt Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053574160 PECOS PAC ID: 9032424254 Enrollment ID: I20190607000160 |
| Provider Name | Thea Loraine Quinton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669964029 PECOS PAC ID: 2668705484 Enrollment ID: I20190611001668 |
| Provider Name | Kassie L. Keegan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609274083 PECOS PAC ID: 2062731862 Enrollment ID: I20190613000854 |
| Provider Name | Katherine O'neal Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366908782 PECOS PAC ID: 0042544025 Enrollment ID: I20190625002213 |
| Provider Name | Ruby Khoury |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073878559 PECOS PAC ID: 7214261072 Enrollment ID: I20190627001917 |
| Provider Name | Sara Medek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023438736 PECOS PAC ID: 3678887114 Enrollment ID: I20190717000912 |
| Provider Name | Wesley Dutton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972999654 PECOS PAC ID: 9032421961 Enrollment ID: I20190719000365 |
| Provider Name | Kelly M Morgan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528627387 PECOS PAC ID: 8729314380 Enrollment ID: I20190719002681 |
| Provider Name | Samuel E Vaughn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023471844 PECOS PAC ID: 5193019644 Enrollment ID: I20190726002297 |
| Provider Name | Jonathan Allan Janiczek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255727426 PECOS PAC ID: 9335451020 Enrollment ID: I20190729002914 |
| Provider Name | Viral Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912348236 PECOS PAC ID: 2961646104 Enrollment ID: I20190730001413 |
| Provider Name | Nathan Michael Pajor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306102546 PECOS PAC ID: 6608102587 Enrollment ID: I20190730004147 |
| Provider Name | David Douglas Grier |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841375698 PECOS PAC ID: 2365542784 Enrollment ID: I20190731001406 |
| Provider Name | Clare Crosh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396125720 PECOS PAC ID: 9234435546 Enrollment ID: I20190812004044 |
| Provider Name | Devon Cooper |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376032557 PECOS PAC ID: 7315274370 Enrollment ID: I20190814000313 |
| Provider Name | Laura Capannari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912463167 PECOS PAC ID: 8224366711 Enrollment ID: I20190821003988 |
| Provider Name | Lauren Michelle Schmitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265971683 PECOS PAC ID: 7618205097 Enrollment ID: I20190822002936 |
| Provider Name | Ashley Nicole Endres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619323771 PECOS PAC ID: 1355679408 Enrollment ID: I20190827002976 |
| Provider Name | Abigail Macy Musial |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316333461 PECOS PAC ID: 9133422413 Enrollment ID: I20190828000630 |
| Provider Name | Shanmukha Sai Niranjan Mukthapuram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376983536 PECOS PAC ID: 0345471967 Enrollment ID: I20190828000668 |
| Provider Name | Lily X Yu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154785830 PECOS PAC ID: 6002144011 Enrollment ID: I20190828001920 |
| Provider Name | Jennifer Marie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992358774 PECOS PAC ID: 3577891993 Enrollment ID: I20190828004319 |
| Provider Name | Kalyani Shriram Marathe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1114153764 PECOS PAC ID: 5597082735 Enrollment ID: I20190830002360 |
| Provider Name | Kenna Sheak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649665563 PECOS PAC ID: 6305151879 Enrollment ID: I20190903001944 |
| Provider Name | Emily Kathleen Curran |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093978561 PECOS PAC ID: 5193031581 Enrollment ID: I20190905000342 |
| Provider Name | Kruti Bhavsar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225491186 PECOS PAC ID: 1456680164 Enrollment ID: I20190905001850 |
| Provider Name | Justin Todd Schwartz |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1518305416 PECOS PAC ID: 3375784788 Enrollment ID: I20190905002589 |
| Provider Name | Sarah Goldschmidt Jarvis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700813862 PECOS PAC ID: 0345579868 Enrollment ID: I20190909004099 |
| Provider Name | Jane Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366881047 PECOS PAC ID: 4486883956 Enrollment ID: I20190910003986 |
| Provider Name | Jonna Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366916306 PECOS PAC ID: 2961731104 Enrollment ID: I20190912002226 |
| Provider Name | Shankar Baskar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487918751 PECOS PAC ID: 7719216985 Enrollment ID: I20190912003562 |
| Provider Name | David Vitale |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043519309 PECOS PAC ID: 8628324233 Enrollment ID: I20190913000869 |
| Provider Name | Alexa C. Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659845675 PECOS PAC ID: 0648509752 Enrollment ID: I20190913002092 |
| Provider Name | Ashley Lynn Devonshire |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1396087730 PECOS PAC ID: 0547505000 Enrollment ID: I20190913002403 |
| Provider Name | Kara Susan Francis Barfell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932553237 PECOS PAC ID: 8628307691 Enrollment ID: I20190917002292 |
| Provider Name | Matthew Taylor Coghill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639523681 PECOS PAC ID: 0648548578 Enrollment ID: I20190918001461 |
| Provider Name | Meghan Marie Chlebowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134415474 PECOS PAC ID: 3476863382 Enrollment ID: I20190920002163 |
| Provider Name | Stephanie Skavdahl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568946259 PECOS PAC ID: 6002146792 Enrollment ID: I20190923002657 |
| Provider Name | Brittney Morales |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306339734 PECOS PAC ID: 7810227394 Enrollment ID: I20190925003914 |
| Provider Name | Sarah Elizabeth Hager |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467915769 PECOS PAC ID: 9436489895 Enrollment ID: I20190926003536 |
| Provider Name | Susan Lee Fong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417391582 PECOS PAC ID: 6406186899 Enrollment ID: I20190927001096 |
| Provider Name | Jessica Ann Lee |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1518212588 PECOS PAC ID: 4587994991 Enrollment ID: I20190927001964 |
| Provider Name | Amanda Schab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962925594 PECOS PAC ID: 1759611023 Enrollment ID: I20190930001612 |
| Provider Name | Mariana Freese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538548623 PECOS PAC ID: 4385908425 Enrollment ID: I20191002003686 |
| Provider Name | Courtney Marie Sumner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609238773 PECOS PAC ID: 7517298565 Enrollment ID: I20191007001407 |
| Provider Name | Daniel Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265786479 PECOS PAC ID: 5496086456 Enrollment ID: I20191007001606 |
| Provider Name | Alissa Marie Conde |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1568849123 PECOS PAC ID: 7214242916 Enrollment ID: I20191007001825 |
| Provider Name | Natasha Pillay Smiley |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225294804 PECOS PAC ID: 0143560888 Enrollment ID: I20191007003195 |
| Provider Name | Andrew Michael Misfeldt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083926125 PECOS PAC ID: 0547525909 Enrollment ID: I20191010003085 |
| Provider Name | Arthur Benjamin Meyers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356511596 PECOS PAC ID: 5991970709 Enrollment ID: I20191011001424 |
| Provider Name | Jessica Marie Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104314566 PECOS PAC ID: 7214268747 Enrollment ID: I20191014002144 |
| Provider Name | Philip Knollman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811242704 PECOS PAC ID: 3375846660 Enrollment ID: I20191016001020 |
| Provider Name | Jae Hong Kim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639242977 PECOS PAC ID: 1052642378 Enrollment ID: I20191016003749 |
| Provider Name | Katherine Brunck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487026241 PECOS PAC ID: 8224369541 Enrollment ID: I20191016003771 |
| Provider Name | Leah Fournier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649833658 PECOS PAC ID: 8123350089 Enrollment ID: I20191024003367 |
| Provider Name | Daniel Perinovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396221115 PECOS PAC ID: 7810229549 Enrollment ID: I20191030002520 |
| Provider Name | Brooke Schmelzle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649557638 PECOS PAC ID: 4688971195 Enrollment ID: I20191106001724 |
| Provider Name | Valerie Rice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114587342 PECOS PAC ID: 1951733245 Enrollment ID: I20191106002800 |
| Provider Name | Brent Andrew Johnstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982166310 PECOS PAC ID: 4981036209 Enrollment ID: I20191107000466 |
| Provider Name | Kahleb Graham |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770843716 PECOS PAC ID: 0547487191 Enrollment ID: I20191112003054 |
| Provider Name | Kaitlin Gibler Whaley |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427391424 PECOS PAC ID: 5597198002 Enrollment ID: I20191213000384 |
| Provider Name | Erinn Samantha Kellner |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1124360755 PECOS PAC ID: 1153629720 Enrollment ID: I20191213000510 |
| Provider Name | Devan Yates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780093534 PECOS PAC ID: 9032542576 Enrollment ID: I20191213001736 |
| Provider Name | Neeraja Ravindran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699106799 PECOS PAC ID: 0547566804 Enrollment ID: I20191216000698 |
| Provider Name | David Glenn Lehenbauer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1720217870 PECOS PAC ID: 4789949389 Enrollment ID: I20191227000870 |
| Provider Name | Rachel Diane Snedecor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750623831 PECOS PAC ID: 8022302397 Enrollment ID: I20200103000731 |
| Provider Name | Abigail Monnig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588084826 PECOS PAC ID: 0547489494 Enrollment ID: I20200107003464 |
| Provider Name | Sally Ann Muskett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639636913 PECOS PAC ID: 7618302035 Enrollment ID: I20200113002464 |
| Provider Name | Paola Maria L Mendoza-sengco |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1295922425 PECOS PAC ID: 1557501426 Enrollment ID: I20200115003345 |
| Provider Name | Laura B. Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144551391 PECOS PAC ID: 3678609971 Enrollment ID: I20200122002697 |
| Provider Name | Elizabeth Carrie Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447795604 PECOS PAC ID: 0345676029 Enrollment ID: I20200129001622 |
| Provider Name | Patricia Vega-fernandez |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558542514 PECOS PAC ID: 8022302090 Enrollment ID: I20200203000630 |
| Provider Name | Kelsie Lynn Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861829848 PECOS PAC ID: 0941636310 Enrollment ID: I20200203001194 |
| Provider Name | Alexander R Opotowsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720046659 PECOS PAC ID: 9537239421 Enrollment ID: I20200203002547 |
| Provider Name | Lauren Elizabeth Homan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861036139 PECOS PAC ID: 8921434275 Enrollment ID: I20200204001905 |
| Provider Name | Gabrielle Stires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770052433 PECOS PAC ID: 0345676177 Enrollment ID: I20200213003059 |
| Provider Name | Kalyn Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912356361 PECOS PAC ID: 9739516386 Enrollment ID: I20200221000178 |
| Provider Name | Braxton Forde |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912393851 PECOS PAC ID: 9436461530 Enrollment ID: I20200221000704 |
| Provider Name | Geoffrey L Schwerzler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215208509 PECOS PAC ID: 8224465430 Enrollment ID: I20200228001052 |
| Provider Name | Michael Thomas Stratton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326400276 PECOS PAC ID: 8022445014 Enrollment ID: I20200304001671 |
| Provider Name | Amanda Nicole Deckelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639616873 PECOS PAC ID: 3678901501 Enrollment ID: I20200306002514 |
| Provider Name | Diane Appleberry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588138150 PECOS PAC ID: 9335577295 Enrollment ID: I20200309000802 |
| Provider Name | Rachel Leitsinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710526041 PECOS PAC ID: 7911336698 Enrollment ID: I20200331002930 |
| Provider Name | Evelyn Louisa Overbey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710096649 PECOS PAC ID: 3274563739 Enrollment ID: I20200401000696 |
| Provider Name | Yasmin Hassoun |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1316354020 PECOS PAC ID: 8426487166 Enrollment ID: I20200401001937 |
| Provider Name | Rachel Ann Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154966075 PECOS PAC ID: 7618306770 Enrollment ID: I20200411000549 |
| Provider Name | Neka Roseline Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899554 PECOS PAC ID: 3870923626 Enrollment ID: I20200420001654 |
| Provider Name | Katherine Schuckman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235760828 PECOS PAC ID: 3375973019 Enrollment ID: I20200421003066 |
| Provider Name | Bijan Ketabchi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467807321 PECOS PAC ID: 0244660793 Enrollment ID: I20200423001950 |
| Provider Name | Jessica Lynn Lohbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861025538 PECOS PAC ID: 4385074855 Enrollment ID: I20200423002639 |
| Provider Name | Lauren Elizabeth Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710518964 PECOS PAC ID: 9537599006 Enrollment ID: I20200423002752 |
| Provider Name | Allie Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720643125 PECOS PAC ID: 5991135188 Enrollment ID: I20200501001537 |
| Provider Name | Kelly Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407316714 PECOS PAC ID: 6002247293 Enrollment ID: I20200501001988 |
| Provider Name | Heidi Jost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790203693 PECOS PAC ID: 0547691446 Enrollment ID: I20200508001946 |
| Provider Name | Stacey Marie Elangovan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871913160 PECOS PAC ID: 1850518358 Enrollment ID: I20200526001801 |
| Provider Name | Nathan M Fagan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235495458 PECOS PAC ID: 2668781444 Enrollment ID: I20200527003159 |
| Provider Name | Arielle Nicole Marasligiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871154914 PECOS PAC ID: 7719309103 Enrollment ID: I20200611001650 |
| Provider Name | Shara Miriah Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013540327 PECOS PAC ID: 1759703911 Enrollment ID: I20200617002428 |
| Provider Name | Ruth Retzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316598931 PECOS PAC ID: 2961824032 Enrollment ID: I20200617003355 |
| Provider Name | Carl Backer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760477608 PECOS PAC ID: 7618989567 Enrollment ID: I20200619000710 |
| Provider Name | Temara Mahmood Mohammad Hajjat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609216092 PECOS PAC ID: 3779905765 Enrollment ID: I20200619002488 |
| Provider Name | Scott Edward Call |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154775351 PECOS PAC ID: 0547554040 Enrollment ID: I20200622002528 |
| Provider Name | Veeral Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528387610 PECOS PAC ID: 7315195401 Enrollment ID: I20200630001208 |
| Provider Name | Jeremy D Rubinstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134548266 PECOS PAC ID: 8820412851 Enrollment ID: I20200722003539 |
| Provider Name | Amanda Warniment |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316478308 PECOS PAC ID: 4183048150 Enrollment ID: I20200723000722 |
| Provider Name | Alexander David Nasr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396277661 PECOS PAC ID: 6204252562 Enrollment ID: I20200817003510 |
| Provider Name | Oscar Francisco Lopez Nunez |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780181628 PECOS PAC ID: 2961828298 Enrollment ID: I20200818001640 |
| Provider Name | Christine Michael Pennesi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629498985 PECOS PAC ID: 3678882313 Enrollment ID: I20200818002986 |
| Provider Name | Samantha L Simpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487185807 PECOS PAC ID: 7214353473 Enrollment ID: I20200818003249 |
| Provider Name | David Ritter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457748394 PECOS PAC ID: 6002232279 Enrollment ID: I20200818003412 |
| Provider Name | Michelle A Hjelm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356683528 PECOS PAC ID: 7911209465 Enrollment ID: I20200818003466 |
| Provider Name | Marie Anne Pfarr |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811301781 PECOS PAC ID: 7315249778 Enrollment ID: I20200818003878 |
| Provider Name | Alexandra Sims |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356786974 PECOS PAC ID: 8022397686 Enrollment ID: I20200818004186 |
| Provider Name | Mark Murphy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316280498 PECOS PAC ID: 7416251228 Enrollment ID: I20200819000835 |
| Provider Name | Rachel Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194351221 PECOS PAC ID: 7911323043 Enrollment ID: I20200819002146 |
| Provider Name | Yunzu Michele Wang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821331992 PECOS PAC ID: 0749572451 Enrollment ID: I20200819003577 |
| Provider Name | Tara Streich-tilles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619396579 PECOS PAC ID: 9537585625 Enrollment ID: I20200819004200 |
| Provider Name | Laura Michelle Buckley Greis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023570603 PECOS PAC ID: 8022434323 Enrollment ID: I20200821000220 |
| Provider Name | Brian P Berendts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104448653 PECOS PAC ID: 0042637837 Enrollment ID: I20200825001400 |
| Provider Name | Brittney Whitford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013351527 PECOS PAC ID: 4284973926 Enrollment ID: I20200825002121 |
| Provider Name | Meghan Fanta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356738546 PECOS PAC ID: 0042569527 Enrollment ID: I20200826003743 |
| Provider Name | Kyle Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1326481425 PECOS PAC ID: 4284859349 Enrollment ID: I20200827001370 |
| Provider Name | Manoj Nair |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114328267 PECOS PAC ID: 0749529337 Enrollment ID: I20200827003456 |
| Provider Name | Natalja Leigh Stanski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497174544 PECOS PAC ID: 2769809250 Enrollment ID: I20200828001860 |
| Provider Name | Rama Somayajula Ayyala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508026881 PECOS PAC ID: 4981828720 Enrollment ID: I20200903001191 |
| Provider Name | Murat Kocaoglu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033695937 PECOS PAC ID: 2365860814 Enrollment ID: I20200915001725 |
| Provider Name | Jennifer Picarsic |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396901534 PECOS PAC ID: 9335304534 Enrollment ID: I20200915002895 |
| Provider Name | John Joseph Erickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205216223 PECOS PAC ID: 5698193183 Enrollment ID: I20200915003290 |
| Provider Name | Jamie Christine Lovell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275970949 PECOS PAC ID: 8224366356 Enrollment ID: I20200918002547 |
| Provider Name | Sarah Helen Orkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417376542 PECOS PAC ID: 2264850403 Enrollment ID: I20200921000230 |
| Provider Name | Brittany Nicole Simpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700248069 PECOS PAC ID: 7517385776 Enrollment ID: I20200921001066 |
| Provider Name | Aaron Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285020230 PECOS PAC ID: 5193004976 Enrollment ID: I20200922000549 |
| Provider Name | Abbie Goodman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336595917 PECOS PAC ID: 3072807874 Enrollment ID: I20200923000626 |
| Provider Name | Gregory Burg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659660686 PECOS PAC ID: 3870857170 Enrollment ID: I20200929003136 |
| Provider Name | Ann Marie Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881149565 PECOS PAC ID: 6305265018 Enrollment ID: I20200930000580 |
| Provider Name | Annemarie Fox Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053772962 PECOS PAC ID: 5496174997 Enrollment ID: I20201002000569 |
| Provider Name | Natalie Justice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962059030 PECOS PAC ID: 2466871884 Enrollment ID: I20201002002062 |
| Provider Name | Kalysa R Porter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194104307 PECOS PAC ID: 7911218664 Enrollment ID: I20201002002881 |
| Provider Name | Fernando Cuadrado |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881005841 PECOS PAC ID: 8224333430 Enrollment ID: I20201005001586 |
| Provider Name | Katherine Tepper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255970455 PECOS PAC ID: 9335568732 Enrollment ID: I20201005001692 |
| Provider Name | Margaret Neidhard Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730610163 PECOS PAC ID: 7315366598 Enrollment ID: I20201008000240 |
| Provider Name | Katie Dwyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457904484 PECOS PAC ID: 5496175150 Enrollment ID: I20201019001093 |
| Provider Name | Leigh Grace Stone |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427491984 PECOS PAC ID: 9436399334 Enrollment ID: I20201019002556 |
| Provider Name | Jillian Austin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619348992 PECOS PAC ID: 9133549660 Enrollment ID: I20201021002032 |
| Provider Name | Cathryn Olsen Sabulski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205223930 PECOS PAC ID: 2668892001 Enrollment ID: I20201023000818 |
| Provider Name | Sarangarajan Ranganathan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285609578 PECOS PAC ID: 6103975149 Enrollment ID: I20201023002428 |
| Provider Name | Patrick Timothy Ruck |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1952716482 PECOS PAC ID: 6002109501 Enrollment ID: I20201029002532 |
| Provider Name | Maria Paula Skiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316415730 PECOS PAC ID: 0244640944 Enrollment ID: I20201109002570 |
| Provider Name | Emily K Willey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942733324 PECOS PAC ID: 9638589344 Enrollment ID: I20201109002883 |
| Provider Name | Angel Ray Lopez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790246015 PECOS PAC ID: 0749690378 Enrollment ID: I20201110000853 |
| Provider Name | Kimberly Nicole Schubert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649570334 PECOS PAC ID: 1557771938 Enrollment ID: I20201113002744 |
| Provider Name | Cara Slagle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205275849 PECOS PAC ID: 9032331244 Enrollment ID: I20201117002142 |
| Provider Name | Melanie Anabel Grynsztejn-lampl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033744677 PECOS PAC ID: 9032520275 Enrollment ID: I20201119002144 |
| Provider Name | Arielle Randolph |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780078865 PECOS PAC ID: 8022382738 Enrollment ID: I20201120001502 |
| Provider Name | Peter Farrell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306289285 PECOS PAC ID: 4789984188 Enrollment ID: I20201124001475 |
| Provider Name | Caitlin Roxann Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134770696 PECOS PAC ID: 0143631606 Enrollment ID: I20201204002052 |
| Provider Name | Christopher Allphin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518354950 PECOS PAC ID: 7214220250 Enrollment ID: I20201217002409 |
| Provider Name | Scott Mclaren |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790348852 PECOS PAC ID: 5193137818 Enrollment ID: I20201221002849 |
| Provider Name | Shannon L Brothers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255868493 PECOS PAC ID: 4587076138 Enrollment ID: I20201223002097 |
| Provider Name | Breann N Butts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134652506 PECOS PAC ID: 8224441811 Enrollment ID: I20201228000736 |
| Provider Name | Erin Ogden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891383840 PECOS PAC ID: 0042623266 Enrollment ID: I20210107002280 |
| Provider Name | Lisa Rose Schaaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669037925 PECOS PAC ID: 2769895804 Enrollment ID: I20210108000749 |
| Provider Name | Julia Catherine Beattie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659908671 PECOS PAC ID: 8123431962 Enrollment ID: I20210115000814 |
| Provider Name | Alexandra Cheetham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033572581 PECOS PAC ID: 5698069896 Enrollment ID: I20210119002282 |
| Provider Name | Madeline Michelle Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508483645 PECOS PAC ID: 0143633800 Enrollment ID: I20210119002864 |
| Provider Name | Kelly Ann Hayda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528677176 PECOS PAC ID: 1254745995 Enrollment ID: I20210120003330 |
| Provider Name | Hillary Danielle Miniard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487150934 PECOS PAC ID: 5193139855 Enrollment ID: I20210121000720 |
| Provider Name | Muna Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336745108 PECOS PAC ID: 7416361191 Enrollment ID: I20210121001370 |
| Provider Name | Allison Brianna Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316570054 PECOS PAC ID: 2860806486 Enrollment ID: I20210122000352 |
| Provider Name | Pratima Ramesh Shanbhag |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316350663 PECOS PAC ID: 0345654919 Enrollment ID: I20210122002087 |
| Provider Name | Abigail C Brodsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265077788 PECOS PAC ID: 3072927540 Enrollment ID: I20210122002591 |
| Provider Name | Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568086957 PECOS PAC ID: 0143634410 Enrollment ID: I20210127002406 |
| Provider Name | Shabana Shahanavaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811229107 PECOS PAC ID: 1254503014 Enrollment ID: I20210127002679 |
| Provider Name | Tera Renee Bernecker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790221257 PECOS PAC ID: 8628482841 Enrollment ID: I20210129002443 |
| Provider Name | Emily Catherine Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881229615 PECOS PAC ID: 9739593807 Enrollment ID: I20210201001677 |
| Provider Name | Lauren Hartman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538691837 PECOS PAC ID: 4082028162 Enrollment ID: I20210201002288 |
| Provider Name | Rahul Ramesh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700222676 PECOS PAC ID: 9638440530 Enrollment ID: I20210202001020 |
| Provider Name | Marissa Beth Mishne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871072413 PECOS PAC ID: 4486068400 Enrollment ID: I20210202001527 |
| Provider Name | Megan Marie Longshore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720558554 PECOS PAC ID: 2567876584 Enrollment ID: I20210202001563 |
| Provider Name | Christine A Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952806937 PECOS PAC ID: 9739593757 Enrollment ID: I20210202001587 |
| Provider Name | Paige Marie Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144726696 PECOS PAC ID: 7315351343 Enrollment ID: I20210202001904 |
| Provider Name | Emily Rath Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720405202 PECOS PAC ID: 9436563483 Enrollment ID: I20210202002616 |
| Provider Name | Abby Lonnemann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528622859 PECOS PAC ID: 5395159354 Enrollment ID: I20210202002903 |
| Provider Name | Robert Wells |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396827523 PECOS PAC ID: 9739373796 Enrollment ID: I20210203000492 |
| Provider Name | Matthew James Maley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629521638 PECOS PAC ID: 1759795750 Enrollment ID: I20210203001264 |
| Provider Name | Mariah Jasmine Staples |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083045181 PECOS PAC ID: 5193139194 Enrollment ID: I20210203001358 |
| Provider Name | Michael Robert Daugherty |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962849885 PECOS PAC ID: 3274947270 Enrollment ID: I20210203001420 |
| Provider Name | Ronnell Angelique Rhoden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679100440 PECOS PAC ID: 8729492731 Enrollment ID: I20210203001914 |
| Provider Name | Madison Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578184412 PECOS PAC ID: 3971917899 Enrollment ID: I20210203002655 |
| Provider Name | Melissa Ann Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598394553 PECOS PAC ID: 2062826993 Enrollment ID: I20210203003115 |
| Provider Name | Donna Marie Bredenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679985162 PECOS PAC ID: 6507270444 Enrollment ID: I20210204000427 |
| Provider Name | Colleen Moran Pater |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124394853 PECOS PAC ID: 5597984310 Enrollment ID: I20210204000551 |
| Provider Name | Tina Lee Cheng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164471041 PECOS PAC ID: 7911056148 Enrollment ID: I20210204000581 |
| Provider Name | Katsuaki Kojima |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780023689 PECOS PAC ID: 3274826763 Enrollment ID: I20210204000701 |
| Provider Name | Aditi Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265879134 PECOS PAC ID: 3678715604 Enrollment ID: I20210204001241 |
| Provider Name | Lisa C Routt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477078772 PECOS PAC ID: 1254745144 Enrollment ID: I20210204002714 |
| Provider Name | Michael Demarcantonio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801058391 PECOS PAC ID: 3476810326 Enrollment ID: I20210204002725 |
| Provider Name | Jill E. Melchers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801023676 PECOS PAC ID: 6608280441 Enrollment ID: I20210205002040 |
| Provider Name | Corrie Lyn Baumer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205436342 PECOS PAC ID: 4789094202 Enrollment ID: I20210208002394 |
| Provider Name | Krishawnda Janelle Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326669904 PECOS PAC ID: 5698180404 Enrollment ID: I20210208002939 |
| Provider Name | Angela Terese Faulhaber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033358882 PECOS PAC ID: 5597170332 Enrollment ID: I20210209001533 |
| Provider Name | Alexis Marie Bollmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770119315 PECOS PAC ID: 0244645018 Enrollment ID: I20210209002322 |
| Provider Name | Ashley-marie Cecilia Berry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407233455 PECOS PAC ID: 0143635912 Enrollment ID: I20210209002380 |
| Provider Name | Jessica M Lauderman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891386751 PECOS PAC ID: 8325453103 Enrollment ID: I20210209002852 |
| Provider Name | Mallory Nicole Widecan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669094231 PECOS PAC ID: 4688089469 Enrollment ID: I20210209002931 |
| Provider Name | Matthew John Molloy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396085528 PECOS PAC ID: 9436461704 Enrollment ID: I20210210000846 |
| Provider Name | Ammar B Morad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952335101 PECOS PAC ID: 3072523414 Enrollment ID: I20210210003294 |
| Provider Name | Anna Elizabeth Worpenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447750542 PECOS PAC ID: 3678988326 Enrollment ID: I20210210003305 |
| Provider Name | Somak Roy |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598068561 PECOS PAC ID: 5799900577 Enrollment ID: I20210211001127 |
| Provider Name | Megan Ranck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629501549 PECOS PAC ID: 7012322787 Enrollment ID: I20210211001165 |
| Provider Name | Kathryn Louise Maier |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598142549 PECOS PAC ID: 6608104674 Enrollment ID: I20210211001901 |
| Provider Name | Anas Bernieh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124482104 PECOS PAC ID: 9335413285 Enrollment ID: I20210211002716 |
| Provider Name | Lauren Pommert |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346583713 PECOS PAC ID: 0244532794 Enrollment ID: I20210211002835 |
| Provider Name | Amber Massa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083261374 PECOS PAC ID: 6507271129 Enrollment ID: I20210212000670 |
| Provider Name | Jason H. Choi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790131688 PECOS PAC ID: 6002107414 Enrollment ID: I20210212000700 |
| Provider Name | Monica Lynn Vielkind |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821331216 PECOS PAC ID: 7113210956 Enrollment ID: I20210212000736 |
| Provider Name | Mihir Ravi Atreya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558776567 PECOS PAC ID: 8123433760 Enrollment ID: I20210212001324 |
| Provider Name | Andreas Damianos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427463421 PECOS PAC ID: 1759796394 Enrollment ID: I20210212001394 |
| Provider Name | Micah S. Resnick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861735292 PECOS PAC ID: 8224322730 Enrollment ID: I20210212001954 |
| Provider Name | Emily Puetz Rudloff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801328661 PECOS PAC ID: 8527473172 Enrollment ID: I20210212002088 |
| Provider Name | David Scott Winlaw |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1518573419 PECOS PAC ID: 3072928639 Enrollment ID: I20210212002151 |
| Provider Name | Nat Nasomyont |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306253018 PECOS PAC ID: 0446562987 Enrollment ID: I20210215000611 |
| Provider Name | Stephanie K Napolitano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447644612 PECOS PAC ID: 2668773144 Enrollment ID: I20210215000661 |
| Provider Name | Brooke Reidy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811526924 PECOS PAC ID: 6002221538 Enrollment ID: I20210216001459 |
| Provider Name | Lisa Marie Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891398350 PECOS PAC ID: 8123433661 Enrollment ID: I20210216001747 |
| Provider Name | Kelly Marie Kremer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881824795 PECOS PAC ID: 6507145943 Enrollment ID: I20210216002250 |
| Provider Name | Diane M Skierkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275757536 PECOS PAC ID: 9537574082 Enrollment ID: I20210216002376 |
| Provider Name | Stephanie L. Feist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770980518 PECOS PAC ID: 4385059732 Enrollment ID: I20210216002754 |
| Provider Name | Alexis Marie Bierbaum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700472339 PECOS PAC ID: 9830504265 Enrollment ID: I20210217002704 |
| Provider Name | Sharmila R Ballal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700490752 PECOS PAC ID: 5799190054 Enrollment ID: I20210218001030 |
| Provider Name | Amanda Nicole Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285239400 PECOS PAC ID: 5496160764 Enrollment ID: I20210218001690 |
| Provider Name | Elizabeth Ann Gilger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346227097 PECOS PAC ID: 5799074522 Enrollment ID: I20210218002473 |
| Provider Name | Christina Mary Anna Doukas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225648181 PECOS PAC ID: 7012322209 Enrollment ID: I20210222000995 |
| Provider Name | Stephen Janssen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134715907 PECOS PAC ID: 5294140414 Enrollment ID: I20210222002583 |
| Provider Name | Hillary Ann Rutan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831561281 PECOS PAC ID: 1456766542 Enrollment ID: I20210223002885 |
| Provider Name | Kate Elizabeth Queen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366894248 PECOS PAC ID: 4587079579 Enrollment ID: I20210225001807 |
| Provider Name | Ananda Pienaar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710509278 PECOS PAC ID: 9638584501 Enrollment ID: I20210226002515 |
| Provider Name | Lacey M. Rudick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316566656 PECOS PAC ID: 3274948146 Enrollment ID: I20210226002531 |
| Provider Name | Samantha Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184210668 PECOS PAC ID: 2365858115 Enrollment ID: I20210303000969 |
| Provider Name | Madeline Diane Racine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508407123 PECOS PAC ID: 4082020730 Enrollment ID: I20210304001724 |
| Provider Name | Brittany Demay Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417403874 PECOS PAC ID: 9436565199 Enrollment ID: I20210304001787 |
| Provider Name | Jacquelyn Fain Schnackel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972120129 PECOS PAC ID: 6709292469 Enrollment ID: I20210304001819 |
| Provider Name | Casey L. Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790169886 PECOS PAC ID: 8325454085 Enrollment ID: I20210304001878 |
| Provider Name | Laura Lynn Coyne |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487039814 PECOS PAC ID: 5991099020 Enrollment ID: I20210304002072 |
| Provider Name | Debra Ann Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952486250 PECOS PAC ID: 6800202466 Enrollment ID: I20210304002329 |
| Provider Name | Katrina Danielle Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265700488 PECOS PAC ID: 4183030752 Enrollment ID: I20210304002730 |
| Provider Name | Kristin A. Schneider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013337096 PECOS PAC ID: 3375959943 Enrollment ID: I20210305000143 |
| Provider Name | Melissa Perrino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447664917 PECOS PAC ID: 3173939626 Enrollment ID: I20210308000820 |
| Provider Name | Erica Leigh Sellmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235774415 PECOS PAC ID: 8729494109 Enrollment ID: I20210309003213 |
| Provider Name | Lori Renee Driver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831640176 PECOS PAC ID: 3870909112 Enrollment ID: I20210310002260 |
| Provider Name | Samantha S Strain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881203297 PECOS PAC ID: 7810304474 Enrollment ID: I20210325002428 |
| Provider Name | Rachael C Hermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598930554 PECOS PAC ID: 3577970011 Enrollment ID: I20210329001312 |
| Provider Name | Megan M Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689259434 PECOS PAC ID: 7315354636 Enrollment ID: I20210401000904 |
| Provider Name | Jamie Sinton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841453560 PECOS PAC ID: 1759502081 Enrollment ID: I20210421001064 |
| Provider Name | Richard T. Graham |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881960029 PECOS PAC ID: 0547571622 Enrollment ID: I20210427002112 |
| Provider Name | Rachael Elizabeth Andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558957613 PECOS PAC ID: 7113335324 Enrollment ID: I20210427002539 |
| Provider Name | Nicole Louise Meyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922129493 PECOS PAC ID: 3971911199 Enrollment ID: I20210427002896 |
| Provider Name | Adam Striker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649280348 PECOS PAC ID: 6709816911 Enrollment ID: I20210427003011 |
| Provider Name | Daniel Edwin Peck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114344041 PECOS PAC ID: 7517235500 Enrollment ID: I20210428003046 |
| Provider Name | Chadwick David Lampl |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851788467 PECOS PAC ID: 9931420940 Enrollment ID: I20210510000788 |
| Provider Name | Hilary E. Miller-handley |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1750724191 PECOS PAC ID: 5991947541 Enrollment ID: I20210514001061 |
| Provider Name | Molly Marie Corum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649606278 PECOS PAC ID: 0547496549 Enrollment ID: I20210520002533 |
| Provider Name | Adam M Lubert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407020761 PECOS PAC ID: 1759545015 Enrollment ID: I20210602001882 |
| Provider Name | Jensine Juanita Clark |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376930545 PECOS PAC ID: 7719291954 Enrollment ID: I20210607002827 |
| Provider Name | Sarah Marie Sittenfeld |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982050118 PECOS PAC ID: 7517234438 Enrollment ID: I20210610001364 |
| Provider Name | Joseph Mccrary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215314323 PECOS PAC ID: 0648584862 Enrollment ID: I20210615003604 |
| Provider Name | Eimear Mcgovern |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467931014 PECOS PAC ID: 8224454053 Enrollment ID: I20210621003135 |
| Provider Name | Erica Koe-krompecher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336691492 PECOS PAC ID: 9335540517 Enrollment ID: I20210624003415 |
| Provider Name | Shannon E Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356866388 PECOS PAC ID: 5597030247 Enrollment ID: I20210624003553 |
| Provider Name | Faye L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073865937 PECOS PAC ID: 5193126100 Enrollment ID: I20210629000713 |
| Provider Name | Natalie Rebecca Segev |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184128902 PECOS PAC ID: 1254732126 Enrollment ID: I20210629002962 |
| Provider Name | Wei Kun Liu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790195956 PECOS PAC ID: 6901207885 Enrollment ID: I20210629003273 |
| Provider Name | Paul John Critser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811239692 PECOS PAC ID: 8921391129 Enrollment ID: I20210629003679 |
| Provider Name | Chelsea Marie Forrester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679166250 PECOS PAC ID: 6103227962 Enrollment ID: I20210630002232 |
| Provider Name | Laura Even Elliott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215431986 PECOS PAC ID: 3476954280 Enrollment ID: I20210630004153 |
| Provider Name | Mary Guilfoyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952986499 PECOS PAC ID: 4587065461 Enrollment ID: I20210630004248 |
| Provider Name | Amber Renee Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821682196 PECOS PAC ID: 2769884253 Enrollment ID: I20210706003567 |
| Provider Name | Morgan Elise Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881006138 PECOS PAC ID: 5890062590 Enrollment ID: I20210707001360 |
| Provider Name | Erik Chen Su |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609261528 PECOS PAC ID: 3577965961 Enrollment ID: I20210707003418 |
| Provider Name | Erin Atwood Mccann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831693167 PECOS PAC ID: 9638571037 Enrollment ID: I20210707003539 |
| Provider Name | Christa Tabacaru |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699129767 PECOS PAC ID: 8123312626 Enrollment ID: I20210707003592 |
| Provider Name | Cindy Diana Chang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003341843 PECOS PAC ID: 2062844632 Enrollment ID: I20210712003294 |
| Provider Name | Miranda Lynn Lommen-mielke |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1487281861 PECOS PAC ID: 7517369499 Enrollment ID: I20210714003784 |
| Provider Name | Armand Morel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538425244 PECOS PAC ID: 4880832567 Enrollment ID: I20210715002080 |
| Provider Name | Sheaba Lee Varghese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871930529 PECOS PAC ID: 0749586477 Enrollment ID: I20210715004204 |
| Provider Name | Alyssa Goodman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770014102 PECOS PAC ID: 8325388051 Enrollment ID: I20210716001417 |
| Provider Name | Richard Joseph Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073018503 PECOS PAC ID: 1850794462 Enrollment ID: I20210720002551 |
| Provider Name | Katja M Gist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801013172 PECOS PAC ID: 9931328788 Enrollment ID: I20210720002946 |
| Provider Name | Ellen Grace Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366029936 PECOS PAC ID: 7416351226 Enrollment ID: I20210802000591 |
| Provider Name | Lauren Elizabeth Finamore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376085621 PECOS PAC ID: 5991050346 Enrollment ID: I20210809003730 |
| Provider Name | Katherine Elizabeth Harris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386008498 PECOS PAC ID: 7517361769 Enrollment ID: I20210810001665 |
| Provider Name | Bailey Campbell Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285217208 PECOS PAC ID: 2668877515 Enrollment ID: I20210816003421 |
| Provider Name | Amelle Gadsby Shillington |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255653085 PECOS PAC ID: 9335544022 Enrollment ID: I20210818001849 |
| Provider Name | Andrew Todd Pitts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164649687 PECOS PAC ID: 1254483399 Enrollment ID: I20210818003640 |
| Provider Name | Derek Lyman Weyhrauch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184032062 PECOS PAC ID: 1052538865 Enrollment ID: I20210819001980 |
| Provider Name | Luke Hensley Mosley |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932630209 PECOS PAC ID: 2769887231 Enrollment ID: I20210820002246 |
| Provider Name | Kristen Sydney Fisher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619381217 PECOS PAC ID: 8628473162 Enrollment ID: I20210823001463 |
| Provider Name | Chidiogo Anyigbo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962898866 PECOS PAC ID: 0244573251 Enrollment ID: I20210824001028 |
| Provider Name | Smruti K Patel |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194168716 PECOS PAC ID: 7214166818 Enrollment ID: I20210826003772 |
| Provider Name | Laura Susan Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982048617 PECOS PAC ID: 6103133152 Enrollment ID: I20210830002595 |
| Provider Name | Ellen Kim Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508209248 PECOS PAC ID: 8729385117 Enrollment ID: I20210831002489 |
| Provider Name | Michelle Laing Krone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083288138 PECOS PAC ID: 6800292780 Enrollment ID: I20210831003113 |
| Provider Name | Jane Yoon Koo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164840310 PECOS PAC ID: 7214227149 Enrollment ID: I20210831003724 |
| Provider Name | Rachael Heather Raskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154750370 PECOS PAC ID: 8729358205 Enrollment ID: I20210901001756 |
| Provider Name | Allison Leigh Jerome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437732682 PECOS PAC ID: 7719383678 Enrollment ID: I20210901002660 |
| Provider Name | Adaora M. Chima |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396192464 PECOS PAC ID: 8628315603 Enrollment ID: I20210901003087 |
| Provider Name | Katelyn Marie Seither |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427402353 PECOS PAC ID: 6901202779 Enrollment ID: I20210901003662 |
| Provider Name | Jennifer Nicole Craven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124695028 PECOS PAC ID: 2668878463 Enrollment ID: I20210902000766 |
| Provider Name | Christina Nicole Tuemler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801468715 PECOS PAC ID: 5597161307 Enrollment ID: I20210902001173 |
| Provider Name | Sherief M Mansi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801215215 PECOS PAC ID: 8426454182 Enrollment ID: I20210902003298 |
| Provider Name | Melissa Drew Squires |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003200262 PECOS PAC ID: 9133421589 Enrollment ID: I20210908001967 |
| Provider Name | Katharine Marie Guarnieri |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548624430 PECOS PAC ID: 9931505146 Enrollment ID: I20210913002480 |
| Provider Name | Jillian A Nard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780047373 PECOS PAC ID: 2769733898 Enrollment ID: I20210915000880 |
| Provider Name | Jackeline Judith Rodriguez-smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841686136 PECOS PAC ID: 4284031253 Enrollment ID: I20210920000813 |
| Provider Name | Jessica Ann Lin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740675545 PECOS PAC ID: 5092058529 Enrollment ID: I20210920001888 |
| Provider Name | Michelle Lauren March |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033613096 PECOS PAC ID: 1254738156 Enrollment ID: I20210920002371 |
| Provider Name | Anne Elizabeth Kalomiris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649828153 PECOS PAC ID: 2365849270 Enrollment ID: I20210920002759 |
| Provider Name | Thomas Peter Lynch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093179467 PECOS PAC ID: 9830460823 Enrollment ID: I20210920002852 |
| Provider Name | Phoebe Jordan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770141194 PECOS PAC ID: 4587061403 Enrollment ID: I20210920003083 |
| Provider Name | Christine Lee Wolff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093391849 PECOS PAC ID: 0446657225 Enrollment ID: I20210921002194 |
| Provider Name | Kelly Elizabeth Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770159881 PECOS PAC ID: 2567869340 Enrollment ID: I20210921002497 |
| Provider Name | Allison V Hunter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952977258 PECOS PAC ID: 6002213527 Enrollment ID: I20210927002386 |
| Provider Name | Matthew Christopher North |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851975130 PECOS PAC ID: 0345647731 Enrollment ID: I20210928002208 |
| Provider Name | Courtni Dawn Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528577061 PECOS PAC ID: 2668720574 Enrollment ID: I20210928003277 |
| Provider Name | Kelly M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588239172 PECOS PAC ID: 6406253764 Enrollment ID: I20210929001641 |
| Provider Name | Rachel Crea Lucas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679816813 PECOS PAC ID: 8820317019 Enrollment ID: I20210929001999 |
| Provider Name | Shivali Sarawgi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255787206 PECOS PAC ID: 1254683014 Enrollment ID: I20211005000507 |
| Provider Name | Tiffany Mary Janina Rybak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114594348 PECOS PAC ID: 6002214012 Enrollment ID: I20211005003570 |
| Provider Name | Katrina L Fananapazir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679981500 PECOS PAC ID: 0749504876 Enrollment ID: I20211006002800 |
| Provider Name | Aki Agatha Tanimoto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386062446 PECOS PAC ID: 2860619202 Enrollment ID: I20211007002510 |
| Provider Name | Michael Evan Rogers |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013250745 PECOS PAC ID: 5799081386 Enrollment ID: I20211008002056 |
| Provider Name | Megan Reiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801480363 PECOS PAC ID: 1052719648 Enrollment ID: I20211012003347 |
| Provider Name | Aria Elizabeth Fiat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962064592 PECOS PAC ID: 9931507324 Enrollment ID: I20211015001512 |
| Provider Name | Samantha Rust |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568941185 PECOS PAC ID: 4789072877 Enrollment ID: I20211021002500 |
| Provider Name | Jue Wang |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376133751 PECOS PAC ID: 3971991936 Enrollment ID: I20211022002413 |
| Provider Name | Sarah Beth Brenner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013326305 PECOS PAC ID: 6204224199 Enrollment ID: I20211026001828 |
| Provider Name | Katherine Chelsea Hokama Soe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396192183 PECOS PAC ID: 6901197177 Enrollment ID: I20211027001675 |
| Provider Name | Teresa Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164923090 PECOS PAC ID: 4486042108 Enrollment ID: I20211029002377 |
| Provider Name | Tanya Perry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073951711 PECOS PAC ID: 9830434158 Enrollment ID: I20211101002756 |
| Provider Name | Alex Christine Nyquist |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376168252 PECOS PAC ID: 7416345012 Enrollment ID: I20211101003088 |
| Provider Name | Cassandra Mae Conrad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578958831 PECOS PAC ID: 6709274251 Enrollment ID: I20211102002414 |
| Provider Name | Arpa Chutipongtanate |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609353895 PECOS PAC ID: 5496143968 Enrollment ID: I20211102003145 |
| Provider Name | Jungwhan John Choi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689969164 PECOS PAC ID: 3476886847 Enrollment ID: I20211103000553 |
| Provider Name | Leah H Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962866848 PECOS PAC ID: 5092000745 Enrollment ID: I20211105001739 |
| Provider Name | Caitlin Lee Chicoine |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386008068 PECOS PAC ID: 6406245695 Enrollment ID: I20211109002180 |
| Provider Name | J. Garrett Chunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417524083 PECOS PAC ID: 0042609257 Enrollment ID: I20211109003071 |
| Provider Name | Anthony Joseph Sabulski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023405750 PECOS PAC ID: 6305235490 Enrollment ID: I20211110003323 |
| Provider Name | Ekemini A. Ogbu |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1922374180 PECOS PAC ID: 8224328174 Enrollment ID: I20211118002801 |
| Provider Name | Edwina Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114389566 PECOS PAC ID: 2769871342 Enrollment ID: I20211120000243 |
| Provider Name | Morgan Lynn Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679105571 PECOS PAC ID: 7315337813 Enrollment ID: I20211123002466 |
| Provider Name | Rochelle Marie Witt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629411418 PECOS PAC ID: 5193115459 Enrollment ID: I20211201001920 |
| Provider Name | Melynda Bowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588052468 PECOS PAC ID: 4385034495 Enrollment ID: I20211203002227 |
| Provider Name | Marc E Rothenberg |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1760431233 PECOS PAC ID: 0143116210 Enrollment ID: I20211206001312 |
| Provider Name | Amber Burnett Wessendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811666282 PECOS PAC ID: 2062802036 Enrollment ID: I20211206002117 |
| Provider Name | Caitlin Trentman Keckeis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376046177 PECOS PAC ID: 5890185813 Enrollment ID: I20211207001275 |
| Provider Name | Jennifer Lynn Wilkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922776137 PECOS PAC ID: 1951791987 Enrollment ID: I20211207001462 |
| Provider Name | Stephen Michael Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295401263 PECOS PAC ID: 6709276629 Enrollment ID: I20211208003433 |
| Provider Name | Vera Winograd Gomez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609340991 PECOS PAC ID: 9234529157 Enrollment ID: I20211208003490 |
| Provider Name | Hillarey Kaitlin Stone |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790103422 PECOS PAC ID: 7416259742 Enrollment ID: I20211209000724 |
| Provider Name | Lisa Corker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487159869 PECOS PAC ID: 8123418902 Enrollment ID: I20211209002589 |
| Provider Name | Hannah Brooke Sandberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730857137 PECOS PAC ID: 4981094760 Enrollment ID: I20211209002955 |
| Provider Name | Mary Louise Hewitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972198810 PECOS PAC ID: 2567853187 Enrollment ID: I20211215001151 |
| Provider Name | Doren Brim Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740550276 PECOS PAC ID: 8729479100 Enrollment ID: I20211217001910 |
| Provider Name | Courtney G Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619229937 PECOS PAC ID: 6103217427 Enrollment ID: I20211221002431 |
| Provider Name | Dana N Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447875265 PECOS PAC ID: 5092107722 Enrollment ID: I20220110000703 |
| Provider Name | Phillip Michael Thomas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285096339 PECOS PAC ID: 3678800869 Enrollment ID: I20220113000231 |
| Provider Name | Samuel Oyewole Ajayi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346535218 PECOS PAC ID: 0042580995 Enrollment ID: I20220114000299 |
| Provider Name | Ana Karen Romero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992229983 PECOS PAC ID: 1850783259 Enrollment ID: I20220114001913 |
| Provider Name | Amanda Bruening |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235710153 PECOS PAC ID: 1850783143 Enrollment ID: I20220118002687 |
| Provider Name | Patricia Ann Haas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598273419 PECOS PAC ID: 6305238692 Enrollment ID: I20220118002709 |
| Provider Name | Hannah Elizabeth Loseke |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1063049542 PECOS PAC ID: 0840682167 Enrollment ID: I20220119000929 |
| Provider Name | Megan Marie Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679244370 PECOS PAC ID: 4880086990 Enrollment ID: I20220124001027 |
| Provider Name | Saoirse Schworer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891458691 PECOS PAC ID: 1759773724 Enrollment ID: I20220125001192 |
| Provider Name | Jennifer M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669050621 PECOS PAC ID: 0840683637 Enrollment ID: I20220129000116 |
| Provider Name | Cara Elizabeth Morin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295024941 PECOS PAC ID: 6608175203 Enrollment ID: I20220205000028 |
| Provider Name | Bethany Mallory |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043986540 PECOS PAC ID: 0941693113 Enrollment ID: I20220210002246 |
| Provider Name | Jacob Nysather |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407376312 PECOS PAC ID: 5496179608 Enrollment ID: I20220211001460 |
| Provider Name | Michael Gati Gaies |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215995956 PECOS PAC ID: 7012943772 Enrollment ID: I20220217002759 |
| Provider Name | Katherine Nicole Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952074387 PECOS PAC ID: 6406240365 Enrollment ID: I20220218001984 |
| Provider Name | Nanci Debord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669145199 PECOS PAC ID: 3375937246 Enrollment ID: I20220219000079 |
| Provider Name | Kayla Michelle Tullius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619640547 PECOS PAC ID: 1052705886 Enrollment ID: I20220222000324 |
| Provider Name | Elizabeth Hildegarde Overman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336812254 PECOS PAC ID: 7517351380 Enrollment ID: I20220222001470 |
| Provider Name | Anna Catherine Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427729755 PECOS PAC ID: 3072907773 Enrollment ID: I20220223000429 |
| Provider Name | Sara Jane Twardowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528307667 PECOS PAC ID: 9638315591 Enrollment ID: I20220225001613 |
| Provider Name | Molly Elizabeth Duzan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487329595 PECOS PAC ID: 9133513120 Enrollment ID: I20220309000593 |
| Provider Name | Sheri Michelle Schmutte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558956185 PECOS PAC ID: 1052706009 Enrollment ID: I20220310000423 |
| Provider Name | Sarah Katherine Zeller Ihnen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649651886 PECOS PAC ID: 0345635025 Enrollment ID: I20220315002732 |
| Provider Name | Paige Alexandrea Whitfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467126250 PECOS PAC ID: 7517352297 Enrollment ID: I20220315002749 |
| Provider Name | Dema Atoum |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609286905 PECOS PAC ID: 2567857170 Enrollment ID: I20220317002041 |
| Provider Name | Natalie Rose Wolfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679145478 PECOS PAC ID: 6608261169 Enrollment ID: I20220318001596 |
| Provider Name | Maria Grace Bedinghaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730764747 PECOS PAC ID: 2961897426 Enrollment ID: I20220318001636 |
| Provider Name | Nicole Dawn Garcia Lacasse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427410687 PECOS PAC ID: 7012243173 Enrollment ID: I20220318001748 |
| Provider Name | Joby Varghese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215965330 PECOS PAC ID: 2264422054 Enrollment ID: I20220321000752 |
| Provider Name | Stacy White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144704768 PECOS PAC ID: 4688069800 Enrollment ID: I20220324001332 |
| Provider Name | Maryanne Bernadette Tranter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508024589 PECOS PAC ID: 2961898101 Enrollment ID: I20220415000273 |
| Provider Name | Ashley Elizabeth Citron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619625886 PECOS PAC ID: 1456748342 Enrollment ID: I20220422001999 |
| Provider Name | Michelle Angelica Sandoval Cabanas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154827095 PECOS PAC ID: 6204187511 Enrollment ID: I20220517002090 |
| Provider Name | Scott Joseph Rapp |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346402948 PECOS PAC ID: 5395985113 Enrollment ID: I20220526000571 |
| Provider Name | Nadeen Abu Ata |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598320079 PECOS PAC ID: 5698155273 Enrollment ID: I20220629002947 |
| Provider Name | Meg Katherine Satterlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578225488 PECOS PAC ID: 8628458205 Enrollment ID: I20220629003136 |
| Provider Name | Abigail Lee Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275125551 PECOS PAC ID: 6800202425 Enrollment ID: I20220630001494 |
| Provider Name | Paul William Wales |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1154080372 PECOS PAC ID: 2860873973 Enrollment ID: I20220721000295 |
| Provider Name | Ashley Marie Antoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942887021 PECOS PAC ID: 7911389788 Enrollment ID: I20220727001291 |
| Provider Name | Sarah Elizabeth Hallman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164009288 PECOS PAC ID: 2062894744 Enrollment ID: I20220727001925 |
| Provider Name | James Forrest Brugler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487322202 PECOS PAC ID: 3173905882 Enrollment ID: I20220727003279 |
| Provider Name | Chelsea Marie Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659943926 PECOS PAC ID: 8527465921 Enrollment ID: I20220727004304 |
| Provider Name | Whitney Cameron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134651011 PECOS PAC ID: 0547532087 Enrollment ID: I20220728003656 |
| Provider Name | Alexander Martin Zygmunt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952765299 PECOS PAC ID: 2264814730 Enrollment ID: I20220729002361 |
| Provider Name | Courtney Sump |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548791866 PECOS PAC ID: 1759763220 Enrollment ID: I20220729002642 |
| Provider Name | Juan Gurria Juarez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033406640 PECOS PAC ID: 6507170271 Enrollment ID: I20220729002841 |
| Provider Name | Courtney Gilliam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851754030 PECOS PAC ID: 4688963580 Enrollment ID: I20220802001918 |
| Provider Name | Katherine Nicole Epstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922341585 PECOS PAC ID: 2961716899 Enrollment ID: I20220802002264 |
| Provider Name | Angela Jane Kinstler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336724012 PECOS PAC ID: 0941682165 Enrollment ID: I20220804003218 |
| Provider Name | Diana Marie Pandey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346484227 PECOS PAC ID: 3476862053 Enrollment ID: I20220809000928 |
| Provider Name | Kellina Lupas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598400822 PECOS PAC ID: 6709268642 Enrollment ID: I20220809001673 |
| Provider Name | Elizabeth Ireson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205395241 PECOS PAC ID: 5799167680 Enrollment ID: I20220809003470 |
| Provider Name | Elizabeth Catherine Lendrum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255891032 PECOS PAC ID: 4082096979 Enrollment ID: I20220809003828 |
| Provider Name | Deawodi Abla Ladzekpo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649739798 PECOS PAC ID: 6507249497 Enrollment ID: I20220809004018 |
| Provider Name | Michelle Berlacher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427472406 PECOS PAC ID: 1052537636 Enrollment ID: I20220810003028 |
| Provider Name | Andrew Winslow |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1073855169 PECOS PAC ID: 6800227802 Enrollment ID: I20220811000224 |
| Provider Name | Aaron Yoshio Mochizuki |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447593447 PECOS PAC ID: 8022372200 Enrollment ID: I20220812002645 |
| Provider Name | Katherine Marie Somers |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659733855 PECOS PAC ID: 3375837891 Enrollment ID: I20220816002362 |
| Provider Name | Mansa Krishnamurthy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457792434 PECOS PAC ID: 6305135708 Enrollment ID: I20220823000567 |
| Provider Name | Michaela Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790438919 PECOS PAC ID: 3072996073 Enrollment ID: I20220823002770 |
| Provider Name | Jenna Marie Hoeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912570631 PECOS PAC ID: 3779966742 Enrollment ID: I20220824001560 |
| Provider Name | Nicole Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528435799 PECOS PAC ID: 0749663730 Enrollment ID: I20220824002567 |
| Provider Name | Shari M Kehres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649304262 PECOS PAC ID: 4688058670 Enrollment ID: I20220824002875 |
| Provider Name | Emily Perazzo Kauscher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932843059 PECOS PAC ID: 7810371812 Enrollment ID: I20220824003083 |
| Provider Name | Travis Larsh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831544162 PECOS PAC ID: 5597149518 Enrollment ID: I20220825000376 |
| Provider Name | Robert P. Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285631911 PECOS PAC ID: 1355725326 Enrollment ID: I20220825002326 |
| Provider Name | Brigitte Nicole Shular |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366194094 PECOS PAC ID: 0244614220 Enrollment ID: I20220825002462 |
| Provider Name | Benjamin Napier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518221951 PECOS PAC ID: 3173839644 Enrollment ID: I20220825003069 |
| Provider Name | Kristina R Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275282998 PECOS PAC ID: 6204210107 Enrollment ID: I20220825004246 |
| Provider Name | Danielle Hartoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487152674 PECOS PAC ID: 1658755566 Enrollment ID: I20220825004318 |
| Provider Name | Ronna Y. Schneider |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417954538 PECOS PAC ID: 3476937301 Enrollment ID: I20220826000770 |
| Provider Name | Kristen Cornish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780160036 PECOS PAC ID: 8123402815 Enrollment ID: I20220830000740 |
| Provider Name | Veronica Dwamena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316168651 PECOS PAC ID: 0042694754 Enrollment ID: I20220830002078 |
| Provider Name | Chimereodo Okoroji |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043607682 PECOS PAC ID: 3072997790 Enrollment ID: I20220830002458 |
| Provider Name | Debra Reisinger |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649892985 PECOS PAC ID: 3274917828 Enrollment ID: I20220830004389 |
| Provider Name | Zahra Hudda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316320633 PECOS PAC ID: 5890179386 Enrollment ID: I20220901001236 |
| Provider Name | Michelle Gorecki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518331404 PECOS PAC ID: 2163755521 Enrollment ID: I20220901001311 |
| Provider Name | Ryan Patrick Brady |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396087136 PECOS PAC ID: 9335432319 Enrollment ID: I20220901001946 |
| Provider Name | Allison Elizabeth Sirkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003542291 PECOS PAC ID: 0345624789 Enrollment ID: I20220901003362 |
| Provider Name | Carol Li |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659758142 PECOS PAC ID: 2567709876 Enrollment ID: I20220907000963 |
| Provider Name | Gajanthan Muthuvel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164886750 PECOS PAC ID: 4082906045 Enrollment ID: I20220907003687 |
| Provider Name | Maria Eugenia Carter Febres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992187413 PECOS PAC ID: 6305191198 Enrollment ID: I20220907003711 |
| Provider Name | Landon Blair Krantz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992125041 PECOS PAC ID: 5890179097 Enrollment ID: I20220907003818 |
| Provider Name | Kara Messmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467102475 PECOS PAC ID: 0446635437 Enrollment ID: I20220912001295 |
| Provider Name | Scott Isaac Raskin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710220306 PECOS PAC ID: 3375928286 Enrollment ID: I20220913002950 |
| Provider Name | Kelly Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336894062 PECOS PAC ID: 4284019126 Enrollment ID: I20220914000334 |
| Provider Name | Lara Elizabeth Berklite |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093237364 PECOS PAC ID: 8729463484 Enrollment ID: I20220915002126 |
| Provider Name | Melissa Carol Cole |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396130407 PECOS PAC ID: 4284019951 Enrollment ID: I20220915002670 |
| Provider Name | Rachael Marie Basak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285868893 PECOS PAC ID: 1355726027 Enrollment ID: I20220915002728 |
| Provider Name | Sara Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730566555 PECOS PAC ID: 1557682127 Enrollment ID: I20220916001057 |
| Provider Name | Stephen Rineer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376049189 PECOS PAC ID: 5991180614 Enrollment ID: I20220916001167 |
| Provider Name | Amy Anne Blumling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225511330 PECOS PAC ID: 0749665396 Enrollment ID: I20220916002902 |
| Provider Name | Esther Afua Otu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013673359 PECOS PAC ID: 6002291655 Enrollment ID: I20220916002943 |
| Provider Name | Kristen Grace Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316408685 PECOS PAC ID: 2961887526 Enrollment ID: I20220916003224 |
| Provider Name | Hieu Ta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245643121 PECOS PAC ID: 5597038810 Enrollment ID: I20220916003268 |
| Provider Name | Taylor Ryan Carrel-lammert |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134689680 PECOS PAC ID: 5597140152 Enrollment ID: I20220916003273 |
| Provider Name | Thomas Nienaber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164885125 PECOS PAC ID: 4284926676 Enrollment ID: I20220919000675 |
| Provider Name | Lynndsey K Parker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275995672 PECOS PAC ID: 9436401155 Enrollment ID: I20220919001508 |
| Provider Name | Julie Ann Bonn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932587987 PECOS PAC ID: 8224413844 Enrollment ID: I20220919001637 |
| Provider Name | Duncan Elliott Keegan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407200272 PECOS PAC ID: 2062897598 Enrollment ID: I20220919002525 |
| Provider Name | Mackenzie Erdmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346745064 PECOS PAC ID: 1951786482 Enrollment ID: I20220919002598 |
| Provider Name | Anne M. Slavotinek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649212994 PECOS PAC ID: 7416031778 Enrollment ID: I20220919003068 |
| Provider Name | Samantha Joan Palmaccio-lawton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821482977 PECOS PAC ID: 3274865548 Enrollment ID: I20220919003106 |
| Provider Name | Shannon Irene Gerrity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548853476 PECOS PAC ID: 6305221862 Enrollment ID: I20220920000427 |
| Provider Name | Rebecca Demaria Henkel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053844324 PECOS PAC ID: 5890170302 Enrollment ID: I20220920002600 |
| Provider Name | Samantha Maxwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114668431 PECOS PAC ID: 5597140012 Enrollment ID: I20220920002763 |
| Provider Name | Sarah Elizabeth Henson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306250600 PECOS PAC ID: 6406231828 Enrollment ID: I20220920003320 |
| Provider Name | Ashley Elizabeth Neal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932365509 PECOS PAC ID: 3072737873 Enrollment ID: I20220921001586 |
| Provider Name | Anna Marie Van Riper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770224529 PECOS PAC ID: 8628453008 Enrollment ID: I20220921002138 |
| Provider Name | Jessica Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477063758 PECOS PAC ID: 9830574110 Enrollment ID: I20220922002783 |
| Provider Name | Heather Wied |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770947715 PECOS PAC ID: 5496131682 Enrollment ID: I20220926000494 |
| Provider Name | Faris Al-gharaibeh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841642709 PECOS PAC ID: 4688967904 Enrollment ID: I20220926001475 |
| Provider Name | Christopher Dale Denny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063894889 PECOS PAC ID: 5092040717 Enrollment ID: I20220926002662 |
| Provider Name | Kristin L Kaltenstadler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306056015 PECOS PAC ID: 9133505308 Enrollment ID: I20220926003727 |
| Provider Name | Carlie Myers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710331723 PECOS PAC ID: 0143631341 Enrollment ID: I20220927000369 |
| Provider Name | Katelyn Grube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750049292 PECOS PAC ID: 3678959756 Enrollment ID: I20220927001027 |
| Provider Name | Lauren Nicole Diroff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1750815221 PECOS PAC ID: 9234407305 Enrollment ID: I20220927001496 |
| Provider Name | Sarah Lawler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033679857 PECOS PAC ID: 1658757760 Enrollment ID: I20220927002152 |
| Provider Name | Andrew Douglas Huntoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174269591 PECOS PAC ID: 8921484049 Enrollment ID: I20220927002605 |
| Provider Name | Zachary Paul Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457010993 PECOS PAC ID: 0941686075 Enrollment ID: I20220927002982 |
| Provider Name | Heidy Coromoto Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356994867 PECOS PAC ID: 9830575992 Enrollment ID: I20220928000326 |
| Provider Name | Morgan Peterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033703632 PECOS PAC ID: 0143606129 Enrollment ID: I20220928001322 |
| Provider Name | Elizabeth Joy Bunten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750812285 PECOS PAC ID: 0446525190 Enrollment ID: I20220928002994 |
| Provider Name | Gisella Valderrama Durand |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265787469 PECOS PAC ID: 2769770056 Enrollment ID: I20220929000837 |
| Provider Name | Eily Cournoyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871053306 PECOS PAC ID: 5395121131 Enrollment ID: I20221003001846 |
| Provider Name | Kristina Michelle Decker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780334227 PECOS PAC ID: 1456737188 Enrollment ID: I20221004003002 |
| Provider Name | Joseph Fredrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518531839 PECOS PAC ID: 2062898695 Enrollment ID: I20221004003176 |
| Provider Name | Andrew Joseph Flannery |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306594338 PECOS PAC ID: 2567848054 Enrollment ID: I20221006002611 |
| Provider Name | Kimberly Lauren Klages |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710231741 PECOS PAC ID: 1355727785 Enrollment ID: I20221007001185 |
| Provider Name | Erica Levenbaum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205396371 PECOS PAC ID: 0143606582 Enrollment ID: I20221007001767 |
| Provider Name | Nicole Lynn Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699413666 PECOS PAC ID: 6709262165 Enrollment ID: I20221007002739 |
| Provider Name | Elizabeth Grace Curtis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962962605 PECOS PAC ID: 2567848815 Enrollment ID: I20221010003110 |
| Provider Name | Carlin Grace Ram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386377448 PECOS PAC ID: 8729464078 Enrollment ID: I20221010003173 |
| Provider Name | Hannah Carron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376077537 PECOS PAC ID: 3173909421 Enrollment ID: I20221010003239 |
| Provider Name | Kathryn Sarah Yoder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952049868 PECOS PAC ID: 0941686232 Enrollment ID: I20221011001147 |
| Provider Name | Andrea Catherine Breaux |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033504873 PECOS PAC ID: 9931409489 Enrollment ID: I20221011001924 |
| Provider Name | Allison De Groot Ta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295117216 PECOS PAC ID: 2163824566 Enrollment ID: I20221013001333 |
| Provider Name | Heather Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003318601 PECOS PAC ID: 5799151957 Enrollment ID: I20221013001678 |
| Provider Name | Nicole Bennett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063087815 PECOS PAC ID: 8729454996 Enrollment ID: I20221013002427 |
| Provider Name | Bernardus Terreblanche |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619402153 PECOS PAC ID: 1759651698 Enrollment ID: I20221014000698 |
| Provider Name | Amanda Lenora Faler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780250803 PECOS PAC ID: 2365818416 Enrollment ID: I20221014002136 |
| Provider Name | Rachel Elizabeth Mathews |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578123634 PECOS PAC ID: 4284000258 Enrollment ID: I20221017000193 |
| Provider Name | Kimberly A Barnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104491117 PECOS PAC ID: 2567838543 Enrollment ID: I20221017000504 |
| Provider Name | William Robert Otto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982099917 PECOS PAC ID: 3173825494 Enrollment ID: I20221017003266 |
| Provider Name | Kevin Murray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902260243 PECOS PAC ID: 7012383987 Enrollment ID: I20221018000804 |
| Provider Name | Jennifer F. Ringel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538166681 PECOS PAC ID: 4880060706 Enrollment ID: I20221018002899 |
| Provider Name | Courtney Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356832497 PECOS PAC ID: 2365860491 Enrollment ID: I20221019000746 |
| Provider Name | Elena Petkovska |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558735282 PECOS PAC ID: 2860737228 Enrollment ID: I20221019001019 |
| Provider Name | Sarah Rose Vitale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154995462 PECOS PAC ID: 1153797840 Enrollment ID: I20221020002985 |
| Provider Name | Kristina Marie Tingle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780324756 PECOS PAC ID: 2567838121 Enrollment ID: I20221021002585 |
| Provider Name | Jamie Kidd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871237222 PECOS PAC ID: 4880061209 Enrollment ID: I20221027001929 |
| Provider Name | Jennifer Gripshover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588317887 PECOS PAC ID: 8224405428 Enrollment ID: I20221101000664 |
| Provider Name | Julie Elizabeth Schletker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659733004 PECOS PAC ID: 8921397845 Enrollment ID: I20221101000730 |
| Provider Name | Matthew Renoux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790146892 PECOS PAC ID: 2365819463 Enrollment ID: I20221102001797 |
| Provider Name | Nakia Pollard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194215236 PECOS PAC ID: 3678940798 Enrollment ID: I20221102002586 |
| Provider Name | Christine Lee Newman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639897259 PECOS PAC ID: 5294102257 Enrollment ID: I20221103001381 |
| Provider Name | Manal Mirreh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255865093 PECOS PAC ID: 8820465800 Enrollment ID: I20221103001883 |
| Provider Name | Daniel Francisco Castillo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497109425 PECOS PAC ID: 7012285927 Enrollment ID: I20221104002020 |
| Provider Name | Shivani Bhatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659923365 PECOS PAC ID: 7719354430 Enrollment ID: I20221108003447 |
| Provider Name | Azada Ibrahimova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992189740 PECOS PAC ID: 9537536008 Enrollment ID: I20221114001259 |
| Provider Name | Sara Lynn Bechtel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780326041 PECOS PAC ID: 8628445103 Enrollment ID: I20221114001714 |
| Provider Name | Kaila Niehaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467190454 PECOS PAC ID: 7012385511 Enrollment ID: I20221114002856 |
| Provider Name | Martha Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558021022 PECOS PAC ID: 7315315835 Enrollment ID: I20221115000350 |
| Provider Name | Sharon Margaret Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568052348 PECOS PAC ID: 4688089485 Enrollment ID: I20221116001739 |
| Provider Name | Kaitlin Rosemary Kenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760134837 PECOS PAC ID: 9335517671 Enrollment ID: I20221117002954 |
| Provider Name | Stephanie Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669971842 PECOS PAC ID: 3476921644 Enrollment ID: I20221118001007 |
| Provider Name | Holly Hooven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639835358 PECOS PAC ID: 4082082169 Enrollment ID: I20221121002106 |
| Provider Name | Avni Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447752647 PECOS PAC ID: 2163846312 Enrollment ID: I20221122002589 |
| Provider Name | Kacee Dawn Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619628880 PECOS PAC ID: 0547638512 Enrollment ID: I20221122002789 |
| Provider Name | Suma Kolla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407317688 PECOS PAC ID: 6305215997 Enrollment ID: I20221202001070 |
| Provider Name | Brittany Chaltry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053052431 PECOS PAC ID: 6608245204 Enrollment ID: I20221202001498 |
| Provider Name | Hannah Popelka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013673318 PECOS PAC ID: 8022487636 Enrollment ID: I20221202002142 |
| Provider Name | Megan E Radenhausen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245800689 PECOS PAC ID: 7618346255 Enrollment ID: I20221203000387 |
| Provider Name | Lisa Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619997244 PECOS PAC ID: 5597712257 Enrollment ID: I20221203000453 |
| Provider Name | Andrea Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811619166 PECOS PAC ID: 2466821970 Enrollment ID: I20221205002920 |
| Provider Name | Kristin Michele Gramke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558008094 PECOS PAC ID: 2769851930 Enrollment ID: I20221209001247 |
| Provider Name | Rosamarie Maiorella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467806000 PECOS PAC ID: 0446629463 Enrollment ID: I20221214002940 |
| Provider Name | Lauren Zylka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770206724 PECOS PAC ID: 5193194819 Enrollment ID: I20221219002250 |
| Provider Name | Ashley Walther |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295053437 PECOS PAC ID: 1951541184 Enrollment ID: I20221227002350 |
| Provider Name | Abigail Rose Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790411270 PECOS PAC ID: 6204206618 Enrollment ID: I20221229001573 |
| Provider Name | Molly Ann Ihlendorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659746501 PECOS PAC ID: 4688044001 Enrollment ID: I20221229002008 |
| Provider Name | Madisen Alexandria Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255055745 PECOS PAC ID: 0143690594 Enrollment ID: I20221230000676 |
| Provider Name | Bradley Keller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841264033 PECOS PAC ID: 1153322839 Enrollment ID: I20230110001511 |
| Provider Name | Kathleen Marie Gatto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053815068 PECOS PAC ID: 1951771724 Enrollment ID: I20230112001408 |
| Provider Name | Douglas Clayton Von Allmen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720407133 PECOS PAC ID: 9739306515 Enrollment ID: I20230119003237 |
| Provider Name | Jeffrey Cohen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376998500 PECOS PAC ID: 0840612693 Enrollment ID: I20230123002711 |
| Provider Name | Kia Mccullough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952977498 PECOS PAC ID: 4587052477 Enrollment ID: I20230124001264 |
| Provider Name | Jessica Dominique Whitaker-poole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780116541 PECOS PAC ID: 7719358977 Enrollment ID: I20230125003435 |
| Provider Name | Shahin F. Shareef |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578662425 PECOS PAC ID: 5092186288 Enrollment ID: I20230126001296 |
| Provider Name | Lauren Peters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962129056 PECOS PAC ID: 1658742713 Enrollment ID: I20230127001028 |
| Provider Name | Nathaniel Tighe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457739914 PECOS PAC ID: 6204144140 Enrollment ID: I20230201002013 |
| Provider Name | Kyle William Mccracken |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275995938 PECOS PAC ID: 0244602191 Enrollment ID: I20230202002185 |
| Provider Name | Anusha Anukanth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679968457 PECOS PAC ID: 9133454945 Enrollment ID: I20230203002533 |
| Provider Name | Deborah A Borchers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386640506 PECOS PAC ID: 8527430180 Enrollment ID: I20230207002615 |
| Provider Name | Kate Nolan Meister |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669036299 PECOS PAC ID: 0042682635 Enrollment ID: I20230208000447 |
| Provider Name | Rosalynd D Brackens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518300029 PECOS PAC ID: 5395117998 Enrollment ID: I20230208000620 |
| Provider Name | Brian William Starr |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1801282421 PECOS PAC ID: 3375859911 Enrollment ID: I20230208002419 |
| Provider Name | Ashley Nicole Jenk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770290348 PECOS PAC ID: 4789056250 Enrollment ID: I20230209000907 |
| Provider Name | Kendall Hope Jane Comeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396441812 PECOS PAC ID: 9830562883 Enrollment ID: I20230222002388 |
| Provider Name | Aneesha Aidunuthula Reddy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942761259 PECOS PAC ID: 7719350628 Enrollment ID: I20230223001722 |
| Provider Name | Awais Ashfaq |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801142500 PECOS PAC ID: 2961638028 Enrollment ID: I20230228002002 |
| Provider Name | Vincent R Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689136426 PECOS PAC ID: 4789057308 Enrollment ID: I20230302000243 |
| Provider Name | Kimberly Nicole Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609585660 PECOS PAC ID: 9739552092 Enrollment ID: I20230307002051 |
| Provider Name | Kirsten Leslie Galla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942922067 PECOS PAC ID: 7517331622 Enrollment ID: I20230313000686 |
| Provider Name | Archit Sahai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053870055 PECOS PAC ID: 9032583919 Enrollment ID: I20230315002216 |
| Provider Name | Caitlin E Homanick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982187761 PECOS PAC ID: 3375895105 Enrollment ID: I20230320001933 |
| Provider Name | Erica Jean Kavalauskas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790200723 PECOS PAC ID: 1951775576 Enrollment ID: I20230322002635 |
| Provider Name | Alexis Vanbibber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699320424 PECOS PAC ID: 7416321989 Enrollment ID: I20230323002310 |
| Provider Name | Anita Marie Pryor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295447183 PECOS PAC ID: 4385018803 Enrollment ID: I20230324001323 |
| Provider Name | Jennifer Whatley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679279335 PECOS PAC ID: 5395119598 Enrollment ID: I20230329000982 |
| Provider Name | Molly Ann Hollmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962114124 PECOS PAC ID: 2466826698 Enrollment ID: I20230329002216 |
| Provider Name | Jasbir Dhaliwal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851018857 PECOS PAC ID: 5991170144 Enrollment ID: I20230331001740 |
| Provider Name | Mollie Elisabeth Ulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538877097 PECOS PAC ID: 1052786969 Enrollment ID: I20230406002009 |
| Provider Name | Sonya Persky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417695081 PECOS PAC ID: 4981079688 Enrollment ID: I20230411002833 |
| Provider Name | Evan Mark Hingsbergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740930296 PECOS PAC ID: 6800261355 Enrollment ID: I20230414000222 |
| Provider Name | Natalie Gabbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821796467 PECOS PAC ID: 3678948031 Enrollment ID: I20230417002261 |
| Provider Name | Jane Elizabeth Daria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770299588 PECOS PAC ID: 8527423862 Enrollment ID: I20230420001863 |
| Provider Name | Kaela O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558076729 PECOS PAC ID: 5597120832 Enrollment ID: I20230420002063 |
| Provider Name | Laura Rhenisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174225080 PECOS PAC ID: 2466817663 Enrollment ID: I20230421001631 |
| Provider Name | Justin Thomas Mohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639824758 PECOS PAC ID: 9739544982 Enrollment ID: I20230424001177 |
| Provider Name | Kara M Mcgaughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114630639 PECOS PAC ID: 9739544800 Enrollment ID: I20230424002617 |
| Provider Name | Simone Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326719394 PECOS PAC ID: 8325403454 Enrollment ID: I20230425002005 |
| Provider Name | Kristina Prus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174942585 PECOS PAC ID: 1153545199 Enrollment ID: I20230425002825 |
| Provider Name | Priscila Badia Alonso |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1962764860 PECOS PAC ID: 7012244064 Enrollment ID: I20230426000534 |
| Provider Name | Raevyn Brenae Yarber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598240632 PECOS PAC ID: 4486019460 Enrollment ID: I20230426001417 |
| Provider Name | Sarah Tarai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740627256 PECOS PAC ID: 4082854997 Enrollment ID: I20230515003152 |
| Provider Name | Shannon Teresa Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154033561 PECOS PAC ID: 1850757956 Enrollment ID: I20230516001388 |
| Provider Name | Kiersten Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861194003 PECOS PAC ID: 0840656773 Enrollment ID: I20230519001030 |
| Provider Name | Louis Edward Carraher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073229688 PECOS PAC ID: 6608232285 Enrollment ID: I20230524002334 |
| Provider Name | Allen James Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225707359 PECOS PAC ID: 0840656369 Enrollment ID: I20230525000741 |
| Provider Name | Emily Hegner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083369458 PECOS PAC ID: 8022475474 Enrollment ID: I20230531001111 |
| Provider Name | Mfonobong Udoko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518352574 PECOS PAC ID: 2860824885 Enrollment ID: I20230531001133 |
| Provider Name | Alechia A Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841676350 PECOS PAC ID: 0648637009 Enrollment ID: I20230531001789 |
| Provider Name | Sarah Swauger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447645700 PECOS PAC ID: 1557759735 Enrollment ID: I20230601001378 |
| Provider Name | Nicole Danit Damari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588125892 PECOS PAC ID: 8123353299 Enrollment ID: I20230602000169 |
| Provider Name | Alexis Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962919357 PECOS PAC ID: 6901147180 Enrollment ID: I20230617000272 |
| Provider Name | Victoria A Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811699424 PECOS PAC ID: 9234597550 Enrollment ID: I20230620000487 |
| Provider Name | Margaret Siobhan Ridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649774720 PECOS PAC ID: 8224496450 Enrollment ID: I20230621001268 |
| Provider Name | Caylin Elizabeth Riley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346609377 PECOS PAC ID: 0446580161 Enrollment ID: I20230622000507 |
| Provider Name | Emily Harman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114671005 PECOS PAC ID: 5092173088 Enrollment ID: I20230623000813 |
| Provider Name | Jessica Mary Rummelhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235852591 PECOS PAC ID: 6709244791 Enrollment ID: I20230623000884 |
| Provider Name | Melissa Lee Kingma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205169646 PECOS PAC ID: 5698133494 Enrollment ID: I20230627001875 |
| Provider Name | Joelle Kane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184150708 PECOS PAC ID: 5496024507 Enrollment ID: I20230627002740 |
| Provider Name | James Segars |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699330928 PECOS PAC ID: 7719220003 Enrollment ID: I20230703000840 |
| Provider Name | Erin Laffrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407089550 PECOS PAC ID: 9739409202 Enrollment ID: I20230711000343 |
| Provider Name | James Yuan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215468954 PECOS PAC ID: 9931569597 Enrollment ID: I20230714002228 |
| Provider Name | David H Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962931758 PECOS PAC ID: 6103197439 Enrollment ID: I20230720001771 |
| Provider Name | Jessica Rae Trygier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487281887 PECOS PAC ID: 7113387275 Enrollment ID: I20230720002313 |
| Provider Name | Gabrielle S Latremouille |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235766676 PECOS PAC ID: 1456711480 Enrollment ID: I20230721001108 |
| Provider Name | Andrew Stephen Furthmiller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821625419 PECOS PAC ID: 5991165961 Enrollment ID: I20230721002977 |
| Provider Name | Alison Buermeyer Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427685916 PECOS PAC ID: 2163882069 Enrollment ID: I20230724000705 |
| Provider Name | Michelle Alexandra Recto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619483518 PECOS PAC ID: 0143680041 Enrollment ID: I20230724000801 |
| Provider Name | Calli Fletcher Morris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992332514 PECOS PAC ID: 4789044686 Enrollment ID: I20230724000820 |
| Provider Name | Kerry Michelle Kohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689135600 PECOS PAC ID: 7113388091 Enrollment ID: I20230726000517 |
| Provider Name | Jessica Ann Saunders |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235668161 PECOS PAC ID: 2961863667 Enrollment ID: I20230727002466 |
| Provider Name | Jonathan Bender |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548611890 PECOS PAC ID: 1850683111 Enrollment ID: I20230727002585 |
| Provider Name | Rachel Peterson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780028134 PECOS PAC ID: 3779726757 Enrollment ID: I20230727003364 |
| Provider Name | Kirti Sahu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487141545 PECOS PAC ID: 0749535656 Enrollment ID: I20230727003596 |
| Provider Name | William Aaron Adams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477880540 PECOS PAC ID: 4789958299 Enrollment ID: I20230728001232 |
| Provider Name | Alyssa Brooke Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013608785 PECOS PAC ID: 1658732243 Enrollment ID: I20230728002493 |
| Provider Name | Alexandra Power-hays |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851823603 PECOS PAC ID: 9436420239 Enrollment ID: I20230728002925 |
| Provider Name | Douglas A Klein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053931618 PECOS PAC ID: 2860814829 Enrollment ID: I20230731000188 |
| Provider Name | Anisha Maheshwari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447870126 PECOS PAC ID: 6901237478 Enrollment ID: I20230731001599 |
| Provider Name | Christina Amy Oanca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295312163 PECOS PAC ID: 8527429091 Enrollment ID: I20230731002835 |
| Provider Name | Maryemily Haas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003170572 PECOS PAC ID: 9931423787 Enrollment ID: I20230801000197 |
| Provider Name | Danni Liang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467957365 PECOS PAC ID: 6103287552 Enrollment ID: I20230801002783 |
| Provider Name | Benjamin S Mantell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134562614 PECOS PAC ID: 1254678790 Enrollment ID: I20230801002989 |
| Provider Name | Daniel Aaron Ignatiuk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043664410 PECOS PAC ID: 5698031250 Enrollment ID: I20230801004014 |
| Provider Name | Sarah Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629575634 PECOS PAC ID: 2062873326 Enrollment ID: I20230802003030 |
| Provider Name | Thomas M Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578754933 PECOS PAC ID: 9638487390 Enrollment ID: I20230803002474 |
| Provider Name | John Bookser Feister |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821539172 PECOS PAC ID: 4082011630 Enrollment ID: I20230803004363 |
| Provider Name | Katherine J Zappia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558866277 PECOS PAC ID: 8325400351 Enrollment ID: I20230808002888 |
| Provider Name | Andrew Joseph Frankart |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1558867374 PECOS PAC ID: 6608139779 Enrollment ID: I20230808003847 |
| Provider Name | Daniel James Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417489618 PECOS PAC ID: 9436420544 Enrollment ID: I20230810003116 |
| Provider Name | Luis Antonio Vargas Patron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275016057 PECOS PAC ID: 9739431966 Enrollment ID: I20230814002786 |
| Provider Name | Kaitlyn Teresa Marks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417489709 PECOS PAC ID: 6709248297 Enrollment ID: I20230815004116 |
| Provider Name | Melissa Marie Monk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437801677 PECOS PAC ID: 9537521984 Enrollment ID: I20230816002727 |
| Provider Name | Andrea Mallory |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821585290 PECOS PAC ID: 5294197505 Enrollment ID: I20230818001272 |
| Provider Name | Bailey Ann Nelson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720513211 PECOS PAC ID: 5799011631 Enrollment ID: I20230821002281 |
| Provider Name | Amr Abdullah Ahmed Matoq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053739755 PECOS PAC ID: 4587880893 Enrollment ID: I20230823003742 |
| Provider Name | Emily Michel Flowers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629505516 PECOS PAC ID: 7517320484 Enrollment ID: I20230824002285 |
| Provider Name | Laura Elizabeth Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497320774 PECOS PAC ID: 0648633511 Enrollment ID: I20230824002533 |
| Provider Name | Michelle Ann Schuck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639389877 PECOS PAC ID: 5890158778 Enrollment ID: I20230824002727 |
| Provider Name | John Strader |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437653615 PECOS PAC ID: 4284097163 Enrollment ID: I20230824002879 |
| Provider Name | Britney Shale Bruce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104343136 PECOS PAC ID: 6608239553 Enrollment ID: I20230825001085 |
| Provider Name | Amanda Beiting |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144734930 PECOS PAC ID: 3072976844 Enrollment ID: I20230825002496 |
| Provider Name | Margaret Young |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417602715 PECOS PAC ID: 4880057652 Enrollment ID: I20230825002582 |
| Provider Name | Shipra Jain |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811419716 PECOS PAC ID: 0648633487 Enrollment ID: I20230828002196 |
| Provider Name | Brynne Underwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306377429 PECOS PAC ID: 2961772421 Enrollment ID: I20230829002661 |
| Provider Name | Ellen Catherine Heidemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700577517 PECOS PAC ID: 5597128231 Enrollment ID: I20230829002963 |
| Provider Name | Thomas John Galletta |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639601297 PECOS PAC ID: 7719340363 Enrollment ID: I20230829003729 |
| Provider Name | Elizabeth Wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992246268 PECOS PAC ID: 3779854575 Enrollment ID: I20230830001068 |
| Provider Name | Angela L Isbel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205022902 PECOS PAC ID: 3577746973 Enrollment ID: I20230830002550 |
| Provider Name | Ashley Lauren Soaper |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790147189 PECOS PAC ID: 6608162854 Enrollment ID: I20230830004404 |
| Provider Name | Adam Franklin Prasanphanich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588196182 PECOS PAC ID: 2264701358 Enrollment ID: I20230901002780 |
| Provider Name | Michelle Saad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134640782 PECOS PAC ID: 4587027867 Enrollment ID: I20230905001253 |
| Provider Name | Kelsey Michel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962988238 PECOS PAC ID: 3577927706 Enrollment ID: I20230906003827 |
| Provider Name | Clayton Allen Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891088613 PECOS PAC ID: 4880025865 Enrollment ID: I20230907002734 |
| Provider Name | Kim My Li |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053816181 PECOS PAC ID: 4880027705 Enrollment ID: I20230911004320 |
| Provider Name | Sophia Beth Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578298584 PECOS PAC ID: 0648634568 Enrollment ID: I20230912000342 |
| Provider Name | Kerri Beth Sobolewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649487687 PECOS PAC ID: 7416311337 Enrollment ID: I20230912000480 |
| Provider Name | Matthew Strope |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215424072 PECOS PAC ID: 7416208053 Enrollment ID: I20230912003584 |
| Provider Name | Julie Wei |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477519692 PECOS PAC ID: 8729157524 Enrollment ID: I20230913003530 |
| Provider Name | Shirley Anne Nunlist |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962027722 PECOS PAC ID: 3678993474 Enrollment ID: I20230914002873 |
| Provider Name | Meaghan Fuhrmann |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851898977 PECOS PAC ID: 6800131343 Enrollment ID: I20230915002362 |
| Provider Name | Melissa Anne Harman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548934797 PECOS PAC ID: 1052775509 Enrollment ID: I20230915003029 |
| Provider Name | Angela Rust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003405788 PECOS PAC ID: 7012371412 Enrollment ID: I20230919002111 |
| Provider Name | Eleanor Cook |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1841915626 PECOS PAC ID: 0648624841 Enrollment ID: I20230921001858 |
| Provider Name | Daniel A. Loeb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265965610 PECOS PAC ID: 9133573330 Enrollment ID: I20230921002100 |
| Provider Name | Victoria Lynn Petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518662824 PECOS PAC ID: 2365896511 Enrollment ID: I20230921004228 |
| Provider Name | Dashia Stantz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164876199 PECOS PAC ID: 5890062582 Enrollment ID: I20230922001803 |
| Provider Name | Emma Strahm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538858154 PECOS PAC ID: 0042664138 Enrollment ID: I20230922002162 |
| Provider Name | Erin Hanft |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821331489 PECOS PAC ID: 4688003775 Enrollment ID: I20230925000932 |
| Provider Name | Tanner Heckle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073073433 PECOS PAC ID: 6002149721 Enrollment ID: I20230925003377 |
| Provider Name | Caroline Hoelker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255084406 PECOS PAC ID: 5698129484 Enrollment ID: I20230927003626 |
| Provider Name | Robert Paul Guillerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467442822 PECOS PAC ID: 5991966780 Enrollment ID: I20230928002493 |
| Provider Name | Zachary Thomas Coates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134758162 PECOS PAC ID: 8820442478 Enrollment ID: I20230929002589 |
| Provider Name | Kylie Rae Pearson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699270686 PECOS PAC ID: 3870844145 Enrollment ID: I20231003003008 |
| Provider Name | Lindsey Gabriela Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891485645 PECOS PAC ID: 9537514914 Enrollment ID: I20231005001891 |
| Provider Name | Amanda Bloomfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376016634 PECOS PAC ID: 2567703515 Enrollment ID: I20231005002659 |
| Provider Name | Carly Vollman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700300340 PECOS PAC ID: 8325493505 Enrollment ID: I20231007000169 |
| Provider Name | Rebecca A Caine |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124550504 PECOS PAC ID: 2668742529 Enrollment ID: I20231007000186 |
| Provider Name | Iana G Souza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992219679 PECOS PAC ID: 4183079320 Enrollment ID: I20231009002041 |
| Provider Name | Rochelle Ferrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215623483 PECOS PAC ID: 9436504685 Enrollment ID: I20231009002626 |
| Provider Name | Catherine L Bridges |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427518166 PECOS PAC ID: 3971838442 Enrollment ID: I20231010001579 |
| Provider Name | Danielle N Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346758505 PECOS PAC ID: 2961857958 Enrollment ID: I20231011001903 |
| Provider Name | Eric Williams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447330790 PECOS PAC ID: 8820074909 Enrollment ID: I20231013001941 |
| Provider Name | Roseann L Scheller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538397534 PECOS PAC ID: 1456506096 Enrollment ID: I20231013003156 |
| Provider Name | John Caldwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083078778 PECOS PAC ID: 9133458714 Enrollment ID: I20231017002302 |
| Provider Name | Zeynep Gursel Ozkurt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356128854 PECOS PAC ID: 9739534306 Enrollment ID: I20231017002679 |
| Provider Name | Magdalena Ruck |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1760896260 PECOS PAC ID: 3870881592 Enrollment ID: I20231018001045 |
| Provider Name | Sun Young Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891102240 PECOS PAC ID: 5890141840 Enrollment ID: I20231026002482 |
| Provider Name | Laura Galganski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215349139 PECOS PAC ID: 9032565080 Enrollment ID: I20231026002681 |
| Provider Name | Hannah Lillian Dinnen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801460605 PECOS PAC ID: 9830545631 Enrollment ID: I20231031002060 |
| Provider Name | Kylie Anne Mena |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548897101 PECOS PAC ID: 9537515341 Enrollment ID: I20231031002615 |
| Provider Name | Emily Popler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558604140 PECOS PAC ID: 4587943253 Enrollment ID: I20231101000238 |
| Provider Name | Kimberly Suzanne Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932842259 PECOS PAC ID: 2365898905 Enrollment ID: I20231102000581 |
| Provider Name | Erin Runyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588242176 PECOS PAC ID: 5193171775 Enrollment ID: I20231102002433 |
| Provider Name | Mackenzie Elizabeth Bertram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861278228 PECOS PAC ID: 9335595925 Enrollment ID: I20231102002721 |
| Provider Name | Catherine Neyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467103564 PECOS PAC ID: 3476946278 Enrollment ID: I20231103001966 |
| Provider Name | Rana Elmaghraby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679924591 PECOS PAC ID: 9133412471 Enrollment ID: I20231103002203 |
| Provider Name | Chelsea Fryer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235915679 PECOS PAC ID: 4981051539 Enrollment ID: I20231103002248 |
| Provider Name | Mary Katherine Holyoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073206447 PECOS PAC ID: 2961859525 Enrollment ID: I20231103002393 |
| Provider Name | Katilyn Susanne Kusnier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770966715 PECOS PAC ID: 3476900044 Enrollment ID: I20231103003085 |
| Provider Name | Katharine Mae Willen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841976701 PECOS PAC ID: 7315394822 Enrollment ID: I20231106000838 |
| Provider Name | Nicole Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154104941 PECOS PAC ID: 4789031204 Enrollment ID: I20231106001265 |
| Provider Name | Kent Cabatingan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1255776126 PECOS PAC ID: 0244585008 Enrollment ID: I20231106001975 |
| Provider Name | Rebecca Trotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942085048 PECOS PAC ID: 5395192850 Enrollment ID: I20231106002804 |
| Provider Name | Jonathan Merola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164867438 PECOS PAC ID: 4486973377 Enrollment ID: I20231107001617 |
| Provider Name | Praise Ogochukwu Yorka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346746500 PECOS PAC ID: 7517314883 Enrollment ID: I20231108000394 |
| Provider Name | Tiffany Bell Vinet |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447545884 PECOS PAC ID: 2062631591 Enrollment ID: I20231108001538 |
| Provider Name | Colby Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932632163 PECOS PAC ID: 7719334929 Enrollment ID: I20231109002145 |
| Provider Name | Brooklyn Nicole Clifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528748423 PECOS PAC ID: 6406203595 Enrollment ID: I20231110002357 |
| Provider Name | Hannah Masters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487018883 PECOS PAC ID: 6901228006 Enrollment ID: I20231114001551 |
| Provider Name | Carly Ann Hendricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497419626 PECOS PAC ID: 9032567524 Enrollment ID: I20231121003709 |
| Provider Name | Erin Mollie Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295439024 PECOS PAC ID: 4486002920 Enrollment ID: I20231122001297 |
| Provider Name | Brittany Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669637724 PECOS PAC ID: 4385879154 Enrollment ID: I20231122001565 |
| Provider Name | Ashley Kranz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467006908 PECOS PAC ID: 0143678698 Enrollment ID: I20231122001599 |
| Provider Name | Remzi Sipahi |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609371038 PECOS PAC ID: 4688091713 Enrollment ID: I20231201002648 |
| Provider Name | Patrick Ovie Fueta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265055131 PECOS PAC ID: 9436507258 Enrollment ID: I20231204002813 |
| Provider Name | Daniella Michelle Schocken |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811428782 PECOS PAC ID: 0446609168 Enrollment ID: I20231206003848 |
| Provider Name | Laurel Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265210090 PECOS PAC ID: 3476903931 Enrollment ID: I20231223000136 |
| Provider Name | Rachael Ann Bonar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801669775 PECOS PAC ID: 7315397742 Enrollment ID: I20231228000553 |
| Provider Name | Jessica Ann Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134656655 PECOS PAC ID: 1052761327 Enrollment ID: I20231228002456 |
| Provider Name | Amanda Ann Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053196261 PECOS PAC ID: 7214387513 Enrollment ID: I20231228003467 |
| Provider Name | Danielle Maue |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235495698 PECOS PAC ID: 0840437851 Enrollment ID: I20231228003549 |
| Provider Name | Abigail Jean Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437674363 PECOS PAC ID: 5193175495 Enrollment ID: I20231228003580 |
| Provider Name | Sabena Khan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417576844 PECOS PAC ID: 7810348083 Enrollment ID: I20240111004503 |
| Provider Name | Steven Joseph Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265116388 PECOS PAC ID: 7416308523 Enrollment ID: I20240112001149 |
| Provider Name | Amanda Noelle Freeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366837940 PECOS PAC ID: 5092166132 Enrollment ID: I20240112002113 |
| Provider Name | Gertrude Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639836570 PECOS PAC ID: 5698127181 Enrollment ID: I20240119003933 |
| Provider Name | Anna Elisabeth Glasshagel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043972722 PECOS PAC ID: 5890148647 Enrollment ID: I20240127000716 |
| Provider Name | Leah Owen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164748067 PECOS PAC ID: 3375775034 Enrollment ID: I20240201003844 |
| Provider Name | Jennifer Drout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538873005 PECOS PAC ID: 8426423492 Enrollment ID: I20240208001944 |
| Provider Name | Amanda Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073144796 PECOS PAC ID: 7315377355 Enrollment ID: I20240209003031 |
| Provider Name | Marco Ricci |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245296664 PECOS PAC ID: 3173516457 Enrollment ID: I20240210000662 |
| Provider Name | Megan Cary Tigani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1003379272 PECOS PAC ID: 3173967452 Enrollment ID: I20240214001994 |
| Provider Name | Anne C Boat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134137649 PECOS PAC ID: 8729082946 Enrollment ID: I20240215003535 |
| Provider Name | Paola Marcela Amaya De Lopez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053831651 PECOS PAC ID: 1254775323 Enrollment ID: I20240216000354 |
| Provider Name | Parsa Hodjat |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043667082 PECOS PAC ID: 4284011925 Enrollment ID: I20240219003488 |
| Provider Name | Laura Kathleen Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083498653 PECOS PAC ID: 4486099785 Enrollment ID: I20240227000445 |
| Provider Name | Katherine Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265977953 PECOS PAC ID: 3971853466 Enrollment ID: I20240301000969 |
| Provider Name | Amanda Henke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285131888 PECOS PAC ID: 0244675031 Enrollment ID: I20240304000388 |
| Provider Name | Jessie Christine Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871037150 PECOS PAC ID: 4688019482 Enrollment ID: I20240304000509 |
Purposed Journey Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11578 Norbourne Dr, Cincinnati, OH 45240 Phone: 513-478-9321 | |
Elite Supportive Living Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 954 W North Bend Rd Ste 304b, Cincinnati, OH 45224 Phone: 513-607-0384 | |
Hype Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Vine St Ste 401, Cincinnati, OH 45202 Phone: 513-848-4325 | |
Lisa M Lyall Phd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8622 Winton Rd, Suite C, Cincinnati, OH 45231 Phone: 513-521-0500 Fax: 513-521-5010 | |
Cc-child/adult Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Albert Sabin Way, Cincinnati, OH 45229 Phone: 513-558-5823 Fax: 513-558-3880 | |
Rodney E. Vivian Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8000 5 Mile Rd, 240, Cincinnati, OH 45230 Phone: 513-232-3070 Fax: 513-232-5794 | |
Greater Cincinnati Behavioral Neuroscience Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 E Galbraith Road, Cincinnati, OH 45236 Phone: 513-745-5000 Fax: 513-791-7800 |