| Coastal Medical Associates, Inc. | |
|
55 Fogg Rd Weymouth MA 02190-2432 | |
| (781) 340-4293 | |
| (781) 340-3782 |
| Full Name | Coastal Medical Associates, Inc. |
|---|---|
| Speciality | Anesthesiology |
| Location | 55 Fogg Rd, Weymouth, Massachusetts |
| Authorized Official Name and Position | Marianne Caputo (PROVIDER ENROLLMENT SUPERVISOR) |
| Authorized Official Contact | 7817924136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Medical Associates, Inc. 55 Fogg Rd Weymouth MA 02190-2432 Ph: (781) 624-8000 | Coastal Medical Associates, Inc. 55 Fogg Rd Weymouth MA 02190-2432 Ph: (781) 340-4293 |
| NPI Number | 1932175684 |
|---|---|
| Provider Enumeration Date | 02/23/2006 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Medicare PECOS PAC ID | 7113029257 |
|---|---|
| Medicare Enrollment ID | O20070221000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932175684 | NPI | - | NPPES |
| 9771085 | Medicaid | MA |
| Provider Name | Rebecca E Graziano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144207234 PECOS PAC ID: 4981508736 Enrollment ID: I20031122000032 |
| Provider Name | Margaret T Anastasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891786786 PECOS PAC ID: 0648174342 Enrollment ID: I20031124000689 |
| Provider Name | Richard S Bello |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285624312 PECOS PAC ID: 5294632964 Enrollment ID: I20031219000020 |
| Provider Name | Clifford M Breslow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639169758 PECOS PAC ID: 0648177311 Enrollment ID: I20031219000034 |
| Provider Name | Mark D Canning |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932162104 PECOS PAC ID: 7719884485 Enrollment ID: I20031219000049 |
| Provider Name | Alice A Coombs |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780631010 PECOS PAC ID: 5890692560 Enrollment ID: I20031219000056 |
| Provider Name | Elizabeth A Eldredge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295716470 PECOS PAC ID: 4789582495 Enrollment ID: I20031219000349 |
| Provider Name | George A Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700823820 PECOS PAC ID: 2365340932 Enrollment ID: I20031222000293 |
| Provider Name | Alison W Gustafson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619991650 PECOS PAC ID: 9931007325 Enrollment ID: I20031223000060 |
| Provider Name | Gordon Juric |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346261302 PECOS PAC ID: 8224936638 Enrollment ID: I20031223000167 |
| Provider Name | Vincent A Mangili |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467466490 PECOS PAC ID: 5496653685 Enrollment ID: I20031226000021 |
| Provider Name | Samir K Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356365100 PECOS PAC ID: 3375441447 Enrollment ID: I20031229000089 |
| Provider Name | Eric W Hamel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477631810 PECOS PAC ID: 1557260056 Enrollment ID: I20040105000151 |
| Provider Name | Karen Trask |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164587457 PECOS PAC ID: 8426957929 Enrollment ID: I20040105000166 |
| Provider Name | Lisa L Putney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700941093 PECOS PAC ID: 9739088253 Enrollment ID: I20040105000286 |
| Provider Name | Kwai Lan L Lai |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174601355 PECOS PAC ID: 9032018577 Enrollment ID: I20040105000402 |
| Provider Name | Lana L Yaney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891753885 PECOS PAC ID: 0143129379 Enrollment ID: I20040107000079 |
| Provider Name | Michael E Ayers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750318887 PECOS PAC ID: 9335048461 Enrollment ID: I20040107000643 |
| Provider Name | Janis L Coburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992712491 PECOS PAC ID: 0446149280 Enrollment ID: I20040311000537 |
| Provider Name | Wynn A Perlick |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184714115 PECOS PAC ID: 8123917556 Enrollment ID: I20040313000275 |
| Provider Name | George F Barker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245221696 PECOS PAC ID: 7719877232 Enrollment ID: I20040318000516 |
| Provider Name | Katie E Wakeley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023120573 PECOS PAC ID: 3678465432 Enrollment ID: I20040326000408 |
| Provider Name | Karen E Obrien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780623215 PECOS PAC ID: 6406748227 Enrollment ID: I20040326000773 |
| Provider Name | Claudette M Bibro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528073988 PECOS PAC ID: 5395738165 Enrollment ID: I20040407000050 |
| Provider Name | John J Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295750495 PECOS PAC ID: 4385637883 Enrollment ID: I20040408000068 |
| Provider Name | Michele Graney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689713364 PECOS PAC ID: 9234110438 Enrollment ID: I20040525000778 |
| Provider Name | Therese Redmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568479954 PECOS PAC ID: 2668453176 Enrollment ID: I20040528000825 |
| Provider Name | Maya Berdzenishvili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568557098 PECOS PAC ID: 2668454901 Enrollment ID: I20040602000325 |
| Provider Name | Brian T Dolan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952345928 PECOS PAC ID: 8921081837 Enrollment ID: I20040611000083 |
| Provider Name | Teresa Marino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518913185 PECOS PAC ID: 9739163338 Enrollment ID: I20040614000183 |
| Provider Name | Svetlozar N Natov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255485249 PECOS PAC ID: 9739164401 Enrollment ID: I20040618000931 |
| Provider Name | Dana Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497789937 PECOS PAC ID: 6406831924 Enrollment ID: I20040621000251 |
| Provider Name | Diane R Bauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215010608 PECOS PAC ID: 6800871369 Enrollment ID: I20040621000553 |
| Provider Name | Ricky C Kue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134102395 PECOS PAC ID: 9739165804 Enrollment ID: I20040629000080 |
| Provider Name | Marcia Kathryn E Steiner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629003694 PECOS PAC ID: 5193703148 Enrollment ID: I20040708000010 |
| Provider Name | Janet C Limke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912987884 PECOS PAC ID: 4688653900 Enrollment ID: I20040721001268 |
| Provider Name | Sean O'reilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871527879 PECOS PAC ID: 7618957515 Enrollment ID: I20040721001582 |
| Provider Name | Suniti Nimbkar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144290800 PECOS PAC ID: 0345220760 Enrollment ID: I20040724000220 |
| Provider Name | Alejandro Y Mendoza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326086638 PECOS PAC ID: 2961482906 Enrollment ID: I20040727000370 |
| Provider Name | Howard H Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679581342 PECOS PAC ID: 5294705497 Enrollment ID: I20040727000453 |
| Provider Name | Mekhala Stephen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023072287 PECOS PAC ID: 5799755674 Enrollment ID: I20040728000904 |
| Provider Name | Frederick H Millham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710986500 PECOS PAC ID: 5597736116 Enrollment ID: I20040805000402 |
| Provider Name | Christopher Ducko |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063409126 PECOS PAC ID: 7810969052 Enrollment ID: I20040809001252 |
| Provider Name | Caroline Alpert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831177260 PECOS PAC ID: 0446222061 Enrollment ID: I20040812000600 |
| Provider Name | Jason A Tracy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730127028 PECOS PAC ID: 5890768493 Enrollment ID: I20040812001240 |
| Provider Name | Julie A Shapiro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255399358 PECOS PAC ID: 4789657164 Enrollment ID: I20040813001089 |
| Provider Name | Maria T De Vera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518935063 PECOS PAC ID: 2860466141 Enrollment ID: I20040823000945 |
| Provider Name | Tamara T Takoudes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669404109 PECOS PAC ID: 3678549516 Enrollment ID: I20040902000655 |
| Provider Name | Owen R Mcconville |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114928280 PECOS PAC ID: 3870569270 Enrollment ID: I20040908000107 |
| Provider Name | Gina Manzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740231729 PECOS PAC ID: 1759343304 Enrollment ID: I20041027000506 |
| Provider Name | Teri L Miner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649251406 PECOS PAC ID: 5395707269 Enrollment ID: I20041102000952 |
| Provider Name | Matthew Butka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700836384 PECOS PAC ID: 3971565854 Enrollment ID: I20041102001070 |
| Provider Name | Matthew Lowry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962486894 PECOS PAC ID: 7810945110 Enrollment ID: I20050104000126 |
| Provider Name | Laura L Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164419271 PECOS PAC ID: 9032162128 Enrollment ID: I20050301000614 |
| Provider Name | Gerry R Campos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376509703 PECOS PAC ID: 1557317062 Enrollment ID: I20050329000065 |
| Provider Name | Richard W Ashburn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861492746 PECOS PAC ID: 1254387772 Enrollment ID: I20050329000497 |
| Provider Name | Robert G Dart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518956051 PECOS PAC ID: 3173593688 Enrollment ID: I20050406001075 |
| Provider Name | Timothy R Lynch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891720892 PECOS PAC ID: 0042257198 Enrollment ID: I20050411001091 |
| Provider Name | Steven F Starr |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497744585 PECOS PAC ID: 7810934403 Enrollment ID: I20050414001009 |
| Provider Name | Shamai A Grossman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205877834 PECOS PAC ID: 8022056167 Enrollment ID: I20050420000319 |
| Provider Name | Martha E Moss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023074366 PECOS PAC ID: 9133167059 Enrollment ID: I20050421000319 |
| Provider Name | Robert P Driscoll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124010921 PECOS PAC ID: 3870531692 Enrollment ID: I20050421001307 |
| Provider Name | Stephen H Johnson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609848340 PECOS PAC ID: 3173561990 Enrollment ID: I20050421001370 |
| Provider Name | Charles Chalko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548218126 PECOS PAC ID: 2365481645 Enrollment ID: I20050426001233 |
| Provider Name | Wayne A Chin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205894102 PECOS PAC ID: 1951340561 Enrollment ID: I20050503000117 |
| Provider Name | Sara J Nuciforo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447231485 PECOS PAC ID: 9335189786 Enrollment ID: I20050505000407 |
| Provider Name | Julie A Gemma |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811932486 PECOS PAC ID: 8921048372 Enrollment ID: I20050505000443 |
| Provider Name | Stephen P Tarpy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497705065 PECOS PAC ID: 5890784813 Enrollment ID: I20050505000930 |
| Provider Name | Rosemarie Paolini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225025877 PECOS PAC ID: 1254373061 Enrollment ID: I20050523000580 |
| Provider Name | Savitha Devi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427010446 PECOS PAC ID: 6608818588 Enrollment ID: I20050601000896 |
| Provider Name | Erik Skatvik Shank |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700859709 PECOS PAC ID: 7315980471 Enrollment ID: I20050609000260 |
| Provider Name | Karen M Murphy-fitch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1750433405 PECOS PAC ID: 2163466913 Enrollment ID: I20050614000146 |
| Provider Name | Debra A Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043289200 PECOS PAC ID: 7911942446 Enrollment ID: I20050624000152 |
| Provider Name | Jeffrey P Bennett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811987837 PECOS PAC ID: 1557307535 Enrollment ID: I20050629001070 |
| Provider Name | Lynda C Clancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245261759 PECOS PAC ID: 9234175274 Enrollment ID: I20050630000110 |
| Provider Name | Justin J Campbell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568444891 PECOS PAC ID: 1557397619 Enrollment ID: I20050711000711 |
| Provider Name | Gerard B Hayes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942275169 PECOS PAC ID: 8022045731 Enrollment ID: I20050725000947 |
| Provider Name | Larah E Bartlett-jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407837230 PECOS PAC ID: 7911935317 Enrollment ID: I20050727000821 |
| Provider Name | Nahid B Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871561597 PECOS PAC ID: 9436180262 Enrollment ID: I20050822001113 |
| Provider Name | Jon Pehrson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457306714 PECOS PAC ID: 2163454307 Enrollment ID: I20050908000385 |
| Provider Name | Constance M Breece |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700956901 PECOS PAC ID: 8628001518 Enrollment ID: I20050912000956 |
| Provider Name | Manish Sagar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811954050 PECOS PAC ID: 4385677277 Enrollment ID: I20050912001010 |
| Provider Name | Todd B Ellerin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1205837176 PECOS PAC ID: 8628001757 Enrollment ID: I20050919000021 |
| Provider Name | Kristen C Stadtlander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497700538 PECOS PAC ID: 6901831973 Enrollment ID: I20050928000764 |
| Provider Name | Barbara M Obrien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609915081 PECOS PAC ID: 6901821263 Enrollment ID: I20051006000332 |
| Provider Name | Judy S Kwong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346209814 PECOS PAC ID: 3870518269 Enrollment ID: I20051014000291 |
| Provider Name | James E Tate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063459287 PECOS PAC ID: 0648296053 Enrollment ID: I20051014000560 |
| Provider Name | Jeffrey Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083672281 PECOS PAC ID: 7517938095 Enrollment ID: I20051201000637 |
| Provider Name | Kimberly O Dever |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265433973 PECOS PAC ID: 6901840883 Enrollment ID: I20051222000460 |
| Provider Name | Linda M Worcester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225096274 PECOS PAC ID: 6800810425 Enrollment ID: I20060123000685 |
| Provider Name | John M Stevenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043284789 PECOS PAC ID: 5991787210 Enrollment ID: I20060126000558 |
| Provider Name | Shahe V Fereshetian |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447244173 PECOS PAC ID: 3072527613 Enrollment ID: I20060202000516 |
| Provider Name | Brian L Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609854454 PECOS PAC ID: 3072507045 Enrollment ID: I20060202000604 |
| Provider Name | Leslie A Leveille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518920321 PECOS PAC ID: 4183638620 Enrollment ID: I20060203000289 |
| Provider Name | Jerry M Doshen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760438881 PECOS PAC ID: 9133137300 Enrollment ID: I20060329000620 |
| Provider Name | Anne E Roberge |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639115041 PECOS PAC ID: 9739197740 Enrollment ID: I20060403000624 |
| Provider Name | Thomas Lyons |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841239878 PECOS PAC ID: 5395754139 Enrollment ID: I20060406000238 |
| Provider Name | Christopher Locke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609837723 PECOS PAC ID: 6103835970 Enrollment ID: I20060406000514 |
| Provider Name | Susan M Walsh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083675573 PECOS PAC ID: 4981647286 Enrollment ID: I20060407000504 |
| Provider Name | David S Cingari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326006719 PECOS PAC ID: 7416967229 Enrollment ID: I20060424000625 |
| Provider Name | Mary M Hogan Donaldson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538213699 PECOS PAC ID: 1456361864 Enrollment ID: I20060501000238 |
| Provider Name | Manuela C Matei |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467404475 PECOS PAC ID: 3577574607 Enrollment ID: I20060605000204 |
| Provider Name | Julie A Paul |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891734323 PECOS PAC ID: 0143232256 Enrollment ID: I20060607000248 |
| Provider Name | Anahid Mikirditsian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205873254 PECOS PAC ID: 1456363688 Enrollment ID: I20060706000375 |
| Provider Name | Keith T Tracy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477511871 PECOS PAC ID: 0941213094 Enrollment ID: I20060713000262 |
| Provider Name | Anitha Krishnasamy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851364020 PECOS PAC ID: 0345243663 Enrollment ID: I20060807000032 |
| Provider Name | Kelley J Travers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144252354 PECOS PAC ID: 7214930395 Enrollment ID: I20060809000488 |
| Provider Name | Sergio D Fefer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053343574 PECOS PAC ID: 6709880230 Enrollment ID: I20060914000124 |
| Provider Name | Joanne Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164431458 PECOS PAC ID: 3870598204 Enrollment ID: I20060919000131 |
| Provider Name | Yvette G Youssef |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124095500 PECOS PAC ID: 9537180393 Enrollment ID: I20060926000423 |
| Provider Name | Sarah J Oconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093721698 PECOS PAC ID: 3678579687 Enrollment ID: I20061016000238 |
| Provider Name | Thomas Castiglione |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770553539 PECOS PAC ID: 4688671241 Enrollment ID: I20061025000207 |
| Provider Name | Leonid Grigorievich Zolotnitskiy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528174398 PECOS PAC ID: 5092779876 Enrollment ID: I20061109000231 |
| Provider Name | Jeremy B Richards |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831123595 PECOS PAC ID: 0941209159 Enrollment ID: I20061218000254 |
| Provider Name | Mary Sullivan Mazanec |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003974585 PECOS PAC ID: 5597766543 Enrollment ID: I20070118000289 |
| Provider Name | Andrea Kopasz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770698573 PECOS PAC ID: 7214939404 Enrollment ID: I20070131000482 |
| Provider Name | Simone S Wildes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396781316 PECOS PAC ID: 3274546122 Enrollment ID: I20070223000065 |
| Provider Name | Michael V Young |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144393398 PECOS PAC ID: 0840392528 Enrollment ID: I20070227000280 |
| Provider Name | Frank M Schembri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750466165 PECOS PAC ID: 5991809634 Enrollment ID: I20070405000104 |
| Provider Name | Mary E Macgregor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528194172 PECOS PAC ID: 5597862516 Enrollment ID: I20070525000097 |
| Provider Name | Laura K Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578694980 PECOS PAC ID: 1557469749 Enrollment ID: I20070613000018 |
| Provider Name | Naomi Shimizu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487727624 PECOS PAC ID: 4789785973 Enrollment ID: I20070718000096 |
| Provider Name | Joshua A Small |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922158963 PECOS PAC ID: 0042311136 Enrollment ID: I20070719000213 |
| Provider Name | Michael T Rowland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982633483 PECOS PAC ID: 4981503174 Enrollment ID: I20070721000024 |
| Provider Name | Beth Phyllis Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558583120 PECOS PAC ID: 1355442039 Enrollment ID: I20070725000161 |
| Provider Name | Michelle S Mcmahon Downer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720113632 PECOS PAC ID: 2567553498 Enrollment ID: I20070807000798 |
| Provider Name | Milana M Shturman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407882996 PECOS PAC ID: 3173616315 Enrollment ID: I20070905000236 |
| Provider Name | Scott P Corkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578560488 PECOS PAC ID: 7911977038 Enrollment ID: I20070912000508 |
| Provider Name | Julie A Honan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316948607 PECOS PAC ID: 3173617339 Enrollment ID: I20070919000024 |
| Provider Name | Reza Askari |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063536944 PECOS PAC ID: 6305898024 Enrollment ID: I20070919000186 |
| Provider Name | Catherine H Horwitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073713632 PECOS PAC ID: 7012003700 Enrollment ID: I20071010000678 |
| Provider Name | Alisa A Freed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083795165 PECOS PAC ID: 8921194648 Enrollment ID: I20071011000011 |
| Provider Name | Traci Ann Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518022805 PECOS PAC ID: 3779679246 Enrollment ID: I20071013000028 |
| Provider Name | Dilip Nataraj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881676096 PECOS PAC ID: 8123114543 Enrollment ID: I20071017000338 |
| Provider Name | Patricia G. Mccabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407044761 PECOS PAC ID: 4880774140 Enrollment ID: I20071228000214 |
| Provider Name | Jonathan H Kopchick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710166137 PECOS PAC ID: 0941384143 Enrollment ID: I20080227000125 |
| Provider Name | Wendy Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942224654 PECOS PAC ID: 7911085725 Enrollment ID: I20080419000005 |
| Provider Name | Stacey L. Galvin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902089014 PECOS PAC ID: 6507945169 Enrollment ID: I20080507000378 |
| Provider Name | Mark J Gorman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174725998 PECOS PAC ID: 0143390773 Enrollment ID: I20080609000215 |
| Provider Name | Christopher C. Steevens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538127790 PECOS PAC ID: 3779655378 Enrollment ID: I20080626000159 |
| Provider Name | John Tenbrook |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902846439 PECOS PAC ID: 5799707477 Enrollment ID: I20080701000076 |
| Provider Name | Achilles M Athanassiou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730159419 PECOS PAC ID: 5294800249 Enrollment ID: I20080826000548 |
| Provider Name | Jonathan P Metzger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376524314 PECOS PAC ID: 4284701152 Enrollment ID: I20080918000015 |
| Provider Name | Sarah G Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861473258 PECOS PAC ID: 6002983970 Enrollment ID: I20080918000017 |
| Provider Name | Alex I Varghese |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679788657 PECOS PAC ID: 4385712991 Enrollment ID: I20081009000532 |
| Provider Name | Karin A Sloan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376653782 PECOS PAC ID: 6901873439 Enrollment ID: I20081027000359 |
| Provider Name | Anna A Barbosa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396960977 PECOS PAC ID: 3476611815 Enrollment ID: I20081029000134 |
| Provider Name | Gregory Papazian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447441498 PECOS PAC ID: 1254490212 Enrollment ID: I20081105000332 |
| Provider Name | Jayanthi N Krishnaprakash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811196009 PECOS PAC ID: 5092875567 Enrollment ID: I20081114000130 |
| Provider Name | Hui Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710032578 PECOS PAC ID: 6901966860 Enrollment ID: I20081121000304 |
| Provider Name | Amy J Starkenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437322427 PECOS PAC ID: 4183772726 Enrollment ID: I20090508000098 |
| Provider Name | Iason Mantagos |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720255482 PECOS PAC ID: 2567513864 Enrollment ID: I20090626000251 |
| Provider Name | David Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124219506 PECOS PAC ID: 2769533793 Enrollment ID: I20090702000024 |
| Provider Name | Erica Bayly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730113358 PECOS PAC ID: 4789737735 Enrollment ID: I20090808000116 |
| Provider Name | John J O'connor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295988921 PECOS PAC ID: 3779637780 Enrollment ID: I20090810000601 |
| Provider Name | Li-fen Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790835072 PECOS PAC ID: 2668527383 Enrollment ID: I20090902000208 |
| Provider Name | Susan Scotti Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1699919217 PECOS PAC ID: 0840249066 Enrollment ID: I20090928000541 |
| Provider Name | Matthias F Stopfkuchen-evans |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295890754 PECOS PAC ID: 0840346136 Enrollment ID: I20090929000439 |
| Provider Name | Ronaldo Go |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336335710 PECOS PAC ID: 2062567613 Enrollment ID: I20091005000369 |
| Provider Name | Vijay R Hegde |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740207331 PECOS PAC ID: 7113953316 Enrollment ID: I20091012000213 |
| Provider Name | Jonathan D Pierce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205026135 PECOS PAC ID: 1254478415 Enrollment ID: I20091021000465 |
| Provider Name | Carolyn Mcnulty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932235967 PECOS PAC ID: 7315086998 Enrollment ID: I20091120000655 |
| Provider Name | Hassan Arif |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376775130 PECOS PAC ID: 4183765860 Enrollment ID: I20091231000425 |
| Provider Name | Justin Briones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104024017 PECOS PAC ID: 1850432477 Enrollment ID: I20100105000293 |
| Provider Name | Rachel B Flynn |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1093865750 PECOS PAC ID: 4385610559 Enrollment ID: I20100216000179 |
| Provider Name | Megan H Burns |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134453095 PECOS PAC ID: 9537295696 Enrollment ID: I20100505000849 |
| Provider Name | Christopher Pereira |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114240413 PECOS PAC ID: 0042348849 Enrollment ID: I20100517000025 |
| Provider Name | Keith Fragoza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376748988 PECOS PAC ID: 2466584792 Enrollment ID: I20100721000787 |
| Provider Name | Heather R Studley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730209263 PECOS PAC ID: 7315070224 Enrollment ID: I20100729000203 |
| Provider Name | Harjot K Thakral |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245401041 PECOS PAC ID: 1456484393 Enrollment ID: I20100729000572 |
| Provider Name | Young H Kim |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235240219 PECOS PAC ID: 6800953894 Enrollment ID: I20100809001066 |
| Provider Name | Mary Ellen Obrien |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144425000 PECOS PAC ID: 1951435957 Enrollment ID: I20100812000637 |
| Provider Name | Aqueel Imran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750581963 PECOS PAC ID: 7113041229 Enrollment ID: I20100826000250 |
| Provider Name | Jessica E Viola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144497025 PECOS PAC ID: 6800910639 Enrollment ID: I20100901000214 |
| Provider Name | Richard H Chung |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639344807 PECOS PAC ID: 2466576145 Enrollment ID: I20100901000900 |
| Provider Name | Lauren N Dowling |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144488719 PECOS PAC ID: 6507980208 Enrollment ID: I20100902000062 |
| Provider Name | James L Mitterando |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073504478 PECOS PAC ID: 6901920545 Enrollment ID: I20100902000718 |
| Provider Name | Stephanie N Ajudua |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619179975 PECOS PAC ID: 1658497953 Enrollment ID: I20100923001078 |
| Provider Name | Justin L Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396806436 PECOS PAC ID: 4385716109 Enrollment ID: I20100929000159 |
| Provider Name | Dominic Amirtharaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528234507 PECOS PAC ID: 0143412106 Enrollment ID: I20101008000305 |
| Provider Name | Rosemary Joyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427089721 PECOS PAC ID: 5294928933 Enrollment ID: I20101026000632 |
| Provider Name | Laura Estelle Turini |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265600092 PECOS PAC ID: 1153491881 Enrollment ID: I20101104001102 |
| Provider Name | Luke M Oconnell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1255320347 PECOS PAC ID: 7315135084 Enrollment ID: I20101222000053 |
| Provider Name | Andrea J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942313069 PECOS PAC ID: 9133163777 Enrollment ID: I20110106000814 |
| Provider Name | Bradley Eisenberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326120833 PECOS PAC ID: 2264432616 Enrollment ID: I20110119000010 |
| Provider Name | Kurtus A Dafford |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093984742 PECOS PAC ID: 4880748425 Enrollment ID: I20110120000874 |
| Provider Name | Susan Anderegg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437265204 PECOS PAC ID: 6406917582 Enrollment ID: I20110211000523 |
| Provider Name | Katherine S. Killinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154655447 PECOS PAC ID: 8224219332 Enrollment ID: I20110223000184 |
| Provider Name | Vitaly E Ermolin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114901485 PECOS PAC ID: 6901894500 Enrollment ID: I20110301000290 |
| Provider Name | Sarah A Ranahan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366744765 PECOS PAC ID: 0749464584 Enrollment ID: I20110404000012 |
| Provider Name | Gabrielle E Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619272366 PECOS PAC ID: 9335323047 Enrollment ID: I20110405000063 |
| Provider Name | Meagan L Guenther |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184928137 PECOS PAC ID: 9638354673 Enrollment ID: I20110506000181 |
| Provider Name | Raghu Seethala |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437317096 PECOS PAC ID: 9436200656 Enrollment ID: I20110513000246 |
| Provider Name | Stephanie Cardarella |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295834406 PECOS PAC ID: 9537346812 Enrollment ID: I20110614000685 |
| Provider Name | Kwesi A Ntiforo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730345794 PECOS PAC ID: 0042356693 Enrollment ID: I20110718000100 |
| Provider Name | Le Min |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1942498845 PECOS PAC ID: 7315034022 Enrollment ID: I20110728000414 |
| Provider Name | Anna Margulian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326216524 PECOS PAC ID: 0941479646 Enrollment ID: I20110815000717 |
| Provider Name | Sarah E. Sulzner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275567190 PECOS PAC ID: 8123045887 Enrollment ID: I20110816000636 |
| Provider Name | John R Whitehouse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346530714 PECOS PAC ID: 9739359142 Enrollment ID: I20110823000044 |
| Provider Name | Laura K Kondrat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205114758 PECOS PAC ID: 8325219751 Enrollment ID: I20110915000527 |
| Provider Name | Mohamed El-amin A Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477703676 PECOS PAC ID: 9335315167 Enrollment ID: I20111229000187 |
| Provider Name | Sallie Zanoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841506599 PECOS PAC ID: 1355517731 Enrollment ID: I20120106000194 |
| Provider Name | Alfonso N Combong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760519078 PECOS PAC ID: 1456455203 Enrollment ID: I20120111000814 |
| Provider Name | Nannette Landry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295826303 PECOS PAC ID: 5597932632 Enrollment ID: I20120112000788 |
| Provider Name | Kenneth D Mclaughlin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306853825 PECOS PAC ID: 9931367042 Enrollment ID: I20120221000587 |
| Provider Name | Keith B Morrison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487926366 PECOS PAC ID: 1355502659 Enrollment ID: I20120413000074 |
| Provider Name | Sanjay Gupta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801803523 PECOS PAC ID: 6608870225 Enrollment ID: I20120417000535 |
| Provider Name | Suzanne M Mackay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407019854 PECOS PAC ID: 8921269846 Enrollment ID: I20120419000454 |
| Provider Name | Christopher D Anderson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720108400 PECOS PAC ID: 7517125990 Enrollment ID: I20120703000579 |
| Provider Name | George M Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710961859 PECOS PAC ID: 4688606874 Enrollment ID: I20120731000127 |
| Provider Name | Stephen T Violett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942561030 PECOS PAC ID: 0446407498 Enrollment ID: I20120827000008 |
| Provider Name | John R Sloan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134355829 PECOS PAC ID: 4385891878 Enrollment ID: I20120906000539 |
| Provider Name | William W Tollefsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841462876 PECOS PAC ID: 3870741127 Enrollment ID: I20120912000310 |
| Provider Name | Frank Pandolfe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457587792 PECOS PAC ID: 1658529813 Enrollment ID: I20120912000602 |
| Provider Name | Jasper I Ngomba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760620975 PECOS PAC ID: 2163548066 Enrollment ID: I20120924000657 |
| Provider Name | Neil D Ghushe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750495800 PECOS PAC ID: 4284804428 Enrollment ID: I20120927000470 |
| Provider Name | Nadia V Quijije |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477715837 PECOS PAC ID: 7517116858 Enrollment ID: I20121002000632 |
| Provider Name | Nicole P Graham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962777672 PECOS PAC ID: 4385893262 Enrollment ID: I20121009000787 |
| Provider Name | Jessica R Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144528456 PECOS PAC ID: 1759568793 Enrollment ID: I20121017000179 |
| Provider Name | Holly M Leeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063619260 PECOS PAC ID: 5092805358 Enrollment ID: I20121105000394 |
| Provider Name | Mark A Toyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730322132 PECOS PAC ID: 3870744352 Enrollment ID: I20121109000158 |
| Provider Name | Mihaela Cupesi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144536699 PECOS PAC ID: 7911158902 Enrollment ID: I20121126000292 |
| Provider Name | Alan C Sun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104076843 PECOS PAC ID: 2769518075 Enrollment ID: I20121129000208 |
| Provider Name | Kerri L Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447500947 PECOS PAC ID: 7416109145 Enrollment ID: I20121204000276 |
| Provider Name | Patricia Z Labieniec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427213586 PECOS PAC ID: 3476628355 Enrollment ID: I20121218000072 |
| Provider Name | Elizabeth R Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235480377 PECOS PAC ID: 5294987368 Enrollment ID: I20121219000008 |
| Provider Name | Aylin Akay |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942347752 PECOS PAC ID: 1951425495 Enrollment ID: I20130102000400 |
| Provider Name | Qiwei Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316101330 PECOS PAC ID: 7214115336 Enrollment ID: I20130206000207 |
| Provider Name | Ismadelyne Antoine |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417185612 PECOS PAC ID: 8426203704 Enrollment ID: I20130313000254 |
| Provider Name | Monica Begin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700120268 PECOS PAC ID: 5092950220 Enrollment ID: I20130318000283 |
| Provider Name | Todd A Kerensky |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1033371299 PECOS PAC ID: 9537307541 Enrollment ID: I20130604000245 |
| Provider Name | Krysta Augustinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922344688 PECOS PAC ID: 7911146527 Enrollment ID: I20130611000650 |
| Provider Name | Tucker Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811218555 PECOS PAC ID: 5799924676 Enrollment ID: I20130626000137 |
| Provider Name | Douglas Laurence Helm |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1598827933 PECOS PAC ID: 2668630104 Enrollment ID: I20130705000262 |
| Provider Name | Qudsia Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245553098 PECOS PAC ID: 6507006517 Enrollment ID: I20130715000453 |
| Provider Name | Kylee C Eagles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790911584 PECOS PAC ID: 9537301320 Enrollment ID: I20130807000250 |
| Provider Name | Meera K Namboothiri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528224086 PECOS PAC ID: 2860677291 Enrollment ID: I20130807000617 |
| Provider Name | Ryan J Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477873412 PECOS PAC ID: 1355585290 Enrollment ID: I20130917000016 |
| Provider Name | Amara L Mulder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558681445 PECOS PAC ID: 5092953547 Enrollment ID: I20131018000246 |
| Provider Name | Matthew B Bevers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114247582 PECOS PAC ID: 5193986305 Enrollment ID: I20131109000193 |
| Provider Name | Lori V Devereaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669807954 PECOS PAC ID: 4082840988 Enrollment ID: I20131125001079 |
| Provider Name | Donna Hudson-bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013341858 PECOS PAC ID: 9537395181 Enrollment ID: I20131204000633 |
| Provider Name | Saef Izzy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376863266 PECOS PAC ID: 7517195639 Enrollment ID: I20140118000000 |
| Provider Name | Riad Cachecho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386781821 PECOS PAC ID: 2062488059 Enrollment ID: I20140204000982 |
| Provider Name | Dmitry Levin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639303035 PECOS PAC ID: 2466688304 Enrollment ID: I20140211001649 |
| Provider Name | Kathleen Cullen Lutter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588096267 PECOS PAC ID: 3476785320 Enrollment ID: I20140409000046 |
| Provider Name | Doris Bernacet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033547633 PECOS PAC ID: 0547492712 Enrollment ID: I20140423000151 |
| Provider Name | Heather L Saitta |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366865222 PECOS PAC ID: 1456584432 Enrollment ID: I20140428000599 |
| Provider Name | Sunny N Onuigbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215249180 PECOS PAC ID: 8527292465 Enrollment ID: I20140430000232 |
| Provider Name | Joshua A Lea |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649693987 PECOS PAC ID: 7214160035 Enrollment ID: I20140501001945 |
| Provider Name | Nicole L Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801072616 PECOS PAC ID: 2961635487 Enrollment ID: I20140507000472 |
| Provider Name | Lyn C Skibinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730510264 PECOS PAC ID: 3779716246 Enrollment ID: I20140507002265 |
| Provider Name | Meaghan Camillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346581741 PECOS PAC ID: 9739303918 Enrollment ID: I20140609001509 |
| Provider Name | David Fink |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134256563 PECOS PAC ID: 6608039235 Enrollment ID: I20140716000031 |
| Provider Name | Joseph R Donahue |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225383623 PECOS PAC ID: 7618193533 Enrollment ID: I20140729001248 |
| Provider Name | Marcus Semel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124226766 PECOS PAC ID: 5799923652 Enrollment ID: I20140730001209 |
| Provider Name | Kiran Pokhrel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760764872 PECOS PAC ID: 9436379039 Enrollment ID: I20141002001356 |
| Provider Name | Jennifer A Champa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801200175 PECOS PAC ID: 7214157825 Enrollment ID: I20141002001522 |
| Provider Name | Harold A Contreras Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659651917 PECOS PAC ID: 9739309238 Enrollment ID: I20141006000608 |
| Provider Name | Andrea Hutcheson Warden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841623220 PECOS PAC ID: 8123240959 Enrollment ID: I20141112000592 |
| Provider Name | Samad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710278270 PECOS PAC ID: 2961634522 Enrollment ID: I20141112001004 |
| Provider Name | Christopher Burns |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952379141 PECOS PAC ID: 3577785849 Enrollment ID: I20141121000630 |
| Provider Name | Khalil Alleyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003092081 PECOS PAC ID: 8628102480 Enrollment ID: I20141202001189 |
| Provider Name | Lopamudra Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144513763 PECOS PAC ID: 9032387493 Enrollment ID: I20141224000926 |
| Provider Name | Katherine R. Shortelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780956839 PECOS PAC ID: 5597089904 Enrollment ID: I20150113000976 |
| Provider Name | Sharma Joseph |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861711517 PECOS PAC ID: 3971761347 Enrollment ID: I20150210002065 |
| Provider Name | Monique S Nugent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013166800 PECOS PAC ID: 7113182817 Enrollment ID: I20150213001730 |
| Provider Name | Ahmed Mohandes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023245917 PECOS PAC ID: 6608031786 Enrollment ID: I20150223000759 |
| Provider Name | Jonathan B Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275923781 PECOS PAC ID: 3476879313 Enrollment ID: I20150311001845 |
| Provider Name | Lorraine A Dawkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275937963 PECOS PAC ID: 8426376567 Enrollment ID: I20150421001618 |
| Provider Name | Samuel Y Ash |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083842231 PECOS PAC ID: 2860657988 Enrollment ID: I20150511001489 |
| Provider Name | Mohak Vilas Mhatre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528350717 PECOS PAC ID: 4587985205 Enrollment ID: I20150608000101 |
| Provider Name | Shahid Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265711535 PECOS PAC ID: 3971824285 Enrollment ID: I20150611000631 |
| Provider Name | Daniel Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295879260 PECOS PAC ID: 7416268370 Enrollment ID: I20150618000896 |
| Provider Name | Kelly A Mcdonough |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578859872 PECOS PAC ID: 1052624152 Enrollment ID: I20150720000040 |
| Provider Name | Michael W Mcsweeney |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437543956 PECOS PAC ID: 2567775190 Enrollment ID: I20150724011310 |
| Provider Name | Richard C Tibbetts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295096501 PECOS PAC ID: 7214168863 Enrollment ID: I20150818004186 |
| Provider Name | Kelly Lannutti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912241951 PECOS PAC ID: 1052636818 Enrollment ID: I20150831000009 |
| Provider Name | Amer Nazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487911996 PECOS PAC ID: 3678889730 Enrollment ID: I20150903001910 |
| Provider Name | Carolyn D Tose |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972984342 PECOS PAC ID: 5991012882 Enrollment ID: I20150909001384 |
| Provider Name | Oleg Dolghi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003058397 PECOS PAC ID: 0941517171 Enrollment ID: I20150921000379 |
| Provider Name | Emily I. Gorman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265723282 PECOS PAC ID: 7315179850 Enrollment ID: I20150928001381 |
| Provider Name | Jennifer Lynne Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679957153 PECOS PAC ID: 6002124385 Enrollment ID: I20151006002961 |
| Provider Name | Cara L Sacchetti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457614588 PECOS PAC ID: 6901035765 Enrollment ID: I20151013000809 |
| Provider Name | Jessica C Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033594056 PECOS PAC ID: 8325357908 Enrollment ID: I20151021002909 |
| Provider Name | Kate B Drumond |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649533795 PECOS PAC ID: 2567610843 Enrollment ID: I20151023002373 |
| Provider Name | Jason P Rahal |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396992004 PECOS PAC ID: 6103135553 Enrollment ID: I20151026000891 |
| Provider Name | Gerardo P Carino |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205814357 PECOS PAC ID: 3971533563 Enrollment ID: I20160205001045 |
| Provider Name | Siobhan Durkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790189546 PECOS PAC ID: 9133424575 Enrollment ID: I20160224000057 |
| Provider Name | Charbel M Abou Rjeily |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710175583 PECOS PAC ID: 9032235312 Enrollment ID: I20160317000520 |
| Provider Name | Amanda J Zambuto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366570483 PECOS PAC ID: 1052618576 Enrollment ID: I20160329001575 |
| Provider Name | Stacey Mceachern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154790129 PECOS PAC ID: 8022316462 Enrollment ID: I20160418002176 |
| Provider Name | Maurice F Loeffel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548228042 PECOS PAC ID: 0941208433 Enrollment ID: I20160428001391 |
| Provider Name | Ari Sacks |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1003127051 PECOS PAC ID: 3173761103 Enrollment ID: I20160602000088 |
| Provider Name | Shay Hershkovitz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780022475 PECOS PAC ID: 9931331063 Enrollment ID: I20160608001969 |
| Provider Name | Caroline A. Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508009689 PECOS PAC ID: 8022301753 Enrollment ID: I20160719000028 |
| Provider Name | Kathleen M. Mcdevitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497049282 PECOS PAC ID: 3971896820 Enrollment ID: I20160729000881 |
| Provider Name | Nicholas Csikesz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235367319 PECOS PAC ID: 8921226150 Enrollment ID: I20160818002524 |
| Provider Name | Allison M Ledoux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366889933 PECOS PAC ID: 0749403533 Enrollment ID: I20160922002178 |
| Provider Name | Cristina Carpio |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1548403165 PECOS PAC ID: 1355639329 Enrollment ID: I20161006000265 |
| Provider Name | Michael E Billington |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790051019 PECOS PAC ID: 6406008424 Enrollment ID: I20161006001158 |
| Provider Name | Lindsay A Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174971972 PECOS PAC ID: 2567750326 Enrollment ID: I20161011000758 |
| Provider Name | Julia E Mancuso |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922474972 PECOS PAC ID: 9234427006 Enrollment ID: I20161011000990 |
| Provider Name | Edward J Marcaccio |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1073511218 PECOS PAC ID: 4082674833 Enrollment ID: I20161014000146 |
| Provider Name | Brian C Marcks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134568041 PECOS PAC ID: 9234436387 Enrollment ID: I20161020000381 |
| Provider Name | Sidhertha S Podder |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982094769 PECOS PAC ID: 1557649605 Enrollment ID: I20161025002114 |
| Provider Name | Temilola A Onabanjo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073955662 PECOS PAC ID: 9931487097 Enrollment ID: I20161025002431 |
| Provider Name | Dayse E Fernandes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861837411 PECOS PAC ID: 8729307376 Enrollment ID: I20161108001055 |
| Provider Name | Sarah Kugler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821440835 PECOS PAC ID: 5193005387 Enrollment ID: I20161205001542 |
| Provider Name | Jaime Kullak |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508000803 PECOS PAC ID: 8921151424 Enrollment ID: I20161205002076 |
| Provider Name | Samantha M Cardoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619427929 PECOS PAC ID: 8729369368 Enrollment ID: I20161220000380 |
| Provider Name | Caitlin Warren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154774800 PECOS PAC ID: 2365723863 Enrollment ID: I20161221000166 |
| Provider Name | Mohamedtauquir M Puthawala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659662831 PECOS PAC ID: 1355582743 Enrollment ID: I20161221000346 |
| Provider Name | Meagan E Pietrasiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194005017 PECOS PAC ID: 5496922577 Enrollment ID: I20170111000096 |
| Provider Name | Sagar Batajoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306158225 PECOS PAC ID: 4385955772 Enrollment ID: I20170117002106 |
| Provider Name | Vashti Terese Mensah Otuya |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1336494814 PECOS PAC ID: 0143519496 Enrollment ID: I20170227001579 |
| Provider Name | Daniel J. Corrigan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538401484 PECOS PAC ID: 8729222658 Enrollment ID: I20170324000016 |
| Provider Name | Keisha Monast |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841673837 PECOS PAC ID: 9638455629 Enrollment ID: I20170405000926 |
| Provider Name | Lisa J Gould |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1255443842 PECOS PAC ID: 5193724730 Enrollment ID: I20170503000641 |
| Provider Name | Peter E Paull |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114280211 PECOS PAC ID: 0749429058 Enrollment ID: I20170503001355 |
| Provider Name | Erin K Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689114407 PECOS PAC ID: 7911284674 Enrollment ID: I20170505000410 |
| Provider Name | Ethan Y. Brovman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376885442 PECOS PAC ID: 0941423420 Enrollment ID: I20170707000766 |
| Provider Name | Matthew Adlestein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609295435 PECOS PAC ID: 7416255955 Enrollment ID: I20170712002723 |
| Provider Name | Alexandra Haggerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881136901 PECOS PAC ID: 6709157027 Enrollment ID: I20170804002370 |
| Provider Name | Erica L Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861734758 PECOS PAC ID: 8224355813 Enrollment ID: I20170824002866 |
| Provider Name | Antonio Coppolino |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578726931 PECOS PAC ID: 9739452137 Enrollment ID: I20170907000066 |
| Provider Name | Jonathan A Casey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639139819 PECOS PAC ID: 0547361222 Enrollment ID: I20170918000990 |
| Provider Name | Shady Fattoum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538575915 PECOS PAC ID: 6204055726 Enrollment ID: I20171016003021 |
| Provider Name | Muhammad Bajwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558627455 PECOS PAC ID: 2163736984 Enrollment ID: I20171017001797 |
| Provider Name | Milica Md Perosevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437559267 PECOS PAC ID: 4183990658 Enrollment ID: I20171027001774 |
| Provider Name | Yin Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336565811 PECOS PAC ID: 8426359167 Enrollment ID: I20171030001338 |
| Provider Name | Naomi K Pappas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396260196 PECOS PAC ID: 1951677335 Enrollment ID: I20171031000328 |
| Provider Name | Christopher A Coughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548771835 PECOS PAC ID: 5193081172 Enrollment ID: I20171107002402 |
| Provider Name | Ruby Marie Ristuccia |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154847705 PECOS PAC ID: 8224395603 Enrollment ID: I20171121000886 |
| Provider Name | Richard Kahn |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114957503 PECOS PAC ID: 3678503786 Enrollment ID: I20171213001879 |
| Provider Name | Kamran Manzoor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942408943 PECOS PAC ID: 1456443225 Enrollment ID: I20180124000585 |
| Provider Name | Lizabeth Jane Noyes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740707330 PECOS PAC ID: 7012276769 Enrollment ID: I20180125002202 |
| Provider Name | Eric Abston |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912347667 PECOS PAC ID: 3577707371 Enrollment ID: I20180207001716 |
| Provider Name | Matthew Jacob Aronson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861906745 PECOS PAC ID: 2769742634 Enrollment ID: I20180214001816 |
| Provider Name | Jessica J Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982142519 PECOS PAC ID: 4183985609 Enrollment ID: I20180226001504 |
| Provider Name | Ritamarie A Testa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881108959 PECOS PAC ID: 1850652231 Enrollment ID: I20180227002112 |
| Provider Name | Tyler J Silverman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932463643 PECOS PAC ID: 6608138599 Enrollment ID: I20180312001472 |
| Provider Name | Elizabeth C Lopes Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184176810 PECOS PAC ID: 5092077545 Enrollment ID: I20180320003282 |
| Provider Name | Robert Berman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821505280 PECOS PAC ID: 2264795137 Enrollment ID: I20180407000051 |
| Provider Name | Thomas D Baer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1467453654 PECOS PAC ID: 2062421423 Enrollment ID: I20180416000395 |
| Provider Name | Amanda R Marchica |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972948537 PECOS PAC ID: 3577853258 Enrollment ID: I20180430000736 |
| Provider Name | Marguerite Marie Guillaume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982158515 PECOS PAC ID: 4284999160 Enrollment ID: I20180523002560 |
| Provider Name | Eric Min |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467847327 PECOS PAC ID: 5698088276 Enrollment ID: I20180618001971 |
| Provider Name | Marie B Federico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982033288 PECOS PAC ID: 8820343619 Enrollment ID: I20180619002704 |
| Provider Name | Kevin Elias |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326201906 PECOS PAC ID: 0446417893 Enrollment ID: I20180625001392 |
| Provider Name | Rafi Skowronski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790047843 PECOS PAC ID: 7618115627 Enrollment ID: I20180723000962 |
| Provider Name | Gustavo J Bauza |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043479595 PECOS PAC ID: 8123250206 Enrollment ID: I20180806000638 |
| Provider Name | Michele Renee Mcmichael |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215183918 PECOS PAC ID: 5294895363 Enrollment ID: I20180820001609 |
| Provider Name | Rahul Mahajan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285048439 PECOS PAC ID: 9638399124 Enrollment ID: I20180828000297 |
| Provider Name | Michael C Lubrano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003229279 PECOS PAC ID: 7618227471 Enrollment ID: I20180829002300 |
| Provider Name | Thomas Ku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417344086 PECOS PAC ID: 9335458496 Enrollment ID: I20180910001009 |
| Provider Name | Katelyn Marie Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205220720 PECOS PAC ID: 2567775331 Enrollment ID: I20180913001863 |
| Provider Name | Brittany Marie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255812343 PECOS PAC ID: 6507117496 Enrollment ID: I20180914001387 |
| Provider Name | Ikram Ullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134501133 PECOS PAC ID: 7012268592 Enrollment ID: I20180921001820 |
| Provider Name | Kimberly D Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487108767 PECOS PAC ID: 8224326285 Enrollment ID: I20180928001282 |
| Provider Name | Abduljabbar A Dheyab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053607580 PECOS PAC ID: 2961709407 Enrollment ID: I20181003001996 |
| Provider Name | Rebecca Bauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790930766 PECOS PAC ID: 8022257302 Enrollment ID: I20181005000376 |
| Provider Name | Kerry A Vittum |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235663089 PECOS PAC ID: 9335491885 Enrollment ID: I20181010002396 |
| Provider Name | Taufiq Nafis Zaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114303393 PECOS PAC ID: 7113270596 Enrollment ID: I20181101001019 |
| Provider Name | Samuel H Belok |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841636768 PECOS PAC ID: 2466768973 Enrollment ID: I20181102002105 |
| Provider Name | Sungho Han |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649657065 PECOS PAC ID: 8022327774 Enrollment ID: I20181105002380 |
| Provider Name | Marianne Cossard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033698345 PECOS PAC ID: 5294089405 Enrollment ID: I20181106002917 |
| Provider Name | Constantine Khoury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649658337 PECOS PAC ID: 4183969561 Enrollment ID: I20181213002338 |
| Provider Name | Stephen P Roberts |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275828121 PECOS PAC ID: 9931333432 Enrollment ID: I20181214001207 |
| Provider Name | Amy L Newhouse |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396039459 PECOS PAC ID: 2365732476 Enrollment ID: I20190129002288 |
| Provider Name | Ann-gael Deborrah Privert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588041396 PECOS PAC ID: 4587962923 Enrollment ID: I20190131002054 |
| Provider Name | John P Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205248937 PECOS PAC ID: 1759682644 Enrollment ID: I20190214000822 |
| Provider Name | Julie A Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891734323 PECOS PAC ID: 0143232256 Enrollment ID: I20190308001026 |
| Provider Name | Qaiser Shamshir Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861806192 PECOS PAC ID: 7012215189 Enrollment ID: I20190402001971 |
| Provider Name | Stephen Hallisey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295120251 PECOS PAC ID: 3476843004 Enrollment ID: I20190523001215 |
| Provider Name | Paul Jansson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003205956 PECOS PAC ID: 2163737958 Enrollment ID: I20190606002508 |
| Provider Name | Alana T Marcinko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700341609 PECOS PAC ID: 7012240526 Enrollment ID: I20190614000180 |
| Provider Name | Peter Carsten Allfather |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1780078956 PECOS PAC ID: 8729311147 Enrollment ID: I20190617002360 |
| Provider Name | Ali Nujaidi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134516834 PECOS PAC ID: 3678807252 Enrollment ID: I20190702001219 |
| Provider Name | Xun Wu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942650569 PECOS PAC ID: 3173810629 Enrollment ID: I20190702001645 |
| Provider Name | Brian D Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992021315 PECOS PAC ID: 9537283312 Enrollment ID: I20190709000755 |
| Provider Name | Jin Yuan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710368493 PECOS PAC ID: 0648519355 Enrollment ID: I20190715002045 |
| Provider Name | Cheng Ding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700248499 PECOS PAC ID: 0941595193 Enrollment ID: I20190730004049 |
| Provider Name | Bernadette Anne Lord |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891049649 PECOS PAC ID: 9234372657 Enrollment ID: I20190816002536 |
| Provider Name | David J De La Hoz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245899517 PECOS PAC ID: 4688902893 Enrollment ID: I20190827000704 |
| Provider Name | Ruchika Sangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124480710 PECOS PAC ID: 4284929720 Enrollment ID: I20190913002835 |
| Provider Name | Manasa Mullapudi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366893604 PECOS PAC ID: 3173853967 Enrollment ID: I20190920001055 |
| Provider Name | Kayvon I Izadpanah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477915619 PECOS PAC ID: 1850685504 Enrollment ID: I20190923002216 |
| Provider Name | Vivek B Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861848228 PECOS PAC ID: 3476846932 Enrollment ID: I20190924000442 |
| Provider Name | Megan E. Pollock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558868661 PECOS PAC ID: 9638400740 Enrollment ID: I20191003001811 |
| Provider Name | Lindsey A Trefry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043870793 PECOS PAC ID: 9537490651 Enrollment ID: I20191003002286 |
| Provider Name | Maher Jafar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538593348 PECOS PAC ID: 4880972140 Enrollment ID: I20191008002974 |
| Provider Name | Sanjay Kumbar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548624281 PECOS PAC ID: 8123359536 Enrollment ID: I20191016003112 |
| Provider Name | Rebecca H Jollotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972887362 PECOS PAC ID: 3678805850 Enrollment ID: I20191022001316 |
| Provider Name | Kerry Ann Sepeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497307623 PECOS PAC ID: 2466784343 Enrollment ID: I20191025000604 |
| Provider Name | Victoria Taggart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881185809 PECOS PAC ID: 9335471051 Enrollment ID: I20191030001811 |
| Provider Name | Melissa A Dinunno |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205483989 PECOS PAC ID: 0446682462 Enrollment ID: I20191113001874 |
| Provider Name | Benjamin R Leffel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023469525 PECOS PAC ID: 4981036787 Enrollment ID: I20191116000375 |
| Provider Name | Kristiana M Oleson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336459072 PECOS PAC ID: 2567710577 Enrollment ID: I20191223001094 |
| Provider Name | Hilary M Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164073144 PECOS PAC ID: 1355777020 Enrollment ID: I20200129001544 |
| Provider Name | Monika Aurelia Davies |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386603967 PECOS PAC ID: 1658370259 Enrollment ID: I20200324001148 |
| Provider Name | Christine M Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285288746 PECOS PAC ID: 2466881875 Enrollment ID: I20200407000759 |
| Provider Name | Eric Abston |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912347667 PECOS PAC ID: 3577707371 Enrollment ID: I20200407001981 |
| Provider Name | Katelyn M Dorney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972913267 PECOS PAC ID: 1355665985 Enrollment ID: I20200420002580 |
| Provider Name | Samuel B Snider |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528472875 PECOS PAC ID: 6709193105 Enrollment ID: I20200424002499 |
| Provider Name | Carolyn I Bogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902327711 PECOS PAC ID: 3375802796 Enrollment ID: I20200507000620 |
| Provider Name | Justin Benoit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811379233 PECOS PAC ID: 6103112115 Enrollment ID: I20200518001197 |
| Provider Name | Zachary C. Demma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093247918 PECOS PAC ID: 3173896131 Enrollment ID: I20200522002432 |
| Provider Name | Abigail Foley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750781977 PECOS PAC ID: 6800217928 Enrollment ID: I20200528000628 |
| Provider Name | Sabrina M Fornes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508812736 PECOS PAC ID: 3072529171 Enrollment ID: I20200605000786 |
| Provider Name | Conor Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457987604 PECOS PAC ID: 7618390980 Enrollment ID: I20200702001702 |
| Provider Name | Brenda L Tolksdorf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467524660 PECOS PAC ID: 1052208345 Enrollment ID: I20200706002014 |
| Provider Name | Lillian I Lukowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437184678 PECOS PAC ID: 2860416344 Enrollment ID: I20200707000735 |
| Provider Name | Jennifer Quinn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124442637 PECOS PAC ID: 3375776529 Enrollment ID: I20200717002747 |
| Provider Name | Casey J O'donnell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922062157 PECOS PAC ID: 0840295200 Enrollment ID: I20200814000758 |
| Provider Name | Roberto S Amado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518498484 PECOS PAC ID: 4981978996 Enrollment ID: I20200818002188 |
| Provider Name | Mackenzie L. Hosford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265958573 PECOS PAC ID: 5890053292 Enrollment ID: I20200819003675 |
| Provider Name | Ngoc B Ly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356735401 PECOS PAC ID: 4284984576 Enrollment ID: I20200831000086 |
| Provider Name | Sujitha Amalanayagam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639619190 PECOS PAC ID: 5092132431 Enrollment ID: I20200831000748 |
| Provider Name | Hussein Assi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235544362 PECOS PAC ID: 5698192680 Enrollment ID: I20200908000657 |
| Provider Name | Nakul Raykar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780996074 PECOS PAC ID: 9335415645 Enrollment ID: I20200910002896 |
| Provider Name | Hana Altwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386075091 PECOS PAC ID: 0547568792 Enrollment ID: I20200914001982 |
| Provider Name | Yunus Emre Tarhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699295196 PECOS PAC ID: 8820361389 Enrollment ID: I20200914002460 |
| Provider Name | Elizabeth G Obrien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922454560 PECOS PAC ID: 9931527017 Enrollment ID: I20200922002662 |
| Provider Name | Stephanie F Regenhardt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285083311 PECOS PAC ID: 4981990504 Enrollment ID: I20200924001531 |
| Provider Name | Urey Chow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114458296 PECOS PAC ID: 9335568757 Enrollment ID: I20201002001785 |
| Provider Name | Guyu Du |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063941524 PECOS PAC ID: 3072882489 Enrollment ID: I20201016001069 |
| Provider Name | Shahab A Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487183166 PECOS PAC ID: 8325310501 Enrollment ID: I20201020003519 |
| Provider Name | Thiago Oliveira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023471737 PECOS PAC ID: 5092000562 Enrollment ID: I20201103000576 |
| Provider Name | Rebecca L Read |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891305355 PECOS PAC ID: 7416367917 Enrollment ID: I20201112001880 |
| Provider Name | Amalia Jane Thomson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740772169 PECOS PAC ID: 2567873763 Enrollment ID: I20201119000181 |
| Provider Name | Nichole R Harrington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568002244 PECOS PAC ID: 3173934783 Enrollment ID: I20201202001545 |
| Provider Name | Ching Reisig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013448539 PECOS PAC ID: 7315359213 Enrollment ID: I20201217002467 |
| Provider Name | Brendah Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568068187 PECOS PAC ID: 8729494240 Enrollment ID: I20210309000621 |
| Provider Name | Dorothy Ann Mccarron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306328406 PECOS PAC ID: 0547513350 Enrollment ID: I20210311001236 |
| Provider Name | Sonia A Tenadu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033147814 PECOS PAC ID: 3971556457 Enrollment ID: I20210311002507 |
| Provider Name | Michelle M Ives |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518478270 PECOS PAC ID: 6406264415 Enrollment ID: I20210412002089 |
| Provider Name | Allen D Adams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700862794 PECOS PAC ID: 7517919053 Enrollment ID: I20210413001836 |
| Provider Name | Amanda Birkenhead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932709276 PECOS PAC ID: 2769881960 Enrollment ID: I20210520000353 |
| Provider Name | Stephen Ngo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881085496 PECOS PAC ID: 0840699450 Enrollment ID: I20210602002105 |
| Provider Name | Diane M Nezar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366567158 PECOS PAC ID: 5193751931 Enrollment ID: I20210707002568 |
| Provider Name | Shinn Te Chou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811491467 PECOS PAC ID: 5395091037 Enrollment ID: I20210713002618 |
| Provider Name | Mohammad Afrasiabi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063893139 PECOS PAC ID: 4587962576 Enrollment ID: I20210715002456 |
| Provider Name | Patrick Thomas Bjork |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649891276 PECOS PAC ID: 2668875725 Enrollment ID: I20210727001963 |
| Provider Name | Conrad Duncker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811549645 PECOS PAC ID: 5597094664 Enrollment ID: I20210728000734 |
| Provider Name | Muhammad Tariq Shakoor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952656498 PECOS PAC ID: 7113153099 Enrollment ID: I20210811003806 |
| Provider Name | Nicole Collins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699334961 PECOS PAC ID: 3678977535 Enrollment ID: I20210813002958 |
| Provider Name | Ping Lu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497252290 PECOS PAC ID: 9436499522 Enrollment ID: I20210818004023 |
| Provider Name | Allison E Demma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790274025 PECOS PAC ID: 8628325891 Enrollment ID: I20210823002470 |
| Provider Name | Taylor Elizabeth Micheroni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801323514 PECOS PAC ID: 7618240177 Enrollment ID: I20210824002805 |
| Provider Name | Ganesh Thippeswamy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780115295 PECOS PAC ID: 1254736473 Enrollment ID: I20210825002473 |
| Provider Name | Megan E Cataldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235731852 PECOS PAC ID: 7719382738 Enrollment ID: I20210828000187 |
| Provider Name | Pooja M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013413863 PECOS PAC ID: 3173873452 Enrollment ID: I20210901003592 |
| Provider Name | Bethany Lee Wolfert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356832786 PECOS PAC ID: 2264839042 Enrollment ID: I20210921002200 |
| Provider Name | Aderonke Bamgbose Pederson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396139655 PECOS PAC ID: 2567745318 Enrollment ID: I20210930002257 |
| Provider Name | Danielle Binler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952764383 PECOS PAC ID: 1951709104 Enrollment ID: I20211001002399 |
| Provider Name | Ariella Krones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922494244 PECOS PAC ID: 2163735770 Enrollment ID: I20211008001505 |
| Provider Name | Enobong Efiong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912341462 PECOS PAC ID: 0749584738 Enrollment ID: I20211008002229 |
| Provider Name | Gail Kundrot |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215122130 PECOS PAC ID: 9830253020 Enrollment ID: I20211013000718 |
| Provider Name | Bradley Molyneaux |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649475179 PECOS PAC ID: 8628245636 Enrollment ID: I20211025001826 |
| Provider Name | Toufic Tony Saad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1942493549 PECOS PAC ID: 6204916877 Enrollment ID: I20211103000205 |
| Provider Name | Lauren Novitskie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578054029 PECOS PAC ID: 4385974013 Enrollment ID: I20211111001907 |
| Provider Name | Navjot Somal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477049120 PECOS PAC ID: 2062764855 Enrollment ID: I20211116002362 |
| Provider Name | Satvika Ponnavolu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538664529 PECOS PAC ID: 2365831880 Enrollment ID: I20211122001900 |
| Provider Name | Katherine M Wang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1447670294 PECOS PAC ID: 3173913332 Enrollment ID: I20211201002042 |
| Provider Name | Dong Joo Seo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750877221 PECOS PAC ID: 7113259805 Enrollment ID: I20211202000778 |
| Provider Name | Nikola Perosevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134536600 PECOS PAC ID: 8628342342 Enrollment ID: I20211207001914 |
| Provider Name | Victoria C Hoch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083147482 PECOS PAC ID: 4183993850 Enrollment ID: I20220113000937 |
| Provider Name | Abbie Paley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710478854 PECOS PAC ID: 0042547804 Enrollment ID: I20220124001439 |
| Provider Name | Oluwatoyin Oshin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407417355 PECOS PAC ID: 6406282086 Enrollment ID: I20220308001723 |
| Provider Name | Leanne Benson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972148047 PECOS PAC ID: 5294147419 Enrollment ID: I20220323000042 |
| Provider Name | Amber Leigh Craven |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457961328 PECOS PAC ID: 8820409105 Enrollment ID: I20220412002152 |
| Provider Name | Vincent Perez Cagungun |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003426974 PECOS PAC ID: 0749691178 Enrollment ID: I20220419000467 |
| Provider Name | Kyla Gustavson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609380021 PECOS PAC ID: 4082947601 Enrollment ID: I20220422000657 |
| Provider Name | Linda J Herrera Santos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285123505 PECOS PAC ID: 2769733922 Enrollment ID: I20220526002824 |
| Provider Name | Todd May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063777464 PECOS PAC ID: 8729381470 Enrollment ID: I20220609002145 |
| Provider Name | Aminat Mohammed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336895549 PECOS PAC ID: 3476933995 Enrollment ID: I20220630000656 |
| Provider Name | Divya Shankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598296360 PECOS PAC ID: 5496026320 Enrollment ID: I20220728000132 |
| Provider Name | Wendy J Walker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396937389 PECOS PAC ID: 9931298072 Enrollment ID: I20220808002427 |
| Provider Name | John Photos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972176949 PECOS PAC ID: 0244612182 Enrollment ID: I20220809001697 |
| Provider Name | Vikram Balakumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770924243 PECOS PAC ID: 6406073741 Enrollment ID: I20220815000395 |
| Provider Name | Jie Yi Wei |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275027971 PECOS PAC ID: 6002149705 Enrollment ID: I20220817003948 |
| Provider Name | Linnea Shea Xuereb |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508350075 PECOS PAC ID: 9537415153 Enrollment ID: I20220818000840 |
| Provider Name | Erica Truesdale-greil |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710340229 PECOS PAC ID: 4880976745 Enrollment ID: I20220818001103 |
| Provider Name | Emily Roblee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336644566 PECOS PAC ID: 9739435884 Enrollment ID: I20220826001042 |
| Provider Name | Tara Marie Steele |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467127480 PECOS PAC ID: 8224412002 Enrollment ID: I20220827000367 |
| Provider Name | Elizabeth Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942717400 PECOS PAC ID: 2163778077 Enrollment ID: I20220831000089 |
| Provider Name | Priti Lalchandani |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871995670 PECOS PAC ID: 2365702982 Enrollment ID: I20220908003366 |
| Provider Name | Prem Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053794891 PECOS PAC ID: 3577810613 Enrollment ID: I20220909002253 |
| Provider Name | Edward Noonan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376277939 PECOS PAC ID: 9133504137 Enrollment ID: I20220912001807 |
| Provider Name | Cindy Huynh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417216342 PECOS PAC ID: 3577809326 Enrollment ID: I20220915001481 |
| Provider Name | Kenneth M Watson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316454002 PECOS PAC ID: 9739435892 Enrollment ID: I20220915002239 |
| Provider Name | Michael Riskalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538628631 PECOS PAC ID: 2264817428 Enrollment ID: I20220923002529 |
| Provider Name | Michaela Mcdonnell Windhol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871040014 PECOS PAC ID: 5395121438 Enrollment ID: I20220927003459 |
| Provider Name | Drew S Sheldon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396190484 PECOS PAC ID: 3274896667 Enrollment ID: I20221004001616 |
| Provider Name | James Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568816601 PECOS PAC ID: 7012208820 Enrollment ID: I20221010001096 |
| Provider Name | Himani Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619437563 PECOS PAC ID: 5698002814 Enrollment ID: I20221018002487 |
| Provider Name | Syed Moin Hassan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295186187 PECOS PAC ID: 6507115847 Enrollment ID: I20221108001283 |
| Provider Name | Heather A Cale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790153146 PECOS PAC ID: 6103199351 Enrollment ID: I20221114001792 |
| Provider Name | Jenny D Law |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255071130 PECOS PAC ID: 0840668760 Enrollment ID: I20221128002016 |
| Provider Name | Olga Novikov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417452756 PECOS PAC ID: 1557610722 Enrollment ID: I20230111001992 |
| Provider Name | Michael Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528727989 PECOS PAC ID: 8729457122 Enrollment ID: I20230124002128 |
| Provider Name | Kelsey Jean Dovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528778404 PECOS PAC ID: 6709258049 Enrollment ID: I20230214001430 |
| Provider Name | Kayla E King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043701295 PECOS PAC ID: 5496129231 Enrollment ID: I20230320000169 |
| Provider Name | Cristy Githu |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1255041729 PECOS PAC ID: 8527432889 Enrollment ID: I20230328001835 |
| Provider Name | Leah Christine Loconte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518621861 PECOS PAC ID: 1557736170 Enrollment ID: I20230413001843 |
| Provider Name | Anderson Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164926580 PECOS PAC ID: 1355707571 Enrollment ID: I20230515000251 |
| Provider Name | Sudeep Thumma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952500167 PECOS PAC ID: 1759433717 Enrollment ID: I20230518002265 |
| Provider Name | Camden Burk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396205464 PECOS PAC ID: 3678939469 Enrollment ID: I20230522000621 |
| Provider Name | Li Lin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902365091 PECOS PAC ID: 0547597809 Enrollment ID: I20230608001360 |
| Provider Name | Samuel Max Babchuck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700559515 PECOS PAC ID: 4688032261 Enrollment ID: I20230614003185 |
| Provider Name | Robert Trevor Sherburne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477012417 PECOS PAC ID: 6709244171 Enrollment ID: I20230615003218 |
| Provider Name | Mckenzie Louis Samuelson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932831716 PECOS PAC ID: 6507224946 Enrollment ID: I20230616002031 |
| Provider Name | Omkar U Vaidya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518117670 PECOS PAC ID: 0547483083 Enrollment ID: I20230629002383 |
| Provider Name | Emma Kaitlyn Piwowarski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023719424 PECOS PAC ID: 1759741879 Enrollment ID: I20230720000949 |
| Provider Name | Lucy Shilasi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467144121 PECOS PAC ID: 2264892231 Enrollment ID: I20230721002952 |
| Provider Name | Gabrielle Mary Mazza |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043900681 PECOS PAC ID: 0042671844 Enrollment ID: I20230726001874 |
| Provider Name | Marya Krasik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598477960 PECOS PAC ID: 4688036528 Enrollment ID: I20230809003252 |
| Provider Name | Nathan Kozlowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912645763 PECOS PAC ID: 0345602462 Enrollment ID: I20230821003469 |
| Provider Name | Catherine Gilmore |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356916910 PECOS PAC ID: 1658734512 Enrollment ID: I20230825001772 |
| Provider Name | Sasha Griffith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265006985 PECOS PAC ID: 3274996756 Enrollment ID: I20230831000418 |
| Provider Name | Siddharth Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730538505 PECOS PAC ID: 0840645461 Enrollment ID: I20231017000700 |
| Provider Name | Adam Hensley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811351406 PECOS PAC ID: 5496047672 Enrollment ID: I20231129000567 |
| Provider Name | Faruk Obut |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043661630 PECOS PAC ID: 8022340264 Enrollment ID: I20231130001752 |
| Provider Name | Shanece Edwards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457831091 PECOS PAC ID: 6709235468 Enrollment ID: I20231207001369 |
| Provider Name | Sarah Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306553128 PECOS PAC ID: 0941670012 Enrollment ID: I20231220001969 |
| Provider Name | Ani Deery |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407021728 PECOS PAC ID: 5890159875 Enrollment ID: I20240118001241 |
| Provider Name | Alexa Mace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104275833 PECOS PAC ID: 5799162137 Enrollment ID: I20240118001647 |
| Provider Name | Brittney L Bergeron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487035531 PECOS PAC ID: 7012223811 Enrollment ID: I20240124003289 |
| Provider Name | Steven R Joubert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508032392 PECOS PAC ID: 2466602321 Enrollment ID: I20240126001839 |
| Provider Name | Latiesha Monique Dukes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649611393 PECOS PAC ID: 3779936380 Enrollment ID: I20240131001030 |
| Provider Name | Alyssa Roegner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194112482 PECOS PAC ID: 6901127562 Enrollment ID: I20240206002248 |
| Provider Name | Michelle Lydon Barry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396126579 PECOS PAC ID: 5294140653 Enrollment ID: I20240207002682 |
| Provider Name | Dylan Vanlith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073065702 PECOS PAC ID: 9032490388 Enrollment ID: I20240219001402 |
| Provider Name | Aldona Angele Vainius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518578426 PECOS PAC ID: 0547604357 Enrollment ID: I20240220004641 |
| Provider Name | Michael Abreu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407330848 PECOS PAC ID: 4082952767 Enrollment ID: I20240302000659 |
Angelica Wilson, Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Washington St, Weymouth, MA 02188 Phone: 781-908-0703 | |
Cheryl Chen Md Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2212 Avalon Dr, Weymouth, MA 02188 Phone: 781-534-9882 Fax: 877-338-6431 | |
Sincere Therapy L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 58 Hanian Dr, Weymouth, MA 02189 Phone: 781-974-7433 | |
Vayda Therapy Servces Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 Academy Ave, Weymouth, MA 02188 Phone: 617-642-5112 | |
Havins Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Kingman St, Weymouth, MA 02188 Phone: 713-515-4449 | |
Neurobehavioral Associates Iii, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Libbey Industrial Pkwy, 2nd Floor, Weymouth, MA 02189 Phone: 781-682-1060 Fax: 781-682-1061 | |
Carol A. Costello, Lmhc, Lmft, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Winter St, Weymouth, MA 02188 Phone: 781-337-6200 Fax: 781-337-6222 |