| Colorado Permanente Medical Group, P.c. | |
|
10350 E Dakota Ave Denver CO 80247-1314 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Colorado Permanente Medical Group, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10350 E Dakota Ave, Denver, Colorado |
| Authorized Official Name and Position | Matthew J Splinter (CPMG CFO) |
| Authorized Official Contact | 3033447345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Permanente Medical Group, P.c. 10350 E Dakota Ave Denver CO 80247-1314 Ph: () - | Colorado Permanente Medical Group, P.c. 10350 E Dakota Ave Denver CO 80247-1314 Ph: (303) 338-4545 |
| NPI Number | 1760599724 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 04/13/2021 |
| Certification Date | 04/13/2021 |
| Medicare PECOS PAC ID | 1254238454 |
|---|---|
| Medicare Enrollment ID | O20031216000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760599724 | NPI | - | NPPES |
| 04710083 | Medicaid | CO |
| Provider Name | Stephen P Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972688505 PECOS PAC ID: 6800700618 Enrollment ID: I20031117000342 |
| Provider Name | Terri L Ingram |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215948062 PECOS PAC ID: 3375447758 Enrollment ID: I20031126000420 |
| Provider Name | John Patrick Gerhold |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740291632 PECOS PAC ID: 4082519483 Enrollment ID: I20031126000542 |
| Provider Name | Raymond V Yost |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962513309 PECOS PAC ID: 3678478005 Enrollment ID: I20031126000727 |
| Provider Name | Eileen G Bickford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376529941 PECOS PAC ID: 7810892197 Enrollment ID: I20031201000187 |
| Provider Name | Leonard A Plunkett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376670331 PECOS PAC ID: 2062317522 Enrollment ID: I20031206000121 |
| Provider Name | Wayne Wenzel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356452783 PECOS PAC ID: 9931011194 Enrollment ID: I20031206000124 |
| Provider Name | John D Waring |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1295827194 PECOS PAC ID: 8224935259 Enrollment ID: I20031217000460 |
| Provider Name | Shatu Misra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841327871 PECOS PAC ID: 5496653347 Enrollment ID: I20031230000203 |
| Provider Name | Jennifer Rebecca Czarnecki |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669509634 PECOS PAC ID: 8123927746 Enrollment ID: I20040102000559 |
| Provider Name | Richard A Hathaway |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548304348 PECOS PAC ID: 9537068770 Enrollment ID: I20040107000122 |
| Provider Name | Diane M Winters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134256175 PECOS PAC ID: 1658264148 Enrollment ID: I20040210000110 |
| Provider Name | Pei-jai Michael Ho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821027277 PECOS PAC ID: 5991699019 Enrollment ID: I20040210000945 |
| Provider Name | Michael T Napierkowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396740858 PECOS PAC ID: 8022902089 Enrollment ID: I20040210001207 |
| Provider Name | Linda S Cosgrove |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336276369 PECOS PAC ID: 1153215629 Enrollment ID: I20040214000208 |
| Provider Name | Susan P Peterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528195526 PECOS PAC ID: 7517851090 Enrollment ID: I20040214000212 |
| Provider Name | Lillian Klancar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598798761 PECOS PAC ID: 9931002326 Enrollment ID: I20040216001156 |
| Provider Name | Gregory D Ross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720074677 PECOS PAC ID: 2365337482 Enrollment ID: I20040219000057 |
| Provider Name | Joseph M Abruzzo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336276385 PECOS PAC ID: 3173418753 Enrollment ID: I20040220001158 |
| Provider Name | Shellie K Sasscer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700913746 PECOS PAC ID: 3476449745 Enrollment ID: I20040224000722 |
| Provider Name | Anwell Chang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598868580 PECOS PAC ID: 9234025644 Enrollment ID: I20040224000752 |
| Provider Name | Sepeideh S Nouhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689757213 PECOS PAC ID: 2062309768 Enrollment ID: I20040227000884 |
| Provider Name | Alison R Yager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225113970 PECOS PAC ID: 8628965803 Enrollment ID: I20040302000982 |
| Provider Name | Arun L Pathy |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871620815 PECOS PAC ID: 9436046653 Enrollment ID: I20040302001309 |
| Provider Name | Donna M Ellinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558498535 PECOS PAC ID: 0547158115 Enrollment ID: I20040305000648 |
| Provider Name | Andrew R Robinson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255468252 PECOS PAC ID: 5496643074 Enrollment ID: I20040305000695 |
| Provider Name | Cristin S Panzarella |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053448050 PECOS PAC ID: 8022906288 Enrollment ID: I20040309000532 |
| Provider Name | John J Reusch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639206600 PECOS PAC ID: 6305736158 Enrollment ID: I20040317000169 |
| Provider Name | Evangeline S Villaflor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538104641 PECOS PAC ID: 3971495052 Enrollment ID: I20040325000490 |
| Provider Name | Jeffrey M Morse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083741029 PECOS PAC ID: 2365435385 Enrollment ID: I20040406000744 |
| Provider Name | Christopher Lee Dunkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154458156 PECOS PAC ID: 1850385410 Enrollment ID: I20040414001330 |
| Provider Name | Sukhjinder K Khera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124062427 PECOS PAC ID: 9739174897 Enrollment ID: I20040417000446 |
| Provider Name | Harvey A Arbuckle |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1982758264 PECOS PAC ID: 2163417049 Enrollment ID: I20040419001558 |
| Provider Name | Mark C Mollinet |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619004637 PECOS PAC ID: 1557265618 Enrollment ID: I20040421000008 |
| Provider Name | Micheline A Kuhr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093842098 PECOS PAC ID: 6204822448 Enrollment ID: I20040422000927 |
| Provider Name | Carol M Haertig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598892572 PECOS PAC ID: 3779579651 Enrollment ID: I20040424000273 |
| Provider Name | Christopher Aaron Bates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841327889 PECOS PAC ID: 2567459308 Enrollment ID: I20040426001202 |
| Provider Name | Heather A Sharp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073504239 PECOS PAC ID: 6305833062 Enrollment ID: I20040427000064 |
| Provider Name | Pamela J Wanner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760512529 PECOS PAC ID: 1355339722 Enrollment ID: I20040504001006 |
| Provider Name | Mikula Karmen Stambuk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225089956 PECOS PAC ID: 2860481512 Enrollment ID: I20040508000340 |
| Provider Name | Matthew C Sanderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528195559 PECOS PAC ID: 6204825953 Enrollment ID: I20040508000360 |
| Provider Name | Dianne K Glenn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841334562 PECOS PAC ID: 9133118789 Enrollment ID: I20040510000027 |
| Provider Name | Christine A Trowbridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225165228 PECOS PAC ID: 5294724670 Enrollment ID: I20040511000151 |
| Provider Name | Barbara Michel Fried |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083693105 PECOS PAC ID: 5991794158 Enrollment ID: I20040511001604 |
| Provider Name | Janisse C Rears |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649300401 PECOS PAC ID: 3870582992 Enrollment ID: I20040512000301 |
| Provider Name | Ann E Chevalier |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619918083 PECOS PAC ID: 5698765469 Enrollment ID: I20040513001276 |
| Provider Name | Dan L Stillman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386774149 PECOS PAC ID: 8628069622 Enrollment ID: I20040519000881 |
| Provider Name | Laurie D Cruz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760488811 PECOS PAC ID: 4587655055 Enrollment ID: I20040521001382 |
| Provider Name | Troy A Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508852138 PECOS PAC ID: 2163403346 Enrollment ID: I20040525000595 |
| Provider Name | Brett A Terrill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073640082 PECOS PAC ID: 3971585092 Enrollment ID: I20040603000048 |
| Provider Name | Wendolyn S Gozansky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487744165 PECOS PAC ID: 3779569462 Enrollment ID: I20040624001223 |
| Provider Name | Mark A Chidel |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780711366 PECOS PAC ID: 6800872870 Enrollment ID: I20040629000891 |
| Provider Name | Catherine C Fitzgerald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336276906 PECOS PAC ID: 4486631181 Enrollment ID: I20040701000125 |
| Provider Name | Jennifer S Betz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962587600 PECOS PAC ID: 1850378480 Enrollment ID: I20040701001046 |
| Provider Name | Antigone Parrish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316058589 PECOS PAC ID: 6103803614 Enrollment ID: I20040702000077 |
| Provider Name | Marci Jo Holstege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013047950 PECOS PAC ID: 5698752038 Enrollment ID: I20040702000390 |
| Provider Name | Craig Marc Kornbluth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134130925 PECOS PAC ID: 5890773709 Enrollment ID: I20040708000584 |
| Provider Name | Tom G Matzakos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619004629 PECOS PAC ID: 9234119231 Enrollment ID: I20040721000825 |
| Provider Name | Michael A Blieden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073587077 PECOS PAC ID: 2163402199 Enrollment ID: I20040721001029 |
| Provider Name | Beth A Kapadia |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184754947 PECOS PAC ID: 6305826231 Enrollment ID: I20040722000025 |
| Provider Name | Grace C Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346318466 PECOS PAC ID: 9739169442 Enrollment ID: I20040722001351 |
| Provider Name | Mana K Amir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598731994 PECOS PAC ID: 0749250728 Enrollment ID: I20040728000114 |
| Provider Name | Gregory F Kellermeyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043385396 PECOS PAC ID: 9830169820 Enrollment ID: I20040728000119 |
| Provider Name | Scott R Andersen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851376347 PECOS PAC ID: 9931179983 Enrollment ID: I20040728000604 |
| Provider Name | Alexis E Taber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1962488775 PECOS PAC ID: 2961472592 Enrollment ID: I20040730000679 |
| Provider Name | Fred A Crawford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881721827 PECOS PAC ID: 5597736926 Enrollment ID: I20040802000288 |
| Provider Name | Gail Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710958558 PECOS PAC ID: 9638140940 Enrollment ID: I20040802000870 |
| Provider Name | Cyrus Mirshab |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720118573 PECOS PAC ID: 0446221519 Enrollment ID: I20040803000530 |
| Provider Name | Carl J Judge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164407847 PECOS PAC ID: 2264404078 Enrollment ID: I20040811001226 |
| Provider Name | Shira Belman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851476592 PECOS PAC ID: 8426021452 Enrollment ID: I20040817000988 |
| Provider Name | James F Macdougall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821128760 PECOS PAC ID: 2961476353 Enrollment ID: I20040823000282 |
| Provider Name | Lori M Dirusso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033246079 PECOS PAC ID: 7315911740 Enrollment ID: I20040823000506 |
| Provider Name | Julie D Dietrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144227760 PECOS PAC ID: 3779557095 Enrollment ID: I20040823001197 |
| Provider Name | Amy K Chudik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558498592 PECOS PAC ID: 7416921606 Enrollment ID: I20040824000179 |
| Provider Name | Julian T Hsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013044056 PECOS PAC ID: 3678547882 Enrollment ID: I20040824000267 |
| Provider Name | Callie G Black |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679658322 PECOS PAC ID: 3274507280 Enrollment ID: I20040825000392 |
| Provider Name | Amy N Duckro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023145034 PECOS PAC ID: 5395710503 Enrollment ID: I20040831001269 |
| Provider Name | Sean P Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801926746 PECOS PAC ID: 3476528464 Enrollment ID: I20040901001012 |
| Provider Name | Colin H Combs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740317775 PECOS PAC ID: 7012983729 Enrollment ID: I20040903000527 |
| Provider Name | Dimitrios J Zaronias |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205963246 PECOS PAC ID: 1658347018 Enrollment ID: I20040907001219 |
| Provider Name | Michelle H Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871620450 PECOS PAC ID: 3274500988 Enrollment ID: I20040913000966 |
| Provider Name | John S Kang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972630911 PECOS PAC ID: 0345228540 Enrollment ID: I20040914000290 |
| Provider Name | Sami Lababidi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205963212 PECOS PAC ID: 9436127115 Enrollment ID: I20040921000241 |
| Provider Name | Ming-yi Ryn Wu Kreidl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174653018 PECOS PAC ID: 2769450188 Enrollment ID: I20040922001022 |
| Provider Name | Michael J Citrin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386756575 PECOS PAC ID: 9638148810 Enrollment ID: I20040927000133 |
| Provider Name | Ricardo L Pena |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982720512 PECOS PAC ID: 6800865403 Enrollment ID: I20040930000307 |
| Provider Name | Peter M Wolsko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376673145 PECOS PAC ID: 0446219679 Enrollment ID: I20041005000217 |
| Provider Name | Sean O Bryant |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700897477 PECOS PAC ID: 2567421571 Enrollment ID: I20041006000318 |
| Provider Name | Todd Stewart Crawford |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1164442059 PECOS PAC ID: 5193792471 Enrollment ID: I20041006000675 |
| Provider Name | Jacquelyn L Ramirez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083643415 PECOS PAC ID: 5496714883 Enrollment ID: I20041011000393 |
| Provider Name | Sallie H Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083744841 PECOS PAC ID: 2567422801 Enrollment ID: I20041012001000 |
| Provider Name | Darren S Zimbelman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790815546 PECOS PAC ID: 3971563420 Enrollment ID: I20041019000233 |
| Provider Name | Manuel R Lorenzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922138783 PECOS PAC ID: 2163482654 Enrollment ID: I20041019000478 |
| Provider Name | Steven J Ellstrom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427098623 PECOS PAC ID: 1557269602 Enrollment ID: I20041028000823 |
| Provider Name | Julie M Ley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447335187 PECOS PAC ID: 8729041249 Enrollment ID: I20041105000656 |
| Provider Name | Julia F Whitaker |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437184058 PECOS PAC ID: 2264495621 Enrollment ID: I20041105001001 |
| Provider Name | Sandy Schmidt Wurst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427048438 PECOS PAC ID: 7810950946 Enrollment ID: I20041109000834 |
| Provider Name | Michelle L Glasgow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417084435 PECOS PAC ID: 9931165990 Enrollment ID: I20041202000144 |
| Provider Name | Julie E Kobayashi Newberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376755777 PECOS PAC ID: 9537125927 Enrollment ID: I20041207001107 |
| Provider Name | Swarupa T Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760519797 PECOS PAC ID: 1254221450 Enrollment ID: I20041210000973 |
| Provider Name | David Zoloto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548390313 PECOS PAC ID: 1456252402 Enrollment ID: I20041211000047 |
| Provider Name | Barbara A Piasecki |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1619004652 PECOS PAC ID: 0749247773 Enrollment ID: I20041211000055 |
| Provider Name | Amy H Le |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942337977 PECOS PAC ID: 0446217475 Enrollment ID: I20041211000077 |
| Provider Name | Michael D Feil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427185453 PECOS PAC ID: 5597722520 Enrollment ID: I20041211000112 |
| Provider Name | David D Gerding |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1760519748 PECOS PAC ID: 3678530615 Enrollment ID: I20041211000131 |
| Provider Name | Anuradha A Gudavalli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205963238 PECOS PAC ID: 7012974058 Enrollment ID: I20041211000151 |
| Provider Name | Kimberly A Lundstrom |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1548267644 PECOS PAC ID: 9335107200 Enrollment ID: I20041222000751 |
| Provider Name | Deborah J Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730219502 PECOS PAC ID: 7012975881 Enrollment ID: I20041227000449 |
| Provider Name | Michael F Mestek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073628665 PECOS PAC ID: 0648238030 Enrollment ID: I20050103000225 |
| Provider Name | David L Symonds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629003173 PECOS PAC ID: 7618935016 Enrollment ID: I20050103000254 |
| Provider Name | William A Baker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740209337 PECOS PAC ID: 2466400700 Enrollment ID: I20050104000492 |
| Provider Name | Katherine B Weber |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770613523 PECOS PAC ID: 3274581012 Enrollment ID: I20050107000539 |
| Provider Name | Laurent Lewkowiez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1811002496 PECOS PAC ID: 7810947678 Enrollment ID: I20050128000669 |
| Provider Name | Ronald Valdivieso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659481422 PECOS PAC ID: 0648221150 Enrollment ID: I20050202000251 |
| Provider Name | Penney Hsieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952502155 PECOS PAC ID: 0244281483 Enrollment ID: I20050204000740 |
| Provider Name | Vaman S Jakribettuu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487696043 PECOS PAC ID: 1254383730 Enrollment ID: I20050211000842 |
| Provider Name | David W Kronbach |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821129610 PECOS PAC ID: 1355393711 Enrollment ID: I20050214000468 |
| Provider Name | Deborah F Roos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437195708 PECOS PAC ID: 1153374723 Enrollment ID: I20050223000393 |
| Provider Name | Maria I Lasaga |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235269002 PECOS PAC ID: 8820041981 Enrollment ID: I20050301000396 |
| Provider Name | Juan Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316919350 PECOS PAC ID: 2961464227 Enrollment ID: I20050302000530 |
| Provider Name | Morry W Hsu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215067087 PECOS PAC ID: 5890749857 Enrollment ID: I20050311000706 |
| Provider Name | Paula J Zegob Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275663023 PECOS PAC ID: 9931153921 Enrollment ID: I20050311000897 |
| Provider Name | Cristy L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043347057 PECOS PAC ID: 4183679137 Enrollment ID: I20050314000285 |
| Provider Name | Ellina Liptsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073643912 PECOS PAC ID: 9931154242 Enrollment ID: I20050321000271 |
| Provider Name | Stephen M Fisher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356378368 PECOS PAC ID: 1850299413 Enrollment ID: I20050329001286 |
| Provider Name | Lisa M Dalton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093799454 PECOS PAC ID: 5597712273 Enrollment ID: I20050405000661 |
| Provider Name | Warren David Levinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427115419 PECOS PAC ID: 7911954227 Enrollment ID: I20050407000863 |
| Provider Name | Gretchen L Bruno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518094556 PECOS PAC ID: 5597712851 Enrollment ID: I20050407001163 |
| Provider Name | Ifeoma R Eleazu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588791511 PECOS PAC ID: 2264479260 Enrollment ID: I20050412000299 |
| Provider Name | Richard Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619008414 PECOS PAC ID: 8224088000 Enrollment ID: I20050418000638 |
| Provider Name | Laura P Wolsko |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1538166707 PECOS PAC ID: 8022057793 Enrollment ID: I20050502001002 |
| Provider Name | Juan B Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811987829 PECOS PAC ID: 5092755538 Enrollment ID: I20050504000783 |
| Provider Name | Leonid G Liptsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861498479 PECOS PAC ID: 2466427513 Enrollment ID: I20050505001161 |
| Provider Name | Scott A Vaneyk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366572133 PECOS PAC ID: 0648210989 Enrollment ID: I20050505001227 |
| Provider Name | Patrick Pai An Ting |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457488454 PECOS PAC ID: 0547200628 Enrollment ID: I20050509000260 |
| Provider Name | Thomas J Kenney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386782902 PECOS PAC ID: 7113967845 Enrollment ID: I20050511000997 |
| Provider Name | Andrew Stewart Levy |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1578573929 PECOS PAC ID: 0446292858 Enrollment ID: I20050525001141 |
| Provider Name | Toni R Abraham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568414514 PECOS PAC ID: 3375431455 Enrollment ID: I20050601000424 |
| Provider Name | Kurt S Walters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205963220 PECOS PAC ID: 4284679630 Enrollment ID: I20050627000022 |
| Provider Name | Jody L Gibson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417087354 PECOS PAC ID: 8628013075 Enrollment ID: I20050627000036 |
| Provider Name | Cindy K Lee Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831215466 PECOS PAC ID: 1254377419 Enrollment ID: I20050629000372 |
| Provider Name | Matthew D Suskin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023093440 PECOS PAC ID: 4880645530 Enrollment ID: I20050711000299 |
| Provider Name | Catherine D Carretero |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1376691931 PECOS PAC ID: 4981630969 Enrollment ID: I20050711000906 |
| Provider Name | Michael M Sawyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386753911 PECOS PAC ID: 0648207654 Enrollment ID: I20050721000359 |
| Provider Name | Laura S Winstead |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659372852 PECOS PAC ID: 5799712428 Enrollment ID: I20050725000297 |
| Provider Name | Kristin E Mckinney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235214867 PECOS PAC ID: 5395773535 Enrollment ID: I20050729000475 |
| Provider Name | Adam G Koszowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164552923 PECOS PAC ID: 0042249575 Enrollment ID: I20050805000024 |
| Provider Name | Jennifer R Kubista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518915727 PECOS PAC ID: 4688603129 Enrollment ID: I20050805000028 |
| Provider Name | Brian P O Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801926662 PECOS PAC ID: 9739091984 Enrollment ID: I20050810000514 |
| Provider Name | Ann L Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528198371 PECOS PAC ID: 1052340973 Enrollment ID: I20050810000782 |
| Provider Name | Sandra K Barthram |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568423705 PECOS PAC ID: 5092745703 Enrollment ID: I20050812000498 |
| Provider Name | Esther H Lum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669502423 PECOS PAC ID: 0648200618 Enrollment ID: I20050818000945 |
| Provider Name | Andrew R Stephenitch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003943044 PECOS PAC ID: 7416987342 Enrollment ID: I20050819000353 |
| Provider Name | Christopher M Lowery |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1679512743 PECOS PAC ID: 5991736662 Enrollment ID: I20050823000809 |
| Provider Name | Karla C Pastrana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124158985 PECOS PAC ID: 0648201871 Enrollment ID: I20050826000474 |
| Provider Name | Usha Vt Barry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295865046 PECOS PAC ID: 6305877564 Enrollment ID: I20050826000741 |
| Provider Name | Cynthia L Justice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710017652 PECOS PAC ID: 9537190541 Enrollment ID: I20050829000800 |
| Provider Name | Abbie D Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194855965 PECOS PAC ID: 0244262046 Enrollment ID: I20050907001169 |
| Provider Name | Rebecca L Agnew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093845836 PECOS PAC ID: 4183656333 Enrollment ID: I20050908000461 |
| Provider Name | Andrea M Fedele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750411526 PECOS PAC ID: 4183656341 Enrollment ID: I20050908000559 |
| Provider Name | Felipe Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578616249 PECOS PAC ID: 9032170618 Enrollment ID: I20050908000942 |
| Provider Name | Shannon D Garton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033213210 PECOS PAC ID: 0749213528 Enrollment ID: I20050913000416 |
| Provider Name | Theodore R Lin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063542827 PECOS PAC ID: 6305879131 Enrollment ID: I20050913000728 |
| Provider Name | Laura Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750407375 PECOS PAC ID: 9830122662 Enrollment ID: I20050913000753 |
| Provider Name | Robert H Kelder |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235335266 PECOS PAC ID: 5193758472 Enrollment ID: I20050916000338 |
| Provider Name | Brett E Fenster |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649267964 PECOS PAC ID: 0648204529 Enrollment ID: I20050920001182 |
| Provider Name | Traci G Hurley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982734729 PECOS PAC ID: 7113951443 Enrollment ID: I20050926000438 |
| Provider Name | Alfred D Arline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174585749 PECOS PAC ID: 4587699582 Enrollment ID: I20050928001016 |
| Provider Name | Deborah M Archer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437135613 PECOS PAC ID: 4385679984 Enrollment ID: I20051003000531 |
| Provider Name | Lance R Little |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053441816 PECOS PAC ID: 9830114180 Enrollment ID: I20051006000234 |
| Provider Name | Sarah Y Goldberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760512537 PECOS PAC ID: 4486679503 Enrollment ID: I20051007000615 |
| Provider Name | Regina O English |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043241789 PECOS PAC ID: 9032134184 Enrollment ID: I20051007000848 |
| Provider Name | Andrew J Montes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952431728 PECOS PAC ID: 1153346119 Enrollment ID: I20051008000086 |
| Provider Name | Stacie L Daugherty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366589632 PECOS PAC ID: 7416972476 Enrollment ID: I20051008000091 |
| Provider Name | Trevor L Clayborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639209471 PECOS PAC ID: 0749224327 Enrollment ID: I20051008000121 |
| Provider Name | Julie A Melchior |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003946948 PECOS PAC ID: 0749205706 Enrollment ID: I20051008000134 |
| Provider Name | Vivian I Chao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093845935 PECOS PAC ID: 7911922976 Enrollment ID: I20051008000139 |
| Provider Name | Sarah A Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568592301 PECOS PAC ID: 3870518897 Enrollment ID: I20051010000388 |
| Provider Name | Deniz Y Kolozs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609906445 PECOS PAC ID: 0143245019 Enrollment ID: I20051010000813 |
| Provider Name | Andreea I Arvinte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164552006 PECOS PAC ID: 0244255081 Enrollment ID: I20051011000142 |
| Provider Name | Erik B Youngblood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346370285 PECOS PAC ID: 7719902592 Enrollment ID: I20051011000459 |
| Provider Name | Lisa M Szczepanski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396788311 PECOS PAC ID: 4587689203 Enrollment ID: I20051012000320 |
| Provider Name | Christine B Walden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225089980 PECOS PAC ID: 8123044765 Enrollment ID: I20051021000803 |
| Provider Name | Christina E Stovall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285606087 PECOS PAC ID: 8527085075 Enrollment ID: I20051025000271 |
| Provider Name | Joshua S Zucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851398184 PECOS PAC ID: 6103843289 Enrollment ID: I20051027001008 |
| Provider Name | Michael D Temple |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942248810 PECOS PAC ID: 9436042595 Enrollment ID: I20051031000922 |
| Provider Name | Caryn E Orr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982734745 PECOS PAC ID: 2567480429 Enrollment ID: I20051109000359 |
| Provider Name | Chamath R De Silva |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1568588184 PECOS PAC ID: 2163442724 Enrollment ID: I20051129000359 |
| Provider Name | Jane A Ray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336189497 PECOS PAC ID: 7719909563 Enrollment ID: I20051221000601 |
| Provider Name | Daniel M Mogyoros |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982731998 PECOS PAC ID: 7618999145 Enrollment ID: I20051228000246 |
| Provider Name | Paula S Kral |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598892598 PECOS PAC ID: 7113940982 Enrollment ID: I20060106000564 |
| Provider Name | Heidi R Sorensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831148766 PECOS PAC ID: 9436172277 Enrollment ID: I20060109000181 |
| Provider Name | Ian E Parsons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851421614 PECOS PAC ID: 8729001474 Enrollment ID: I20060109000364 |
| Provider Name | William P Lee |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033194733 PECOS PAC ID: 5092720151 Enrollment ID: I20060209000716 |
| Provider Name | Mark A Huun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366579245 PECOS PAC ID: 3779599287 Enrollment ID: I20060221000578 |
| Provider Name | Jennifer B De Gortari |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790701589 PECOS PAC ID: 2769498187 Enrollment ID: I20060222000610 |
| Provider Name | Susan M Freeman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861476400 PECOS PAC ID: 1951319433 Enrollment ID: I20060324000184 |
| Provider Name | Mauricio Mejia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093710352 PECOS PAC ID: 3870540347 Enrollment ID: I20060412000125 |
| Provider Name | Brett J Borstad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285663302 PECOS PAC ID: 6507876331 Enrollment ID: I20060427000051 |
| Provider Name | Kenneth H Berman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598706848 PECOS PAC ID: 6709896889 Enrollment ID: I20060503000805 |
| Provider Name | Susan L Blakley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316932387 PECOS PAC ID: 9537179502 Enrollment ID: I20060504000748 |
| Provider Name | Valerie Jean Borsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265490676 PECOS PAC ID: 0648281535 Enrollment ID: I20060505000945 |
| Provider Name | Christopher G Mclaughlin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083651186 PECOS PAC ID: 5799797478 Enrollment ID: I20060620000315 |
| Provider Name | Christopher J Fellenz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972591329 PECOS PAC ID: 0042213456 Enrollment ID: I20060824000056 |
| Provider Name | Anette M Kunig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780691535 PECOS PAC ID: 8022013267 Enrollment ID: I20060922000109 |
| Provider Name | Michael H Mcceney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497764492 PECOS PAC ID: 5698770741 Enrollment ID: I20060922000288 |
| Provider Name | Julie Osborne Heller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346266483 PECOS PAC ID: 5991700957 Enrollment ID: I20060925000619 |
| Provider Name | Miles Paradis Corkern |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1295773133 PECOS PAC ID: 1850397175 Enrollment ID: I20061010000521 |
| Provider Name | Ingrid A Binswanger |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1801812623 PECOS PAC ID: 4981592227 Enrollment ID: I20061011000587 |
| Provider Name | Cynthia C Gacnik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548379761 PECOS PAC ID: 4981600129 Enrollment ID: I20061011000752 |
| Provider Name | Catharine Victoria Rhine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235230509 PECOS PAC ID: 0547266389 Enrollment ID: I20061018000317 |
| Provider Name | Sujata Fretz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093821795 PECOS PAC ID: 3173520368 Enrollment ID: I20061101000064 |
| Provider Name | Charles D Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568573905 PECOS PAC ID: 1052318029 Enrollment ID: I20061106000046 |
| Provider Name | Bernedette Saccomanno |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437192705 PECOS PAC ID: 8729021811 Enrollment ID: I20061117000161 |
| Provider Name | Jennifer A Lomonaco Mclean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275632499 PECOS PAC ID: 3971519935 Enrollment ID: I20061120000528 |
| Provider Name | Maria T Somerset |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912915018 PECOS PAC ID: 1557393725 Enrollment ID: I20061122000279 |
| Provider Name | Mark Y Jeong |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447351010 PECOS PAC ID: 6507865177 Enrollment ID: I20061208000028 |
| Provider Name | Britt D Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003997586 PECOS PAC ID: 5496754590 Enrollment ID: I20061219000516 |
| Provider Name | David A Biddle |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679569453 PECOS PAC ID: 3274533096 Enrollment ID: I20061229000387 |
| Provider Name | Wesley B Kasen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366503823 PECOS PAC ID: 6305846601 Enrollment ID: I20070111000075 |
| Provider Name | Jeffrey M Krawcek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881638146 PECOS PAC ID: 0749290112 Enrollment ID: I20070215000778 |
| Provider Name | Joshua B Dicarlo |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043242225 PECOS PAC ID: 5991772501 Enrollment ID: I20070227000656 |
| Provider Name | Cuong V Doan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093867558 PECOS PAC ID: 7214039726 Enrollment ID: I20070301000008 |
| Provider Name | Kristina M Reitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669483004 PECOS PAC ID: 3678579547 Enrollment ID: I20070301000621 |
| Provider Name | Tina X Suneja |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1730225335 PECOS PAC ID: 5991734204 Enrollment ID: I20070314000619 |
| Provider Name | Kelly R. Lindauer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417041153 PECOS PAC ID: 7911943378 Enrollment ID: I20070330000032 |
| Provider Name | Cynthia K Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316045214 PECOS PAC ID: 0547243479 Enrollment ID: I20070424000053 |
| Provider Name | Sarah B Van Scoy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225021116 PECOS PAC ID: 4082719844 Enrollment ID: I20070424000142 |
| Provider Name | Paolo J Bahr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013912963 PECOS PAC ID: 7517869951 Enrollment ID: I20070425000633 |
| Provider Name | Carleen R Innes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366475147 PECOS PAC ID: 0547366213 Enrollment ID: I20070426000588 |
| Provider Name | Eric J Eisenman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902980766 PECOS PAC ID: 3476659855 Enrollment ID: I20070501000434 |
| Provider Name | Bart A Abriol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093847964 PECOS PAC ID: 7810093648 Enrollment ID: I20070510000421 |
| Provider Name | Trudi A Woodson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669528253 PECOS PAC ID: 4981702511 Enrollment ID: I20070606000130 |
| Provider Name | Eileen A Flavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730295221 PECOS PAC ID: 9537268438 Enrollment ID: I20070618000374 |
| Provider Name | Jayna K Doshi |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1538215132 PECOS PAC ID: 6305945114 Enrollment ID: I20070620000121 |
| Provider Name | Scott A Mesker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477601805 PECOS PAC ID: 4981703725 Enrollment ID: I20070620000363 |
| Provider Name | Angela R Kill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225195829 PECOS PAC ID: 5092758920 Enrollment ID: I20070620000645 |
| Provider Name | Alison J Railsback |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043281777 PECOS PAC ID: 4385673607 Enrollment ID: I20070628000497 |
| Provider Name | Michael T Wagnon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366491755 PECOS PAC ID: 1759481815 Enrollment ID: I20070703000353 |
| Provider Name | Samay A Dalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073650347 PECOS PAC ID: 7416057252 Enrollment ID: I20070710000392 |
| Provider Name | Michelle S Duran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942242821 PECOS PAC ID: 8729188073 Enrollment ID: I20070716000339 |
| Provider Name | Eric R Groce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295723674 PECOS PAC ID: 5496747289 Enrollment ID: I20070731000557 |
| Provider Name | Ashley D Rieple |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013022789 PECOS PAC ID: 2769461474 Enrollment ID: I20070810000474 |
| Provider Name | Rajan K Gupta |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1952457574 PECOS PAC ID: 3971695354 Enrollment ID: I20070815000849 |
| Provider Name | Steven C Tillman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417947458 PECOS PAC ID: 9638261019 Enrollment ID: I20070816000009 |
| Provider Name | Scott J Joggerst |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891754248 PECOS PAC ID: 5799877056 Enrollment ID: I20070816000672 |
| Provider Name | Jennifer L Dorosz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043396807 PECOS PAC ID: 1557453644 Enrollment ID: I20070821000248 |
| Provider Name | Stacia Lynn Sams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669528337 PECOS PAC ID: 7012009111 Enrollment ID: I20070821000352 |
| Provider Name | Leonardo Alfaro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326251398 PECOS PAC ID: 4082706106 Enrollment ID: I20070822000177 |
| Provider Name | Brian M Davidson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831245430 PECOS PAC ID: 2860584612 Enrollment ID: I20070823000958 |
| Provider Name | Pia B Lisle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124223102 PECOS PAC ID: 5395837066 Enrollment ID: I20070827000047 |
| Provider Name | Cameron J Field |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487859534 PECOS PAC ID: 5496847972 Enrollment ID: I20070829000106 |
| Provider Name | Jeffrey Craig Sirota |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1396882650 PECOS PAC ID: 0244323665 Enrollment ID: I20070830000518 |
| Provider Name | Cindy M Silvis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689876310 PECOS PAC ID: 4880787936 Enrollment ID: I20070905000348 |
| Provider Name | Michael L Burm |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346432622 PECOS PAC ID: 7618060724 Enrollment ID: I20070906000182 |
| Provider Name | Kari M Kearns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861618233 PECOS PAC ID: 2860585577 Enrollment ID: I20070911000210 |
| Provider Name | Daniel P Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245386911 PECOS PAC ID: 8123111820 Enrollment ID: I20070912000035 |
| Provider Name | Michelle M Kohara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285764126 PECOS PAC ID: 1254424823 Enrollment ID: I20070912000777 |
| Provider Name | Anna F Cosyleon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659401404 PECOS PAC ID: 3779676358 Enrollment ID: I20070912000804 |
| Provider Name | Leslie M Pearson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447444807 PECOS PAC ID: 6406949098 Enrollment ID: I20070912000875 |
| Provider Name | Deja S Vandeloo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376673210 PECOS PAC ID: 4981798584 Enrollment ID: I20070913000099 |
| Provider Name | Lise T Barbour |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1801976683 PECOS PAC ID: 7416041017 Enrollment ID: I20070913000106 |
| Provider Name | Brian A Jaquette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740278563 PECOS PAC ID: 1355242983 Enrollment ID: I20070913000199 |
| Provider Name | Michelle Feinberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699794289 PECOS PAC ID: 6204920812 Enrollment ID: I20070913000247 |
| Provider Name | David T Stewart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245209592 PECOS PAC ID: 9830135060 Enrollment ID: I20070913000407 |
| Provider Name | Cassie S Guglielmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912123738 PECOS PAC ID: 1658465208 Enrollment ID: I20070913000546 |
| Provider Name | Rory R Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740310598 PECOS PAC ID: 5991899544 Enrollment ID: I20070913000567 |
| Provider Name | Christine J Byers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215078498 PECOS PAC ID: 2264526813 Enrollment ID: I20070913000574 |
| Provider Name | Nancy L Flattem |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679603518 PECOS PAC ID: 8921034729 Enrollment ID: I20070913000599 |
| Provider Name | Bradley Alan Andrews |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891822896 PECOS PAC ID: 1951495514 Enrollment ID: I20070913000615 |
| Provider Name | Rachel A Voogt Clayborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811027659 PECOS PAC ID: 0042254617 Enrollment ID: I20070913000740 |
| Provider Name | Thomas A Gettelman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558491498 PECOS PAC ID: 9830109099 Enrollment ID: I20070913000783 |
| Provider Name | William L Gillaspie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467582239 PECOS PAC ID: 1355435934 Enrollment ID: I20070913000843 |
| Provider Name | Patricia A Warner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033176722 PECOS PAC ID: 3072607555 Enrollment ID: I20070913000854 |
| Provider Name | Stacy W Colodny |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619014982 PECOS PAC ID: 1557455045 Enrollment ID: I20070914000067 |
| Provider Name | Shane P Cass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285737395 PECOS PAC ID: 8820182322 Enrollment ID: I20070914000075 |
| Provider Name | Piper Lynn Rudel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922298900 PECOS PAC ID: 3678667185 Enrollment ID: I20070914000214 |
| Provider Name | Svetlana L Tsirkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992998967 PECOS PAC ID: 7618061060 Enrollment ID: I20070917000482 |
| Provider Name | David A Richmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679790091 PECOS PAC ID: 7719071703 Enrollment ID: I20070921000210 |
| Provider Name | Sara M May |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568674760 PECOS PAC ID: 3476647470 Enrollment ID: I20070921000275 |
| Provider Name | Brant A Odland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497801013 PECOS PAC ID: 6406940329 Enrollment ID: I20070921000491 |
| Provider Name | Brandy M Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609865468 PECOS PAC ID: 6406757046 Enrollment ID: I20070921000503 |
| Provider Name | Lisa Marie Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205036662 PECOS PAC ID: 4385739069 Enrollment ID: I20070927000079 |
| Provider Name | Ari S Brunschwig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497882419 PECOS PAC ID: 3476648981 Enrollment ID: I20070928000202 |
| Provider Name | Reynaldo Fraga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558408831 PECOS PAC ID: 5092800201 Enrollment ID: I20071003000424 |
| Provider Name | Amber E Bisgard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588794325 PECOS PAC ID: 6204922008 Enrollment ID: I20071009000832 |
| Provider Name | Wesley M Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922290089 PECOS PAC ID: 7113013962 Enrollment ID: I20071010000183 |
| Provider Name | Shyamsunder B Hatangadi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699882654 PECOS PAC ID: 4981690781 Enrollment ID: I20071019000275 |
| Provider Name | Petra C Soule |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346452703 PECOS PAC ID: 2365538378 Enrollment ID: I20071022000328 |
| Provider Name | Lynda Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922185586 PECOS PAC ID: 8628164548 Enrollment ID: I20071023000391 |
| Provider Name | David S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568660827 PECOS PAC ID: 3375630502 Enrollment ID: I20071105000018 |
| Provider Name | Johanna Figge |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720083017 PECOS PAC ID: 5991892077 Enrollment ID: I20071106000774 |
| Provider Name | Michelle L Klem |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790989556 PECOS PAC ID: 9234126236 Enrollment ID: I20071107000305 |
| Provider Name | Natalie D Talley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285764035 PECOS PAC ID: 3173611126 Enrollment ID: I20071108000715 |
| Provider Name | Nicole A Nagel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316077159 PECOS PAC ID: 4385732072 Enrollment ID: I20071113000702 |
| Provider Name | Brian P Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053441899 PECOS PAC ID: 4688763428 Enrollment ID: I20071203000183 |
| Provider Name | Tracy E Lippard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487784245 PECOS PAC ID: 1951490242 Enrollment ID: I20071210000453 |
| Provider Name | Ozioma T Gab-ojukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093805939 PECOS PAC ID: 0749360006 Enrollment ID: I20071228000176 |
| Provider Name | Timothy C Capps |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962525337 PECOS PAC ID: 5799865564 Enrollment ID: I20080107000176 |
| Provider Name | Jennifer Lynn Heffern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487770004 PECOS PAC ID: 0648350439 Enrollment ID: I20080107000328 |
| Provider Name | Thomas F Rehring |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770610735 PECOS PAC ID: 8123108883 Enrollment ID: I20080108000041 |
| Provider Name | Sonja F Nazareth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861470411 PECOS PAC ID: 4284715053 Enrollment ID: I20080117000608 |
| Provider Name | Kimberly M Clonts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760512602 PECOS PAC ID: 9638250434 Enrollment ID: I20080118000057 |
| Provider Name | Carrie J Howard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730391137 PECOS PAC ID: 5092896803 Enrollment ID: I20080118000142 |
| Provider Name | Lindsey B Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578740825 PECOS PAC ID: 4082797089 Enrollment ID: I20080214000225 |
| Provider Name | Stacey L Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548397540 PECOS PAC ID: 3577647908 Enrollment ID: I20080225000367 |
| Provider Name | Stephen D Haley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306973326 PECOS PAC ID: 5092899328 Enrollment ID: I20080226000473 |
| Provider Name | Matthew L Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770700080 PECOS PAC ID: 8123103389 Enrollment ID: I20080312000134 |
| Provider Name | Lillian M Coppola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184751133 PECOS PAC ID: 8426133612 Enrollment ID: I20080312000352 |
| Provider Name | Susan I Fixman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184768970 PECOS PAC ID: 1052496106 Enrollment ID: I20080313000149 |
| Provider Name | Sarah T Brodhead |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851438121 PECOS PAC ID: 1850479155 Enrollment ID: I20080428000489 |
| Provider Name | Jacqueline H Jamison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639213424 PECOS PAC ID: 5294814521 Enrollment ID: I20080512000217 |
| Provider Name | Mozhgan Moameni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336319417 PECOS PAC ID: 4082783493 Enrollment ID: I20080527000083 |
| Provider Name | Andrew J Schreffler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255468260 PECOS PAC ID: 8426127838 Enrollment ID: I20080527000111 |
| Provider Name | Mark W Ptaskiewicz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043347099 PECOS PAC ID: 2466522883 Enrollment ID: I20080528000281 |
| Provider Name | Patricia Sato |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477697266 PECOS PAC ID: 3870663081 Enrollment ID: I20080530000386 |
| Provider Name | Colleen D Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023296787 PECOS PAC ID: 1254401359 Enrollment ID: I20080602000298 |
| Provider Name | William J Beamgard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710021431 PECOS PAC ID: 7517037633 Enrollment ID: I20080602000497 |
| Provider Name | Joseph A Chorny |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255310785 PECOS PAC ID: 8224108352 Enrollment ID: I20080602000532 |
| Provider Name | David J Depaolo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659408680 PECOS PAC ID: 8123198256 Enrollment ID: I20080602000538 |
| Provider Name | Mark William Kiehn |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1760459838 PECOS PAC ID: 4688573918 Enrollment ID: I20080602000612 |
| Provider Name | Mary Jane Laroche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225168073 PECOS PAC ID: 6507936127 Enrollment ID: I20080609000123 |
| Provider Name | Stefanie D Kolpak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144432055 PECOS PAC ID: 9032289657 Enrollment ID: I20080609000138 |
| Provider Name | Elizabeth A Bayliss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366579393 PECOS PAC ID: 8123198777 Enrollment ID: I20080609000395 |
| Provider Name | Karen Young Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336276377 PECOS PAC ID: 1850462946 Enrollment ID: I20080617000652 |
| Provider Name | Norman R Spivy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205053626 PECOS PAC ID: 6608947734 Enrollment ID: I20080618000135 |
| Provider Name | Tracy Lynn Kruzick |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1558424812 PECOS PAC ID: 8628170156 Enrollment ID: I20080626000319 |
| Provider Name | Juventino Saavedra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770610701 PECOS PAC ID: 5991877474 Enrollment ID: I20080627000090 |
| Provider Name | Amit Sudan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689660953 PECOS PAC ID: 8628067048 Enrollment ID: I20080708000155 |
| Provider Name | Amanda L Bye |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730205378 PECOS PAC ID: 2062585649 Enrollment ID: I20080715000323 |
| Provider Name | Gurdev Singh Rai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700923091 PECOS PAC ID: 0143393405 Enrollment ID: I20080718000528 |
| Provider Name | Hanna M Kraus |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659392793 PECOS PAC ID: 5092888362 Enrollment ID: I20080718000604 |
| Provider Name | Catherine M Brummel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871620898 PECOS PAC ID: 1254404460 Enrollment ID: I20080722000291 |
| Provider Name | Stuart V Weatherwax |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063688588 PECOS PAC ID: 6002989720 Enrollment ID: I20080723000163 |
| Provider Name | Eric K Bode |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679771596 PECOS PAC ID: 1759455108 Enrollment ID: I20080801000453 |
| Provider Name | Christine T Jelinek-berents |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609922236 PECOS PAC ID: 0042385924 Enrollment ID: I20080813000144 |
| Provider Name | Luke Osborne |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568497873 PECOS PAC ID: 1456389238 Enrollment ID: I20080815000147 |
| Provider Name | Alise A Vanoyan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417084443 PECOS PAC ID: 8628143294 Enrollment ID: I20080815000319 |
| Provider Name | Andrew M Muckle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831226810 PECOS PAC ID: 6800961871 Enrollment ID: I20080826000790 |
| Provider Name | Christine L Munson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457498719 PECOS PAC ID: 2567538598 Enrollment ID: I20080827000497 |
| Provider Name | Norse R Bear |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932236999 PECOS PAC ID: 0547336505 Enrollment ID: I20080828000081 |
| Provider Name | Thomas W Brickey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407983083 PECOS PAC ID: 2769558543 Enrollment ID: I20080902000131 |
| Provider Name | Vincent A Bilello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821070756 PECOS PAC ID: 0749356541 Enrollment ID: I20080902000260 |
| Provider Name | Elizabeth Anne Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982896841 PECOS PAC ID: 5698841286 Enrollment ID: I20080905000067 |
| Provider Name | Thomas T Tsai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114045168 PECOS PAC ID: 6800962366 Enrollment ID: I20080906000036 |
| Provider Name | Julie Kristjanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740452853 PECOS PAC ID: 8527134915 Enrollment ID: I20080909000429 |
| Provider Name | Michele A Merritt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093842023 PECOS PAC ID: 3274609532 Enrollment ID: I20080910000332 |
| Provider Name | Noah M Reaven |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982748687 PECOS PAC ID: 8527135912 Enrollment ID: I20080926000539 |
| Provider Name | Michele D Salli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700913753 PECOS PAC ID: 5193892503 Enrollment ID: I20080927000085 |
| Provider Name | Alexander R Menter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1285761205 PECOS PAC ID: 5698842904 Enrollment ID: I20080927000132 |
| Provider Name | Carleen C Chartier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154458107 PECOS PAC ID: 7012085905 Enrollment ID: I20081006000100 |
| Provider Name | Krishna V Goje |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629115902 PECOS PAC ID: 3577631480 Enrollment ID: I20081006000214 |
| Provider Name | Michael E Margolis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548223365 PECOS PAC ID: 7416989504 Enrollment ID: I20081007000321 |
| Provider Name | Craig W Robbins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861529828 PECOS PAC ID: 9739257551 Enrollment ID: I20081007000515 |
| Provider Name | John J Napierkowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1801877683 PECOS PAC ID: 7517035330 Enrollment ID: I20081007000553 |
| Provider Name | Justin M Green |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194877928 PECOS PAC ID: 2668574252 Enrollment ID: I20081007000701 |
| Provider Name | Neil J Silverman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104953082 PECOS PAC ID: 3678641313 Enrollment ID: I20081007000723 |
| Provider Name | Melanie A Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386771269 PECOS PAC ID: 9436227113 Enrollment ID: I20081008000170 |
| Provider Name | Noelani M Juba |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689701617 PECOS PAC ID: 6204904907 Enrollment ID: I20081008000322 |
| Provider Name | Barbara S Solo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639212186 PECOS PAC ID: 8921176637 Enrollment ID: I20081008000439 |
| Provider Name | Rupert Paul Mendoz Galvez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1720287980 PECOS PAC ID: 5890853139 Enrollment ID: I20081015000404 |
| Provider Name | Danna O Gunderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225184849 PECOS PAC ID: 1153489497 Enrollment ID: I20081015000424 |
| Provider Name | Natalie D Conrad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427185420 PECOS PAC ID: 3577621697 Enrollment ID: I20081018000037 |
| Provider Name | Deborah L Murphy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669598298 PECOS PAC ID: 9830257955 Enrollment ID: I20081018000058 |
| Provider Name | Samantha J Benning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518097377 PECOS PAC ID: 4880752849 Enrollment ID: I20081020000236 |
| Provider Name | Kate E Frueh Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487700092 PECOS PAC ID: 4688732191 Enrollment ID: I20081027000624 |
| Provider Name | Amanda J Nadelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700084217 PECOS PAC ID: 9638238868 Enrollment ID: I20081103000699 |
| Provider Name | Ari P Ballonoff |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1689720260 PECOS PAC ID: 7113086133 Enrollment ID: I20081105000889 |
| Provider Name | Nasim Zabihi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164670832 PECOS PAC ID: 0840359865 Enrollment ID: I20081105000892 |
| Provider Name | Veronica Hailes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376577031 PECOS PAC ID: 0941305130 Enrollment ID: I20081106000117 |
| Provider Name | Drew B Colagrosso |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093817447 PECOS PAC ID: 4486739620 Enrollment ID: I20081110000525 |
| Provider Name | Sue E Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386771301 PECOS PAC ID: 7315006954 Enrollment ID: I20081111000541 |
| Provider Name | Shadi Farbin-powis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225165897 PECOS PAC ID: 7517027949 Enrollment ID: I20081114000743 |
| Provider Name | Mark E Powis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386771327 PECOS PAC ID: 9436219896 Enrollment ID: I20081117000031 |
| Provider Name | Philip A Chitwood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740317759 PECOS PAC ID: 3375603657 Enrollment ID: I20081117000256 |
| Provider Name | Edward J Nortier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366579377 PECOS PAC ID: 4183784481 Enrollment ID: I20081117000371 |
| Provider Name | Joshua Brannon Messer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841346459 PECOS PAC ID: 5496815672 Enrollment ID: I20081118000306 |
| Provider Name | Lawrence W Roth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225133390 PECOS PAC ID: 3577623685 Enrollment ID: I20081119000586 |
| Provider Name | Craig M Simmonds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588791529 PECOS PAC ID: 8820902968 Enrollment ID: I20081119000611 |
| Provider Name | Jill M Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386663995 PECOS PAC ID: 4688734601 Enrollment ID: I20081120000783 |
| Provider Name | Levonne R Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649385527 PECOS PAC ID: 3971663816 Enrollment ID: I20081121000146 |
| Provider Name | Jonathan J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235128562 PECOS PAC ID: 9830259647 Enrollment ID: I20081125000070 |
| Provider Name | Elizabeth J Sofian-conlan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457495160 PECOS PAC ID: 9436210093 Enrollment ID: I20081202000319 |
| Provider Name | Ronald E Mccranie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407990203 PECOS PAC ID: 9335200906 Enrollment ID: I20081202000337 |
| Provider Name | Jonathan A M Boyer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215074588 PECOS PAC ID: 0648331777 Enrollment ID: I20081209000136 |
| Provider Name | Shayna C Powley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255502811 PECOS PAC ID: 1254493893 Enrollment ID: I20081216000578 |
| Provider Name | Nathalie G Nys |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205941184 PECOS PAC ID: 5294897682 Enrollment ID: I20081218000426 |
| Provider Name | Lanette J Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134390875 PECOS PAC ID: 1355403676 Enrollment ID: I20081222000160 |
| Provider Name | Scott E Clemensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104932888 PECOS PAC ID: 9234185984 Enrollment ID: I20081229000624 |
| Provider Name | Diego F Belardi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1255454187 PECOS PAC ID: 0749343267 Enrollment ID: I20090109000463 |
| Provider Name | Lane M Fairbairn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871649483 PECOS PAC ID: 2567525934 Enrollment ID: I20090112000187 |
| Provider Name | Michael D Gallagher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548218654 PECOS PAC ID: 9638172505 Enrollment ID: I20090113000807 |
| Provider Name | Aaron Ketchum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861678351 PECOS PAC ID: 7113080318 Enrollment ID: I20090114000613 |
| Provider Name | Roger P Kitlowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558491308 PECOS PAC ID: 0547323685 Enrollment ID: I20090115000163 |
| Provider Name | Bruce J Feigelson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306892625 PECOS PAC ID: 3870656812 Enrollment ID: I20090116000307 |
| Provider Name | Karen E Kogel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245367267 PECOS PAC ID: 3476616392 Enrollment ID: I20090120000278 |
| Provider Name | Mark E Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811086705 PECOS PAC ID: 5890793491 Enrollment ID: I20090120000453 |
| Provider Name | Raymond J Ibarra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316008915 PECOS PAC ID: 1153484001 Enrollment ID: I20090120000537 |
| Provider Name | David M Grosser |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164429536 PECOS PAC ID: 5597650689 Enrollment ID: I20090122000733 |
| Provider Name | Peter B Cahill |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1144389123 PECOS PAC ID: 6002707395 Enrollment ID: I20090129000065 |
| Provider Name | Sean M Haney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033297825 PECOS PAC ID: 6002831815 Enrollment ID: I20090202000331 |
| Provider Name | Lisa E Mischke |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1649283854 PECOS PAC ID: 1658365580 Enrollment ID: I20090203000331 |
| Provider Name | Aaron B Gale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255599502 PECOS PAC ID: 7113082843 Enrollment ID: I20090212000659 |
| Provider Name | Jennifer C Arthur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497709760 PECOS PAC ID: 0941365217 Enrollment ID: I20090220000057 |
| Provider Name | David H Lookner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326175308 PECOS PAC ID: 3274699301 Enrollment ID: I20090225000528 |
| Provider Name | Danilo V Mazzella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265463756 PECOS PAC ID: 3678579828 Enrollment ID: I20090225000547 |
| Provider Name | Christopher A Noel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154576205 PECOS PAC ID: 4981760766 Enrollment ID: I20090303000222 |
| Provider Name | Courtney N Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043431356 PECOS PAC ID: 7618033184 Enrollment ID: I20090309000078 |
| Provider Name | Karen Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275501322 PECOS PAC ID: 5092804120 Enrollment ID: I20090309000088 |
| Provider Name | John F Riopelle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851428882 PECOS PAC ID: 0143386615 Enrollment ID: I20090309000098 |
| Provider Name | Tony Sangchompuphen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104826916 PECOS PAC ID: 2668371147 Enrollment ID: I20090309000105 |
| Provider Name | Joy J S Guth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992851679 PECOS PAC ID: 8628134087 Enrollment ID: I20090310000252 |
| Provider Name | David K Nosan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1316074370 PECOS PAC ID: 6204993454 Enrollment ID: I20090316000374 |
| Provider Name | Innessa T Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649492513 PECOS PAC ID: 5496849549 Enrollment ID: I20090323000431 |
| Provider Name | Stuart A Stanton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194869966 PECOS PAC ID: 7012074594 Enrollment ID: I20090327000289 |
| Provider Name | Bessie M Odea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851376628 PECOS PAC ID: 7810926920 Enrollment ID: I20090327000424 |
| Provider Name | Jatinder S Aulakh |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1386771392 PECOS PAC ID: 7012074446 Enrollment ID: I20090330000245 |
| Provider Name | Marla Aliza Zeiderman Shapiro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609069277 PECOS PAC ID: 9335206705 Enrollment ID: I20090330000581 |
| Provider Name | Robert B Beeson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720115603 PECOS PAC ID: 2769549062 Enrollment ID: I20090331000204 |
| Provider Name | Cristen J Mazzella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790715332 PECOS PAC ID: 0648276709 Enrollment ID: I20090408000278 |
| Provider Name | Huy C Ly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003067547 PECOS PAC ID: 1355498114 Enrollment ID: I20090413000500 |
| Provider Name | Camilla Smith Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194941815 PECOS PAC ID: 3476600255 Enrollment ID: I20090415000348 |
| Provider Name | Susan Hsin Mei Fong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548310212 PECOS PAC ID: 7416004965 Enrollment ID: I20090420000668 |
| Provider Name | Brenda Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609935360 PECOS PAC ID: 0941360952 Enrollment ID: I20090429000506 |
| Provider Name | Christopher G Johnnides |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841257706 PECOS PAC ID: 6901832138 Enrollment ID: I20090430000030 |
| Provider Name | Kelly A Burch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326285412 PECOS PAC ID: 9537217211 Enrollment ID: I20090507000263 |
| Provider Name | Lee W Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497899272 PECOS PAC ID: 5890844179 Enrollment ID: I20090515000122 |
| Provider Name | Frank P Knapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154345429 PECOS PAC ID: 7517956899 Enrollment ID: I20090515000336 |
| Provider Name | Edward Tham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215187919 PECOS PAC ID: 1052471513 Enrollment ID: I20090519000236 |
| Provider Name | Fernando L Arroyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396962718 PECOS PAC ID: 9537219738 Enrollment ID: I20090610000087 |
| Provider Name | Alisha P Garth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639299225 PECOS PAC ID: 2466502679 Enrollment ID: I20090610000164 |
| Provider Name | Eamon M Berge |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1942356530 PECOS PAC ID: 4183775414 Enrollment ID: I20090626000561 |
| Provider Name | Michael Fitzgerald Oakes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568663227 PECOS PAC ID: 2466503263 Enrollment ID: I20090707000364 |
| Provider Name | Barry A Schoelch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851592299 PECOS PAC ID: 1850465287 Enrollment ID: I20090707000388 |
| Provider Name | Bradford J Robinson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356558563 PECOS PAC ID: 5092889428 Enrollment ID: I20090707000454 |
| Provider Name | Shari Charna Fox |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588750822 PECOS PAC ID: 5991783805 Enrollment ID: I20090710000077 |
| Provider Name | Vincent Brendan Herlihy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558533356 PECOS PAC ID: 2163591868 Enrollment ID: I20090713000507 |
| Provider Name | Megan E Weber |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1124057385 PECOS PAC ID: 6305841784 Enrollment ID: I20090713000655 |
| Provider Name | Vadim Fayngersh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437146115 PECOS PAC ID: 9133155062 Enrollment ID: I20090716000251 |
| Provider Name | Janet R Suarez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1063494615 PECOS PAC ID: 3173559671 Enrollment ID: I20090723000726 |
| Provider Name | Matthew S Koehler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578600847 PECOS PAC ID: 6901959840 Enrollment ID: I20090724000583 |
| Provider Name | Matthew Palcso |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396882676 PECOS PAC ID: 0143373084 Enrollment ID: I20090724000632 |
| Provider Name | William R Howe |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1326185679 PECOS PAC ID: 5294888921 Enrollment ID: I20090728000900 |
| Provider Name | Malinda A Schlicht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457384026 PECOS PAC ID: 7810934171 Enrollment ID: I20090729000074 |
| Provider Name | Karen E Maloney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063535946 PECOS PAC ID: 0547313165 Enrollment ID: I20090729000886 |
| Provider Name | Sara S Cheng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891832168 PECOS PAC ID: 4082767546 Enrollment ID: I20090730000311 |
| Provider Name | Renee A D Ambrosia |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205982808 PECOS PAC ID: 1850444316 Enrollment ID: I20090730000376 |
| Provider Name | Robert W Burman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003013830 PECOS PAC ID: 7810040391 Enrollment ID: I20090730000516 |
| Provider Name | Mahasti Kalantar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598865313 PECOS PAC ID: 6901959097 Enrollment ID: I20090807000167 |
| Provider Name | Jennifer A Morrison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952526410 PECOS PAC ID: 8123172673 Enrollment ID: I20090818000302 |
| Provider Name | David R Fintak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336275296 PECOS PAC ID: 7416054721 Enrollment ID: I20090819000362 |
| Provider Name | Christopher M Hicks |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487781365 PECOS PAC ID: 7012061120 Enrollment ID: I20090824000402 |
| Provider Name | Jeffrey D Manuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639346554 PECOS PAC ID: 7719054154 Enrollment ID: I20090824000555 |
| Provider Name | Mitchell T Smith |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1538215215 PECOS PAC ID: 5799830857 Enrollment ID: I20090826000443 |
| Provider Name | Brian N Bailey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346396926 PECOS PAC ID: 6204981954 Enrollment ID: I20090901000317 |
| Provider Name | Charlotte O Brady |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932397932 PECOS PAC ID: 9436204120 Enrollment ID: I20090901000697 |
| Provider Name | Kirsten S Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457495228 PECOS PAC ID: 4688729387 Enrollment ID: I20090902000084 |
| Provider Name | Jessica C Frankel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053448068 PECOS PAC ID: 1951456656 Enrollment ID: I20090902000090 |
| Provider Name | Alan J Kroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720115769 PECOS PAC ID: 6507911237 Enrollment ID: I20090902000290 |
| Provider Name | Allison N Leisge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093845869 PECOS PAC ID: 4880749522 Enrollment ID: I20090902000373 |
| Provider Name | Debbie K Maass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952438921 PECOS PAC ID: 6507911245 Enrollment ID: I20090902000386 |
| Provider Name | Paul A Mikolaj |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417087271 PECOS PAC ID: 6406901149 Enrollment ID: I20090902000395 |
| Provider Name | Gregory T Mills |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629112404 PECOS PAC ID: 9032264775 Enrollment ID: I20090902000404 |
| Provider Name | Steven M Mullen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508996356 PECOS PAC ID: 2567517204 Enrollment ID: I20090902000417 |
| Provider Name | Karl J Rodriguez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558498147 PECOS PAC ID: 0941355580 Enrollment ID: I20090902000488 |
| Provider Name | Andrew C Snow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598719486 PECOS PAC ID: 2961442330 Enrollment ID: I20090902000677 |
| Provider Name | Deborah R Stafford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962600866 PECOS PAC ID: 2062567621 Enrollment ID: I20090902000681 |
| Provider Name | Robert L Webers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508996372 PECOS PAC ID: 8527113109 Enrollment ID: I20090903000161 |
| Provider Name | Leanne S Weinshenker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831226885 PECOS PAC ID: 2062567647 Enrollment ID: I20090903000174 |
| Provider Name | Brian J Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033301130 PECOS PAC ID: 6406901081 Enrollment ID: I20090903000189 |
| Provider Name | Pooneh Shahmohammadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184875981 PECOS PAC ID: 7315093499 Enrollment ID: I20090914000786 |
| Provider Name | Alan J Weinstein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1881654267 PECOS PAC ID: 3375643331 Enrollment ID: I20090918000118 |
| Provider Name | Rachel J Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043473804 PECOS PAC ID: 4587710314 Enrollment ID: I20090921000449 |
| Provider Name | Hilton M Holman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619011459 PECOS PAC ID: 9436205275 Enrollment ID: I20090921000527 |
| Provider Name | Christina M Ring |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861533713 PECOS PAC ID: 0749336279 Enrollment ID: I20090924000113 |
| Provider Name | Rebecca A Boex |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306983671 PECOS PAC ID: 7911053459 Enrollment ID: I20090924000133 |
| Provider Name | Shauna M Grace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245386861 PECOS PAC ID: 5890841340 Enrollment ID: I20090924000269 |
| Provider Name | John Mahoney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730223512 PECOS PAC ID: 1456407915 Enrollment ID: I20090924000375 |
| Provider Name | Matthew R Quallick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174660468 PECOS PAC ID: 2264588722 Enrollment ID: I20090924000384 |
| Provider Name | Jeannine S Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366624033 PECOS PAC ID: 6204908197 Enrollment ID: I20090925000448 |
| Provider Name | Peter M Schultze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326175373 PECOS PAC ID: 1254487606 Enrollment ID: I20090925000555 |
| Provider Name | Philip T Neff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205943693 PECOS PAC ID: 7517904899 Enrollment ID: I20090928000386 |
| Provider Name | Sarah F Chess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609038512 PECOS PAC ID: 2668528910 Enrollment ID: I20090929000054 |
| Provider Name | Sharon L Wetherall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679649149 PECOS PAC ID: 3173669264 Enrollment ID: I20091002000303 |
| Provider Name | Afsaneh Arefie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568594729 PECOS PAC ID: 5991841454 Enrollment ID: I20091014000237 |
| Provider Name | Michelle Draznin |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1528032166 PECOS PAC ID: 9335236397 Enrollment ID: I20091015000608 |
| Provider Name | Jonathan M Kusumi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427104108 PECOS PAC ID: 9537206982 Enrollment ID: I20091016000583 |
| Provider Name | Tho Quy Truong |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1528205473 PECOS PAC ID: 2466599758 Enrollment ID: I20091019000400 |
| Provider Name | Amber Koch-laking |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922154608 PECOS PAC ID: 0648317362 Enrollment ID: I20091028000447 |
| Provider Name | Andrea L Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730312802 PECOS PAC ID: 3375680051 Enrollment ID: I20091029000124 |
| Provider Name | David B Winn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962480533 PECOS PAC ID: 1153468723 Enrollment ID: I20091030000361 |
| Provider Name | Jennifer H Seidel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568518181 PECOS PAC ID: 7719024298 Enrollment ID: I20091103000144 |
| Provider Name | Jenifer L Davies |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548227622 PECOS PAC ID: 2668424268 Enrollment ID: I20091111000495 |
| Provider Name | Erin Christine Medina |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316118557 PECOS PAC ID: 3072683572 Enrollment ID: I20091116000277 |
| Provider Name | Heidi T Mizones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154598050 PECOS PAC ID: 5597803387 Enrollment ID: I20091116000539 |
| Provider Name | Matthew F Daley |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1679658306 PECOS PAC ID: 0941348528 Enrollment ID: I20091119000349 |
| Provider Name | Theodore R Stefani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528100690 PECOS PAC ID: 5799824330 Enrollment ID: I20091120000303 |
| Provider Name | Susan Egbert Mccall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821237926 PECOS PAC ID: 8022157247 Enrollment ID: I20091201000679 |
| Provider Name | Anjoli Marie Dixit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144554692 PECOS PAC ID: 6800935701 Enrollment ID: I20091207000437 |
| Provider Name | Jennifer R Price |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740205152 PECOS PAC ID: 0648251900 Enrollment ID: I20091210000077 |
| Provider Name | Julia R Embry-schubert |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1982750584 PECOS PAC ID: 5193865657 Enrollment ID: I20091215000347 |
| Provider Name | Hillard Zallen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225157712 PECOS PAC ID: 6800836370 Enrollment ID: I20100113000870 |
| Provider Name | Sara M Alley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720104342 PECOS PAC ID: 7012059801 Enrollment ID: I20100115000792 |
| Provider Name | Karen R Byrnes |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1700059243 PECOS PAC ID: 7810039625 Enrollment ID: I20100116000019 |
| Provider Name | Laura E Hasenoehrl |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184810459 PECOS PAC ID: 0446392252 Enrollment ID: I20100116000031 |
| Provider Name | Scott M Barton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639213408 PECOS PAC ID: 3476695008 Enrollment ID: I20100120000728 |
| Provider Name | Kimberly D Warner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134256118 PECOS PAC ID: 5395887939 Enrollment ID: I20100120000857 |
| Provider Name | Lauren E Bianchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457356495 PECOS PAC ID: 0143281378 Enrollment ID: I20100126000060 |
| Provider Name | Robyn N Tuttle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043397854 PECOS PAC ID: 9032251095 Enrollment ID: I20100128000840 |
| Provider Name | Jessica E Barron Essary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255328027 PECOS PAC ID: 7012921810 Enrollment ID: I20100204000219 |
| Provider Name | Prairie Robinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982741278 PECOS PAC ID: 2860536745 Enrollment ID: I20100216000210 |
| Provider Name | Jennifer A Degraauw |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316069727 PECOS PAC ID: 0042311433 Enrollment ID: I20100220000114 |
| Provider Name | Changhu Chen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1336256171 PECOS PAC ID: 7810022308 Enrollment ID: I20100323000604 |
| Provider Name | Amber L Wisniewski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528398880 PECOS PAC ID: 9830224278 Enrollment ID: I20100324000192 |
| Provider Name | Brenda Ann Bucklin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427163799 PECOS PAC ID: 3779619101 Enrollment ID: I20100324001213 |
| Provider Name | Jennifer N Kelloff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891885430 PECOS PAC ID: 4789710666 Enrollment ID: I20100330000958 |
| Provider Name | Timothy E Grayson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144357179 PECOS PAC ID: 3476501313 Enrollment ID: I20100405000424 |
| Provider Name | Marc Ira Kerman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710964903 PECOS PAC ID: 9335276823 Enrollment ID: I20100414000425 |
| Provider Name | Gregory L Ellis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629105622 PECOS PAC ID: 5890822837 Enrollment ID: I20100422000349 |
| Provider Name | Angela N Allen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1649307653 PECOS PAC ID: 4789711474 Enrollment ID: I20100429000280 |
| Provider Name | Peter S Krogh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750418794 PECOS PAC ID: 8921136409 Enrollment ID: I20100504000090 |
| Provider Name | Robert J Rhodes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689894412 PECOS PAC ID: 2961563283 Enrollment ID: I20100507000138 |
| Provider Name | Thomas P Merkert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356478358 PECOS PAC ID: 2961496815 Enrollment ID: I20100511000914 |
| Provider Name | Scott A Middlemist |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205963279 PECOS PAC ID: 3870621998 Enrollment ID: I20100511000966 |
| Provider Name | James E Rafferty |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1821160466 PECOS PAC ID: 2466548995 Enrollment ID: I20100511000985 |
| Provider Name | Neva Phair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326175357 PECOS PAC ID: 0143358135 Enrollment ID: I20100512000829 |
| Provider Name | Brian D Dorotik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306824222 PECOS PAC ID: 0345378212 Enrollment ID: I20100513000690 |
| Provider Name | Mandi B Hagler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275664062 PECOS PAC ID: 2163550930 Enrollment ID: I20100514000821 |
| Provider Name | Kimberly M Patterson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043347024 PECOS PAC ID: 2769510445 Enrollment ID: I20100518000148 |
| Provider Name | Meighan W Elder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649307661 PECOS PAC ID: 3870621568 Enrollment ID: I20100518000262 |
| Provider Name | Federico Salvo Soto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669709044 PECOS PAC ID: 0648309369 Enrollment ID: I20100518000701 |
| Provider Name | Vongpheth L Mccarthy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740370188 PECOS PAC ID: 4183753445 Enrollment ID: I20100525000219 |
| Provider Name | Erin D Shore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033174743 PECOS PAC ID: 2668449984 Enrollment ID: I20100526000790 |
| Provider Name | Barry S Eskins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013035971 PECOS PAC ID: 5294625687 Enrollment ID: I20100602000972 |
| Provider Name | Paul A Stangl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114916921 PECOS PAC ID: 3971530288 Enrollment ID: I20100609000673 |
| Provider Name | Jennifer L Eisenstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730410671 PECOS PAC ID: 4587794722 Enrollment ID: I20100614000774 |
| Provider Name | Michelle P Rhodes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205911559 PECOS PAC ID: 9032214309 Enrollment ID: I20100617000458 |
| Provider Name | Shawn J Marsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780659235 PECOS PAC ID: 3375674005 Enrollment ID: I20100624000604 |
| Provider Name | Sharman L Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245367283 PECOS PAC ID: 9436280195 Enrollment ID: I20100624000877 |
| Provider Name | Erik Letko |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316090350 PECOS PAC ID: 8426124462 Enrollment ID: I20100629000517 |
| Provider Name | Robert Schabbing |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235248618 PECOS PAC ID: 5193857118 Enrollment ID: I20100709000339 |
| Provider Name | Patrice A Michaletz Onody |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861424582 PECOS PAC ID: 9234124975 Enrollment ID: I20100709000818 |
| Provider Name | Laura A Newberry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740480581 PECOS PAC ID: 2466584354 Enrollment ID: I20100712000563 |
| Provider Name | Thomas G Morales |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831127885 PECOS PAC ID: 3577558204 Enrollment ID: I20100715000371 |
| Provider Name | James Pulju |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194757823 PECOS PAC ID: 6305831033 Enrollment ID: I20100715000397 |
| Provider Name | David K Barclay |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033265616 PECOS PAC ID: 6305931783 Enrollment ID: I20100720000416 |
| Provider Name | Toya A Ellis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558498436 PECOS PAC ID: 2567595325 Enrollment ID: I20100729000916 |
| Provider Name | Samantha P Janowiec |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447414271 PECOS PAC ID: 6406989235 Enrollment ID: I20100730000713 |
| Provider Name | Laura D Patke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235258096 PECOS PAC ID: 4688707334 Enrollment ID: I20100802000091 |
| Provider Name | Evelyn D Abram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730205345 PECOS PAC ID: 2769515386 Enrollment ID: I20100803001165 |
| Provider Name | Cynthia J Cirolla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295992865 PECOS PAC ID: 0749313187 Enrollment ID: I20100805000188 |
| Provider Name | Laura A Dimatteo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346387628 PECOS PAC ID: 8527121599 Enrollment ID: I20100810000307 |
| Provider Name | Leslie K Proctor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619193158 PECOS PAC ID: 3779633995 Enrollment ID: I20100810000465 |
| Provider Name | Heather A Raff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013063783 PECOS PAC ID: 2668506874 Enrollment ID: I20100810000482 |
| Provider Name | Dipesh Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518004886 PECOS PAC ID: 0941334957 Enrollment ID: I20100812000790 |
| Provider Name | Michael I Tobin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295851814 PECOS PAC ID: 6406980457 Enrollment ID: I20100812001169 |
| Provider Name | Stephen K Muckleroy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376670349 PECOS PAC ID: 2668506544 Enrollment ID: I20100813000554 |
| Provider Name | Comilla Sasson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508962036 PECOS PAC ID: 0446258842 Enrollment ID: I20100820000110 |
| Provider Name | Arvin S Gill |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154410389 PECOS PAC ID: 6002930914 Enrollment ID: I20100830000712 |
| Provider Name | Kenneth A Gotaas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316933161 PECOS PAC ID: 6002960580 Enrollment ID: I20100913000278 |
| Provider Name | Carla C Saveli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760538433 PECOS PAC ID: 3072638139 Enrollment ID: I20100913000535 |
| Provider Name | Elizabeth Ann Moyle |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881804565 PECOS PAC ID: 0244356368 Enrollment ID: I20100927000859 |
| Provider Name | James B Hutchings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225234552 PECOS PAC ID: 0042363731 Enrollment ID: I20101019000770 |
| Provider Name | Lucas S Rylander |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386857837 PECOS PAC ID: 2567655863 Enrollment ID: I20101019001082 |
| Provider Name | Carla J Witt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255468278 PECOS PAC ID: 4688867898 Enrollment ID: I20101020000932 |
| Provider Name | Sarah Megan Appleton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811155468 PECOS PAC ID: 4688867336 Enrollment ID: I20101026000861 |
| Provider Name | James G Willett |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689711962 PECOS PAC ID: 7315131810 Enrollment ID: I20101028000990 |
| Provider Name | Megan Kathleen Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134382021 PECOS PAC ID: 5698969087 Enrollment ID: I20101029000733 |
| Provider Name | Joseph O Billig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467408708 PECOS PAC ID: 2466350509 Enrollment ID: I20101101000775 |
| Provider Name | Brent A Snee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174595474 PECOS PAC ID: 8921292863 Enrollment ID: I20101104000348 |
| Provider Name | Kellie H Arpin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992997134 PECOS PAC ID: 9638363450 Enrollment ID: I20101104001459 |
| Provider Name | Blake R Parsons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689660300 PECOS PAC ID: 0547314023 Enrollment ID: I20101105000835 |
| Provider Name | Elizabeth A Banwart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487818910 PECOS PAC ID: 8426243064 Enrollment ID: I20101109001217 |
| Provider Name | Michael Aaron Heller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093861619 PECOS PAC ID: 0042405128 Enrollment ID: I20101115000909 |
| Provider Name | Kelly L Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740471119 PECOS PAC ID: 5597950428 Enrollment ID: I20101117000497 |
| Provider Name | Sarah Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528264025 PECOS PAC ID: 6002964665 Enrollment ID: I20101118000883 |
| Provider Name | Michael R Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982676706 PECOS PAC ID: 5991991911 Enrollment ID: I20101201001304 |
| Provider Name | Janet Swanson Green |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497878144 PECOS PAC ID: 7012104094 Enrollment ID: I20101203000675 |
| Provider Name | Amy J Gagnon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265579544 PECOS PAC ID: 2466649298 Enrollment ID: I20101206001286 |
| Provider Name | Heidi Chang Xavier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134275720 PECOS PAC ID: 4183811912 Enrollment ID: I20101206001303 |
| Provider Name | Daniel L Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144404120 PECOS PAC ID: 8325235872 Enrollment ID: I20101209000299 |
| Provider Name | Jonathon P Savage |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972566107 PECOS PAC ID: 5193912541 Enrollment ID: I20101210000202 |
| Provider Name | Susan P Teruel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316258072 PECOS PAC ID: 2567659956 Enrollment ID: I20101210000718 |
| Provider Name | Daniel J Katz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255548293 PECOS PAC ID: 8022169176 Enrollment ID: I20101214000524 |
| Provider Name | Claire C Mcvay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003070400 PECOS PAC ID: 1850588963 Enrollment ID: I20101214001287 |
| Provider Name | Elizabeth Herf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598961146 PECOS PAC ID: 9436200011 Enrollment ID: I20101214001298 |
| Provider Name | Andrea L Wiegand |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972820504 PECOS PAC ID: 1052508124 Enrollment ID: I20101215000562 |
| Provider Name | Samson K Shen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457597833 PECOS PAC ID: 2466649546 Enrollment ID: I20101215000751 |
| Provider Name | Danette Silaban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467667543 PECOS PAC ID: 6507901691 Enrollment ID: I20101215000809 |
| Provider Name | Beth M Lewkowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922125723 PECOS PAC ID: 2769670850 Enrollment ID: I20101215000955 |
| Provider Name | Nancy L Greenstreet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548453350 PECOS PAC ID: 4486842515 Enrollment ID: I20101216000136 |
| Provider Name | Christina M Ballonoff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881893386 PECOS PAC ID: 0648364687 Enrollment ID: I20101216000478 |
| Provider Name | Lynn A Barta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851330492 PECOS PAC ID: 3375731912 Enrollment ID: I20101222000982 |
| Provider Name | Robert T Stovall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669519922 PECOS PAC ID: 4587852173 Enrollment ID: I20101227000057 |
| Provider Name | Christine A Wakefield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508993577 PECOS PAC ID: 5991719973 Enrollment ID: I20110103000752 |
| Provider Name | Sara J Meadows |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780840454 PECOS PAC ID: 2769671932 Enrollment ID: I20110104001209 |
| Provider Name | John C Philman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902933989 PECOS PAC ID: 1850580739 Enrollment ID: I20110107000167 |
| Provider Name | Valerie A Bain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659690311 PECOS PAC ID: 6709075492 Enrollment ID: I20110111000959 |
| Provider Name | Renee Micielli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134248545 PECOS PAC ID: 3274603642 Enrollment ID: I20110113000513 |
| Provider Name | Kelly A Zander |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1386790970 PECOS PAC ID: 0749479202 Enrollment ID: I20110113001120 |
| Provider Name | Tricia L Yeo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700088127 PECOS PAC ID: 2769671247 Enrollment ID: I20110114000110 |
| Provider Name | Suzanne L Hutchison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619927308 PECOS PAC ID: 2466631585 Enrollment ID: I20110121000341 |
| Provider Name | Richard E Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154369304 PECOS PAC ID: 2264611300 Enrollment ID: I20110121000622 |
| Provider Name | Faranghise S Bahhage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194852160 PECOS PAC ID: 3274712237 Enrollment ID: I20110121001003 |
| Provider Name | Tiffany M Asbury |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679877856 PECOS PAC ID: 2961681978 Enrollment ID: I20110124000478 |
| Provider Name | Daniel S Vernon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750354205 PECOS PAC ID: 0648459677 Enrollment ID: I20110124000674 |
| Provider Name | Lora L Ogarek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487770012 PECOS PAC ID: 8325227176 Enrollment ID: I20110125001000 |
| Provider Name | Elizabeth A Handysides |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679600605 PECOS PAC ID: 9133308893 Enrollment ID: I20110126001111 |
| Provider Name | Katya Bograd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164559183 PECOS PAC ID: 4082893664 Enrollment ID: I20110128000162 |
| Provider Name | Rebecca A Bowen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053439729 PECOS PAC ID: 6204015753 Enrollment ID: I20110128001021 |
| Provider Name | Jill Randi Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821125857 PECOS PAC ID: 6800076977 Enrollment ID: I20110207000325 |
| Provider Name | Heather L Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255468286 PECOS PAC ID: 7315127115 Enrollment ID: I20110211000048 |
| Provider Name | John J Orrego |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891822839 PECOS PAC ID: 9032399852 Enrollment ID: I20110211000316 |
| Provider Name | Daniel S. Mcaninch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962539940 PECOS PAC ID: 9234319740 Enrollment ID: I20110215000633 |
| Provider Name | Samuel A Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376670968 PECOS PAC ID: 8527248046 Enrollment ID: I20110215000732 |
| Provider Name | Edward Charles Pino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003943028 PECOS PAC ID: 8921021445 Enrollment ID: I20110217000923 |
| Provider Name | Bruce R Peters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063549624 PECOS PAC ID: 3173704442 Enrollment ID: I20110218000595 |
| Provider Name | Todd Francis Capizzi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1649485764 PECOS PAC ID: 6507047735 Enrollment ID: I20110222000448 |
| Provider Name | Paul M Chetham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164480604 PECOS PAC ID: 4183806623 Enrollment ID: I20110304000603 |
| Provider Name | Stuart G Geer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144357153 PECOS PAC ID: 0648452912 Enrollment ID: I20110308000325 |
| Provider Name | Louis A Morris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407990294 PECOS PAC ID: 1052593217 Enrollment ID: I20110309000140 |
| Provider Name | Henry J Frazier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881858355 PECOS PAC ID: 6800960931 Enrollment ID: I20110310000170 |
| Provider Name | Judy D Drumright |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841316478 PECOS PAC ID: 8729260864 Enrollment ID: I20110310000198 |
| Provider Name | Angela Rosetti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013932086 PECOS PAC ID: 2668435280 Enrollment ID: I20110310000459 |
| Provider Name | Ari Z Melmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588791552 PECOS PAC ID: 1456533470 Enrollment ID: I20110314000179 |
| Provider Name | Peter P Chiang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114054152 PECOS PAC ID: 0446432363 Enrollment ID: I20110314000199 |
| Provider Name | Krista R Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750531877 PECOS PAC ID: 5698826154 Enrollment ID: I20110315000162 |
| Provider Name | Leslie S Stark |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124155155 PECOS PAC ID: 1951583764 Enrollment ID: I20110315000298 |
| Provider Name | Howard J Mcgowan |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1750470753 PECOS PAC ID: 7214119932 Enrollment ID: I20110316000609 |
| Provider Name | David J Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326175365 PECOS PAC ID: 7416130984 Enrollment ID: I20110321000606 |
| Provider Name | Peter J Cvietusa |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1669509543 PECOS PAC ID: 3072796531 Enrollment ID: I20110322000458 |
| Provider Name | Jason H Juba |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750418778 PECOS PAC ID: 1153504469 Enrollment ID: I20110324000242 |
| Provider Name | David W Price |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790829596 PECOS PAC ID: 8921281189 Enrollment ID: I20110324000929 |
| Provider Name | Robert S Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558498550 PECOS PAC ID: 0749463685 Enrollment ID: I20110330000385 |
| Provider Name | Kimberly J Broxterman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538296553 PECOS PAC ID: 6002090651 Enrollment ID: I20110406000708 |
| Provider Name | Jeffrey A Kerr-layton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518094549 PECOS PAC ID: 5799969358 Enrollment ID: I20110406000762 |
| Provider Name | Jodi D Cummins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912119314 PECOS PAC ID: 4385828946 Enrollment ID: I20110406000814 |
| Provider Name | Adam S Betkowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225165269 PECOS PAC ID: 0648454942 Enrollment ID: I20110412000116 |
| Provider Name | Whitney West Short |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982814752 PECOS PAC ID: 1456535772 Enrollment ID: I20110412000385 |
| Provider Name | Hari Charan Reddy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568514289 PECOS PAC ID: 7719061415 Enrollment ID: I20110413000507 |
| Provider Name | Lisa D Whitesides |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003943051 PECOS PAC ID: 4587848601 Enrollment ID: I20110413000710 |
| Provider Name | Nora A Reznickova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760519714 PECOS PAC ID: 0648454694 Enrollment ID: I20110415000229 |
| Provider Name | Kristine A Ernewein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114054145 PECOS PAC ID: 7113102971 Enrollment ID: I20110421000464 |
| Provider Name | Andrea M Jazbec-lake |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568599504 PECOS PAC ID: 3173708930 Enrollment ID: I20110421000528 |
| Provider Name | Erin Beth Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821122201 PECOS PAC ID: 5294910998 Enrollment ID: I20110422000110 |
| Provider Name | Amy M Oldenburg |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1891876116 PECOS PAC ID: 4284819566 Enrollment ID: I20110502000300 |
| Provider Name | Peter M Hession |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710198965 PECOS PAC ID: 6901081058 Enrollment ID: I20110504000825 |
| Provider Name | Leeanne M Coakley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265547764 PECOS PAC ID: 5092990069 Enrollment ID: I20110506000610 |
| Provider Name | Joyce E Gottesfeld |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992832943 PECOS PAC ID: 9436334406 Enrollment ID: I20110506000634 |
| Provider Name | Illena K Klassen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316190192 PECOS PAC ID: 2961688833 Enrollment ID: I20110511000356 |
| Provider Name | Melissa L Shurigar-myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972630945 PECOS PAC ID: 5991981532 Enrollment ID: I20110517000445 |
| Provider Name | Tamara L Kusek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073640033 PECOS PAC ID: 5890971238 Enrollment ID: I20110518000843 |
| Provider Name | John C Sohayda |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063549632 PECOS PAC ID: 4082890306 Enrollment ID: I20110520000021 |
| Provider Name | Patrick A Kusek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346377322 PECOS PAC ID: 6800072109 Enrollment ID: I20110523000368 |
| Provider Name | Sorenna M Kirkegaard |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295862241 PECOS PAC ID: 0143406256 Enrollment ID: I20110525000127 |
| Provider Name | Sharisse M Arnold Rehring |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083741045 PECOS PAC ID: 5496932592 Enrollment ID: I20110526000452 |
| Provider Name | Aradhika Parmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720128820 PECOS PAC ID: 8123205192 Enrollment ID: I20110601000185 |
| Provider Name | John Paul Wilkins |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1013009133 PECOS PAC ID: 4284724899 Enrollment ID: I20110601000728 |
| Provider Name | Emily F Warm |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073623856 PECOS PAC ID: 3779760558 Enrollment ID: I20110603000039 |
| Provider Name | Andrew C Porter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427224427 PECOS PAC ID: 8022295823 Enrollment ID: I20110603000202 |
| Provider Name | Mark A Stabrawa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407883614 PECOS PAC ID: 6608053962 Enrollment ID: I20110614000455 |
| Provider Name | Diane Brewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952392540 PECOS PAC ID: 5395759104 Enrollment ID: I20110708000031 |
| Provider Name | Thomas Kevin Hetherington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528195583 PECOS PAC ID: 7113195959 Enrollment ID: I20110721000164 |
| Provider Name | Jonathan-hien Vu |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1356315139 PECOS PAC ID: 9133303936 Enrollment ID: I20110804000350 |
| Provider Name | Jamira Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104938422 PECOS PAC ID: 5193727196 Enrollment ID: I20110809000283 |
| Provider Name | Brandon J Patton |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659572758 PECOS PAC ID: 1850588708 Enrollment ID: I20110809000443 |
| Provider Name | Steven R Hogan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598795692 PECOS PAC ID: 2668405796 Enrollment ID: I20110811000572 |
| Provider Name | Melissa J Deboer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710294111 PECOS PAC ID: 6204006414 Enrollment ID: I20110825000642 |
| Provider Name | Irene W Macharia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881868859 PECOS PAC ID: 0840364881 Enrollment ID: I20110826000378 |
| Provider Name | Erin Sue Marcum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932361706 PECOS PAC ID: 9133399298 Enrollment ID: I20110826000615 |
| Provider Name | Paul Martin Bennett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750546495 PECOS PAC ID: 9931379807 Enrollment ID: I20110901000121 |
| Provider Name | Craig R Mandel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992832919 PECOS PAC ID: 6103986609 Enrollment ID: I20110907001337 |
| Provider Name | Brenda S Hollander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225180078 PECOS PAC ID: 6305848839 Enrollment ID: I20110908001963 |
| Provider Name | Jaime Lynn Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558417170 PECOS PAC ID: 9931274842 Enrollment ID: I20110913000376 |
| Provider Name | Avrom L Kurtz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942425574 PECOS PAC ID: 4688705114 Enrollment ID: I20110913000437 |
| Provider Name | Brian M Bagrosky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518181288 PECOS PAC ID: 6608047022 Enrollment ID: I20110915000393 |
| Provider Name | Joseph A Craig |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659486140 PECOS PAC ID: 3072784354 Enrollment ID: I20110916000199 |
| Provider Name | Kevin R Vanderveen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619055340 PECOS PAC ID: 2860398757 Enrollment ID: I20110919000746 |
| Provider Name | Martin Dinges Molander |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447399464 PECOS PAC ID: 9133275902 Enrollment ID: I20110921000122 |
| Provider Name | Jeromy M Cole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992925325 PECOS PAC ID: 1658542717 Enrollment ID: I20110921000285 |
| Provider Name | Jeffrey D Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619148202 PECOS PAC ID: 0345411419 Enrollment ID: I20110921000339 |
| Provider Name | Lawrence G Sullivan |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1558324889 PECOS PAC ID: 1557374816 Enrollment ID: I20110929000157 |
| Provider Name | Jeanette B Grube |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437129954 PECOS PAC ID: 5799956462 Enrollment ID: I20110929000482 |
| Provider Name | Maria M Michels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467582304 PECOS PAC ID: 1355513987 Enrollment ID: I20111004000393 |
| Provider Name | Sonia P Novotny |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114189958 PECOS PAC ID: 7618149261 Enrollment ID: I20111004000648 |
| Provider Name | Andrea C Perea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356536809 PECOS PAC ID: 0648442160 Enrollment ID: I20111005000625 |
| Provider Name | David J Silverman |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831316967 PECOS PAC ID: 4183896608 Enrollment ID: I20111005000643 |
| Provider Name | Robert G Congdon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699839522 PECOS PAC ID: 8921131525 Enrollment ID: I20111007000554 |
| Provider Name | Lovett E Elango |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477716074 PECOS PAC ID: 1456523570 Enrollment ID: I20111017000060 |
| Provider Name | Heidi G Ray |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427265883 PECOS PAC ID: 3577735505 Enrollment ID: I20111017000282 |
| Provider Name | Alexander Shapiro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790997443 PECOS PAC ID: 7012007826 Enrollment ID: I20111017000502 |
| Provider Name | Eric Matthew Lyders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457449126 PECOS PAC ID: 5395747307 Enrollment ID: I20111017000708 |
| Provider Name | Stuart M Prins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104069376 PECOS PAC ID: 3375668007 Enrollment ID: I20111019000596 |
| Provider Name | Giovanna M Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417118019 PECOS PAC ID: 9436321320 Enrollment ID: I20111019000624 |
| Provider Name | Andrew J Maclennan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649430596 PECOS PAC ID: 9032381835 Enrollment ID: I20111019000823 |
| Provider Name | Charles B Armstrong |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912958067 PECOS PAC ID: 8224188081 Enrollment ID: I20111020000211 |
| Provider Name | Elisa S Kapler |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073762803 PECOS PAC ID: 5496927220 Enrollment ID: I20111020000284 |
| Provider Name | Sangeeta Gupta Clarke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477595072 PECOS PAC ID: 1759346794 Enrollment ID: I20111021000207 |
| Provider Name | Tyson Hagen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1568564631 PECOS PAC ID: 3072511252 Enrollment ID: I20111021000511 |
| Provider Name | Kimberlly S Chhor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821246422 PECOS PAC ID: 5799958526 Enrollment ID: I20111024000178 |
| Provider Name | Jaclyn D Mohning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740454347 PECOS PAC ID: 5496928103 Enrollment ID: I20111025000456 |
| Provider Name | Melissa R Hippely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154594489 PECOS PAC ID: 0648443374 Enrollment ID: I20111025000648 |
| Provider Name | Smriti Bhandari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710152970 PECOS PAC ID: 8022281658 Enrollment ID: I20111027000080 |
| Provider Name | Gregory W Berman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659530640 PECOS PAC ID: 8123291523 Enrollment ID: I20111031000579 |
| Provider Name | Matthew U Neal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518930064 PECOS PAC ID: 2466576541 Enrollment ID: I20111102000151 |
| Provider Name | Richard S Clemmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164640942 PECOS PAC ID: 0547357741 Enrollment ID: I20111102000208 |
| Provider Name | Allison Marie Bukowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972732444 PECOS PAC ID: 1850564055 Enrollment ID: I20111103000687 |
| Provider Name | Julia Ann Pierce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669468245 PECOS PAC ID: 3476578147 Enrollment ID: I20111109000342 |
| Provider Name | Sarah B Hubbell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033382981 PECOS PAC ID: 7517130479 Enrollment ID: I20111109000688 |
| Provider Name | Joseph Kolb |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902945447 PECOS PAC ID: 2769584465 Enrollment ID: I20111110000854 |
| Provider Name | Amy R Trifonov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487863445 PECOS PAC ID: 5597939462 Enrollment ID: I20111111000251 |
| Provider Name | Louise Marie Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285806554 PECOS PAC ID: 5890969760 Enrollment ID: I20111111000346 |
| Provider Name | Jennifer A Tarin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871744649 PECOS PAC ID: 6406020130 Enrollment ID: I20111115000601 |
| Provider Name | Lauren E Galpin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285854208 PECOS PAC ID: 2769515311 Enrollment ID: I20111117000780 |
| Provider Name | Rebecca E Rivkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487781464 PECOS PAC ID: 3375717689 Enrollment ID: I20111123000435 |
| Provider Name | Aaron Gavin Meng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174744114 PECOS PAC ID: 9032265491 Enrollment ID: I20111201000420 |
| Provider Name | Susan L Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275645194 PECOS PAC ID: 4082754965 Enrollment ID: I20111205000860 |
| Provider Name | Maxwell R Pettijohn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356639322 PECOS PAC ID: 7618142886 Enrollment ID: I20111216000390 |
| Provider Name | Jean K Rex |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720265911 PECOS PAC ID: 7618040577 Enrollment ID: I20111219000600 |
| Provider Name | Quinn Stevens |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457525800 PECOS PAC ID: 4880860717 Enrollment ID: I20111227000547 |
| Provider Name | Michelle C Jacobson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639387848 PECOS PAC ID: 2769540160 Enrollment ID: I20111230000163 |
| Provider Name | Elizabeth U Eichner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811016330 PECOS PAC ID: 8426224676 Enrollment ID: I20120110000505 |
| Provider Name | Douglas R Altschuler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770542177 PECOS PAC ID: 4880631324 Enrollment ID: I20120110000528 |
| Provider Name | Brent P Pikkula |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760547327 PECOS PAC ID: 9133144918 Enrollment ID: I20120119000170 |
| Provider Name | Natalie A Korder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811181852 PECOS PAC ID: 9537336961 Enrollment ID: I20120125000432 |
| Provider Name | Elizabeth M Raches |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114045531 PECOS PAC ID: 4880861285 Enrollment ID: I20120126000270 |
| Provider Name | Teresa R Mcphee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760600381 PECOS PAC ID: 9335306620 Enrollment ID: I20120127000645 |
| Provider Name | Jeanne C Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114225273 PECOS PAC ID: 8123285244 Enrollment ID: I20120201000448 |
| Provider Name | Lala Cornelius |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538107149 PECOS PAC ID: 8729026703 Enrollment ID: I20120201000470 |
| Provider Name | Cassie N Hart |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1831330695 PECOS PAC ID: 7719144591 Enrollment ID: I20120206000884 |
| Provider Name | Nicole D Hargrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073898037 PECOS PAC ID: 0840457230 Enrollment ID: I20120214000410 |
| Provider Name | Lisa R Petersen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982917209 PECOS PAC ID: 2769640853 Enrollment ID: I20120221000455 |
| Provider Name | Melanie Rausche |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245439801 PECOS PAC ID: 5991832651 Enrollment ID: I20120223000746 |
| Provider Name | Michael J Baum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992854095 PECOS PAC ID: 2860380540 Enrollment ID: I20120419000017 |
| Provider Name | Angela Kay Fryer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558589390 PECOS PAC ID: 0749473494 Enrollment ID: I20120501000387 |
| Provider Name | Karen T Valish |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346253960 PECOS PAC ID: 7517950918 Enrollment ID: I20120507000053 |
| Provider Name | Luisa M Bryce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730336280 PECOS PAC ID: 2062674930 Enrollment ID: I20120510000563 |
| Provider Name | Jelena Ana Licina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316921687 PECOS PAC ID: 5092706366 Enrollment ID: I20120515000667 |
| Provider Name | Ryan J Oyer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760538383 PECOS PAC ID: 2163686015 Enrollment ID: I20120606000177 |
| Provider Name | Mary L Golden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1326360595 PECOS PAC ID: 1153586094 Enrollment ID: I20120627000694 |
| Provider Name | Rachel Lucile Rackler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184959157 PECOS PAC ID: 4587820568 Enrollment ID: I20120718000844 |
| Provider Name | Amy K Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104981265 PECOS PAC ID: 6204938699 Enrollment ID: I20120723000383 |
| Provider Name | Tiffany A Toth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912149576 PECOS PAC ID: 3173789542 Enrollment ID: I20120730000708 |
| Provider Name | David M Zalkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487943502 PECOS PAC ID: 1951557214 Enrollment ID: I20120802000273 |
| Provider Name | Nadia M Dearstyne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104053495 PECOS PAC ID: 4981850013 Enrollment ID: I20120806000707 |
| Provider Name | Mary A Wallace |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215109228 PECOS PAC ID: 6608022736 Enrollment ID: I20120806000720 |
| Provider Name | Mischa Haroutunian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619101748 PECOS PAC ID: 8628224698 Enrollment ID: I20120807000246 |
| Provider Name | Peter C Bergmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902078165 PECOS PAC ID: 7416103395 Enrollment ID: I20120808000645 |
| Provider Name | Roman Marczak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992832976 PECOS PAC ID: 9234385071 Enrollment ID: I20120809000351 |
| Provider Name | Brian L Rothschild |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1295908192 PECOS PAC ID: 9931366655 Enrollment ID: I20120809000404 |
| Provider Name | Hector E De Leon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194929752 PECOS PAC ID: 8729155155 Enrollment ID: I20120813000641 |
| Provider Name | Jill J Ingenito |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447442520 PECOS PAC ID: 2062668783 Enrollment ID: I20120813000688 |
| Provider Name | Matthew J Eadens |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831236116 PECOS PAC ID: 6103978846 Enrollment ID: I20120814000592 |
| Provider Name | John W Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073841706 PECOS PAC ID: 1153577671 Enrollment ID: I20120815000493 |
| Provider Name | Michael R Booker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093013500 PECOS PAC ID: 1759537160 Enrollment ID: I20120816000894 |
| Provider Name | Jason M Huckleberry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053517219 PECOS PAC ID: 7416104807 Enrollment ID: I20120820000594 |
| Provider Name | Joel Daniel Larma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376680728 PECOS PAC ID: 7618077306 Enrollment ID: I20120820000887 |
| Provider Name | Kirk A Reichelt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326281973 PECOS PAC ID: 5496902694 Enrollment ID: I20120823000087 |
| Provider Name | Jennifer M Tom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851533129 PECOS PAC ID: 5991952103 Enrollment ID: I20120823000147 |
| Provider Name | Marcia E Eustaquio |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629117999 PECOS PAC ID: 3375790488 Enrollment ID: I20120824000361 |
| Provider Name | Jena L Reichelt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720220957 PECOS PAC ID: 1850548736 Enrollment ID: I20120828000780 |
| Provider Name | Krista A Grandey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982855797 PECOS PAC ID: 1355598269 Enrollment ID: I20120829000149 |
| Provider Name | Jamison W Bohl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508849282 PECOS PAC ID: 6002063823 Enrollment ID: I20120830000445 |
| Provider Name | Elizabeth Lynne Carewe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518118744 PECOS PAC ID: 8224285770 Enrollment ID: I20120906000109 |
| Provider Name | Michelle C Ward |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154563302 PECOS PAC ID: 4981852480 Enrollment ID: I20120906000738 |
| Provider Name | Elma Kreso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295977528 PECOS PAC ID: 3072761550 Enrollment ID: I20120907000658 |
| Provider Name | Megan E Lederer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770748626 PECOS PAC ID: 6002093390 Enrollment ID: I20120910000257 |
| Provider Name | Sarah C Whittier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003984964 PECOS PAC ID: 5294983698 Enrollment ID: I20120910000362 |
| Provider Name | Patrick W Russell |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346430030 PECOS PAC ID: 9537357934 Enrollment ID: I20120911000156 |
| Provider Name | Meghan S Liel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235347410 PECOS PAC ID: 3173771540 Enrollment ID: I20120911000241 |
| Provider Name | Rachel L Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316042575 PECOS PAC ID: 3375578693 Enrollment ID: I20120911000271 |
| Provider Name | Kristy Lynn Faulkner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003177247 PECOS PAC ID: 2466600697 Enrollment ID: I20120913000383 |
| Provider Name | Prosper L Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063455582 PECOS PAC ID: 9537202502 Enrollment ID: I20120914000015 |
| Provider Name | Brenda C Eiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215164181 PECOS PAC ID: 6800044751 Enrollment ID: I20120918000493 |
| Provider Name | Daniel V Colonno |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437329935 PECOS PAC ID: 8729236575 Enrollment ID: I20120919000719 |
| Provider Name | Cristina F Conklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013144807 PECOS PAC ID: 0446409056 Enrollment ID: I20120925000484 |
| Provider Name | Priyanka A Gupta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437445731 PECOS PAC ID: 0941459408 Enrollment ID: I20120927000580 |
| Provider Name | Andrea E S Potash |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1326245721 PECOS PAC ID: 2668621038 Enrollment ID: I20120927000840 |
| Provider Name | Christopher R Jockel |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1831210376 PECOS PAC ID: 2466601646 Enrollment ID: I20121003000365 |
| Provider Name | Ami H Khatri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780811398 PECOS PAC ID: 2062661762 Enrollment ID: I20121011000891 |
| Provider Name | Aimee M Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700916640 PECOS PAC ID: 8022267772 Enrollment ID: I20121012000526 |
| Provider Name | Egor V. Kuznetsov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639337165 PECOS PAC ID: 1658521844 Enrollment ID: I20121024000542 |
| Provider Name | Emily J Loyd |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1699934992 PECOS PAC ID: 6406909597 Enrollment ID: I20121029000613 |
| Provider Name | Garrett S Mitchell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730313560 PECOS PAC ID: 4284885898 Enrollment ID: I20121107000683 |
| Provider Name | Karen B Ekernas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619137510 PECOS PAC ID: 6709038128 Enrollment ID: I20121212000139 |
| Provider Name | Jana L Antohe |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629236732 PECOS PAC ID: 1052583135 Enrollment ID: I20130111000380 |
| Provider Name | Kevin K Bach |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629048202 PECOS PAC ID: 6800815879 Enrollment ID: I20130117000216 |
| Provider Name | Katherine S Lu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366405870 PECOS PAC ID: 8325178734 Enrollment ID: I20130128000518 |
| Provider Name | Lauren Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1316296288 PECOS PAC ID: 1951556455 Enrollment ID: I20130307000457 |
| Provider Name | Elizabeth T Georgitis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629108568 PECOS PAC ID: 9931345535 Enrollment ID: I20130427000105 |
| Provider Name | Sharon A Coombs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518199579 PECOS PAC ID: 0840438495 Enrollment ID: I20130521000552 |
| Provider Name | Mark Alan Brinckman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548316136 PECOS PAC ID: 2365690096 Enrollment ID: I20130619000091 |
| Provider Name | Tiffany Shawn Malin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306187299 PECOS PAC ID: 5092954156 Enrollment ID: I20130620000543 |
| Provider Name | Sonia K Villalobos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912041427 PECOS PAC ID: 4688813413 Enrollment ID: I20130626000771 |
| Provider Name | George G Robinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467565606 PECOS PAC ID: 1254425291 Enrollment ID: I20130703000544 |
| Provider Name | Erik M Reite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508056649 PECOS PAC ID: 4981844412 Enrollment ID: I20130705000499 |
| Provider Name | Stacey Holdsworth Gregory |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699750927 PECOS PAC ID: 4082661772 Enrollment ID: I20130711000416 |
| Provider Name | Deepa R Thayi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508983347 PECOS PAC ID: 1658454939 Enrollment ID: I20130717000199 |
| Provider Name | Linda Song |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073628905 PECOS PAC ID: 1951321959 Enrollment ID: I20130727000024 |
| Provider Name | David Costantino |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518167725 PECOS PAC ID: 2264688993 Enrollment ID: I20130803000014 |
| Provider Name | Jennifer M. Starling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871894881 PECOS PAC ID: 5294986667 Enrollment ID: I20130805000531 |
| Provider Name | Irina Svirsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073825923 PECOS PAC ID: 2365684867 Enrollment ID: I20130813000589 |
| Provider Name | Catherine M Ippolito |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639313380 PECOS PAC ID: 3173784105 Enrollment ID: I20130816000702 |
| Provider Name | Samuel G Cloud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720071491 PECOS PAC ID: 5294977344 Enrollment ID: I20130820000433 |
| Provider Name | Carolyn D Quinn |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487621405 PECOS PAC ID: 7911972856 Enrollment ID: I20130820000679 |
| Provider Name | Andrew M Knight |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1619114592 PECOS PAC ID: 4486790409 Enrollment ID: I20130822000058 |
| Provider Name | Monica S Wernick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487867578 PECOS PAC ID: 4082894712 Enrollment ID: I20130826000071 |
| Provider Name | Lanny L Dunham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548411358 PECOS PAC ID: 7416190327 Enrollment ID: I20130826000099 |
| Provider Name | Heidi S Clune |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306167192 PECOS PAC ID: 0648413567 Enrollment ID: I20130826000172 |
| Provider Name | Kathleen D Saxon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346476231 PECOS PAC ID: 3173770369 Enrollment ID: I20130828000708 |
| Provider Name | Heath Henbest |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093724882 PECOS PAC ID: 4486681384 Enrollment ID: I20130903000728 |
| Provider Name | Ryan R Wilson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093977258 PECOS PAC ID: 3678717899 Enrollment ID: I20130910000193 |
| Provider Name | Molly J Goloback |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497983456 PECOS PAC ID: 3971747049 Enrollment ID: I20130912000118 |
| Provider Name | Kathani A Vahabzadeh |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1245358779 PECOS PAC ID: 9032234711 Enrollment ID: I20130917000301 |
| Provider Name | Matthew D Schmitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790976462 PECOS PAC ID: 8921265836 Enrollment ID: I20130919000047 |
| Provider Name | Katerina Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316295405 PECOS PAC ID: 2365686904 Enrollment ID: I20130920000114 |
| Provider Name | Todd P Landin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295013597 PECOS PAC ID: 3173767605 Enrollment ID: I20130923000528 |
| Provider Name | Aaron Robert Lloyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023213238 PECOS PAC ID: 2769626290 Enrollment ID: I20130923000572 |
| Provider Name | Joel A Winter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316159858 PECOS PAC ID: 2769497593 Enrollment ID: I20130926000060 |
| Provider Name | Joseph Cannavo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417020926 PECOS PAC ID: 7911975586 Enrollment ID: I20130926000192 |
| Provider Name | Kari O Ehmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700219250 PECOS PAC ID: 4385878271 Enrollment ID: I20131008001409 |
| Provider Name | Douglas N Faulkner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841515400 PECOS PAC ID: 0042468282 Enrollment ID: I20131014000195 |
| Provider Name | Trevor W Oren |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679610950 PECOS PAC ID: 6305000597 Enrollment ID: I20131014001493 |
| Provider Name | Jessica M Husum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316102791 PECOS PAC ID: 6103050596 Enrollment ID: I20131018001246 |
| Provider Name | Ginger M Merry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053647826 PECOS PAC ID: 9537394879 Enrollment ID: I20131023000258 |
| Provider Name | Ian Andrew Lang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184786998 PECOS PAC ID: 4789821596 Enrollment ID: I20131023001463 |
| Provider Name | Rakesh Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912275850 PECOS PAC ID: 8729238894 Enrollment ID: I20131102000040 |
| Provider Name | Katherine H Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215296926 PECOS PAC ID: 8628213691 Enrollment ID: I20131105000724 |
| Provider Name | Anna K Gutmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083887392 PECOS PAC ID: 2163692906 Enrollment ID: I20131107000123 |
| Provider Name | Heather M Fitzler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235371998 PECOS PAC ID: 7911132402 Enrollment ID: I20131111000237 |
| Provider Name | Brandon Wesley Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922325638 PECOS PAC ID: 2264674035 Enrollment ID: I20131122000676 |
| Provider Name | Joshua J Wool |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316174295 PECOS PAC ID: 2668609975 Enrollment ID: I20131212000327 |
| Provider Name | Kellie O Jobes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750719001 PECOS PAC ID: 4486881455 Enrollment ID: I20131218001745 |
| Provider Name | Adam Olding Hebb |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649461955 PECOS PAC ID: 9931296068 Enrollment ID: I20131219000258 |
| Provider Name | Jennifer L Lewey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538336300 PECOS PAC ID: 5193952976 Enrollment ID: I20131227000250 |
| Provider Name | Brian Kevin Mcintyre |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457555104 PECOS PAC ID: 4688711641 Enrollment ID: I20131227001156 |
| Provider Name | Jolene A Washington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275813677 PECOS PAC ID: 9830326560 Enrollment ID: I20131230000035 |
| Provider Name | Ellina K Hall |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275723546 PECOS PAC ID: 6608005152 Enrollment ID: I20140204001094 |
| Provider Name | Beth A Wadsworth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487795779 PECOS PAC ID: 5193995959 Enrollment ID: I20140205001410 |
| Provider Name | Jennie Lee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821429689 PECOS PAC ID: 9931338282 Enrollment ID: I20140206001615 |
| Provider Name | Amber M Decino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548696321 PECOS PAC ID: 7810126901 Enrollment ID: I20140213000631 |
| Provider Name | Ana A Likman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033350046 PECOS PAC ID: 7810126729 Enrollment ID: I20140218000781 |
| Provider Name | Stephanie M Ratner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790052538 PECOS PAC ID: 1759511603 Enrollment ID: I20140220001369 |
| Provider Name | Emily V Merrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588824957 PECOS PAC ID: 8224217864 Enrollment ID: I20140224000670 |
| Provider Name | James A Dixon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801942404 PECOS PAC ID: 2466503909 Enrollment ID: I20140226001340 |
| Provider Name | Kristen E Petrelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215270186 PECOS PAC ID: 5496985822 Enrollment ID: I20140305000945 |
| Provider Name | Tyler R Sommerfeld |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891046504 PECOS PAC ID: 5092947150 Enrollment ID: I20140404000377 |
| Provider Name | Eleanor R Jensen |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1750525911 PECOS PAC ID: 8628200797 Enrollment ID: I20140404000706 |
| Provider Name | Austin Scott Lock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942624002 PECOS PAC ID: 8022240068 Enrollment ID: I20140407000658 |
| Provider Name | Melanie W Stickrath |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1932246295 PECOS PAC ID: 7618036005 Enrollment ID: I20140409001699 |
| Provider Name | Cindy A Lockett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710942131 PECOS PAC ID: 2062536501 Enrollment ID: I20140501001545 |
| Provider Name | Celeste M Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790122729 PECOS PAC ID: 3971736521 Enrollment ID: I20140506000417 |
| Provider Name | Erik C Parker |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1992712335 PECOS PAC ID: 6204881139 Enrollment ID: I20140506000447 |
| Provider Name | Jennifer A Cochell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306288709 PECOS PAC ID: 3779716147 Enrollment ID: I20140509000863 |
| Provider Name | Jennifer K Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063647436 PECOS PAC ID: 4880818145 Enrollment ID: I20140607000122 |
| Provider Name | Erin F Drasler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952535866 PECOS PAC ID: 4789818923 Enrollment ID: I20140609000807 |
| Provider Name | Tyler L Skaife |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609092352 PECOS PAC ID: 2961675905 Enrollment ID: I20140609002086 |
| Provider Name | Carol E Workman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396005260 PECOS PAC ID: 5890919021 Enrollment ID: I20140610000825 |
| Provider Name | Alicia A Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790072643 PECOS PAC ID: 5395913180 Enrollment ID: I20140612000359 |
| Provider Name | Catherine C Fries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588859110 PECOS PAC ID: 8729202510 Enrollment ID: I20140618000481 |
| Provider Name | Alice Dodson Gray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669793444 PECOS PAC ID: 8527283712 Enrollment ID: I20140701002260 |
| Provider Name | Taekwondo J Byrd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770862815 PECOS PAC ID: 9032334875 Enrollment ID: I20140710001399 |
| Provider Name | Emily Kay Ward |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093927055 PECOS PAC ID: 3577687797 Enrollment ID: I20140721000607 |
| Provider Name | Laura E Haseganu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730347907 PECOS PAC ID: 4183811821 Enrollment ID: I20140728001753 |
| Provider Name | Jill K Gersh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609165398 PECOS PAC ID: 8527284298 Enrollment ID: I20140801001729 |
| Provider Name | Meredith Rumon Goodwin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053553057 PECOS PAC ID: 0941427322 Enrollment ID: I20140807002171 |
| Provider Name | Zachary Hutzayluk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528375227 PECOS PAC ID: 2668616509 Enrollment ID: I20140814000885 |
| Provider Name | Anne K Pizzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386800142 PECOS PAC ID: 3072783463 Enrollment ID: I20140820002034 |
| Provider Name | Cameron R Harrison |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1891905980 PECOS PAC ID: 4880812593 Enrollment ID: I20140821001268 |
| Provider Name | Kelsey A Watt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407146624 PECOS PAC ID: 1456579820 Enrollment ID: I20140826002308 |
| Provider Name | David Gordon Bosch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144529314 PECOS PAC ID: 8325266737 Enrollment ID: I20140827000920 |
| Provider Name | John H Eisenach |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598739450 PECOS PAC ID: 7315082062 Enrollment ID: I20140827001781 |
| Provider Name | Julia H Wiseman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780018945 PECOS PAC ID: 7416175757 Enrollment ID: I20140827002059 |
| Provider Name | Mary E Guese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730479742 PECOS PAC ID: 4688892920 Enrollment ID: I20140827002118 |
| Provider Name | Myda T Luu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114157138 PECOS PAC ID: 4981822236 Enrollment ID: I20140827002371 |
| Provider Name | Brooke E Caldwell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467741421 PECOS PAC ID: 5193943447 Enrollment ID: I20140827002575 |
| Provider Name | Maria Torrone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649473109 PECOS PAC ID: 2860545829 Enrollment ID: I20140908000311 |
| Provider Name | Meigen A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497935787 PECOS PAC ID: 9739308586 Enrollment ID: I20140910001048 |
| Provider Name | Holly Little |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427374818 PECOS PAC ID: 6709025489 Enrollment ID: I20140912000877 |
| Provider Name | Amber Elizabeth Steves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285924720 PECOS PAC ID: 1759523574 Enrollment ID: I20140917002271 |
| Provider Name | David Myles Nolan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437338803 PECOS PAC ID: 8022141290 Enrollment ID: I20140918000166 |
| Provider Name | Melanie M Wong |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1992090120 PECOS PAC ID: 7012137938 Enrollment ID: I20140927000024 |
| Provider Name | Robyn E Nolan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114170149 PECOS PAC ID: 0042430878 Enrollment ID: I20140930000870 |
| Provider Name | Erika L Freebern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376773838 PECOS PAC ID: 8527216662 Enrollment ID: I20141001001206 |
| Provider Name | Jennifer K Novak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700913712 PECOS PAC ID: 8628298221 Enrollment ID: I20141002001307 |
| Provider Name | Loukas D Koyonos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922271626 PECOS PAC ID: 3173743713 Enrollment ID: I20141003000502 |
| Provider Name | Robert G Hackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518255041 PECOS PAC ID: 0042430456 Enrollment ID: I20141007002379 |
| Provider Name | Jennifer Kathryn Horton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548298482 PECOS PAC ID: 0840237186 Enrollment ID: I20141008001458 |
| Provider Name | Glenn F Woning |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457640096 PECOS PAC ID: 5597993170 Enrollment ID: I20141009000496 |
| Provider Name | Patrick Ryan Wood |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114216926 PECOS PAC ID: 5799911293 Enrollment ID: I20141009002511 |
| Provider Name | Jennifer A Montoya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568573855 PECOS PAC ID: 9335207927 Enrollment ID: I20141013000496 |
| Provider Name | Jennifer L Salston |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952600199 PECOS PAC ID: 9931334851 Enrollment ID: I20141013000925 |
| Provider Name | Quyen Pham |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114154903 PECOS PAC ID: 6204069354 Enrollment ID: I20141014000249 |
| Provider Name | Christopher M Slater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174819817 PECOS PAC ID: 5496976573 Enrollment ID: I20141015001647 |
| Provider Name | Jordan H Mendoza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154646990 PECOS PAC ID: 1052532033 Enrollment ID: I20141015001924 |
| Provider Name | Anne M L Rustemeyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578884177 PECOS PAC ID: 4385865310 Enrollment ID: I20141016001002 |
| Provider Name | Ross A Hutchinson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356553978 PECOS PAC ID: 2466673306 Enrollment ID: I20141018000127 |
| Provider Name | Lindsey Kae Gerdes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679865091 PECOS PAC ID: 7012159809 Enrollment ID: I20141020002513 |
| Provider Name | Sara E Vogel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467699330 PECOS PAC ID: 7214109453 Enrollment ID: I20141020002765 |
| Provider Name | Andrew L Samuelson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215119516 PECOS PAC ID: 9133360852 Enrollment ID: I20141021000418 |
| Provider Name | Swan Oshana Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972878627 PECOS PAC ID: 1153553326 Enrollment ID: I20141022001739 |
| Provider Name | John C Wagonlander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366450181 PECOS PAC ID: 5193733574 Enrollment ID: I20141024000199 |
| Provider Name | Susan D Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750375226 PECOS PAC ID: 1153542774 Enrollment ID: I20141024000551 |
| Provider Name | Stephanie Michelle Lavergne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760772735 PECOS PAC ID: 0941420343 Enrollment ID: I20141027000280 |
| Provider Name | Travis L Engelbert |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649432337 PECOS PAC ID: 7618112566 Enrollment ID: I20141030002143 |
| Provider Name | Jason A Delavan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396158101 PECOS PAC ID: 9537380761 Enrollment ID: I20141031000775 |
| Provider Name | Lindsey Ellen O'neal Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841494325 PECOS PAC ID: 8123213998 Enrollment ID: I20141104002144 |
| Provider Name | Samuel J Mast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780970426 PECOS PAC ID: 3476775123 Enrollment ID: I20141112001857 |
| Provider Name | Oluwaseun M Emmanuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245527746 PECOS PAC ID: 5496977175 Enrollment ID: I20141113000444 |
| Provider Name | Leah J Groves |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790084069 PECOS PAC ID: 3779705496 Enrollment ID: I20141113001558 |
| Provider Name | Vivian R Tran |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1841482783 PECOS PAC ID: 0547431496 Enrollment ID: I20141114000485 |
| Provider Name | Ada Gillis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861626343 PECOS PAC ID: 1759530041 Enrollment ID: I20141114002113 |
| Provider Name | Natalie Trombly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477606184 PECOS PAC ID: 2860407806 Enrollment ID: I20141119000877 |
| Provider Name | Carolyn A Tejirian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861782096 PECOS PAC ID: 0143542423 Enrollment ID: I20141124001710 |
| Provider Name | Maureen S Eversgerd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881720183 PECOS PAC ID: 9436222031 Enrollment ID: I20141124002286 |
| Provider Name | Mitchel T Holm |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841270626 PECOS PAC ID: 8123340007 Enrollment ID: I20141203002072 |
| Provider Name | Stephen Lee Shepherd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952697328 PECOS PAC ID: 2163744905 Enrollment ID: I20141204001609 |
| Provider Name | Jaclyn N Waido |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467741348 PECOS PAC ID: 3072835842 Enrollment ID: I20141205000262 |
| Provider Name | Stacey King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619090578 PECOS PAC ID: 3577755735 Enrollment ID: I20141208001443 |
| Provider Name | Shealeen Anne Panetta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194891457 PECOS PAC ID: 1254305428 Enrollment ID: I20141212001428 |
| Provider Name | Temitope M Dimmer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578889804 PECOS PAC ID: 7012150170 Enrollment ID: I20141215001264 |
| Provider Name | Peter Fathallah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073890471 PECOS PAC ID: 5092038950 Enrollment ID: I20141229000997 |
| Provider Name | Audrey M Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033186259 PECOS PAC ID: 7315260288 Enrollment ID: I20141229001608 |
| Provider Name | Marc A Laberge |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578899746 PECOS PAC ID: 5294999835 Enrollment ID: I20141230000406 |
| Provider Name | Bram E Heidinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588067797 PECOS PAC ID: 8729301643 Enrollment ID: I20141230001267 |
| Provider Name | Sirisha T Komakula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295872562 PECOS PAC ID: 4880745900 Enrollment ID: I20141231001156 |
| Provider Name | Monica Rachelle Teinert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194122408 PECOS PAC ID: 5991028516 Enrollment ID: I20150106000755 |
| Provider Name | Jon P Carlson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144406471 PECOS PAC ID: 2466776398 Enrollment ID: I20150123000505 |
| Provider Name | Emily S Stanton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982869822 PECOS PAC ID: 5799009577 Enrollment ID: I20150127001565 |
| Provider Name | Jeffrey Russell Jockel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063535987 PECOS PAC ID: 5294908570 Enrollment ID: I20150203000089 |
| Provider Name | Hemchandra Mahaseth |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396956181 PECOS PAC ID: 6103072368 Enrollment ID: I20150206000330 |
| Provider Name | Elliot S Stor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073954509 PECOS PAC ID: 8224353487 Enrollment ID: I20150210000812 |
| Provider Name | Clayton J Dobronyi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811391766 PECOS PAC ID: 5193040236 Enrollment ID: I20150211001729 |
| Provider Name | Suzanne Marie Ehler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003205295 PECOS PAC ID: 7911222674 Enrollment ID: I20150221000023 |
| Provider Name | Jillian L Ramer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750783809 PECOS PAC ID: 3375868045 Enrollment ID: I20150223000040 |
| Provider Name | Genie M Bang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366618548 PECOS PAC ID: 3577731660 Enrollment ID: I20150224001442 |
| Provider Name | David Steven Kinz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255677647 PECOS PAC ID: 7012154610 Enrollment ID: I20150302001619 |
| Provider Name | Linsey Renee Harrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336305689 PECOS PAC ID: 7719171271 Enrollment ID: I20150304000248 |
| Provider Name | Lauren Elaine Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053600288 PECOS PAC ID: 0648596551 Enrollment ID: I20150311001017 |
| Provider Name | Marilynda S Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144202649 PECOS PAC ID: 9133182975 Enrollment ID: I20150319002194 |
| Provider Name | Kristi R Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023145042 PECOS PAC ID: 0446577654 Enrollment ID: I20150327001710 |
| Provider Name | Rebecca Barajas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639479033 PECOS PAC ID: 4688991680 Enrollment ID: I20150401001663 |
| Provider Name | Timothy K Maxwell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689064024 PECOS PAC ID: 9234457029 Enrollment ID: I20150407000809 |
| Provider Name | Hilary R Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407285679 PECOS PAC ID: 4385962794 Enrollment ID: I20150415001708 |
| Provider Name | Matthew H Stenmark |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1861692436 PECOS PAC ID: 3173772092 Enrollment ID: I20150417001082 |
| Provider Name | Helen P Mantila |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073699468 PECOS PAC ID: 1456351550 Enrollment ID: I20150420000165 |
| Provider Name | John P Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033197983 PECOS PAC ID: 0244378206 Enrollment ID: I20150420000539 |
| Provider Name | Elizabeth A Beeson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497148043 PECOS PAC ID: 0840519195 Enrollment ID: I20150507002009 |
| Provider Name | Edward Thomas Melkun |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1700072022 PECOS PAC ID: 5294903704 Enrollment ID: I20150514001210 |
| Provider Name | Jennifer B Labombard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467582569 PECOS PAC ID: 7618152828 Enrollment ID: I20150526001831 |
| Provider Name | Erica Boettcher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1609038454 PECOS PAC ID: 4183774680 Enrollment ID: I20150527001067 |
| Provider Name | Zachary T Kneass |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811016561 PECOS PAC ID: 0244470474 Enrollment ID: I20150602002186 |
| Provider Name | Alexandra A Elliott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1538599873 PECOS PAC ID: 1355662263 Enrollment ID: I20150604000054 |
| Provider Name | Erin E Eastman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215131602 PECOS PAC ID: 7113115445 Enrollment ID: I20150618002336 |
| Provider Name | Vanston Masri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205087038 PECOS PAC ID: 1658528237 Enrollment ID: I20150629002581 |
| Provider Name | Kaitlin D Vellore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669761995 PECOS PAC ID: 1557583044 Enrollment ID: I20150707001861 |
| Provider Name | Kathleen A Daetwyler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134352818 PECOS PAC ID: 5991949125 Enrollment ID: I20150715000539 |
| Provider Name | Radhika S Ratnabalasuriar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962764647 PECOS PAC ID: 5597078758 Enrollment ID: I20150716001464 |
| Provider Name | David J Grindler |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174834972 PECOS PAC ID: 6406084219 Enrollment ID: I20150720002743 |
| Provider Name | Suzanne K Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194103234 PECOS PAC ID: 3678886330 Enrollment ID: I20150723008810 |
| Provider Name | George W Chaus |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811138720 PECOS PAC ID: 6608018346 Enrollment ID: I20150728003179 |
| Provider Name | Jay K Guiter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447512553 PECOS PAC ID: 6103058342 Enrollment ID: I20150820011219 |
| Provider Name | Shannon Elizabeth Jantz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962760157 PECOS PAC ID: 5698916088 Enrollment ID: I20150820011533 |
| Provider Name | Seth R Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144581943 PECOS PAC ID: 2668787508 Enrollment ID: I20150820011766 |
| Provider Name | Jessica Warner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588975585 PECOS PAC ID: 3072828920 Enrollment ID: I20150820011931 |
| Provider Name | Rasa Bozaite Gluosniene |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346441664 PECOS PAC ID: 7416108246 Enrollment ID: I20150820011988 |
| Provider Name | Matthew C Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962778449 PECOS PAC ID: 0840426029 Enrollment ID: I20150820012016 |
| Provider Name | Kelsey W Webster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679863567 PECOS PAC ID: 7113232950 Enrollment ID: I20150821014584 |
| Provider Name | Joshua Raufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700158375 PECOS PAC ID: 6608032354 Enrollment ID: I20150824000761 |
| Provider Name | Mladen Perak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114908779 PECOS PAC ID: 7315907102 Enrollment ID: I20150824001400 |
| Provider Name | Jinyi Ling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891925699 PECOS PAC ID: 5799937173 Enrollment ID: I20150825003814 |
| Provider Name | Benjamin J Snyder |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922393826 PECOS PAC ID: 6800102674 Enrollment ID: I20150825004897 |
| Provider Name | Marc Quinlan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457613184 PECOS PAC ID: 2668788324 Enrollment ID: I20150826002220 |
| Provider Name | Jacob P Mckeegan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518233618 PECOS PAC ID: 8123276201 Enrollment ID: I20150827002301 |
| Provider Name | Bobaker S Elalem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245523539 PECOS PAC ID: 2860641040 Enrollment ID: I20150827002526 |
| Provider Name | Emerson E Sharpe |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750518353 PECOS PAC ID: 5698905172 Enrollment ID: I20150829000013 |
| Provider Name | Kirstin L Tawse |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386932671 PECOS PAC ID: 4789990136 Enrollment ID: I20150831000774 |
| Provider Name | Meaghan Hayes Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457617417 PECOS PAC ID: 4183944432 Enrollment ID: I20150903000475 |
| Provider Name | Walter K Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104142793 PECOS PAC ID: 4486960382 Enrollment ID: I20150908001374 |
| Provider Name | Jordan Ryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861791196 PECOS PAC ID: 1658688536 Enrollment ID: I20150910001328 |
| Provider Name | Christopher Michael Kudron |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952695322 PECOS PAC ID: 6406097716 Enrollment ID: I20150914000411 |
| Provider Name | Kathleen R Marzluf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033346879 PECOS PAC ID: 9133436785 Enrollment ID: I20150915002679 |
| Provider Name | Isaac D Pierre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255383949 PECOS PAC ID: 2062544174 Enrollment ID: I20150916001227 |
| Provider Name | Brian O Ahlstrand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487920690 PECOS PAC ID: 8921315250 Enrollment ID: I20150917002698 |
| Provider Name | Renee M Rossi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952690646 PECOS PAC ID: 7315195476 Enrollment ID: I20150918002584 |
| Provider Name | Keri J Propst |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578884227 PECOS PAC ID: 5496912651 Enrollment ID: I20150922000165 |
| Provider Name | Shaweta Babbar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720304264 PECOS PAC ID: 0547499873 Enrollment ID: I20150924002239 |
| Provider Name | David C Gerhardt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942320148 PECOS PAC ID: 0244496131 Enrollment ID: I20150925000098 |
| Provider Name | Benjamin A Rubin |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124294731 PECOS PAC ID: 6305154279 Enrollment ID: I20150928000786 |
| Provider Name | Benjamin F Katz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1639312226 PECOS PAC ID: 3577788116 Enrollment ID: I20150928001462 |
| Provider Name | Morgan L Swank |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093966871 PECOS PAC ID: 2860656352 Enrollment ID: I20150928002345 |
| Provider Name | Brittney D Bastow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447540208 PECOS PAC ID: 7618285420 Enrollment ID: I20150928002791 |
| Provider Name | Laura E Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336458330 PECOS PAC ID: 0749423754 Enrollment ID: I20150928002812 |
| Provider Name | Max C Bastow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619231735 PECOS PAC ID: 0244457414 Enrollment ID: I20150929001384 |
| Provider Name | Mandy Glasmeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245612571 PECOS PAC ID: 8729396262 Enrollment ID: I20151001002387 |
| Provider Name | Sarah Elizabeth Crowley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376898882 PECOS PAC ID: 3678881190 Enrollment ID: I20151002001799 |
| Provider Name | Timothy Liao |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649432170 PECOS PAC ID: 1557590502 Enrollment ID: I20151007001279 |
| Provider Name | David Viet Pham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639305303 PECOS PAC ID: 2860615788 Enrollment ID: I20151013001583 |
| Provider Name | Jacob J Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972866382 PECOS PAC ID: 8921223892 Enrollment ID: I20151015000464 |
| Provider Name | Scott K Milch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235494311 PECOS PAC ID: 1658599675 Enrollment ID: I20151015000608 |
| Provider Name | Dan H Nguyen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639495617 PECOS PAC ID: 4587883723 Enrollment ID: I20151016000656 |
| Provider Name | Jonathan Bei-shing Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114272432 PECOS PAC ID: 4082923891 Enrollment ID: I20151019000816 |
| Provider Name | Elizabeth S Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770844409 PECOS PAC ID: 4284943937 Enrollment ID: I20151020000298 |
| Provider Name | Tatum A Mcarthur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750561106 PECOS PAC ID: 0547424178 Enrollment ID: I20151021001878 |
| Provider Name | Karen E Thomas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821124413 PECOS PAC ID: 9436221579 Enrollment ID: I20151022001823 |
| Provider Name | Camille K Chan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184913774 PECOS PAC ID: 2062647696 Enrollment ID: I20151028000501 |
| Provider Name | Alexandra Marcotty |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336432996 PECOS PAC ID: 1658511498 Enrollment ID: I20151109002384 |
| Provider Name | Amy M Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497013213 PECOS PAC ID: 5698908465 Enrollment ID: I20151110002019 |
| Provider Name | Ryan K Conner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972829539 PECOS PAC ID: 5991935744 Enrollment ID: I20151111001055 |
| Provider Name | Julie M Graves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558739060 PECOS PAC ID: 5991015208 Enrollment ID: I20151116002235 |
| Provider Name | Kimberly Grant Black |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518199728 PECOS PAC ID: 3476677519 Enrollment ID: I20151118000554 |
| Provider Name | Shan Shan Jiang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710276209 PECOS PAC ID: 2466752340 Enrollment ID: I20151125000617 |
| Provider Name | Matthew Reynolds |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417146085 PECOS PAC ID: 8123284635 Enrollment ID: I20151218001421 |
| Provider Name | Keren G Schaalman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194072470 PECOS PAC ID: 6406157247 Enrollment ID: I20151221000273 |
| Provider Name | Maria Laarni L Subang-doty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700015278 PECOS PAC ID: 8527216167 Enrollment ID: I20151221001943 |
| Provider Name | Karen A Lewandowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043339815 PECOS PAC ID: 4385946029 Enrollment ID: I20160112001566 |
| Provider Name | Scott Whitworth |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033199203 PECOS PAC ID: 9931401635 Enrollment ID: I20160113000343 |
| Provider Name | Abigail Ruth Urish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881955920 PECOS PAC ID: 4284937889 Enrollment ID: I20160114001054 |
| Provider Name | Joel L Jorgenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457627267 PECOS PAC ID: 9032344601 Enrollment ID: I20160125001398 |
| Provider Name | Stephen S Sommerschield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013941319 PECOS PAC ID: 7315971090 Enrollment ID: I20160215000823 |
| Provider Name | Brian R Juan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669887360 PECOS PAC ID: 9739484635 Enrollment ID: I20160301001100 |
| Provider Name | Eli A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720337074 PECOS PAC ID: 7113223645 Enrollment ID: I20160309002916 |
| Provider Name | Diane M Chicko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124333018 PECOS PAC ID: 8123324142 Enrollment ID: I20160316002251 |
| Provider Name | Valerie D Karvatski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710357124 PECOS PAC ID: 1759688260 Enrollment ID: I20160329001270 |
| Provider Name | Tracy D Frombach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194842484 PECOS PAC ID: 6204903230 Enrollment ID: I20160331002086 |
| Provider Name | David S Law |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609010727 PECOS PAC ID: 6709059504 Enrollment ID: I20160413002446 |
| Provider Name | Hope M Aguilera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790148013 PECOS PAC ID: 7719286566 Enrollment ID: I20160428000742 |
| Provider Name | Erin Mckelvey Casey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346358108 PECOS PAC ID: 4587768833 Enrollment ID: I20160503000149 |
| Provider Name | Kassandra Dowane Neff-castellanos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699012187 PECOS PAC ID: 2062711641 Enrollment ID: I20160503001909 |
| Provider Name | Brian P Bradow |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1184895146 PECOS PAC ID: 7618133455 Enrollment ID: I20160505000369 |
| Provider Name | Lindsey Jo Jannach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891131975 PECOS PAC ID: 4688964794 Enrollment ID: I20160602000257 |
| Provider Name | Marissia E Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972937365 PECOS PAC ID: 6002106143 Enrollment ID: I20160602001149 |
| Provider Name | Catherine D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366564320 PECOS PAC ID: 8022234855 Enrollment ID: I20160602001638 |
| Provider Name | Oliver Philipp Loeffler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336434059 PECOS PAC ID: 9032367800 Enrollment ID: I20160606000962 |
| Provider Name | Kristen E Garred |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598903627 PECOS PAC ID: 1759671654 Enrollment ID: I20160606001440 |
| Provider Name | Ryan W Shultz |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649427899 PECOS PAC ID: 8224160460 Enrollment ID: I20160610001057 |
| Provider Name | Mistina E Hufford |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316287311 PECOS PAC ID: 0446540983 Enrollment ID: I20160613000310 |
| Provider Name | Rachel E Stacey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104146810 PECOS PAC ID: 0547551046 Enrollment ID: I20160613002227 |
| Provider Name | Julie L Mayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053634535 PECOS PAC ID: 5698066132 Enrollment ID: I20160614001097 |
| Provider Name | Lucas N Marzec |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609038280 PECOS PAC ID: 1254501463 Enrollment ID: I20160714000845 |
| Provider Name | Dawn L Barela |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033369061 PECOS PAC ID: 4082844436 Enrollment ID: I20160726002017 |
| Provider Name | Laurel A Verant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295173151 PECOS PAC ID: 9032351929 Enrollment ID: I20160728000286 |
| Provider Name | Rachel Marinch Carpenter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316386469 PECOS PAC ID: 6204159007 Enrollment ID: I20160801001220 |
| Provider Name | Katherine Starr Wiegert Speckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427491570 PECOS PAC ID: 7315254026 Enrollment ID: I20160817000572 |
| Provider Name | Aaron Brick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730565391 PECOS PAC ID: 4082920996 Enrollment ID: I20160817000796 |
| Provider Name | Stephen Rayner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699128322 PECOS PAC ID: 1759676554 Enrollment ID: I20160818000158 |
| Provider Name | Benjamin Y Scheier |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750607115 PECOS PAC ID: 9234424920 Enrollment ID: I20160819000459 |
| Provider Name | Mark A Edson |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447543582 PECOS PAC ID: 6204121882 Enrollment ID: I20160822000964 |
| Provider Name | Lori J Klarquist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629365119 PECOS PAC ID: 2264747773 Enrollment ID: I20160829001637 |
| Provider Name | Laura Caragol |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578825741 PECOS PAC ID: 1557501616 Enrollment ID: I20160831002048 |
| Provider Name | Rebecca E Gordon |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1316168834 PECOS PAC ID: 7315029907 Enrollment ID: I20160901000556 |
| Provider Name | Matthew D Schmitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376832105 PECOS PAC ID: 1759695802 Enrollment ID: I20160901001183 |
| Provider Name | Alexis C Carrington |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1396064010 PECOS PAC ID: 6406142355 Enrollment ID: I20160901001716 |
| Provider Name | Kevin K Motamedi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346567732 PECOS PAC ID: 6901113018 Enrollment ID: I20160908002051 |
| Provider Name | Gregory James Goldenhersh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245545003 PECOS PAC ID: 9638304389 Enrollment ID: I20160912000508 |
| Provider Name | Autumn Danielle Brockman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497018766 PECOS PAC ID: 6103113295 Enrollment ID: I20160916001091 |
| Provider Name | Priscilla Owusu-frimpong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487044640 PECOS PAC ID: 0345537379 Enrollment ID: I20160920000255 |
| Provider Name | Charles Lundquist |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790129963 PECOS PAC ID: 1850535022 Enrollment ID: I20160928001507 |
| Provider Name | Evan S Gillespie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245541234 PECOS PAC ID: 7113141151 Enrollment ID: I20161003001948 |
| Provider Name | Benjamin Atwood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104104306 PECOS PAC ID: 9032363056 Enrollment ID: I20161017001033 |
| Provider Name | Jesus Md Hermosillo Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003133448 PECOS PAC ID: 8123306354 Enrollment ID: I20161024000309 |
| Provider Name | Janece L Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922466861 PECOS PAC ID: 2163700071 Enrollment ID: I20161027002227 |
| Provider Name | Heather L Laskey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619102605 PECOS PAC ID: 8820316912 Enrollment ID: I20161029000020 |
| Provider Name | Rebecca R Rosenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275876740 PECOS PAC ID: 8729222765 Enrollment ID: I20161109000178 |
| Provider Name | Rebecca L Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1538386917 PECOS PAC ID: 3971699638 Enrollment ID: I20161110001443 |
| Provider Name | Courtney M Bhat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1396975835 PECOS PAC ID: 5496997298 Enrollment ID: I20161111001070 |
| Provider Name | Kimberly B Fischer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558651430 PECOS PAC ID: 8921314899 Enrollment ID: I20161114000154 |
| Provider Name | Allison H Reddinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669430138 PECOS PAC ID: 0042492621 Enrollment ID: I20161118000230 |
| Provider Name | Lindsey B M Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063850998 PECOS PAC ID: 1456657261 Enrollment ID: I20161130000981 |
| Provider Name | Anthony R Cappa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508205287 PECOS PAC ID: 5193039204 Enrollment ID: I20161208001721 |
| Provider Name | Krista Leigh Antenucci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366607889 PECOS PAC ID: 4789818667 Enrollment ID: I20161209000481 |
| Provider Name | Todd Ashton Theobald |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1720077993 PECOS PAC ID: 0042355273 Enrollment ID: I20161213000099 |
| Provider Name | Jaime L Moo-young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639335821 PECOS PAC ID: 3779730486 Enrollment ID: I20161217000173 |
| Provider Name | Christopher N Emrick |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1801150099 PECOS PAC ID: 5395026751 Enrollment ID: I20161227001665 |
| Provider Name | Kristy Ann Bauman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1356427801 PECOS PAC ID: 2567539646 Enrollment ID: I20161228000160 |
| Provider Name | Jeffrey M Weiner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265759534 PECOS PAC ID: 3274799218 Enrollment ID: I20161230001736 |
| Provider Name | Brean A Roman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821378258 PECOS PAC ID: 2264714963 Enrollment ID: I20170112001289 |
| Provider Name | Xochitl Jane Ashpole |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487768099 PECOS PAC ID: 0840299962 Enrollment ID: I20170113000177 |
| Provider Name | Bonnie Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184173213 PECOS PAC ID: 0840572939 Enrollment ID: I20170125001907 |
| Provider Name | Whitney Lynn Pasch |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568705895 PECOS PAC ID: 5597980417 Enrollment ID: I20170127000133 |
| Provider Name | Ora M Fried |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750597373 PECOS PAC ID: 8224184676 Enrollment ID: I20170201000844 |
| Provider Name | Craig E Cole |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528174018 PECOS PAC ID: 3779532916 Enrollment ID: I20170203000221 |
| Provider Name | Sara Shelton Kerley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932388642 PECOS PAC ID: 9234412875 Enrollment ID: I20170206002382 |
| Provider Name | Jonathan D Settle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598188419 PECOS PAC ID: 3072806280 Enrollment ID: I20170213001935 |
| Provider Name | Ashley Greene Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831632991 PECOS PAC ID: 1557644754 Enrollment ID: I20170214001660 |
| Provider Name | Kimberly M Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962737296 PECOS PAC ID: 8921381047 Enrollment ID: I20170215000153 |
| Provider Name | Janice Clara Liao |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538303789 PECOS PAC ID: 4688830748 Enrollment ID: I20170224001999 |
| Provider Name | Alison Lesley Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841735768 PECOS PAC ID: 4789968116 Enrollment ID: I20170303000890 |
| Provider Name | Elizabeth Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184093601 PECOS PAC ID: 3476837709 Enrollment ID: I20170303001493 |
| Provider Name | Claudia A Steiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548385313 PECOS PAC ID: 5092902981 Enrollment ID: I20170406002553 |
| Provider Name | Matthew A Earles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811367139 PECOS PAC ID: 0941509863 Enrollment ID: I20170419000687 |
| Provider Name | Mark Benjamin Foster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629414636 PECOS PAC ID: 0547564049 Enrollment ID: I20170504001604 |
| Provider Name | James V Cornella |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497993661 PECOS PAC ID: 0749567584 Enrollment ID: I20170504002147 |
| Provider Name | John P Krueger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972588929 PECOS PAC ID: 8022022193 Enrollment ID: I20170508001426 |
| Provider Name | Brian G Money |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023274610 PECOS PAC ID: 5698946515 Enrollment ID: I20170516001256 |
| Provider Name | Kelly N Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124567276 PECOS PAC ID: 8729355458 Enrollment ID: I20170530001656 |
| Provider Name | Kimberly M Shern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861712465 PECOS PAC ID: 3971871393 Enrollment ID: I20170607002493 |
| Provider Name | Michael K Lichtman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1043411473 PECOS PAC ID: 7416011200 Enrollment ID: I20170627001837 |
| Provider Name | Christopher J Shepela |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598847311 PECOS PAC ID: 5991735383 Enrollment ID: I20170630001182 |
| Provider Name | Shannon Ashley Simon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528295730 PECOS PAC ID: 5496935876 Enrollment ID: I20170717000283 |
| Provider Name | Steven Benjamin Bright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134562408 PECOS PAC ID: 4981916384 Enrollment ID: I20170718000842 |
| Provider Name | Stephanie R Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558775049 PECOS PAC ID: 6002035805 Enrollment ID: I20170719003110 |
| Provider Name | Madhan Srinath Iyengar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326316647 PECOS PAC ID: 1456505759 Enrollment ID: I20170720002985 |
| Provider Name | Daniel V Zeccola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659671360 PECOS PAC ID: 2365712502 Enrollment ID: I20170721000687 |
| Provider Name | Quocan L Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548689490 PECOS PAC ID: 9032330444 Enrollment ID: I20170725002115 |
| Provider Name | David W Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851737423 PECOS PAC ID: 9032357025 Enrollment ID: I20170801000221 |
| Provider Name | Sammie Lamont Moss |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275824575 PECOS PAC ID: 9234400888 Enrollment ID: I20170801001211 |
| Provider Name | Nathaniel D Reich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740620335 PECOS PAC ID: 0143452177 Enrollment ID: I20170802000082 |
| Provider Name | Scott A Isbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538586870 PECOS PAC ID: 4789803057 Enrollment ID: I20170802000191 |
| Provider Name | Yvonne Miya Bodemann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447665575 PECOS PAC ID: 2062783418 Enrollment ID: I20170803002849 |
| Provider Name | Kristopher D Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619316809 PECOS PAC ID: 4880980622 Enrollment ID: I20170804000141 |
| Provider Name | Lisa Naomi Mettler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922428846 PECOS PAC ID: 7810268067 Enrollment ID: I20170805000221 |
| Provider Name | Colleen M Mcsherry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922447887 PECOS PAC ID: 7618191511 Enrollment ID: I20170809003932 |
| Provider Name | Lisa Richman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629211230 PECOS PAC ID: 1355658972 Enrollment ID: I20170811000901 |
| Provider Name | Poorna Ramachandran |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851534267 PECOS PAC ID: 3779710918 Enrollment ID: I20170814001580 |
| Provider Name | Timothy Vo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487073094 PECOS PAC ID: 4385916170 Enrollment ID: I20170814001697 |
| Provider Name | Margaret N Dornseif |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063857761 PECOS PAC ID: 5597991349 Enrollment ID: I20170814002042 |
| Provider Name | Emily G Allwein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558789263 PECOS PAC ID: 5496075889 Enrollment ID: I20170814002449 |
| Provider Name | Snehal Patel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1275897001 PECOS PAC ID: 9335411784 Enrollment ID: I20170818001544 |
| Provider Name | Justin L Schulte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538425236 PECOS PAC ID: 1850696576 Enrollment ID: I20170906000353 |
| Provider Name | Pamela Anne Mcgrogan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467711341 PECOS PAC ID: 4486875960 Enrollment ID: I20170906001375 |
| Provider Name | Lauren T Thompson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831535533 PECOS PAC ID: 2769621432 Enrollment ID: I20170906001747 |
| Provider Name | Colette Therese Berube |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457797599 PECOS PAC ID: 4183929482 Enrollment ID: I20170928003284 |
| Provider Name | Eva Szucs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568797157 PECOS PAC ID: 5597030593 Enrollment ID: I20171002000154 |
| Provider Name | Shannon H Cole |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104925494 PECOS PAC ID: 3779858360 Enrollment ID: I20171007000234 |
| Provider Name | Deirdre M Foster |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700935533 PECOS PAC ID: 9638347123 Enrollment ID: I20171011001521 |
| Provider Name | Benjamin A Sherer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770879504 PECOS PAC ID: 0749572568 Enrollment ID: I20171011003287 |
| Provider Name | Cole Jordan Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952764177 PECOS PAC ID: 7012282304 Enrollment ID: I20171012002774 |
| Provider Name | Daniel G Juneau |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295153344 PECOS PAC ID: 4486875713 Enrollment ID: I20171013001167 |
| Provider Name | Bradley S Rice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598185605 PECOS PAC ID: 1355616582 Enrollment ID: I20171013001218 |
| Provider Name | Julie N Lemoine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164765673 PECOS PAC ID: 4688949837 Enrollment ID: I20171013002396 |
| Provider Name | Janice C Niver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225392517 PECOS PAC ID: 6709152945 Enrollment ID: I20171016003220 |
| Provider Name | Brian W Petersen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093070179 PECOS PAC ID: 3870710304 Enrollment ID: I20171020001288 |
| Provider Name | Derek John Bowden |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528485687 PECOS PAC ID: 7416178819 Enrollment ID: I20171024001248 |
| Provider Name | Sravanthi Ravulapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538353925 PECOS PAC ID: 0143413005 Enrollment ID: I20171024002873 |
| Provider Name | Sharon Bates Kirby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639599178 PECOS PAC ID: 2062705254 Enrollment ID: I20171025000010 |
| Provider Name | Boris I Bayerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205255668 PECOS PAC ID: 1951677673 Enrollment ID: I20171025001467 |
| Provider Name | Ari B Cohen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477970481 PECOS PAC ID: 2062634280 Enrollment ID: I20171025002298 |
| Provider Name | Michael J Dubow |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386062370 PECOS PAC ID: 8325269624 Enrollment ID: I20171027000354 |
| Provider Name | Lauren Elizabeth Sullenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023377587 PECOS PAC ID: 7214173731 Enrollment ID: I20171103001728 |
| Provider Name | Bennet R Gardner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083927131 PECOS PAC ID: 1557510377 Enrollment ID: I20171106002705 |
| Provider Name | Benjamin James Erickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225228158 PECOS PAC ID: 6709918618 Enrollment ID: I20171106002873 |
| Provider Name | Austin J Lammers |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1023307782 PECOS PAC ID: 6305066655 Enrollment ID: I20171116002500 |
| Provider Name | Jesse Marie Robertson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689092256 PECOS PAC ID: 1456676378 Enrollment ID: I20171120000851 |
| Provider Name | Isaac Joel Hernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144649773 PECOS PAC ID: 2264653534 Enrollment ID: I20171120002095 |
| Provider Name | Parisa P Javedani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073876751 PECOS PAC ID: 7618192444 Enrollment ID: I20171127000121 |
| Provider Name | Laurel Anne Pramuk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588655146 PECOS PAC ID: 2961390489 Enrollment ID: I20171129000070 |
| Provider Name | Timothy R Muratore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902011513 PECOS PAC ID: 3375798770 Enrollment ID: I20171129003190 |
| Provider Name | Vikram J Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831518471 PECOS PAC ID: 3072738251 Enrollment ID: I20171201002583 |
| Provider Name | Neil C Chungfat |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912137662 PECOS PAC ID: 4587801147 Enrollment ID: I20171204001438 |
| Provider Name | Lindsey Chao Schaffer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609296409 PECOS PAC ID: 4587880745 Enrollment ID: I20171204001875 |
| Provider Name | Marcie E Rome |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346689387 PECOS PAC ID: 5799093779 Enrollment ID: I20171205000306 |
| Provider Name | Xinh Pham Donahue |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1144514365 PECOS PAC ID: 9133419989 Enrollment ID: I20171205001781 |
| Provider Name | Alex W Landy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073930012 PECOS PAC ID: 4880816099 Enrollment ID: I20171206002375 |
| Provider Name | Nsangou Tambangre Ghogomu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1336376151 PECOS PAC ID: 7719100825 Enrollment ID: I20171207000563 |
| Provider Name | Christina Jimmie Oh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922448729 PECOS PAC ID: 6901187137 Enrollment ID: I20171207001217 |
| Provider Name | Jessica Kate Seikel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629251871 PECOS PAC ID: 3779708326 Enrollment ID: I20171215000307 |
| Provider Name | Sara A Scannell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427463215 PECOS PAC ID: 5799907358 Enrollment ID: I20171218001136 |
| Provider Name | Somayyeh Farazandeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598185258 PECOS PAC ID: 0244598308 Enrollment ID: I20171218003210 |
| Provider Name | Thejasvi Thiruvoipati |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396052437 PECOS PAC ID: 8820314974 Enrollment ID: I20171220000515 |
| Provider Name | Nicole Sadie Erwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750670659 PECOS PAC ID: 2264790153 Enrollment ID: I20171226000712 |
| Provider Name | William James Thoman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821206392 PECOS PAC ID: 2163577602 Enrollment ID: I20180102000031 |
| Provider Name | Cale W Bonds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104817493 PECOS PAC ID: 0941324305 Enrollment ID: I20180103002833 |
| Provider Name | Ryan Alex Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902167380 PECOS PAC ID: 8527373638 Enrollment ID: I20180108001152 |
| Provider Name | Cassie E Greene |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669502431 PECOS PAC ID: 1052670957 Enrollment ID: I20180123001468 |
| Provider Name | Kristin Jan Viren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376578153 PECOS PAC ID: 0446295687 Enrollment ID: I20180124002332 |
| Provider Name | Tyler James Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912317447 PECOS PAC ID: 7416217567 Enrollment ID: I20180209000563 |
| Provider Name | Nina Rathmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184134850 PECOS PAC ID: 5799045852 Enrollment ID: I20180209000952 |
| Provider Name | Abbigail Brooke Ellerbroek |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1588179188 PECOS PAC ID: 2365702446 Enrollment ID: I20180209001770 |
| Provider Name | Jody L Curtin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144461195 PECOS PAC ID: 5193085181 Enrollment ID: I20180213001227 |
| Provider Name | Sally Jane Kwitkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225268774 PECOS PAC ID: 1951661867 Enrollment ID: I20180213002656 |
| Provider Name | Milissa A Barres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912447814 PECOS PAC ID: 7416054796 Enrollment ID: I20180213002658 |
| Provider Name | Michele Guidry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851838577 PECOS PAC ID: 1355601121 Enrollment ID: I20180216001202 |
| Provider Name | Lisa Marie Aeschleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356859755 PECOS PAC ID: 6608137419 Enrollment ID: I20180219000484 |
| Provider Name | Anna Elizabeth Paffel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336386424 PECOS PAC ID: 1850652611 Enrollment ID: I20180219002731 |
| Provider Name | Michele L Gilson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265558894 PECOS PAC ID: 6901167345 Enrollment ID: I20180228001776 |
| Provider Name | Karin Maria Knutzen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700384674 PECOS PAC ID: 9234490293 Enrollment ID: I20180308000578 |
| Provider Name | Leo G Walter |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740732668 PECOS PAC ID: 3779845029 Enrollment ID: I20180326001406 |
| Provider Name | Gurpreet Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164658647 PECOS PAC ID: 1456501394 Enrollment ID: I20180328001545 |
| Provider Name | Kristin L Donahue |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578831616 PECOS PAC ID: 8628238441 Enrollment ID: I20180329000678 |
| Provider Name | Sarah B Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740789825 PECOS PAC ID: 7416219449 Enrollment ID: I20180402002039 |
| Provider Name | Ethan Selvig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639572688 PECOS PAC ID: 5890058788 Enrollment ID: I20180405001454 |
| Provider Name | Sarah Marie Richey |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1548431539 PECOS PAC ID: 4385791078 Enrollment ID: I20180410003018 |
| Provider Name | Lauren Graham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1265882914 PECOS PAC ID: 1759644313 Enrollment ID: I20180412000686 |
| Provider Name | Christopher B Washington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396973962 PECOS PAC ID: 5597817031 Enrollment ID: I20180419001759 |
| Provider Name | Susan C Heikkinen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497871008 PECOS PAC ID: 7810250115 Enrollment ID: I20180419002644 |
| Provider Name | Kristine F Thornham |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1104942747 PECOS PAC ID: 0042574519 Enrollment ID: I20180509001112 |
| Provider Name | Rachel M Kester |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548386154 PECOS PAC ID: 9739443052 Enrollment ID: I20180514000466 |
| Provider Name | Janell M Horton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114110327 PECOS PAC ID: 0941464911 Enrollment ID: I20180516000922 |
| Provider Name | Karen Ann Ruwe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982936241 PECOS PAC ID: 7416212626 Enrollment ID: I20180517000750 |
| Provider Name | Karyn Finneseth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164459889 PECOS PAC ID: 0547155574 Enrollment ID: I20180518000881 |
| Provider Name | Thomas Lanfear Griffiths |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811217250 PECOS PAC ID: 4981869872 Enrollment ID: I20180529002895 |
| Provider Name | Madeline Marie Comneck |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477819050 PECOS PAC ID: 2365797776 Enrollment ID: I20180626000312 |
| Provider Name | Tracy J. Huckin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801077581 PECOS PAC ID: 2961300710 Enrollment ID: I20180703000832 |
| Provider Name | Wendy A Askelson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1346571957 PECOS PAC ID: 8921354465 Enrollment ID: I20180712003612 |
| Provider Name | Chelsea Zuger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902290380 PECOS PAC ID: 6800117094 Enrollment ID: I20180713001764 |
| Provider Name | Deborah K Hoerter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518097369 PECOS PAC ID: 7517214737 Enrollment ID: I20180719001194 |
| Provider Name | Lucas Kris Stowers |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1992167225 PECOS PAC ID: 4880961069 Enrollment ID: I20180724003035 |
| Provider Name | Sybil Gloria Dessie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720240104 PECOS PAC ID: 2860658291 Enrollment ID: I20180727000096 |
| Provider Name | Becky A Pritchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063739563 PECOS PAC ID: 5799033932 Enrollment ID: I20180806000550 |
| Provider Name | Andrew James Faber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124447131 PECOS PAC ID: 8628361821 Enrollment ID: I20180807000143 |
| Provider Name | Stephanie A Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700019379 PECOS PAC ID: 5597013532 Enrollment ID: I20180807002733 |
| Provider Name | Shaunna Lynn Mcintosh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679080816 PECOS PAC ID: 3577811322 Enrollment ID: I20180809006032 |
| Provider Name | Elijah Michael Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538374160 PECOS PAC ID: 7719030717 Enrollment ID: I20180810000234 |
| Provider Name | Charles C Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740674761 PECOS PAC ID: 1951616424 Enrollment ID: I20180810001893 |
| Provider Name | Emily M Stephens |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922481274 PECOS PAC ID: 9133478738 Enrollment ID: I20180815000758 |
| Provider Name | Amity Hubbard Onders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770970410 PECOS PAC ID: 0941511851 Enrollment ID: I20180815003786 |
| Provider Name | Erika Thuy Linh Tanaka |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235552126 PECOS PAC ID: 2163771643 Enrollment ID: I20180816000350 |
| Provider Name | Jennifer M Stapen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669684064 PECOS PAC ID: 2163771684 Enrollment ID: I20180816002220 |
| Provider Name | Michael Schmitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114300936 PECOS PAC ID: 1850640384 Enrollment ID: I20180816002426 |
| Provider Name | Linda C Rollert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629287149 PECOS PAC ID: 6305195777 Enrollment ID: I20180817000943 |
| Provider Name | Holly J Giglio |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174649701 PECOS PAC ID: 9133478555 Enrollment ID: I20180817002876 |
| Provider Name | Katherine E Rostad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164818886 PECOS PAC ID: 0143597393 Enrollment ID: I20180820001317 |
| Provider Name | Jordan J Neviackas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457610834 PECOS PAC ID: 1153553920 Enrollment ID: I20180820001610 |
| Provider Name | Sophia M Zwicker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871869446 PECOS PAC ID: 1052625100 Enrollment ID: I20180820003181 |
| Provider Name | Chad A Vaccarelli |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1821409285 PECOS PAC ID: 4486874534 Enrollment ID: I20180820003307 |
| Provider Name | Anna K Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629405162 PECOS PAC ID: 2961751268 Enrollment ID: I20180820003449 |
| Provider Name | Brian Gaston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275088809 PECOS PAC ID: 3678822996 Enrollment ID: I20180821000068 |
| Provider Name | Thomas Christopher Queen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558651281 PECOS PAC ID: 3870725047 Enrollment ID: I20180822001049 |
| Provider Name | Atoosa Etminani Amoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326202896 PECOS PAC ID: 6507933447 Enrollment ID: I20180822002740 |
| Provider Name | Marcelle Jennifer Reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457333866 PECOS PAC ID: 0941252118 Enrollment ID: I20180823000685 |
| Provider Name | Mohammed Adnan Akbani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144637976 PECOS PAC ID: 3577860543 Enrollment ID: I20180823002870 |
| Provider Name | Lynn Braun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851488613 PECOS PAC ID: 0143221168 Enrollment ID: I20180823002877 |
| Provider Name | Kevin Timothy Hug |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689949703 PECOS PAC ID: 3577887397 Enrollment ID: I20180830000391 |
| Provider Name | Luke Conroy Beckman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023334109 PECOS PAC ID: 0749416717 Enrollment ID: I20180830001991 |
| Provider Name | Anna P Plunkett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992191654 PECOS PAC ID: 0143527572 Enrollment ID: I20180831000575 |
| Provider Name | Susan A Piggott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073908133 PECOS PAC ID: 0042523979 Enrollment ID: I20180905003716 |
| Provider Name | Amy Renee Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902285901 PECOS PAC ID: 7810286937 Enrollment ID: I20180906002967 |
| Provider Name | Steven B Wolkenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316327398 PECOS PAC ID: 5799035069 Enrollment ID: I20180906003016 |
| Provider Name | Katie L Braley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689072035 PECOS PAC ID: 0143570374 Enrollment ID: I20180907002394 |
| Provider Name | Jeremy Shaw |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154526192 PECOS PAC ID: 4981738606 Enrollment ID: I20180918000326 |
| Provider Name | Kelly Joy Pettijohn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023451176 PECOS PAC ID: 1850642570 Enrollment ID: I20180919002529 |
| Provider Name | Rebecca Dora Mcgourty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922425172 PECOS PAC ID: 9739401126 Enrollment ID: I20180919003442 |
| Provider Name | Tyson K Olson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346667557 PECOS PAC ID: 2668723115 Enrollment ID: I20180921000825 |
| Provider Name | Jerzy Wayne Rokicki |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1144516063 PECOS PAC ID: 6608003967 Enrollment ID: I20180924000834 |
| Provider Name | Avani V Javer |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1255747861 PECOS PAC ID: 2961792247 Enrollment ID: I20180924001254 |
| Provider Name | Amanda Mae Banas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235518671 PECOS PAC ID: 4486957396 Enrollment ID: I20180924002460 |
| Provider Name | Kellen Hill Burgwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851652754 PECOS PAC ID: 2163713371 Enrollment ID: I20180925001141 |
| Provider Name | Tammy Thu Anh Pham |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881960789 PECOS PAC ID: 0446404776 Enrollment ID: I20180927001106 |
| Provider Name | Leah M Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376923920 PECOS PAC ID: 3678878162 Enrollment ID: I20181011000164 |
| Provider Name | Sarah Beth Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114314408 PECOS PAC ID: 2769796119 Enrollment ID: I20181012001480 |
| Provider Name | Madhukar S Kollengode |
|---|---|
| Provider Type | Practitioner - Adult Congenital Heart Disease (achd) |
| Provider Identifiers | NPI Number: 1669606711 PECOS PAC ID: 4789900044 Enrollment ID: I20181019002227 |
| Provider Name | Daniel B Cleveland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902260250 PECOS PAC ID: 9335492321 Enrollment ID: I20181020000577 |
| Provider Name | Anne E Read |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013466713 PECOS PAC ID: 5092068999 Enrollment ID: I20181023001257 |
| Provider Name | Thanh T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487174173 PECOS PAC ID: 6608141916 Enrollment ID: I20181023003406 |
| Provider Name | Lindsay A Stiede |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821483850 PECOS PAC ID: 2264730373 Enrollment ID: I20181025002834 |
| Provider Name | Kelsi Anne Froom |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811287352 PECOS PAC ID: 1850688078 Enrollment ID: I20181117000098 |
| Provider Name | Sara Vatan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215348222 PECOS PAC ID: 3072809797 Enrollment ID: I20181222000365 |
| Provider Name | Melinda K Roberts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316425705 PECOS PAC ID: 0547506099 Enrollment ID: I20190104000805 |
| Provider Name | Amanda Coffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801271226 PECOS PAC ID: 0143566547 Enrollment ID: I20190107000131 |
| Provider Name | Natalie R Edgar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1598171423 PECOS PAC ID: 0143593970 Enrollment ID: I20190115001943 |
| Provider Name | Suzanne Lee Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689034761 PECOS PAC ID: 1355688789 Enrollment ID: I20190123003323 |
| Provider Name | Kristina Wardlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316498900 PECOS PAC ID: 5294072641 Enrollment ID: I20190123004031 |
| Provider Name | Virginia Kitch Lupo |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407028913 PECOS PAC ID: 5890032759 Enrollment ID: I20190130002137 |
| Provider Name | Erika R Sandstedt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609906452 PECOS PAC ID: 5294072963 Enrollment ID: I20190204001715 |
| Provider Name | Bobeck Sam Modjtahedi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922235035 PECOS PAC ID: 0941441026 Enrollment ID: I20190211000621 |
| Provider Name | Kiea Arispe Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962997890 PECOS PAC ID: 7113265315 Enrollment ID: I20190213002854 |
| Provider Name | Kennan Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669792651 PECOS PAC ID: 3779821673 Enrollment ID: I20190220000215 |
| Provider Name | Venu G Parachuri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437314143 PECOS PAC ID: 5890914238 Enrollment ID: I20190221000253 |
| Provider Name | Alex Block |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1346706595 PECOS PAC ID: 8224378278 Enrollment ID: I20190329000331 |
| Provider Name | Kelsey Berlin Neitzel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750794079 PECOS PAC ID: 6507082252 Enrollment ID: I20190409001035 |
| Provider Name | Patrycja Hanyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740628486 PECOS PAC ID: 8426326273 Enrollment ID: I20190417000611 |
| Provider Name | Amie Rebecca Schuman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871058941 PECOS PAC ID: 8224361506 Enrollment ID: I20190603000198 |
| Provider Name | Jessica H Jones |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073962452 PECOS PAC ID: 2961735485 Enrollment ID: I20190614000478 |
| Provider Name | Alyssa Starr Pollman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740601715 PECOS PAC ID: 8729312145 Enrollment ID: I20190618003506 |
| Provider Name | Amber M Messier-gieri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184763179 PECOS PAC ID: 9335395904 Enrollment ID: I20190620001110 |
| Provider Name | Kavitha Periyalwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558592287 PECOS PAC ID: 9234393711 Enrollment ID: I20190621000766 |
| Provider Name | Natasha Eileen Fazel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629423728 PECOS PAC ID: 0446584684 Enrollment ID: I20190622000036 |
| Provider Name | Edward Taylor Buckingham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871790816 PECOS PAC ID: 5890951503 Enrollment ID: I20190624001952 |
| Provider Name | Andrew E Levy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700140720 PECOS PAC ID: 3971728262 Enrollment ID: I20190710002428 |
| Provider Name | Lara W Katzin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306878848 PECOS PAC ID: 0345332508 Enrollment ID: I20190719000783 |
| Provider Name | Stephanie V Eldred |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619321148 PECOS PAC ID: 6608168042 Enrollment ID: I20190722000168 |
| Provider Name | Joseph E Morabito |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447666250 PECOS PAC ID: 5496973737 Enrollment ID: I20190724000785 |
| Provider Name | Nicholas Stringer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174939987 PECOS PAC ID: 3476771700 Enrollment ID: I20190727000083 |
| Provider Name | Jose Miguel Sanchez |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1265731707 PECOS PAC ID: 2264724830 Enrollment ID: I20190808003204 |
| Provider Name | Jolie M Rinebarger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750436358 PECOS PAC ID: 7315275633 Enrollment ID: I20190826000150 |
| Provider Name | Evelyn P Lifsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346377371 PECOS PAC ID: 4981932118 Enrollment ID: I20190826001024 |
| Provider Name | Zachary Wayne Spinuzzi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760713465 PECOS PAC ID: 1052627593 Enrollment ID: I20190827000627 |
| Provider Name | Mary Angela Cuartas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104392323 PECOS PAC ID: 5294063327 Enrollment ID: I20190827002307 |
| Provider Name | Laura Christine Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508252446 PECOS PAC ID: 8527374974 Enrollment ID: I20190828000751 |
| Provider Name | Marsa Moody White |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1821256413 PECOS PAC ID: 2264689124 Enrollment ID: I20190906001536 |
| Provider Name | Avi Salamon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437509783 PECOS PAC ID: 8628356615 Enrollment ID: I20190906001829 |
| Provider Name | Hannah Deveny Rizo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861049181 PECOS PAC ID: 2062741234 Enrollment ID: I20190913000018 |
| Provider Name | Brooke Thurman Breitnauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477948339 PECOS PAC ID: 5698005130 Enrollment ID: I20190925002202 |
| Provider Name | Ana Maria Sanchez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972648566 PECOS PAC ID: 2264571355 Enrollment ID: I20190927001152 |
| Provider Name | Shannon Dale Archabal Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568826857 PECOS PAC ID: 2860784808 Enrollment ID: I20191001000480 |
| Provider Name | Jenna Lynn Tjossem-robb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063891554 PECOS PAC ID: 0749596104 Enrollment ID: I20191003001755 |
| Provider Name | Corrie Joy Alonzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073956033 PECOS PAC ID: 8022246800 Enrollment ID: I20191008000262 |
| Provider Name | Tanya Luke Reddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225492689 PECOS PAC ID: 3274825534 Enrollment ID: I20191016002701 |
| Provider Name | Kelly L Westhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053774497 PECOS PAC ID: 4789970484 Enrollment ID: I20191022003471 |
| Provider Name | Amie Marie Lofton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669869186 PECOS PAC ID: 3072946383 Enrollment ID: I20191127000388 |
| Provider Name | Christine Marie Barthe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275948218 PECOS PAC ID: 6204109200 Enrollment ID: I20191211000812 |
| Provider Name | Jeremiah R Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487143590 PECOS PAC ID: 2961835665 Enrollment ID: I20191211001441 |
| Provider Name | Andrea V Nuanes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770980260 PECOS PAC ID: 7113351537 Enrollment ID: I20191218000221 |
| Provider Name | Arielle Risa Gumer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790105609 PECOS PAC ID: 3678828407 Enrollment ID: I20191230002399 |
| Provider Name | Borden R Smith |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134168966 PECOS PAC ID: 3173958014 Enrollment ID: I20200122002636 |
| Provider Name | Michael G Boyrer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427052935 PECOS PAC ID: 8325115272 Enrollment ID: I20200127000381 |
| Provider Name | David Lee Sadeghi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1336279124 PECOS PAC ID: 8820423569 Enrollment ID: I20200127001423 |
| Provider Name | Richard Won Kang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1053578906 PECOS PAC ID: 6800020686 Enrollment ID: I20200130001792 |
| Provider Name | Nancy E Mcintosh |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922352061 PECOS PAC ID: 8224282025 Enrollment ID: I20200205001545 |
| Provider Name | Tyrel E Dixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659910180 PECOS PAC ID: 9537595657 Enrollment ID: I20200210002222 |
| Provider Name | Sabra Colby Carman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1972813525 PECOS PAC ID: 0143417105 Enrollment ID: I20200218001311 |
| Provider Name | Bao Chau Nguyen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598843088 PECOS PAC ID: 4183693740 Enrollment ID: I20200220001652 |
| Provider Name | Derek Ray Goodyear |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144632274 PECOS PAC ID: 7618270455 Enrollment ID: I20200227000275 |
| Provider Name | Amy R Nelloms |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1467860874 PECOS PAC ID: 9830526086 Enrollment ID: I20200227001732 |
| Provider Name | Christine L Zimmerman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588603245 PECOS PAC ID: 1355354283 Enrollment ID: I20200304001029 |
| Provider Name | Kimberly Ann Gallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770986986 PECOS PAC ID: 7012345382 Enrollment ID: I20200319002216 |
| Provider Name | Cassie Marie Cyr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376176099 PECOS PAC ID: 0941630073 Enrollment ID: I20200414000258 |
| Provider Name | Neena Gupta Satyanarayan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609165638 PECOS PAC ID: 1153638960 Enrollment ID: I20200506000954 |
| Provider Name | Oliver Samuel Garbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578096467 PECOS PAC ID: 3779914437 Enrollment ID: I20200513000197 |
| Provider Name | Anne Elizabeth Codere Kelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093134942 PECOS PAC ID: 1355643511 Enrollment ID: I20200602000044 |
| Provider Name | Monica Silvian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033552484 PECOS PAC ID: 1759675671 Enrollment ID: I20200624003501 |
| Provider Name | Rachel Maria Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952838039 PECOS PAC ID: 9830511385 Enrollment ID: I20200630000107 |
| Provider Name | Bree Anne Ashdown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083142475 PECOS PAC ID: 9638448236 Enrollment ID: I20200706001943 |
| Provider Name | Katherine Marie Dederer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548680788 PECOS PAC ID: 1658596853 Enrollment ID: I20200709002664 |
| Provider Name | Lena Pasternak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811438393 PECOS PAC ID: 9537406566 Enrollment ID: I20200716001821 |
| Provider Name | Nathaniel Pierce Roysden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598129215 PECOS PAC ID: 5294159620 Enrollment ID: I20200720000060 |
| Provider Name | Sean Carl Vidulich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053767749 PECOS PAC ID: 8921392820 Enrollment ID: I20200721003090 |
| Provider Name | Timothy P Newton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356703060 PECOS PAC ID: 4284925702 Enrollment ID: I20200723000375 |
| Provider Name | Megan G Wendlandt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891144879 PECOS PAC ID: 1355629379 Enrollment ID: I20200728000255 |
| Provider Name | Andrew James Wendahl |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447631361 PECOS PAC ID: 1456669449 Enrollment ID: I20200730002798 |
| Provider Name | Hyosang Abraham Chiang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1750775672 PECOS PAC ID: 6305150905 Enrollment ID: I20200731002712 |
| Provider Name | Brian T Agganis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104204072 PECOS PAC ID: 5496061954 Enrollment ID: I20200803000244 |
| Provider Name | Muk Chun Yan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043730807 PECOS PAC ID: 8628347580 Enrollment ID: I20200805000055 |
| Provider Name | Mithulan Jegapragasan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063711497 PECOS PAC ID: 2062638646 Enrollment ID: I20200811001210 |
| Provider Name | James Patrick Fitman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932637733 PECOS PAC ID: 2062781628 Enrollment ID: I20200811002150 |
| Provider Name | Duy Thanh Vu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952764011 PECOS PAC ID: 9335431170 Enrollment ID: I20200811003076 |
| Provider Name | Chhaya D Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629489661 PECOS PAC ID: 9032491253 Enrollment ID: I20200813002534 |
| Provider Name | Ryan Dean Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912434432 PECOS PAC ID: 5294005716 Enrollment ID: I20200813003106 |
| Provider Name | Ciprian Viziteu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982136396 PECOS PAC ID: 3476979972 Enrollment ID: I20200814000293 |
| Provider Name | Sarah Margaret Moreland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750730503 PECOS PAC ID: 7810313343 Enrollment ID: I20200814001236 |
| Provider Name | Leonard W Faulk |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073956975 PECOS PAC ID: 8022313014 Enrollment ID: I20200817001610 |
| Provider Name | Mary Frances Macleod-oguntuase |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679953640 PECOS PAC ID: 0648696815 Enrollment ID: I20200818003392 |
| Provider Name | Bryan Stanley Cobb |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295197960 PECOS PAC ID: 2769775865 Enrollment ID: I20200821001303 |
| Provider Name | Laura Lepczyk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437502176 PECOS PAC ID: 8729404652 Enrollment ID: I20200821001662 |
| Provider Name | Brittany Erica Butler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982021028 PECOS PAC ID: 8426370206 Enrollment ID: I20200824003177 |
| Provider Name | Andrew John Morris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760802631 PECOS PAC ID: 4486953932 Enrollment ID: I20200825001582 |
| Provider Name | Audrey Sato |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1326369745 PECOS PAC ID: 7719235605 Enrollment ID: I20200825003624 |
| Provider Name | Hannelore N Geeraert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487181483 PECOS PAC ID: 5395096481 Enrollment ID: I20200825003792 |
| Provider Name | Raed Adel Sukerji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104090505 PECOS PAC ID: 6103959820 Enrollment ID: I20200826002824 |
| Provider Name | Samuel Jared Cohn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124407598 PECOS PAC ID: 1850693102 Enrollment ID: I20200901000189 |
| Provider Name | Jamie Lee Corbeille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699126243 PECOS PAC ID: 5092000125 Enrollment ID: I20200901000673 |
| Provider Name | James Welle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720511892 PECOS PAC ID: 3375814205 Enrollment ID: I20200901001337 |
| Provider Name | Robert Gregory Sturgeon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871957647 PECOS PAC ID: 4385900877 Enrollment ID: I20200901001958 |
| Provider Name | Kelly Lauren Casper |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487266656 PECOS PAC ID: 1456779123 Enrollment ID: I20200911001046 |
| Provider Name | Sagarika Sinha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639607021 PECOS PAC ID: 2961771506 Enrollment ID: I20200915001563 |
| Provider Name | Daniel Scott Stevens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437681962 PECOS PAC ID: 2163791435 Enrollment ID: I20200917000517 |
| Provider Name | Yin Tong Stein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215373725 PECOS PAC ID: 7618265489 Enrollment ID: I20200923001039 |
| Provider Name | Jessica L Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477170470 PECOS PAC ID: 0345669297 Enrollment ID: I20200928001037 |
| Provider Name | Samuel Flerlage Paskin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912439399 PECOS PAC ID: 4082033840 Enrollment ID: I20200928001404 |
| Provider Name | Brian Michael Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255862728 PECOS PAC ID: 0143569376 Enrollment ID: I20200929001212 |
| Provider Name | Heidi Jo Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548465370 PECOS PAC ID: 3274952858 Enrollment ID: I20200930003578 |
| Provider Name | William Rodriguez Cartagena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285696443 PECOS PAC ID: 0446679799 Enrollment ID: I20201006001333 |
| Provider Name | Alexandra Ruhl Mccarty |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821445925 PECOS PAC ID: 8729366299 Enrollment ID: I20201013000066 |
| Provider Name | Aundrea Yvette Mata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811320070 PECOS PAC ID: 9133549025 Enrollment ID: I20201014002722 |
| Provider Name | Andrew John Moss Hannig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629432489 PECOS PAC ID: 7911319181 Enrollment ID: I20201211000635 |
| Provider Name | Rebecca L Keller-tracy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346654068 PECOS PAC ID: 1254557564 Enrollment ID: I20201214001857 |
| Provider Name | Thomas Joseph Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598177651 PECOS PAC ID: 7113242207 Enrollment ID: I20201215001307 |
| Provider Name | Sarah Elizabeth Winbourn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588710172 PECOS PAC ID: 3971915935 Enrollment ID: I20201215003106 |
| Provider Name | Nicole R Provins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730337825 PECOS PAC ID: 8123430105 Enrollment ID: I20201216000569 |
| Provider Name | Joanna L Culver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356753511 PECOS PAC ID: 1951677996 Enrollment ID: I20201221000724 |
| Provider Name | Lindsey Dwenger |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184228546 PECOS PAC ID: 0840603064 Enrollment ID: I20210107002373 |
| Provider Name | Choong-fai Too |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982047155 PECOS PAC ID: 5294955183 Enrollment ID: I20210126003293 |
| Provider Name | Olivia Maria Allore |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306371950 PECOS PAC ID: 7214281583 Enrollment ID: I20210127002204 |
| Provider Name | Ryan Thomas Finigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164958823 PECOS PAC ID: 5496081101 Enrollment ID: I20210128000719 |
| Provider Name | Kyle D Kusek |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598921462 PECOS PAC ID: 3173938677 Enrollment ID: I20210216000365 |
| Provider Name | Rachael E Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205230893 PECOS PAC ID: 7113332362 Enrollment ID: I20210219002312 |
| Provider Name | Elisa Zaragoza-macias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942487996 PECOS PAC ID: 1355574633 Enrollment ID: I20210222000553 |
| Provider Name | Emily Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114525227 PECOS PAC ID: 4183030950 Enrollment ID: I20210303001857 |
| Provider Name | Bert Kosee Srianant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063941086 PECOS PAC ID: 7315353497 Enrollment ID: I20210316000734 |
| Provider Name | Alison Gold Escobar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205195559 PECOS PAC ID: 6608006028 Enrollment ID: I20210316001518 |
| Provider Name | Wayne August Eckenroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114458718 PECOS PAC ID: 0749697514 Enrollment ID: I20210323000090 |
| Provider Name | Jessica Elizabeth Ellerman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730323999 PECOS PAC ID: 5496935942 Enrollment ID: I20210405000260 |
| Provider Name | Mariana Harasawa |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154785863 PECOS PAC ID: 2668743469 Enrollment ID: I20210405001479 |
| Provider Name | Sreenath Prativadi Narayan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801213095 PECOS PAC ID: 5991926206 Enrollment ID: I20210426002515 |
| Provider Name | Cynthia K Wautlet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659336642 PECOS PAC ID: 6406947662 Enrollment ID: I20210427003166 |
| Provider Name | John Mcnatt Gillis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538231774 PECOS PAC ID: 0446230965 Enrollment ID: I20210506000661 |
| Provider Name | Adam Scott Levy |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215226311 PECOS PAC ID: 1153752894 Enrollment ID: I20210514001142 |
| Provider Name | Samantha Jo Lorusso |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780946731 PECOS PAC ID: 2365748449 Enrollment ID: I20210602000688 |
| Provider Name | Erin Elizabeth Medlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326280801 PECOS PAC ID: 8224275151 Enrollment ID: I20210607000402 |
| Provider Name | Della Marie Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548765431 PECOS PAC ID: 1850648387 Enrollment ID: I20210623000591 |
| Provider Name | Henry T Kwang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295121085 PECOS PAC ID: 9739439852 Enrollment ID: I20210623001184 |
| Provider Name | Eric T Basler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518328483 PECOS PAC ID: 8426303108 Enrollment ID: I20210701000780 |
| Provider Name | Michael Alan Silver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659379410 PECOS PAC ID: 4789783820 Enrollment ID: I20210706001730 |
| Provider Name | Daniel Kirkwood Hecht |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952832594 PECOS PAC ID: 8426450917 Enrollment ID: I20210706003434 |
| Provider Name | Samantha K Roland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780817411 PECOS PAC ID: 9830354364 Enrollment ID: I20210707000762 |
| Provider Name | Kelly O'hear Sheppard |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366886780 PECOS PAC ID: 2668721556 Enrollment ID: I20210708000798 |
| Provider Name | Lance Anthony Warren |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144456609 PECOS PAC ID: 6204078652 Enrollment ID: I20210708001420 |
| Provider Name | Byron Jason Ellis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669866927 PECOS PAC ID: 7911227277 Enrollment ID: I20210721004107 |
| Provider Name | Jessica Noelle Beatty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215461769 PECOS PAC ID: 3870865728 Enrollment ID: I20210727001672 |
| Provider Name | Brayden Boyd Ashdown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407352628 PECOS PAC ID: 8527461607 Enrollment ID: I20210727002685 |
| Provider Name | Gina M Stroud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285138867 PECOS PAC ID: 7810243342 Enrollment ID: I20210728000663 |
| Provider Name | Eugene Matthew Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962848663 PECOS PAC ID: 4981844495 Enrollment ID: I20210728000948 |
| Provider Name | Racheal A Philman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689701641 PECOS PAC ID: 4284037227 Enrollment ID: I20210728001034 |
| Provider Name | Rebecca C Shay Rodriguez |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447630124 PECOS PAC ID: 8426311499 Enrollment ID: I20210728003875 |
| Provider Name | Jason M Podolnick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427582501 PECOS PAC ID: 2769885698 Enrollment ID: I20210729000931 |
| Provider Name | Tess Alexandra Zaccardi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689291650 PECOS PAC ID: 7012310949 Enrollment ID: I20210729000980 |
| Provider Name | Helen Cheung Spies |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316392855 PECOS PAC ID: 7012253792 Enrollment ID: I20210805001886 |
| Provider Name | Michael N Morcos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386986446 PECOS PAC ID: 8325363880 Enrollment ID: I20210807000192 |
| Provider Name | Frances C Hindt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063903623 PECOS PAC ID: 2961753991 Enrollment ID: I20210812000044 |
| Provider Name | Kendra Jane Keith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699123059 PECOS PAC ID: 1951698265 Enrollment ID: I20210812001313 |
| Provider Name | Anjali Parekh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275928632 PECOS PAC ID: 6406119130 Enrollment ID: I20210813000013 |
| Provider Name | Vivek Anand Koduri |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538697347 PECOS PAC ID: 3779853312 Enrollment ID: I20210820000999 |
| Provider Name | Nicole Maria Andreassi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194211532 PECOS PAC ID: 3971908427 Enrollment ID: I20210820001168 |
| Provider Name | Bradley Jonathan Tennant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053816397 PECOS PAC ID: 0941605364 Enrollment ID: I20210824001494 |
| Provider Name | Chiraag Prakash Alur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609368281 PECOS PAC ID: 8325394182 Enrollment ID: I20210826001057 |
| Provider Name | Anthony Battista |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811208572 PECOS PAC ID: 8325219678 Enrollment ID: I20210826001750 |
| Provider Name | Robin Hall Dunn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346634839 PECOS PAC ID: 9739409053 Enrollment ID: I20210826003652 |
| Provider Name | George Olen Denny |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265896633 PECOS PAC ID: 2365719556 Enrollment ID: I20210827002703 |
| Provider Name | Victoria Gail Bender |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922535699 PECOS PAC ID: 9739459546 Enrollment ID: I20210828000029 |
| Provider Name | Emma Elizabeth Foraker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548766579 PECOS PAC ID: 5294082772 Enrollment ID: I20210828000143 |
| Provider Name | Kathleen Blanke Kopel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053868638 PECOS PAC ID: 5799032173 Enrollment ID: I20210830000288 |
| Provider Name | Grace Dalmacion |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639453921 PECOS PAC ID: 2668629270 Enrollment ID: I20210830000979 |
| Provider Name | Jacob Andrew Stanley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902394364 PECOS PAC ID: 2668727322 Enrollment ID: I20210830002130 |
| Provider Name | Joshua Alan Leese |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164657755 PECOS PAC ID: 4486894185 Enrollment ID: I20210830002279 |
| Provider Name | Mauricio Rebolledo Medranda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396003943 PECOS PAC ID: 0446481949 Enrollment ID: I20210830002363 |
| Provider Name | Cameron J Sumner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154856813 PECOS PAC ID: 4385914175 Enrollment ID: I20210830003318 |
| Provider Name | Abbie S Ornelas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154779429 PECOS PAC ID: 7315231966 Enrollment ID: I20210901000622 |
| Provider Name | Laura Jane Risch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902302367 PECOS PAC ID: 9931459062 Enrollment ID: I20210901001217 |
| Provider Name | Andrzej P Wojcieszynski |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316203003 PECOS PAC ID: 2961635594 Enrollment ID: I20210901001725 |
| Provider Name | Daniel Andrew Hankins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821594508 PECOS PAC ID: 3476800939 Enrollment ID: I20210908002332 |
| Provider Name | Anne Elizabeth Heenan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750801809 PECOS PAC ID: 3870866940 Enrollment ID: I20210910000826 |
| Provider Name | Madeline Marie Coquillette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699169508 PECOS PAC ID: 8426313081 Enrollment ID: I20210923001042 |
| Provider Name | David C Ringel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457889859 PECOS PAC ID: 5294080412 Enrollment ID: I20210923001323 |
| Provider Name | James Thomas Link |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063775104 PECOS PAC ID: 5799061511 Enrollment ID: I20210928001010 |
| Provider Name | Melanie Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023784097 PECOS PAC ID: 5496153645 Enrollment ID: I20211001002442 |
| Provider Name | Eduardo Gonzalez Barreda |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952614760 PECOS PAC ID: 8527388867 Enrollment ID: I20211004000228 |
| Provider Name | Scott Eric Johnson |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1790957371 PECOS PAC ID: 6204086952 Enrollment ID: I20211004003173 |
| Provider Name | Tyler Jeffrey Millard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801392782 PECOS PAC ID: 0648527937 Enrollment ID: I20211005001215 |
| Provider Name | Duke G Yim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922010834 PECOS PAC ID: 1658542410 Enrollment ID: I20211005002138 |
| Provider Name | Laura Sue Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326564691 PECOS PAC ID: 7416355086 Enrollment ID: I20211012002428 |
| Provider Name | Mary A Maytan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821026485 PECOS PAC ID: 1557303328 Enrollment ID: I20211013000093 |
| Provider Name | Erin Christine Capitena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801274964 PECOS PAC ID: 6002165677 Enrollment ID: I20211013001041 |
| Provider Name | Pedro B Simpson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780857821 PECOS PAC ID: 9133369846 Enrollment ID: I20211026002777 |
| Provider Name | Laurel R Imhoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821316266 PECOS PAC ID: 2860715232 Enrollment ID: I20211028003157 |
| Provider Name | Robert Patrick Cragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114349107 PECOS PAC ID: 1759779440 Enrollment ID: I20211029000780 |
| Provider Name | Rachel C Mason |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346629847 PECOS PAC ID: 7214243674 Enrollment ID: I20211108002967 |
| Provider Name | Susan Carol Marie Crane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285718783 PECOS PAC ID: 2163811266 Enrollment ID: I20211111000247 |
| Provider Name | Felicia Laib |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366113193 PECOS PAC ID: 6800285388 Enrollment ID: I20211123001497 |
| Provider Name | Raymond Michael Fabrizio |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1780884874 PECOS PAC ID: 9234214909 Enrollment ID: I20211202001275 |
| Provider Name | Alena Mecomber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962973099 PECOS PAC ID: 6406246479 Enrollment ID: I20211206002204 |
| Provider Name | Christine Elizabeth Belmear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376058156 PECOS PAC ID: 5395135149 Enrollment ID: I20211209001588 |
| Provider Name | Aakash Chauhan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750659595 PECOS PAC ID: 3870884422 Enrollment ID: I20211221001741 |
| Provider Name | Elliot Preston Dubowitch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790103257 PECOS PAC ID: 7113262973 Enrollment ID: I20211223001375 |
| Provider Name | Catherine Carol Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841789906 PECOS PAC ID: 8921343005 Enrollment ID: I20220104000475 |
| Provider Name | Melissa Ann Seeker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851736342 PECOS PAC ID: 7810269206 Enrollment ID: I20220110000314 |
| Provider Name | Lani Kalialei Boyum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013545276 PECOS PAC ID: 5496147837 Enrollment ID: I20220118000004 |
| Provider Name | Dipen Kadaria |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932307691 PECOS PAC ID: 4183860851 Enrollment ID: I20220124000739 |
| Provider Name | Justin A Edward |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629501853 PECOS PAC ID: 9032501812 Enrollment ID: I20220128001195 |
| Provider Name | Shankar Perumal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053574681 PECOS PAC ID: 9739203688 Enrollment ID: I20220131001435 |
| Provider Name | Robert L Kost |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043674013 PECOS PAC ID: 2466874474 Enrollment ID: I20220203000132 |
| Provider Name | Tiffany Amber Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154870962 PECOS PAC ID: 1951794577 Enrollment ID: I20220203000823 |
| Provider Name | Jacquelyn Minahan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083013700 PECOS PAC ID: 9931592458 Enrollment ID: I20220204002228 |
| Provider Name | Robert M Kowalewski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1144365198 PECOS PAC ID: 7911135819 Enrollment ID: I20220302001033 |
| Provider Name | Lesliann Davila-santiago |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265185904 PECOS PAC ID: 3476947474 Enrollment ID: I20220308000197 |
| Provider Name | Yolanda Annette Rivas Diaz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619126794 PECOS PAC ID: 1759776784 Enrollment ID: I20220309002521 |
| Provider Name | Xin Ye |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942566971 PECOS PAC ID: 5092014308 Enrollment ID: I20220316000661 |
| Provider Name | Kaitlyn Elizabeth Seltzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093156770 PECOS PAC ID: 4587892047 Enrollment ID: I20220316001197 |
| Provider Name | Brittney Ann Van Gent |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952825804 PECOS PAC ID: 7113291824 Enrollment ID: I20220316002602 |
| Provider Name | Zachary Morgan Musgrave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740471374 PECOS PAC ID: 1557421344 Enrollment ID: I20220317002121 |
| Provider Name | Jordan Amanda Tyson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497154439 PECOS PAC ID: 3375938590 Enrollment ID: I20220324001501 |
| Provider Name | Jaron A Christianson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770529851 PECOS PAC ID: 5597660779 Enrollment ID: I20220426000995 |
| Provider Name | Michele Lynn Sequeira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013937473 PECOS PAC ID: 8729005251 Enrollment ID: I20220429001274 |
| Provider Name | Charles Jacob Mayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487739298 PECOS PAC ID: 0749226306 Enrollment ID: I20220501000011 |
| Provider Name | Brittney E Schieber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609438902 PECOS PAC ID: 8729475132 Enrollment ID: I20220503000904 |
| Provider Name | Alison E Gothro |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487039913 PECOS PAC ID: 7618364951 Enrollment ID: I20220504002945 |
| Provider Name | Arezu Haghighi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295116127 PECOS PAC ID: 1254664097 Enrollment ID: I20220506000636 |
| Provider Name | Elyse Catherine Demers |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1912393778 PECOS PAC ID: 2961710157 Enrollment ID: I20220509000614 |
| Provider Name | Rahul Rastogi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548373632 PECOS PAC ID: 1759355134 Enrollment ID: I20220510000294 |
| Provider Name | Daniel Naylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487882130 PECOS PAC ID: 2264682327 Enrollment ID: I20220512000075 |
| Provider Name | Calliandra Hintzen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366823270 PECOS PAC ID: 6204143571 Enrollment ID: I20220710000062 |
| Provider Name | Peter Neff Carbone |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871655670 PECOS PAC ID: 9830460948 Enrollment ID: I20220718000316 |
| Provider Name | Kelly Rae Hodges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932312550 PECOS PAC ID: 2062687700 Enrollment ID: I20220720000594 |
| Provider Name | Anthony Creedan Brownell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1982230082 PECOS PAC ID: 6002228277 Enrollment ID: I20220720003085 |
| Provider Name | Sarah Diane Janik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649739905 PECOS PAC ID: 8921489030 Enrollment ID: I20220721000376 |
| Provider Name | Michael John Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659934719 PECOS PAC ID: 4587998778 Enrollment ID: I20220802001433 |
| Provider Name | Yolanda Flores-cueva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144683491 PECOS PAC ID: 6204230121 Enrollment ID: I20220803003243 |
| Provider Name | Rodolfo Enrique Manosalva |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1720394695 PECOS PAC ID: 0840561098 Enrollment ID: I20220804000861 |
| Provider Name | John Patrick Kelly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346746146 PECOS PAC ID: 6608122056 Enrollment ID: I20220805000917 |
| Provider Name | Jason Robert Catanzaro |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1780845768 PECOS PAC ID: 4789839184 Enrollment ID: I20220806000090 |
| Provider Name | Robyn S Randall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821550450 PECOS PAC ID: 8022341049 Enrollment ID: I20220816000292 |
| Provider Name | Eric Benjamin Schwartz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952750648 PECOS PAC ID: 8325333818 Enrollment ID: I20220816003028 |
| Provider Name | Do Hyung Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134626633 PECOS PAC ID: 3779831045 Enrollment ID: I20220822001830 |
| Provider Name | Lauren Elizabeth Macdonald |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346745221 PECOS PAC ID: 3375899974 Enrollment ID: I20220823002168 |
| Provider Name | Jake Loden Walburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245898394 PECOS PAC ID: 1355670100 Enrollment ID: I20220824002616 |
| Provider Name | Michael Drake Stachler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295297745 PECOS PAC ID: 3678803368 Enrollment ID: I20220825000396 |
| Provider Name | Lisa Robyn Dever Livingston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407816531 PECOS PAC ID: 6507890142 Enrollment ID: I20220830001998 |
| Provider Name | Katie Berenbaum Szanton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790245082 PECOS PAC ID: 0042548323 Enrollment ID: I20220908000649 |
| Provider Name | Sierra Cihan Germeyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225599848 PECOS PAC ID: 9234467242 Enrollment ID: I20220909000035 |
| Provider Name | Erika Leigh Etnyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356803696 PECOS PAC ID: 1557698735 Enrollment ID: I20220909001452 |
| Provider Name | Kelly M Ewing |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922264043 PECOS PAC ID: 0941360531 Enrollment ID: I20220914002023 |
| Provider Name | Sharon Kwan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164604542 PECOS PAC ID: 6608045646 Enrollment ID: I20220919000109 |
| Provider Name | Elizabeth Finley Neubauer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548790611 PECOS PAC ID: 8426477753 Enrollment ID: I20220922002925 |
| Provider Name | Benjamin Craig Metais |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326501040 PECOS PAC ID: 7012242928 Enrollment ID: I20220923002032 |
| Provider Name | James Andrew Selenke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922175660 PECOS PAC ID: 9032105184 Enrollment ID: I20220928002823 |
| Provider Name | Sarah Elizabeth Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265995369 PECOS PAC ID: 6406186238 Enrollment ID: I20221003000324 |
| Provider Name | Julianne Knowles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881767499 PECOS PAC ID: 4183631138 Enrollment ID: I20221013001048 |
| Provider Name | Robert J Donachie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528090446 PECOS PAC ID: 6103867288 Enrollment ID: I20221028002433 |
| Provider Name | Katherine Taylor Tinkey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659726479 PECOS PAC ID: 6709253685 Enrollment ID: I20221107000261 |
| Provider Name | Sarah Ammons Pritzlaff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568184547 PECOS PAC ID: 2860861085 Enrollment ID: I20221210000549 |
| Provider Name | Taylor N Woznak |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1548908155 PECOS PAC ID: 1557731940 Enrollment ID: I20221229000642 |
| Provider Name | Jason Luong Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558622902 PECOS PAC ID: 0143443341 Enrollment ID: I20230105002122 |
| Provider Name | Amena Fazal Muneer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1326499567 PECOS PAC ID: 0648567016 Enrollment ID: I20230109003016 |
| Provider Name | Kristina Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841642352 PECOS PAC ID: 8921393802 Enrollment ID: I20230111003013 |
| Provider Name | Julie Ann Rizzolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023505856 PECOS PAC ID: 9436498110 Enrollment ID: I20230309000417 |
| Provider Name | Spencer Rose Del Moral |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376077438 PECOS PAC ID: 9739458944 Enrollment ID: I20230314000358 |
| Provider Name | Aaron Elijah Gann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588379697 PECOS PAC ID: 9537533294 Enrollment ID: I20230320001142 |
| Provider Name | Nancy L Garland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003521634 PECOS PAC ID: 0143694711 Enrollment ID: I20230322000453 |
| Provider Name | Russ R Arjal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821144403 PECOS PAC ID: 5294807301 Enrollment ID: I20230322003128 |
| Provider Name | Marta Ann Bierbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417655366 PECOS PAC ID: 3173997665 Enrollment ID: I20230323003299 |
| Provider Name | Aniruddha Uday Patki |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013207588 PECOS PAC ID: 4284918251 Enrollment ID: I20230328002433 |
| Provider Name | Jacob C Rogala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013628437 PECOS PAC ID: 5991179145 Enrollment ID: I20230330000081 |
| Provider Name | Kristen A Emond |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386278166 PECOS PAC ID: 7810300936 Enrollment ID: I20230403000129 |
| Provider Name | Erin Elizabeth O'flaherty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194040287 PECOS PAC ID: 1951776137 Enrollment ID: I20230403000215 |
| Provider Name | Rejane Gabriella Tisby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801360367 PECOS PAC ID: 6901271618 Enrollment ID: I20230412000172 |
| Provider Name | Ellen L Singer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689687279 PECOS PAC ID: 9638269004 Enrollment ID: I20230413002607 |
| Provider Name | David Andrew Stenstrom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265607485 PECOS PAC ID: 9133391345 Enrollment ID: I20230425001639 |
| Provider Name | Danyelle Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457964108 PECOS PAC ID: 1153748330 Enrollment ID: I20230519000554 |
| Provider Name | Jennifer Jocelyn Speirs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992324065 PECOS PAC ID: 8921465592 Enrollment ID: I20230613002464 |
| Provider Name | Robert J Caulkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790167203 PECOS PAC ID: 9830405752 Enrollment ID: I20230622001241 |
| Provider Name | Anne Nicole Schick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699430025 PECOS PAC ID: 1658760871 Enrollment ID: I20230706002820 |
| Provider Name | Kelly Lynn Mcwilliams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245867704 PECOS PAC ID: 6901265040 Enrollment ID: I20230706004018 |
| Provider Name | Adam Keith Aspaas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447714639 PECOS PAC ID: 3779978499 Enrollment ID: I20230707001129 |
| Provider Name | Moiz Sadia Vora |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1437493566 PECOS PAC ID: 9335442177 Enrollment ID: I20230710003049 |
| Provider Name | Lynn Sandra Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902169832 PECOS PAC ID: 6709190648 Enrollment ID: I20230711004214 |
| Provider Name | Joseph Nicholai Ponce |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356978878 PECOS PAC ID: 3577923267 Enrollment ID: I20230712004503 |
| Provider Name | Elizabeth Marie Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104564483 PECOS PAC ID: 0244690972 Enrollment ID: I20230713001158 |
| Provider Name | Quinn Colin Doyle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992332530 PECOS PAC ID: 8628498847 Enrollment ID: I20230719002206 |
| Provider Name | Erin Aspaas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083183438 PECOS PAC ID: 6204173289 Enrollment ID: I20230720000052 |
| Provider Name | Kathryn Frances Huber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811516768 PECOS PAC ID: 6204258908 Enrollment ID: I20230724000853 |
| Provider Name | Sophie Elisabeth Helene Snow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215252838 PECOS PAC ID: 3375796428 Enrollment ID: I20230727000833 |
| Provider Name | Marcus Ian Ng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003297102 PECOS PAC ID: 4587979000 Enrollment ID: I20230803004179 |
| Provider Name | Heather K Wibberley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669157541 PECOS PAC ID: 8820459027 Enrollment ID: I20230804000030 |
| Provider Name | Lindsay Koerperich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225658446 PECOS PAC ID: 8729400247 Enrollment ID: I20230807001504 |
| Provider Name | Ryan Paulson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598284382 PECOS PAC ID: 2365718996 Enrollment ID: I20230807003374 |
| Provider Name | Christina Dessie Athens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215674494 PECOS PAC ID: 5496117384 Enrollment ID: I20230809001299 |
| Provider Name | Roy Lipworth |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1043716327 PECOS PAC ID: 1456600949 Enrollment ID: I20230809001374 |
| Provider Name | Samuel G Antoine |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659878353 PECOS PAC ID: 2769738038 Enrollment ID: I20230811000048 |
| Provider Name | Britni Lynn Beagley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497217459 PECOS PAC ID: 5496085243 Enrollment ID: I20230811002037 |
| Provider Name | Stephen James Mericle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609338896 PECOS PAC ID: 4688058324 Enrollment ID: I20230814001314 |
| Provider Name | Kayla Renee Martin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700316056 PECOS PAC ID: 5395014575 Enrollment ID: I20230814004109 |
| Provider Name | Mitchel Lane Oltmanns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013545789 PECOS PAC ID: 2668894585 Enrollment ID: I20230817000138 |
| Provider Name | Santo Kolm Ricceri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376075580 PECOS PAC ID: 2365866514 Enrollment ID: I20230817003934 |
| Provider Name | Tram-diana Dang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356093579 PECOS PAC ID: 1759744675 Enrollment ID: I20230824004318 |
| Provider Name | Eric Dean Weston |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922054097 PECOS PAC ID: 2961427125 Enrollment ID: I20230825002903 |
| Provider Name | Mengistu Yemane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174595607 PECOS PAC ID: 4587750914 Enrollment ID: I20230828004083 |
| Provider Name | Thomas Michael Hanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033640701 PECOS PAC ID: 4183982747 Enrollment ID: I20230829002997 |
| Provider Name | Jared Steven Eickhoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023562618 PECOS PAC ID: 7012204217 Enrollment ID: I20230829004380 |
| Provider Name | Miles Philip Viseur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003443631 PECOS PAC ID: 9638568157 Enrollment ID: I20230901001790 |
| Provider Name | Daniel Peshka |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073560181 PECOS PAC ID: 9133258262 Enrollment ID: I20230906002531 |
| Provider Name | Kaeleen Anne Boden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629509930 PECOS PAC ID: 0941572853 Enrollment ID: I20230913002350 |
| Provider Name | Katrina Lara Milgrim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265097091 PECOS PAC ID: 8123356755 Enrollment ID: I20230919002697 |
| Provider Name | Laura Erin Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598392425 PECOS PAC ID: 1153748348 Enrollment ID: I20230920002231 |
| Provider Name | Kubat Rahatbeck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710501549 PECOS PAC ID: 6709200736 Enrollment ID: I20230921000386 |
| Provider Name | Tiffany Alexis Koonce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023645975 PECOS PAC ID: 9830518117 Enrollment ID: I20230921001376 |
| Provider Name | Brittney Amber Justice |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750902433 PECOS PAC ID: 2466877030 Enrollment ID: I20230921002581 |
| Provider Name | Fatya Amy Amiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578191532 PECOS PAC ID: 9537543962 Enrollment ID: I20230922003785 |
| Provider Name | Erin Elizabeth Godbout |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972035004 PECOS PAC ID: 7315284122 Enrollment ID: I20230925000460 |
| Provider Name | Troy Steven Teeples |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851852974 PECOS PAC ID: 7315271061 Enrollment ID: I20230927000202 |
| Provider Name | Megan M Strahan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821045436 PECOS PAC ID: 0345311023 Enrollment ID: I20231002002598 |
| Provider Name | Jason Isaiah Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356923197 PECOS PAC ID: 5991106817 Enrollment ID: I20231009003223 |
| Provider Name | James Vincent Libbon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740523323 PECOS PAC ID: 0648413831 Enrollment ID: I20231016002953 |
| Provider Name | Haley Bourdeau |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588268254 PECOS PAC ID: 5799130340 Enrollment ID: I20231017001972 |
| Provider Name | Sonia Phadke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851823157 PECOS PAC ID: 1254680465 Enrollment ID: I20231019003604 |
| Provider Name | Tyler Ray Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326823295 PECOS PAC ID: 0244686475 Enrollment ID: I20231025000570 |
| Provider Name | Micah Benjamin Naimark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811263635 PECOS PAC ID: 6507145273 Enrollment ID: I20231027003512 |
| Provider Name | Donald Saichung Fong |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205907102 PECOS PAC ID: 3375677289 Enrollment ID: I20231101001330 |
| Provider Name | Melissa Amorita Biewenga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700147352 PECOS PAC ID: 2567684434 Enrollment ID: I20231102000698 |
| Provider Name | Zachary Azimi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003691023 PECOS PAC ID: 9931556545 Enrollment ID: I20231103000439 |
| Provider Name | Victoria Mariah Lennox |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1528529757 PECOS PAC ID: 9335470657 Enrollment ID: I20231107001088 |
| Provider Name | Jarom Nathan Gilstrap |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205157658 PECOS PAC ID: 8426367491 Enrollment ID: I20231108001075 |
| Provider Name | Chyenne Matre Lynn Kimble |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205614815 PECOS PAC ID: 9133576457 Enrollment ID: I20231108001795 |
| Provider Name | Susan Paulena Corzilius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205907268 PECOS PAC ID: 1557426152 Enrollment ID: I20231110000151 |
| Provider Name | Kelly Marie Smith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407967342 PECOS PAC ID: 2365637600 Enrollment ID: I20231110001787 |
| Provider Name | Anna Mintz Qi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306427968 PECOS PAC ID: 9335596261 Enrollment ID: I20231114001482 |
| Provider Name | Cara Caitlin Forsythe Pride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942821186 PECOS PAC ID: 5799195053 Enrollment ID: I20231114001808 |
| Provider Name | Christopher Daniel Englander |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275937401 PECOS PAC ID: 8729436233 Enrollment ID: I20231122000278 |
| Provider Name | Suzy Ann Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275863680 PECOS PAC ID: 6608013529 Enrollment ID: I20231130004028 |
| Provider Name | Michelle B Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003375908 PECOS PAC ID: 0840649141 Enrollment ID: I20231212002807 |
| Provider Name | Patrick O Brenner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841316460 PECOS PAC ID: 0446600571 Enrollment ID: I20240102001115 |
| Provider Name | Samantha Holtz Chavis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1306328646 PECOS PAC ID: 0042660110 Enrollment ID: I20240102002391 |
| Provider Name | Kellie N Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770857948 PECOS PAC ID: 9032569116 Enrollment ID: I20240102002811 |
| Provider Name | Allissa Ellen Henderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770771396 PECOS PAC ID: 1557712585 Enrollment ID: I20240103004832 |
| Provider Name | Tracy Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508346271 PECOS PAC ID: 3577914431 Enrollment ID: I20240104004869 |
| Provider Name | Brian F Bubeck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689790206 PECOS PAC ID: 3577914357 Enrollment ID: I20240105001084 |
| Provider Name | Jennifer N Captain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932509486 PECOS PAC ID: 7012298821 Enrollment ID: I20240105002507 |
| Provider Name | Kristen N Forrest |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962651406 PECOS PAC ID: 3274984000 Enrollment ID: I20240105002751 |
| Provider Name | Meghan Eichner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295404721 PECOS PAC ID: 1951752799 Enrollment ID: I20240105003010 |
| Provider Name | Michelle Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316305378 PECOS PAC ID: 5496106239 Enrollment ID: I20240105003062 |
| Provider Name | Cynthia C Martinez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003932641 PECOS PAC ID: 8820449580 Enrollment ID: I20240105004256 |
| Provider Name | Kaitlyn Paige Brierley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831524297 PECOS PAC ID: 3779934807 Enrollment ID: I20240112001918 |
| Provider Name | Juan Ignacio Glenn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659756989 PECOS PAC ID: 2163874181 Enrollment ID: I20240116001000 |
| Provider Name | Michelle D Larson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811013444 PECOS PAC ID: 3971955402 Enrollment ID: I20240119001549 |
| Provider Name | Saba Mohamed Bingabr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366063976 PECOS PAC ID: 1456777887 Enrollment ID: I20240119002425 |
| Provider Name | Ana Maria Luciana Martinez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043507312 PECOS PAC ID: 2062864325 Enrollment ID: I20240123000978 |
| Provider Name | Melissa Alice Mang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174168553 PECOS PAC ID: 4284068693 Enrollment ID: I20240123002034 |
| Provider Name | Michelle L Herrera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134408982 PECOS PAC ID: 0749633840 Enrollment ID: I20240125000141 |
| Provider Name | Sara Nasrin Yazdi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1518106772 PECOS PAC ID: 5193178093 Enrollment ID: I20240126002717 |
| Provider Name | Victor Alejandro Leon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851679658 PECOS PAC ID: 6800249731 Enrollment ID: I20240126004110 |
| Provider Name | Madeline Trainor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346945219 PECOS PAC ID: 4981057833 Enrollment ID: I20240127000378 |
| Provider Name | Alli Vanessa Rose |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952918088 PECOS PAC ID: 4082067673 Enrollment ID: I20240131000603 |
| Provider Name | John M Romeo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447376900 PECOS PAC ID: 5799138319 Enrollment ID: I20240131001302 |
| Provider Name | Carly Kaye Lindeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841600343 PECOS PAC ID: 9335592765 Enrollment ID: I20240201000747 |
| Provider Name | Mark G Spragins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225168099 PECOS PAC ID: 4789037086 Enrollment ID: I20240201003455 |
| Provider Name | Lisa Irene Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609970706 PECOS PAC ID: 9537512876 Enrollment ID: I20240202000263 |
| Provider Name | John M Wagner |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861802498 PECOS PAC ID: 2264875582 Enrollment ID: I20240202003541 |
| Provider Name | Michelle Woods |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184974933 PECOS PAC ID: 8123461456 Enrollment ID: I20240203000116 |
| Provider Name | Simon Dwyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255400859 PECOS PAC ID: 8729421086 Enrollment ID: I20240205000413 |
| Provider Name | Amanda Richardson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750817946 PECOS PAC ID: 3678916715 Enrollment ID: I20240206002688 |
| Provider Name | Wendy Wright |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1639471402 PECOS PAC ID: 6103269139 Enrollment ID: I20240207001065 |
| Provider Name | John Anthony Shields |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568773836 PECOS PAC ID: 1557704582 Enrollment ID: I20240207001088 |
| Provider Name | Eleanor Love |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558486225 PECOS PAC ID: 0042653891 Enrollment ID: I20240208001344 |
| Provider Name | Dennis P Heffern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730216763 PECOS PAC ID: 8820431687 Enrollment ID: I20240208001512 |
| Provider Name | Shannon Michelle Paulson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003209891 PECOS PAC ID: 3577906163 Enrollment ID: I20240212000395 |
| Provider Name | Jennifer L Steinman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598062424 PECOS PAC ID: 1850735937 Enrollment ID: I20240216000951 |
| Provider Name | Melissa Nolke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912521733 PECOS PAC ID: 2466896436 Enrollment ID: I20240216004507 |
| Provider Name | Darla K Oglevie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538285168 PECOS PAC ID: 5193169167 Enrollment ID: I20240216004513 |
| Provider Name | David Peterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366823858 PECOS PAC ID: 0042579906 Enrollment ID: I20240220000275 |
| Provider Name | Tamera H. Janedis |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598947087 PECOS PAC ID: 1850736315 Enrollment ID: I20240223004065 |
| Provider Name | Kristen Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235507831 PECOS PAC ID: 8527403815 Enrollment ID: I20240226004149 |
| Provider Name | Emily Christine Benham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639431380 PECOS PAC ID: 7214206549 Enrollment ID: I20240229000440 |
| Provider Name | Schelly L Trojan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891811428 PECOS PAC ID: 7517302276 Enrollment ID: I20240304003080 |
| Provider Name | Rachel Marissa Friedman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962953703 PECOS PAC ID: 0547537854 Enrollment ID: I20240322003583 |
| Provider Name | Jennifer Aliese Masters |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1578187019 PECOS PAC ID: 3274930607 Enrollment ID: I20240402004461 |
| Provider Name | Daniel Klerekoper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285322230 PECOS PAC ID: 9739534850 Enrollment ID: I20240403004411 |
| Provider Name | Raul Galindo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508019530 PECOS PAC ID: 7810335023 Enrollment ID: I20240408001845 |
| Provider Name | Debbie M Andersen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134661937 PECOS PAC ID: 2769735299 Enrollment ID: I20240415002830 |
| Provider Name | Kevin Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467040014 PECOS PAC ID: 0941614838 Enrollment ID: I20240422002537 |
| Provider Name | Reem Farra |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932892841 PECOS PAC ID: 8022458629 Enrollment ID: I20240430001858 |
| Provider Name | Anthony Rodriguez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841876315 PECOS PAC ID: 0244671006 Enrollment ID: I20240509004088 |
| Provider Name | Jake Daniel Dodge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114410784 PECOS PAC ID: 0840540621 Enrollment ID: I20240514003774 |
| Provider Name | Fanni Barbara Cardenas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629655972 PECOS PAC ID: 8921449158 Enrollment ID: I20240517003170 |
| Provider Name | Stephen Jad Mazurkivich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144781360 PECOS PAC ID: 5991048829 Enrollment ID: I20240529002998 |
| Provider Name | Tais Moreira Protasio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457923765 PECOS PAC ID: 5496158396 Enrollment ID: I20240604000959 |
| Provider Name | Dana Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194581553 PECOS PAC ID: 3274075262 Enrollment ID: I20240605002715 |
| Provider Name | Eric Jim Bustos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154907632 PECOS PAC ID: 7810439536 Enrollment ID: I20240610003633 |
| Provider Name | Gabrielle Eileen Mykoniatis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366461188 PECOS PAC ID: 9638178940 Enrollment ID: I20240617000664 |
| Provider Name | Lee Allys Gonzalez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043309248 PECOS PAC ID: 9739623125 Enrollment ID: I20240626002789 |
| Provider Name | Eliezer Alexander Hernandez-linarte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184201428 PECOS PAC ID: 9032653399 Enrollment ID: I20240627004108 |
| Provider Name | Elizabeth Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962060723 PECOS PAC ID: 2466827761 Enrollment ID: I20240628001887 |
| Provider Name | Matthew Edward Velarde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487230264 PECOS PAC ID: 9537532072 Enrollment ID: I20240705000021 |
| Provider Name | Wendy Sze Ting Lam Maclean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801023155 PECOS PAC ID: 1557536687 Enrollment ID: I20240726000048 |
| Provider Name | Sarah Ashley Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437893674 PECOS PAC ID: 5496135659 Enrollment ID: I20240730003007 |
| Provider Name | Patrice Li-ching Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033381389 PECOS PAC ID: 3678759966 Enrollment ID: I20240731004822 |
| Provider Name | Taylor Laine Cammack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992383160 PECOS PAC ID: 1850792052 Enrollment ID: I20240805002189 |
| Provider Name | Noah Chaim Simon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922636760 PECOS PAC ID: 5294132510 Enrollment ID: I20240809002692 |
| Provider Name | Walker Mccurdy Pride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295312957 PECOS PAC ID: 0749728509 Enrollment ID: I20240813000012 |
| Provider Name | Rachel Christopherson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437726429 PECOS PAC ID: 2163870841 Enrollment ID: I20240829000037 |
| Provider Name | Gregory Kimball Nielsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851910087 PECOS PAC ID: 6204259310 Enrollment ID: I20240829001979 |
| Provider Name | Ilean Mariel Vazquez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568048338 PECOS PAC ID: 5890197537 Enrollment ID: I20240829004605 |
| Provider Name | Tayler Jean James |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922539956 PECOS PAC ID: 8729310347 Enrollment ID: I20240829004679 |
| Provider Name | Chad Robert Stickrath |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841337102 PECOS PAC ID: 5395054720 Enrollment ID: I20240910001672 |
| Provider Name | Sanjana Prasad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336728518 PECOS PAC ID: 5193125003 Enrollment ID: I20240910002695 |
| Provider Name | Jordan Yale Troy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538749981 PECOS PAC ID: 1153861497 Enrollment ID: I20240912003012 |
| Provider Name | Rossana Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790728467 PECOS PAC ID: 9133307390 Enrollment ID: I20240913000053 |
| Provider Name | Brian Jordan Lelling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558947358 PECOS PAC ID: 4284039942 Enrollment ID: I20240913002117 |
| Provider Name | Jacob Loren Trimble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962088591 PECOS PAC ID: 4284031485 Enrollment ID: I20240916003820 |
| Provider Name | Dung Van Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790369692 PECOS PAC ID: 6204238207 Enrollment ID: I20240917002706 |
| Provider Name | Tristan Poe Lindberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679891832 PECOS PAC ID: 7315488962 Enrollment ID: I20240923001950 |
| Provider Name | Beth Marie Lanning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699169870 PECOS PAC ID: 7315251592 Enrollment ID: I20240923002136 |
| Provider Name | Karima Carpenter Hamamsy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861079469 PECOS PAC ID: 4486054590 Enrollment ID: I20240924002418 |
| Provider Name | Laura Pape Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477044642 PECOS PAC ID: 9830448372 Enrollment ID: I20240924002740 |
| Provider Name | Katherine Elise Pemberton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992382527 PECOS PAC ID: 0244633972 Enrollment ID: I20240925002557 |
| Provider Name | Vahideh Tabarzadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740747682 PECOS PAC ID: 8224569751 Enrollment ID: I20241008001339 |
| Provider Name | Spencer Bruce Mamer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952051138 PECOS PAC ID: 5698154078 Enrollment ID: I20241011000496 |
| Provider Name | Lan Chen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821257148 PECOS PAC ID: 9133398902 Enrollment ID: I20241021000617 |
| Provider Name | Fady Hany Naguib Iskander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285049486 PECOS PAC ID: 0749586618 Enrollment ID: I20241028000044 |
| Provider Name | Kerri Lynn Glassner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568872778 PECOS PAC ID: 9638595861 Enrollment ID: I20241119003751 |
| Provider Name | Craig A Losekamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073517843 PECOS PAC ID: 2163416462 Enrollment ID: I20241121000444 |
| Provider Name | Lindsey Hohulin Metcalf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982830162 PECOS PAC ID: 6800048570 Enrollment ID: I20241212000423 |
| Provider Name | Crystal Premo Christensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538369020 PECOS PAC ID: 5799212585 Enrollment ID: I20241217004429 |
| Provider Name | Desirae Janelle Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124607536 PECOS PAC ID: 0042610701 Enrollment ID: I20241219001721 |
| Provider Name | Vincenz Lim Decastro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740607050 PECOS PAC ID: 9133414386 Enrollment ID: I20241220003778 |
| Provider Name | Mi Thanh Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871098087 PECOS PAC ID: 0648535757 Enrollment ID: I20250109002856 |
| Provider Name | Benjamin Robert Pugsley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992159990 PECOS PAC ID: 2961776299 Enrollment ID: I20250109003865 |
| Provider Name | Caroline Rae Kovaleski Mogler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144635749 PECOS PAC ID: 1355622309 Enrollment ID: I20250111000080 |
| Provider Name | Heather Lenore Leong Hulstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316397524 PECOS PAC ID: 2466744826 Enrollment ID: I20250113001103 |
| Provider Name | Liliana Gomez-medley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992945257 PECOS PAC ID: 7517017544 Enrollment ID: I20250113002237 |
| Provider Name | Austin Paul Dinkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669059028 PECOS PAC ID: 0547636003 Enrollment ID: I20250115001914 |
| Provider Name | Rebecca R Hadeed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598175762 PECOS PAC ID: 7012374739 Enrollment ID: I20250205002329 |
| Provider Name | Rachel Corinne Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578099073 PECOS PAC ID: 1456605518 Enrollment ID: I20250205003725 |
| Provider Name | Sophia Oakjean Kim Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659196186 PECOS PAC ID: 6204366081 Enrollment ID: I20250209000020 |
| Provider Name | Leah Sage Foley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437773330 PECOS PAC ID: 2961825435 Enrollment ID: I20250210000260 |
| Provider Name | Selina Marie Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003565185 PECOS PAC ID: 4284014408 Enrollment ID: I20250225001734 |
| Provider Name | Emmeline Siebert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720514979 PECOS PAC ID: 6608126362 Enrollment ID: I20250303002922 |
| Provider Name | Tu Huu Cao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053153718 PECOS PAC ID: 6800317496 Enrollment ID: I20250312001002 |
| Provider Name | Rachel Ann Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922757418 PECOS PAC ID: 7113307372 Enrollment ID: I20250312003258 |
| Provider Name | Laura Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447735600 PECOS PAC ID: 4486176914 Enrollment ID: I20250313002611 |
Clinical Psychologist Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 90 Madison St, Suite 402, Denver, CO 80206 Phone: 720-272-0565 | |
Mindsolutions Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2204 N Emerson St, Denver, CO 80205 Phone: 970-424-4061 | |
Field Of Vision Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 N Grant St Ste 308, Denver, CO 80203 Phone: 720-668-6482 | |
Alis Behavioral Health Of Colorado Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1325 S Colorado Blvd Ste B705, Denver, CO 80222 Phone: 888-528-3860 | |
Bonnie Brae Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 N Grant St Ste C, Denver, CO 80203 Phone: 720-432-7432 | |
Succeed Aba Co Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7535 E Hampden Ave Ste 400, Denver, CO 80231 Phone: 463-777-8323 | |
Magnolia Medical Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 N Lafayette St Ste 104, Denver, CO 80218 Phone: 303-209-5115 |