| Concord Hospital-laconia Professional Billing Service | |
|
85 Spring St Laconia NH 03246-3113 | |
| (603) 524-3211 | |
| Not Available |
| Full Name | Concord Hospital-laconia Professional Billing Service |
|---|---|
| Speciality | Family Medicine |
| Location | 85 Spring St, Laconia, New Hampshire |
| Authorized Official Name and Position | Scott Sloane (CFO) |
| Authorized Official Contact | 6032277000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Hospital-laconia Professional Billing Service Po Box 678 Laconia NH 03247-0678 Ph: (603) 524-3211 | Concord Hospital-laconia Professional Billing Service 85 Spring St Laconia NH 03246-3113 Ph: (603) 524-3211 |
| NPI Number | 1053993741 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/06/2023 |
| Medicare PECOS PAC ID | 7012326259 |
|---|---|
| Medicare Enrollment ID | O20210429001355 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053993741 | NPI | - | NPPES |
| Provider Name | Melissa B Hanrahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235100223 PECOS PAC ID: 3072414853 Enrollment ID: I20040115000415 |
| Provider Name | Paul K Friend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740250265 PECOS PAC ID: 3577464239 Enrollment ID: I20040115000885 |
| Provider Name | Ayesha Nazeer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730108945 PECOS PAC ID: 8325031834 Enrollment ID: I20040408000127 |
| Provider Name | David F Mattice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669445086 PECOS PAC ID: 7416947684 Enrollment ID: I20040518000698 |
| Provider Name | Scott J Fabozzi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982648994 PECOS PAC ID: 2567443047 Enrollment ID: I20040528001279 |
| Provider Name | James T. Noble |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518901552 PECOS PAC ID: 2769465020 Enrollment ID: I20040609000568 |
| Provider Name | Barrett L Chapin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629009493 PECOS PAC ID: 6800788159 Enrollment ID: I20040618000630 |
| Provider Name | Francis J Milligan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437192002 PECOS PAC ID: 5294705364 Enrollment ID: I20040727001000 |
| Provider Name | Christine L. Digeronimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255379855 PECOS PAC ID: 0648249615 Enrollment ID: I20040927000824 |
| Provider Name | Caitlin L Dulac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063453447 PECOS PAC ID: 7012976137 Enrollment ID: I20041005000880 |
| Provider Name | Christopher A Fore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659315562 PECOS PAC ID: 7618938044 Enrollment ID: I20041020000207 |
| Provider Name | Robert D Thomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780610550 PECOS PAC ID: 1951363837 Enrollment ID: I20041108000396 |
| Provider Name | Paul R Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558305367 PECOS PAC ID: 7618933995 Enrollment ID: I20041208000606 |
| Provider Name | Joel C Hansford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518976083 PECOS PAC ID: 5799741880 Enrollment ID: I20041209000938 |
| Provider Name | Thomas H Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184643546 PECOS PAC ID: 4082671151 Enrollment ID: I20041215000381 |
| Provider Name | Kenneth R Limburg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164449104 PECOS PAC ID: 3971554353 Enrollment ID: I20050202000813 |
| Provider Name | Frederic A Fernholz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083631022 PECOS PAC ID: 3870485121 Enrollment ID: I20050202000880 |
| Provider Name | Susan C Bayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952324071 PECOS PAC ID: 5991697245 Enrollment ID: I20050203000743 |
| Provider Name | Leslie Suranyi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942227988 PECOS PAC ID: 1355333659 Enrollment ID: I20050308000624 |
| Provider Name | John Mirabello |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710959077 PECOS PAC ID: 6608768973 Enrollment ID: I20050321000093 |
| Provider Name | Valentin I Milchev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578591699 PECOS PAC ID: 9133011489 Enrollment ID: I20050321000103 |
| Provider Name | Alexander E Gadbois |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073553558 PECOS PAC ID: 4880634781 Enrollment ID: I20050510001003 |
| Provider Name | Paul F Racicot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699748889 PECOS PAC ID: 8426092685 Enrollment ID: I20050617000698 |
| Provider Name | Daniel H Kallmerten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710958467 PECOS PAC ID: 6305881681 Enrollment ID: I20050627001187 |
| Provider Name | Jeffrey T Lockhart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548282569 PECOS PAC ID: 9638107840 Enrollment ID: I20050729000213 |
| Provider Name | Heidi Hallonquist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477613388 PECOS PAC ID: 1355370438 Enrollment ID: I20050809000617 |
| Provider Name | Curtis John Kloc |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356330401 PECOS PAC ID: 5092779645 Enrollment ID: I20050926000471 |
| Provider Name | Amy L. Martel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740221035 PECOS PAC ID: 2264467547 Enrollment ID: I20051005000949 |
| Provider Name | Michele G Rush |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1902877970 PECOS PAC ID: 6406872076 Enrollment ID: I20051022000064 |
| Provider Name | Martin J Boucher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174598510 PECOS PAC ID: 1153348412 Enrollment ID: I20051026001155 |
| Provider Name | Michael Southworth |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306822481 PECOS PAC ID: 6406890318 Enrollment ID: I20051104000250 |
| Provider Name | David Stevenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801868849 PECOS PAC ID: 5294753331 Enrollment ID: I20051107000759 |
| Provider Name | Samuel C Aldridge |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922078153 PECOS PAC ID: 1456379502 Enrollment ID: I20051107000784 |
| Provider Name | Michael M Mcleod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720078066 PECOS PAC ID: 6901854553 Enrollment ID: I20051108000546 |
| Provider Name | Eliza A Deery |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801866157 PECOS PAC ID: 4981623238 Enrollment ID: I20051115001112 |
| Provider Name | Tajammul Shafique |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881764017 PECOS PAC ID: 5092736918 Enrollment ID: I20051207000646 |
| Provider Name | Carolyn Haskell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376524595 PECOS PAC ID: 7618889791 Enrollment ID: I20051222000718 |
| Provider Name | Christopher M Weinmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992875132 PECOS PAC ID: 8123040417 Enrollment ID: I20051230000097 |
| Provider Name | Richard J Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518930551 PECOS PAC ID: 9638192214 Enrollment ID: I20060110000370 |
| Provider Name | Paul D Matzkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427053362 PECOS PAC ID: 1850314394 Enrollment ID: I20060111000892 |
| Provider Name | Carolyn S Crosby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841260627 PECOS PAC ID: 5092739391 Enrollment ID: I20060125000211 |
| Provider Name | Mark F Kelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427016633 PECOS PAC ID: 9739194838 Enrollment ID: I20060210000276 |
| Provider Name | Michael R Newton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548293061 PECOS PAC ID: 8325930613 Enrollment ID: I20060210000309 |
| Provider Name | Peter G Doane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184694804 PECOS PAC ID: 2668483322 Enrollment ID: I20060509000467 |
| Provider Name | Vercin S Ephrem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366468928 PECOS PAC ID: 2961405741 Enrollment ID: I20060816000557 |
| Provider Name | Lon J Setnik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437185618 PECOS PAC ID: 0840228854 Enrollment ID: I20061114000547 |
| Provider Name | Gopalan Umashankar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578678314 PECOS PAC ID: 7214937002 Enrollment ID: I20061229000121 |
| Provider Name | Luchi S Quinones |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548343650 PECOS PAC ID: 2163524349 Enrollment ID: I20070219000105 |
| Provider Name | Mary Abigail C Dacuycuy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619183035 PECOS PAC ID: 4789784604 Enrollment ID: I20070706000523 |
| Provider Name | Eileen M Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477766103 PECOS PAC ID: 2769583897 Enrollment ID: I20070719000484 |
| Provider Name | Jennifer F Gittzus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518073386 PECOS PAC ID: 6103927090 Enrollment ID: I20070723000143 |
| Provider Name | Philip D Sprunger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780787671 PECOS PAC ID: 6002908761 Enrollment ID: I20070825000113 |
| Provider Name | Michelle T Lincoln |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083805410 PECOS PAC ID: 2062507296 Enrollment ID: I20071003000575 |
| Provider Name | Hillary M Conkling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699974535 PECOS PAC ID: 9931294923 Enrollment ID: I20071005000367 |
| Provider Name | Christina L Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578664108 PECOS PAC ID: 4284682329 Enrollment ID: I20080328000660 |
| Provider Name | James H Clifford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770553745 PECOS PAC ID: 2769553825 Enrollment ID: I20080617000368 |
| Provider Name | Lauren E Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982626297 PECOS PAC ID: 2466451273 Enrollment ID: I20080910000348 |
| Provider Name | John H Romanow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295831626 PECOS PAC ID: 0042310708 Enrollment ID: I20080919000418 |
| Provider Name | Elizabeth C Andrada |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891853859 PECOS PAC ID: 7517034135 Enrollment ID: I20080924000308 |
| Provider Name | Veronica Triaca |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356363410 PECOS PAC ID: 3971508375 Enrollment ID: I20081015000169 |
| Provider Name | Matthew P Warden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528083250 PECOS PAC ID: 2062581879 Enrollment ID: I20081111000071 |
| Provider Name | Alexander C Hennig |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104958073 PECOS PAC ID: 4587757190 Enrollment ID: I20081118000140 |
| Provider Name | Lucy Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205988516 PECOS PAC ID: 5092867663 Enrollment ID: I20090713000041 |
| Provider Name | Chad Wotkowicz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003884578 PECOS PAC ID: 0749207801 Enrollment ID: I20090720000308 |
| Provider Name | Patrick C Magnus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063438612 PECOS PAC ID: 4789601253 Enrollment ID: I20090721000027 |
| Provider Name | Laurie J Jorgenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396716031 PECOS PAC ID: 4385798735 Enrollment ID: I20090819000442 |
| Provider Name | Jimmy C Fune |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194934943 PECOS PAC ID: 7618014523 Enrollment ID: I20091027000111 |
| Provider Name | Carlene Vasquez-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508199027 PECOS PAC ID: 3678611399 Enrollment ID: I20091117000293 |
| Provider Name | Burr J Loew |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245312073 PECOS PAC ID: 1456359892 Enrollment ID: I20091221000228 |
| Provider Name | Vladimir Jelnov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801089115 PECOS PAC ID: 9234226028 Enrollment ID: I20100212000279 |
| Provider Name | Tomasz Blaszczak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548270804 PECOS PAC ID: 6901804186 Enrollment ID: I20100315000082 |
| Provider Name | Jason R Mangiardi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144410325 PECOS PAC ID: 7416004775 Enrollment ID: I20100812000746 |
| Provider Name | Abigail L Olden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659692564 PECOS PAC ID: 6103941257 Enrollment ID: I20100914000451 |
| Provider Name | Rory D Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659567808 PECOS PAC ID: 5294927182 Enrollment ID: I20101011000691 |
| Provider Name | Mark J Aronson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023088713 PECOS PAC ID: 3476740499 Enrollment ID: I20101202001227 |
| Provider Name | Elisabeth A Pott Grinstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194717728 PECOS PAC ID: 8224076377 Enrollment ID: I20110211000241 |
| Provider Name | Laura L Zakorchemny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760426548 PECOS PAC ID: 0547320830 Enrollment ID: I20110211000818 |
| Provider Name | Jeremy S Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174784557 PECOS PAC ID: 0749458107 Enrollment ID: I20110729000550 |
| Provider Name | Fady Abou Rizk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518124189 PECOS PAC ID: 2860663176 Enrollment ID: I20110919000152 |
| Provider Name | Charles D. Wicks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215092440 PECOS PAC ID: 4789855016 Enrollment ID: I20110919000286 |
| Provider Name | Courtney B Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386848604 PECOS PAC ID: 8820261209 Enrollment ID: I20111031000354 |
| Provider Name | Robert E Mitchell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417004235 PECOS PAC ID: 7618140096 Enrollment ID: I20111031000381 |
| Provider Name | Lin Miao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548243561 PECOS PAC ID: 2365346103 Enrollment ID: I20111109000516 |
| Provider Name | Billie Jo Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497035430 PECOS PAC ID: 0244404960 Enrollment ID: I20111115000564 |
| Provider Name | Chandler Marietta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568477982 PECOS PAC ID: 9436205580 Enrollment ID: I20111223000070 |
| Provider Name | Muhammad F Mirza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316126998 PECOS PAC ID: 4880870591 Enrollment ID: I20120209000433 |
| Provider Name | Marie A Arringdale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013129048 PECOS PAC ID: 8022149848 Enrollment ID: I20120215000285 |
| Provider Name | Claudio R Reader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245288026 PECOS PAC ID: 4385676931 Enrollment ID: I20120423000733 |
| Provider Name | Ashley E Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265582209 PECOS PAC ID: 7719142496 Enrollment ID: I20120702000252 |
| Provider Name | Raza Shariff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154610020 PECOS PAC ID: 4385822527 Enrollment ID: I20120927000650 |
| Provider Name | Gregory J Englund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376892448 PECOS PAC ID: 9335390392 Enrollment ID: I20121121000553 |
| Provider Name | Heidi C Blake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639109267 PECOS PAC ID: 7719922376 Enrollment ID: I20121204000446 |
| Provider Name | Maria M Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013142959 PECOS PAC ID: 1254523988 Enrollment ID: I20130114000390 |
| Provider Name | Jamie L Laroche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275873929 PECOS PAC ID: 1355588914 Enrollment ID: I20130520000297 |
| Provider Name | Elizabeth A White |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891045928 PECOS PAC ID: 0941442081 Enrollment ID: I20130820000391 |
| Provider Name | Joshua P Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700011798 PECOS PAC ID: 1052576758 Enrollment ID: I20130916000376 |
| Provider Name | Jeanne Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639519804 PECOS PAC ID: 7214171792 Enrollment ID: I20130924000219 |
| Provider Name | Anthony J Bock |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245326040 PECOS PAC ID: 0042245052 Enrollment ID: I20131204000475 |
| Provider Name | Wendy A Demartino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821125899 PECOS PAC ID: 0648364760 Enrollment ID: I20131231000465 |
| Provider Name | Sheena D Mcaroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639507056 PECOS PAC ID: 1850529348 Enrollment ID: I20140108000063 |
| Provider Name | Vanessa Lynn Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730510280 PECOS PAC ID: 6305076761 Enrollment ID: I20140304000787 |
| Provider Name | Carolyn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942623699 PECOS PAC ID: 8325270168 Enrollment ID: I20140410000640 |
| Provider Name | Soumen Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376749259 PECOS PAC ID: 5193893915 Enrollment ID: I20140723000598 |
| Provider Name | Gurpinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336580810 PECOS PAC ID: 9739305863 Enrollment ID: I20140728000432 |
| Provider Name | Veronica L Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558655134 PECOS PAC ID: 8729204573 Enrollment ID: I20140731000146 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912986530 PECOS PAC ID: 2062554371 Enrollment ID: I20140813001542 |
| Provider Name | Joshua A White |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407017684 PECOS PAC ID: 9638356207 Enrollment ID: I20140826002284 |
| Provider Name | Ravi Shahu Khal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477975753 PECOS PAC ID: 9537387568 Enrollment ID: I20140904000399 |
| Provider Name | Kamen S Rangelov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871753830 PECOS PAC ID: 0143449934 Enrollment ID: I20140909001908 |
| Provider Name | Tricia J Keville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710395652 PECOS PAC ID: 3072732601 Enrollment ID: I20140915000890 |
| Provider Name | Mark W Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508974544 PECOS PAC ID: 5890975650 Enrollment ID: I20141021000511 |
| Provider Name | Duane Dietz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902872294 PECOS PAC ID: 6103878327 Enrollment ID: I20150121002177 |
| Provider Name | Martha J Moorehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679962575 PECOS PAC ID: 4486971678 Enrollment ID: I20150327000818 |
| Provider Name | Zea L Larochelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013271998 PECOS PAC ID: 0840410361 Enrollment ID: I20150720001876 |
| Provider Name | Nicholas A Larochelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386907731 PECOS PAC ID: 8628297140 Enrollment ID: I20150724010657 |
| Provider Name | Samuel L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346508108 PECOS PAC ID: 4587979729 Enrollment ID: I20150817001555 |
| Provider Name | Monisha Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760738058 PECOS PAC ID: 1052557741 Enrollment ID: I20150826002782 |
| Provider Name | Steven M Dewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689933004 PECOS PAC ID: 2365758901 Enrollment ID: I20150827002630 |
| Provider Name | Stephen D Marshall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427285493 PECOS PAC ID: 7214151380 Enrollment ID: I20150908000239 |
| Provider Name | Ramandeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710224175 PECOS PAC ID: 5395054043 Enrollment ID: I20151020000211 |
| Provider Name | Sarah E Ming |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346459633 PECOS PAC ID: 3779777636 Enrollment ID: I20151030000952 |
| Provider Name | Sara J Joncas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033551643 PECOS PAC ID: 4587899158 Enrollment ID: I20151105001267 |
| Provider Name | Michael A Ferguson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033189899 PECOS PAC ID: 3678874062 Enrollment ID: I20151208002546 |
| Provider Name | Nancy A Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902281454 PECOS PAC ID: 2365745015 Enrollment ID: I20160129001289 |
| Provider Name | Patrick Ryan Stevens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992024533 PECOS PAC ID: 8820304769 Enrollment ID: I20160729000211 |
| Provider Name | Gabrielle E Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245686450 PECOS PAC ID: 3678867314 Enrollment ID: I20160803002002 |
| Provider Name | Kyle T Baron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821330242 PECOS PAC ID: 6204069982 Enrollment ID: I20160812000648 |
| Provider Name | Shahab Moossavi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730314261 PECOS PAC ID: 0840441804 Enrollment ID: I20160819001735 |
| Provider Name | Amichai D Kilchevsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730322504 PECOS PAC ID: 9830409309 Enrollment ID: I20160909000074 |
| Provider Name | Kelly A. Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942651039 PECOS PAC ID: 6103113170 Enrollment ID: I20160920001605 |
| Provider Name | Andrew J Ray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801183439 PECOS PAC ID: 7618102013 Enrollment ID: I20161007000091 |
| Provider Name | Tristan Wihbey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104269687 PECOS PAC ID: 7618275058 Enrollment ID: I20161010000981 |
| Provider Name | Nirali Dani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265796593 PECOS PAC ID: 2163726795 Enrollment ID: I20161014000565 |
| Provider Name | Emily Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598052862 PECOS PAC ID: 4082850912 Enrollment ID: I20161018002807 |
| Provider Name | Juanita M Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255880514 PECOS PAC ID: 6204117559 Enrollment ID: I20161229000896 |
| Provider Name | Joanie Peter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174819445 PECOS PAC ID: 8426280033 Enrollment ID: I20170109001635 |
| Provider Name | Jennifer M Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770028870 PECOS PAC ID: 3971886979 Enrollment ID: I20170217001544 |
| Provider Name | Seth C Ritter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144531781 PECOS PAC ID: 9537318795 Enrollment ID: I20170510002098 |
| Provider Name | Kenneth Rapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134534548 PECOS PAC ID: 2264700863 Enrollment ID: I20170623001067 |
| Provider Name | Allen P. Hoang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891089496 PECOS PAC ID: 3678713765 Enrollment ID: I20170830000729 |
| Provider Name | Ramiro J. Madden-fuentes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861719528 PECOS PAC ID: 8628362944 Enrollment ID: I20170830001315 |
| Provider Name | Ryan M. Van Hoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538486089 PECOS PAC ID: 2163796137 Enrollment ID: I20170914004071 |
| Provider Name | Maureen A Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679099220 PECOS PAC ID: 4082989595 Enrollment ID: I20171010001937 |
| Provider Name | Megan Sottak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750810347 PECOS PAC ID: 9638445778 Enrollment ID: I20171018000405 |
| Provider Name | Richard K Nasstrom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144665712 PECOS PAC ID: 3779859335 Enrollment ID: I20171026000304 |
| Provider Name | Lydia S Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790201069 PECOS PAC ID: 8123394665 Enrollment ID: I20171027000498 |
| Provider Name | Melissa Maureen Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497254007 PECOS PAC ID: 2365704988 Enrollment ID: I20180320000872 |
| Provider Name | Blake R Sonne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265840789 PECOS PAC ID: 3577831924 Enrollment ID: I20180321002291 |
| Provider Name | Devin M Keefe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750709531 PECOS PAC ID: 3971728569 Enrollment ID: I20180504000147 |
| Provider Name | Matthew Causland Ruppel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669866141 PECOS PAC ID: 0941578900 Enrollment ID: I20180619002282 |
| Provider Name | Reda Benhorma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881036762 PECOS PAC ID: 8527352335 Enrollment ID: I20180702000325 |
| Provider Name | Heidi-anne M Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407232168 PECOS PAC ID: 2264788892 Enrollment ID: I20180711002997 |
| Provider Name | Ashley M Pinkham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730688789 PECOS PAC ID: 9638426901 Enrollment ID: I20180717004076 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20180808002738 |
| Provider Name | Shanta Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063897304 PECOS PAC ID: 8628327129 Enrollment ID: I20180816001161 |
| Provider Name | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20180821004117 |
| Provider Name | Amjad Farah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073891057 PECOS PAC ID: 7012223597 Enrollment ID: I20180927002545 |
| Provider Name | Jessica M Lescarbeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124507488 PECOS PAC ID: 2062765811 Enrollment ID: I20181025001036 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20181102001454 |
| Provider Name | Jessica Floyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386888113 PECOS PAC ID: 3779729868 Enrollment ID: I20190111000619 |
| Provider Name | Gurvinder Singh Bali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053798876 PECOS PAC ID: 8426350380 Enrollment ID: I20190115003152 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20190116003065 |
| Provider Name | Gerald J Hopkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710200936 PECOS PAC ID: 5294977203 Enrollment ID: I20190117002467 |
| Provider Name | Christopher Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609237577 PECOS PAC ID: 3274870969 Enrollment ID: I20190204002741 |
| Provider Name | Lorna M Piche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568902203 PECOS PAC ID: 2365795077 Enrollment ID: I20190222001835 |
| Provider Name | Siva P Sivakumar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992788442 PECOS PAC ID: 2961305511 Enrollment ID: I20190314002681 |
| Provider Name | Christopher M Blum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609238005 PECOS PAC ID: 5193067098 Enrollment ID: I20190424002451 |
| Provider Name | Alessandro Cancelliere |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073888236 PECOS PAC ID: 3678887460 Enrollment ID: I20190501001492 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20190619001406 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20190626000773 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20190626002686 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20190701000240 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20190705000298 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20190710001623 |
| Provider Name | Vahid Behravan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871722520 PECOS PAC ID: 6507189123 Enrollment ID: I20190711001194 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20190712001437 |
| Provider Name | Alyshia M Casella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972074136 PECOS PAC ID: 6002155413 Enrollment ID: I20190729000973 |
| Provider Name | Mohammed Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215126032 PECOS PAC ID: 4284882895 Enrollment ID: I20190807002697 |
| Provider Name | Christina Gale Loporcaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063862944 PECOS PAC ID: 1456688597 Enrollment ID: I20190812002338 |
| Provider Name | Jonathan R Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437511599 PECOS PAC ID: 8426342304 Enrollment ID: I20190812002483 |
| Provider Name | William J Wyman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669835443 PECOS PAC ID: 7315231750 Enrollment ID: I20190813001912 |
| Provider Name | Tami L Hayhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942773890 PECOS PAC ID: 5991033888 Enrollment ID: I20190830001646 |
| Provider Name | Shenandoah Curley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326693839 PECOS PAC ID: 6305175613 Enrollment ID: I20190912000372 |
| Provider Name | Karen J Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366003741 PECOS PAC ID: 1951630094 Enrollment ID: I20190916000154 |
| Provider Name | Shubhangi Chumble |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881684074 PECOS PAC ID: 6305844242 Enrollment ID: I20191001000417 |
| Provider Name | Nitin Verma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598872731 PECOS PAC ID: 2264439256 Enrollment ID: I20191002000972 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20191011001246 |
| Provider Name | Karin L Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538719570 PECOS PAC ID: 8820421894 Enrollment ID: I20191204002867 |
| Provider Name | Julia Veronica Fiuk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124467097 PECOS PAC ID: 7810291697 Enrollment ID: I20200219002897 |
| Provider Name | Lisa M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629134648 PECOS PAC ID: 1052397965 Enrollment ID: I20200302000123 |
| Provider Name | Stephanie R Penney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326678095 PECOS PAC ID: 4688002603 Enrollment ID: I20200325000472 |
| Provider Name | Christopher Bixler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770575656 PECOS PAC ID: 8224100334 Enrollment ID: I20200408003573 |
| Provider Name | Clifford Meyers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699090217 PECOS PAC ID: 4688988256 Enrollment ID: I20200514000339 |
| Provider Name | Samantha L Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043758238 PECOS PAC ID: 6103195144 Enrollment ID: I20200519003103 |
| Provider Name | Joseph Benedict |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689092108 PECOS PAC ID: 2769601418 Enrollment ID: I20200728001231 |
| Provider Name | Stephen Gm Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457871626 PECOS PAC ID: 8628343936 Enrollment ID: I20200804000304 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20200828002473 |
| Provider Name | Bipin Belbase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568984821 PECOS PAC ID: 2567889751 Enrollment ID: I20200902002305 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20201015000776 |
| Provider Name | Mazen Almidani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912936725 PECOS PAC ID: 4587667282 Enrollment ID: I20201019002486 |
| Provider Name | Nattasha Acevedo Ramirez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366786451 PECOS PAC ID: 7214217793 Enrollment ID: I20201027001366 |
| Provider Name | Lorianne Elizabeth Avino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306898762 PECOS PAC ID: 6305859919 Enrollment ID: I20201105002038 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20201112000803 |
| Provider Name | Tigist Mehari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235490426 PECOS PAC ID: 4688955370 Enrollment ID: I20201112001510 |
| Provider Name | Mark Mitchell Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20201113001268 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20201113002198 |
| Provider Name | Tao Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942401815 PECOS PAC ID: 2961558168 Enrollment ID: I20201118002560 |
| Provider Name | Heather M Strohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710517172 PECOS PAC ID: 4486065562 Enrollment ID: I20201120001138 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20201121000148 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20201124001225 |
| Provider Name | Eric Siegel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205010642 PECOS PAC ID: 6406972561 Enrollment ID: I20201224000375 |
| Provider Name | Lee Pietrangelo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477656734 PECOS PAC ID: 3779639299 Enrollment ID: I20201224000526 |
| Provider Name | Robert H Sibley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215525357 PECOS PAC ID: 5092129775 Enrollment ID: I20210121001648 |
| Provider Name | Renata Chalfin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043637143 PECOS PAC ID: 4486988383 Enrollment ID: I20210211003223 |
| Provider Name | Eli Z Schned |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528441052 PECOS PAC ID: 4082903570 Enrollment ID: I20210309000159 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20210315002685 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20210317002724 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20210412002328 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20210609002590 |
| Provider Name | Ashraf Al-tarifi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932714169 PECOS PAC ID: 8527048214 Enrollment ID: I20210617000883 |
| Provider Name | Ayjy P Bhardwaj |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760759658 PECOS PAC ID: 8123328366 Enrollment ID: I20210621002392 |
| Provider Name | Valerie J Valant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629500848 PECOS PAC ID: 5395016356 Enrollment ID: I20210707002767 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20210713001681 |
| Provider Name | Erik W Doty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235628504 PECOS PAC ID: 2961757414 Enrollment ID: I20210722000260 |
| Provider Name | Farkhat Galiullin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073009809 PECOS PAC ID: 3577966365 Enrollment ID: I20210731000088 |
| Provider Name | Shamai Kurbitaeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336639517 PECOS PAC ID: 3476956269 Enrollment ID: I20210731000118 |
| Provider Name | Sandeep Bhattarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679079412 PECOS PAC ID: 7810248952 Enrollment ID: I20210802000551 |
| Provider Name | Rudolph A Cartier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093087314 PECOS PAC ID: 9931343464 Enrollment ID: I20210810003524 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20210817002687 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20210817003085 |
| Provider Name | Morgan Elizabeth Figurelle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801241260 PECOS PAC ID: 8729373642 Enrollment ID: I20210817003087 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20210818000080 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20210818000630 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20210916001841 |
| Provider Name | Alicia J Pride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609460807 PECOS PAC ID: 2163829474 Enrollment ID: I20210928003231 |
| Provider Name | Jessica Shin Choe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215194030 PECOS PAC ID: 3678857323 Enrollment ID: I20210930002443 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20211001002822 |
| Provider Name | Jeffrey Raymond Norwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891961413 PECOS PAC ID: 1759575236 Enrollment ID: I20211006002029 |
| Provider Name | Krista J. Hachey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265731046 PECOS PAC ID: 4183859580 Enrollment ID: I20211022002460 |
| Provider Name | Cerena Dime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699300855 PECOS PAC ID: 9234569864 Enrollment ID: I20211025000535 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20211101001355 |
| Provider Name | Julie Rainville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104089572 PECOS PAC ID: 3072763168 Enrollment ID: I20211104003083 |
| Provider Name | Satinder Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20211130000945 |
| Provider Name | Kristi Patricia Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750514261 PECOS PAC ID: 6406080811 Enrollment ID: I20211130003104 |
| Provider Name | Guha K Venkatraman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356517593 PECOS PAC ID: 3476721887 Enrollment ID: I20211207002109 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20211216000987 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20220112000278 |
| Provider Name | Colby A. Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20220113002029 |
| Provider Name | Carly Schrage |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1063778363 PECOS PAC ID: 3274774252 Enrollment ID: I20220208001275 |
| Provider Name | Wendi Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20220303002242 |
| Provider Name | Lakshmi Mukundan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619137015 PECOS PAC ID: 6800111303 Enrollment ID: I20220316000356 |
| Provider Name | James Andry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205192838 PECOS PAC ID: 6002119633 Enrollment ID: I20220323000312 |
| Provider Name | Rebecca K Heanssler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174287635 PECOS PAC ID: 9234525163 Enrollment ID: I20220401001430 |
| Provider Name | Kathleen P Hayward |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093067977 PECOS PAC ID: 1052707981 Enrollment ID: I20220401001433 |
| Provider Name | Ravi Yarlagadda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679531636 PECOS PAC ID: 7911975560 Enrollment ID: I20220406000084 |
| Provider Name | Braelynne J Jurius |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386392504 PECOS PAC ID: 1951798057 Enrollment ID: I20220419002958 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20220425001368 |
| Provider Name | Steven Gangloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20220425001715 |
| Provider Name | Swati R Dhanireddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740620426 PECOS PAC ID: 5496987455 Enrollment ID: I20220603000132 |
| Provider Name | Shriraj C Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376529230 PECOS PAC ID: 5890737688 Enrollment ID: I20220614000180 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20220616001045 |
| Provider Name | Sarah A Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285378190 PECOS PAC ID: 9234518051 Enrollment ID: I20220623003116 |
| Provider Name | Dipak B Ramkumar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639412976 PECOS PAC ID: 3870890809 Enrollment ID: I20220708001535 |
| Provider Name | Sheena Punnapuzha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750626768 PECOS PAC ID: 5092942094 Enrollment ID: I20220720000912 |
| Provider Name | Ashok Subramanian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316926439 PECOS PAC ID: 1951399492 Enrollment ID: I20220726001223 |
| Provider Name | Samuel York |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568950848 PECOS PAC ID: 2769737600 Enrollment ID: I20220803002427 |
| Provider Name | Christopher J Yiachos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235690256 PECOS PAC ID: 4183953334 Enrollment ID: I20220804003697 |
| Provider Name | Rhonda Gagnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437897808 PECOS PAC ID: 1850774548 Enrollment ID: I20220812001353 |
| Provider Name | Jacques Richard Larochelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780144980 PECOS PAC ID: 5799013801 Enrollment ID: I20220816001755 |
| Provider Name | Rachel J Dussault |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689133613 PECOS PAC ID: 9830428432 Enrollment ID: I20220818002930 |
| Provider Name | Julia S Mead |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669977245 PECOS PAC ID: 6103173414 Enrollment ID: I20220913000917 |
| Provider Name | Caroline C Elbaum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356839641 PECOS PAC ID: 9830444538 Enrollment ID: I20220913001349 |
| Provider Name | Fawn Langerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194988287 PECOS PAC ID: 0840488490 Enrollment ID: I20220916001361 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20220921000710 |
| Provider Name | Igor Alexandrovich Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20221004001889 |
| Provider Name | Benjamin C Groves |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396242202 PECOS PAC ID: 7012399033 Enrollment ID: I20221004002316 |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20221007002817 |
| Provider Name | Kristen Veal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821594789 PECOS PAC ID: 5698141604 Enrollment ID: I20221018000350 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20221019000546 |
| Provider Name | Te-ana A Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275092660 PECOS PAC ID: 8325473218 Enrollment ID: I20221103000291 |
| Provider Name | Jeremy R Semeiks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093109480 PECOS PAC ID: 2769769512 Enrollment ID: I20221107000482 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20221115001704 |
| Provider Name | Shumail Syed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861914657 PECOS PAC ID: 8527329473 Enrollment ID: I20221116000981 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20221116001992 |
| Provider Name | Garret W Duron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053894774 PECOS PAC ID: 1759619711 Enrollment ID: I20221122000723 |
| Provider Name | Edward N Misulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902396559 PECOS PAC ID: 8123409125 Enrollment ID: I20221129001389 |
| Provider Name | Nathanael J Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255794525 PECOS PAC ID: 0648560250 Enrollment ID: I20221201001303 |
| Provider Name | David R Croasdale |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508220229 PECOS PAC ID: 9335518372 Enrollment ID: I20221213002469 |
| Provider Name | Gavin Kuns |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871082248 PECOS PAC ID: 2466707914 Enrollment ID: I20221215001160 |
| Provider Name | Jaspreet Ubhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386298925 PECOS PAC ID: 3173993862 Enrollment ID: I20221220002588 |
| Provider Name | Matthew Barmmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295978815 PECOS PAC ID: 1850526583 Enrollment ID: I20221220002672 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20221221002883 |
| Provider Name | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20221228000224 |
| Provider Name | Kyle Cornell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538658919 PECOS PAC ID: 2860740719 Enrollment ID: I20230105003034 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20230117000969 |
| Provider Name | Abid S Butt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154634947 PECOS PAC ID: 7719002351 Enrollment ID: I20230120001890 |
| Provider Name | Stafford A Conway |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366498206 PECOS PAC ID: 3870515752 Enrollment ID: I20230131001081 |
| Provider Name | Ankur Pradhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043708407 PECOS PAC ID: 8426303827 Enrollment ID: I20230314000288 |
| Provider Name | Patricia Kleinholz-owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629344882 PECOS PAC ID: 5496043440 Enrollment ID: I20230314001760 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20230317000250 |
| Provider Name | Monica M Noya Santana |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598297228 PECOS PAC ID: 1658755574 Enrollment ID: I20230324002164 |
| Provider Name | Amanda L Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114626769 PECOS PAC ID: 3870967235 Enrollment ID: I20230327000421 |
| Provider Name | Muhammad S Faiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285137059 PECOS PAC ID: 4183026032 Enrollment ID: I20230329001626 |
| Provider Name | Britney Waldrip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831840339 PECOS PAC ID: 5597130567 Enrollment ID: I20230404001977 |
| Provider Name | Jorge A Torres |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134652134 PECOS PAC ID: 2668725417 Enrollment ID: I20230412001867 |
| Provider Name | Mark Z Sabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20230417001803 |
| Provider Name | Felix G Rivera-perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078692 PECOS PAC ID: 4981755733 Enrollment ID: I20230418001225 |
| Provider Name | Kyle Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20230427000935 |
| Provider Name | Uchechukwu Sampson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154478949 PECOS PAC ID: 2365437068 Enrollment ID: I20230428000291 |
| Provider Name | Robert A Fishman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982807921 PECOS PAC ID: 2062667454 Enrollment ID: I20230508000889 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20230508001996 |
| Provider Name | Stella Margaret Kidwell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184696122 PECOS PAC ID: 1456398056 Enrollment ID: I20230605003066 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20230614000165 |
| Provider Name | Parham J Zamani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184287427 PECOS PAC ID: 6800254327 Enrollment ID: I20230621000405 |
| Provider Name | Sinobuhle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851833875 PECOS PAC ID: 9133528755 Enrollment ID: I20230710002185 |
| Provider Name | Shellie Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891136636 PECOS PAC ID: 0648405928 Enrollment ID: I20230713000126 |
| Provider Name | Erik W Loescher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093343816 PECOS PAC ID: 6800217043 Enrollment ID: I20230801001520 |
| Provider Name | Scott Symonds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194381301 PECOS PAC ID: 4880018480 Enrollment ID: I20230803000725 |
| Provider Name | Stephanie J Schofield |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437563376 PECOS PAC ID: 5294006094 Enrollment ID: I20230807000851 |
| Provider Name | Christopher Soufleris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023637451 PECOS PAC ID: 0446671630 Enrollment ID: I20230807003649 |
| Provider Name | Christopher D Ortengren |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154826402 PECOS PAC ID: 4082961305 Enrollment ID: I20230808003023 |
| Provider Name | Ryan Tressel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053949834 PECOS PAC ID: 9537588132 Enrollment ID: I20230810001113 |
| Provider Name | Ojobumijo Agbaji |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689195042 PECOS PAC ID: 3971872524 Enrollment ID: I20230815001328 |
| Provider Name | Neil G Jhamb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477787067 PECOS PAC ID: 4082852769 Enrollment ID: I20230815001721 |
| Provider Name | Wendy Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285780718 PECOS PAC ID: 3678613544 Enrollment ID: I20230815001917 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20230815002769 |
| Provider Name | Amol R Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775503 PECOS PAC ID: 5395095293 Enrollment ID: I20230822001760 |
| Provider Name | Amy Steinberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780180885 PECOS PAC ID: 8527316975 Enrollment ID: I20230823002249 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20230823003801 |
| Provider Name | Philip Yeung |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316443575 PECOS PAC ID: 6406213156 Enrollment ID: I20230824001676 |
| Provider Name | Arunima Sharma |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932562808 PECOS PAC ID: 9436442704 Enrollment ID: I20230828003160 |
| Provider Name | Michael Leonardo Saulle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528528239 PECOS PAC ID: 4587027263 Enrollment ID: I20230829000439 |
| Provider Name | Matthew Paul Kozminski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649303108 PECOS PAC ID: 1153586805 Enrollment ID: I20230829000863 |
| Provider Name | Danoushka Loris Tememe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255742227 PECOS PAC ID: 5294950812 Enrollment ID: I20230829001981 |
| Provider Name | Eileen Rose Brandes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821593674 PECOS PAC ID: 2668729096 Enrollment ID: I20230901002957 |
| Provider Name | Jacob Sambursky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619436474 PECOS PAC ID: 2365806262 Enrollment ID: I20230911003764 |
| Provider Name | Justin De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20230912001746 |
| Provider Name | Sung O Jeon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669979654 PECOS PAC ID: 9537415633 Enrollment ID: I20230915001546 |
| Provider Name | Conny Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902365745 PECOS PAC ID: 2860856598 Enrollment ID: I20230919001844 |
| Provider Name | Charlene L Gunasekera |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891292538 PECOS PAC ID: 1850648015 Enrollment ID: I20230928002197 |
| Provider Name | Anthony Frattalone |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912101114 PECOS PAC ID: 1052697836 Enrollment ID: I20231003000741 |
| Provider Name | Cameron J Douglas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164080354 PECOS PAC ID: 1052642337 Enrollment ID: I20231006001991 |
| Provider Name | Nisha Vanmali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407470305 PECOS PAC ID: 9133574957 Enrollment ID: I20231016000342 |
| Provider Name | Oliver Cardin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578123618 PECOS PAC ID: 0941536577 Enrollment ID: I20231017000391 |
| Provider Name | Paul Irwin Simmons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467443341 PECOS PAC ID: 6507802972 Enrollment ID: I20231023000973 |
| Provider Name | Brian-fred M Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134210594 PECOS PAC ID: 9032116082 Enrollment ID: I20231024001529 |
| Provider Name | George Ozoude |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255507091 PECOS PAC ID: 4688894694 Enrollment ID: I20231025002613 |
| Provider Name | Nicholas J Bompastore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215565023 PECOS PAC ID: 2163841701 Enrollment ID: I20231031000875 |
| Provider Name | Serena J Young |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457340911 PECOS PAC ID: 7416086152 Enrollment ID: I20231107001858 |
| Provider Name | Neil Herman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073502530 PECOS PAC ID: 2062304660 Enrollment ID: I20231205001947 |
| Provider Name | Nicolette Gebhardt |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1386703817 PECOS PAC ID: 0547369373 Enrollment ID: I20240103003635 |
| Provider Name | Olivia Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508539099 PECOS PAC ID: 4082010137 Enrollment ID: I20240129000124 |
| Provider Name | Corey E Gately |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588907091 PECOS PAC ID: 2860835659 Enrollment ID: I20240208002736 |
Granite State Geriatrics Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Main St Ste 303, Laconia, NH 03246 Phone: 603-409-0735 Fax: 877-919-0640 | |
Concord Hospital Psychiatric Unit-laconia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Highland St, Laconia, NH 03246 Phone: 603-524-3211 | |
Lifeworks Counseling Associates, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 35 Academy St, Laconia, NH 03246 Phone: 603-556-4360 | |
Open View Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 783 Elm St Unit 4, Laconia, NH 03246 Phone: 415-971-9561 | |
Downetown Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Mill Plz, Laconia, NH 03246 Phone: 603-945-4561 | |
Gray Matters Counseling And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Union Ave, Laconia, NH 03246 Phone: 603-260-1101 |