| Hartford Healthcare Medical Group, Inc | |
|
1290 Silas Deane Hwy Attn: Linda Straka Wethersfield CT 06109-4337 | |
| (860) 972-9033 | |
| (860) 972-7040 |
| Full Name | Hartford Healthcare Medical Group, Inc |
|---|---|
| Speciality | Surgery |
| Location | 1290 Silas Deane Hwy, Wethersfield, Connecticut |
| Authorized Official Name and Position | Rocco Orlando (DIRECTOR, VICE CHAIRMAN, SECRETARY) |
| Authorized Official Contact | 8602634155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartford Healthcare Medical Group, Inc 1290 Silas Deane Hwy Attn: Linda Straka Wethersfield CT 06109-4337 Ph: (860) 972-9033 | Hartford Healthcare Medical Group, Inc 1290 Silas Deane Hwy Attn: Linda Straka Wethersfield CT 06109-4337 Ph: (860) 972-9033 |
| NPI Number | 1043561301 |
|---|---|
| Provider Enumeration Date | 09/27/2012 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 1153573902 |
|---|---|
| Medicare Enrollment ID | O20121201000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043561301 | NPI | - | NPPES |
| Provider Name | Joseph V Portereiko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376524058 PECOS PAC ID: 2769396746 Enrollment ID: I20031114000002 |
| Provider Name | Kathleen R Bonin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588653596 PECOS PAC ID: 7719885664 Enrollment ID: I20031230000178 |
| Provider Name | Peter D Leff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669426508 PECOS PAC ID: 0244139087 Enrollment ID: I20031231000332 |
| Provider Name | Rosemary I Maduka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356374508 PECOS PAC ID: 2466351432 Enrollment ID: I20040108000302 |
| Provider Name | Jeffrey A Finkelstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245281914 PECOS PAC ID: 9931000239 Enrollment ID: I20040120000100 |
| Provider Name | Melanie A Mollica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649281544 PECOS PAC ID: 4284527367 Enrollment ID: I20040203000855 |
| Provider Name | Gerard Fumo |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770524753 PECOS PAC ID: 7618862061 Enrollment ID: I20040216001115 |
| Provider Name | Terrence K Donahue |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306886163 PECOS PAC ID: 6507753662 Enrollment ID: I20040303000096 |
| Provider Name | Andre E Ghantous |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790731354 PECOS PAC ID: 9335037662 Enrollment ID: I20040309000189 |
| Provider Name | Aurangzeb A Ali |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063464261 PECOS PAC ID: 0648169458 Enrollment ID: I20040311000347 |
| Provider Name | Michelle Apiado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255403473 PECOS PAC ID: 0547151433 Enrollment ID: I20040322000632 |
| Provider Name | Jennifer Bellino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225140650 PECOS PAC ID: 6204727779 Enrollment ID: I20040323001466 |
| Provider Name | Sharon N Salesky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528144508 PECOS PAC ID: 5496748543 Enrollment ID: I20040406000164 |
| Provider Name | Eric J Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730190034 PECOS PAC ID: 3577558162 Enrollment ID: I20040414001640 |
| Provider Name | Jo Ann Deloge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174611628 PECOS PAC ID: 4688669195 Enrollment ID: I20040415000530 |
| Provider Name | Sarah G Dainiak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154326833 PECOS PAC ID: 4183619232 Enrollment ID: I20040417000379 |
| Provider Name | Ruby Lynn Quinit-moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700834256 PECOS PAC ID: 8123013836 Enrollment ID: I20040420000653 |
| Provider Name | Aiste Norberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922095793 PECOS PAC ID: 2769478353 Enrollment ID: I20040421000146 |
| Provider Name | Joann T Averill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285766451 PECOS PAC ID: 2769478130 Enrollment ID: I20040421001478 |
| Provider Name | Paul G Harvill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326010976 PECOS PAC ID: 8820084676 Enrollment ID: I20040426000448 |
| Provider Name | Jeffrey S Robbins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144227125 PECOS PAC ID: 5496744799 Enrollment ID: I20040511001116 |
| Provider Name | Joel L Wilken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720079353 PECOS PAC ID: 8426049628 Enrollment ID: I20040518000980 |
| Provider Name | Donna L Mariano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194749283 PECOS PAC ID: 2769395508 Enrollment ID: I20040519000343 |
| Provider Name | Kathleen M Oleary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447250600 PECOS PAC ID: 9032100441 Enrollment ID: I20040524000078 |
| Provider Name | Joseph P Longhitano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639180938 PECOS PAC ID: 6103817523 Enrollment ID: I20040524000188 |
| Provider Name | Kevin P Keating |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558474353 PECOS PAC ID: 5193716512 Enrollment ID: I20040524000196 |
| Provider Name | Norman J Cavanagh |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1730195975 PECOS PAC ID: 7315938677 Enrollment ID: I20040524001184 |
| Provider Name | Inam U Kureshi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396739397 PECOS PAC ID: 0143211409 Enrollment ID: I20040524001245 |
| Provider Name | Colleen M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457451247 PECOS PAC ID: 6507849809 Enrollment ID: I20040609000107 |
| Provider Name | Darren S Tishler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033104765 PECOS PAC ID: 2567447907 Enrollment ID: I20040621001246 |
| Provider Name | Stanley A Glassman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700841368 PECOS PAC ID: 2163409897 Enrollment ID: I20040701000566 |
| Provider Name | Patrick Tomak |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659387256 PECOS PAC ID: 7517947732 Enrollment ID: I20040720001108 |
| Provider Name | Jackson P Maille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255443479 PECOS PAC ID: 9335129071 Enrollment ID: I20040722000900 |
| Provider Name | Alicia A Mckelvey |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306818497 PECOS PAC ID: 9436120482 Enrollment ID: I20040803001205 |
| Provider Name | Sharon Hinton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1871646141 PECOS PAC ID: 2264404284 Enrollment ID: I20040810001289 |
| Provider Name | Jon F Scheiber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417963737 PECOS PAC ID: 6901870203 Enrollment ID: I20040823001057 |
| Provider Name | David Wolpaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811973332 PECOS PAC ID: 1153395348 Enrollment ID: I20040824000176 |
| Provider Name | Yahya H Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831155449 PECOS PAC ID: 4587638333 Enrollment ID: I20040825001587 |
| Provider Name | Sergio R Casillas-romero |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1417035338 PECOS PAC ID: 7517933369 Enrollment ID: I20040903000016 |
| Provider Name | Mary H Windels |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750378253 PECOS PAC ID: 3870561954 Enrollment ID: I20040917000489 |
| Provider Name | James J Gallagher |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013909449 PECOS PAC ID: 8022086107 Enrollment ID: I20040917000522 |
| Provider Name | Kristina H Johnson |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1467445668 PECOS PAC ID: 1254309230 Enrollment ID: I20040917000569 |
| Provider Name | Oliver B Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124037312 PECOS PAC ID: 5193794170 Enrollment ID: I20040927000897 |
| Provider Name | Fadi A Al-khayer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861477069 PECOS PAC ID: 1456320159 Enrollment ID: I20040929000792 |
| Provider Name | Cristina Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376549477 PECOS PAC ID: 3173592771 Enrollment ID: I20040930000303 |
| Provider Name | Dawn M Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356321574 PECOS PAC ID: 1355310798 Enrollment ID: I20041001000184 |
| Provider Name | Michael J Rajkumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689651143 PECOS PAC ID: 6800855032 Enrollment ID: I20041005000210 |
| Provider Name | Orlando Delucia |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114915303 PECOS PAC ID: 2567422892 Enrollment ID: I20041012000912 |
| Provider Name | Alex C Cech |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073514410 PECOS PAC ID: 6608836937 Enrollment ID: I20041012000944 |
| Provider Name | Steven J Shichman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578558201 PECOS PAC ID: 5092775346 Enrollment ID: I20041012001083 |
| Provider Name | Arthur E Tarantino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1508852526 PECOS PAC ID: 7214997584 Enrollment ID: I20041012001206 |
| Provider Name | Eric W Silverstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891782165 PECOS PAC ID: 5698735850 Enrollment ID: I20041013000353 |
| Provider Name | Charles Castiglione |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1154321461 PECOS PAC ID: 9032179296 Enrollment ID: I20041013000379 |
| Provider Name | Mark Fisherkeller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629026380 PECOS PAC ID: 0648230276 Enrollment ID: I20041018000495 |
| Provider Name | Jody R Lewinter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376520858 PECOS PAC ID: 1951362862 Enrollment ID: I20041025000216 |
| Provider Name | Paqui D Motyl |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750469037 PECOS PAC ID: 3678536349 Enrollment ID: I20041104000724 |
| Provider Name | Kerry Ellen Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639131113 PECOS PAC ID: 9133182116 Enrollment ID: I20041110000703 |
| Provider Name | Joy A Demarcaida |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841296951 PECOS PAC ID: 5890751911 Enrollment ID: I20041209000439 |
| Provider Name | Jannette Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447272661 PECOS PAC ID: 8224096763 Enrollment ID: I20041229000966 |
| Provider Name | Robert F Fitton |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1346339926 PECOS PAC ID: 0042268823 Enrollment ID: I20050111000078 |
| Provider Name | Beth E Cheney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811975238 PECOS PAC ID: 6406805845 Enrollment ID: I20050112001113 |
| Provider Name | Gary M Bertman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669568309 PECOS PAC ID: 6608826755 Enrollment ID: I20050126000528 |
| Provider Name | Peter J Gates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154416782 PECOS PAC ID: 4082664933 Enrollment ID: I20050127000833 |
| Provider Name | Sheila Kathleen Groff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942290655 PECOS PAC ID: 6608828256 Enrollment ID: I20050211000570 |
| Provider Name | Syed J Naqvi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861464109 PECOS PAC ID: 6507819349 Enrollment ID: I20050222000308 |
| Provider Name | Roger El-hachem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700834959 PECOS PAC ID: 6901850874 Enrollment ID: I20050303000924 |
| Provider Name | Kimberly B Collins |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1417926296 PECOS PAC ID: 9638124225 Enrollment ID: I20050316000750 |
| Provider Name | Lorissa R Heath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619040417 PECOS PAC ID: 6305891888 Enrollment ID: I20050317000416 |
| Provider Name | Alan Babigian |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1710987755 PECOS PAC ID: 1153369459 Enrollment ID: I20050418001185 |
| Provider Name | Joseph R Wagner |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578550612 PECOS PAC ID: 9830137140 Enrollment ID: I20050418001232 |
| Provider Name | Alison L Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689719460 PECOS PAC ID: 3971542218 Enrollment ID: I20050427000304 |
| Provider Name | Christine M Bartus |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1437143617 PECOS PAC ID: 7416997523 Enrollment ID: I20050509000477 |
| Provider Name | Eran I Shani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932213824 PECOS PAC ID: 5294776639 Enrollment ID: I20050517000200 |
| Provider Name | Claudia G Hix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649370636 PECOS PAC ID: 3678515509 Enrollment ID: I20050601000512 |
| Provider Name | Wendy Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982827598 PECOS PAC ID: 1658315940 Enrollment ID: I20050617000056 |
| Provider Name | Daniel S Fusco |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245235936 PECOS PAC ID: 8325074958 Enrollment ID: I20050714000378 |
| Provider Name | David M Silver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437177870 PECOS PAC ID: 6002843471 Enrollment ID: I20050719000077 |
| Provider Name | David Tkeshelashvili |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306878731 PECOS PAC ID: 8527095488 Enrollment ID: I20050721000847 |
| Provider Name | Derek R Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407869019 PECOS PAC ID: 3072559913 Enrollment ID: I20050726000458 |
| Provider Name | Susan E D'ambrosio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225074420 PECOS PAC ID: 7810928033 Enrollment ID: I20050829000042 |
| Provider Name | Kristen A Zarfos |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710982491 PECOS PAC ID: 3971536533 Enrollment ID: I20050914000496 |
| Provider Name | Kimberly M Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790899789 PECOS PAC ID: 7214961002 Enrollment ID: I20050921000600 |
| Provider Name | Jennifer L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164409587 PECOS PAC ID: 1850316415 Enrollment ID: I20051012000819 |
| Provider Name | Patricia K Bozeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376538074 PECOS PAC ID: 8224055355 Enrollment ID: I20051028000155 |
| Provider Name | Richard J Sekerak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780790584 PECOS PAC ID: 5092734574 Enrollment ID: I20051114000874 |
| Provider Name | Julie A Trainor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215916515 PECOS PAC ID: 3375562747 Enrollment ID: I20051115000424 |
| Provider Name | Sheila A Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851474621 PECOS PAC ID: 4880615541 Enrollment ID: I20051209000587 |
| Provider Name | Jeffrey A Gordon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1609857119 PECOS PAC ID: 3779505276 Enrollment ID: I20051227000652 |
| Provider Name | Mohammad Reza Moienafshari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154396893 PECOS PAC ID: 1850287434 Enrollment ID: I20051228000409 |
| Provider Name | Marlene Schwartz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1003892829 PECOS PAC ID: 8921037334 Enrollment ID: I20060109000838 |
| Provider Name | Shahena Master |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1174522973 PECOS PAC ID: 4587688619 Enrollment ID: I20060118000060 |
| Provider Name | Tracie A Larue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477695849 PECOS PAC ID: 4880618529 Enrollment ID: I20060120000097 |
| Provider Name | Ralph Prezioso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174534853 PECOS PAC ID: 4284649740 Enrollment ID: I20060221000037 |
| Provider Name | Letterio Asciuto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003824939 PECOS PAC ID: 4981667748 Enrollment ID: I20060221000046 |
| Provider Name | Henry N Ward |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811970130 PECOS PAC ID: 7517973027 Enrollment ID: I20060221000567 |
| Provider Name | Sue-ellen Franklyn Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245288265 PECOS PAC ID: 1557377611 Enrollment ID: I20060227000408 |
| Provider Name | Elizabeth M B Visone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114924172 PECOS PAC ID: 4880602903 Enrollment ID: I20060331000366 |
| Provider Name | Thomas J Lane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831176767 PECOS PAC ID: 5092726075 Enrollment ID: I20060505000813 |
| Provider Name | Sabet W Hashim |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497719579 PECOS PAC ID: 9537154380 Enrollment ID: I20060508000377 |
| Provider Name | Steven Santos Smith |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1255386421 PECOS PAC ID: 6800807124 Enrollment ID: I20060525000016 |
| Provider Name | Jeffrey R Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306840640 PECOS PAC ID: 8022081835 Enrollment ID: I20060615000051 |
| Provider Name | Gregory R Czarnecki |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245278472 PECOS PAC ID: 4880606581 Enrollment ID: I20060621000143 |
| Provider Name | Kristin F Bissell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730120395 PECOS PAC ID: 6901818160 Enrollment ID: I20060707000160 |
| Provider Name | Peter D Byeff |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710979463 PECOS PAC ID: 3577457068 Enrollment ID: I20060712000118 |
| Provider Name | Catherine S Glazer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114968237 PECOS PAC ID: 9638182728 Enrollment ID: I20060712000172 |
| Provider Name | Mojca Lorbar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881681187 PECOS PAC ID: 2769450287 Enrollment ID: I20060719000024 |
| Provider Name | Mary E Frisella |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033158373 PECOS PAC ID: 7719990589 Enrollment ID: I20060720000289 |
| Provider Name | Harold Eugene Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124026869 PECOS PAC ID: 7113947409 Enrollment ID: I20060724000286 |
| Provider Name | Amy K Brown |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1518900133 PECOS PAC ID: 5294748901 Enrollment ID: I20060725000358 |
| Provider Name | Elizabeth A Mayerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053367060 PECOS PAC ID: 5193738730 Enrollment ID: I20060726000183 |
| Provider Name | April Goller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568495471 PECOS PAC ID: 8729081419 Enrollment ID: I20060818000298 |
| Provider Name | Gregory W Schmidt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336124437 PECOS PAC ID: 3072518463 Enrollment ID: I20060918000284 |
| Provider Name | Eric Lui |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1033155163 PECOS PAC ID: 9739184037 Enrollment ID: I20060920000104 |
| Provider Name | Randolph Alexander Panetta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952310476 PECOS PAC ID: 1557366721 Enrollment ID: I20060921000258 |
| Provider Name | Ryan M Heffelfinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831293570 PECOS PAC ID: 2264437037 Enrollment ID: I20060929000150 |
| Provider Name | William B Spector |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063429769 PECOS PAC ID: 2264437045 Enrollment ID: I20060929000222 |
| Provider Name | John C Huang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306860432 PECOS PAC ID: 8325044407 Enrollment ID: I20061012000433 |
| Provider Name | Randolph E Edwards |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538181391 PECOS PAC ID: 5597761528 Enrollment ID: I20061013000220 |
| Provider Name | Maria L Moro De Casillas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255358230 PECOS PAC ID: 0345247706 Enrollment ID: I20061026000426 |
| Provider Name | Stephanie Lennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487713947 PECOS PAC ID: 9133120207 Enrollment ID: I20070117000114 |
| Provider Name | Ellen Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710058144 PECOS PAC ID: 9335140292 Enrollment ID: I20070122000072 |
| Provider Name | Stephanie Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134284664 PECOS PAC ID: 4688776644 Enrollment ID: I20070221000347 |
| Provider Name | Jonathan Hasson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316903206 PECOS PAC ID: 3274595152 Enrollment ID: I20070228000589 |
| Provider Name | Donna M Avanecean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255428348 PECOS PAC ID: 9335189372 Enrollment ID: I20070310000040 |
| Provider Name | Maryann E Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710097472 PECOS PAC ID: 0345343935 Enrollment ID: I20070320000575 |
| Provider Name | Mohiuddin Cheema |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1174687248 PECOS PAC ID: 0446353981 Enrollment ID: I20070321000333 |
| Provider Name | Nichole M Mailloux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417098898 PECOS PAC ID: 1456455229 Enrollment ID: I20070404000094 |
| Provider Name | Cindi M Striebel-oberly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972662252 PECOS PAC ID: 6204933864 Enrollment ID: I20070517000055 |
| Provider Name | Daniel F Hartman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609977784 PECOS PAC ID: 7416051040 Enrollment ID: I20070529000029 |
| Provider Name | Stuart S Kesler |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841243748 PECOS PAC ID: 9234141235 Enrollment ID: I20070529000338 |
| Provider Name | Kristen M Stehle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760502397 PECOS PAC ID: 0547367468 Enrollment ID: I20070529000354 |
| Provider Name | Lanny Moskowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164430070 PECOS PAC ID: 9931207891 Enrollment ID: I20070531000378 |
| Provider Name | Hartmut A Doerwaldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265496046 PECOS PAC ID: 6800866872 Enrollment ID: I20070609000075 |
| Provider Name | John M Greeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083621320 PECOS PAC ID: 6507962503 Enrollment ID: I20070614000500 |
| Provider Name | Joan E Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063578904 PECOS PAC ID: 9335248285 Enrollment ID: I20070619000310 |
| Provider Name | Alina I Dobrita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194945063 PECOS PAC ID: 4082713847 Enrollment ID: I20070620000483 |
| Provider Name | Michael J Lemay |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962533380 PECOS PAC ID: 0648246850 Enrollment ID: I20070629000483 |
| Provider Name | Mitchell Mcclure |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245442284 PECOS PAC ID: 6709986227 Enrollment ID: I20070713000070 |
| Provider Name | Brian J Byrne |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508844010 PECOS PAC ID: 5496785776 Enrollment ID: I20070822000018 |
| Provider Name | Sherry L Kroll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922178557 PECOS PAC ID: 1658464672 Enrollment ID: I20070907000339 |
| Provider Name | Elizabeth C Riordan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528078995 PECOS PAC ID: 9234223306 Enrollment ID: I20070920000020 |
| Provider Name | Jill M Panetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356348189 PECOS PAC ID: 7416041454 Enrollment ID: I20070920000693 |
| Provider Name | Patrick B Senatus |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1831381821 PECOS PAC ID: 0143314054 Enrollment ID: I20070924000190 |
| Provider Name | Rahul Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245421213 PECOS PAC ID: 5496840902 Enrollment ID: I20070928000274 |
| Provider Name | Karen Kennedy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811976723 PECOS PAC ID: 2567557960 Enrollment ID: I20071001000143 |
| Provider Name | Jennifer L Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932393444 PECOS PAC ID: 8527153543 Enrollment ID: I20071004000679 |
| Provider Name | Wendi Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871697482 PECOS PAC ID: 4880789635 Enrollment ID: I20071009000332 |
| Provider Name | Dmitry Aleks Drapach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669487542 PECOS PAC ID: 9032205331 Enrollment ID: I20071018000123 |
| Provider Name | Lisa S Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528162146 PECOS PAC ID: 7315033610 Enrollment ID: I20071018000125 |
| Provider Name | Shauna A Rago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457544728 PECOS PAC ID: 8123114238 Enrollment ID: I20071022000212 |
| Provider Name | Jennifer L Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730370669 PECOS PAC ID: 7719075266 Enrollment ID: I20071116000006 |
| Provider Name | Andrea L Rickard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578757159 PECOS PAC ID: 2365531936 Enrollment ID: I20071204000730 |
| Provider Name | Tammy L Sajkowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871780221 PECOS PAC ID: 1052401833 Enrollment ID: I20071217000575 |
| Provider Name | Pavlos Papasavas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417964123 PECOS PAC ID: 6709770662 Enrollment ID: I20080107000486 |
| Provider Name | Patricia D Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407045727 PECOS PAC ID: 0345322004 Enrollment ID: I20080204000099 |
| Provider Name | Saul D Neuman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316041601 PECOS PAC ID: 5799860177 Enrollment ID: I20080310000307 |
| Provider Name | Peter A Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548257090 PECOS PAC ID: 5991881104 Enrollment ID: I20080328000339 |
| Provider Name | Joyce T Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801916903 PECOS PAC ID: 4789762550 Enrollment ID: I20080418000241 |
| Provider Name | Janine Fonfara |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124215546 PECOS PAC ID: 9830187863 Enrollment ID: I20080429000472 |
| Provider Name | Aziz Benbrahim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205844677 PECOS PAC ID: 8527147032 Enrollment ID: I20080509000020 |
| Provider Name | Erin Cardon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538233291 PECOS PAC ID: 6103995204 Enrollment ID: I20080515000184 |
| Provider Name | Mary R Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366612970 PECOS PAC ID: 4486724796 Enrollment ID: I20080529000364 |
| Provider Name | Steven L Zweibel |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1841214830 PECOS PAC ID: 3173588001 Enrollment ID: I20080603000214 |
| Provider Name | Cara D Riddle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194924373 PECOS PAC ID: 1557432010 Enrollment ID: I20080611000645 |
| Provider Name | Jane M Doyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457443236 PECOS PAC ID: 7719934553 Enrollment ID: I20080625000712 |
| Provider Name | Deborah A. Molloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487728754 PECOS PAC ID: 6103998745 Enrollment ID: I20080626000478 |
| Provider Name | Mark R Dziedzic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770775124 PECOS PAC ID: 1850463803 Enrollment ID: I20080708000333 |
| Provider Name | Brian S Mcleod |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447255963 PECOS PAC ID: 3476517103 Enrollment ID: I20080718000290 |
| Provider Name | Eileen E O Regan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932273299 PECOS PAC ID: 8224101571 Enrollment ID: I20080718000423 |
| Provider Name | Paul J Schwartz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083888770 PECOS PAC ID: 2264505239 Enrollment ID: I20080724000103 |
| Provider Name | Richard H Harding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407823966 PECOS PAC ID: 7517030596 Enrollment ID: I20080724000220 |
| Provider Name | Howard Louis Haronian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548258635 PECOS PAC ID: 1658345830 Enrollment ID: I20080728000387 |
| Provider Name | Amr M Atef |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659323855 PECOS PAC ID: 9032143771 Enrollment ID: I20080728000803 |
| Provider Name | Darlene A Saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982866141 PECOS PAC ID: 2769558428 Enrollment ID: I20080903000297 |
| Provider Name | Paul D Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578590691 PECOS PAC ID: 5496813669 Enrollment ID: I20081017000227 |
| Provider Name | Molly K Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265689855 PECOS PAC ID: 4880752948 Enrollment ID: I20081020000154 |
| Provider Name | Lynne M Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033139613 PECOS PAC ID: 2567520273 Enrollment ID: I20081024000403 |
| Provider Name | Michael Teiger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1245343672 PECOS PAC ID: 1052390895 Enrollment ID: I20081106000077 |
| Provider Name | Mark A Marieb |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1508862632 PECOS PAC ID: 1951307768 Enrollment ID: I20081107000650 |
| Provider Name | William H Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669554044 PECOS PAC ID: 5496814949 Enrollment ID: I20081112000674 |
| Provider Name | Jennifer A Caruso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285880195 PECOS PAC ID: 6800956392 Enrollment ID: I20081113000198 |
| Provider Name | Rajani P Nadkarni |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700817293 PECOS PAC ID: 4082512827 Enrollment ID: I20081117000333 |
| Provider Name | Joseph Radojevic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376703488 PECOS PAC ID: 1951461052 Enrollment ID: I20081119000558 |
| Provider Name | Tammy L Glynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558511097 PECOS PAC ID: 6103989850 Enrollment ID: I20090107000345 |
| Provider Name | Mahammed P Saiyed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326253469 PECOS PAC ID: 1052404472 Enrollment ID: I20090108000587 |
| Provider Name | Julie D Culmone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053575654 PECOS PAC ID: 5395808422 Enrollment ID: I20090115000129 |
| Provider Name | Robert J Piorkowski |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1649264490 PECOS PAC ID: 5991703522 Enrollment ID: I20090127000434 |
| Provider Name | Alexander J Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447219571 PECOS PAC ID: 5890789325 Enrollment ID: I20090331000342 |
| Provider Name | Asad A Rizvi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912907346 PECOS PAC ID: 4880758747 Enrollment ID: I20090416000135 |
| Provider Name | Robert J Bundy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962400630 PECOS PAC ID: 3870642333 Enrollment ID: I20090513000147 |
| Provider Name | Susan M Negrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649472861 PECOS PAC ID: 3870642952 Enrollment ID: I20090520000153 |
| Provider Name | Thomas V Divinagracia |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083859649 PECOS PAC ID: 0648320754 Enrollment ID: I20090611000402 |
| Provider Name | James M Matern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801032636 PECOS PAC ID: 1557412145 Enrollment ID: I20090622000233 |
| Provider Name | Patricia L Lampugnale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942272117 PECOS PAC ID: 4183691439 Enrollment ID: I20090629000048 |
| Provider Name | Duarte G Machado |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649454976 PECOS PAC ID: 0042361065 Enrollment ID: I20090701000574 |
| Provider Name | Thomas J Holmes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093898611 PECOS PAC ID: 7517010168 Enrollment ID: I20090730000127 |
| Provider Name | David Paul Eisenberg |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1366650038 PECOS PAC ID: 4486753969 Enrollment ID: I20090803000438 |
| Provider Name | Ashley K Shepard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790770733 PECOS PAC ID: 6103970314 Enrollment ID: I20090821000202 |
| Provider Name | Paras Satish Bhatt |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053598540 PECOS PAC ID: 1951455195 Enrollment ID: I20090821000462 |
| Provider Name | Laura Brenes Dorso |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174795371 PECOS PAC ID: 4486709177 Enrollment ID: I20090901000638 |
| Provider Name | Craig D Sweeney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033201470 PECOS PAC ID: 3274688759 Enrollment ID: I20090904000398 |
| Provider Name | Anoop M Meraney |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528219219 PECOS PAC ID: 8022163484 Enrollment ID: I20090908000614 |
| Provider Name | Kristen M Guida |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063745792 PECOS PAC ID: 8628114998 Enrollment ID: I20090930000587 |
| Provider Name | Mary N Cicchetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346472214 PECOS PAC ID: 7416093588 Enrollment ID: I20091002000132 |
| Provider Name | Mario W Katigbak |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508048299 PECOS PAC ID: 0547320673 Enrollment ID: I20091009000346 |
| Provider Name | Anthony J Distefano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1568430361 PECOS PAC ID: 4880730464 Enrollment ID: I20091013000372 |
| Provider Name | Thomas E Staley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386612182 PECOS PAC ID: 1254477839 Enrollment ID: I20091013000438 |
| Provider Name | Deedee S Greco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154655751 PECOS PAC ID: 5395882682 Enrollment ID: I20091019000375 |
| Provider Name | Subramanian Krishnan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528267358 PECOS PAC ID: 4688711781 Enrollment ID: I20091022000108 |
| Provider Name | Sapna Khubchandani |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609016534 PECOS PAC ID: 3779621487 Enrollment ID: I20091117000186 |
| Provider Name | Steven W Luger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811964752 PECOS PAC ID: 2062551419 Enrollment ID: I20091125000169 |
| Provider Name | Laurinda L Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447237060 PECOS PAC ID: 9032208897 Enrollment ID: I20091202000072 |
| Provider Name | Ann L Semolic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134180789 PECOS PAC ID: 1153460092 Enrollment ID: I20091205000081 |
| Provider Name | Michael E Keenan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760430102 PECOS PAC ID: 6204975147 Enrollment ID: I20091205000112 |
| Provider Name | Walter T Mcphee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144229113 PECOS PAC ID: 3274672126 Enrollment ID: I20091205000157 |
| Provider Name | Linda L Lacerte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497802417 PECOS PAC ID: 8729127576 Enrollment ID: I20091208000246 |
| Provider Name | Marcie A Migliorato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548247026 PECOS PAC ID: 6406996107 Enrollment ID: I20091210000249 |
| Provider Name | Jack A Schmetterling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346227774 PECOS PAC ID: 8325188733 Enrollment ID: I20091216000168 |
| Provider Name | Frances Beth Gurtman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093793259 PECOS PAC ID: 6901946268 Enrollment ID: I20091216000587 |
| Provider Name | Warren L Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821083999 PECOS PAC ID: 6608916788 Enrollment ID: I20091222000080 |
| Provider Name | Cheryl Laflamme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760495881 PECOS PAC ID: 7618017690 Enrollment ID: I20091223000270 |
| Provider Name | James F Nugent |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487602447 PECOS PAC ID: 3274673264 Enrollment ID: I20091223000338 |
| Provider Name | William S Shieh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497731509 PECOS PAC ID: 0840331401 Enrollment ID: I20100105000671 |
| Provider Name | Marianne T Cosentino |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376700609 PECOS PAC ID: 1456423532 Enrollment ID: I20100106000167 |
| Provider Name | Edward A Clerkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518999622 PECOS PAC ID: 2961543335 Enrollment ID: I20100107000172 |
| Provider Name | Robert T Brautigam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285657825 PECOS PAC ID: 6608918081 Enrollment ID: I20100122000633 |
| Provider Name | David E Curtis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730383639 PECOS PAC ID: 8022150358 Enrollment ID: I20100125000165 |
| Provider Name | Stefanie L Sigmund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316008493 PECOS PAC ID: 7416099445 Enrollment ID: I20100128000623 |
| Provider Name | Thomas C Cherry |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285662627 PECOS PAC ID: 5496898074 Enrollment ID: I20100204000339 |
| Provider Name | Stacie L Zibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457321564 PECOS PAC ID: 2466596580 Enrollment ID: I20100212000356 |
| Provider Name | Turgut Yetil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326018425 PECOS PAC ID: 2466595541 Enrollment ID: I20100212000368 |
| Provider Name | Jeffrey M Kagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003886193 PECOS PAC ID: 1850318049 Enrollment ID: I20100212000391 |
| Provider Name | Salman Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457319998 PECOS PAC ID: 1456495464 Enrollment ID: I20100215000233 |
| Provider Name | Patricia H Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619941770 PECOS PAC ID: 1153465950 Enrollment ID: I20100217000455 |
| Provider Name | Violetta M Chrostowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265533244 PECOS PAC ID: 2264577352 Enrollment ID: I20100301000230 |
| Provider Name | Shirley Y Samy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174598536 PECOS PAC ID: 2163567256 Enrollment ID: I20100301000240 |
| Provider Name | Margaret K Rydell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154332427 PECOS PAC ID: 7012052921 Enrollment ID: I20100303000634 |
| Provider Name | Francis J Mirecki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083667265 PECOS PAC ID: 3476441858 Enrollment ID: I20100304000251 |
| Provider Name | Franklin P Friedman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093895252 PECOS PAC ID: 0345335386 Enrollment ID: I20100312000219 |
| Provider Name | Susan M. Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841276383 PECOS PAC ID: 2163558578 Enrollment ID: I20100324001000 |
| Provider Name | Michael J Underwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679550156 PECOS PAC ID: 0840326252 Enrollment ID: I20100324001041 |
| Provider Name | Kathleen Kurowski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033104245 PECOS PAC ID: 6800930926 Enrollment ID: I20100408000492 |
| Provider Name | Paul V Vignati |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1730174350 PECOS PAC ID: 4981602505 Enrollment ID: I20100413000037 |
| Provider Name | David Coletti |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376517730 PECOS PAC ID: 9739216227 Enrollment ID: I20100414000602 |
| Provider Name | Elizabeth W Brady |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861493132 PECOS PAC ID: 9032117668 Enrollment ID: I20100416000617 |
| Provider Name | Mindi M Cieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316048317 PECOS PAC ID: 9537296819 Enrollment ID: I20100419000025 |
| Provider Name | Christina Mbewe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225267560 PECOS PAC ID: 4688701709 Enrollment ID: I20100422000014 |
| Provider Name | Catherine Elisabeth Hylwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124092515 PECOS PAC ID: 8022159466 Enrollment ID: I20100423000952 |
| Provider Name | Maureen Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346575438 PECOS PAC ID: 0345378725 Enrollment ID: I20100505000410 |
| Provider Name | Maritza D Holder |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1649449364 PECOS PAC ID: 2365570462 Enrollment ID: I20100511000760 |
| Provider Name | Elzbieta L Piekarz-dyjak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598864217 PECOS PAC ID: 7618055575 Enrollment ID: I20100519000008 |
| Provider Name | Traci J Marquis-eydman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578591780 PECOS PAC ID: 2668501321 Enrollment ID: I20100519000244 |
| Provider Name | Bennett S Goss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447356894 PECOS PAC ID: 9537262332 Enrollment ID: I20100615000572 |
| Provider Name | Peter A Cuniowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346222551 PECOS PAC ID: 1759456585 Enrollment ID: I20100624000256 |
| Provider Name | Michael A Kilgannon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164483947 PECOS PAC ID: 1052211331 Enrollment ID: I20100701000003 |
| Provider Name | Cynthia B Heller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639155179 PECOS PAC ID: 7810028099 Enrollment ID: I20100702000183 |
| Provider Name | Sandra M Quintero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407832942 PECOS PAC ID: 0547391526 Enrollment ID: I20100708000869 |
| Provider Name | Linda Jean Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245216787 PECOS PAC ID: 4981736824 Enrollment ID: I20100713000402 |
| Provider Name | Elizabeth G Schuck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144207655 PECOS PAC ID: 3870625502 Enrollment ID: I20100715000929 |
| Provider Name | Joan Elaine Gigstad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396711222 PECOS PAC ID: 6204968753 Enrollment ID: I20100719000481 |
| Provider Name | Jason A Gluck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487807715 PECOS PAC ID: 3072645415 Enrollment ID: I20100720000634 |
| Provider Name | Arzu I Demirci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669792354 PECOS PAC ID: 5395878540 Enrollment ID: I20100809000628 |
| Provider Name | Anne Katrin U Weischedel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417903089 PECOS PAC ID: 9335157569 Enrollment ID: I20100811000382 |
| Provider Name | Ann L Stoddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487641882 PECOS PAC ID: 6002940814 Enrollment ID: I20100816000856 |
| Provider Name | Timothy C Parsons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932366960 PECOS PAC ID: 3375677016 Enrollment ID: I20100817000215 |
| Provider Name | Kara Anastasiou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558508861 PECOS PAC ID: 0143354878 Enrollment ID: I20100817001301 |
| Provider Name | Linda S Freeman Bosco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093802845 PECOS PAC ID: 8325172976 Enrollment ID: I20100818000047 |
| Provider Name | Sheldon Kafer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760446025 PECOS PAC ID: 9133253529 Enrollment ID: I20100820000635 |
| Provider Name | Jeffrey L Cohen |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1245230200 PECOS PAC ID: 8527066141 Enrollment ID: I20100821000002 |
| Provider Name | Joseph J Corning |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669580569 PECOS PAC ID: 0648244418 Enrollment ID: I20100823000004 |
| Provider Name | David S. Gallo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609984509 PECOS PAC ID: 6800860677 Enrollment ID: I20100823000037 |
| Provider Name | Jean F Wong |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1891988648 PECOS PAC ID: 1456475409 Enrollment ID: I20100828000047 |
| Provider Name | Paul K Tulikangas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619074911 PECOS PAC ID: 1557485455 Enrollment ID: I20100830000552 |
| Provider Name | Patricia J Simonowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073683959 PECOS PAC ID: 2860516762 Enrollment ID: I20100830000628 |
| Provider Name | Jeffrey Kluger |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1962420570 PECOS PAC ID: 5395869143 Enrollment ID: I20100831000252 |
| Provider Name | Chike V Chukwumah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235322546 PECOS PAC ID: 7618091273 Enrollment ID: I20100902001043 |
| Provider Name | David Lee Tinklepaugh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982711586 PECOS PAC ID: 2769506211 Enrollment ID: I20100904000021 |
| Provider Name | John P Tauro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003915778 PECOS PAC ID: 4688799869 Enrollment ID: I20100910000795 |
| Provider Name | Francis Siracusa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568468213 PECOS PAC ID: 0840315008 Enrollment ID: I20100913000667 |
| Provider Name | Christine A Lasala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265545081 PECOS PAC ID: 7719002401 Enrollment ID: I20100917001099 |
| Provider Name | Adrian Dafcik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043221179 PECOS PAC ID: 7214027416 Enrollment ID: I20100920000252 |
| Provider Name | George M Goldfarb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194750471 PECOS PAC ID: 8921057274 Enrollment ID: I20100920000458 |
| Provider Name | Jacqueline A Rheiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821296153 PECOS PAC ID: 9739204280 Enrollment ID: I20100921000562 |
| Provider Name | Mark E Tramontozzi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699711028 PECOS PAC ID: 8628973005 Enrollment ID: I20100922000538 |
| Provider Name | Robert James Welsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720061906 PECOS PAC ID: 6800912254 Enrollment ID: I20100923000445 |
| Provider Name | Robert Craig Gallagher |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1801894829 PECOS PAC ID: 7113043498 Enrollment ID: I20100923000927 |
| Provider Name | Jeffrey Scott Miller |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1578534640 PECOS PAC ID: 2163423930 Enrollment ID: I20100923000930 |
| Provider Name | Michele A Ranno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154356194 PECOS PAC ID: 8921124256 Enrollment ID: I20100923001468 |
| Provider Name | Martin M Keibel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427067339 PECOS PAC ID: 6002891694 Enrollment ID: I20100928000404 |
| Provider Name | Jonathan A Hammond |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1235115965 PECOS PAC ID: 2769449453 Enrollment ID: I20101007001154 |
| Provider Name | Raymond George Mckay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871591891 PECOS PAC ID: 3971795865 Enrollment ID: I20101011000747 |
| Provider Name | Barry J Gordon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063515443 PECOS PAC ID: 5496806176 Enrollment ID: I20101012000664 |
| Provider Name | Albert J Denuzzio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447358056 PECOS PAC ID: 7911199633 Enrollment ID: I20101013000013 |
| Provider Name | Edmund A West |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154347250 PECOS PAC ID: 7517966476 Enrollment ID: I20101019000539 |
| Provider Name | Deborah G Lamarr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588753479 PECOS PAC ID: 3173716339 Enrollment ID: I20101020000277 |
| Provider Name | Steven B Goldblatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871530899 PECOS PAC ID: 0840483004 Enrollment ID: I20101020000342 |
| Provider Name | Jennifer S Freund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053408823 PECOS PAC ID: 3870786049 Enrollment ID: I20101020000454 |
| Provider Name | Anne Lally |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891794087 PECOS PAC ID: 3072706068 Enrollment ID: I20101022000525 |
| Provider Name | William V Sardella |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1437144763 PECOS PAC ID: 0446258073 Enrollment ID: I20101029000206 |
| Provider Name | Michelle L Dagostine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205086733 PECOS PAC ID: 0446444681 Enrollment ID: I20101101001092 |
| Provider Name | Stacy Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104837483 PECOS PAC ID: 6305031014 Enrollment ID: I20101108001001 |
| Provider Name | Keshava H Aithal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811005713 PECOS PAC ID: 7911971783 Enrollment ID: I20101112000036 |
| Provider Name | Sonya Lisa Marshall |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609059286 PECOS PAC ID: 6608061833 Enrollment ID: I20101112000496 |
| Provider Name | Anthony D Quinn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053319624 PECOS PAC ID: 5698702785 Enrollment ID: I20101112000791 |
| Provider Name | Steven Schoenberger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1477551034 PECOS PAC ID: 7911934971 Enrollment ID: I20101112000939 |
| Provider Name | Immad R Sadiq |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801817390 PECOS PAC ID: 3274430780 Enrollment ID: I20101202001079 |
| Provider Name | Judith L Pepe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861591729 PECOS PAC ID: 6507054053 Enrollment ID: I20101228000105 |
| Provider Name | Holly M Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487665089 PECOS PAC ID: 4486842895 Enrollment ID: I20101229001137 |
| Provider Name | Sowmya S Kurtakoti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336329465 PECOS PAC ID: 5092903260 Enrollment ID: I20110103001036 |
| Provider Name | Colleen E Mellen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710068341 PECOS PAC ID: 1355530049 Enrollment ID: I20110111000938 |
| Provider Name | Fawzu F Mohammadu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235345430 PECOS PAC ID: 0749372142 Enrollment ID: I20110115000007 |
| Provider Name | Michael D Shea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447371596 PECOS PAC ID: 6002095072 Enrollment ID: I20110122000069 |
| Provider Name | Stephen Yu |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497727978 PECOS PAC ID: 9335242890 Enrollment ID: I20110124000288 |
| Provider Name | Henry B Hofbauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023083193 PECOS PAC ID: 8426237447 Enrollment ID: I20110124000595 |
| Provider Name | Gidon F Goldenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689619041 PECOS PAC ID: 6002095577 Enrollment ID: I20110131000159 |
| Provider Name | David A Kvam |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790777316 PECOS PAC ID: 9739133349 Enrollment ID: I20110207000482 |
| Provider Name | Nadine Koser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467620351 PECOS PAC ID: 7911187869 Enrollment ID: I20110209000618 |
| Provider Name | Kristin S Gildersleeve |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902846082 PECOS PAC ID: 9436197365 Enrollment ID: I20110214000872 |
| Provider Name | James David Scarles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194710269 PECOS PAC ID: 8123214400 Enrollment ID: I20110215000153 |
| Provider Name | Irsal P Cabahug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477870756 PECOS PAC ID: 3476734575 Enrollment ID: I20110223000113 |
| Provider Name | Walter Kupson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679657100 PECOS PAC ID: 6709068109 Enrollment ID: I20110307000400 |
| Provider Name | Meir Friedman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1194851295 PECOS PAC ID: 8820165087 Enrollment ID: I20110324000783 |
| Provider Name | Wilner Samson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215934658 PECOS PAC ID: 8729261748 Enrollment ID: I20110328000906 |
| Provider Name | Mahesh N Kabadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871598649 PECOS PAC ID: 1254515067 Enrollment ID: I20110401000582 |
| Provider Name | Bernadette Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215233853 PECOS PAC ID: 2961686266 Enrollment ID: I20110412000175 |
| Provider Name | Pamela L Neumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902138621 PECOS PAC ID: 0143405910 Enrollment ID: I20110421000568 |
| Provider Name | Ramkumar T Sankaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992755755 PECOS PAC ID: 9638354046 Enrollment ID: I20110429000118 |
| Provider Name | Mary Cummings Satti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376540849 PECOS PAC ID: 2466637780 Enrollment ID: I20110503000029 |
| Provider Name | Maryann L Cyr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124114988 PECOS PAC ID: 3577748524 Enrollment ID: I20110506000285 |
| Provider Name | Imran A Hafeez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1275747925 PECOS PAC ID: 0345395992 Enrollment ID: I20110510000003 |
| Provider Name | Denise M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720177629 PECOS PAC ID: 1153507652 Enrollment ID: I20110518000329 |
| Provider Name | Tatong Hemmaplardh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669419552 PECOS PAC ID: 6406825991 Enrollment ID: I20110520000093 |
| Provider Name | Margaret Healther Einstein |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1295791705 PECOS PAC ID: 3870667728 Enrollment ID: I20110606000414 |
| Provider Name | Brendan D Killory |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043490097 PECOS PAC ID: 7719164193 Enrollment ID: I20110613000309 |
| Provider Name | Max A Goldstein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578754164 PECOS PAC ID: 8729266440 Enrollment ID: I20110629000188 |
| Provider Name | Richard C Albrecht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568445435 PECOS PAC ID: 2860539053 Enrollment ID: I20110714000517 |
| Provider Name | D'andrea K Joseph |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851480800 PECOS PAC ID: 4385603323 Enrollment ID: I20110720000165 |
| Provider Name | Kristine M Kelliher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689872764 PECOS PAC ID: 1658540042 Enrollment ID: I20110801000329 |
| Provider Name | Jillian M Kalinchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194013888 PECOS PAC ID: 2264601285 Enrollment ID: I20110809000459 |
| Provider Name | Jason L Chang |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174739072 PECOS PAC ID: 0749459691 Enrollment ID: I20110810000000 |
| Provider Name | Lynne M Todd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144431602 PECOS PAC ID: 9830275759 Enrollment ID: I20110819000102 |
| Provider Name | Marcin Jaremko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396943080 PECOS PAC ID: 6103012331 Enrollment ID: I20110823000989 |
| Provider Name | Simona Constantinescu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144429465 PECOS PAC ID: 2769506864 Enrollment ID: I20110824000116 |
| Provider Name | Nicholas Verdura |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760645618 PECOS PAC ID: 1951425883 Enrollment ID: I20110826000199 |
| Provider Name | Elizabeth A Fasy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326060484 PECOS PAC ID: 2163447632 Enrollment ID: I20110901000625 |
| Provider Name | Shatya Chittoori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982922332 PECOS PAC ID: 0547430274 Enrollment ID: I20110907000818 |
| Provider Name | Ali C Torabzadeh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710176631 PECOS PAC ID: 7810062163 Enrollment ID: I20110921000399 |
| Provider Name | Joseph D Trettel |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1750542502 PECOS PAC ID: 9032381678 Enrollment ID: I20111004000463 |
| Provider Name | Katherine H Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568745479 PECOS PAC ID: 5991977233 Enrollment ID: I20111011000537 |
| Provider Name | Alisa Hardy-lukas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649559063 PECOS PAC ID: 9638342991 Enrollment ID: I20111101000595 |
| Provider Name | Richard D Ginty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306890116 PECOS PAC ID: 6709059827 Enrollment ID: I20111104000111 |
| Provider Name | Fred Robert Fenton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568572667 PECOS PAC ID: 4486828175 Enrollment ID: I20111115000224 |
| Provider Name | Gretha Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720398340 PECOS PAC ID: 7214101617 Enrollment ID: I20111121000916 |
| Provider Name | Nicola Calabrese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700155603 PECOS PAC ID: 2961676960 Enrollment ID: I20111130000528 |
| Provider Name | Richard G Ryan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306925292 PECOS PAC ID: 0941474951 Enrollment ID: I20111130000661 |
| Provider Name | Vivien A Iloeje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003878778 PECOS PAC ID: 3870769755 Enrollment ID: I20111223000095 |
| Provider Name | Stephen M Kutz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225051287 PECOS PAC ID: 1456533942 Enrollment ID: I20111227000669 |
| Provider Name | Stephen J Kaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235124272 PECOS PAC ID: 3678749462 Enrollment ID: I20111228000563 |
| Provider Name | William M Bradbury |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710989744 PECOS PAC ID: 5991718827 Enrollment ID: I20120120000660 |
| Provider Name | Lisa T Canter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467453514 PECOS PAC ID: 7719990647 Enrollment ID: I20120126000304 |
| Provider Name | Barry G Spass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154353845 PECOS PAC ID: 4183881147 Enrollment ID: I20120202000077 |
| Provider Name | Marc P Kawalick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093742090 PECOS PAC ID: 5991962961 Enrollment ID: I20120202000103 |
| Provider Name | Andre Lerer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780621599 PECOS PAC ID: 8325001894 Enrollment ID: I20120203000048 |
| Provider Name | Sheri-ryan A Benevides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578830089 PECOS PAC ID: 0648437178 Enrollment ID: I20120210000124 |
| Provider Name | Michael J Harwood |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083839138 PECOS PAC ID: 2163575119 Enrollment ID: I20120223000018 |
| Provider Name | Kristie L Tapper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811903230 PECOS PAC ID: 2466455365 Enrollment ID: I20120223000549 |
| Provider Name | Robert C Hagberg |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1356333439 PECOS PAC ID: 1052346665 Enrollment ID: I20120305000205 |
| Provider Name | Amanda L Conti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952561821 PECOS PAC ID: 7810011228 Enrollment ID: I20120307000364 |
| Provider Name | Stanley J Stutz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689763252 PECOS PAC ID: 6103804117 Enrollment ID: I20120308000066 |
| Provider Name | Sara M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255573424 PECOS PAC ID: 0941469811 Enrollment ID: I20120313000245 |
| Provider Name | Paul J O Braonain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023013182 PECOS PAC ID: 0143121053 Enrollment ID: I20120315000659 |
| Provider Name | Swati J Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336317478 PECOS PAC ID: 2668631292 Enrollment ID: I20120316000573 |
| Provider Name | Prakash N Puranik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164489860 PECOS PAC ID: 1658532205 Enrollment ID: I20120409000503 |
| Provider Name | Dawn M Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528389962 PECOS PAC ID: 6305007519 Enrollment ID: I20120416000547 |
| Provider Name | Charles M Masserman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972502920 PECOS PAC ID: 7618138546 Enrollment ID: I20120419000490 |
| Provider Name | Caroline Rochon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851521777 PECOS PAC ID: 4082769096 Enrollment ID: I20120501000064 |
| Provider Name | Mary C Ryan Parsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609028455 PECOS PAC ID: 4082876198 Enrollment ID: I20120508000282 |
| Provider Name | Parth S Shah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1225224017 PECOS PAC ID: 9537322102 Enrollment ID: I20120517000327 |
| Provider Name | Talhat Azemi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942407853 PECOS PAC ID: 7416110937 Enrollment ID: I20120521000453 |
| Provider Name | Rachana Kanaujia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043441439 PECOS PAC ID: 9032373808 Enrollment ID: I20120606000489 |
| Provider Name | Richard T Kershen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972527158 PECOS PAC ID: 2062538085 Enrollment ID: I20120608000011 |
| Provider Name | Edward J Hannoush |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235387457 PECOS PAC ID: 0244494664 Enrollment ID: I20120615000286 |
| Provider Name | Heather M King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477718906 PECOS PAC ID: 8628233921 Enrollment ID: I20120712000477 |
| Provider Name | Susan Alsamarai |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1174734768 PECOS PAC ID: 8921166604 Enrollment ID: I20120719000269 |
| Provider Name | Rafal Barczak |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1639316177 PECOS PAC ID: 9931355203 Enrollment ID: I20120802000403 |
| Provider Name | Pooia Fattahi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669625174 PECOS PAC ID: 1850547795 Enrollment ID: I20120809000253 |
| Provider Name | Robert Sasse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861523466 PECOS PAC ID: 5395837355 Enrollment ID: I20120822000663 |
| Provider Name | Hussein I Alahmadi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1609148477 PECOS PAC ID: 3779730700 Enrollment ID: I20120828000012 |
| Provider Name | Samantha A Pelow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215200654 PECOS PAC ID: 2769639376 Enrollment ID: I20120904000061 |
| Provider Name | Cristina M Tellechea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679736169 PECOS PAC ID: 5294983870 Enrollment ID: I20120925000079 |
| Provider Name | Demetra Eleftheriou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104838812 PECOS PAC ID: 3577689843 Enrollment ID: I20121004000669 |
| Provider Name | Jonathan A Cosin |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1417936139 PECOS PAC ID: 3173709920 Enrollment ID: I20121011000526 |
| Provider Name | Lindita Vinca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396093993 PECOS PAC ID: 4486803160 Enrollment ID: I20121013000023 |
| Provider Name | Daniel C Kombert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285600015 PECOS PAC ID: 4486673720 Enrollment ID: I20121015000612 |
| Provider Name | Andrea D Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467709097 PECOS PAC ID: 0345491817 Enrollment ID: I20121109000003 |
| Provider Name | James R Doran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942249610 PECOS PAC ID: 5698701548 Enrollment ID: I20121113000430 |
| Provider Name | Candace I Lumia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598011611 PECOS PAC ID: 2567614217 Enrollment ID: I20121204000419 |
| Provider Name | Brenda C. White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285982363 PECOS PAC ID: 1850543273 Enrollment ID: I20121212000061 |
| Provider Name | Uma Madhusudana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447571708 PECOS PAC ID: 1153573399 Enrollment ID: I20121214000177 |
| Provider Name | Lyla Natt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346506896 PECOS PAC ID: 6901059815 Enrollment ID: I20121228000412 |
| Provider Name | Christina M Mclean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912072455 PECOS PAC ID: 8729231329 Enrollment ID: I20130110000086 |
| Provider Name | Anisha Rajesh Parekh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538116348 PECOS PAC ID: 2264685866 Enrollment ID: I20130110000111 |
| Provider Name | Lolither R Darling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149604 PECOS PAC ID: 2062665466 Enrollment ID: I20130116000057 |
| Provider Name | Kimberly A Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780928861 PECOS PAC ID: 8921252545 Enrollment ID: I20130207000388 |
| Provider Name | Erica L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518210392 PECOS PAC ID: 9133373764 Enrollment ID: I20130207000484 |
| Provider Name | Erin M Loughery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497012520 PECOS PAC ID: 6800040353 Enrollment ID: I20130208000192 |
| Provider Name | Darcy Ulitsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215272299 PECOS PAC ID: 3072758374 Enrollment ID: I20130313000579 |
| Provider Name | Christy Ann Stanat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942467352 PECOS PAC ID: 4486829348 Enrollment ID: I20130314000042 |
| Provider Name | Edmond M Cronin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336454230 PECOS PAC ID: 1951540012 Enrollment ID: I20130620000589 |
| Provider Name | Lisa Moriarty Kirschner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275867301 PECOS PAC ID: 3375688443 Enrollment ID: I20130701000653 |
| Provider Name | Doralynne R Dipasquale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235429697 PECOS PAC ID: 7416197900 Enrollment ID: I20130705000000 |
| Provider Name | Akhilesh Kumar Jain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629296876 PECOS PAC ID: 4284874173 Enrollment ID: I20130718000057 |
| Provider Name | Kristy T Thurston |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1396915153 PECOS PAC ID: 3375784267 Enrollment ID: I20130718000180 |
| Provider Name | Jason Kurtzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093035883 PECOS PAC ID: 3476794132 Enrollment ID: I20130724000004 |
| Provider Name | Jaime P Moskowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639499759 PECOS PAC ID: 1052552239 Enrollment ID: I20130731000272 |
| Provider Name | Frank A Santoro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578799771 PECOS PAC ID: 4082856976 Enrollment ID: I20130805000906 |
| Provider Name | Kenneth M Schwartz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164606372 PECOS PAC ID: 1456593359 Enrollment ID: I20130806000002 |
| Provider Name | Vanessa Gorospe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427305549 PECOS PAC ID: 7517109325 Enrollment ID: I20130807000555 |
| Provider Name | Jessica M Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104026392 PECOS PAC ID: 1759523491 Enrollment ID: I20130809000200 |
| Provider Name | Khuram R Ghumman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447384326 PECOS PAC ID: 4587705355 Enrollment ID: I20130809000244 |
| Provider Name | Adewale Olayode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407103534 PECOS PAC ID: 8123260726 Enrollment ID: I20130812000105 |
| Provider Name | Ryan P Dorin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679718175 PECOS PAC ID: 7618119033 Enrollment ID: I20130815000057 |
| Provider Name | Elena Tunitsky Bitton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043432123 PECOS PAC ID: 9436342334 Enrollment ID: I20130816000145 |
| Provider Name | Debra A Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023457298 PECOS PAC ID: 0143463547 Enrollment ID: I20130904000745 |
| Provider Name | Aashish G Samat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1912155300 PECOS PAC ID: 3173766359 Enrollment ID: I20130909000411 |
| Provider Name | Sarah E Parmelee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558351973 PECOS PAC ID: 7911978267 Enrollment ID: I20130916000383 |
| Provider Name | Jill E Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154574416 PECOS PAC ID: 2860552825 Enrollment ID: I20130920000635 |
| Provider Name | Mary Jane Drewa Tower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235245838 PECOS PAC ID: 7416191705 Enrollment ID: I20130927000000 |
| Provider Name | Devika Umashanker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881909158 PECOS PAC ID: 3476787136 Enrollment ID: I20131011000507 |
| Provider Name | Bethany A Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285067603 PECOS PAC ID: 2668606237 Enrollment ID: I20131015000266 |
| Provider Name | Tatyana Divino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780812099 PECOS PAC ID: 6103064225 Enrollment ID: I20131017000954 |
| Provider Name | Kelly A Toth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528400603 PECOS PAC ID: 6507091899 Enrollment ID: I20131022000882 |
| Provider Name | Katherine Masoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285067074 PECOS PAC ID: 2264668359 Enrollment ID: I20131120000029 |
| Provider Name | Ralph Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891019519 PECOS PAC ID: 4587890512 Enrollment ID: I20131122000630 |
| Provider Name | Brandon C Stahl |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104036136 PECOS PAC ID: 7315083359 Enrollment ID: I20131206000390 |
| Provider Name | Katherine M Delprato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235400854 PECOS PAC ID: 5193952232 Enrollment ID: I20131216001417 |
| Provider Name | Jennifer Pothen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255772307 PECOS PAC ID: 3274760269 Enrollment ID: I20131219000740 |
| Provider Name | Adrian Hamburger |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1720069669 PECOS PAC ID: 0648273045 Enrollment ID: I20140110000349 |
| Provider Name | Alison Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891129953 PECOS PAC ID: 2668600792 Enrollment ID: I20140116000825 |
| Provider Name | Colleen Sherkow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073755534 PECOS PAC ID: 3375772114 Enrollment ID: I20140127001607 |
| Provider Name | Laura C Gezelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336574953 PECOS PAC ID: 8426288283 Enrollment ID: I20140224001151 |
| Provider Name | Margaret I Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770904963 PECOS PAC ID: 2567692072 Enrollment ID: I20140303000348 |
| Provider Name | Edward Lee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1699940692 PECOS PAC ID: 9032248158 Enrollment ID: I20140417000237 |
| Provider Name | Dana M Kupec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235163841 PECOS PAC ID: 4183768757 Enrollment ID: I20140429001425 |
| Provider Name | Igor Georgievskiy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942431903 PECOS PAC ID: 8022231935 Enrollment ID: I20140522000396 |
| Provider Name | Jason T Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568552826 PECOS PAC ID: 8224251079 Enrollment ID: I20140522002169 |
| Provider Name | Marina J Syrax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659627669 PECOS PAC ID: 1052561008 Enrollment ID: I20140602002185 |
| Provider Name | Brian M Allen |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1881892529 PECOS PAC ID: 2163682725 Enrollment ID: I20140718001030 |
| Provider Name | James J Gallagher Iii |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053592964 PECOS PAC ID: 1456577204 Enrollment ID: I20140731000165 |
| Provider Name | Kathi J Karp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265855068 PECOS PAC ID: 0345467924 Enrollment ID: I20140805000967 |
| Provider Name | Manju M John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194987313 PECOS PAC ID: 5698992725 Enrollment ID: I20140813000323 |
| Provider Name | Sara N Tischer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851681860 PECOS PAC ID: 8022252444 Enrollment ID: I20140818002004 |
| Provider Name | Christopher J Nold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629277728 PECOS PAC ID: 1951528769 Enrollment ID: I20140818002178 |
| Provider Name | Niamey P Wilson |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1942357496 PECOS PAC ID: 9537387402 Enrollment ID: I20140908000248 |
| Provider Name | John Kouch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801024476 PECOS PAC ID: 5294955787 Enrollment ID: I20141006000255 |
| Provider Name | Alexandra N Schain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578973905 PECOS PAC ID: 1850511973 Enrollment ID: I20141013000523 |
| Provider Name | Nicole E Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245644954 PECOS PAC ID: 0749401537 Enrollment ID: I20141020002008 |
| Provider Name | Luisa A Hiendlmayr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730474602 PECOS PAC ID: 1254563372 Enrollment ID: I20141024001588 |
| Provider Name | Tony A Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396971164 PECOS PAC ID: 4183879232 Enrollment ID: I20141030002299 |
| Provider Name | Amber J Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215340369 PECOS PAC ID: 5496977118 Enrollment ID: I20141113001592 |
| Provider Name | Laurie E Strand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033528864 PECOS PAC ID: 9739401043 Enrollment ID: I20141121002146 |
| Provider Name | Amanda R Horn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396066056 PECOS PAC ID: 6507188364 Enrollment ID: I20141204002473 |
| Provider Name | Ila S Sabino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841342037 PECOS PAC ID: 9234223835 Enrollment ID: I20141210001735 |
| Provider Name | Mary E Bycholski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962817908 PECOS PAC ID: 9931421427 Enrollment ID: I20141212000468 |
| Provider Name | Rebecca L. Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093119216 PECOS PAC ID: 5991028243 Enrollment ID: I20141218000516 |
| Provider Name | Kristen M Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396151858 PECOS PAC ID: 2668795717 Enrollment ID: I20141223000320 |
| Provider Name | Rachael Mebus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699178699 PECOS PAC ID: 4688997430 Enrollment ID: I20141231000030 |
| Provider Name | Melissa Y Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194038158 PECOS PAC ID: 1951624667 Enrollment ID: I20150106000069 |
| Provider Name | Tanisha L Garris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225438492 PECOS PAC ID: 8426372426 Enrollment ID: I20150122001706 |
| Provider Name | Jayme L Mickelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497989123 PECOS PAC ID: 2961653738 Enrollment ID: I20150130000250 |
| Provider Name | Kara A Emmett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467867416 PECOS PAC ID: 3577888064 Enrollment ID: I20150204000054 |
| Provider Name | Saba Farooq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669769824 PECOS PAC ID: 3173848504 Enrollment ID: I20150206000556 |
| Provider Name | Halina D Dombkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215330436 PECOS PAC ID: 7113243841 Enrollment ID: I20150224000453 |
| Provider Name | Kim N Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336549898 PECOS PAC ID: 3870819246 Enrollment ID: I20150302000841 |
| Provider Name | Manuel A Moya Tapia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043585110 PECOS PAC ID: 6406172691 Enrollment ID: I20150305002100 |
| Provider Name | Erica L Lussier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245662592 PECOS PAC ID: 0648406413 Enrollment ID: I20150311001085 |
| Provider Name | Mary Andelle Samson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801001128 PECOS PAC ID: 7416041777 Enrollment ID: I20150316000966 |
| Provider Name | Faisal Ijaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336573146 PECOS PAC ID: 1355564675 Enrollment ID: I20150320000405 |
| Provider Name | Nina M Grabon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649669730 PECOS PAC ID: 5496073009 Enrollment ID: I20150410001658 |
| Provider Name | Sarah E Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083002307 PECOS PAC ID: 4486972494 Enrollment ID: I20150422001927 |
| Provider Name | Dmitry A Albin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295906345 PECOS PAC ID: 8729148010 Enrollment ID: I20150602000512 |
| Provider Name | Jurg Oggenfuss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144452442 PECOS PAC ID: 5597811182 Enrollment ID: I20150701000369 |
| Provider Name | Karolina Majk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487051777 PECOS PAC ID: 4183937444 Enrollment ID: I20150716001294 |
| Provider Name | Marie A Kieras-skiba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922393891 PECOS PAC ID: 9436462017 Enrollment ID: I20150727000470 |
| Provider Name | Silda James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407105992 PECOS PAC ID: 3870807183 Enrollment ID: I20150730013165 |
| Provider Name | Melanie I Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295838399 PECOS PAC ID: 7214928639 Enrollment ID: I20150731014526 |
| Provider Name | Jared M Bieniek |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982846457 PECOS PAC ID: 0648584300 Enrollment ID: I20150810000082 |
| Provider Name | Lisa M Gronski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265758577 PECOS PAC ID: 4183939655 Enrollment ID: I20150812007907 |
| Provider Name | Keisha S Mcfarlane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023409711 PECOS PAC ID: 4587979067 Enrollment ID: I20150812008080 |
| Provider Name | Leah W Bassin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780824581 PECOS PAC ID: 9032424072 Enrollment ID: I20150819008557 |
| Provider Name | Paul Pyo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598919045 PECOS PAC ID: 1456406347 Enrollment ID: I20150821014155 |
| Provider Name | Kimberly C Gygi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356600787 PECOS PAC ID: 2365674934 Enrollment ID: I20150904000945 |
| Provider Name | Tiwalola Olufunke Osunfisan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588979421 PECOS PAC ID: 5799091732 Enrollment ID: I20150904001654 |
| Provider Name | Camelia A Lawrence |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1184944191 PECOS PAC ID: 3678754611 Enrollment ID: I20150916003441 |
| Provider Name | Valmarie Ramos |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1861724106 PECOS PAC ID: 7719294826 Enrollment ID: I20150922000033 |
| Provider Name | Vanessa M Bolling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902282569 PECOS PAC ID: 7517274665 Enrollment ID: I20150922001781 |
| Provider Name | Claudette Faucher-charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124403415 PECOS PAC ID: 2264749233 Enrollment ID: I20150923003138 |
| Provider Name | Brian M Grosberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437234739 PECOS PAC ID: 8527036748 Enrollment ID: I20150925000786 |
| Provider Name | Farhan Zahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811250897 PECOS PAC ID: 1355659897 Enrollment ID: I20151001002077 |
| Provider Name | Ujjwal Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770815292 PECOS PAC ID: 2567610330 Enrollment ID: I20151008002021 |
| Provider Name | Carly J Sanky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093146144 PECOS PAC ID: 2365665593 Enrollment ID: I20151012001666 |
| Provider Name | Lauren Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952787699 PECOS PAC ID: 5395054258 Enrollment ID: I20151016001034 |
| Provider Name | Anthony Guglielmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700279452 PECOS PAC ID: 6507175346 Enrollment ID: I20151019001697 |
| Provider Name | Lindsay Kerwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881073658 PECOS PAC ID: 6709195431 Enrollment ID: I20151021000548 |
| Provider Name | Mohammed K Yosufzai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508127671 PECOS PAC ID: 0446572614 Enrollment ID: I20151023001475 |
| Provider Name | Katie Maria Pavia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871969709 PECOS PAC ID: 9537478037 Enrollment ID: I20151023001577 |
| Provider Name | Kellie Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063898617 PECOS PAC ID: 3577872845 Enrollment ID: I20151028000159 |
| Provider Name | Sarah J Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073955795 PECOS PAC ID: 3678704624 Enrollment ID: I20151028000429 |
| Provider Name | Ramesh Muniyappa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619924958 PECOS PAC ID: 9931123601 Enrollment ID: I20151102001233 |
| Provider Name | Renee D Kane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942558564 PECOS PAC ID: 3971729690 Enrollment ID: I20151103000221 |
| Provider Name | Kelly J. Obrien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114302569 PECOS PAC ID: 5799095675 Enrollment ID: I20151104002515 |
| Provider Name | Stephanie Frances Weibel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212883 PECOS PAC ID: 0143530048 Enrollment ID: I20151105000255 |
| Provider Name | Nicole G Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699144071 PECOS PAC ID: 4981914827 Enrollment ID: I20151105001804 |
| Provider Name | Abhijay Karandikar |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1992920276 PECOS PAC ID: 5890859797 Enrollment ID: I20151106000078 |
| Provider Name | Danielle M Grillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013391101 PECOS PAC ID: 3779893581 Enrollment ID: I20151106001538 |
| Provider Name | Maliha Nafees |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578824868 PECOS PAC ID: 4284866765 Enrollment ID: I20151110000382 |
| Provider Name | Allison Kilmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174994677 PECOS PAC ID: 0941510564 Enrollment ID: I20151112000087 |
| Provider Name | Mackenzie C O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629454889 PECOS PAC ID: 3971803156 Enrollment ID: I20151119000474 |
| Provider Name | Robyn C Reilly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316323397 PECOS PAC ID: 5294035416 Enrollment ID: I20151119001901 |
| Provider Name | Samara Ambrosio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255700696 PECOS PAC ID: 4880994995 Enrollment ID: I20151121000204 |
| Provider Name | Kipp Vanmeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013145101 PECOS PAC ID: 6800113804 Enrollment ID: I20151201001261 |
| Provider Name | Erica Jane Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649655895 PECOS PAC ID: 1355641887 Enrollment ID: I20151204001286 |
| Provider Name | Katherine Kedzierski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548571110 PECOS PAC ID: 6204137672 Enrollment ID: I20151209002227 |
| Provider Name | Alicia M Whiting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992176077 PECOS PAC ID: 2961703277 Enrollment ID: I20151210001095 |
| Provider Name | Leah Marie Fasolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174992739 PECOS PAC ID: 2961703095 Enrollment ID: I20151215001716 |
| Provider Name | Robyn K. Wojeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558732404 PECOS PAC ID: 6305148842 Enrollment ID: I20151230001106 |
| Provider Name | Mary E Schustek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891705307 PECOS PAC ID: 3274558275 Enrollment ID: I20160112002156 |
| Provider Name | Izabella Shuvayev |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467891234 PECOS PAC ID: 5193028603 Enrollment ID: I20160115001597 |
| Provider Name | Kerri S Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679788541 PECOS PAC ID: 2466552328 Enrollment ID: I20160126000505 |
| Provider Name | Gregory Warwick Taylor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144221607 PECOS PAC ID: 1254398647 Enrollment ID: I20160127001527 |
| Provider Name | Allison A Couture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811399066 PECOS PAC ID: 3476879867 Enrollment ID: I20160218002111 |
| Provider Name | Dawn E Murphy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093152050 PECOS PAC ID: 8729308168 Enrollment ID: I20160224000444 |
| Provider Name | Sandra A Glenney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245674720 PECOS PAC ID: 7012212301 Enrollment ID: I20160224001897 |
| Provider Name | Marimeg Clairwood |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1164719043 PECOS PAC ID: 3678705787 Enrollment ID: I20160331000796 |
| Provider Name | Roshelle Tappin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821454158 PECOS PAC ID: 2961701602 Enrollment ID: I20160429001483 |
| Provider Name | Nickisha Naulie Berlus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609134873 PECOS PAC ID: 0840599510 Enrollment ID: I20160502000694 |
| Provider Name | Mary E Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861852014 PECOS PAC ID: 3072812684 Enrollment ID: I20160504000293 |
| Provider Name | Kulsoom H Maudoodi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104180926 PECOS PAC ID: 5597056929 Enrollment ID: I20160615001425 |
| Provider Name | Tejas V. Sheth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124306089 PECOS PAC ID: 3678864709 Enrollment ID: I20160621002197 |
| Provider Name | Jonathan D Gates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831155084 PECOS PAC ID: 6608823380 Enrollment ID: I20160622001739 |
| Provider Name | Monika E Kieltyka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013361641 PECOS PAC ID: 6901197532 Enrollment ID: I20160629000006 |
| Provider Name | Abram C Damato |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922326628 PECOS PAC ID: 2769773399 Enrollment ID: I20160629000152 |
| Provider Name | Carrie Michelle Garrigus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497115596 PECOS PAC ID: 0345533667 Enrollment ID: I20160725002191 |
| Provider Name | Gagan Jot Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457621492 PECOS PAC ID: 5698926723 Enrollment ID: I20160802001348 |
| Provider Name | Vladimir Paul Daoud |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699095224 PECOS PAC ID: 2769798503 Enrollment ID: I20160809001793 |
| Provider Name | David F Crawley |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225324239 PECOS PAC ID: 8820382948 Enrollment ID: I20160811001358 |
| Provider Name | Lori D Lerner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861788648 PECOS PAC ID: 4587894357 Enrollment ID: I20160817001904 |
| Provider Name | Kimberley P Bedard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265881759 PECOS PAC ID: 1557656428 Enrollment ID: I20160817002102 |
| Provider Name | Apeksha Vachhani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710327416 PECOS PAC ID: 3375838378 Enrollment ID: I20160829002696 |
| Provider Name | Helen Anaedo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1164717021 PECOS PAC ID: 2365738358 Enrollment ID: I20160830002670 |
| Provider Name | Abigail Chua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821381385 PECOS PAC ID: 5294044517 Enrollment ID: I20160901001189 |
| Provider Name | Carly M Odesina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548610959 PECOS PAC ID: 6204122054 Enrollment ID: I20160906000669 |
| Provider Name | Britta Shute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912315201 PECOS PAC ID: 6507183340 Enrollment ID: I20160927000675 |
| Provider Name | Bejon Maneckshana |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326377284 PECOS PAC ID: 8224291141 Enrollment ID: I20160930000590 |
| Provider Name | Sarah C Hilding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821382961 PECOS PAC ID: 2668600545 Enrollment ID: I20161011001047 |
| Provider Name | Yong Kwon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295996205 PECOS PAC ID: 5890013726 Enrollment ID: I20161011002314 |
| Provider Name | Stephanie Wills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962955021 PECOS PAC ID: 4688962236 Enrollment ID: I20161013001816 |
| Provider Name | Morgan A Mc Dermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265985964 PECOS PAC ID: 3072801406 Enrollment ID: I20161018000405 |
| Provider Name | Ruby Mcarthur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467870923 PECOS PAC ID: 1355639667 Enrollment ID: I20161019000337 |
| Provider Name | Emily J Araujo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306292040 PECOS PAC ID: 8224316021 Enrollment ID: I20161029000148 |
| Provider Name | Margaret T Rush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063777282 PECOS PAC ID: 1153561402 Enrollment ID: I20161102001238 |
| Provider Name | Ognjenka M Nadazdin Boskovic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891033676 PECOS PAC ID: 6305125428 Enrollment ID: I20161114000814 |
| Provider Name | Zohra Salehi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477993582 PECOS PAC ID: 5496034019 Enrollment ID: I20161122000752 |
| Provider Name | Elenita Kanin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952629685 PECOS PAC ID: 9436460821 Enrollment ID: I20161123001633 |
| Provider Name | Nini M Aung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699017277 PECOS PAC ID: 8729368139 Enrollment ID: I20161130002148 |
| Provider Name | Christina Lakomski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669824009 PECOS PAC ID: 2860772183 Enrollment ID: I20161202001474 |
| Provider Name | Lauren Vo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134674591 PECOS PAC ID: 0345520409 Enrollment ID: I20161206002232 |
| Provider Name | Erin E Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477004612 PECOS PAC ID: 6709166747 Enrollment ID: I20161208000093 |
| Provider Name | Cheryl L Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649712084 PECOS PAC ID: 6507147006 Enrollment ID: I20161221000306 |
| Provider Name | Lynn Elizabeth Mastrianni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205177672 PECOS PAC ID: 7315228509 Enrollment ID: I20161230000644 |
| Provider Name | Anu Vellanki |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477783165 PECOS PAC ID: 6901187988 Enrollment ID: I20170105001833 |
| Provider Name | Thomas A Abbruzzese |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689710279 PECOS PAC ID: 8022182948 Enrollment ID: I20170112002787 |
| Provider Name | Linda York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023551736 PECOS PAC ID: 0042592636 Enrollment ID: I20170113001984 |
| Provider Name | Alana C Dipesa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689075772 PECOS PAC ID: 6800178070 Enrollment ID: I20170124000019 |
| Provider Name | Linda M Koflanovich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932279296 PECOS PAC ID: 8921381674 Enrollment ID: I20170203001541 |
| Provider Name | Christian Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225582331 PECOS PAC ID: 8224325436 Enrollment ID: I20170207000294 |
| Provider Name | Constandina P Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366993164 PECOS PAC ID: 1658654025 Enrollment ID: I20170208002824 |
| Provider Name | Alma Sabovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053857409 PECOS PAC ID: 9032492376 Enrollment ID: I20170210000451 |
| Provider Name | Amanda Bahler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245785013 PECOS PAC ID: 2860776481 Enrollment ID: I20170228000015 |
| Provider Name | Emily C Krom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649621855 PECOS PAC ID: 8123302742 Enrollment ID: I20170228000031 |
| Provider Name | Kelley E Mollor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629436597 PECOS PAC ID: 7517241961 Enrollment ID: I20170302000329 |
| Provider Name | Kadesha Collins Fletcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851639702 PECOS PAC ID: 6305168493 Enrollment ID: I20170303000075 |
| Provider Name | Vidya Nadig |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1588817738 PECOS PAC ID: 9436471554 Enrollment ID: I20170320002555 |
| Provider Name | April A Bontempo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427599349 PECOS PAC ID: 9739465436 Enrollment ID: I20170412001019 |
| Provider Name | Chelsey Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649711631 PECOS PAC ID: 0749567782 Enrollment ID: I20170501001282 |
| Provider Name | Nishant D Merchant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609035021 PECOS PAC ID: 9335369412 Enrollment ID: I20170530001491 |
| Provider Name | Ruibo Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841600376 PECOS PAC ID: 5799053146 Enrollment ID: I20170608000586 |
| Provider Name | Stefan Kachala |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538329578 PECOS PAC ID: 0143598219 Enrollment ID: I20170613002292 |
| Provider Name | Carissa Webster Lake |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134448269 PECOS PAC ID: 9830467935 Enrollment ID: I20170614000363 |
| Provider Name | Ruth Boadu Odoi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518387570 PECOS PAC ID: 6305114067 Enrollment ID: I20170621001804 |
| Provider Name | Elizabeth T Sweeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952756140 PECOS PAC ID: 0345519781 Enrollment ID: I20170628002741 |
| Provider Name | Cory A Guenette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801206081 PECOS PAC ID: 5698093797 Enrollment ID: I20170711000356 |
| Provider Name | Mario Caro Sabogal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679846109 PECOS PAC ID: 1557663895 Enrollment ID: I20170713001585 |
| Provider Name | Christofer John Fort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366856817 PECOS PAC ID: 8123312600 Enrollment ID: I20170713001663 |
| Provider Name | Roshni Narayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154741148 PECOS PAC ID: 7214153055 Enrollment ID: I20170801000480 |
| Provider Name | Kamyar Nabegh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215376694 PECOS PAC ID: 5193010601 Enrollment ID: I20170801000488 |
| Provider Name | Orett S Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972919587 PECOS PAC ID: 7911203013 Enrollment ID: I20170801003464 |
| Provider Name | Tamara T Myers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568627529 PECOS PAC ID: 8123260908 Enrollment ID: I20170803000214 |
| Provider Name | Brian Sebastian Wojeck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033554555 PECOS PAC ID: 8729208053 Enrollment ID: I20170809002675 |
| Provider Name | Sarah Brooke Fleisig |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275827941 PECOS PAC ID: 8921379827 Enrollment ID: I20170811000629 |
| Provider Name | Daniela La Rosa Karanda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558730630 PECOS PAC ID: 3072813500 Enrollment ID: I20170824001157 |
| Provider Name | Sara D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427587179 PECOS PAC ID: 4880966977 Enrollment ID: I20170824001712 |
| Provider Name | Ahmad Daher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285925016 PECOS PAC ID: 9436421484 Enrollment ID: I20170825000792 |
| Provider Name | Michael Marchetti |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1316384613 PECOS PAC ID: 7214253459 Enrollment ID: I20170906002116 |
| Provider Name | Aimee C Eaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068387 PECOS PAC ID: 2062786510 Enrollment ID: I20170921001473 |
| Provider Name | David W Yaffee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1306010517 PECOS PAC ID: 9537433925 Enrollment ID: I20170925000226 |
| Provider Name | Surayda J Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497169700 PECOS PAC ID: 9335368083 Enrollment ID: I20170925002162 |
| Provider Name | Himanshu Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689089146 PECOS PAC ID: 0941520522 Enrollment ID: I20171010000168 |
| Provider Name | Kerry-ann Alecia Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912424359 PECOS PAC ID: 9931475928 Enrollment ID: I20171018002670 |
| Provider Name | Sarah Bussolari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851819601 PECOS PAC ID: 4981970746 Enrollment ID: I20171023000785 |
| Provider Name | Anthonette Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528583176 PECOS PAC ID: 3274809918 Enrollment ID: I20171024002101 |
| Provider Name | Beata T Kubacka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962929752 PECOS PAC ID: 3971879461 Enrollment ID: I20171028000270 |
| Provider Name | Kristen J Fontaine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992220925 PECOS PAC ID: 0941566152 Enrollment ID: I20171103001494 |
| Provider Name | Regina K Stuart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114907029 PECOS PAC ID: 0547203705 Enrollment ID: I20171106000903 |
| Provider Name | Karen L Medin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881837169 PECOS PAC ID: 3072738707 Enrollment ID: I20171108001382 |
| Provider Name | Elizabeth A Calderoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790202463 PECOS PAC ID: 2365708153 Enrollment ID: I20171110001657 |
| Provider Name | Gaurav Rana |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811128739 PECOS PAC ID: 9436464021 Enrollment ID: I20171116002270 |
| Provider Name | Sara Cathleen Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043738768 PECOS PAC ID: 6406113448 Enrollment ID: I20171130000563 |
| Provider Name | Kelly M Thibodeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992216121 PECOS PAC ID: 5597023887 Enrollment ID: I20171214000564 |
| Provider Name | Crista C Prates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023531571 PECOS PAC ID: 7618235920 Enrollment ID: I20171214001202 |
| Provider Name | Emily A Mackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215454863 PECOS PAC ID: 6103184395 Enrollment ID: I20171215002058 |
| Provider Name | Mark J Alberts |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992795140 PECOS PAC ID: 9234269549 Enrollment ID: I20171218000574 |
| Provider Name | Rachel Hoffman Whelen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598286502 PECOS PAC ID: 4880952993 Enrollment ID: I20171219002335 |
| Provider Name | Meghan Philips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538687884 PECOS PAC ID: 6406114313 Enrollment ID: I20171226001569 |
| Provider Name | James A Arcoleo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407885676 PECOS PAC ID: 5294779146 Enrollment ID: I20180125001129 |
| Provider Name | Ian D Schein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386663243 PECOS PAC ID: 3971542267 Enrollment ID: I20180130002613 |
| Provider Name | Jessica Shippee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013440973 PECOS PAC ID: 0143598813 Enrollment ID: I20180213000153 |
| Provider Name | Shalabh Chandra |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1144343708 PECOS PAC ID: 0042357428 Enrollment ID: I20180222000345 |
| Provider Name | Ali Haider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962665265 PECOS PAC ID: 2961654827 Enrollment ID: I20180228000048 |
| Provider Name | Jessica L Prisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407300593 PECOS PAC ID: 7810258258 Enrollment ID: I20180228001736 |
| Provider Name | Danielle M Marinucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639515463 PECOS PAC ID: 2860753076 Enrollment ID: I20180305001509 |
| Provider Name | Mary C Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447767868 PECOS PAC ID: 0143582973 Enrollment ID: I20180315000187 |
| Provider Name | Laurie Giemza |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013417849 PECOS PAC ID: 3274896063 Enrollment ID: I20180409000914 |
| Provider Name | Kendall A Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326587775 PECOS PAC ID: 2668735192 Enrollment ID: I20180417000170 |
| Provider Name | Evette N James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467682633 PECOS PAC ID: 0345562880 Enrollment ID: I20180418002066 |
| Provider Name | Khalilah Dann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558522300 PECOS PAC ID: 2860662541 Enrollment ID: I20180419001503 |
| Provider Name | Emily S Lynch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801257266 PECOS PAC ID: 7719263334 Enrollment ID: I20180426001256 |
| Provider Name | Leslie Billington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912409236 PECOS PAC ID: 3072877976 Enrollment ID: I20180501000084 |
| Provider Name | Daryl D Mcclendon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568795359 PECOS PAC ID: 8729126099 Enrollment ID: I20180502001833 |
| Provider Name | Sherifa Bello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720599541 PECOS PAC ID: 1456615806 Enrollment ID: I20180510001704 |
| Provider Name | Darcey R Cusano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114414547 PECOS PAC ID: 9739443946 Enrollment ID: I20180515002370 |
| Provider Name | Rohit Ramachandran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659753747 PECOS PAC ID: 8921362146 Enrollment ID: I20180515002829 |
| Provider Name | Hnin Hnin Oo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184008021 PECOS PAC ID: 6901160142 Enrollment ID: I20180516000143 |
| Provider Name | John James Griffith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578805164 PECOS PAC ID: 5496010563 Enrollment ID: I20180521002984 |
| Provider Name | Mamta Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891031522 PECOS PAC ID: 0244542066 Enrollment ID: I20180522002127 |
| Provider Name | Emily D Rakaczki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689954034 PECOS PAC ID: 4688895139 Enrollment ID: I20180522002240 |
| Provider Name | Mehak Gandhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902286867 PECOS PAC ID: 8022311851 Enrollment ID: I20180522002971 |
| Provider Name | Laura Celeste Black |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124388129 PECOS PAC ID: 2062639743 Enrollment ID: I20180530000503 |
| Provider Name | Beenish Noor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073860169 PECOS PAC ID: 6103181870 Enrollment ID: I20180530000509 |
| Provider Name | Edward Gifford |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942515408 PECOS PAC ID: 6507090032 Enrollment ID: I20180614002107 |
| Provider Name | Michael J Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487626214 PECOS PAC ID: 1254318363 Enrollment ID: I20180614002514 |
| Provider Name | Priya Narwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093145781 PECOS PAC ID: 8426351966 Enrollment ID: I20180712000664 |
| Provider Name | John E Zawidniak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932544749 PECOS PAC ID: 5395064315 Enrollment ID: I20180717000383 |
| Provider Name | Melissa Boisjoli Langlois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467835785 PECOS PAC ID: 2466766043 Enrollment ID: I20180719002098 |
| Provider Name | Oscar Kenneth Serrano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003960626 PECOS PAC ID: 8325220718 Enrollment ID: I20180730002283 |
| Provider Name | Thayer A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477052157 PECOS PAC ID: 1557610482 Enrollment ID: I20180824002571 |
| Provider Name | Lia S Jamian |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659712099 PECOS PAC ID: 6002131307 Enrollment ID: I20180827000535 |
| Provider Name | Jeffrey G Kegel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619919313 PECOS PAC ID: 2163593260 Enrollment ID: I20180828002368 |
| Provider Name | Siena Giordano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124506043 PECOS PAC ID: 0840540316 Enrollment ID: I20180904001431 |
| Provider Name | Bryan J Piccirillo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134449606 PECOS PAC ID: 2769614510 Enrollment ID: I20180904001965 |
| Provider Name | Brian Wong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336588482 PECOS PAC ID: 0941427512 Enrollment ID: I20180905002554 |
| Provider Name | Daniel S Daman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801022355 PECOS PAC ID: 8628373362 Enrollment ID: I20180911002226 |
| Provider Name | Alfred J Croteau |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194024380 PECOS PAC ID: 6103129432 Enrollment ID: I20180911003489 |
| Provider Name | Adriana Shea Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073006581 PECOS PAC ID: 5092065987 Enrollment ID: I20180914001159 |
| Provider Name | David Paul Blake |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063484210 PECOS PAC ID: 4082769393 Enrollment ID: I20180925001675 |
| Provider Name | Timothy W Chapados |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295112761 PECOS PAC ID: 1951601780 Enrollment ID: I20180927002682 |
| Provider Name | Christian Daniel Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225423924 PECOS PAC ID: 8123327186 Enrollment ID: I20180928000510 |
| Provider Name | Courtney M Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205212800 PECOS PAC ID: 5092022855 Enrollment ID: I20180928000879 |
| Provider Name | April M Duckworth |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295147940 PECOS PAC ID: 0345592234 Enrollment ID: I20181003002350 |
| Provider Name | John Lapadula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811203342 PECOS PAC ID: 0042445405 Enrollment ID: I20181008002914 |
| Provider Name | Maram Khalifa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528441169 PECOS PAC ID: 7517219777 Enrollment ID: I20181016003656 |
| Provider Name | Jamie Elizabeth Charron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720569379 PECOS PAC ID: 4981956158 Enrollment ID: I20181017000063 |
| Provider Name | Suchita M Kumar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376830091 PECOS PAC ID: 0840437620 Enrollment ID: I20181029001456 |
| Provider Name | Stephanie Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467946152 PECOS PAC ID: 4789937194 Enrollment ID: I20181101002377 |
| Provider Name | Jennifer Marie Zanchi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023590320 PECOS PAC ID: 6204180946 Enrollment ID: I20181115000042 |
| Provider Name | Kateryna Bertuch |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811239817 PECOS PAC ID: 0648582486 Enrollment ID: I20181115000633 |
| Provider Name | Isaac Okyere Ampofo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538640420 PECOS PAC ID: 9436403953 Enrollment ID: I20181119001801 |
| Provider Name | Sarah Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790297240 PECOS PAC ID: 7618221151 Enrollment ID: I20181119002747 |
| Provider Name | Jonathan I Telsey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992868434 PECOS PAC ID: 7315917234 Enrollment ID: I20181120000861 |
| Provider Name | Talal Kaiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518354489 PECOS PAC ID: 1557673969 Enrollment ID: I20181120003019 |
| Provider Name | Rachel M Chiulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871940205 PECOS PAC ID: 8022392661 Enrollment ID: I20181128001113 |
| Provider Name | Ryan P Keenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447739859 PECOS PAC ID: 1254675291 Enrollment ID: I20181203002361 |
| Provider Name | Jonathan Eldor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558620328 PECOS PAC ID: 9739453986 Enrollment ID: I20181212000377 |
| Provider Name | Carrie B Carsello |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1184880171 PECOS PAC ID: 8224208566 Enrollment ID: I20190111000644 |
| Provider Name | Mohamad A Abdelazeez Khaled |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285825604 PECOS PAC ID: 3577793744 Enrollment ID: I20190122001300 |
| Provider Name | Jennifer Barnhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316429905 PECOS PAC ID: 2466799044 Enrollment ID: I20190122001346 |
| Provider Name | Brittany Lee Besse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891265518 PECOS PAC ID: 3375880271 Enrollment ID: I20190131000688 |
| Provider Name | Tran Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770054595 PECOS PAC ID: 7719226570 Enrollment ID: I20190222001662 |
| Provider Name | Mark J Hornyak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124226394 PECOS PAC ID: 8527150390 Enrollment ID: I20190307001035 |
| Provider Name | Koral Z Ben-simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174080477 PECOS PAC ID: 9335489947 Enrollment ID: I20190319000400 |
| Provider Name | Andaleeb Shariff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245795673 PECOS PAC ID: 8729328026 Enrollment ID: I20190325000812 |
| Provider Name | Catherine Gormley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467916700 PECOS PAC ID: 0840531471 Enrollment ID: I20190409002172 |
| Provider Name | Sara Kurker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043775778 PECOS PAC ID: 4880936780 Enrollment ID: I20190424002614 |
| Provider Name | Juliana Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346721768 PECOS PAC ID: 8022356989 Enrollment ID: I20190513001140 |
| Provider Name | Anna L Pilzek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083811186 PECOS PAC ID: 4981823994 Enrollment ID: I20190628001388 |
| Provider Name | Taslima A Shaikh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902217870 PECOS PAC ID: 7719245182 Enrollment ID: I20190724002119 |
| Provider Name | Michael Moriarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881075372 PECOS PAC ID: 5294081626 Enrollment ID: I20190730003863 |
| Provider Name | Sajidmahmad Saeed Bhamji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902268675 PECOS PAC ID: 0042548109 Enrollment ID: I20190827003597 |
| Provider Name | Laura Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215387493 PECOS PAC ID: 0446530414 Enrollment ID: I20190904000781 |
| Provider Name | Lindsay Ann Bliss |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144512740 PECOS PAC ID: 3678886694 Enrollment ID: I20190913002913 |
| Provider Name | Natasha Bajwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396199527 PECOS PAC ID: 9931430022 Enrollment ID: I20191003001129 |
| Provider Name | Kefah Raed A Al-ramahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235493008 PECOS PAC ID: 5193034833 Enrollment ID: I20191010002139 |
| Provider Name | Jason Mark Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326497876 PECOS PAC ID: 0648566588 Enrollment ID: I20191111000094 |
| Provider Name | Ashley E Sanchez Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457779175 PECOS PAC ID: 5193027209 Enrollment ID: I20191111002723 |
| Provider Name | Elizabeth Pelletier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174166987 PECOS PAC ID: 8224460951 Enrollment ID: I20191118001350 |
| Provider Name | Elizabeth Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073051827 PECOS PAC ID: 9133406713 Enrollment ID: I20200501001304 |
| Provider Name | Gregory Haman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033590773 PECOS PAC ID: 2961702964 Enrollment ID: I20200508001093 |
| Provider Name | Job Sandoval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790815157 PECOS PAC ID: 3476538497 Enrollment ID: I20200519000478 |
| Provider Name | Florence Jaffa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407267214 PECOS PAC ID: 8022235274 Enrollment ID: I20200629002370 |
| Provider Name | Peter Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346694353 PECOS PAC ID: 1658794227 Enrollment ID: I20200715000949 |
| Provider Name | Nabeel Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124680269 PECOS PAC ID: 7719214378 Enrollment ID: I20200804003238 |
| Provider Name | Kalyan Pundla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306137435 PECOS PAC ID: 8325218415 Enrollment ID: I20200805001316 |
| Provider Name | Stephanie Noel Morton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093236390 PECOS PAC ID: 1557786613 Enrollment ID: I20200806000661 |
| Provider Name | Elizabeth Detweiler Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902420466 PECOS PAC ID: 6709204993 Enrollment ID: I20200921002228 |
| Provider Name | Isma Mian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588197230 PECOS PAC ID: 3476825522 Enrollment ID: I20200923002015 |
| Provider Name | Awais Ibad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770017089 PECOS PAC ID: 5092087668 Enrollment ID: I20201002001450 |
| Provider Name | Jessica Macrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033309588 PECOS PAC ID: 7416096631 Enrollment ID: I20201008000920 |
| Provider Name | Grace Cha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083068522 PECOS PAC ID: 4880984483 Enrollment ID: I20201013003022 |
| Provider Name | Ahmed Toheed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679181887 PECOS PAC ID: 5092126243 Enrollment ID: I20201119002952 |
| Provider Name | Kristin Holly Van Horn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326546839 PECOS PAC ID: 5193136984 Enrollment ID: I20201130002529 |
| Provider Name | Patti Mugo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013272988 PECOS PAC ID: 4385968932 Enrollment ID: I20201215001438 |
| Provider Name | Kristen Daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679134662 PECOS PAC ID: 4981016656 Enrollment ID: I20201222001978 |
| Provider Name | Drew Lynne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801236047 PECOS PAC ID: 3072891324 Enrollment ID: I20210114001848 |
| Provider Name | Gerishma Haman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992287510 PECOS PAC ID: 2860734837 Enrollment ID: I20210211001446 |
| Provider Name | Martha Burke O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770566689 PECOS PAC ID: 5597170142 Enrollment ID: I20210212001795 |
| Provider Name | Judith Ukabam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306370010 PECOS PAC ID: 2163846726 Enrollment ID: I20210331001574 |
| Provider Name | Julia Reis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093390833 PECOS PAC ID: 4183031412 Enrollment ID: I20210401001169 |
| Provider Name | Erika Hyman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164011243 PECOS PAC ID: 8224447412 Enrollment ID: I20210428002628 |
| Provider Name | Mary Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851773865 PECOS PAC ID: 1355656919 Enrollment ID: I20210503002085 |
| Provider Name | Danielle Langer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043822794 PECOS PAC ID: 9335549732 Enrollment ID: I20210607000732 |
| Provider Name | Jessica Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134619414 PECOS PAC ID: 3375943376 Enrollment ID: I20210614000691 |
| Provider Name | Jordan Borgman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649775883 PECOS PAC ID: 0749539484 Enrollment ID: I20210623002919 |
| Provider Name | Ardit Shehu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750887121 PECOS PAC ID: 5799187118 Enrollment ID: I20210708000264 |
| Provider Name | Sara Sahl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538694567 PECOS PAC ID: 7719395748 Enrollment ID: I20210712003234 |
| Provider Name | Varshitha Prakash Rao Thanikonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841789203 PECOS PAC ID: 8022365832 Enrollment ID: I20210730001887 |
| Provider Name | Kristine Faulknham Birdsall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245761642 PECOS PAC ID: 0244502680 Enrollment ID: I20210831000542 |
| Provider Name | Wei Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568994432 PECOS PAC ID: 7113261355 Enrollment ID: I20210901001277 |
| Provider Name | Arooba Almas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831694553 PECOS PAC ID: 7012313687 Enrollment ID: I20210907002137 |
| Provider Name | Arit E Esu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225533649 PECOS PAC ID: 2365840014 Enrollment ID: I20211011000089 |
| Provider Name | Erica J Bencivenga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851912299 PECOS PAC ID: 7012330590 Enrollment ID: I20211014001421 |
| Provider Name | Stephen Ward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518035468 PECOS PAC ID: 0143369546 Enrollment ID: I20211029001657 |
| Provider Name | Garrett Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174149462 PECOS PAC ID: 3274922125 Enrollment ID: I20211115000805 |
| Provider Name | Amy Elizabeth Deluca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952888398 PECOS PAC ID: 6406109552 Enrollment ID: I20220303002286 |
| Provider Name | Aymi Serena Bennhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720279318 PECOS PAC ID: 2961899786 Enrollment ID: I20220426002252 |
| Provider Name | Francisco Jose Reis Ferreira De Lima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922669894 PECOS PAC ID: 7618204066 Enrollment ID: I20220527000945 |
| Provider Name | Ana Paula Pinto Copetti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932769379 PECOS PAC ID: 1254668486 Enrollment ID: I20220601001534 |
| Provider Name | Margo Sardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073799417 PECOS PAC ID: 9537354832 Enrollment ID: I20220618000186 |
| Provider Name | Karl Genovese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396275244 PECOS PAC ID: 1355766882 Enrollment ID: I20220718003571 |
| Provider Name | Bukola Lola Oni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629531090 PECOS PAC ID: 3173906773 Enrollment ID: I20220815001979 |
| Provider Name | Brittany Andreoli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841750346 PECOS PAC ID: 1153663414 Enrollment ID: I20220818003275 |
| Provider Name | Maria Raajpoot |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881190932 PECOS PAC ID: 0244614212 Enrollment ID: I20220825002033 |
| Provider Name | Cassandra Muxen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346744513 PECOS PAC ID: 3476806191 Enrollment ID: I20220831002106 |
| Provider Name | Samantha Doucette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821735382 PECOS PAC ID: 0345625240 Enrollment ID: I20220913002574 |
| Provider Name | Crystal Souza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467826693 PECOS PAC ID: 2668776766 Enrollment ID: I20220923002792 |
| Provider Name | Adelina Nicole Jakuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427795970 PECOS PAC ID: 2567848989 Enrollment ID: I20221007000956 |
| Provider Name | Linda Ann Jaffa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770044992 PECOS PAC ID: 7315279486 Enrollment ID: I20221025003236 |
| Provider Name | Erin Lawlor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437610854 PECOS PAC ID: 4688904006 Enrollment ID: I20221103001828 |
| Provider Name | Polina Verbitsky-havasov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053078386 PECOS PAC ID: 4880086131 Enrollment ID: I20221111000148 |
| Provider Name | Ashita Mittal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033776380 PECOS PAC ID: 3173956794 Enrollment ID: I20221115003017 |
| Provider Name | Allison Dutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427791334 PECOS PAC ID: 7911376645 Enrollment ID: I20221219002606 |
| Provider Name | Helen V Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427320712 PECOS PAC ID: 2062882368 Enrollment ID: I20230103000762 |
| Provider Name | Catherine Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720579840 PECOS PAC ID: 1153686472 Enrollment ID: I20230104001004 |
| Provider Name | Omowumi Funmilola Olarinmoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285194084 PECOS PAC ID: 0547626939 Enrollment ID: I20230509001835 |
| Provider Name | Paul Mcfarlane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356969653 PECOS PAC ID: 1951725134 Enrollment ID: I20230515002351 |
| Provider Name | Pallavi Lakra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083228134 PECOS PAC ID: 1052777117 Enrollment ID: I20230515002498 |
| Provider Name | Shorya Bector |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417572082 PECOS PAC ID: 0941667299 Enrollment ID: I20230601001880 |
| Provider Name | Andres Makarem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831327964 PECOS PAC ID: 5193981611 Enrollment ID: I20230620001326 |
| Provider Name | Raashi Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528624079 PECOS PAC ID: 3577949635 Enrollment ID: I20230807001029 |
| Provider Name | Courtney A Pinto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962169342 PECOS PAC ID: 3678964335 Enrollment ID: I20230911004040 |
| Provider Name | Cristina Calin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811093255 PECOS PAC ID: 6901807395 Enrollment ID: I20230918003185 |
| Provider Name | Darnika Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659667335 PECOS PAC ID: 5890005193 Enrollment ID: I20230921001274 |
| Provider Name | Jaimee Taylor Dizenzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942983960 PECOS PAC ID: 9537513486 Enrollment ID: I20230926001659 |
| Provider Name | Gabriella Sandra Beaulieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740967876 PECOS PAC ID: 9830543735 Enrollment ID: I20230926003855 |
| Provider Name | Laura Gioiella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609864933 PECOS PAC ID: 8022049816 Enrollment ID: I20230928001542 |
| Provider Name | Alison Carini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104480821 PECOS PAC ID: 7911230297 Enrollment ID: I20230929002112 |
| Provider Name | Erin Kolcharno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518651280 PECOS PAC ID: 0345694956 Enrollment ID: I20231002000895 |
| Provider Name | Ashley Lynn Portal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205613650 PECOS PAC ID: 2163877481 Enrollment ID: I20231006000226 |
| Provider Name | Jennifer Avedisian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245478999 PECOS PAC ID: 7315130242 Enrollment ID: I20231104000618 |
| Provider Name | Deborah Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518341205 PECOS PAC ID: 2264732007 Enrollment ID: I20231211001171 |
| Provider Name | Daniella Ashley Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215713888 PECOS PAC ID: 7517319601 Enrollment ID: I20240112004019 |
| Provider Name | Junelle Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427765791 PECOS PAC ID: 6103279690 Enrollment ID: I20240131004276 |
| Provider Name | Gray Mccaffery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992580294 PECOS PAC ID: 2961846175 Enrollment ID: I20240215002684 |
| Provider Name | Vickie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417975590 PECOS PAC ID: 6204834625 Enrollment ID: I20240219001284 |
| Provider Name | Brenda B Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457366742 PECOS PAC ID: 0042658361 Enrollment ID: I20240405001623 |
| Provider Name | Param Dave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578182960 PECOS PAC ID: 8426411141 Enrollment ID: I20240529001884 |
| Provider Name | Farrah El Khatib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801425764 PECOS PAC ID: 5395114508 Enrollment ID: I20240622000392 |
| Provider Name | Francis Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205413952 PECOS PAC ID: 0446795751 Enrollment ID: I20240711000472 |
| Provider Name | Grace Katherine Milone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831946482 PECOS PAC ID: 6305383134 Enrollment ID: I20240730000993 |
| Provider Name | Amanda Jankowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114557287 PECOS PAC ID: 1254725955 Enrollment ID: I20240801001103 |
| Provider Name | Mary Wattick Sutterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487402301 PECOS PAC ID: 4082152848 Enrollment ID: I20240813000101 |
| Provider Name | Aislinn Anne Macmaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144077116 PECOS PAC ID: 7214475615 Enrollment ID: I20240816000631 |
| Provider Name | Gian Grant-mcgarvey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023696184 PECOS PAC ID: 2163960303 Enrollment ID: I20240819002464 |
| Provider Name | Rhoda Asimeng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033679295 PECOS PAC ID: 7911235304 Enrollment ID: I20240822000479 |
| Provider Name | Anna-maria Alvares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164201760 PECOS PAC ID: 0648719278 Enrollment ID: I20240828000234 |
| Provider Name | Etny Candelario |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568084150 PECOS PAC ID: 4981086162 Enrollment ID: I20240904001976 |
| Provider Name | Gemstonn Boniface Alegre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699355776 PECOS PAC ID: 5193265569 Enrollment ID: I20240912000005 |
| Provider Name | Talia Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770163149 PECOS PAC ID: 6204238793 Enrollment ID: I20240917000217 |
| Provider Name | Aubrey B Chow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538747506 PECOS PAC ID: 6709317977 Enrollment ID: I20240930002263 |
| Provider Name | Sarah Rasool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124688148 PECOS PAC ID: 8921530775 Enrollment ID: I20241017001906 |
| Provider Name | Olayinka Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306294699 PECOS PAC ID: 6103110812 Enrollment ID: I20241017001938 |
| Provider Name | Xi Teng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619407780 PECOS PAC ID: 7719252675 Enrollment ID: I20241017002978 |
| Provider Name | Alexandra Coyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760148621 PECOS PAC ID: 3678941002 Enrollment ID: I20241022000166 |
| Provider Name | Evelyn Quist |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730747841 PECOS PAC ID: 9436505856 Enrollment ID: I20241031000482 |
| Provider Name | Ingrid E Desroches |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235516360 PECOS PAC ID: 8224403738 Enrollment ID: I20250110001163 |
| Provider Name | Rachel Elyse Wallach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497336580 PECOS PAC ID: 4486183241 Enrollment ID: I20250123000475 |
| Provider Name | Theresa Meotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558859132 PECOS PAC ID: 6901142876 Enrollment ID: I20250227003556 |
Christy Lee Knowles, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 Silas Deane Hwy, 3rd Floor, Wethersfield, CT 06109 Phone: 860-280-4008 | |
Center For Multicultural Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Silas Deane Hwy, Suite 402, Wethersfield, CT 06109 Phone: 860-721-0606 Fax: 860-721-0202 | |
Santuary Ministries, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 943 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-655-8858 | |
Victor Tirado Md Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 929 Silas Deane Hwy, 2nd Floor West, Wethersfield, CT 06109 Phone: 860-372-4731 Fax: 860-372-4730 | |
Montalvo Stewart Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-571-0055 Fax: 860-571-8466 | |
Headspace Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Silas Deane Hwy, Wethersfield, CT 06109 Phone: 860-837-0300 Fax: 860-540-1069 |