| Hni Medical Services Of Florida, Llc | |
|
1 Shircliff Way Jacksonville FL 32204-4748 | |
| (512) 730-3060 | |
| (888) 730-1925 |
| Full Name | Hni Medical Services Of Florida, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Shircliff Way, Jacksonville, Florida |
| Authorized Official Name and Position | Twyla Fuertes (VICE PRESIDENT) |
| Authorized Official Contact | 5126365247 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hni Medical Services Of Florida, Llc 7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 Ph: (512) 730-3060 | Hni Medical Services Of Florida, Llc 1 Shircliff Way Jacksonville FL 32204-4748 Ph: (512) 730-3060 |
| NPI Number | 1679048284 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 08/24/2023 |
| Certification Date | 08/24/2023 |
| Medicare PECOS PAC ID | 7517202112 |
|---|---|
| Medicare Enrollment ID | O20190102000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679048284 | NPI | - | NPPES |
| Provider Name | Frances Michelle Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225251978 PECOS PAC ID: 6002718145 Enrollment ID: I20040121000295 |
| Provider Name | Mat M Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962470054 PECOS PAC ID: 8527961176 Enrollment ID: I20040130000203 |
| Provider Name | Sara Ann Rushing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295793586 PECOS PAC ID: 8820981780 Enrollment ID: I20040204000771 |
| Provider Name | Amber L Isley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952386724 PECOS PAC ID: 8325935927 Enrollment ID: I20040228000481 |
| Provider Name | Socrates Perez-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215911011 PECOS PAC ID: 9638060049 Enrollment ID: I20040324000394 |
| Provider Name | Michelle Marie Sanborn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891933792 PECOS PAC ID: 9032101985 Enrollment ID: I20040331001083 |
| Provider Name | Guido Nodal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427064435 PECOS PAC ID: 7911999404 Enrollment ID: I20040402000684 |
| Provider Name | James C Donato |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063496156 PECOS PAC ID: 5092709550 Enrollment ID: I20040408001319 |
| Provider Name | Lori Ann Nikolic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740255579 PECOS PAC ID: 4183606114 Enrollment ID: I20040603000873 |
| Provider Name | Binh Quoc Doan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023020856 PECOS PAC ID: 6305822784 Enrollment ID: I20040626000050 |
| Provider Name | Amparo Benitez-broome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447352174 PECOS PAC ID: 0042287880 Enrollment ID: I20040913000366 |
| Provider Name | Shirley Govender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225095649 PECOS PAC ID: 7113987660 Enrollment ID: I20041019000184 |
| Provider Name | Sunil Pandya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811921729 PECOS PAC ID: 8729049556 Enrollment ID: I20041025000401 |
| Provider Name | Jean F Rodney |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861400343 PECOS PAC ID: 5193788834 Enrollment ID: I20041104000528 |
| Provider Name | Alyson L Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689683575 PECOS PAC ID: 1355305087 Enrollment ID: I20041112000910 |
| Provider Name | Shashi Chetan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417980434 PECOS PAC ID: 9436121456 Enrollment ID: I20041203000198 |
| Provider Name | Mohamed K Kassem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528027356 PECOS PAC ID: 9234195801 Enrollment ID: I20041206000424 |
| Provider Name | Jerilee Emma Lomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093889529 PECOS PAC ID: 9032176565 Enrollment ID: I20041216000608 |
| Provider Name | Natali V Rolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275524654 PECOS PAC ID: 9830141787 Enrollment ID: I20050218000387 |
| Provider Name | Muhammed Mustafa Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356326995 PECOS PAC ID: 2769434539 Enrollment ID: I20050221000343 |
| Provider Name | Krishna Uppu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265567325 PECOS PAC ID: 1052365608 Enrollment ID: I20050308000340 |
| Provider Name | Marie-france Scherer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194726802 PECOS PAC ID: 6608778733 Enrollment ID: I20050312000025 |
| Provider Name | Robert D Mehrberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659334050 PECOS PAC ID: 6800841156 Enrollment ID: I20050318000732 |
| Provider Name | Nagamanikkam Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871585521 PECOS PAC ID: 6305892274 Enrollment ID: I20050323001047 |
| Provider Name | Enrique Yambao Galura |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134332034 PECOS PAC ID: 8921055542 Enrollment ID: I20050407000144 |
| Provider Name | Ella Varney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205821691 PECOS PAC ID: 1951330935 Enrollment ID: I20050810000396 |
| Provider Name | Mohamed Elsayed Ahmed Shaalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235103912 PECOS PAC ID: 8426020371 Enrollment ID: I20050824000145 |
| Provider Name | Sriramulu Aprameya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104830959 PECOS PAC ID: 5890729727 Enrollment ID: I20050921000116 |
| Provider Name | Roberto C Jo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629042403 PECOS PAC ID: 2365476090 Enrollment ID: I20050922000495 |
| Provider Name | Julia Cosma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194711515 PECOS PAC ID: 0749207991 Enrollment ID: I20051027000762 |
| Provider Name | Susan Kathryn Saulsbery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750307179 PECOS PAC ID: 4486619095 Enrollment ID: I20060306000249 |
| Provider Name | Amalia V Gozum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215941539 PECOS PAC ID: 5294731394 Enrollment ID: I20061012000570 |
| Provider Name | Gustavo Adolfo Jurado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356441661 PECOS PAC ID: 5294734992 Enrollment ID: I20061206000431 |
| Provider Name | Stephanie Salas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154332765 PECOS PAC ID: 9032102769 Enrollment ID: I20070207000424 |
| Provider Name | Khalid Sabha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902911068 PECOS PAC ID: 2668575325 Enrollment ID: I20070317000016 |
| Provider Name | Kelly W Segars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477677276 PECOS PAC ID: 3971608886 Enrollment ID: I20070423000229 |
| Provider Name | Dilip Purohit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205871308 PECOS PAC ID: 3072611581 Enrollment ID: I20070607000133 |
| Provider Name | Rebecca H Andrew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760596647 PECOS PAC ID: 8426940743 Enrollment ID: I20070614000730 |
| Provider Name | Nayyer Iqbal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437291994 PECOS PAC ID: 6901997204 Enrollment ID: I20070731000639 |
| Provider Name | Melanie D Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245456946 PECOS PAC ID: 9032201322 Enrollment ID: I20070816000153 |
| Provider Name | Courtney S Reidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316916265 PECOS PAC ID: 4486670486 Enrollment ID: I20071215000156 |
| Provider Name | John S Yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225094071 PECOS PAC ID: 5395763767 Enrollment ID: I20080109000423 |
| Provider Name | Abdel Azim Bayoumy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942402243 PECOS PAC ID: 4183706609 Enrollment ID: I20080123000449 |
| Provider Name | John A Gardner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760440275 PECOS PAC ID: 2567540255 Enrollment ID: I20080422000100 |
| Provider Name | Wael Farid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720205511 PECOS PAC ID: 1355434630 Enrollment ID: I20080609000122 |
| Provider Name | Emily Lazarou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174537195 PECOS PAC ID: 7315019502 Enrollment ID: I20080703000180 |
| Provider Name | Richard L Gushwa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265604656 PECOS PAC ID: 1052484110 Enrollment ID: I20080722000787 |
| Provider Name | Elizabeth Wonpat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952503369 PECOS PAC ID: 5698875698 Enrollment ID: I20080819000195 |
| Provider Name | Germina R Rio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356350235 PECOS PAC ID: 0749357762 Enrollment ID: I20080917000304 |
| Provider Name | Viral N Acharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639331176 PECOS PAC ID: 6002975729 Enrollment ID: I20081110000281 |
| Provider Name | Mark A Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255540035 PECOS PAC ID: 4486715828 Enrollment ID: I20081204000228 |
| Provider Name | Jean Rony Rony Jean Mary |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346317088 PECOS PAC ID: 5193815488 Enrollment ID: I20090107000623 |
| Provider Name | Aiham Al Ashhab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548433949 PECOS PAC ID: 0042374001 Enrollment ID: I20090205000598 |
| Provider Name | William Richard Porter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073569141 PECOS PAC ID: 4082670740 Enrollment ID: I20090224000380 |
| Provider Name | Tana S Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992953863 PECOS PAC ID: 1557427986 Enrollment ID: I20090310000072 |
| Provider Name | Felix C Nwokolo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053504589 PECOS PAC ID: 9830276591 Enrollment ID: I20090427000219 |
| Provider Name | Mario A Pulido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366602336 PECOS PAC ID: 3274681820 Enrollment ID: I20090508000190 |
| Provider Name | Min Kyung Zimilevich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750529525 PECOS PAC ID: 5193879104 Enrollment ID: I20090810000553 |
| Provider Name | Gregory Romaniuk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144246729 PECOS PAC ID: 9335293265 Enrollment ID: I20090812000338 |
| Provider Name | Christopher J Henry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346326980 PECOS PAC ID: 1850374034 Enrollment ID: I20090812000486 |
| Provider Name | Philip J Paustian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215946850 PECOS PAC ID: 8921007907 Enrollment ID: I20091014000776 |
| Provider Name | Kandi A Kinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578795365 PECOS PAC ID: 7214074970 Enrollment ID: I20091028000839 |
| Provider Name | Tifinni Marie Romero |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497950794 PECOS PAC ID: 9032257332 Enrollment ID: I20091106000158 |
| Provider Name | Tanya Renee Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407998909 PECOS PAC ID: 2365580552 Enrollment ID: I20091109000344 |
| Provider Name | Scott Hof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881818037 PECOS PAC ID: 9133267131 Enrollment ID: I20091111000764 |
| Provider Name | Lazo S Pipovski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124010319 PECOS PAC ID: 0446223960 Enrollment ID: I20100222000664 |
| Provider Name | Zaheer Aslam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609950468 PECOS PAC ID: 2961305297 Enrollment ID: I20100414000813 |
| Provider Name | Eugene Harrell Mccoskey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053330787 PECOS PAC ID: 0345377719 Enrollment ID: I20100416000615 |
| Provider Name | Gasim Elshazali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922128339 PECOS PAC ID: 3274661889 Enrollment ID: I20100430000741 |
| Provider Name | Stephen T Mears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043535396 PECOS PAC ID: 2668501503 Enrollment ID: I20100602000452 |
| Provider Name | Christen F Mahoney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912229113 PECOS PAC ID: 3577695584 Enrollment ID: I20100709000288 |
| Provider Name | Rania Abdel-rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013059211 PECOS PAC ID: 9830280478 Enrollment ID: I20100913000832 |
| Provider Name | Fadi R Chalhoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568451557 PECOS PAC ID: 8527183474 Enrollment ID: I20100915000489 |
| Provider Name | Susan Howard Culverhouse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790979813 PECOS PAC ID: 0648462978 Enrollment ID: I20101005001098 |
| Provider Name | Edward Jack Yazigi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285835868 PECOS PAC ID: 7517159403 Enrollment ID: I20101011000741 |
| Provider Name | Gerson Rodriguez Baez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912213133 PECOS PAC ID: 2264624832 Enrollment ID: I20101014000725 |
| Provider Name | Dalia Elramady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174719322 PECOS PAC ID: 9537352711 Enrollment ID: I20101020000559 |
| Provider Name | Kristine L Vallrugo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619037348 PECOS PAC ID: 9739115684 Enrollment ID: I20101103001193 |
| Provider Name | Jaime Lynn Sather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538477369 PECOS PAC ID: 9234324591 Enrollment ID: I20101111001169 |
| Provider Name | Dean Post |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629270632 PECOS PAC ID: 3072601186 Enrollment ID: I20101129000987 |
| Provider Name | Miriam E Abreu- Ruiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740472695 PECOS PAC ID: 8921294075 Enrollment ID: I20101201000390 |
| Provider Name | Vikti A Gosalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952537680 PECOS PAC ID: 2567518962 Enrollment ID: I20101213000282 |
| Provider Name | Sophia March |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588990634 PECOS PAC ID: 8426230020 Enrollment ID: I20110302000952 |
| Provider Name | Catherine Clorice Paradiso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790089035 PECOS PAC ID: 7911181169 Enrollment ID: I20110412000772 |
| Provider Name | Jitendra U Mehta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659359222 PECOS PAC ID: 8527244375 Enrollment ID: I20110512000637 |
| Provider Name | James R Thress |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255341996 PECOS PAC ID: 9931158656 Enrollment ID: I20110608000073 |
| Provider Name | Max O Solano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962494542 PECOS PAC ID: 3577740703 Enrollment ID: I20110615000530 |
| Provider Name | Murshid A Al-awady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992719702 PECOS PAC ID: 2365471059 Enrollment ID: I20110623000345 |
| Provider Name | Amy L Grobstick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881995140 PECOS PAC ID: 6305024019 Enrollment ID: I20110629000001 |
| Provider Name | Justin R Federico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538327952 PECOS PAC ID: 0840478475 Enrollment ID: I20110629000404 |
| Provider Name | Isaac G Isaac |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063681773 PECOS PAC ID: 2860670478 Enrollment ID: I20110630000420 |
| Provider Name | Mihir R Faldu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033371273 PECOS PAC ID: 5799953998 Enrollment ID: I20110713000754 |
| Provider Name | Gnaneswara Midathala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750393237 PECOS PAC ID: 1052392826 Enrollment ID: I20110715000611 |
| Provider Name | Abdul Rasheed Asharaf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841224169 PECOS PAC ID: 2163429267 Enrollment ID: I20110803000602 |
| Provider Name | Caitlin G Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689994865 PECOS PAC ID: 0840460341 Enrollment ID: I20110818000686 |
| Provider Name | John Randall Finch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740249028 PECOS PAC ID: 6507832367 Enrollment ID: I20110830000666 |
| Provider Name | Terance L Lamb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790751204 PECOS PAC ID: 3173597374 Enrollment ID: I20110922000145 |
| Provider Name | Patricia L Barrozo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801174263 PECOS PAC ID: 1658542659 Enrollment ID: I20110923000257 |
| Provider Name | Cedric Emden Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20110929000686 |
| Provider Name | Zelia Yanique Archibald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023279098 PECOS PAC ID: 6608049408 Enrollment ID: I20111021000434 |
| Provider Name | Suzanne Bell Brulte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619918042 PECOS PAC ID: 3870766215 Enrollment ID: I20111101000284 |
| Provider Name | Silvia Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740447358 PECOS PAC ID: 4486726445 Enrollment ID: I20111101000325 |
| Provider Name | Jan K Michelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225312309 PECOS PAC ID: 7719151794 Enrollment ID: I20111201000509 |
| Provider Name | Jonatan D. Valdez Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336111533 PECOS PAC ID: 5890730816 Enrollment ID: I20111215000282 |
| Provider Name | Damian Mcgovern |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881893220 PECOS PAC ID: 2163516089 Enrollment ID: I20120119000310 |
| Provider Name | Raghava R Vadde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285932079 PECOS PAC ID: 2860669470 Enrollment ID: I20120123000769 |
| Provider Name | Juan D Pulido |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336293620 PECOS PAC ID: 4183884364 Enrollment ID: I20120326000455 |
| Provider Name | Chinenye Ezedike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437319159 PECOS PAC ID: 1658533476 Enrollment ID: I20120424000221 |
| Provider Name | Paul H Wurst |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366448615 PECOS PAC ID: 0840297966 Enrollment ID: I20120524000291 |
| Provider Name | Anugya Poudel Chataut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215244108 PECOS PAC ID: 7618131475 Enrollment ID: I20120607000591 |
| Provider Name | Cristian O Landa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417181249 PECOS PAC ID: 2769646066 Enrollment ID: I20120618000675 |
| Provider Name | Dimitry Olivier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619246568 PECOS PAC ID: 5092961383 Enrollment ID: I20120801000623 |
| Provider Name | Christina Miki Araya Osorio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710188453 PECOS PAC ID: 0143372144 Enrollment ID: I20120813000093 |
| Provider Name | Marla M Trapp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760746408 PECOS PAC ID: 5890941389 Enrollment ID: I20120816000560 |
| Provider Name | John Patrick Peters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275765950 PECOS PAC ID: 8325296361 Enrollment ID: I20120917000088 |
| Provider Name | Rosemary O Odocha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396902821 PECOS PAC ID: 7416106018 Enrollment ID: I20120925000397 |
| Provider Name | Lydia T Van |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326277369 PECOS PAC ID: 5991954224 Enrollment ID: I20121002000596 |
| Provider Name | Francois R. Roche |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760795108 PECOS PAC ID: 1557485877 Enrollment ID: I20121012000506 |
| Provider Name | Belinda L Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134450620 PECOS PAC ID: 0042460867 Enrollment ID: I20121101000039 |
| Provider Name | Mizyl Frances Damayo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518057264 PECOS PAC ID: 3072614452 Enrollment ID: I20121113000270 |
| Provider Name | Rajesh Mali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083877575 PECOS PAC ID: 3375667462 Enrollment ID: I20130123000057 |
| Provider Name | Naji Nouneh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699708222 PECOS PAC ID: 1052395787 Enrollment ID: I20130501000353 |
| Provider Name | Reuben Tovar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174567705 PECOS PAC ID: 3577653534 Enrollment ID: I20130501000475 |
| Provider Name | Brent Hazen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558591891 PECOS PAC ID: 3072752625 Enrollment ID: I20130612000277 |
| Provider Name | Lyntressa Danielle Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083955793 PECOS PAC ID: 3375784911 Enrollment ID: I20130724000965 |
| Provider Name | Desiree B Touvoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578816435 PECOS PAC ID: 9638310170 Enrollment ID: I20130726000238 |
| Provider Name | Aravind Babu Kadiyala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437461282 PECOS PAC ID: 6507009610 Enrollment ID: I20130821000223 |
| Provider Name | Mithun B Pattathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538488895 PECOS PAC ID: 7911141874 Enrollment ID: I20130913000625 |
| Provider Name | Andres Montanez- Flores |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902039530 PECOS PAC ID: 3173772761 Enrollment ID: I20130918000299 |
| Provider Name | Shirlette D Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760784656 PECOS PAC ID: 7618113846 Enrollment ID: I20130923000304 |
| Provider Name | Huan Y Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386957405 PECOS PAC ID: 7911131719 Enrollment ID: I20131010000754 |
| Provider Name | Lacee S Helms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043645773 PECOS PAC ID: 0345476339 Enrollment ID: I20131121001387 |
| Provider Name | Victoria L Mccullers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003258591 PECOS PAC ID: 9739315656 Enrollment ID: I20131126000220 |
| Provider Name | Affiong Nsunwara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922310457 PECOS PAC ID: 9436386810 Enrollment ID: I20131210000471 |
| Provider Name | Victor D Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861622060 PECOS PAC ID: 8527297381 Enrollment ID: I20140128000725 |
| Provider Name | James E Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992728927 PECOS PAC ID: 9638140973 Enrollment ID: I20140210001142 |
| Provider Name | Lacey Dupuis Deneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659700284 PECOS PAC ID: 1456581875 Enrollment ID: I20140305000673 |
| Provider Name | Michael E Hudack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174712145 PECOS PAC ID: 2860635927 Enrollment ID: I20140408000371 |
| Provider Name | Kirsten Hofheimer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134550254 PECOS PAC ID: 6103059159 Enrollment ID: I20140429000947 |
| Provider Name | Barbara A Mcmains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538482260 PECOS PAC ID: 3476683442 Enrollment ID: I20140505002000 |
| Provider Name | Katherine M Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184991739 PECOS PAC ID: 6103079959 Enrollment ID: I20140520000477 |
| Provider Name | Michael Damato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407270788 PECOS PAC ID: 0749403368 Enrollment ID: I20140528001519 |
| Provider Name | Marius Laurinaitis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639174212 PECOS PAC ID: 2163439431 Enrollment ID: I20140715001732 |
| Provider Name | Omar Abumahfouz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356621858 PECOS PAC ID: 8921224445 Enrollment ID: I20140718000799 |
| Provider Name | Cletus Tanwi Moma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982998373 PECOS PAC ID: 0042446353 Enrollment ID: I20140811002599 |
| Provider Name | Michael Ednie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023321072 PECOS PAC ID: 6002042660 Enrollment ID: I20140812001395 |
| Provider Name | Decica R Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437567419 PECOS PAC ID: 7911126537 Enrollment ID: I20140915000463 |
| Provider Name | Anthony Roosevelt Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093002768 PECOS PAC ID: 7517186695 Enrollment ID: I20140923000998 |
| Provider Name | Paul K Phillips |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427051937 PECOS PAC ID: 8921070558 Enrollment ID: I20140925000792 |
| Provider Name | Claire M Verna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376830984 PECOS PAC ID: 8325206659 Enrollment ID: I20141009002232 |
| Provider Name | Clodualdo Dean Gamez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568432292 PECOS PAC ID: 5496658155 Enrollment ID: I20141015000362 |
| Provider Name | Mohammad R Ayoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982988440 PECOS PAC ID: 5698996551 Enrollment ID: I20141020000525 |
| Provider Name | Cara Leigh Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811232309 PECOS PAC ID: 4284856469 Enrollment ID: I20141107000466 |
| Provider Name | Whitney Leuenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912318460 PECOS PAC ID: 6305068834 Enrollment ID: I20141117001030 |
| Provider Name | Vikram Behera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134337892 PECOS PAC ID: 5799841391 Enrollment ID: I20141210000350 |
| Provider Name | Taher M Saghir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790930998 PECOS PAC ID: 1951570183 Enrollment ID: I20141218000554 |
| Provider Name | Kenneth Wetcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487606547 PECOS PAC ID: 2668405853 Enrollment ID: I20150120001014 |
| Provider Name | Teresa Dawn Summers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992026751 PECOS PAC ID: 8527206564 Enrollment ID: I20150213000793 |
| Provider Name | Haley J Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043623275 PECOS PAC ID: 2961727730 Enrollment ID: I20150219001394 |
| Provider Name | Gary Fischer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053427690 PECOS PAC ID: 6103846282 Enrollment ID: I20150305001601 |
| Provider Name | Julian T Sison |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831524339 PECOS PAC ID: 3577882208 Enrollment ID: I20150501000206 |
| Provider Name | Naseem Suleman Paruk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255624490 PECOS PAC ID: 6103055876 Enrollment ID: I20150516000074 |
| Provider Name | Happy Sadiek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518212547 PECOS PAC ID: 5193045318 Enrollment ID: I20150528002454 |
| Provider Name | Vishal C Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255542262 PECOS PAC ID: 3072656933 Enrollment ID: I20150606000100 |
| Provider Name | Keisha R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902291263 PECOS PAC ID: 5991026346 Enrollment ID: I20150610001568 |
| Provider Name | Jun Yoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477815165 PECOS PAC ID: 0345551784 Enrollment ID: I20150625001801 |
| Provider Name | Benise Artus Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265827430 PECOS PAC ID: 4183936461 Enrollment ID: I20150629002084 |
| Provider Name | Christina Feola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497154785 PECOS PAC ID: 0840502001 Enrollment ID: I20150701001550 |
| Provider Name | Willy Philias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720336373 PECOS PAC ID: 7214249929 Enrollment ID: I20150716003136 |
| Provider Name | Treva Latresse Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134488851 PECOS PAC ID: 4587808597 Enrollment ID: I20150722004100 |
| Provider Name | Eunice N Binyanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780074682 PECOS PAC ID: 9739493982 Enrollment ID: I20150731015082 |
| Provider Name | David Anthony Koutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891176384 PECOS PAC ID: 8820303613 Enrollment ID: I20150824001440 |
| Provider Name | Julie A German |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508246406 PECOS PAC ID: 3779897269 Enrollment ID: I20150917001325 |
| Provider Name | Leor Azoulay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588922249 PECOS PAC ID: 3971745274 Enrollment ID: I20150923000648 |
| Provider Name | Taiwen Chen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629062385 PECOS PAC ID: 9133193246 Enrollment ID: I20151001003138 |
| Provider Name | Alysha Lynn Bredemus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104187194 PECOS PAC ID: 6103134663 Enrollment ID: I20151001003148 |
| Provider Name | Welena Qazizada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366702318 PECOS PAC ID: 5395053821 Enrollment ID: I20151002002288 |
| Provider Name | Eric P Waddington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457665093 PECOS PAC ID: 6002050226 Enrollment ID: I20151005002755 |
| Provider Name | Cynthia Rizk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043577414 PECOS PAC ID: 2567770761 Enrollment ID: I20151008001529 |
| Provider Name | Pallavi Sindhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467766006 PECOS PAC ID: 2062656093 Enrollment ID: I20151008002771 |
| Provider Name | Colleen A Gross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164807582 PECOS PAC ID: 2769791862 Enrollment ID: I20151012000568 |
| Provider Name | Vinay M Wayal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669732442 PECOS PAC ID: 8527377548 Enrollment ID: I20151014000971 |
| Provider Name | Ruth Wyckoff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992904833 PECOS PAC ID: 1456548270 Enrollment ID: I20151029002590 |
| Provider Name | Doris A Koduah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275592735 PECOS PAC ID: 8921995044 Enrollment ID: I20151105001723 |
| Provider Name | James D Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841660347 PECOS PAC ID: 4486964798 Enrollment ID: I20151116002612 |
| Provider Name | Clayton Aaron Charles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083974679 PECOS PAC ID: 6204145246 Enrollment ID: I20151201000939 |
| Provider Name | Hany Farag |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538362066 PECOS PAC ID: 8426100074 Enrollment ID: I20151202002861 |
| Provider Name | Srivani Sanikommu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609175454 PECOS PAC ID: 8729217278 Enrollment ID: I20160125001467 |
| Provider Name | Shamira S. Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215395033 PECOS PAC ID: 6608171079 Enrollment ID: I20160223000737 |
| Provider Name | Carrie Ann Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730554494 PECOS PAC ID: 8325340490 Enrollment ID: I20160226000530 |
| Provider Name | Pragneshkumar P Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104141423 PECOS PAC ID: 5294959045 Enrollment ID: I20160502000495 |
| Provider Name | Gary S Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811930266 PECOS PAC ID: 9133027584 Enrollment ID: I20160502000753 |
| Provider Name | Dena Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083657498 PECOS PAC ID: 5294633632 Enrollment ID: I20160502000955 |
| Provider Name | Kristal J Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447618764 PECOS PAC ID: 5991094211 Enrollment ID: I20160510000769 |
| Provider Name | Olfa Najar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619099959 PECOS PAC ID: 4789776634 Enrollment ID: I20160616000109 |
| Provider Name | Michael K Leveille |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730521147 PECOS PAC ID: 9436442860 Enrollment ID: I20160722001757 |
| Provider Name | Helen S Kirkendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154779098 PECOS PAC ID: 5294028346 Enrollment ID: I20160727000238 |
| Provider Name | Maulik C Govani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932540820 PECOS PAC ID: 7315230299 Enrollment ID: I20160729001728 |
| Provider Name | Ayham Chamseddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932135324 PECOS PAC ID: 5991718785 Enrollment ID: I20160729002046 |
| Provider Name | Michael A Mccullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578531513 PECOS PAC ID: 7113993627 Enrollment ID: I20160822002719 |
| Provider Name | Angeline S Rubasingham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417323791 PECOS PAC ID: 8628364825 Enrollment ID: I20160915000214 |
| Provider Name | Aniece Thermidor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770920191 PECOS PAC ID: 2365738473 Enrollment ID: I20160915000605 |
| Provider Name | Bandish Chudasama |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952741829 PECOS PAC ID: 8921395062 Enrollment ID: I20160917000063 |
| Provider Name | Jessica Fonseca El-bahri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093140592 PECOS PAC ID: 2365739919 Enrollment ID: I20160924000371 |
| Provider Name | Sonya Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316390230 PECOS PAC ID: 0840587135 Enrollment ID: I20160930000572 |
| Provider Name | Xiomara Velazco-vazquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801080346 PECOS PAC ID: 2062546898 Enrollment ID: I20161005000945 |
| Provider Name | Meredith M Brainard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912455981 PECOS PAC ID: 0840578597 Enrollment ID: I20161031002047 |
| Provider Name | Victor O Macias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093095929 PECOS PAC ID: 3274781737 Enrollment ID: I20161101000616 |
| Provider Name | Malhar Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942690193 PECOS PAC ID: 3779862891 Enrollment ID: I20161114000773 |
| Provider Name | Osama Elhilali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780023788 PECOS PAC ID: 7618256587 Enrollment ID: I20161116002318 |
| Provider Name | Paola M Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295169837 PECOS PAC ID: 3476832288 Enrollment ID: I20161118001792 |
| Provider Name | Ali Saharkhiz-langroodi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881806545 PECOS PAC ID: 8921106105 Enrollment ID: I20161128002292 |
| Provider Name | Nina Jordania |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164428074 PECOS PAC ID: 8224003108 Enrollment ID: I20161202000278 |
| Provider Name | Wallace Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831490432 PECOS PAC ID: 1052607108 Enrollment ID: I20161229000763 |
| Provider Name | Sura Jermanus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053755785 PECOS PAC ID: 6507171873 Enrollment ID: I20170103000128 |
| Provider Name | Carneisha Latoya Myles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427590470 PECOS PAC ID: 1759663156 Enrollment ID: I20170119001699 |
| Provider Name | Timothy Ehiabor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720246622 PECOS PAC ID: 8325216807 Enrollment ID: I20170130000827 |
| Provider Name | Allen S Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265738637 PECOS PAC ID: 1052557162 Enrollment ID: I20170220000054 |
| Provider Name | Rafael J Rolon Rivera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233661 PECOS PAC ID: 1456570738 Enrollment ID: I20170221000837 |
| Provider Name | Mahendra R Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710318472 PECOS PAC ID: 5496988388 Enrollment ID: I20170225000038 |
| Provider Name | Andrea Susan Walborn Haynie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932370723 PECOS PAC ID: 2668604802 Enrollment ID: I20170228000034 |
| Provider Name | Samual Sauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023019536 PECOS PAC ID: 7113201625 Enrollment ID: I20170301000910 |
| Provider Name | Svetlana Zoueva |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992998009 PECOS PAC ID: 1052571619 Enrollment ID: I20170309000362 |
| Provider Name | Sahab O Sadic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427477439 PECOS PAC ID: 0143504191 Enrollment ID: I20170313000035 |
| Provider Name | Samina Zaidi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154385391 PECOS PAC ID: 4385769769 Enrollment ID: I20170313000375 |
| Provider Name | David Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578903654 PECOS PAC ID: 4880978840 Enrollment ID: I20170313000387 |
| Provider Name | Arsalan Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366673667 PECOS PAC ID: 3072733823 Enrollment ID: I20170412001803 |
| Provider Name | David Jalal El Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750794699 PECOS PAC ID: 6305124058 Enrollment ID: I20170425002512 |
| Provider Name | Samuel S Elias-ausi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639432156 PECOS PAC ID: 5092031377 Enrollment ID: I20170426000514 |
| Provider Name | Amanda Dora Torrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083150817 PECOS PAC ID: 2961789078 Enrollment ID: I20170427000886 |
| Provider Name | Denise Amanda Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750823225 PECOS PAC ID: 3870860828 Enrollment ID: I20170524000164 |
| Provider Name | Hiba T. Ghani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508144171 PECOS PAC ID: 8325278385 Enrollment ID: I20170525002740 |
| Provider Name | Gravil Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164960720 PECOS PAC ID: 3870860398 Enrollment ID: I20170603000156 |
| Provider Name | Leonie A Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568994564 PECOS PAC ID: 8224070198 Enrollment ID: I20170609002293 |
| Provider Name | Gregory Wilkerson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699171538 PECOS PAC ID: 9638448053 Enrollment ID: I20170628001584 |
| Provider Name | Steven L Singer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639212913 PECOS PAC ID: 8224000872 Enrollment ID: I20170708000306 |
| Provider Name | Larry Jordan Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851830558 PECOS PAC ID: 4789953423 Enrollment ID: I20170712000087 |
| Provider Name | Tiffany L James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093245185 PECOS PAC ID: 2860762945 Enrollment ID: I20170721002978 |
| Provider Name | Marian A Babalola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083026207 PECOS PAC ID: 9537385406 Enrollment ID: I20170726001969 |
| Provider Name | Sajeena Mathai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013453166 PECOS PAC ID: 8426329095 Enrollment ID: I20170801002080 |
| Provider Name | Abdalagani A Baher |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740206937 PECOS PAC ID: 0042312571 Enrollment ID: I20170809001787 |
| Provider Name | Marjan Rabbani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245650548 PECOS PAC ID: 6002037413 Enrollment ID: I20170815000394 |
| Provider Name | Amreeta Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578882585 PECOS PAC ID: 8820229008 Enrollment ID: I20170818002921 |
| Provider Name | Austin Christopher Stokes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790198000 PECOS PAC ID: 4688946783 Enrollment ID: I20170824001809 |
| Provider Name | Matthew P Rossmann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215375423 PECOS PAC ID: 6002132636 Enrollment ID: I20170829002881 |
| Provider Name | Dipali Kinesh Changela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811393143 PECOS PAC ID: 0840562385 Enrollment ID: I20170913001610 |
| Provider Name | Catherine Kerns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801324645 PECOS PAC ID: 6507130432 Enrollment ID: I20170915002605 |
| Provider Name | Charles Christian Kohnken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306399027 PECOS PAC ID: 2961799192 Enrollment ID: I20170927000150 |
| Provider Name | Shanisha Alonna Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376084434 PECOS PAC ID: 1456625516 Enrollment ID: I20170928000725 |
| Provider Name | Katherine A Jewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336673003 PECOS PAC ID: 2264707173 Enrollment ID: I20171003005743 |
| Provider Name | Ryan Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493867 PECOS PAC ID: 8921373168 Enrollment ID: I20171013001566 |
| Provider Name | Raef Madanieh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831471499 PECOS PAC ID: 4486971355 Enrollment ID: I20171014000168 |
| Provider Name | Jordan Lee Godbey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689092330 PECOS PAC ID: 8527334747 Enrollment ID: I20171016002173 |
| Provider Name | Nader Daoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336529817 PECOS PAC ID: 5991071128 Enrollment ID: I20171016002634 |
| Provider Name | Ljubomir Ilic |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750348843 PECOS PAC ID: 7113020439 Enrollment ID: I20171017002332 |
| Provider Name | Alicia M Deboe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417475369 PECOS PAC ID: 9830465947 Enrollment ID: I20171017002818 |
| Provider Name | Frederic Faugue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316312051 PECOS PAC ID: 5294001897 Enrollment ID: I20171026001789 |
| Provider Name | Robert Gregory Penrod |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205241833 PECOS PAC ID: 0244458164 Enrollment ID: I20171101001694 |
| Provider Name | Abigail K Fleischman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164931242 PECOS PAC ID: 7416213772 Enrollment ID: I20171102002053 |
| Provider Name | Megha Oberoi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104231372 PECOS PAC ID: 2668738923 Enrollment ID: I20171102002220 |
| Provider Name | Shaunetra Toler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225576499 PECOS PAC ID: 3274899489 Enrollment ID: I20171103001225 |
| Provider Name | Patrick Harry Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124538764 PECOS PAC ID: 3577829613 Enrollment ID: I20171107000437 |
| Provider Name | Edward Orshansky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285054460 PECOS PAC ID: 8820218548 Enrollment ID: I20171120003394 |
| Provider Name | Iren Marie Ortiz Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295140846 PECOS PAC ID: 7012274038 Enrollment ID: I20171129003483 |
| Provider Name | Vinay Garlapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508271206 PECOS PAC ID: 5294092771 Enrollment ID: I20171208001976 |
| Provider Name | Albert C Flowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558656264 PECOS PAC ID: 6204073711 Enrollment ID: I20171209000302 |
| Provider Name | Shannon Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245759778 PECOS PAC ID: 7214295286 Enrollment ID: I20171220002313 |
| Provider Name | Rudra Beharrysingh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366726077 PECOS PAC ID: 0749405801 Enrollment ID: I20180129002364 |
| Provider Name | Oanh Tran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952676108 PECOS PAC ID: 2264715192 Enrollment ID: I20180215001210 |
| Provider Name | Ashley R O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649786179 PECOS PAC ID: 0547521221 Enrollment ID: I20180220001580 |
| Provider Name | Gabriel Rivera Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043727563 PECOS PAC ID: 4183986565 Enrollment ID: I20180322002735 |
| Provider Name | Gregory Saint-fort |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316358419 PECOS PAC ID: 2062776297 Enrollment ID: I20180515003115 |
| Provider Name | Justin D Hutto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508370230 PECOS PAC ID: 4284999053 Enrollment ID: I20180525001407 |
| Provider Name | Megan D Borden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790284602 PECOS PAC ID: 1951666528 Enrollment ID: I20180531002605 |
| Provider Name | Morgan L Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205340726 PECOS PAC ID: 6901161512 Enrollment ID: I20180601001349 |
| Provider Name | Chaquanta Enjoli Eberheart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013410844 PECOS PAC ID: 8729333059 Enrollment ID: I20180608002328 |
| Provider Name | Kristin Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215391610 PECOS PAC ID: 3678859816 Enrollment ID: I20180612003277 |
| Provider Name | Asaf Aleem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851371405 PECOS PAC ID: 2365426269 Enrollment ID: I20180625000319 |
| Provider Name | Millely J Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831689678 PECOS PAC ID: 0749535136 Enrollment ID: I20180627000040 |
| Provider Name | Max Audran Belot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912449695 PECOS PAC ID: 5193074516 Enrollment ID: I20180817003037 |
| Provider Name | Tanisha Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124526025 PECOS PAC ID: 3173872918 Enrollment ID: I20180828000477 |
| Provider Name | Layla Kawaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306229059 PECOS PAC ID: 9032469705 Enrollment ID: I20180830002673 |
| Provider Name | Neonila Zhukivskyy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275914269 PECOS PAC ID: 7911257506 Enrollment ID: I20180830003708 |
| Provider Name | Ashish D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851779565 PECOS PAC ID: 0648520270 Enrollment ID: I20180831002134 |
| Provider Name | Clorinda Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861980724 PECOS PAC ID: 5395095558 Enrollment ID: I20180910000758 |
| Provider Name | Linh Phuong T Dinh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083068175 PECOS PAC ID: 6800146093 Enrollment ID: I20180910001864 |
| Provider Name | Kimberly Danielle Abdelkader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609262062 PECOS PAC ID: 3678823887 Enrollment ID: I20180910002542 |
| Provider Name | Shreyas Sureshbhai Mistry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447558614 PECOS PAC ID: 1557502184 Enrollment ID: I20180911003512 |
| Provider Name | Cinderella Aquino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730528613 PECOS PAC ID: 4688816440 Enrollment ID: I20180920002955 |
| Provider Name | Jose A Villamil |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619208543 PECOS PAC ID: 8628211216 Enrollment ID: I20180921002574 |
| Provider Name | Julio M Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174919898 PECOS PAC ID: 8426300567 Enrollment ID: I20181017003127 |
| Provider Name | Francis P Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174944805 PECOS PAC ID: 0446538409 Enrollment ID: I20181018000246 |
| Provider Name | Samantha Ann Lance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407374077 PECOS PAC ID: 3476807694 Enrollment ID: I20181106002943 |
| Provider Name | Tamara L Matty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457803371 PECOS PAC ID: 5294089306 Enrollment ID: I20181108000116 |
| Provider Name | Patricia Jean Pamas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104313469 PECOS PAC ID: 7113278276 Enrollment ID: I20181109002289 |
| Provider Name | Indhira Almonte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912164781 PECOS PAC ID: 4688860042 Enrollment ID: I20181112000251 |
| Provider Name | Leon Rosenkranz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033114483 PECOS PAC ID: 4183749682 Enrollment ID: I20181112001018 |
| Provider Name | Samantha Joan Bethel-ellison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275950297 PECOS PAC ID: 6507135290 Enrollment ID: I20181119000751 |
| Provider Name | Natalia Saunders-roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063858249 PECOS PAC ID: 5092069393 Enrollment ID: I20181126000587 |
| Provider Name | Abednego F Chibungu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164739272 PECOS PAC ID: 3476722117 Enrollment ID: I20181204002516 |
| Provider Name | Liz Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831517085 PECOS PAC ID: 5597000810 Enrollment ID: I20181214000950 |
| Provider Name | Neri B Barnea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114950532 PECOS PAC ID: 1254527716 Enrollment ID: I20181219002258 |
| Provider Name | Hadi Keylani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477037166 PECOS PAC ID: 9335485887 Enrollment ID: I20190104000930 |
| Provider Name | Tavaris R Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609359868 PECOS PAC ID: 5496091720 Enrollment ID: I20190108001758 |
| Provider Name | Destinee Bertia Blei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346734324 PECOS PAC ID: 9032455126 Enrollment ID: I20190110001451 |
| Provider Name | Nader Ganim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972741056 PECOS PAC ID: 9133341902 Enrollment ID: I20190208002276 |
| Provider Name | Erin Fletcher Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285106344 PECOS PAC ID: 0042558488 Enrollment ID: I20190211002177 |
| Provider Name | Maurice Jeter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558543447 PECOS PAC ID: 8729151758 Enrollment ID: I20190220001839 |
| Provider Name | Jason Bernard Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023557386 PECOS PAC ID: 1153660931 Enrollment ID: I20190222002206 |
| Provider Name | Glodene S Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689160913 PECOS PAC ID: 1456690924 Enrollment ID: I20190227001413 |
| Provider Name | Telisa Nicole Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720494941 PECOS PAC ID: 1355681982 Enrollment ID: I20190319001234 |
| Provider Name | Rosa Daisy Maytin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972068708 PECOS PAC ID: 7416298872 Enrollment ID: I20190411001984 |
| Provider Name | Michael Trent Norman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215383542 PECOS PAC ID: 1355682543 Enrollment ID: I20190417000816 |
| Provider Name | Angie Leigh Nutial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750844783 PECOS PAC ID: 4789917048 Enrollment ID: I20190531001832 |
| Provider Name | John P Ebone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043674468 PECOS PAC ID: 2466720388 Enrollment ID: I20190708002091 |
| Provider Name | Brooks A Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205282688 PECOS PAC ID: 8022343623 Enrollment ID: I20190717003941 |
| Provider Name | William F Dewolf |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346405511 PECOS PAC ID: 5799831954 Enrollment ID: I20190723000608 |
| Provider Name | Jenny Hu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639531601 PECOS PAC ID: 5294095857 Enrollment ID: I20190725002549 |
| Provider Name | Anna Marie Mccarthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225491012 PECOS PAC ID: 2961798434 Enrollment ID: I20190726001472 |
| Provider Name | Shobana Iyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871955955 PECOS PAC ID: 2365778339 Enrollment ID: I20190729002696 |
| Provider Name | Mohammad A Awad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285081315 PECOS PAC ID: 3577858141 Enrollment ID: I20190731003855 |
| Provider Name | Jennifer Elaine Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518428291 PECOS PAC ID: 2365771771 Enrollment ID: I20190911000068 |
| Provider Name | Johnique Corta Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538519640 PECOS PAC ID: 7810277936 Enrollment ID: I20190911003373 |
| Provider Name | India Kenyonda Holloway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750721668 PECOS PAC ID: 5890084610 Enrollment ID: I20190926003094 |
| Provider Name | Barbara Parrott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336616325 PECOS PAC ID: 6507197530 Enrollment ID: I20191007000508 |
| Provider Name | Latangra Mcintosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831156298 PECOS PAC ID: 7719218643 Enrollment ID: I20191008001689 |
| Provider Name | Jose Enrique Bird-jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871979732 PECOS PAC ID: 3173854023 Enrollment ID: I20191008002682 |
| Provider Name | Roland-austin Federico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063875755 PECOS PAC ID: 3274811682 Enrollment ID: I20191014003157 |
| Provider Name | Kaushambi A Parghi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972989523 PECOS PAC ID: 3971892118 Enrollment ID: I20191017002712 |
| Provider Name | Andrew Rahaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992190664 PECOS PAC ID: 9032422647 Enrollment ID: I20191021000056 |
| Provider Name | Gloria P. Correa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265935498 PECOS PAC ID: 9436481603 Enrollment ID: I20191022001054 |
| Provider Name | Ann Imber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164837233 PECOS PAC ID: 3173814845 Enrollment ID: I20191101002323 |
| Provider Name | Lauren M Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750940268 PECOS PAC ID: 1759713860 Enrollment ID: I20191111002747 |
| Provider Name | Stacie Wenk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891761797 PECOS PAC ID: 6305898115 Enrollment ID: I20191115002860 |
| Provider Name | Josette Paul-dorestin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144864265 PECOS PAC ID: 6406280569 Enrollment ID: I20191223001938 |
| Provider Name | Rene Nicole Fisler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700399060 PECOS PAC ID: 1658631890 Enrollment ID: I20200214000146 |
| Provider Name | Freddy Desormeaux |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639246929 PECOS PAC ID: 7416119409 Enrollment ID: I20200313000139 |
| Provider Name | Falgun S Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164678843 PECOS PAC ID: 0446381909 Enrollment ID: I20200324001041 |
| Provider Name | Akinboyede Eniola Akinyemi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497149793 PECOS PAC ID: 0042503922 Enrollment ID: I20200408004199 |
| Provider Name | Gent Bitincka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992190631 PECOS PAC ID: 0042640054 Enrollment ID: I20200415000711 |
| Provider Name | Zalika Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457871378 PECOS PAC ID: 7719250778 Enrollment ID: I20200430001969 |
| Provider Name | Candra Gigliotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306358684 PECOS PAC ID: 5092076083 Enrollment ID: I20200506001619 |
| Provider Name | Shakila Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891339099 PECOS PAC ID: 8820429434 Enrollment ID: I20200515000618 |
| Provider Name | Romaine R Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922520535 PECOS PAC ID: 9830462860 Enrollment ID: I20200521002391 |
| Provider Name | Emily Gilbert |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649627928 PECOS PAC ID: 2062782345 Enrollment ID: I20200527001763 |
| Provider Name | Janet Marie Goodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114557162 PECOS PAC ID: 0547681009 Enrollment ID: I20200609001626 |
| Provider Name | Nancy Austin Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528693983 PECOS PAC ID: 8527480672 Enrollment ID: I20200619000017 |
| Provider Name | Diego Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548605751 PECOS PAC ID: 6507115326 Enrollment ID: I20200625000643 |
| Provider Name | Matthew Barros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164886735 PECOS PAC ID: 9830461318 Enrollment ID: I20200626002347 |
| Provider Name | Franklin Urion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902225303 PECOS PAC ID: 5092004606 Enrollment ID: I20200701000499 |
| Provider Name | Charmaine Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083870265 PECOS PAC ID: 1355572611 Enrollment ID: I20200706001764 |
| Provider Name | Charles Jospeh Blay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245761634 PECOS PAC ID: 4880967298 Enrollment ID: I20200708000146 |
| Provider Name | Wuju Dukja Chun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134105752 PECOS PAC ID: 6709833841 Enrollment ID: I20200721001137 |
| Provider Name | Ashley E Gaudet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487270427 PECOS PAC ID: 5092139816 Enrollment ID: I20200727000037 |
| Provider Name | Ricque Brister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932320389 PECOS PAC ID: 0143211375 Enrollment ID: I20200730000948 |
| Provider Name | Maureen Mansour |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801230644 PECOS PAC ID: 4789988098 Enrollment ID: I20200811000432 |
| Provider Name | Yogesh Jonnagadla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730535238 PECOS PAC ID: 4486947124 Enrollment ID: I20200811002412 |
| Provider Name | Blessing Anyaiwe Onyekachi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669021036 PECOS PAC ID: 7315363744 Enrollment ID: I20200817000983 |
| Provider Name | Quy Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871885194 PECOS PAC ID: 5698902567 Enrollment ID: I20200820000455 |
| Provider Name | Urvish Pradeepkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750791166 PECOS PAC ID: 2466718358 Enrollment ID: I20200826003695 |
| Provider Name | David T Blevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306479324 PECOS PAC ID: 2264859735 Enrollment ID: I20200828001001 |
| Provider Name | Yu-chun Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003442005 PECOS PAC ID: 9133546575 Enrollment ID: I20200831000609 |
| Provider Name | Annemarie Jin Boland |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265962443 PECOS PAC ID: 8022389675 Enrollment ID: I20200911000013 |
| Provider Name | Stacy Amanda Lindsey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922510544 PECOS PAC ID: 3173941598 Enrollment ID: I20200917001401 |
| Provider Name | Olta Plunkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629695002 PECOS PAC ID: 0749510030 Enrollment ID: I20200918000863 |
| Provider Name | Kevin Ruhland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871012484 PECOS PAC ID: 7618234360 Enrollment ID: I20201006000638 |
| Provider Name | Akram Shibani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477784247 PECOS PAC ID: 9335380773 Enrollment ID: I20201009000614 |
| Provider Name | Kathryn Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396245593 PECOS PAC ID: 3779845698 Enrollment ID: I20201012001834 |
| Provider Name | Kaitlyn Blais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659987212 PECOS PAC ID: 3779903497 Enrollment ID: I20201020000037 |
| Provider Name | Darlean L James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245717115 PECOS PAC ID: 6103164488 Enrollment ID: I20201027001123 |
| Provider Name | Rebecca Marie Deroche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538775366 PECOS PAC ID: 1254741093 Enrollment ID: I20201105000616 |
| Provider Name | Erica Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801204193 PECOS PAC ID: 5698097822 Enrollment ID: I20201111000667 |
| Provider Name | Swati Prasad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538471917 PECOS PAC ID: 5496994360 Enrollment ID: I20201113000085 |
| Provider Name | Shivam Dubey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073764577 PECOS PAC ID: 8325298755 Enrollment ID: I20201113000115 |
| Provider Name | Ifeoma Adazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902457971 PECOS PAC ID: 9436569860 Enrollment ID: I20201113000359 |
| Provider Name | Mary Joy Castro Whitmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467088724 PECOS PAC ID: 3173935152 Enrollment ID: I20201216000386 |
| Provider Name | Michael Rinow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619084654 PECOS PAC ID: 6002846664 Enrollment ID: I20201221001928 |
| Provider Name | Mazal Eduth-sorkin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528441060 PECOS PAC ID: 0042622755 Enrollment ID: I20201221002073 |
| Provider Name | Hetavi Mahida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700318391 PECOS PAC ID: 2365855343 Enrollment ID: I20210112002114 |
| Provider Name | Pauline Delinois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275183931 PECOS PAC ID: 1658785142 Enrollment ID: I20210125000800 |
| Provider Name | Jenna Elizabeth Almond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215400908 PECOS PAC ID: 3173937372 Enrollment ID: I20210129001467 |
| Provider Name | Katherine B Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275143760 PECOS PAC ID: 6901211689 Enrollment ID: I20210210000520 |
| Provider Name | Gaurav S Smart |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720512973 PECOS PAC ID: 0840605028 Enrollment ID: I20210222000458 |
| Provider Name | Damon Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629684170 PECOS PAC ID: 6901212109 Enrollment ID: I20210315000493 |
| Provider Name | Donovan Scott Stanchio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437740123 PECOS PAC ID: 2365858578 Enrollment ID: I20210315000924 |
| Provider Name | Rupinder Jeet S Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255576922 PECOS PAC ID: 5890832687 Enrollment ID: I20210323000166 |
| Provider Name | Denis D Asiimwe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1053746156 PECOS PAC ID: 4981999208 Enrollment ID: I20210330000623 |
| Provider Name | Israel Oloye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437641883 PECOS PAC ID: 7719215813 Enrollment ID: I20210330000626 |
| Provider Name | Raymond Dao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164988028 PECOS PAC ID: 2860809357 Enrollment ID: I20210330000769 |
| Provider Name | Jenna Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811572027 PECOS PAC ID: 0042628380 Enrollment ID: I20210426001951 |
| Provider Name | Rana S Balboul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265852479 PECOS PAC ID: 1355642919 Enrollment ID: I20210427003058 |
| Provider Name | Craig Jorden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184218695 PECOS PAC ID: 4789093964 Enrollment ID: I20210430000074 |
| Provider Name | Ryan David Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720584758 PECOS PAC ID: 8123372273 Enrollment ID: I20210513000337 |
| Provider Name | Reem Louli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275948978 PECOS PAC ID: 5991925448 Enrollment ID: I20210513002208 |
| Provider Name | Andres E Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346745312 PECOS PAC ID: 8224387121 Enrollment ID: I20210517000131 |
| Provider Name | Darina V Carcerano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902385008 PECOS PAC ID: 7416207568 Enrollment ID: I20210517001158 |
| Provider Name | George Nwadiaro |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063678878 PECOS PAC ID: 3274600788 Enrollment ID: I20210520001408 |
| Provider Name | Yves Chery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285904805 PECOS PAC ID: 6507090107 Enrollment ID: I20210525000271 |
| Provider Name | Maximilian R Beissel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225418205 PECOS PAC ID: 0749594851 Enrollment ID: I20210604001730 |
| Provider Name | Leaanne Griffis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649808197 PECOS PAC ID: 7315347705 Enrollment ID: I20210607000360 |
| Provider Name | Gustavo Arturo Avila Amat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437655131 PECOS PAC ID: 8628305182 Enrollment ID: I20210616000392 |
| Provider Name | Holly Denise Holley-harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750892444 PECOS PAC ID: 4385992395 Enrollment ID: I20210628000414 |
| Provider Name | Samantha Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326538083 PECOS PAC ID: 5395146914 Enrollment ID: I20210702000155 |
| Provider Name | Sugabramya Kuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669962189 PECOS PAC ID: 6901208180 Enrollment ID: I20210709002433 |
| Provider Name | Anthony Thomas Dupuy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538656822 PECOS PAC ID: 2365796380 Enrollment ID: I20210715002088 |
| Provider Name | Iryna Bets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710482161 PECOS PAC ID: 6901208610 Enrollment ID: I20210716000953 |
| Provider Name | Geoffrey Charles Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629645973 PECOS PAC ID: 9931502309 Enrollment ID: I20210722001156 |
| Provider Name | Mohamed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164928248 PECOS PAC ID: 0941555726 Enrollment ID: I20210722002375 |
| Provider Name | Kurt Christopher Wukitsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982991972 PECOS PAC ID: 3375891542 Enrollment ID: I20210813002642 |
| Provider Name | Candace Jenna Griffith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679064604 PECOS PAC ID: 1759785629 Enrollment ID: I20210814000194 |
| Provider Name | Osama Alhajjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801233077 PECOS PAC ID: 3274820766 Enrollment ID: I20210817000843 |
| Provider Name | Ramy Ibrahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497242085 PECOS PAC ID: 0749685451 Enrollment ID: I20210818002547 |
| Provider Name | Hinid Elomari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942733258 PECOS PAC ID: 8123395035 Enrollment ID: I20210823002214 |
| Provider Name | Dhara Raginkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780180026 PECOS PAC ID: 4082951496 Enrollment ID: I20210824000307 |
| Provider Name | Rebecca C Bradley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992209662 PECOS PAC ID: 5991100182 Enrollment ID: I20210826001316 |
| Provider Name | Nicholas Manuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275037939 PECOS PAC ID: 7810392933 Enrollment ID: I20210826002581 |
| Provider Name | Rafik Massouh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639274038 PECOS PAC ID: 8022092246 Enrollment ID: I20210830003199 |
| Provider Name | Dedra L Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073185070 PECOS PAC ID: 1052329943 Enrollment ID: I20210909000529 |
| Provider Name | Gabriel Sanchez Silva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184120537 PECOS PAC ID: 8628475266 Enrollment ID: I20210923001672 |
| Provider Name | Bridgette Denise Agee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194494351 PECOS PAC ID: 7315344538 Enrollment ID: I20210930000473 |
| Provider Name | Rukeme Ogaga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417449273 PECOS PAC ID: 4880091040 Enrollment ID: I20210930002290 |
| Provider Name | Jasmine A Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376213611 PECOS PAC ID: 9931507092 Enrollment ID: I20211005000974 |
| Provider Name | Tigist Ayehu Degu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578068318 PECOS PAC ID: 0345648838 Enrollment ID: I20211014000493 |
| Provider Name | Rose Carla Doldine Gaspard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477229151 PECOS PAC ID: 0143618371 Enrollment ID: I20211021000008 |
| Provider Name | Shameka Danielle King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093478331 PECOS PAC ID: 5799173795 Enrollment ID: I20211025001450 |
| Provider Name | Michael Briggs Archer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700413895 PECOS PAC ID: 8628408234 Enrollment ID: I20211111001180 |
| Provider Name | Laura Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972136737 PECOS PAC ID: 1355730003 Enrollment ID: I20211118000139 |
| Provider Name | Elaine Pinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447647862 PECOS PAC ID: 1456661172 Enrollment ID: I20211118001840 |
| Provider Name | Dianne Camille Kelly Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467919365 PECOS PAC ID: 8325371032 Enrollment ID: I20211123000646 |
| Provider Name | Winter Omega Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144897059 PECOS PAC ID: 7719377134 Enrollment ID: I20211129001657 |
| Provider Name | Ololade Babarinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225646813 PECOS PAC ID: 4587054887 Enrollment ID: I20211130002637 |
| Provider Name | George Bensabat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215252432 PECOS PAC ID: 3274774443 Enrollment ID: I20211201000496 |
| Provider Name | Sarah Elizabeth Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003578931 PECOS PAC ID: 2062727258 Enrollment ID: I20211201002244 |
| Provider Name | Jennifer Burkmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437437357 PECOS PAC ID: 4082834023 Enrollment ID: I20211210002499 |
| Provider Name | Samip Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194132126 PECOS PAC ID: 1355608662 Enrollment ID: I20211213001064 |
| Provider Name | Larisa Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144874801 PECOS PAC ID: 4486066586 Enrollment ID: I20211228000943 |
| Provider Name | George Yazji |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417417924 PECOS PAC ID: 7810225091 Enrollment ID: I20220209001462 |
| Provider Name | David Kaiser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083708564 PECOS PAC ID: 4284778853 Enrollment ID: I20220216001335 |
| Provider Name | Kimberly Nicole Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699426080 PECOS PAC ID: 5991190456 Enrollment ID: I20220318001544 |
| Provider Name | Sharlene Michelle Daley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669845889 PECOS PAC ID: 9830584192 Enrollment ID: I20220323001317 |
| Provider Name | Austin Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104498997 PECOS PAC ID: 0840686937 Enrollment ID: I20220329000883 |
| Provider Name | Austin Clay Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033864137 PECOS PAC ID: 2062809577 Enrollment ID: I20220503000223 |
| Provider Name | Orestes L Mederos Trujillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316456528 PECOS PAC ID: 0749514800 Enrollment ID: I20220527001663 |
| Provider Name | Michelle Ijaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134625312 PECOS PAC ID: 7113305327 Enrollment ID: I20220531001637 |
| Provider Name | Faryal J Mallick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962865097 PECOS PAC ID: 4587916408 Enrollment ID: I20220606001299 |
| Provider Name | Ronak K Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558822528 PECOS PAC ID: 2365772043 Enrollment ID: I20220608003151 |
| Provider Name | Djephlie Calixte Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972167716 PECOS PAC ID: 8628457884 Enrollment ID: I20220617000445 |
| Provider Name | Kellee Lorraine Randle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932449055 PECOS PAC ID: 1850533274 Enrollment ID: I20220617000883 |
| Provider Name | Elfy Payero Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447814629 PECOS PAC ID: 9133508153 Enrollment ID: I20220622002363 |
| Provider Name | Joshua W L Atwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801457916 PECOS PAC ID: 8527496371 Enrollment ID: I20220622003512 |
| Provider Name | Joseph Michael Sturdivant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053514455 PECOS PAC ID: 7517123342 Enrollment ID: I20220623001253 |
| Provider Name | Denise Nicole Aikens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346979283 PECOS PAC ID: 5799164513 Enrollment ID: I20220623003104 |
| Provider Name | Adarsh Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144585043 PECOS PAC ID: 3274755590 Enrollment ID: I20220627000723 |
| Provider Name | Michelle Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306507058 PECOS PAC ID: 2961881560 Enrollment ID: I20220627003730 |
| Provider Name | Rose Junie J Fleuridor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881330728 PECOS PAC ID: 7214316801 Enrollment ID: I20220628003102 |
| Provider Name | Fabian Latorre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265782601 PECOS PAC ID: 9436539889 Enrollment ID: I20220701002586 |
| Provider Name | Kyle Galati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932698180 PECOS PAC ID: 3072859081 Enrollment ID: I20220706000852 |
| Provider Name | James Edward Marra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043957475 PECOS PAC ID: 1759761711 Enrollment ID: I20220707003686 |
| Provider Name | Daniel Stehli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861989345 PECOS PAC ID: 0042691677 Enrollment ID: I20220713004332 |
| Provider Name | David E Shupe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306192372 PECOS PAC ID: 5799901047 Enrollment ID: I20220719002981 |
| Provider Name | Geidel N Zambra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174188833 PECOS PAC ID: 0345574919 Enrollment ID: I20220721001956 |
| Provider Name | Darnelle Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255890158 PECOS PAC ID: 1557798063 Enrollment ID: I20220729000298 |
| Provider Name | Almaas-qamar Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710472873 PECOS PAC ID: 7719236041 Enrollment ID: I20220803000721 |
| Provider Name | Hemangkumar Javaiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952604464 PECOS PAC ID: 2668607805 Enrollment ID: I20220813000054 |
| Provider Name | Dhaval Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386149169 PECOS PAC ID: 4486059755 Enrollment ID: I20220817004039 |
| Provider Name | Latoya Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659010486 PECOS PAC ID: 5193108512 Enrollment ID: I20220818000577 |
| Provider Name | Adel Yazji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518200922 PECOS PAC ID: 4486077450 Enrollment ID: I20220822000423 |
| Provider Name | Stephanie Igtiben |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770045791 PECOS PAC ID: 6800279969 Enrollment ID: I20220823000811 |
| Provider Name | Cadeara L Lindenfelser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689134496 PECOS PAC ID: 7315270899 Enrollment ID: I20220824000644 |
| Provider Name | Rizwan Ahamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205210341 PECOS PAC ID: 9931486875 Enrollment ID: I20220825001601 |
| Provider Name | Michael Friters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205286481 PECOS PAC ID: 7012250798 Enrollment ID: I20220830000561 |
| Provider Name | Lindsey R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598330409 PECOS PAC ID: 9133504574 Enrollment ID: I20220921000411 |
| Provider Name | Candice Negrete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700127313 PECOS PAC ID: 1153553656 Enrollment ID: I20220926002795 |
| Provider Name | Lindsey Rae Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538805403 PECOS PAC ID: 2365828464 Enrollment ID: I20220927001761 |
| Provider Name | Jonathan Curtis Deneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518693712 PECOS PAC ID: 8628444742 Enrollment ID: I20221014001030 |
| Provider Name | Muhammad A Iqbal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477088656 PECOS PAC ID: 9638584030 Enrollment ID: I20221017003341 |
| Provider Name | Walid Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417374372 PECOS PAC ID: 5496045767 Enrollment ID: I20221018001781 |
| Provider Name | Samantha Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740916626 PECOS PAC ID: 7911374319 Enrollment ID: I20221027001277 |
| Provider Name | Shabi Furhad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841853819 PECOS PAC ID: 0749516250 Enrollment ID: I20221118000274 |
| Provider Name | William Burgess Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174085914 PECOS PAC ID: 5496123630 Enrollment ID: I20221121000344 |
| Provider Name | Charles Hubert Lemoine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487385977 PECOS PAC ID: 2860861143 Enrollment ID: I20221208000530 |
| Provider Name | Joshua Aaron Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396236469 PECOS PAC ID: 7719357458 Enrollment ID: I20221221002005 |
| Provider Name | Mustafa A Alsaid Alkhreisat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205268588 PECOS PAC ID: 3678869153 Enrollment ID: I20221229000577 |
| Provider Name | Christina Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134729163 PECOS PAC ID: 5294106357 Enrollment ID: I20230127001049 |
| Provider Name | Mostafa Assadalla Sherazy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255644118 PECOS PAC ID: 0042446445 Enrollment ID: I20230208000555 |
| Provider Name | Joshua Harpool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043674757 PECOS PAC ID: 7810282886 Enrollment ID: I20230404001002 |
| Provider Name | Ethel Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952689390 PECOS PAC ID: 7113196809 Enrollment ID: I20230413001520 |
| Provider Name | Shameeka Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194388967 PECOS PAC ID: 7012315666 Enrollment ID: I20230417000259 |
| Provider Name | Brenda Gavin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265812424 PECOS PAC ID: 3375859309 Enrollment ID: I20230419000220 |
| Provider Name | Rajeev Nagarad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417164831 PECOS PAC ID: 7012054885 Enrollment ID: I20230421002054 |
| Provider Name | Mohammad Ali Humza Salim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447786421 PECOS PAC ID: 3577820190 Enrollment ID: I20230518000365 |
| Provider Name | Kisha Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760182893 PECOS PAC ID: 4486011426 Enrollment ID: I20230606002110 |
| Provider Name | Jenna Marie Driscoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235754979 PECOS PAC ID: 8729400189 Enrollment ID: I20230615000726 |
| Provider Name | Cordelia Okwuosah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578867966 PECOS PAC ID: 8820261381 Enrollment ID: I20230629002991 |
| Provider Name | Osman Ismaeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689202574 PECOS PAC ID: 3173918075 Enrollment ID: I20230726004142 |
| Provider Name | Amanda Brenner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104445113 PECOS PAC ID: 4385067180 Enrollment ID: I20230801002779 |
| Provider Name | Mark Kwarciak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477052751 PECOS PAC ID: 2264854132 Enrollment ID: I20230802001708 |
| Provider Name | Emmanuel Iyanuloluwa Morakinyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902427156 PECOS PAC ID: 4284095225 Enrollment ID: I20230807002493 |
| Provider Name | Roberto Rafael Gonzalez Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205450558 PECOS PAC ID: 0345602983 Enrollment ID: I20230815001204 |
| Provider Name | Omer Ismaeel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104389469 PECOS PAC ID: 1456688423 Enrollment ID: I20230828003001 |
| Provider Name | Stephen Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891323069 PECOS PAC ID: 5799103305 Enrollment ID: I20230828003191 |
| Provider Name | Brian May Feijoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093342677 PECOS PAC ID: 6709208382 Enrollment ID: I20230829001753 |
| Provider Name | Melissa Bunke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205396249 PECOS PAC ID: 1658609813 Enrollment ID: I20230907003395 |
| Provider Name | Brooke Alison Wimberley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972229169 PECOS PAC ID: 7214391952 Enrollment ID: I20230913001803 |
| Provider Name | Saman Naeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912534595 PECOS PAC ID: 1850716416 Enrollment ID: I20230913004025 |
| Provider Name | David Adrian Ballack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386134419 PECOS PAC ID: 7911256458 Enrollment ID: I20230914000230 |
| Provider Name | Mylene Colucci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790909885 PECOS PAC ID: 5991962136 Enrollment ID: I20231019000241 |
| Provider Name | Diana Hope Manderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114619921 PECOS PAC ID: 8123475191 Enrollment ID: I20231113002665 |
| Provider Name | Stephanie Donoso Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487276614 PECOS PAC ID: 7810310695 Enrollment ID: I20231122000039 |
| Provider Name | Parth J Parekh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588440713 PECOS PAC ID: 0840649828 Enrollment ID: I20231215002502 |
| Provider Name | Stevenson Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215716774 PECOS PAC ID: 3072962976 Enrollment ID: I20231216000248 |
| Provider Name | Trinh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336920560 PECOS PAC ID: 1850736190 Enrollment ID: I20240227001620 |
| Provider Name | Haleigh Caster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518724848 PECOS PAC ID: 0446698906 Enrollment ID: I20240402004154 |
| Provider Name | Noel Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184676090 PECOS PAC ID: 1759317316 Enrollment ID: I20240411004794 |
| Provider Name | Andrew Blocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518487776 PECOS PAC ID: 2769755602 Enrollment ID: I20240430002543 |
| Provider Name | Miteshkumar Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003255910 PECOS PAC ID: 2769626324 Enrollment ID: I20240522002930 |
| Provider Name | Teresita Harmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992744379 PECOS PAC ID: 9032132238 Enrollment ID: I20240810000177 |
| Provider Name | Rebecca Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073138913 PECOS PAC ID: 2062816747 Enrollment ID: I20240904000134 |
| Provider Name | Loren Nicole Safille |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174103105 PECOS PAC ID: 1355742073 Enrollment ID: I20240910004935 |
| Provider Name | Vanessa Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063256337 PECOS PAC ID: 0143751065 Enrollment ID: I20241002004035 |
| Provider Name | Sagar Sanjay Shahani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316516156 PECOS PAC ID: 6507267200 Enrollment ID: I20241011002272 |
| Provider Name | Michael Menolasino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063592459 PECOS PAC ID: 5597728998 Enrollment ID: I20241029002790 |
| Provider Name | Rebecca Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467225268 PECOS PAC ID: 7012457138 Enrollment ID: I20241104001296 |
| Provider Name | Ahmad Muneeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578146395 PECOS PAC ID: 3375077431 Enrollment ID: I20241112001574 |
| Provider Name | Mohamad Hekmat Sukkari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295301042 PECOS PAC ID: 1254733058 Enrollment ID: I20241113000186 |
Mark Dearing,lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12412 San Jose Blvd Ste 401, Jacksonville, FL 32223 Phone: 904-348-0343 | |
Reconnect Consulting Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3955 Riverside Ave, Jacksonville, FL 32205 Phone: 904-483-3843 | |
South Rehabilitation Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Ellis Rd S, Suite 118, Jacksonville, FL 32254 Phone: 904-423-0017 Fax: 904-683-8169 | |
Mtb Therapist, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 6034 Chester Ave, Jacksonville, FL 32217 Phone: 904-323-2019 | |
Mc Medical Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12100 Lem Turner Rd Unit 100, Jacksonville, FL 32218 Phone: 904-764-2855 Fax: 904-764-2670 | |
Westland Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6196 Lake Gray Blvd, Jacksonville, FL 32244 Phone: 718-483-5093 | |