| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc | |
|
Kaiser Permanente-south Baltimore 1701 Twin Springs Road Halethorpe MD 21227-3553 | |
| (410) 737-5000 | |
| (443) 263-7381 |
| Full Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | Kaiser Permanente-south Baltimore, Halethorpe, Maryland |
| Authorized Official Name and Position | Colleen E Swinton (DIRECTOR,CREDENTIALING/PROVIDER ENR) |
| Authorized Official Contact | 3012572797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc 4000 Garden City Drive 4th Floor Ppqa Hyattsville MD 20785-2418 Ph: (301) 816-2424 | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc Kaiser Permanente-south Baltimore 1701 Twin Springs Road Halethorpe MD 21227-3553 Ph: (410) 737-5000 |
| NPI Number | 1043378656 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/24/2025 |
| Medicare PECOS PAC ID | 3779495858 |
|---|---|
| Medicare Enrollment ID | O20080519000558 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043378656 | NPI | - | NPPES |
| K679 | Other | MD | MEDICARE GROUP ID |
| Provider Name | Christine H Sohn Woo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023158425 PECOS PAC ID: 1658264064 Enrollment ID: I20040207000166 |
| Provider Name | Edna R Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609810571 PECOS PAC ID: 0749177939 Enrollment ID: I20040302001044 |
| Provider Name | Michelle C Garner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013922780 PECOS PAC ID: 3577450089 Enrollment ID: I20040302001401 |
| Provider Name | Chris Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649348087 PECOS PAC ID: 6002704194 Enrollment ID: I20040309001394 |
| Provider Name | Joan Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477553238 PECOS PAC ID: 0749273076 Enrollment ID: I20040405000416 |
| Provider Name | Bettina S. Adjei |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154300937 PECOS PAC ID: 8820082431 Enrollment ID: I20040414001032 |
| Provider Name | Karin Dodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124186028 PECOS PAC ID: 2264427699 Enrollment ID: I20040416000068 |
| Provider Name | Diane Boykin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497714802 PECOS PAC ID: 4880689116 Enrollment ID: I20040416000966 |
| Provider Name | Rodney Laster |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841296415 PECOS PAC ID: 1759377021 Enrollment ID: I20040422000353 |
| Provider Name | Cynthia Cesaire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427017839 PECOS PAC ID: 1355330341 Enrollment ID: I20040506000651 |
| Provider Name | Mettassebia Kanno |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1043264492 PECOS PAC ID: 3678562428 Enrollment ID: I20040507000962 |
| Provider Name | Kathleen D Keeffe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972549384 PECOS PAC ID: 5294724704 Enrollment ID: I20040510001234 |
| Provider Name | Frederick K Goodwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164536355 PECOS PAC ID: 0547245375 Enrollment ID: I20040623001660 |
| Provider Name | Rita Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619076338 PECOS PAC ID: 0143206342 Enrollment ID: I20040628001242 |
| Provider Name | Tracy L Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336113091 PECOS PAC ID: 7810960705 Enrollment ID: I20040818000785 |
| Provider Name | Elizabeth Halloran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275501900 PECOS PAC ID: 5597739243 Enrollment ID: I20040819001384 |
| Provider Name | Dorothea Dobson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972599769 PECOS PAC ID: 6103891429 Enrollment ID: I20040831000540 |
| Provider Name | Ok H Park |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659306520 PECOS PAC ID: 9335114446 Enrollment ID: I20040902000305 |
| Provider Name | Stephanie Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013976091 PECOS PAC ID: 2062488026 Enrollment ID: I20040909001337 |
| Provider Name | Cescili Hopkins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952343030 PECOS PAC ID: 5395712905 Enrollment ID: I20040914000183 |
| Provider Name | Ryan M Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124067822 PECOS PAC ID: 7113995465 Enrollment ID: I20040923000716 |
| Provider Name | Cicely M. Pickett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932105145 PECOS PAC ID: 6204805021 Enrollment ID: I20040929000134 |
| Provider Name | Barbara L. Sanico |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164454716 PECOS PAC ID: 7810958048 Enrollment ID: I20041021000477 |
| Provider Name | Ifeolumipo Sofola |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578621256 PECOS PAC ID: 3072574771 Enrollment ID: I20041026000367 |
| Provider Name | Michael B Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871577783 PECOS PAC ID: 3971565383 Enrollment ID: I20041028000570 |
| Provider Name | Lysa Charles |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497832083 PECOS PAC ID: 1355306101 Enrollment ID: I20041122000515 |
| Provider Name | Eddye J Bullock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366510703 PECOS PAC ID: 1456316553 Enrollment ID: I20041201000119 |
| Provider Name | Loan N Lai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205875523 PECOS PAC ID: 7517923006 Enrollment ID: I20041207000234 |
| Provider Name | Margarita B Jovel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104804897 PECOS PAC ID: 1254397789 Enrollment ID: I20041207000517 |
| Provider Name | Danita H Akingba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467417592 PECOS PAC ID: 9032175237 Enrollment ID: I20041209000254 |
| Provider Name | Katharine S Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508835968 PECOS PAC ID: 6800844853 Enrollment ID: I20050106000818 |
| Provider Name | Florence Deza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659340560 PECOS PAC ID: 8426006388 Enrollment ID: I20050106000914 |
| Provider Name | Emery L Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720077514 PECOS PAC ID: 6406805217 Enrollment ID: I20050119000722 |
| Provider Name | Glenn D Gilmor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326082348 PECOS PAC ID: 9436108974 Enrollment ID: I20050121000488 |
| Provider Name | Niosha Razi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245326941 PECOS PAC ID: 4789635889 Enrollment ID: I20050207000364 |
| Provider Name | Samir K Jain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578553350 PECOS PAC ID: 7012969215 Enrollment ID: I20050216000311 |
| Provider Name | Eurice Moody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497810659 PECOS PAC ID: 0840245411 Enrollment ID: I20050316000629 |
| Provider Name | Kenneth Harrison |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649311754 PECOS PAC ID: 3375581291 Enrollment ID: I20050421000353 |
| Provider Name | Qinglin Gao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053381780 PECOS PAC ID: 0749220903 Enrollment ID: I20050506000205 |
| Provider Name | Holly Dawsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417061235 PECOS PAC ID: 0749225571 Enrollment ID: I20050622001096 |
| Provider Name | Rhamin Ligon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902905342 PECOS PAC ID: 0345286860 Enrollment ID: I20050706000321 |
| Provider Name | William Clark Gray |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942239496 PECOS PAC ID: 7214965383 Enrollment ID: I20050729000802 |
| Provider Name | Brian Larocco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467430280 PECOS PAC ID: 0042261984 Enrollment ID: I20050808000566 |
| Provider Name | Richelle Gaskin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932177730 PECOS PAC ID: 4486685203 Enrollment ID: I20050822001050 |
| Provider Name | David A Hexter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104805233 PECOS PAC ID: 7416841820 Enrollment ID: I20050830001043 |
| Provider Name | Shernette D Prince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851383772 PECOS PAC ID: 3173554193 Enrollment ID: I20050909000304 |
| Provider Name | Apurva Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346396348 PECOS PAC ID: 8628001435 Enrollment ID: I20050913000595 |
| Provider Name | Shanita Chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487650891 PECOS PAC ID: 8921031352 Enrollment ID: I20050915000476 |
| Provider Name | Hina B Joshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285723841 PECOS PAC ID: 5991739989 Enrollment ID: I20051012000105 |
| Provider Name | Louisette Vega |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881639243 PECOS PAC ID: 4183649684 Enrollment ID: I20051013000679 |
| Provider Name | Shanthi Thomas King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891724381 PECOS PAC ID: 0244257525 Enrollment ID: I20051026000452 |
| Provider Name | Anna B Korzan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639178098 PECOS PAC ID: 9931126174 Enrollment ID: I20051027000677 |
| Provider Name | Seyed A Emamian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609847060 PECOS PAC ID: 0547287690 Enrollment ID: I20051027000829 |
| Provider Name | Anthony Boakye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891868196 PECOS PAC ID: 5698792455 Enrollment ID: I20051031000918 |
| Provider Name | Tariq Khurshid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427119965 PECOS PAC ID: 9335187384 Enrollment ID: I20051128000630 |
| Provider Name | Ann S Stilwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518042225 PECOS PAC ID: 5092737171 Enrollment ID: I20060104000125 |
| Provider Name | Christine Lepoutre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154392926 PECOS PAC ID: 2961489448 Enrollment ID: I20060109000897 |
| Provider Name | Stacey T Neal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568476638 PECOS PAC ID: 1951325463 Enrollment ID: I20060124000407 |
| Provider Name | Rachel Elizabeth Gamber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487720512 PECOS PAC ID: 2264456565 Enrollment ID: I20060125000145 |
| Provider Name | Samuel A Semegn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770656076 PECOS PAC ID: 0941215271 Enrollment ID: I20060217000361 |
| Provider Name | Lori Ford Plater |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770768806 PECOS PAC ID: 9638186901 Enrollment ID: I20060310000318 |
| Provider Name | Janet Cooper |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1982761912 PECOS PAC ID: 4183632300 Enrollment ID: I20060330000228 |
| Provider Name | Gary Gordon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124177167 PECOS PAC ID: 3971540501 Enrollment ID: I20060413000145 |
| Provider Name | Ruby Dey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407985484 PECOS PAC ID: 1759399736 Enrollment ID: I20060505000264 |
| Provider Name | Stephen Facchina |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1215979570 PECOS PAC ID: 8022007202 Enrollment ID: I20060809000073 |
| Provider Name | Supriya Jagannath |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164464434 PECOS PAC ID: 1850394388 Enrollment ID: I20060822000577 |
| Provider Name | Jodi B Baptiste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508866153 PECOS PAC ID: 3577567791 Enrollment ID: I20060830000571 |
| Provider Name | Hirut A Gebrewold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619900149 PECOS PAC ID: 4082619671 Enrollment ID: I20061004000181 |
| Provider Name | Margot E. Clasquin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710963905 PECOS PAC ID: 4688670201 Enrollment ID: I20061004000532 |
| Provider Name | Abdel K Sawan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255361234 PECOS PAC ID: 8729084942 Enrollment ID: I20061011000629 |
| Provider Name | Glenn Bruce G Vanderver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083669964 PECOS PAC ID: 2466458146 Enrollment ID: I20061020000292 |
| Provider Name | Fadi N Saikali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396787578 PECOS PAC ID: 1254330905 Enrollment ID: I20061207000306 |
| Provider Name | Benjamin I Rubin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922053602 PECOS PAC ID: 3173522612 Enrollment ID: I20061212000206 |
| Provider Name | Terrence M Mulligan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548203920 PECOS PAC ID: 5597723627 Enrollment ID: I20061220000530 |
| Provider Name | Samana H Zulu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285684969 PECOS PAC ID: 7810960176 Enrollment ID: I20070119000382 |
| Provider Name | Tamara D Terry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972607406 PECOS PAC ID: 6002817491 Enrollment ID: I20070129000078 |
| Provider Name | Syed A Bokhari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144243924 PECOS PAC ID: 7214030402 Enrollment ID: I20070308000222 |
| Provider Name | Beverley J Waldron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083774632 PECOS PAC ID: 3870515786 Enrollment ID: I20070308000307 |
| Provider Name | Katharine H Taber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962551879 PECOS PAC ID: 5092819268 Enrollment ID: I20070327000657 |
| Provider Name | Stephanie H Walsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417072745 PECOS PAC ID: 0244337103 Enrollment ID: I20070530000088 |
| Provider Name | Susan Lovich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548347065 PECOS PAC ID: 5597863993 Enrollment ID: I20070608000164 |
| Provider Name | Tanuja Mishra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912985698 PECOS PAC ID: 1850341348 Enrollment ID: I20070711000439 |
| Provider Name | Safiyyah H Abdul Rahman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669691416 PECOS PAC ID: 6204929474 Enrollment ID: I20070904000376 |
| Provider Name | Sherin E Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952471153 PECOS PAC ID: 2365533007 Enrollment ID: I20071109000248 |
| Provider Name | Shillena N Peters-gill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932139268 PECOS PAC ID: 4385732270 Enrollment ID: I20071109000390 |
| Provider Name | Smriti Kashyap |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992761779 PECOS PAC ID: 9032207998 Enrollment ID: I20071112000175 |
| Provider Name | Jeralyn B Jacobs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760672117 PECOS PAC ID: 5991763328 Enrollment ID: I20071204000438 |
| Provider Name | Lee S Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336364843 PECOS PAC ID: 9436239670 Enrollment ID: I20071231000274 |
| Provider Name | Angela E. A Watkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295949931 PECOS PAC ID: 4789766270 Enrollment ID: I20080123000247 |
| Provider Name | Nkiruka Uzoamaka Obioha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073650024 PECOS PAC ID: 3274617246 Enrollment ID: I20080228000753 |
| Provider Name | Kathleen S Krejci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114912730 PECOS PAC ID: 0244223410 Enrollment ID: I20080305000595 |
| Provider Name | Sejal Jani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184673717 PECOS PAC ID: 5294700266 Enrollment ID: I20080320000477 |
| Provider Name | Thomas Munro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184608515 PECOS PAC ID: 2163509134 Enrollment ID: I20080402000207 |
| Provider Name | Adedoyin I Shonekan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932326709 PECOS PAC ID: 3173601671 Enrollment ID: I20080424000269 |
| Provider Name | Rohini Adhikarla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316146863 PECOS PAC ID: 3274515861 Enrollment ID: I20080627000279 |
| Provider Name | Adilakshmi S Kansal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972777944 PECOS PAC ID: 7416021118 Enrollment ID: I20080729000583 |
| Provider Name | Seung J Yo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922025618 PECOS PAC ID: 0941275879 Enrollment ID: I20080806000223 |
| Provider Name | Pil S Chung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831210897 PECOS PAC ID: 7012082316 Enrollment ID: I20080821000236 |
| Provider Name | Kingsley Ivan Bryan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982769956 PECOS PAC ID: 7719053230 Enrollment ID: I20080908000385 |
| Provider Name | Steven J Fountain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114109782 PECOS PAC ID: 6507934692 Enrollment ID: I20081002000171 |
| Provider Name | Kenneth Villar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235314436 PECOS PAC ID: 0547328858 Enrollment ID: I20081015000080 |
| Provider Name | Annette Jubb |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194902932 PECOS PAC ID: 1759449820 Enrollment ID: I20081017000337 |
| Provider Name | Mamata Mysore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518989425 PECOS PAC ID: 6103984679 Enrollment ID: I20081028000303 |
| Provider Name | Lelai Ricks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982733044 PECOS PAC ID: 4486712817 Enrollment ID: I20081029000111 |
| Provider Name | Candace Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1154442242 PECOS PAC ID: 0547338170 Enrollment ID: I20081104000332 |
| Provider Name | Benjamin B Cooperman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902090707 PECOS PAC ID: 1850451899 Enrollment ID: I20081120000074 |
| Provider Name | Tolani Abdulkadir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699734293 PECOS PAC ID: 9537188115 Enrollment ID: I20081120000426 |
| Provider Name | Noah Eli Meltzer |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881740223 PECOS PAC ID: 3476615956 Enrollment ID: I20081217000255 |
| Provider Name | Cleopatra Dunyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619162989 PECOS PAC ID: 9931280211 Enrollment ID: I20090325000208 |
| Provider Name | Amarnath G Sortur |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730171950 PECOS PAC ID: 1355236399 Enrollment ID: I20090522000163 |
| Provider Name | Tamischer Nettles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285778225 PECOS PAC ID: 7012067606 Enrollment ID: I20090602000242 |
| Provider Name | Kwame Akoto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861536237 PECOS PAC ID: 5395895908 Enrollment ID: I20090602000440 |
| Provider Name | Karen T Stevenson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023263811 PECOS PAC ID: 1557411345 Enrollment ID: I20090617000339 |
| Provider Name | Wilbur Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770675928 PECOS PAC ID: 6305997479 Enrollment ID: I20090701000094 |
| Provider Name | Victoria Dowling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619038809 PECOS PAC ID: 7012068943 Enrollment ID: I20090706000345 |
| Provider Name | Dakara R Wright |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1407067366 PECOS PAC ID: 4284786849 Enrollment ID: I20090714000205 |
| Provider Name | Mona Gahunia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619168937 PECOS PAC ID: 6901958925 Enrollment ID: I20090722000055 |
| Provider Name | Michael Dias |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942365200 PECOS PAC ID: 5395899512 Enrollment ID: I20090821000286 |
| Provider Name | Kristina Poller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114005501 PECOS PAC ID: 3678628765 Enrollment ID: I20090825000461 |
| Provider Name | Carron R Grant |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1700997400 PECOS PAC ID: 1052498375 Enrollment ID: I20090923000036 |
| Provider Name | Julie A Fifer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730206574 PECOS PAC ID: 1153477609 Enrollment ID: I20090924000288 |
| Provider Name | Ranette Y Marshall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326014549 PECOS PAC ID: 7517015407 Enrollment ID: I20090924000420 |
| Provider Name | Jacqueline C. Shepard-lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518025477 PECOS PAC ID: 3274679568 Enrollment ID: I20090929000578 |
| Provider Name | Maia M Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366624009 PECOS PAC ID: 5597801647 Enrollment ID: I20091005000202 |
| Provider Name | Swapnil Raman Luhadiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184804429 PECOS PAC ID: 8820134836 Enrollment ID: I20091006000053 |
| Provider Name | Vijaya Guduri |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386825271 PECOS PAC ID: 1759428766 Enrollment ID: I20091023000482 |
| Provider Name | Svetlana L Savchenko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689799041 PECOS PAC ID: 5698814523 Enrollment ID: I20091204000622 |
| Provider Name | Alpen Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1780615344 PECOS PAC ID: 6204835069 Enrollment ID: I20100113000054 |
| Provider Name | Vijay Narayen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538168422 PECOS PAC ID: 1254483373 Enrollment ID: I20100128000469 |
| Provider Name | Tim Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346425634 PECOS PAC ID: 8325173289 Enrollment ID: I20100317000263 |
| Provider Name | Mian K Khalid |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1740457266 PECOS PAC ID: 7416083928 Enrollment ID: I20100408000440 |
| Provider Name | Martha J Chalmers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508866179 PECOS PAC ID: 1557498383 Enrollment ID: I20100427000298 |
| Provider Name | Anila Chaudhry Siddiqui |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1942383328 PECOS PAC ID: 6709913445 Enrollment ID: I20100428000727 |
| Provider Name | Judith R Dejarnette |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841355179 PECOS PAC ID: 1355478942 Enrollment ID: I20100430000475 |
| Provider Name | Mohammad M Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134278773 PECOS PAC ID: 1759419518 Enrollment ID: I20100514000630 |
| Provider Name | Marc E Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275565251 PECOS PAC ID: 5294864831 Enrollment ID: I20100520000297 |
| Provider Name | Mohamed S Moubarek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194725648 PECOS PAC ID: 9133258270 Enrollment ID: I20100527000331 |
| Provider Name | Justin Greene |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831393701 PECOS PAC ID: 2961594791 Enrollment ID: I20100607000329 |
| Provider Name | Peter Kadlecik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770526535 PECOS PAC ID: 0244213049 Enrollment ID: I20100609000135 |
| Provider Name | Donna Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568414506 PECOS PAC ID: 9032249578 Enrollment ID: I20100610000396 |
| Provider Name | Dorothy P Fedis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033166202 PECOS PAC ID: 8426188640 Enrollment ID: I20100615000681 |
| Provider Name | Gauri J Turner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225230493 PECOS PAC ID: 9537220132 Enrollment ID: I20100622000478 |
| Provider Name | Sherell L Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750375481 PECOS PAC ID: 7517098320 Enrollment ID: I20100623000157 |
| Provider Name | Ameet S Parikh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144417528 PECOS PAC ID: 8527199108 Enrollment ID: I20100625000283 |
| Provider Name | Lazaros Volikas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275609596 PECOS PAC ID: 3678539756 Enrollment ID: I20100712000031 |
| Provider Name | Vrishali M Dalvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235249624 PECOS PAC ID: 8527062744 Enrollment ID: I20100722000307 |
| Provider Name | Shirley W Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730398819 PECOS PAC ID: 6305914599 Enrollment ID: I20100722000435 |
| Provider Name | Thomas J Krisanda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770648370 PECOS PAC ID: 2466585930 Enrollment ID: I20100804000504 |
| Provider Name | Jasmin Hans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497805147 PECOS PAC ID: 6709853377 Enrollment ID: I20100914001203 |
| Provider Name | Neelam B Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689742090 PECOS PAC ID: 7810025954 Enrollment ID: I20100921000083 |
| Provider Name | David B Wollman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407933351 PECOS PAC ID: 1759415219 Enrollment ID: I20100923000503 |
| Provider Name | Christine Mativo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760697924 PECOS PAC ID: 3870619703 Enrollment ID: I20100928000896 |
| Provider Name | Celine Richardson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639355423 PECOS PAC ID: 7719179282 Enrollment ID: I20101004000458 |
| Provider Name | David M Cooley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275682981 PECOS PAC ID: 4385771799 Enrollment ID: I20101014000085 |
| Provider Name | Bonnie E. Cohen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104986876 PECOS PAC ID: 3072706589 Enrollment ID: I20101015001192 |
| Provider Name | Jerry G Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841279874 PECOS PAC ID: 8325017924 Enrollment ID: I20101025001088 |
| Provider Name | Judith L Greth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518193143 PECOS PAC ID: 0547258592 Enrollment ID: I20101025001135 |
| Provider Name | Farzaneh L Sabi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114990637 PECOS PAC ID: 9638205271 Enrollment ID: I20101026001133 |
| Provider Name | Nazish A Khan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285811299 PECOS PAC ID: 6608060041 Enrollment ID: I20101029001236 |
| Provider Name | Alicia Sussman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427273739 PECOS PAC ID: 8022202167 Enrollment ID: I20101102000974 |
| Provider Name | Vincent Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679626774 PECOS PAC ID: 7719031327 Enrollment ID: I20101115000098 |
| Provider Name | Masozi Muwowo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316112535 PECOS PAC ID: 2163617192 Enrollment ID: I20101116000379 |
| Provider Name | Andra Distefano |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144421975 PECOS PAC ID: 5799971545 Enrollment ID: I20101119000330 |
| Provider Name | Chirag Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881852770 PECOS PAC ID: 0941378558 Enrollment ID: I20101122000075 |
| Provider Name | Mohammed I Mehboob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518921873 PECOS PAC ID: 9638162019 Enrollment ID: I20101122000076 |
| Provider Name | Elie Cheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649452012 PECOS PAC ID: 1355537713 Enrollment ID: I20101124000231 |
| Provider Name | Fiona Meller Azrieli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659363885 PECOS PAC ID: 8729148069 Enrollment ID: I20101129000326 |
| Provider Name | Jordan H Wolff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205038197 PECOS PAC ID: 0941497820 Enrollment ID: I20101203000789 |
| Provider Name | Emil Thattassery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386750222 PECOS PAC ID: 7012914773 Enrollment ID: I20101208001230 |
| Provider Name | Ime B Essien Lewis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093870107 PECOS PAC ID: 7012104490 Enrollment ID: I20101210000586 |
| Provider Name | Meeta Gulati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306861620 PECOS PAC ID: 5294812897 Enrollment ID: I20101214000756 |
| Provider Name | Laura S Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568441582 PECOS PAC ID: 7012915507 Enrollment ID: I20101214001066 |
| Provider Name | Lo-an T. Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033284971 PECOS PAC ID: 5092903070 Enrollment ID: I20101216000998 |
| Provider Name | Dou Zhang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700930583 PECOS PAC ID: 7012105810 Enrollment ID: I20101221000368 |
| Provider Name | James L Huang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154567709 PECOS PAC ID: 1951456300 Enrollment ID: I20101229000207 |
| Provider Name | Elizabeth Biru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457342230 PECOS PAC ID: 5597704767 Enrollment ID: I20101230000549 |
| Provider Name | Anuj Prashar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497947543 PECOS PAC ID: 1153389085 Enrollment ID: I20110106000761 |
| Provider Name | Yeneisha S Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841459922 PECOS PAC ID: 7012106677 Enrollment ID: I20110112000824 |
| Provider Name | Angela M Tamayo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982627964 PECOS PAC ID: 9234318569 Enrollment ID: I20110119000641 |
| Provider Name | Kyung S Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679749881 PECOS PAC ID: 1951580026 Enrollment ID: I20110120001042 |
| Provider Name | Kathyann M Walcott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063573343 PECOS PAC ID: 1850343260 Enrollment ID: I20110121000276 |
| Provider Name | Dinesh K Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992834097 PECOS PAC ID: 7214077767 Enrollment ID: I20110121000335 |
| Provider Name | Antoinette B Covin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194991042 PECOS PAC ID: 0345429304 Enrollment ID: I20110121000894 |
| Provider Name | Anand Desai |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1497810725 PECOS PAC ID: 3072401116 Enrollment ID: I20110127000784 |
| Provider Name | Josilane M Miranda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548458698 PECOS PAC ID: 7315128626 Enrollment ID: I20110221000086 |
| Provider Name | Charles Hollcraft |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427084748 PECOS PAC ID: 4284736364 Enrollment ID: I20110302000646 |
| Provider Name | Sos A Mboijana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841274792 PECOS PAC ID: 0446387591 Enrollment ID: I20110309000152 |
| Provider Name | Ravi Datla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053596270 PECOS PAC ID: 1052488400 Enrollment ID: I20110321000189 |
| Provider Name | Adam Blitstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518113398 PECOS PAC ID: 5698824571 Enrollment ID: I20110328000216 |
| Provider Name | Joseph S Joson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477539658 PECOS PAC ID: 8527254077 Enrollment ID: I20110405000444 |
| Provider Name | Carrie P Chesnik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588969174 PECOS PAC ID: 1052595527 Enrollment ID: I20110407000051 |
| Provider Name | Cielito M Aguinaldo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063585347 PECOS PAC ID: 0547385924 Enrollment ID: I20110420000552 |
| Provider Name | Ursula Heberlein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225167323 PECOS PAC ID: 2062305618 Enrollment ID: I20110505000288 |
| Provider Name | Catherine Szyjka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477851095 PECOS PAC ID: 8022293018 Enrollment ID: I20110509000100 |
| Provider Name | Huijun Shi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376540922 PECOS PAC ID: 6901082635 Enrollment ID: I20110516000011 |
| Provider Name | Wenle P Wang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063562726 PECOS PAC ID: 5799878583 Enrollment ID: I20110520000635 |
| Provider Name | Kathryn Elgin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790744837 PECOS PAC ID: 2567649676 Enrollment ID: I20110526000598 |
| Provider Name | Nirupama Vadlakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467641084 PECOS PAC ID: 9335285212 Enrollment ID: I20110614000758 |
| Provider Name | Jamil Bayram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174599310 PECOS PAC ID: 6709853898 Enrollment ID: I20110729000398 |
| Provider Name | Evelyn Gathecha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437307410 PECOS PAC ID: 8628246071 Enrollment ID: I20110729000448 |
| Provider Name | Syed A Salahuddin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598878506 PECOS PAC ID: 7719984582 Enrollment ID: I20110815000505 |
| Provider Name | John A Long |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821062704 PECOS PAC ID: 7911997838 Enrollment ID: I20110817000408 |
| Provider Name | Lisa Gucinski Waterman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215073341 PECOS PAC ID: 4880864354 Enrollment ID: I20110819000496 |
| Provider Name | Selena Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265615116 PECOS PAC ID: 1456521632 Enrollment ID: I20110825000292 |
| Provider Name | Christopher Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518039734 PECOS PAC ID: 5092849737 Enrollment ID: I20110826000074 |
| Provider Name | Thorsten Sundberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417097684 PECOS PAC ID: 2860560141 Enrollment ID: I20110826000172 |
| Provider Name | Ahsan Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508068115 PECOS PAC ID: 1850450693 Enrollment ID: I20110826000349 |
| Provider Name | Ainsley Maclean |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033283494 PECOS PAC ID: 3375712946 Enrollment ID: I20110830000050 |
| Provider Name | Laine A Montgomery Cornelison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972762995 PECOS PAC ID: 1052581733 Enrollment ID: I20110907001385 |
| Provider Name | Nancy Huang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780895870 PECOS PAC ID: 3274704838 Enrollment ID: I20110913000094 |
| Provider Name | Henock Wolde Semait |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376791277 PECOS PAC ID: 3375601552 Enrollment ID: I20110920000147 |
| Provider Name | Khuram A Khan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235168618 PECOS PAC ID: 6800858150 Enrollment ID: I20110920000323 |
| Provider Name | Asha Manohar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750606661 PECOS PAC ID: 4587835533 Enrollment ID: I20110922000530 |
| Provider Name | Lauren Kay Rabin Blair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720280621 PECOS PAC ID: 3870764525 Enrollment ID: I20110929000231 |
| Provider Name | Pravin Rao |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356510366 PECOS PAC ID: 0749452456 Enrollment ID: I20110930000254 |
| Provider Name | Nwamaka Fadahunsi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619128659 PECOS PAC ID: 1658543335 Enrollment ID: I20111003000447 |
| Provider Name | Claire W Bolander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467692632 PECOS PAC ID: 8729250998 Enrollment ID: I20111012000152 |
| Provider Name | Briana V. Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306004635 PECOS PAC ID: 3375715451 Enrollment ID: I20111014000079 |
| Provider Name | Joseph A Lodato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164545018 PECOS PAC ID: 9436259777 Enrollment ID: I20111110000475 |
| Provider Name | Girish A Kori |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972830206 PECOS PAC ID: 4385778265 Enrollment ID: I20111115000299 |
| Provider Name | Neil Horlick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770717969 PECOS PAC ID: 7012063068 Enrollment ID: I20111118000541 |
| Provider Name | Shashi Ranganath |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780757740 PECOS PAC ID: 6305984881 Enrollment ID: I20120111000393 |
| Provider Name | Thuy-anh Melvin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1790821767 PECOS PAC ID: 8729255500 Enrollment ID: I20120119000066 |
| Provider Name | Andrea R Giacometti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851367254 PECOS PAC ID: 9830266501 Enrollment ID: I20120203000632 |
| Provider Name | Siddharth Bethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265694939 PECOS PAC ID: 5092875500 Enrollment ID: I20120210000767 |
| Provider Name | Allan S Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750432712 PECOS PAC ID: 3274661897 Enrollment ID: I20120213000058 |
| Provider Name | Ejaz A Shamim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255493011 PECOS PAC ID: 0648355347 Enrollment ID: I20120315000033 |
| Provider Name | Douglas M Vanzoeren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538225974 PECOS PAC ID: 8325177157 Enrollment ID: I20120315000156 |
| Provider Name | Erin J Mckenna |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770855827 PECOS PAC ID: 2062672181 Enrollment ID: I20120328000208 |
| Provider Name | Theresa R Kramer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356402523 PECOS PAC ID: 8729276266 Enrollment ID: I20120329000064 |
| Provider Name | Michele R Arthurs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598910275 PECOS PAC ID: 7911183793 Enrollment ID: I20120411000135 |
| Provider Name | Valerie A Walker-clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457429854 PECOS PAC ID: 2567506082 Enrollment ID: I20120413000208 |
| Provider Name | Jean Rujen Hou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750442273 PECOS PAC ID: 6204986425 Enrollment ID: I20120509000254 |
| Provider Name | Vivek V. Mathur |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1023281573 PECOS PAC ID: 8628267341 Enrollment ID: I20120511000487 |
| Provider Name | Chetan L Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477734341 PECOS PAC ID: 6709925340 Enrollment ID: I20120514000236 |
| Provider Name | Adrian D Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366518540 PECOS PAC ID: 4587568175 Enrollment ID: I20120524000364 |
| Provider Name | Shailini P Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588711022 PECOS PAC ID: 9931142296 Enrollment ID: I20120524000456 |
| Provider Name | Ronaldo S Mayuga |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780720185 PECOS PAC ID: 4486545605 Enrollment ID: I20120626000174 |
| Provider Name | Timothy Chen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578893947 PECOS PAC ID: 9234307026 Enrollment ID: I20120629000310 |
| Provider Name | Alicia J Odum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457363517 PECOS PAC ID: 0941288138 Enrollment ID: I20120703000590 |
| Provider Name | Ifeoluwa Y Omitowoju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629068903 PECOS PAC ID: 0840206942 Enrollment ID: I20120709000091 |
| Provider Name | May Alattar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154523371 PECOS PAC ID: 3678739893 Enrollment ID: I20120716000435 |
| Provider Name | Nina Nami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609072354 PECOS PAC ID: 6901052083 Enrollment ID: I20120806000076 |
| Provider Name | Ronjeet K Reddy |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1073716726 PECOS PAC ID: 4082860796 Enrollment ID: I20120813000662 |
| Provider Name | Nila Chauhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164647160 PECOS PAC ID: 2769555671 Enrollment ID: I20120820000532 |
| Provider Name | Oluwapelumi Fakeye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306032255 PECOS PAC ID: 1759420573 Enrollment ID: I20120823000352 |
| Provider Name | Michelle Forman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750563896 PECOS PAC ID: 1456508241 Enrollment ID: I20120830000123 |
| Provider Name | Stella Blosser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962678649 PECOS PAC ID: 6204083967 Enrollment ID: I20120831000189 |
| Provider Name | Maurice Davin Cates |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861565137 PECOS PAC ID: 1557493525 Enrollment ID: I20120904000555 |
| Provider Name | Sarah A Solomon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235381104 PECOS PAC ID: 0840345047 Enrollment ID: I20120905000540 |
| Provider Name | Geanine Angela Calfo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790902849 PECOS PAC ID: 4981852332 Enrollment ID: I20120911000042 |
| Provider Name | Sonal Kachroo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790849016 PECOS PAC ID: 0345498267 Enrollment ID: I20120919000269 |
| Provider Name | Angela Ann Watts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982895314 PECOS PAC ID: 1557510906 Enrollment ID: I20121001000216 |
| Provider Name | Dmitry Janovich Liepinsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316178569 PECOS PAC ID: 1153570221 Enrollment ID: I20121004000523 |
| Provider Name | Deliana C Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922383645 PECOS PAC ID: 1456509017 Enrollment ID: I20121012000512 |
| Provider Name | Roselyn Itoe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487827044 PECOS PAC ID: 8820249634 Enrollment ID: I20121102000400 |
| Provider Name | Amit Kumar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700058104 PECOS PAC ID: 1254583966 Enrollment ID: I20121204000050 |
| Provider Name | Tonye Ogechi Eluchie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568764272 PECOS PAC ID: 2769634476 Enrollment ID: I20121204000090 |
| Provider Name | Eva Dicocco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598990624 PECOS PAC ID: 5193977759 Enrollment ID: I20121205000116 |
| Provider Name | Anil Taneja |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396736005 PECOS PAC ID: 5193977742 Enrollment ID: I20121206000469 |
| Provider Name | Terri Loretta-bernice Turner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336307883 PECOS PAC ID: 9133371123 Enrollment ID: I20121221000255 |
| Provider Name | Neelofar Wajahat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083861181 PECOS PAC ID: 8820269012 Enrollment ID: I20130115000072 |
| Provider Name | Amanda Bauer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083849392 PECOS PAC ID: 1355497785 Enrollment ID: I20130201000005 |
| Provider Name | Julita Y Lett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184883803 PECOS PAC ID: 6305001744 Enrollment ID: I20130306000422 |
| Provider Name | Carol P Cardinale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689711152 PECOS PAC ID: 7315090388 Enrollment ID: I20130312000226 |
| Provider Name | Catherine Y Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639212475 PECOS PAC ID: 3870739881 Enrollment ID: I20130418000076 |
| Provider Name | Neda Ahmadi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649429549 PECOS PAC ID: 8123274669 Enrollment ID: I20130515000138 |
| Provider Name | Karen Kwak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720136740 PECOS PAC ID: 5193819134 Enrollment ID: I20130624000631 |
| Provider Name | Sokpheary Srorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609010271 PECOS PAC ID: 4688815087 Enrollment ID: I20130727000204 |
| Provider Name | Ginine M Beyer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1780864579 PECOS PAC ID: 9133268287 Enrollment ID: I20130826000277 |
| Provider Name | Jeffrey Gambel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063428233 PECOS PAC ID: 1658515416 Enrollment ID: I20130917000354 |
| Provider Name | Sarah Milich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184918856 PECOS PAC ID: 1658515127 Enrollment ID: I20130924000138 |
| Provider Name | Robin D Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649554668 PECOS PAC ID: 0941435119 Enrollment ID: I20131023001510 |
| Provider Name | Nandita Kapa-kalahasty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992898050 PECOS PAC ID: 4688778855 Enrollment ID: I20131028000242 |
| Provider Name | Deloran Wilson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114151032 PECOS PAC ID: 5092940817 Enrollment ID: I20131104001216 |
| Provider Name | Eboni J Woodard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700177821 PECOS PAC ID: 7416129192 Enrollment ID: I20131106000302 |
| Provider Name | Kalonji R Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619126711 PECOS PAC ID: 9436345956 Enrollment ID: I20131113001657 |
| Provider Name | Kristen N Cronin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235140245 PECOS PAC ID: 3779719810 Enrollment ID: I20131120001604 |
| Provider Name | Warren K Eng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376766501 PECOS PAC ID: 1557456746 Enrollment ID: I20131121000185 |
| Provider Name | Yodit W Negusse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023293396 PECOS PAC ID: 2365580214 Enrollment ID: I20131211001628 |
| Provider Name | Howai Chan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689012577 PECOS PAC ID: 3476780636 Enrollment ID: I20131213000514 |
| Provider Name | Jaya Swami-kamboj |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1467653675 PECOS PAC ID: 5395972277 Enrollment ID: I20131223000039 |
| Provider Name | Adegboyega A Oyemade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972701761 PECOS PAC ID: 7911090725 Enrollment ID: I20131227000570 |
| Provider Name | Nadine Heron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831527076 PECOS PAC ID: 3274761929 Enrollment ID: I20140102000989 |
| Provider Name | Felecia S Waddleton Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366673097 PECOS PAC ID: 4789722786 Enrollment ID: I20140109001614 |
| Provider Name | June Cheng |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598930414 PECOS PAC ID: 4486811056 Enrollment ID: I20140110000916 |
| Provider Name | Helen Schneider |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558375113 PECOS PAC ID: 4880590439 Enrollment ID: I20140111000178 |
| Provider Name | Charles R Mitchell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144379777 PECOS PAC ID: 3971559931 Enrollment ID: I20140115000267 |
| Provider Name | Shadi Yousefi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174770606 PECOS PAC ID: 7113197096 Enrollment ID: I20140115000577 |
| Provider Name | Michael P. Lorek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1134289648 PECOS PAC ID: 6305003096 Enrollment ID: I20140115001301 |
| Provider Name | Susan A Leggett Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710037262 PECOS PAC ID: 3870639180 Enrollment ID: I20140123000181 |
| Provider Name | Sachin Nagrani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790945624 PECOS PAC ID: 9931371515 Enrollment ID: I20140131001360 |
| Provider Name | Tami Tiamfook-morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689659666 PECOS PAC ID: 7416021431 Enrollment ID: I20140211001313 |
| Provider Name | Kurt Bennett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851720429 PECOS PAC ID: 1951530989 Enrollment ID: I20140214000847 |
| Provider Name | Bogdan Florin Alexandrescu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073603973 PECOS PAC ID: 7719923358 Enrollment ID: I20140220000077 |
| Provider Name | Grace C Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316178437 PECOS PAC ID: 8628224136 Enrollment ID: I20140306000268 |
| Provider Name | Alexandra M Ryan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508206780 PECOS PAC ID: 9133359383 Enrollment ID: I20140307001551 |
| Provider Name | Armel Simo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376708321 PECOS PAC ID: 9335319656 Enrollment ID: I20140325000124 |
| Provider Name | Irina Medwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902124167 PECOS PAC ID: 5395977003 Enrollment ID: I20140411001004 |
| Provider Name | Piyapong Vongkovit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033114996 PECOS PAC ID: 8123191012 Enrollment ID: I20140422001659 |
| Provider Name | Sanghee R Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003805243 PECOS PAC ID: 8527084805 Enrollment ID: I20140501000033 |
| Provider Name | Reggie Zhan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1235174640 PECOS PAC ID: 3779594429 Enrollment ID: I20140528001514 |
| Provider Name | Ian D Gordon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104876853 PECOS PAC ID: 6204888787 Enrollment ID: I20140530000022 |
| Provider Name | Yaning Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831250281 PECOS PAC ID: 5991830838 Enrollment ID: I20140602000478 |
| Provider Name | John H Shin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295911493 PECOS PAC ID: 1052555711 Enrollment ID: I20140602000704 |
| Provider Name | Mitesh Trambadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003075284 PECOS PAC ID: 6103040589 Enrollment ID: I20140605001600 |
| Provider Name | Sandra L Swann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881738813 PECOS PAC ID: 5890841035 Enrollment ID: I20140616000626 |
| Provider Name | Chun-ming Tseng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215002159 PECOS PAC ID: 3870643083 Enrollment ID: I20140701000744 |
| Provider Name | Yevgeniy Gincherman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801822671 PECOS PAC ID: 4385770932 Enrollment ID: I20140702000911 |
| Provider Name | Tania Chao |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235305509 PECOS PAC ID: 8921169277 Enrollment ID: I20140702001579 |
| Provider Name | Madhu P Khanna |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154309813 PECOS PAC ID: 0345258059 Enrollment ID: I20140722000307 |
| Provider Name | Omar Javery |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275732505 PECOS PAC ID: 5193981389 Enrollment ID: I20140722001953 |
| Provider Name | Christopher Selhorst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780861864 PECOS PAC ID: 5395992176 Enrollment ID: I20140724001156 |
| Provider Name | Simi Shahabdeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770748469 PECOS PAC ID: 1153481205 Enrollment ID: I20140725000821 |
| Provider Name | Biruk T Amare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144643529 PECOS PAC ID: 2769608868 Enrollment ID: I20140725001557 |
| Provider Name | Priti Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679711808 PECOS PAC ID: 3072649607 Enrollment ID: I20140728000476 |
| Provider Name | Ashley Crimmins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861636839 PECOS PAC ID: 5496996639 Enrollment ID: I20140730001246 |
| Provider Name | Rebecca L Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023344876 PECOS PAC ID: 2062661804 Enrollment ID: I20140731002421 |
| Provider Name | Aisha D Mackall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346454147 PECOS PAC ID: 8325264005 Enrollment ID: I20140801001826 |
| Provider Name | Oluwafoyinsayomi Kumoluyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508157934 PECOS PAC ID: 7911146378 Enrollment ID: I20140812002035 |
| Provider Name | Julianne L Neal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699806463 PECOS PAC ID: 6608093430 Enrollment ID: I20140819000125 |
| Provider Name | Ernest Mavunga |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710286133 PECOS PAC ID: 0749419141 Enrollment ID: I20140902001454 |
| Provider Name | Padmini D Herath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083866081 PECOS PAC ID: 7719172782 Enrollment ID: I20140912001255 |
| Provider Name | John J Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710048160 PECOS PAC ID: 2769519651 Enrollment ID: I20140930002601 |
| Provider Name | Oluwakemi Ajide |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184919151 PECOS PAC ID: 4688894181 Enrollment ID: I20141006000519 |
| Provider Name | Chen-yu Kuo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669514709 PECOS PAC ID: 9830327220 Enrollment ID: I20141007000445 |
| Provider Name | Sheila A Mayo-olano |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1750506374 PECOS PAC ID: 9638142961 Enrollment ID: I20141013000199 |
| Provider Name | Rajani Kancharla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710267091 PECOS PAC ID: 9436325313 Enrollment ID: I20141112001480 |
| Provider Name | Naett I Asgill |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164679866 PECOS PAC ID: 0547431850 Enrollment ID: I20141117000139 |
| Provider Name | Sandra Abraham-hebert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487603080 PECOS PAC ID: 5294993325 Enrollment ID: I20141117000704 |
| Provider Name | Delroy Anglin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558439802 PECOS PAC ID: 2668510355 Enrollment ID: I20141118002120 |
| Provider Name | Sharon Y Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295026045 PECOS PAC ID: 3173745593 Enrollment ID: I20141119000288 |
| Provider Name | Jeffrey P Katz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1013954213 PECOS PAC ID: 8224931100 Enrollment ID: I20141124000713 |
| Provider Name | Tisha S Barnett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457643587 PECOS PAC ID: 0244552164 Enrollment ID: I20141204000829 |
| Provider Name | Amey R Kulkarni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952562365 PECOS PAC ID: 4082868146 Enrollment ID: I20141219002005 |
| Provider Name | Adeola Jolayemi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093962466 PECOS PAC ID: 8022179324 Enrollment ID: I20141222001591 |
| Provider Name | Kathleen Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427126846 PECOS PAC ID: 0840330544 Enrollment ID: I20141222001936 |
| Provider Name | Abiy A Aregawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154602837 PECOS PAC ID: 4486978913 Enrollment ID: I20150113000228 |
| Provider Name | Chris Chung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134381791 PECOS PAC ID: 8426297730 Enrollment ID: I20150116000127 |
| Provider Name | Ryan A Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770556367 PECOS PAC ID: 2668363789 Enrollment ID: I20150209000906 |
| Provider Name | Ogundu O Ngwu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376517003 PECOS PAC ID: 2466598255 Enrollment ID: I20150319002559 |
| Provider Name | Dana M Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952587479 PECOS PAC ID: 2264600634 Enrollment ID: I20150410001517 |
| Provider Name | Summer Herlihy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043458847 PECOS PAC ID: 0749313880 Enrollment ID: I20150415001500 |
| Provider Name | Jiayan Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659665321 PECOS PAC ID: 0749431674 Enrollment ID: I20150416000364 |
| Provider Name | Tim B Hopkins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235192568 PECOS PAC ID: 0345282927 Enrollment ID: I20150416001020 |
| Provider Name | Sonya Krolik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114090487 PECOS PAC ID: 2961439526 Enrollment ID: I20150417000161 |
| Provider Name | Craig Goren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528296456 PECOS PAC ID: 4981881406 Enrollment ID: I20150417000629 |
| Provider Name | Leslie Nurse |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366619231 PECOS PAC ID: 2062586548 Enrollment ID: I20150417000763 |
| Provider Name | Bethel Sine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285636662 PECOS PAC ID: 8729077060 Enrollment ID: I20150427000511 |
| Provider Name | Shyam Krishnan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306957246 PECOS PAC ID: 9133316888 Enrollment ID: I20150427002213 |
| Provider Name | Adamu D Ayene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437279528 PECOS PAC ID: 0143311415 Enrollment ID: I20150507000568 |
| Provider Name | Kimberly Garson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730219890 PECOS PAC ID: 1254650559 Enrollment ID: I20150508000930 |
| Provider Name | Loraine Wu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588981112 PECOS PAC ID: 3870731714 Enrollment ID: I20150528002477 |
| Provider Name | Mrunalini Chakurkar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144210295 PECOS PAC ID: 7012900665 Enrollment ID: I20150529000092 |
| Provider Name | Constantine Tziros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215193529 PECOS PAC ID: 6305972803 Enrollment ID: I20150529001601 |
| Provider Name | Sirak H Lemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255403523 PECOS PAC ID: 5092819193 Enrollment ID: I20150609000426 |
| Provider Name | David R Stamp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942689484 PECOS PAC ID: 0143533554 Enrollment ID: I20150714002099 |
| Provider Name | Pamela Cobb |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629118948 PECOS PAC ID: 1850437252 Enrollment ID: I20150721000816 |
| Provider Name | Farhan Merali |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821383738 PECOS PAC ID: 4587814017 Enrollment ID: I20150722003667 |
| Provider Name | Elizabeth M Keohan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891187019 PECOS PAC ID: 5698088300 Enrollment ID: I20150723007336 |
| Provider Name | Maren G Shaw |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1205039922 PECOS PAC ID: 2466649934 Enrollment ID: I20150727001765 |
| Provider Name | Kenneth C Olumba |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548438625 PECOS PAC ID: 2668596347 Enrollment ID: I20150805006564 |
| Provider Name | Saif Al-bustani |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578767653 PECOS PAC ID: 3577788918 Enrollment ID: I20150806011510 |
| Provider Name | Jenaro John Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386935724 PECOS PAC ID: 4082928866 Enrollment ID: I20150807013114 |
| Provider Name | Andy T Cheng |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104113703 PECOS PAC ID: 4981876364 Enrollment ID: I20150810002266 |
| Provider Name | Ejikeme U Nwokolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457304396 PECOS PAC ID: 3375554470 Enrollment ID: I20150827001439 |
| Provider Name | Christina Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699064758 PECOS PAC ID: 0840506333 Enrollment ID: I20150828001202 |
| Provider Name | Deepika Mittal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336452523 PECOS PAC ID: 9537475967 Enrollment ID: I20150901000202 |
| Provider Name | Maria Churaman Diwanji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225304371 PECOS PAC ID: 4082920319 Enrollment ID: I20150902000417 |
| Provider Name | Daniel R Bashari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619208683 PECOS PAC ID: 0547403834 Enrollment ID: I20150909002984 |
| Provider Name | Madhavi Ambati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396056297 PECOS PAC ID: 4082921705 Enrollment ID: I20150914002683 |
| Provider Name | Atif Kidwai Jensen |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346465838 PECOS PAC ID: 8123171683 Enrollment ID: I20150929001317 |
| Provider Name | Angela R White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699797969 PECOS PAC ID: 9436154150 Enrollment ID: I20150930001766 |
| Provider Name | Samantha L Williamson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598056822 PECOS PAC ID: 5597087833 Enrollment ID: I20151006000577 |
| Provider Name | Christina Lee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831397504 PECOS PAC ID: 2668660507 Enrollment ID: I20151006000929 |
| Provider Name | Karen Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043476716 PECOS PAC ID: 0749459519 Enrollment ID: I20151007002546 |
| Provider Name | Mandeep G Gauthier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821381369 PECOS PAC ID: 3577872050 Enrollment ID: I20151023000643 |
| Provider Name | Muzna Adil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780870618 PECOS PAC ID: 3577602804 Enrollment ID: I20151106000132 |
| Provider Name | Binu Batajoo Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972850980 PECOS PAC ID: 2769792530 Enrollment ID: I20151106000368 |
| Provider Name | Anise Henry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376768184 PECOS PAC ID: 0345540548 Enrollment ID: I20151119001180 |
| Provider Name | Tatek Teshome |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225430184 PECOS PAC ID: 2365742509 Enrollment ID: I20151119002795 |
| Provider Name | Minesh R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891979001 PECOS PAC ID: 6002960846 Enrollment ID: I20151130001649 |
| Provider Name | Natalia T Vernon |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1770861932 PECOS PAC ID: 1759522253 Enrollment ID: I20151202002565 |
| Provider Name | Tyiesha Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548632375 PECOS PAC ID: 8527369271 Enrollment ID: I20151222001395 |
| Provider Name | Marietta Tan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932342698 PECOS PAC ID: 3870742919 Enrollment ID: I20151223000114 |
| Provider Name | Andrew P Lazar |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174654719 PECOS PAC ID: 7719947142 Enrollment ID: I20160105001938 |
| Provider Name | Adina Maniu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699939488 PECOS PAC ID: 4486700549 Enrollment ID: I20160105002623 |
| Provider Name | Mi Na Son |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801067707 PECOS PAC ID: 4981745072 Enrollment ID: I20160107001911 |
| Provider Name | Nkechinyerem Eseonu Ewoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114247541 PECOS PAC ID: 9335389428 Enrollment ID: I20160128002174 |
| Provider Name | Melanie Tarutani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659309268 PECOS PAC ID: 4789669227 Enrollment ID: I20160224001028 |
| Provider Name | Jane Bisco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023029105 PECOS PAC ID: 8729209218 Enrollment ID: I20160301000319 |
| Provider Name | Stuart S Strauzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265751374 PECOS PAC ID: 3577880756 Enrollment ID: I20160301002654 |
| Provider Name | Anita Tang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386779494 PECOS PAC ID: 0446490395 Enrollment ID: I20160307000580 |
| Provider Name | Lisa Watts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992926158 PECOS PAC ID: 5698820116 Enrollment ID: I20160418000861 |
| Provider Name | Tekeema A Dixon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730390386 PECOS PAC ID: 6901997469 Enrollment ID: I20160425001471 |
| Provider Name | Quadeer M Fasihuddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942464839 PECOS PAC ID: 2961681317 Enrollment ID: I20160516000171 |
| Provider Name | Ihuoma Nwogu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891054920 PECOS PAC ID: 1557650199 Enrollment ID: I20160520000298 |
| Provider Name | Mary Varkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922005131 PECOS PAC ID: 1052387339 Enrollment ID: I20160520000398 |
| Provider Name | Robert J Levine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417274432 PECOS PAC ID: 2466694013 Enrollment ID: I20160523000360 |
| Provider Name | Nidhi Gupta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568521367 PECOS PAC ID: 7719155316 Enrollment ID: I20160602000074 |
| Provider Name | Kiersten E Kilczewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205291481 PECOS PAC ID: 0042500597 Enrollment ID: I20160613000756 |
| Provider Name | Shahine Baghai |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1831414374 PECOS PAC ID: 0840581302 Enrollment ID: I20160614001825 |
| Provider Name | Yonas G Ateshim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538476916 PECOS PAC ID: 7012193683 Enrollment ID: I20160615001183 |
| Provider Name | Ingrid Orinda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609025832 PECOS PAC ID: 0042341414 Enrollment ID: I20160621001088 |
| Provider Name | Roxanne C Orion |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083051965 PECOS PAC ID: 6709013303 Enrollment ID: I20160628001392 |
| Provider Name | Kim Jiramongkolchai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639480676 PECOS PAC ID: 0749408375 Enrollment ID: I20160629000451 |
| Provider Name | Khalid M El Bedawi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013093954 PECOS PAC ID: 9830481324 Enrollment ID: I20160701000025 |
| Provider Name | Saad Manzoul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346432796 PECOS PAC ID: 7214190248 Enrollment ID: I20160718000672 |
| Provider Name | Natasha Rodney |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306105093 PECOS PAC ID: 0547582264 Enrollment ID: I20160720001643 |
| Provider Name | Kunal Dipak Kothari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952692584 PECOS PAC ID: 7416247424 Enrollment ID: I20160801002073 |
| Provider Name | Alexandra Campbell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467895284 PECOS PAC ID: 3173764768 Enrollment ID: I20160802000161 |
| Provider Name | Mohini Bedi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518224252 PECOS PAC ID: 9335433911 Enrollment ID: I20160804000346 |
| Provider Name | Charlotte Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336481951 PECOS PAC ID: 6103124524 Enrollment ID: I20160902001296 |
| Provider Name | Janelle Taylor Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821355355 PECOS PAC ID: 7416243506 Enrollment ID: I20160916001398 |
| Provider Name | Meraf Wolle |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679892558 PECOS PAC ID: 8921258633 Enrollment ID: I20160917000069 |
| Provider Name | Kashif Malik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235254004 PECOS PAC ID: 2860565694 Enrollment ID: I20160921002391 |
| Provider Name | Jennifer A Lipman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750720066 PECOS PAC ID: 8022306190 Enrollment ID: I20161006000084 |
| Provider Name | Colleen M Ceremuga |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033383534 PECOS PAC ID: 7113174947 Enrollment ID: I20161011000255 |
| Provider Name | Neelesh A Kantak |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1154647857 PECOS PAC ID: 5193983617 Enrollment ID: I20161013002074 |
| Provider Name | Jamie L Goldberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265725352 PECOS PAC ID: 4880906544 Enrollment ID: I20161013002212 |
| Provider Name | Seung J Chung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467898205 PECOS PAC ID: 0547558009 Enrollment ID: I20161017000483 |
| Provider Name | Naeha Quasba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609119049 PECOS PAC ID: 5496053837 Enrollment ID: I20161017000661 |
| Provider Name | Nika Safaie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205274594 PECOS PAC ID: 5496052029 Enrollment ID: I20161017001143 |
| Provider Name | Charis James |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881936136 PECOS PAC ID: 4486942968 Enrollment ID: I20161017001144 |
| Provider Name | Dimple Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053728063 PECOS PAC ID: 4284922691 Enrollment ID: I20161017002808 |
| Provider Name | Alireza P Farsaii |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093965105 PECOS PAC ID: 9537303789 Enrollment ID: I20161105000008 |
| Provider Name | Camille Madison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013352301 PECOS PAC ID: 9638476088 Enrollment ID: I20161107001481 |
| Provider Name | Paula Whittington |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1922327295 PECOS PAC ID: 6002136215 Enrollment ID: I20161110001788 |
| Provider Name | Kamyar Sartip |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417089624 PECOS PAC ID: 0749453470 Enrollment ID: I20161207000440 |
| Provider Name | Mary K Diehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780029777 PECOS PAC ID: 3274813944 Enrollment ID: I20161215001023 |
| Provider Name | Suchithra Narayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962745281 PECOS PAC ID: 5193006971 Enrollment ID: I20170110002604 |
| Provider Name | Kiana Iranmanesh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306210596 PECOS PAC ID: 2567744584 Enrollment ID: I20170126000746 |
| Provider Name | Romana Baig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437409844 PECOS PAC ID: 1153635677 Enrollment ID: I20170216000060 |
| Provider Name | Mai Ling Malloy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275907677 PECOS PAC ID: 1456635184 Enrollment ID: I20170224001373 |
| Provider Name | Jennifer Q Duan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275796955 PECOS PAC ID: 6103999065 Enrollment ID: I20170227002316 |
| Provider Name | Sara Siddiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730524091 PECOS PAC ID: 8628394483 Enrollment ID: I20170316001028 |
| Provider Name | Umme Yasmin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164702874 PECOS PAC ID: 1658590658 Enrollment ID: I20170321000320 |
| Provider Name | Jennifer K Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699055780 PECOS PAC ID: 7416107594 Enrollment ID: I20170331000863 |
| Provider Name | Cheryl Parks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528198652 PECOS PAC ID: 8224313317 Enrollment ID: I20170403001571 |
| Provider Name | Megan C Lilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427595651 PECOS PAC ID: 5496031262 Enrollment ID: I20170410001296 |
| Provider Name | Christina M Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184982910 PECOS PAC ID: 0446568257 Enrollment ID: I20170510000759 |
| Provider Name | Taira Everett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353901 PECOS PAC ID: 8123242096 Enrollment ID: I20170608000837 |
| Provider Name | Juliet Gyebifoster |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1801113022 PECOS PAC ID: 2365753233 Enrollment ID: I20170627000222 |
| Provider Name | Michael Holdsworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184990095 PECOS PAC ID: 5395014476 Enrollment ID: I20170705002041 |
| Provider Name | Linda Anne Panicker Chacko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114345030 PECOS PAC ID: 2365741386 Enrollment ID: I20170705002153 |
| Provider Name | My-linh Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538422050 PECOS PAC ID: 9931340551 Enrollment ID: I20170712000071 |
| Provider Name | Emily Lorensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477089878 PECOS PAC ID: 2264702570 Enrollment ID: I20170719002785 |
| Provider Name | Niral Gandhi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669807012 PECOS PAC ID: 5597060830 Enrollment ID: I20170803000157 |
| Provider Name | Jonathan Day Oakes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861700668 PECOS PAC ID: 4789806480 Enrollment ID: I20170808001331 |
| Provider Name | Nicole E Cimino-fiallos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104246974 PECOS PAC ID: 3577834654 Enrollment ID: I20170808002396 |
| Provider Name | Christine Tran-boynes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801138458 PECOS PAC ID: 5496053829 Enrollment ID: I20170809003030 |
| Provider Name | Rosina Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760895346 PECOS PAC ID: 5799902466 Enrollment ID: I20170824000655 |
| Provider Name | Cecelia Lashawn Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033454897 PECOS PAC ID: 2365714250 Enrollment ID: I20170828003508 |
| Provider Name | Melanie Josephine Bukhari |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083058226 PECOS PAC ID: 8921240276 Enrollment ID: I20170901001525 |
| Provider Name | Shanique R Palmer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477674356 PECOS PAC ID: 1759457237 Enrollment ID: I20170912002230 |
| Provider Name | Lauren Ramos Alarcon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952789109 PECOS PAC ID: 3476826470 Enrollment ID: I20170913000418 |
| Provider Name | Patrick Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184044422 PECOS PAC ID: 2264708254 Enrollment ID: I20171018002415 |
| Provider Name | Alyssa Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144640269 PECOS PAC ID: 4183939200 Enrollment ID: I20171019000453 |
| Provider Name | Travis D Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801165824 PECOS PAC ID: 6204086549 Enrollment ID: I20171020000241 |
| Provider Name | Max Dutkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497166748 PECOS PAC ID: 0446516066 Enrollment ID: I20171114001733 |
| Provider Name | Nkengfack Chateh-nkengtego |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174724082 PECOS PAC ID: 4183981269 Enrollment ID: I20171128000273 |
| Provider Name | Rubina Khair |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316259542 PECOS PAC ID: 6901042571 Enrollment ID: I20171129000281 |
| Provider Name | Natalia Glebova |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1053519983 PECOS PAC ID: 4183873177 Enrollment ID: I20171212002775 |
| Provider Name | Elizabeth Carter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366761892 PECOS PAC ID: 5193950590 Enrollment ID: I20171212003250 |
| Provider Name | Alin Ionescu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659675080 PECOS PAC ID: 5496041097 Enrollment ID: I20171213000052 |
| Provider Name | Chong Fang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306171897 PECOS PAC ID: 1052632940 Enrollment ID: I20171221000484 |
| Provider Name | Zaw Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346587060 PECOS PAC ID: 3375842412 Enrollment ID: I20180130002854 |
| Provider Name | Rochelle K Kushner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205078375 PECOS PAC ID: 9537316385 Enrollment ID: I20180130003092 |
| Provider Name | Kasandra Rae Dassoulas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1063702223 PECOS PAC ID: 7810126844 Enrollment ID: I20180206001292 |
| Provider Name | Sasha R Jarrett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023322419 PECOS PAC ID: 5890914501 Enrollment ID: I20180208000202 |
| Provider Name | Omolara Oyedele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194992883 PECOS PAC ID: 0143373886 Enrollment ID: I20180215000367 |
| Provider Name | Amanda L Horton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104139344 PECOS PAC ID: 2163640251 Enrollment ID: I20180326001535 |
| Provider Name | Rachel L Granata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184139230 PECOS PAC ID: 7618230640 Enrollment ID: I20180404001707 |
| Provider Name | Mary Beth Chubb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396018008 PECOS PAC ID: 3779846464 Enrollment ID: I20180411000320 |
| Provider Name | Tammy Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730627597 PECOS PAC ID: 8123383197 Enrollment ID: I20180522000202 |
| Provider Name | Anjum Bandarkar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336463090 PECOS PAC ID: 8921139411 Enrollment ID: I20180522001058 |
| Provider Name | Toni L Turner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326192295 PECOS PAC ID: 3678608932 Enrollment ID: I20180522001200 |
| Provider Name | Merav Galper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881980977 PECOS PAC ID: 6103110440 Enrollment ID: I20180523000036 |
| Provider Name | Genevieve B Gogerdchi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861744294 PECOS PAC ID: 6204191158 Enrollment ID: I20180525000187 |
| Provider Name | Chelsea Sadaie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851776983 PECOS PAC ID: 4688939341 Enrollment ID: I20180530000392 |
| Provider Name | Hussan Mohammed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982963914 PECOS PAC ID: 5698042737 Enrollment ID: I20180611000979 |
| Provider Name | Prabhat P Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942597463 PECOS PAC ID: 1456571595 Enrollment ID: I20180619001628 |
| Provider Name | Amanda Rauda Tellawi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033475371 PECOS PAC ID: 3870891120 Enrollment ID: I20180620000108 |
| Provider Name | Vincent Dam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700014602 PECOS PAC ID: 0345467130 Enrollment ID: I20180628000300 |
| Provider Name | Tuesday Cook |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396902227 PECOS PAC ID: 2769547207 Enrollment ID: I20180711000168 |
| Provider Name | Waynekid Kam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144609306 PECOS PAC ID: 2668785015 Enrollment ID: I20180717002762 |
| Provider Name | Ruby Parikh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1558781401 PECOS PAC ID: 5597984351 Enrollment ID: I20180718000864 |
| Provider Name | Tierra Dawn Burrell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437418670 PECOS PAC ID: 6608180310 Enrollment ID: I20180813001187 |
| Provider Name | Alexander Choo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265723266 PECOS PAC ID: 2567752496 Enrollment ID: I20180814000069 |
| Provider Name | Jamille Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497141402 PECOS PAC ID: 4981953924 Enrollment ID: I20180823002529 |
| Provider Name | Mina B Tanios |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508108713 PECOS PAC ID: 5294039673 Enrollment ID: I20180830001437 |
| Provider Name | Christopher Zarraga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568858157 PECOS PAC ID: 5890045090 Enrollment ID: I20180910002368 |
| Provider Name | Jun Kang |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1174941900 PECOS PAC ID: 5597061762 Enrollment ID: I20180911000656 |
| Provider Name | Amy Bernardino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043699515 PECOS PAC ID: 8820348972 Enrollment ID: I20180911001442 |
| Provider Name | Jerome Zazzera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710353503 PECOS PAC ID: 7618228883 Enrollment ID: I20180927000546 |
| Provider Name | Julian Barkan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407241938 PECOS PAC ID: 5890046072 Enrollment ID: I20180927001074 |
| Provider Name | Lytia Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073932810 PECOS PAC ID: 2163773367 Enrollment ID: I20180927002038 |
| Provider Name | Vincent Decicco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841262953 PECOS PAC ID: 1557612694 Enrollment ID: I20180928000596 |
| Provider Name | Tedra Elaine Gilmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205928223 PECOS PAC ID: 8729164439 Enrollment ID: I20181004000386 |
| Provider Name | Tola Oyesanya |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760898282 PECOS PAC ID: 3173840972 Enrollment ID: I20181009000868 |
| Provider Name | Michael Gerrity |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164817565 PECOS PAC ID: 3779890736 Enrollment ID: I20181015001514 |
| Provider Name | Grace Wessling |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245626498 PECOS PAC ID: 5799038659 Enrollment ID: I20181024000066 |
| Provider Name | Gregory Ahamad Khan-arthur |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1154304210 PECOS PAC ID: 1456530773 Enrollment ID: I20181024001821 |
| Provider Name | Omolola Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205320199 PECOS PAC ID: 2365795721 Enrollment ID: I20181101000365 |
| Provider Name | Anastasia Grivoyannis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295027837 PECOS PAC ID: 3779858451 Enrollment ID: I20181101000411 |
| Provider Name | Ruchika Bhatt |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871729681 PECOS PAC ID: 5092022079 Enrollment ID: I20181105001148 |
| Provider Name | Leopoldine Modjo Kenmogne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114312444 PECOS PAC ID: 6901150119 Enrollment ID: I20181106002549 |
| Provider Name | Paula Waddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679656441 PECOS PAC ID: 3274721881 Enrollment ID: I20181107000256 |
| Provider Name | Laura Emmanuel-allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114312352 PECOS PAC ID: 5395040497 Enrollment ID: I20181119000030 |
| Provider Name | Prathap R Naini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972898625 PECOS PAC ID: 8022324763 Enrollment ID: I20181121002073 |
| Provider Name | Shereene Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760626600 PECOS PAC ID: 1951543776 Enrollment ID: I20181130002229 |
| Provider Name | William Edmund Prominski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699749788 PECOS PAC ID: 3274583414 Enrollment ID: I20181205001646 |
| Provider Name | Pardeep Dhanoa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730295155 PECOS PAC ID: 9638271356 Enrollment ID: I20181205002197 |
| Provider Name | Ada Ukpai Emarievbe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063731594 PECOS PAC ID: 6608190699 Enrollment ID: I20181212000748 |
| Provider Name | Melik Tiba |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255683181 PECOS PAC ID: 6507132990 Enrollment ID: I20181227000072 |
| Provider Name | Ramona Ramachandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154688042 PECOS PAC ID: 3870809213 Enrollment ID: I20190118001884 |
| Provider Name | Uchemadu Nwaononiwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770710451 PECOS PAC ID: 7517115702 Enrollment ID: I20190207000978 |
| Provider Name | Christelle Nong Libend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780096446 PECOS PAC ID: 0143516443 Enrollment ID: I20190221000339 |
| Provider Name | Lisa Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790846889 PECOS PAC ID: 2668502543 Enrollment ID: I20190221001579 |
| Provider Name | Elizabeth Castillo Marshall |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1073735684 PECOS PAC ID: 3375592538 Enrollment ID: I20190313000603 |
| Provider Name | Nneka Bagwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417436684 PECOS PAC ID: 4789925702 Enrollment ID: I20190401000853 |
| Provider Name | Jason Michael Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508209263 PECOS PAC ID: 5395044226 Enrollment ID: I20190403000012 |
| Provider Name | Neal Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376742379 PECOS PAC ID: 9032281233 Enrollment ID: I20190424001294 |
| Provider Name | Zachary Fisher |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235105073 PECOS PAC ID: 6507914579 Enrollment ID: I20190429002750 |
| Provider Name | David Krug |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356516298 PECOS PAC ID: 8628128592 Enrollment ID: I20190603000197 |
| Provider Name | Melissa Sinkiewicz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861650392 PECOS PAC ID: 4284880949 Enrollment ID: I20190617003116 |
| Provider Name | Amina Sadowsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588079040 PECOS PAC ID: 0446584726 Enrollment ID: I20190619002625 |
| Provider Name | Matthew Joseph Webber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225182231 PECOS PAC ID: 9335246339 Enrollment ID: I20190625001219 |
| Provider Name | Oluwafunke Ives |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134532633 PECOS PAC ID: 2365782166 Enrollment ID: I20190705000180 |
| Provider Name | Tameri A Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225572142 PECOS PAC ID: 0547595894 Enrollment ID: I20190710000458 |
| Provider Name | Katherine L Serio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427614353 PECOS PAC ID: 3072848324 Enrollment ID: I20190710000551 |
| Provider Name | Ashish C Ahuja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982067260 PECOS PAC ID: 5698060721 Enrollment ID: I20190717000079 |
| Provider Name | Brandon Eilertson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922283597 PECOS PAC ID: 0749406304 Enrollment ID: I20190722000010 |
| Provider Name | Lauren Irene White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720465941 PECOS PAC ID: 9032469184 Enrollment ID: I20190723002369 |
| Provider Name | Raymond Dormevil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245627892 PECOS PAC ID: 5698029304 Enrollment ID: I20190727000313 |
| Provider Name | Yared Medhane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447563770 PECOS PAC ID: 9133367261 Enrollment ID: I20190802001093 |
| Provider Name | Sudip Saha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588809552 PECOS PAC ID: 8426207341 Enrollment ID: I20190812002613 |
| Provider Name | Andrew Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104212737 PECOS PAC ID: 4486981594 Enrollment ID: I20190813001318 |
| Provider Name | Uchechi Egbuhuzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053765123 PECOS PAC ID: 0547597353 Enrollment ID: I20190815002542 |
| Provider Name | Sean David Bourne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700237534 PECOS PAC ID: 4486948627 Enrollment ID: I20190826003249 |
| Provider Name | Arpan H Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033475983 PECOS PAC ID: 5597065565 Enrollment ID: I20190828000257 |
| Provider Name | Neil Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639320187 PECOS PAC ID: 8022169028 Enrollment ID: I20190829000297 |
| Provider Name | Randy Siy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497127187 PECOS PAC ID: 9638408578 Enrollment ID: I20190903000666 |
| Provider Name | Justin Capasso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457713331 PECOS PAC ID: 7618206350 Enrollment ID: I20190905003395 |
| Provider Name | Christopher Mcginn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871835413 PECOS PAC ID: 1456660687 Enrollment ID: I20190909000004 |
| Provider Name | Sabaina Arshad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821449216 PECOS PAC ID: 5395030381 Enrollment ID: I20190910000064 |
| Provider Name | Kuntal Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295084796 PECOS PAC ID: 2163749995 Enrollment ID: I20190911000855 |
| Provider Name | Christopher D Presley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285286351 PECOS PAC ID: 2163759929 Enrollment ID: I20190912000502 |
| Provider Name | In Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689068603 PECOS PAC ID: 3072818392 Enrollment ID: I20190917002956 |
| Provider Name | Jamie Chaffo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497173124 PECOS PAC ID: 9931321304 Enrollment ID: I20190925000007 |
| Provider Name | Christopher Bourke |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225456361 PECOS PAC ID: 2264721091 Enrollment ID: I20190926003112 |
| Provider Name | Carolyn Michelle Payne |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598144107 PECOS PAC ID: 8628377215 Enrollment ID: I20190930001381 |
| Provider Name | Mohsin Husain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992796478 PECOS PAC ID: 9830138387 Enrollment ID: I20191002000049 |
| Provider Name | Angelica D White |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063636215 PECOS PAC ID: 6406921402 Enrollment ID: I20191007003405 |
| Provider Name | Eric Yakish |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568809085 PECOS PAC ID: 9739305418 Enrollment ID: I20191008001104 |
| Provider Name | Matthew Kinney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457609323 PECOS PAC ID: 0749536621 Enrollment ID: I20191017001969 |
| Provider Name | Faryal Zehra Nadeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699138537 PECOS PAC ID: 4486986684 Enrollment ID: I20191021001889 |
| Provider Name | Joyce Wong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619101102 PECOS PAC ID: 5799955852 Enrollment ID: I20191022000894 |
| Provider Name | Jamie Lynn Vanartsdalen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053793687 PECOS PAC ID: 3678875796 Enrollment ID: I20191022001229 |
| Provider Name | Shreyas Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1114363025 PECOS PAC ID: 9739329012 Enrollment ID: I20191022001662 |
| Provider Name | Christopher Tebrock |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558328930 PECOS PAC ID: 9133451222 Enrollment ID: I20191023001519 |
| Provider Name | Shannon C Petukhov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427402627 PECOS PAC ID: 3779877055 Enrollment ID: I20191023003627 |
| Provider Name | Alexis Law |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881245520 PECOS PAC ID: 5496087231 Enrollment ID: I20191029001865 |
| Provider Name | Suchi Smitha Nagaraj |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134515117 PECOS PAC ID: 9032455803 Enrollment ID: I20191029002250 |
| Provider Name | Katherine T Ramsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881089837 PECOS PAC ID: 6103158837 Enrollment ID: I20191030003129 |
| Provider Name | Marie Pereira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124480637 PECOS PAC ID: 3971898727 Enrollment ID: I20191031000376 |
| Provider Name | Reverly M John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689751505 PECOS PAC ID: 0648278960 Enrollment ID: I20191104000163 |
| Provider Name | David Juan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528300076 PECOS PAC ID: 5991009490 Enrollment ID: I20191111000578 |
| Provider Name | Fatima Shekhani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295121580 PECOS PAC ID: 5698078152 Enrollment ID: I20191111001386 |
| Provider Name | Neha Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407242878 PECOS PAC ID: 8628320504 Enrollment ID: I20191113002685 |
| Provider Name | Milly Turakhia Rambhia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992123533 PECOS PAC ID: 7113200973 Enrollment ID: I20191119001024 |
| Provider Name | Adebunmi Adeyiga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801057062 PECOS PAC ID: 4486827912 Enrollment ID: I20191205000005 |
| Provider Name | Naznin Daginawala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811296080 PECOS PAC ID: 9234361882 Enrollment ID: I20191205000089 |
| Provider Name | Ellen Dena Finkelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134287030 PECOS PAC ID: 7416071972 Enrollment ID: I20191205000646 |
| Provider Name | Alice Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154523553 PECOS PAC ID: 3072680719 Enrollment ID: I20191205002119 |
| Provider Name | Katie Ryder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306076864 PECOS PAC ID: 1759516230 Enrollment ID: I20191205002481 |
| Provider Name | Joel P Kalman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063577310 PECOS PAC ID: 7911045505 Enrollment ID: I20191205002568 |
| Provider Name | Jocelyn Scheinert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295998227 PECOS PAC ID: 8729221411 Enrollment ID: I20191205003100 |
| Provider Name | Otibhor Igene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134501471 PECOS PAC ID: 0648550038 Enrollment ID: I20191206000473 |
| Provider Name | Jules Marie Antonios Chehade |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831354273 PECOS PAC ID: 3577882695 Enrollment ID: I20191206000665 |
| Provider Name | Chukwunonyeluanyi Okocha |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669578597 PECOS PAC ID: 9234137530 Enrollment ID: I20191210001921 |
| Provider Name | Melvin Woodao Kong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578628814 PECOS PAC ID: 7012952997 Enrollment ID: I20200103000045 |
| Provider Name | Rohini Boddu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568842292 PECOS PAC ID: 2365781317 Enrollment ID: I20200106000489 |
| Provider Name | Aweke Yilma Dubi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427690809 PECOS PAC ID: 6507292406 Enrollment ID: I20200213001193 |
| Provider Name | Pamela Matia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639125289 PECOS PAC ID: 1456665181 Enrollment ID: I20200227000035 |
| Provider Name | Ramaz Metreveli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457350159 PECOS PAC ID: 8628035250 Enrollment ID: I20200305000086 |
| Provider Name | Elena Deacu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841401395 PECOS PAC ID: 7214117522 Enrollment ID: I20200305002136 |
| Provider Name | Lesly Lamarque |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104963685 PECOS PAC ID: 4688637382 Enrollment ID: I20200313001861 |
| Provider Name | Johanese Sandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154819977 PECOS PAC ID: 1153674734 Enrollment ID: I20200325003185 |
| Provider Name | Jonathan Collins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669467411 PECOS PAC ID: 9032350426 Enrollment ID: I20200325003860 |
| Provider Name | Kai Li |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912310905 PECOS PAC ID: 9931326790 Enrollment ID: I20200327003159 |
| Provider Name | Jennifer Wade |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255798989 PECOS PAC ID: 5496052425 Enrollment ID: I20200402000074 |
| Provider Name | Neelam Bandi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851507255 PECOS PAC ID: 7416084454 Enrollment ID: I20200409000095 |
| Provider Name | Benjamin Galper |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104085141 PECOS PAC ID: 3375677461 Enrollment ID: I20200409000227 |
| Provider Name | Ramatoulaye Dia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255992145 PECOS PAC ID: 0547699308 Enrollment ID: I20200416003931 |
| Provider Name | Adam Isaac |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366678948 PECOS PAC ID: 9335397199 Enrollment ID: I20200420000171 |
| Provider Name | Mary E Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982851689 PECOS PAC ID: 7911178751 Enrollment ID: I20200430000749 |
| Provider Name | Mohammad Sheraz Waris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427373638 PECOS PAC ID: 2860629243 Enrollment ID: I20200430002737 |
| Provider Name | Raafe Ghouse |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629232582 PECOS PAC ID: 0345469466 Enrollment ID: I20200512000173 |
| Provider Name | Irene Chidiebere Ndukwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932689007 PECOS PAC ID: 7517201270 Enrollment ID: I20200513002279 |
| Provider Name | Ahmad Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962608661 PECOS PAC ID: 5496942880 Enrollment ID: I20200514001606 |
| Provider Name | Eva Devience |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346689437 PECOS PAC ID: 2466751557 Enrollment ID: I20200526000254 |
| Provider Name | Nidhi Gupta |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1407138639 PECOS PAC ID: 5698062503 Enrollment ID: I20200601000029 |
| Provider Name | Daniel Albertus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902148679 PECOS PAC ID: 8224260443 Enrollment ID: I20200702002160 |
| Provider Name | Taylor English |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871975326 PECOS PAC ID: 4385991157 Enrollment ID: I20200702002386 |
| Provider Name | Darlene Jean-pierre |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659677896 PECOS PAC ID: 8325331374 Enrollment ID: I20200708000283 |
| Provider Name | Karim Yacoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801021134 PECOS PAC ID: 0244482925 Enrollment ID: I20200710000109 |
| Provider Name | Fariha Ramay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902149099 PECOS PAC ID: 7719286673 Enrollment ID: I20200715000792 |
| Provider Name | Ming Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578092417 PECOS PAC ID: 6507131315 Enrollment ID: I20200727000432 |
| Provider Name | Folabomi Ajanaku |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851719777 PECOS PAC ID: 4981828795 Enrollment ID: I20200803001719 |
| Provider Name | Rubiliatu Akinwande |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336598366 PECOS PAC ID: 7517382682 Enrollment ID: I20200806001201 |
| Provider Name | Ji Qi |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1265771810 PECOS PAC ID: 0547550428 Enrollment ID: I20200811000023 |
| Provider Name | Mitchell Kang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528408952 PECOS PAC ID: 6204118276 Enrollment ID: I20200817002000 |
| Provider Name | Paul Paetow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588013171 PECOS PAC ID: 2769778653 Enrollment ID: I20200818003027 |
| Provider Name | Justin Newstadt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053609594 PECOS PAC ID: 6002033321 Enrollment ID: I20200827001043 |
| Provider Name | Alyssa Hammer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952764433 PECOS PAC ID: 1557788171 Enrollment ID: I20200827002939 |
| Provider Name | Samuel Jonas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851718985 PECOS PAC ID: 1850524729 Enrollment ID: I20200828000912 |
| Provider Name | Michael Fenstermaker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679952006 PECOS PAC ID: 8426363458 Enrollment ID: I20200904001092 |
| Provider Name | Payam Sajedi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316200769 PECOS PAC ID: 9133427545 Enrollment ID: I20200910001075 |
| Provider Name | Nicole White-samuels |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386193282 PECOS PAC ID: 6608294228 Enrollment ID: I20200915000666 |
| Provider Name | Emily Mirkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811383177 PECOS PAC ID: 9638462104 Enrollment ID: I20200917000379 |
| Provider Name | Kathleen Solomon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780832949 PECOS PAC ID: 4688853344 Enrollment ID: I20200917002557 |
| Provider Name | Tina Musa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033572268 PECOS PAC ID: 7719305218 Enrollment ID: I20200921000192 |
| Provider Name | An Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720473366 PECOS PAC ID: 7911236310 Enrollment ID: I20200924001169 |
| Provider Name | Tawfiq Khoury |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750709432 PECOS PAC ID: 2567797806 Enrollment ID: I20200924002502 |
| Provider Name | Anup Belur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194984740 PECOS PAC ID: 8224297072 Enrollment ID: I20200925002716 |
| Provider Name | Yewande Kehinde |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356980619 PECOS PAC ID: 5092134627 Enrollment ID: I20201001001540 |
| Provider Name | Christella Ajong Mbeboh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417476409 PECOS PAC ID: 5890114391 Enrollment ID: I20201002000859 |
| Provider Name | Catherine Denkler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861887903 PECOS PAC ID: 5991009169 Enrollment ID: I20201002001112 |
| Provider Name | Eyassu Zena |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306943618 PECOS PAC ID: 9032148283 Enrollment ID: I20201007002433 |
| Provider Name | Nika Vinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811197015 PECOS PAC ID: 8729388863 Enrollment ID: I20201008002432 |
| Provider Name | Michele L Eno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093009375 PECOS PAC ID: 9739314220 Enrollment ID: I20201015002137 |
| Provider Name | Dereje Legesse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538150339 PECOS PAC ID: 8527950344 Enrollment ID: I20201016000509 |
| Provider Name | Praveen Kache |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871720870 PECOS PAC ID: 0941353775 Enrollment ID: I20201016001730 |
| Provider Name | Michael Staloch |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902831449 PECOS PAC ID: 0547264780 Enrollment ID: I20201019000053 |
| Provider Name | Kathleen Mae Jefferies |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144410648 PECOS PAC ID: 0143406470 Enrollment ID: I20201019002004 |
| Provider Name | Idrees Mian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548525793 PECOS PAC ID: 2668777954 Enrollment ID: I20201019002212 |
| Provider Name | David Orange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770557621 PECOS PAC ID: 7618909805 Enrollment ID: I20201020000859 |
| Provider Name | Samwiri Mukasa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982014817 PECOS PAC ID: 2961730437 Enrollment ID: I20201027001932 |
| Provider Name | Ayanna Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184636714 PECOS PAC ID: 2062404015 Enrollment ID: I20201030001851 |
| Provider Name | Artur Treyster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275754475 PECOS PAC ID: 5991803579 Enrollment ID: I20201030001927 |
| Provider Name | Abigail M Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821592817 PECOS PAC ID: 1850636150 Enrollment ID: I20201117001991 |
| Provider Name | Nabeela Karim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083266290 PECOS PAC ID: 2860803053 Enrollment ID: I20201118003395 |
| Provider Name | Ryan Nagele |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457794844 PECOS PAC ID: 4082915905 Enrollment ID: I20201123000038 |
| Provider Name | Barbara Turner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003987835 PECOS PAC ID: 6204984057 Enrollment ID: I20201123001748 |
| Provider Name | Christopher Degannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518076116 PECOS PAC ID: 2062581432 Enrollment ID: I20201123002854 |
| Provider Name | Songoli Umeh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356635163 PECOS PAC ID: 6709194541 Enrollment ID: I20201201002587 |
| Provider Name | Abisola Osifade |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699028787 PECOS PAC ID: 3274945688 Enrollment ID: I20201209000042 |
| Provider Name | Bill Alexander |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982744371 PECOS PAC ID: 9032341862 Enrollment ID: I20201209000329 |
| Provider Name | Najam Fasihi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922158443 PECOS PAC ID: 8729216700 Enrollment ID: I20201209002699 |
| Provider Name | Dipanwita Saha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447574967 PECOS PAC ID: 0042451189 Enrollment ID: I20201230000626 |
| Provider Name | Nikhil Oak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174844914 PECOS PAC ID: 5294013694 Enrollment ID: I20210104000688 |
| Provider Name | David Ain |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1730349234 PECOS PAC ID: 5395960991 Enrollment ID: I20210122000310 |
| Provider Name | Akbar Abyaneh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528388824 PECOS PAC ID: 3072834712 Enrollment ID: I20210125000897 |
| Provider Name | Angela Bien |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700049491 PECOS PAC ID: 3971745902 Enrollment ID: I20210126000030 |
| Provider Name | Audrey Tsao |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013902287 PECOS PAC ID: 6901828359 Enrollment ID: I20210126000118 |
| Provider Name | Leiora Kortvely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265749311 PECOS PAC ID: 9436425287 Enrollment ID: I20210127003074 |
| Provider Name | Charles Brennt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881741999 PECOS PAC ID: 9830385699 Enrollment ID: I20210129000746 |
| Provider Name | Fadeke Ajayi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669608691 PECOS PAC ID: 0840415857 Enrollment ID: I20210129001671 |
| Provider Name | Julianne Camba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043456320 PECOS PAC ID: 4789993528 Enrollment ID: I20210204001975 |
| Provider Name | Daniel Robertson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578791281 PECOS PAC ID: 4587898838 Enrollment ID: I20210222000754 |
| Provider Name | Anne Roberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1447575725 PECOS PAC ID: 9739445438 Enrollment ID: I20210222001122 |
| Provider Name | Sameer Deshmukh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487881215 PECOS PAC ID: 6800053166 Enrollment ID: I20210222001631 |
| Provider Name | Sarah Bromeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740346733 PECOS PAC ID: 3971593872 Enrollment ID: I20210223000010 |
| Provider Name | John Ergener |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679618623 PECOS PAC ID: 4981651544 Enrollment ID: I20210223000117 |
| Provider Name | Salil Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891058855 PECOS PAC ID: 4183853773 Enrollment ID: I20210223000133 |
| Provider Name | Leslie Bizovi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518005594 PECOS PAC ID: 8123299138 Enrollment ID: I20210223001768 |
| Provider Name | Minh Phuong Doan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1124041942 PECOS PAC ID: 9638114911 Enrollment ID: I20210224000442 |
| Provider Name | Rebecca Anstey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861757668 PECOS PAC ID: 5092094433 Enrollment ID: I20210224001193 |
| Provider Name | Jessica Bullard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750592895 PECOS PAC ID: 5698856284 Enrollment ID: I20210317000568 |
| Provider Name | Esther Ihezie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720308687 PECOS PAC ID: 0143464552 Enrollment ID: I20210318001606 |
| Provider Name | Brian Cantor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548314404 PECOS PAC ID: 9234183260 Enrollment ID: I20210324000089 |
| Provider Name | Shuo Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114260312 PECOS PAC ID: 0446557466 Enrollment ID: I20210324000176 |
| Provider Name | Carina Cheung |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477864544 PECOS PAC ID: 3577879410 Enrollment ID: I20210324002814 |
| Provider Name | David Chu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568571107 PECOS PAC ID: 5698814390 Enrollment ID: I20210325001582 |
| Provider Name | Anna Childson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659647915 PECOS PAC ID: 6709184104 Enrollment ID: I20210327000119 |
| Provider Name | Abisola Ayodeji |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699083089 PECOS PAC ID: 6002103090 Enrollment ID: I20210330002106 |
| Provider Name | Daoud Dajani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1376786186 PECOS PAC ID: 4688992522 Enrollment ID: I20210407000048 |
| Provider Name | Debra Coe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265500516 PECOS PAC ID: 1355478231 Enrollment ID: I20210408000901 |
| Provider Name | Kevin Brathwaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669526661 PECOS PAC ID: 3678476116 Enrollment ID: I20210408001800 |
| Provider Name | John Long |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043388499 PECOS PAC ID: 6103953831 Enrollment ID: I20210409001656 |
| Provider Name | Dia Copeland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164402780 PECOS PAC ID: 5193619658 Enrollment ID: I20210413000101 |
| Provider Name | Megan Campion |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134485592 PECOS PAC ID: 8820357684 Enrollment ID: I20210415001747 |
| Provider Name | Tanya Dzintra Davis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023250685 PECOS PAC ID: 5193012094 Enrollment ID: I20210419001790 |
| Provider Name | Janet Gill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467476283 PECOS PAC ID: 1456353416 Enrollment ID: I20210419002487 |
| Provider Name | Oluchi Dike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740660679 PECOS PAC ID: 6507173796 Enrollment ID: I20210423001316 |
| Provider Name | William M Epps |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295943124 PECOS PAC ID: 9234277526 Enrollment ID: I20210426000137 |
| Provider Name | Bogdan Dumitriu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1386819753 PECOS PAC ID: 4880981794 Enrollment ID: I20210426000783 |
| Provider Name | Coleen Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235513664 PECOS PAC ID: 9032462932 Enrollment ID: I20210426001015 |
| Provider Name | Christopher Della Santina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356496178 PECOS PAC ID: 6901942796 Enrollment ID: I20210427000080 |
| Provider Name | Odunola Arowolo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841340890 PECOS PAC ID: 0840258844 Enrollment ID: I20210503001642 |
| Provider Name | Jemilat Badamas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427292093 PECOS PAC ID: 8426207135 Enrollment ID: I20210503001748 |
| Provider Name | Matthew Boyce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164659702 PECOS PAC ID: 9931359536 Enrollment ID: I20210503002830 |
| Provider Name | Hycenta Halle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225640907 PECOS PAC ID: 2365851359 Enrollment ID: I20210503002855 |
| Provider Name | Farzam Ayazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447427893 PECOS PAC ID: 5698963502 Enrollment ID: I20210504003066 |
| Provider Name | Thomas Chang |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1689724254 PECOS PAC ID: 0941356042 Enrollment ID: I20210505000012 |
| Provider Name | Ayse Turgut |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558408880 PECOS PAC ID: 4880746429 Enrollment ID: I20210505000288 |
| Provider Name | Lindsay Barnes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265425870 PECOS PAC ID: 5799913927 Enrollment ID: I20210505002688 |
| Provider Name | Negash Ayele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699712117 PECOS PAC ID: 6204843188 Enrollment ID: I20210511000112 |
| Provider Name | Brooks Briel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336632421 PECOS PAC ID: 1153675962 Enrollment ID: I20210512002028 |
| Provider Name | Helen Gamada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376142315 PECOS PAC ID: 9335558816 Enrollment ID: I20210513001248 |
| Provider Name | Robert Gallagher |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043396120 PECOS PAC ID: 4981820594 Enrollment ID: I20210520000270 |
| Provider Name | Jennifer Taylor Ratta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932631918 PECOS PAC ID: 5294134276 Enrollment ID: I20210524002665 |
| Provider Name | Sharmila Aryal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356488951 PECOS PAC ID: 9830157544 Enrollment ID: I20210525000073 |
| Provider Name | Vanessa Valero |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982064010 PECOS PAC ID: 6103225107 Enrollment ID: I20210525000246 |
| Provider Name | Mary Branton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053486993 PECOS PAC ID: 7012997026 Enrollment ID: I20210525000422 |
| Provider Name | Rinal Goel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982066114 PECOS PAC ID: 1052710050 Enrollment ID: I20210525000439 |
| Provider Name | Irina Bobrova Sherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194880401 PECOS PAC ID: 7719039684 Enrollment ID: I20210525000764 |
| Provider Name | Julie Ambrose |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043263163 PECOS PAC ID: 1456537760 Enrollment ID: I20210525001045 |
| Provider Name | Isha Choudhary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407276827 PECOS PAC ID: 2365662145 Enrollment ID: I20210525002649 |
| Provider Name | Tinisha Cheatham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851339618 PECOS PAC ID: 0345239570 Enrollment ID: I20210526000970 |
| Provider Name | Jose De Leon Carpio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275682320 PECOS PAC ID: 0446388243 Enrollment ID: I20210603003268 |
| Provider Name | Nadine Ford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154371128 PECOS PAC ID: 8527045020 Enrollment ID: I20210607000063 |
| Provider Name | Deidra Foreman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801048509 PECOS PAC ID: 5890049019 Enrollment ID: I20210607000393 |
| Provider Name | Tracy Burns |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1780918201 PECOS PAC ID: 0345558862 Enrollment ID: I20210607001192 |
| Provider Name | Eirene Koroulakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396805826 PECOS PAC ID: 9739228941 Enrollment ID: I20210615002527 |
| Provider Name | Olabisi Kuti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922326644 PECOS PAC ID: 4385888908 Enrollment ID: I20210616000456 |
| Provider Name | Wendy Ann Hutcheson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326111667 PECOS PAC ID: 8224170493 Enrollment ID: I20210616001354 |
| Provider Name | Nicholas Hatate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710313358 PECOS PAC ID: 6608163514 Enrollment ID: I20210616002417 |
| Provider Name | Anthony Camarda |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316436561 PECOS PAC ID: 8224385372 Enrollment ID: I20210616002516 |
| Provider Name | Jenny John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023195518 PECOS PAC ID: 5799837654 Enrollment ID: I20210616003734 |
| Provider Name | Hien Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760550172 PECOS PAC ID: 9133106891 Enrollment ID: I20210617001775 |
| Provider Name | Karen Rabin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710058474 PECOS PAC ID: 7810903671 Enrollment ID: I20210617002591 |
| Provider Name | Allison Parker Fahey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821433814 PECOS PAC ID: 4880981810 Enrollment ID: I20210617002631 |
| Provider Name | Saria Izzeldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861835449 PECOS PAC ID: 7012295405 Enrollment ID: I20210617003009 |
| Provider Name | Vani Pyda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730509506 PECOS PAC ID: 7810286739 Enrollment ID: I20210617003156 |
| Provider Name | Alexandria Reilly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487095683 PECOS PAC ID: 0941598403 Enrollment ID: I20210621000121 |
| Provider Name | Kymia Khosrowani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962930065 PECOS PAC ID: 6406121391 Enrollment ID: I20210621000579 |
| Provider Name | Brian Shen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538232723 PECOS PAC ID: 5890846117 Enrollment ID: I20210621000985 |
| Provider Name | Uma Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154499580 PECOS PAC ID: 4385772995 Enrollment ID: I20210621001080 |
| Provider Name | Aundrea Stevenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538452370 PECOS PAC ID: 0143548891 Enrollment ID: I20210622000083 |
| Provider Name | Thomas Stallard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467866285 PECOS PAC ID: 1759683584 Enrollment ID: I20210622000610 |
| Provider Name | William Stallard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694561 PECOS PAC ID: 5092017012 Enrollment ID: I20210622000689 |
| Provider Name | Ke Sun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457892655 PECOS PAC ID: 7214289487 Enrollment ID: I20210622000720 |
| Provider Name | Heather Kearney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447483821 PECOS PAC ID: 6204085525 Enrollment ID: I20210622000873 |
| Provider Name | Amy Prescott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184129942 PECOS PAC ID: 5799186219 Enrollment ID: I20210622001340 |
| Provider Name | Enaruna Igiehon Tychus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255568820 PECOS PAC ID: 8022246289 Enrollment ID: I20210622001445 |
| Provider Name | Gaby Tesfaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669533196 PECOS PAC ID: 3476683277 Enrollment ID: I20210622001880 |
| Provider Name | Xu He |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1851822738 PECOS PAC ID: 8820367568 Enrollment ID: I20210622002053 |
| Provider Name | Laban Tsuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902245798 PECOS PAC ID: 1254554637 Enrollment ID: I20210622002281 |
| Provider Name | Catherine Twimasi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669853222 PECOS PAC ID: 9436466745 Enrollment ID: I20210622003421 |
| Provider Name | Christine Masuicca |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1740593813 PECOS PAC ID: 2365764313 Enrollment ID: I20210623000359 |
| Provider Name | Kelley Monica Cohill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932693843 PECOS PAC ID: 1951702265 Enrollment ID: I20210624000694 |
| Provider Name | Manish Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316007750 PECOS PAC ID: 5092786582 Enrollment ID: I20210625000206 |
| Provider Name | Ethiopia Abebe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588732580 PECOS PAC ID: 6709931322 Enrollment ID: I20210630002089 |
| Provider Name | Nancy Fleurancois |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063540045 PECOS PAC ID: 3870785769 Enrollment ID: I20210630002413 |
| Provider Name | Sukhdeep Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770930406 PECOS PAC ID: 9638469570 Enrollment ID: I20210701001318 |
| Provider Name | Idil Mohamud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528456373 PECOS PAC ID: 2860716081 Enrollment ID: I20210701001394 |
| Provider Name | Christopher Pash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639121262 PECOS PAC ID: 9335032358 Enrollment ID: I20210701002248 |
| Provider Name | Poonam Maru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780974329 PECOS PAC ID: 8123260197 Enrollment ID: I20210701003393 |
| Provider Name | Joy Onaghise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679958565 PECOS PAC ID: 8426300427 Enrollment ID: I20210702000032 |
| Provider Name | Dereje Woreta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922156579 PECOS PAC ID: 6002968690 Enrollment ID: I20210702000744 |
| Provider Name | Megan Gaddis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760709380 PECOS PAC ID: 4880810811 Enrollment ID: I20210707003316 |
| Provider Name | Xavier Kee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437446960 PECOS PAC ID: 1052542867 Enrollment ID: I20210712001470 |
| Provider Name | Yetunde Shitta-bey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659449643 PECOS PAC ID: 7618007030 Enrollment ID: I20210712001933 |
| Provider Name | Hanadi Shamkhani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174688345 PECOS PAC ID: 1759370638 Enrollment ID: I20210712004179 |
| Provider Name | Sariah M Wesley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801239983 PECOS PAC ID: 3375821705 Enrollment ID: I20210713001351 |
| Provider Name | Chevonne Salmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053492348 PECOS PAC ID: 2163524497 Enrollment ID: I20210713002492 |
| Provider Name | Allen S Mosenkis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982915559 PECOS PAC ID: 0941447437 Enrollment ID: I20210713002957 |
| Provider Name | Richard Haney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447665732 PECOS PAC ID: 4385954148 Enrollment ID: I20210715002283 |
| Provider Name | Rashad Dupree-harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437312238 PECOS PAC ID: 7113185265 Enrollment ID: I20210723000633 |
| Provider Name | Katherine Ohlhausen Mccabe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114313269 PECOS PAC ID: 3173867678 Enrollment ID: I20210723001191 |
| Provider Name | Gao Chen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437418977 PECOS PAC ID: 2769709625 Enrollment ID: I20210726001105 |
| Provider Name | David Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235294406 PECOS PAC ID: 8123173291 Enrollment ID: I20210727001446 |
| Provider Name | Darren Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659828374 PECOS PAC ID: 0345570693 Enrollment ID: I20210727001646 |
| Provider Name | Claudia Cardenas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407045750 PECOS PAC ID: 8820166556 Enrollment ID: I20210727003667 |
| Provider Name | Simeon Lee Mellinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851885768 PECOS PAC ID: 2769885573 Enrollment ID: I20210730000328 |
| Provider Name | Andrew J Marek |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1508399213 PECOS PAC ID: 9032467360 Enrollment ID: I20210817002038 |
| Provider Name | Kristy A Golden |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154616431 PECOS PAC ID: 9638398746 Enrollment ID: I20210818000275 |
| Provider Name | Linda Ataifo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609371905 PECOS PAC ID: 6002215084 Enrollment ID: I20210820000478 |
| Provider Name | Jeffrey Glicksman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043674708 PECOS PAC ID: 1850638222 Enrollment ID: I20210825002573 |
| Provider Name | Emily Fay |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316332182 PECOS PAC ID: 6406154954 Enrollment ID: I20210826003372 |
| Provider Name | Anita Clayton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598838872 PECOS PAC ID: 0547207326 Enrollment ID: I20210831002350 |
| Provider Name | Seung Chae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780744193 PECOS PAC ID: 3173655834 Enrollment ID: I20210901000115 |
| Provider Name | Pamela Coffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952629024 PECOS PAC ID: 6507009040 Enrollment ID: I20210901000390 |
| Provider Name | Elizabeth Coe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417360330 PECOS PAC ID: 7517276140 Enrollment ID: I20210901001557 |
| Provider Name | Yonas Tamrat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528200409 PECOS PAC ID: 7810028875 Enrollment ID: I20210901003045 |
| Provider Name | Amita Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841363009 PECOS PAC ID: 4486688488 Enrollment ID: I20210902003015 |
| Provider Name | Luis Telles Hernandez |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1841431343 PECOS PAC ID: 4789732702 Enrollment ID: I20210915002579 |
| Provider Name | Sahar Jahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669993523 PECOS PAC ID: 6406275528 Enrollment ID: I20210916000373 |
| Provider Name | Jessica Ubanyionwu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679004105 PECOS PAC ID: 3274801295 Enrollment ID: I20210916001140 |
| Provider Name | Stephanie Letourneau |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851437206 PECOS PAC ID: 6002915899 Enrollment ID: I20210916001337 |
| Provider Name | Luis Ruiz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386802700 PECOS PAC ID: 5294793972 Enrollment ID: I20210916001349 |
| Provider Name | Monica Peravali |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1629464904 PECOS PAC ID: 9335441583 Enrollment ID: I20210917000100 |
| Provider Name | Mohammed Zuaiter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700231065 PECOS PAC ID: 2466747969 Enrollment ID: I20210920000603 |
| Provider Name | Joshpaul Jolly |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174941611 PECOS PAC ID: 3870910037 Enrollment ID: I20210920001184 |
| Provider Name | Kenetra M Hix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972917979 PECOS PAC ID: 6709189129 Enrollment ID: I20210923002956 |
| Provider Name | Maria W Madah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952892846 PECOS PAC ID: 1153729124 Enrollment ID: I20211005001716 |
| Provider Name | Amanda Lee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316613243 PECOS PAC ID: 6901204924 Enrollment ID: I20211006000252 |
| Provider Name | Brenna Ramos |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538401393 PECOS PAC ID: 7517264856 Enrollment ID: I20211007000090 |
| Provider Name | Floreana Kebaish |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972914760 PECOS PAC ID: 6800104563 Enrollment ID: I20211007002101 |
| Provider Name | Umang Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174028286 PECOS PAC ID: 4880027408 Enrollment ID: I20211008000613 |
| Provider Name | Jacqueline Wulu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194127704 PECOS PAC ID: 1557671310 Enrollment ID: I20211008001631 |
| Provider Name | Fatmatta Kuyateh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003931973 PECOS PAC ID: 0941608699 Enrollment ID: I20211011000263 |
| Provider Name | Daniela L Wiggins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962460584 PECOS PAC ID: 2860449329 Enrollment ID: I20211014002075 |
| Provider Name | Adey Gebru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639438104 PECOS PAC ID: 0446553952 Enrollment ID: I20211021000058 |
| Provider Name | Stacey Garrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063573533 PECOS PAC ID: 7113947912 Enrollment ID: I20211021002273 |
| Provider Name | Anquenetta L Douglas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912224700 PECOS PAC ID: 0143498899 Enrollment ID: I20211021003197 |
| Provider Name | Nancy Judd |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1093906315 PECOS PAC ID: 3971731779 Enrollment ID: I20211103000970 |
| Provider Name | Tejan Diwanji |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790129765 PECOS PAC ID: 9234437401 Enrollment ID: I20211103002084 |
| Provider Name | Stephen Ilario |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164425419 PECOS PAC ID: 7214911023 Enrollment ID: I20211104001611 |
| Provider Name | Toufic Kabbani |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578722948 PECOS PAC ID: 9032490107 Enrollment ID: I20211108000019 |
| Provider Name | Nabila Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699823989 PECOS PAC ID: 3274636543 Enrollment ID: I20211112002588 |
| Provider Name | Eun Joo Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316239759 PECOS PAC ID: 1153542295 Enrollment ID: I20211116001221 |
| Provider Name | Rae Kennedy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114981206 PECOS PAC ID: 9032136882 Enrollment ID: I20211116001317 |
| Provider Name | Glen Jacob |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780757062 PECOS PAC ID: 6507902822 Enrollment ID: I20211129000557 |
| Provider Name | Rebecca Fitch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184849796 PECOS PAC ID: 9739210832 Enrollment ID: I20211129000639 |
| Provider Name | Idongesit Attang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114312758 PECOS PAC ID: 1658660634 Enrollment ID: I20211202000366 |
| Provider Name | Vijaya Alla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184067514 PECOS PAC ID: 1951689371 Enrollment ID: I20211203002089 |
| Provider Name | Erin Tracy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932461290 PECOS PAC ID: 5890088603 Enrollment ID: I20211215001444 |
| Provider Name | Sumayyah Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578050977 PECOS PAC ID: 1254680986 Enrollment ID: I20211216001299 |
| Provider Name | Supriya Janakiraman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114361672 PECOS PAC ID: 6800818832 Enrollment ID: I20220108000131 |
| Provider Name | Dawn Torres |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063443968 PECOS PAC ID: 5294972279 Enrollment ID: I20220110000132 |
| Provider Name | Sahibzada Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003807520 PECOS PAC ID: 1456320217 Enrollment ID: I20220207002506 |
| Provider Name | Joseph Okai |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1295198448 PECOS PAC ID: 2769776665 Enrollment ID: I20220209001889 |
| Provider Name | Chamil Jinadasa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720473960 PECOS PAC ID: 2264781293 Enrollment ID: I20220309000098 |
| Provider Name | Hassan Kidwai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811286909 PECOS PAC ID: 7618196510 Enrollment ID: I20220309000777 |
| Provider Name | Terrence Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114252178 PECOS PAC ID: 1759776776 Enrollment ID: I20220309002487 |
| Provider Name | Kimberly Colden Massey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174682728 PECOS PAC ID: 0648326298 Enrollment ID: I20220310000542 |
| Provider Name | Sean Dennig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447690730 PECOS PAC ID: 2466708060 Enrollment ID: I20220311000116 |
| Provider Name | Bhavisha Menezes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659534998 PECOS PAC ID: 9335263920 Enrollment ID: I20220317000919 |
| Provider Name | Vasiliki Poulaki |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255495651 PECOS PAC ID: 0840388500 Enrollment ID: I20220317001488 |
| Provider Name | Harjinder Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417983008 PECOS PAC ID: 3173547619 Enrollment ID: I20220317002134 |
| Provider Name | Heather Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376777342 PECOS PAC ID: 3072757756 Enrollment ID: I20220321000424 |
| Provider Name | Ryan Ahalt |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932126737 PECOS PAC ID: 3971504689 Enrollment ID: I20220321002632 |
| Provider Name | Annie Mclenahan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437325552 PECOS PAC ID: 8022145226 Enrollment ID: I20220401000590 |
| Provider Name | Michael Yim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518385012 PECOS PAC ID: 9537499629 Enrollment ID: I20220404000003 |
| Provider Name | Kelly Meehan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841474020 PECOS PAC ID: 7911145933 Enrollment ID: I20220404000091 |
| Provider Name | Trashawn Thornton-davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649334798 PECOS PAC ID: 4486689692 Enrollment ID: I20220404000136 |
| Provider Name | Charles Stubin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225192628 PECOS PAC ID: 8527110667 Enrollment ID: I20220404000173 |
| Provider Name | Irfan Rizvi |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1518184464 PECOS PAC ID: 7719052430 Enrollment ID: I20220404000512 |
| Provider Name | Earl Lee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124280060 PECOS PAC ID: 1254653843 Enrollment ID: I20220404000701 |
| Provider Name | Dock Winston |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033379607 PECOS PAC ID: 6103054598 Enrollment ID: I20220405000330 |
| Provider Name | Monica Bajracharya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548602865 PECOS PAC ID: 2062709033 Enrollment ID: I20220411000128 |
| Provider Name | Leslie R Sims |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407021249 PECOS PAC ID: 4486889532 Enrollment ID: I20220422000469 |
| Provider Name | Kathryn Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902058605 PECOS PAC ID: 0749459378 Enrollment ID: I20220422002116 |
| Provider Name | Ali Khorrami |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467510370 PECOS PAC ID: 2264420165 Enrollment ID: I20220425000559 |
| Provider Name | Adam Schwarz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629397625 PECOS PAC ID: 2668692302 Enrollment ID: I20220426000930 |
| Provider Name | Myra Andres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558536904 PECOS PAC ID: 7214314194 Enrollment ID: I20220515000011 |
| Provider Name | Emily Reeves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346230935 PECOS PAC ID: 9335182575 Enrollment ID: I20220516001522 |
| Provider Name | James Jezior |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194889543 PECOS PAC ID: 8729225610 Enrollment ID: I20220516002762 |
| Provider Name | Christopher Shen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164642039 PECOS PAC ID: 5092869149 Enrollment ID: I20220517003125 |
| Provider Name | Michelle Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295117133 PECOS PAC ID: 5890095152 Enrollment ID: I20220519001338 |
| Provider Name | Madelaine Rosche-scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538329453 PECOS PAC ID: 2769631654 Enrollment ID: I20220519002573 |
| Provider Name | Hania Qutub |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629141940 PECOS PAC ID: 1658405469 Enrollment ID: I20220520001324 |
| Provider Name | Cassandra Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558484733 PECOS PAC ID: 0840327565 Enrollment ID: I20220522000039 |
| Provider Name | Tracy Wright |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083858286 PECOS PAC ID: 6002040201 Enrollment ID: I20220523000087 |
| Provider Name | Asha Willis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588737324 PECOS PAC ID: 4385742790 Enrollment ID: I20220603001579 |
| Provider Name | Kyle Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912468745 PECOS PAC ID: 8224362496 Enrollment ID: I20220607000661 |
| Provider Name | Richa Manglorkar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629539622 PECOS PAC ID: 3375876857 Enrollment ID: I20220608002655 |
| Provider Name | Leah Schulte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134381783 PECOS PAC ID: 5991821761 Enrollment ID: I20220617002328 |
| Provider Name | Carson Campe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356403646 PECOS PAC ID: 1951560481 Enrollment ID: I20220618000361 |
| Provider Name | Mahnaz Parveen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235299918 PECOS PAC ID: 6103713565 Enrollment ID: I20220622001507 |
| Provider Name | Elaine Ziavras |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942359922 PECOS PAC ID: 7618923863 Enrollment ID: I20220624001939 |
| Provider Name | Gregory Prendergast |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881156719 PECOS PAC ID: 4587044235 Enrollment ID: I20220712001237 |
| Provider Name | Teemu Tha |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1366752792 PECOS PAC ID: 7012136641 Enrollment ID: I20220722000055 |
| Provider Name | Yves Chretien |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437597267 PECOS PAC ID: 4082842018 Enrollment ID: I20220722002295 |
| Provider Name | Conor Kain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760625685 PECOS PAC ID: 6709100126 Enrollment ID: I20220726001114 |
| Provider Name | Suchi Sood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760432371 PECOS PAC ID: 3779524046 Enrollment ID: I20220801002311 |
| Provider Name | Laurie Crain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477591386 PECOS PAC ID: 3375571201 Enrollment ID: I20220802000232 |
| Provider Name | Joseph Hoppenjans |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316168552 PECOS PAC ID: 2769768464 Enrollment ID: I20220802000767 |
| Provider Name | Michael Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245365766 PECOS PAC ID: 8527218171 Enrollment ID: I20220802001023 |
| Provider Name | Sunana Chatrath |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1235524398 PECOS PAC ID: 9739487018 Enrollment ID: I20220802003545 |
| Provider Name | Muna Ahmad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588830145 PECOS PAC ID: 8022242585 Enrollment ID: I20220805002088 |
| Provider Name | Pim Suwannarat |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1104010776 PECOS PAC ID: 6608960125 Enrollment ID: I20220806000325 |
| Provider Name | Amanda Barner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184885444 PECOS PAC ID: 9931239274 Enrollment ID: I20220806000780 |
| Provider Name | Amy Gillis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760677348 PECOS PAC ID: 1153499959 Enrollment ID: I20220809001379 |
| Provider Name | Maria-ramona Evidente |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639234693 PECOS PAC ID: 1759577489 Enrollment ID: I20220809002340 |
| Provider Name | Chase Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619468667 PECOS PAC ID: 0244588440 Enrollment ID: I20220809003825 |
| Provider Name | Melissa Matthews |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669663993 PECOS PAC ID: 8224122072 Enrollment ID: I20220809003897 |
| Provider Name | Jennifer Gourdin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194168385 PECOS PAC ID: 0840599098 Enrollment ID: I20220810002598 |
| Provider Name | Anna Katherine Hindle |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174759112 PECOS PAC ID: 2567627383 Enrollment ID: I20220810002620 |
| Provider Name | Julie Sim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912985276 PECOS PAC ID: 0840397782 Enrollment ID: I20220810002725 |
| Provider Name | Alexander Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740457308 PECOS PAC ID: 1850463449 Enrollment ID: I20220810002978 |
| Provider Name | Beverly Atueyi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407438245 PECOS PAC ID: 5193108926 Enrollment ID: I20220811002100 |
| Provider Name | Ghazaleh Rahbari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427412824 PECOS PAC ID: 3072934231 Enrollment ID: I20220817000125 |
| Provider Name | Abrahm J Behnam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902337421 PECOS PAC ID: 5890051726 Enrollment ID: I20220817001694 |
| Provider Name | Sangwon Moon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093211583 PECOS PAC ID: 8820471063 Enrollment ID: I20220819002215 |
| Provider Name | Hanan Tafesse |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578051827 PECOS PAC ID: 1052794096 Enrollment ID: I20220824000395 |
| Provider Name | Rosilin Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275112153 PECOS PAC ID: 9537543525 Enrollment ID: I20220824002745 |
| Provider Name | Orlando I Sola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104245646 PECOS PAC ID: 4880989458 Enrollment ID: I20220825000095 |
| Provider Name | Bassel Beitinjaneh |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1659547677 PECOS PAC ID: 6709947443 Enrollment ID: I20220902000029 |
| Provider Name | Darrell Wright |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1184074536 PECOS PAC ID: 0749564235 Enrollment ID: I20220902000916 |
| Provider Name | Na Yon Nam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942466149 PECOS PAC ID: 9931372919 Enrollment ID: I20220906000106 |
| Provider Name | Augustin Joseph |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1942703731 PECOS PAC ID: 2264782317 Enrollment ID: I20220906000254 |
| Provider Name | Jerome Ashton Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053978189 PECOS PAC ID: 8729463864 Enrollment ID: I20220909002874 |
| Provider Name | Linda Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174593818 PECOS PAC ID: 4385714344 Enrollment ID: I20220910000060 |
| Provider Name | Alana Eason Wilhite |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285131078 PECOS PAC ID: 9739564725 Enrollment ID: I20220912002912 |
| Provider Name | Mpepera Simango-yiadom |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902460942 PECOS PAC ID: 3971988908 Enrollment ID: I20220912003118 |
| Provider Name | Monique Mcdermoth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972007102 PECOS PAC ID: 2163807025 Enrollment ID: I20220914000976 |
| Provider Name | Anita Kumary Motwani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194220335 PECOS PAC ID: 0042695900 Enrollment ID: I20220914002057 |
| Provider Name | Monica Taneja |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164584355 PECOS PAC ID: 2163521287 Enrollment ID: I20220915003035 |
| Provider Name | Laura Houenou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063918043 PECOS PAC ID: 6507241064 Enrollment ID: I20220920000330 |
| Provider Name | Ariel Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497109334 PECOS PAC ID: 2668766411 Enrollment ID: I20220923000166 |
| Provider Name | Alexis Schupp |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053803973 PECOS PAC ID: 3779968532 Enrollment ID: I20220926002657 |
| Provider Name | Bryan D Laliberte |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700057791 PECOS PAC ID: 1254633126 Enrollment ID: I20220926003245 |
| Provider Name | Chana-rivka Abramson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285037291 PECOS PAC ID: 4688947898 Enrollment ID: I20220927002557 |
| Provider Name | Nikhil Desai |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265837181 PECOS PAC ID: 9335413145 Enrollment ID: I20220927003417 |
| Provider Name | Seyedeh Mahsa Alaie |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356847792 PECOS PAC ID: 4587040639 Enrollment ID: I20220927003910 |
| Provider Name | Samantha Ward Nealon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053775171 PECOS PAC ID: 7315341336 Enrollment ID: I20220928000043 |
| Provider Name | Omolola Adesina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982906657 PECOS PAC ID: 5092987560 Enrollment ID: I20220930002968 |
| Provider Name | Sabrina Thomas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881794360 PECOS PAC ID: 8224139894 Enrollment ID: I20221017001038 |
| Provider Name | Omkar Baxi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811317845 PECOS PAC ID: 8921423062 Enrollment ID: I20221024000067 |
| Provider Name | Stephanie Swanson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811285612 PECOS PAC ID: 0840598934 Enrollment ID: I20221121002267 |
| Provider Name | Yiran Xu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902287998 PECOS PAC ID: 8224392675 Enrollment ID: I20221208000759 |
| Provider Name | William Wolfe |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992115026 PECOS PAC ID: 4789933227 Enrollment ID: I20221208001055 |
| Provider Name | Karin Kuhn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861403560 PECOS PAC ID: 0648375857 Enrollment ID: I20221227001802 |
| Provider Name | Dele Ogunyemi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548257199 PECOS PAC ID: 1456377688 Enrollment ID: I20221228003080 |
| Provider Name | Olubukunola Awosika |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902283302 PECOS PAC ID: 4688924830 Enrollment ID: I20230104000104 |
| Provider Name | Michael Steckman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285615823 PECOS PAC ID: 0244235513 Enrollment ID: I20230106002819 |
| Provider Name | Nikhileshwer Agarwal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730172990 PECOS PAC ID: 1658359351 Enrollment ID: I20230114000133 |
| Provider Name | Elizabeth Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417214198 PECOS PAC ID: 9537496948 Enrollment ID: I20230120000035 |
| Provider Name | Mousson Berrouet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154987170 PECOS PAC ID: 7911378203 Enrollment ID: I20230124003339 |
| Provider Name | Alisha Tuteja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114373107 PECOS PAC ID: 1355629510 Enrollment ID: I20230126002253 |
| Provider Name | Sonal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568535888 PECOS PAC ID: 7012068828 Enrollment ID: I20230127000603 |
| Provider Name | Duosha Hu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174940381 PECOS PAC ID: 6901039189 Enrollment ID: I20230128000030 |
| Provider Name | Jennifer Gillman |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1023405636 PECOS PAC ID: 3072919919 Enrollment ID: I20230128000294 |
| Provider Name | Qiuyu Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053991554 PECOS PAC ID: 8628475530 Enrollment ID: I20230130000199 |
| Provider Name | Gebremedhin Yohannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619916087 PECOS PAC ID: 9133136013 Enrollment ID: I20230131002364 |
| Provider Name | Autumn Puryear |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245843705 PECOS PAC ID: 0244658656 Enrollment ID: I20230213001298 |
| Provider Name | Mona Amin Kalhor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174688063 PECOS PAC ID: 1355359878 Enrollment ID: I20230224001003 |
| Provider Name | Sierra Jonita Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235740655 PECOS PAC ID: 1557788601 Enrollment ID: I20230228000712 |
| Provider Name | Camille Richards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912342825 PECOS PAC ID: 6709122278 Enrollment ID: I20230228002792 |
| Provider Name | Max Lingamfelter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902293558 PECOS PAC ID: 0840604161 Enrollment ID: I20230303002362 |
| Provider Name | Gwendolyn Garnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265692818 PECOS PAC ID: 7416260625 Enrollment ID: I20230323000042 |
| Provider Name | Kim Chiedozi Ohaegbulam |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326508409 PECOS PAC ID: 0547684961 Enrollment ID: I20230327000771 |
| Provider Name | Akhil Andrews |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770978553 PECOS PAC ID: 2062718638 Enrollment ID: I20230328001006 |
| Provider Name | Barbara Drew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902196413 PECOS PAC ID: 8426351149 Enrollment ID: I20230329002570 |
| Provider Name | Farimah Farahani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982993242 PECOS PAC ID: 2163666173 Enrollment ID: I20230331001305 |
| Provider Name | Steven Scherping |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578563375 PECOS PAC ID: 1052457603 Enrollment ID: I20230411002924 |
| Provider Name | Sara Mccormack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386805760 PECOS PAC ID: 9739219627 Enrollment ID: I20230426000537 |
| Provider Name | Janelle Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376003335 PECOS PAC ID: 2961812946 Enrollment ID: I20230428002451 |
| Provider Name | Jonathan Perry Kruger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538220041 PECOS PAC ID: 4284773185 Enrollment ID: I20230428002780 |
| Provider Name | William Towne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184144958 PECOS PAC ID: 7810266061 Enrollment ID: I20230516003765 |
| Provider Name | Sarita Kaza |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1639125370 PECOS PAC ID: 6002892718 Enrollment ID: I20230517002420 |
| Provider Name | Nicole Tiffany Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427609551 PECOS PAC ID: 5496111403 Enrollment ID: I20230517002527 |
| Provider Name | Susete Carneiro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003170853 PECOS PAC ID: 1951654805 Enrollment ID: I20230518003490 |
| Provider Name | Rufina Odigwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003102831 PECOS PAC ID: 1759630395 Enrollment ID: I20230523000339 |
| Provider Name | Paula Jackson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871504324 PECOS PAC ID: 0547354490 Enrollment ID: I20230523001695 |
| Provider Name | Vera Ibe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164580122 PECOS PAC ID: 2062488232 Enrollment ID: I20230605002982 |
| Provider Name | Julia Fullerton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942477443 PECOS PAC ID: 2466627427 Enrollment ID: I20230606001109 |
| Provider Name | Maxwell Levene |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1861788507 PECOS PAC ID: 7315167475 Enrollment ID: I20230607003428 |
| Provider Name | Smitha Beeravolu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831325117 PECOS PAC ID: 1759532450 Enrollment ID: I20230607003734 |
| Provider Name | Ilse Levin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285844241 PECOS PAC ID: 2466644794 Enrollment ID: I20230608002083 |
| Provider Name | Xuwan Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518100288 PECOS PAC ID: 8325220528 Enrollment ID: I20230609000669 |
| Provider Name | Tanuja A Mainkar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386643849 PECOS PAC ID: 1658369541 Enrollment ID: I20230612000148 |
| Provider Name | Charu Maheshwary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902088404 PECOS PAC ID: 3274679584 Enrollment ID: I20230612000973 |
| Provider Name | Virginia Madey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659538478 PECOS PAC ID: 8022264951 Enrollment ID: I20230612001909 |
| Provider Name | Faisal Shabbir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457980955 PECOS PAC ID: 4789005661 Enrollment ID: I20230613003026 |
| Provider Name | Murali Nagubandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073582037 PECOS PAC ID: 6901831288 Enrollment ID: I20230615000614 |
| Provider Name | Archana Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972862860 PECOS PAC ID: 4284942400 Enrollment ID: I20230615003241 |
| Provider Name | Phong Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215080668 PECOS PAC ID: 1254472145 Enrollment ID: I20230627001695 |
| Provider Name | Hyacinth Norris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376924894 PECOS PAC ID: 0244562452 Enrollment ID: I20230627003135 |
| Provider Name | Karen Ospina |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588708721 PECOS PAC ID: 9739319088 Enrollment ID: I20230628003874 |
| Provider Name | Kristin Paccione |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790001527 PECOS PAC ID: 9133349749 Enrollment ID: I20230629000005 |
| Provider Name | Robert Howard Schwartz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427109982 PECOS PAC ID: 4284093741 Enrollment ID: I20230701000335 |
| Provider Name | Sheri Qi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013954114 PECOS PAC ID: 0244260735 Enrollment ID: I20230703001231 |
| Provider Name | Allison Reiter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053671438 PECOS PAC ID: 2365739026 Enrollment ID: I20230706000131 |
| Provider Name | Amit Luhadiya |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376565259 PECOS PAC ID: 6507868775 Enrollment ID: I20230710000742 |
| Provider Name | Muhammad Yousef |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568664530 PECOS PAC ID: 8921134685 Enrollment ID: I20230717003302 |
| Provider Name | Tracey Ann Samuels |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891038287 PECOS PAC ID: 4880960830 Enrollment ID: I20230724002517 |
| Provider Name | Eldrige Pineda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033378922 PECOS PAC ID: 4789832676 Enrollment ID: I20230725000790 |
| Provider Name | Margaret Schwiesow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346561610 PECOS PAC ID: 9537456488 Enrollment ID: I20230725001198 |
| Provider Name | Kasandra Scales |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023378247 PECOS PAC ID: 1658650999 Enrollment ID: I20230725003438 |
| Provider Name | Humaira Siddiqi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245536283 PECOS PAC ID: 6709037393 Enrollment ID: I20230728000607 |
| Provider Name | Stanley Chioma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831652536 PECOS PAC ID: 6406217074 Enrollment ID: I20230728001775 |
| Provider Name | Mohammad Mehmood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033438791 PECOS PAC ID: 5092984344 Enrollment ID: I20230731003758 |
| Provider Name | Shalenee Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447695622 PECOS PAC ID: 6709164908 Enrollment ID: I20230731004053 |
| Provider Name | Nalini Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407052954 PECOS PAC ID: 0446282875 Enrollment ID: I20230801000185 |
| Provider Name | Kimberly Suri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104084060 PECOS PAC ID: 6204080567 Enrollment ID: I20230802003848 |
| Provider Name | Reid Vegeler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1043471121 PECOS PAC ID: 5294955100 Enrollment ID: I20230803001045 |
| Provider Name | Joseph Territo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578639803 PECOS PAC ID: 5294718995 Enrollment ID: I20230803001457 |
| Provider Name | Melanie Pham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841797370 PECOS PAC ID: 4789096157 Enrollment ID: I20230809003079 |
| Provider Name | Julia Freling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386030302 PECOS PAC ID: 8426302985 Enrollment ID: I20230815000755 |
| Provider Name | Kelly Liesse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013458454 PECOS PAC ID: 1759784333 Enrollment ID: I20230815001628 |
| Provider Name | Jesus Dominguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376074195 PECOS PAC ID: 2860769965 Enrollment ID: I20230815002248 |
| Provider Name | Jacquelyn Klicka-skeels |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548640055 PECOS PAC ID: 9234481748 Enrollment ID: I20230816001054 |
| Provider Name | Stephen Lesche |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992160303 PECOS PAC ID: 2163804782 Enrollment ID: I20230816002077 |
| Provider Name | Gin Khai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003443078 PECOS PAC ID: 9436575826 Enrollment ID: I20230816002888 |
| Provider Name | Malcolm Forbes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346702628 PECOS PAC ID: 9032445994 Enrollment ID: I20230817000033 |
| Provider Name | Erika Sachiko Takahashi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063104115 PECOS PAC ID: 4880056167 Enrollment ID: I20230818000093 |
| Provider Name | Shideh Shadan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497827224 PECOS PAC ID: 9133318827 Enrollment ID: I20230818001047 |
| Provider Name | Dayna Ukwuoma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518595651 PECOS PAC ID: 0648632851 Enrollment ID: I20230818001809 |
| Provider Name | Faryal Afridi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184145245 PECOS PAC ID: 6608149216 Enrollment ID: I20230825003017 |
| Provider Name | Adam Toren |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639313646 PECOS PAC ID: 8426207358 Enrollment ID: I20230829002793 |
| Provider Name | Daniel Hewes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558850784 PECOS PAC ID: 1557617032 Enrollment ID: I20230831001188 |
| Provider Name | Amit Mehta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891104485 PECOS PAC ID: 1850792748 Enrollment ID: I20230906004462 |
| Provider Name | Daniel Tadeo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144856287 PECOS PAC ID: 7719309657 Enrollment ID: I20230907004190 |
| Provider Name | Inna Sverdlova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114555653 PECOS PAC ID: 5698139749 Enrollment ID: I20230908000925 |
| Provider Name | Qiana M Broadnax |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487135562 PECOS PAC ID: 5991169864 Enrollment ID: I20230911002294 |
| Provider Name | Rameel Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790313534 PECOS PAC ID: 8921462847 Enrollment ID: I20230912000528 |
| Provider Name | Jason Fehr |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730240433 PECOS PAC ID: 5395839112 Enrollment ID: I20230912000704 |
| Provider Name | Zachary Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306340062 PECOS PAC ID: 2668737172 Enrollment ID: I20230912001035 |
| Provider Name | Sushmita Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477189322 PECOS PAC ID: 0345662375 Enrollment ID: I20230913003936 |
| Provider Name | Samuel Milbin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831756485 PECOS PAC ID: 9830422922 Enrollment ID: I20230914000178 |
| Provider Name | Meheza Adja-poroky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154868461 PECOS PAC ID: 1850624776 Enrollment ID: I20230914001137 |
| Provider Name | Manuel Corregedor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437666104 PECOS PAC ID: 9638431794 Enrollment ID: I20230915001852 |
| Provider Name | Omid Manoochehri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609373638 PECOS PAC ID: 8729323209 Enrollment ID: I20230918003459 |
| Provider Name | Kaitlin Harper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114350501 PECOS PAC ID: 8224303292 Enrollment ID: I20230918004200 |
| Provider Name | Christina Gabrielle Lipscombe |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548720766 PECOS PAC ID: 2062876444 Enrollment ID: I20230919001397 |
| Provider Name | Lisa Crisalli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962031575 PECOS PAC ID: 5193189454 Enrollment ID: I20230919004121 |
| Provider Name | Ian Christopher Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437788189 PECOS PAC ID: 5092179358 Enrollment ID: I20230919004159 |
| Provider Name | Victoria Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619362183 PECOS PAC ID: 2163715335 Enrollment ID: I20230919004396 |
| Provider Name | Avonelle Henry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134774490 PECOS PAC ID: 2860856143 Enrollment ID: I20230920000322 |
| Provider Name | Jeet Lund |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275977753 PECOS PAC ID: 7113149964 Enrollment ID: I20230920003444 |
| Provider Name | Alicia Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194023929 PECOS PAC ID: 9234389230 Enrollment ID: I20230921001598 |
| Provider Name | Kyle D Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245869536 PECOS PAC ID: 7012361132 Enrollment ID: I20230922003286 |
| Provider Name | Xiaodong Luo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043206808 PECOS PAC ID: 1951362086 Enrollment ID: I20230923000006 |
| Provider Name | Andrew Patterson Yancone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053947929 PECOS PAC ID: 0648624494 Enrollment ID: I20230927001920 |
| Provider Name | Apostolos Paspaltzis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861092025 PECOS PAC ID: 0749634517 Enrollment ID: I20230927002422 |
| Provider Name | Ankita Nagirimadugu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568993913 PECOS PAC ID: 3375889611 Enrollment ID: I20230929000872 |
| Provider Name | Matthew Needleman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972583409 PECOS PAC ID: 1557664059 Enrollment ID: I20231005000269 |
| Provider Name | Jisun Hahn |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043470628 PECOS PAC ID: 8527204023 Enrollment ID: I20231005002537 |
| Provider Name | Christopher Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396308334 PECOS PAC ID: 2163759267 Enrollment ID: I20231005002978 |
| Provider Name | Saira Memon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912522236 PECOS PAC ID: 8325467848 Enrollment ID: I20231005003134 |
| Provider Name | Swee Teh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548462815 PECOS PAC ID: 3274620406 Enrollment ID: I20231006000404 |
| Provider Name | Jessica Rea |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1497173975 PECOS PAC ID: 1850670662 Enrollment ID: I20231006002396 |
| Provider Name | Hyun Ju Nam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053871939 PECOS PAC ID: 5597095646 Enrollment ID: I20231006002986 |
| Provider Name | Adarshjit Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124686209 PECOS PAC ID: 2365897634 Enrollment ID: I20231007000006 |
| Provider Name | Virginia Parks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659768554 PECOS PAC ID: 1759701006 Enrollment ID: I20231007000548 |
| Provider Name | Marika Tate-richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679130140 PECOS PAC ID: 5597110783 Enrollment ID: I20231007000863 |
| Provider Name | Tiffany Bell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386204261 PECOS PAC ID: 7911326293 Enrollment ID: I20231009003418 |
| Provider Name | Priya Vohra Dukes |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144726654 PECOS PAC ID: 0446605257 Enrollment ID: I20231016000165 |
| Provider Name | Ganesh Mohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396365987 PECOS PAC ID: 5597110080 Enrollment ID: I20231019000054 |
| Provider Name | Mary Eddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871931147 PECOS PAC ID: 9133429905 Enrollment ID: I20231019001031 |
| Provider Name | Matthew Dong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427347095 PECOS PAC ID: 3173825122 Enrollment ID: I20231021000630 |
| Provider Name | Joseph Goodman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871760140 PECOS PAC ID: 2466608518 Enrollment ID: I20231021000655 |
| Provider Name | Christina Ji Eun Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881218410 PECOS PAC ID: 0345696670 Enrollment ID: I20231024000129 |
| Provider Name | Lydia Williams |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1720438559 PECOS PAC ID: 1456643022 Enrollment ID: I20231027000051 |
| Provider Name | Patrick Narcisse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508397092 PECOS PAC ID: 1951757962 Enrollment ID: I20231027000729 |
| Provider Name | Minh Vo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801021100 PECOS PAC ID: 0840456208 Enrollment ID: I20231027002699 |
| Provider Name | Bilal Khan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831360031 PECOS PAC ID: 4981763844 Enrollment ID: I20231027003034 |
| Provider Name | Jessica Traylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689094377 PECOS PAC ID: 7517212186 Enrollment ID: I20231030001894 |
| Provider Name | Katherine Garfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447612973 PECOS PAC ID: 8820380942 Enrollment ID: I20231031000816 |
| Provider Name | Janese Laster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679839047 PECOS PAC ID: 4486903895 Enrollment ID: I20231031002932 |
| Provider Name | Myungsung Ko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598356263 PECOS PAC ID: 1052727302 Enrollment ID: I20231031003916 |
| Provider Name | Elizabeth Warner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407924434 PECOS PAC ID: 8921264409 Enrollment ID: I20231101003400 |
| Provider Name | Eric Wollins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518976778 PECOS PAC ID: 7719013309 Enrollment ID: I20231102003115 |
| Provider Name | Jacqueline Fleuriscar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235690058 PECOS PAC ID: 6305176413 Enrollment ID: I20231103000027 |
| Provider Name | Toriseju Whyte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811158579 PECOS PAC ID: 7618120973 Enrollment ID: I20231108002487 |
| Provider Name | Jacqueline Marie Heffernan Ryaboy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750760484 PECOS PAC ID: 5395049472 Enrollment ID: I20231109000904 |
| Provider Name | Orin Eddy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831149574 PECOS PAC ID: 7315075447 Enrollment ID: I20231109001269 |
| Provider Name | Saima Qureshi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003137480 PECOS PAC ID: 9234354994 Enrollment ID: I20231114000039 |
| Provider Name | Sabrina Kimrey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437318318 PECOS PAC ID: 0648437665 Enrollment ID: I20231120000968 |
| Provider Name | Sindhuja Surapaneni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992267561 PECOS PAC ID: 1850747700 Enrollment ID: I20231128000136 |
| Provider Name | Amy O'boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679548341 PECOS PAC ID: 9638447949 Enrollment ID: I20231130000520 |
| Provider Name | Nicole Scripsema |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386082261 PECOS PAC ID: 0244586147 Enrollment ID: I20231204003702 |
| Provider Name | Andrew Brigg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215184783 PECOS PAC ID: 4688986482 Enrollment ID: I20231205000285 |
| Provider Name | Yekaterina Schultz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790245843 PECOS PAC ID: 6305294620 Enrollment ID: I20231205001883 |
| Provider Name | Michele Harper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871731521 PECOS PAC ID: 3274686506 Enrollment ID: I20231208001218 |
| Provider Name | Iddrisu Tia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093337388 PECOS PAC ID: 5395194393 Enrollment ID: I20231215003434 |
| Provider Name | Alexander Choi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902238173 PECOS PAC ID: 6406193556 Enrollment ID: I20231220001357 |
| Provider Name | Elizabeth Melton-mendoza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033770318 PECOS PAC ID: 9032445796 Enrollment ID: I20231221003560 |
| Provider Name | Cynthia Sturdivant |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710187976 PECOS PAC ID: 5799863015 Enrollment ID: I20231223000025 |
| Provider Name | Brittany Brooks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033553367 PECOS PAC ID: 1658647649 Enrollment ID: I20231227003325 |
| Provider Name | Juanita Villalobos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215953831 PECOS PAC ID: 5698910560 Enrollment ID: I20231229001698 |
| Provider Name | Aline Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255649448 PECOS PAC ID: 9032399340 Enrollment ID: I20240103001607 |
| Provider Name | Chinye S Obidi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285899187 PECOS PAC ID: 7416128277 Enrollment ID: I20240104001602 |
| Provider Name | Jessica Rhee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336415959 PECOS PAC ID: 7911269576 Enrollment ID: I20240104001703 |
| Provider Name | Chandra Graham Parker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720018831 PECOS PAC ID: 4880853316 Enrollment ID: I20240106000305 |
| Provider Name | Bansi Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487283420 PECOS PAC ID: 8921421959 Enrollment ID: I20240108004852 |
| Provider Name | Amber Zeiss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528673027 PECOS PAC ID: 1153711528 Enrollment ID: I20240112001107 |
| Provider Name | John Gracely |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053874594 PECOS PAC ID: 4183951494 Enrollment ID: I20240122000156 |
| Provider Name | Dianne Glass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427379221 PECOS PAC ID: 0446517775 Enrollment ID: I20240207001593 |
| Provider Name | Osagie Ighile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992236236 PECOS PAC ID: 1658794367 Enrollment ID: I20240208000436 |
| Provider Name | Katherine Arthur |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366718033 PECOS PAC ID: 2668730102 Enrollment ID: I20240208003837 |
| Provider Name | Joseph Anekwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871660605 PECOS PAC ID: 6103906995 Enrollment ID: I20240213002778 |
| Provider Name | Michael Urdang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578744744 PECOS PAC ID: 4385010610 Enrollment ID: I20240213003481 |
| Provider Name | Mowree Choudhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770019309 PECOS PAC ID: 6406126002 Enrollment ID: I20240213003528 |
| Provider Name | Brian Hernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699957191 PECOS PAC ID: 3072665918 Enrollment ID: I20240216000535 |
| Provider Name | Sandeep Dhaliwal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811108103 PECOS PAC ID: 7113041609 Enrollment ID: I20240224000150 |
| Provider Name | David Da Rocha-afodu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356640395 PECOS PAC ID: 0547439077 Enrollment ID: I20240226003754 |
| Provider Name | Khalid Ebrahim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346637634 PECOS PAC ID: 5597067090 Enrollment ID: I20240228000118 |
| Provider Name | Steven Cocciardi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760725618 PECOS PAC ID: 9032416987 Enrollment ID: I20240307000117 |
| Provider Name | Nkechinyere Nwaobasi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346497047 PECOS PAC ID: 9638461064 Enrollment ID: I20240308000467 |
| Provider Name | Yonathan Habtemariam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174785174 PECOS PAC ID: 9436321908 Enrollment ID: I20240312001573 |
| Provider Name | Kim Beverly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710457551 PECOS PAC ID: 0042657652 Enrollment ID: I20240319001119 |
| Provider Name | Sharon Elizabeth Huffman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518999747 PECOS PAC ID: 0941647598 Enrollment ID: I20240319002355 |
| Provider Name | Nakia S Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730700071 PECOS PAC ID: 4688011000 Enrollment ID: I20240321000782 |
| Provider Name | Lucy Ma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891257069 PECOS PAC ID: 6305269507 Enrollment ID: I20240322002222 |
| Provider Name | Emmanuel Onyeyirim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790281897 PECOS PAC ID: 2264822469 Enrollment ID: I20240410003309 |
| Provider Name | John O'boyle |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1306808381 PECOS PAC ID: 6901171636 Enrollment ID: I20240410003801 |
| Provider Name | Sonia Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336595925 PECOS PAC ID: 9931493202 Enrollment ID: I20240411000600 |
| Provider Name | Steven Adam Hefter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982899092 PECOS PAC ID: 5193164507 Enrollment ID: I20240418001557 |
| Provider Name | Jason Valladares |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598151987 PECOS PAC ID: 5092020396 Enrollment ID: I20240502000288 |
| Provider Name | Waroot Nimjareansuk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356878292 PECOS PAC ID: 7618381872 Enrollment ID: I20240502002790 |
| Provider Name | Mychelle Shegog |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679646954 PECOS PAC ID: 9032135215 Enrollment ID: I20240525000433 |
| Provider Name | Monica Dale |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528235959 PECOS PAC ID: 9638216906 Enrollment ID: I20240529003712 |
| Provider Name | Morgan A Carlile |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730685942 PECOS PAC ID: 0345613352 Enrollment ID: I20240530004023 |
| Provider Name | Neil Kansal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457545477 PECOS PAC ID: 4880734250 Enrollment ID: I20240604001614 |
| Provider Name | Nitinkumar Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104147602 PECOS PAC ID: 1759697956 Enrollment ID: I20240604002621 |
| Provider Name | Nini Khozeimeh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750510228 PECOS PAC ID: 5496981888 Enrollment ID: I20240604003051 |
| Provider Name | Ning Guo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376858936 PECOS PAC ID: 5799910774 Enrollment ID: I20240604003819 |
| Provider Name | Nikhila Iruku |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316230790 PECOS PAC ID: 7911217799 Enrollment ID: I20240605000909 |
| Provider Name | Neena Malik |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790162352 PECOS PAC ID: 6507106226 Enrollment ID: I20240605002011 |
| Provider Name | Britney Koehler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679906697 PECOS PAC ID: 9133556640 Enrollment ID: I20240607001302 |
| Provider Name | Salima Conteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154907780 PECOS PAC ID: 0042611295 Enrollment ID: I20240701003345 |
| Provider Name | Matthew Laudie |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891769329 PECOS PAC ID: 9234316381 Enrollment ID: I20240703003068 |
| Provider Name | Mirrah Mumtaz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841710258 PECOS PAC ID: 7719222678 Enrollment ID: I20240703003778 |
| Provider Name | Prashanth A Mally |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669649729 PECOS PAC ID: 8921144429 Enrollment ID: I20240709004317 |
| Provider Name | Paul Yu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528072691 PECOS PAC ID: 8628140332 Enrollment ID: I20240710000984 |
| Provider Name | Matthew Mason |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871615559 PECOS PAC ID: 0941748222 Enrollment ID: I20240817000401 |
| Provider Name | Omaya Youssef |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770783342 PECOS PAC ID: 3476787201 Enrollment ID: I20240819000177 |
| Provider Name | James Hatten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730620998 PECOS PAC ID: 4183994817 Enrollment ID: I20240819002343 |
| Provider Name | Joseph Olisamedua Monye |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356804538 PECOS PAC ID: 4284172495 Enrollment ID: I20240820000887 |
| Provider Name | Sarah Morocco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275851008 PECOS PAC ID: 9436370848 Enrollment ID: I20240821001778 |
| Provider Name | Assad Hayat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831718303 PECOS PAC ID: 6002355823 Enrollment ID: I20240826000265 |
| Provider Name | Sarah Hall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861029753 PECOS PAC ID: 7315306560 Enrollment ID: I20240826001233 |
| Provider Name | Sheikh Arshad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144805052 PECOS PAC ID: 5092254334 Enrollment ID: I20240830000500 |
| Provider Name | Eda Turgut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619505351 PECOS PAC ID: 6800232968 Enrollment ID: I20240830001370 |
| Provider Name | Rajeev Samtani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659767432 PECOS PAC ID: 3779022942 Enrollment ID: I20240902000370 |
| Provider Name | Eric Wallace |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154434488 PECOS PAC ID: 4880782507 Enrollment ID: I20240903000489 |
| Provider Name | Noah Haroian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710334594 PECOS PAC ID: 9739474669 Enrollment ID: I20240903000652 |
| Provider Name | Robert Park |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871957597 PECOS PAC ID: 9931490711 Enrollment ID: I20240903001373 |
| Provider Name | Jenna Vergeldt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053943258 PECOS PAC ID: 5890235725 Enrollment ID: I20240906001160 |
| Provider Name | Alex Wilkinson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659878858 PECOS PAC ID: 2062810161 Enrollment ID: I20240907000403 |
| Provider Name | Stephan Maman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184253858 PECOS PAC ID: 8426597568 Enrollment ID: I20240909000859 |
| Provider Name | Jeffrey Laczek |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467437186 PECOS PAC ID: 6305022807 Enrollment ID: I20240910002118 |
| Provider Name | Sneha Gadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922502137 PECOS PAC ID: 9638429152 Enrollment ID: I20240911000125 |
| Provider Name | Asjad Bashir |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1861957268 PECOS PAC ID: 0042679938 Enrollment ID: I20240918002225 |
| Provider Name | Albert Zubieta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164605960 PECOS PAC ID: 4183165012 Enrollment ID: I20240919000874 |
| Provider Name | Bradley Bunten |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821074899 PECOS PAC ID: 8820073117 Enrollment ID: I20240919001813 |
| Provider Name | Hayward D.m. Evans |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720576895 PECOS PAC ID: 1254714165 Enrollment ID: I20240921000075 |
| Provider Name | Michael Hailemariam |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124585732 PECOS PAC ID: 9830426501 Enrollment ID: I20240924001398 |
| Provider Name | Audry Kang |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023466182 PECOS PAC ID: 4981996360 Enrollment ID: I20240924002911 |
| Provider Name | Michelle Gee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184914079 PECOS PAC ID: 4587801303 Enrollment ID: I20240925001460 |
| Provider Name | Osaro E Obanor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861055386 PECOS PAC ID: 2961943303 Enrollment ID: I20240925002482 |
| Provider Name | Lance Zimmerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245727569 PECOS PAC ID: 5698023208 Enrollment ID: I20240926004322 |
| Provider Name | Sarah Lichenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649857947 PECOS PAC ID: 7113325820 Enrollment ID: I20240927001325 |
| Provider Name | Chika Nwosu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326406125 PECOS PAC ID: 9133541956 Enrollment ID: I20240930000024 |
| Provider Name | Gregory Miller |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356873368 PECOS PAC ID: 9335499193 Enrollment ID: I20241001004378 |
| Provider Name | Stephen Yoon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508327420 PECOS PAC ID: 0042650988 Enrollment ID: I20241009001291 |
| Provider Name | Priya Kunal Patel |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619437217 PECOS PAC ID: 5698107308 Enrollment ID: I20241011004003 |
| Provider Name | Murali Balakrishnan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689711160 PECOS PAC ID: 8022205764 Enrollment ID: I20241014000877 |
| Provider Name | Ashlee Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518455112 PECOS PAC ID: 3678962586 Enrollment ID: I20241015000934 |
| Provider Name | Salam Syed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063037216 PECOS PAC ID: 9234662396 Enrollment ID: I20241029001669 |
| Provider Name | Aneesha Cheedalla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558878314 PECOS PAC ID: 4486071230 Enrollment ID: I20241029003915 |
| Provider Name | Leland Stratton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700381688 PECOS PAC ID: 7719235746 Enrollment ID: I20241029003937 |
| Provider Name | Ajibola Akingba |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1689813479 PECOS PAC ID: 9537219480 Enrollment ID: I20241031002633 |
| Provider Name | Mohammed Hussain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487018255 PECOS PAC ID: 6901198621 Enrollment ID: I20241031002761 |
| Provider Name | Lorrane Kabert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497333090 PECOS PAC ID: 2466985270 Enrollment ID: I20241101000433 |
| Provider Name | Andrew Qian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902464548 PECOS PAC ID: 7315306263 Enrollment ID: I20241102000059 |
| Provider Name | Heather Peluso |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1285084871 PECOS PAC ID: 3678868460 Enrollment ID: I20241104002652 |
| Provider Name | Veronica Rupert |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225484249 PECOS PAC ID: 3274926381 Enrollment ID: I20241105000771 |
| Provider Name | Cameron Hinkel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952835571 PECOS PAC ID: 3870857352 Enrollment ID: I20241114001795 |
| Provider Name | Manisha Magar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780071357 PECOS PAC ID: 4486968377 Enrollment ID: I20241116000312 |
| Provider Name | Andrew Usoro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225485832 PECOS PAC ID: 8820386550 Enrollment ID: I20241120000049 |
| Provider Name | Sumit Kishor Rajpara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215511977 PECOS PAC ID: 5991230542 Enrollment ID: I20241120000851 |
| Provider Name | Keyane Haile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881271377 PECOS PAC ID: 7618403171 Enrollment ID: I20241206001208 |
| Provider Name | Kathryn Marie Eliasen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467801803 PECOS PAC ID: 4688100100 Enrollment ID: I20241206003696 |
| Provider Name | Pryanka Relan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851650931 PECOS PAC ID: 7416224753 Enrollment ID: I20250107000426 |
| Provider Name | Chirag Y Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932603271 PECOS PAC ID: 2264817832 Enrollment ID: I20250213002600 |
| Provider Name | Martavius Collins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023754157 PECOS PAC ID: 9739559642 Enrollment ID: I20250307002391 |
| Provider Name | Moodakare Bhat |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467837799 PECOS PAC ID: 8022358639 Enrollment ID: I20250424000303 |
| Provider Name | Rakesh Chopde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194258384 PECOS PAC ID: 9830454917 Enrollment ID: I20250505002762 |
| Provider Name | Christopher Ding |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932697372 PECOS PAC ID: 5698156875 Enrollment ID: I20250507000007 |
| Provider Name | Eyitemi Fregene |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811551443 PECOS PAC ID: 3971838434 Enrollment ID: I20250508002272 |
| Provider Name | Daniel Douzjian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669834602 PECOS PAC ID: 5294152427 Enrollment ID: I20250512000115 |
| Provider Name | Rashida Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578043071 PECOS PAC ID: 2365882461 Enrollment ID: I20250514000043 |
| Provider Name | Shivani Patel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760044804 PECOS PAC ID: 3072052950 Enrollment ID: I20250515001772 |
| Provider Name | Jennifer Biggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851549018 PECOS PAC ID: 8224226048 Enrollment ID: I20250522001352 |
| Provider Name | Daisy Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275858722 PECOS PAC ID: 5395066898 Enrollment ID: I20250522002083 |
| Provider Name | Harry Subramanian |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780189548 PECOS PAC ID: 1052647351 Enrollment ID: I20250522002294 |
| Provider Name | Gary Sulioti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578053534 PECOS PAC ID: 4486909231 Enrollment ID: I20250522002640 |
| Provider Name | Neda Md Najimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952835894 PECOS PAC ID: 4183033509 Enrollment ID: I20250522003617 |
| Provider Name | Neil Rohit Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578051587 PECOS PAC ID: 3870033624 Enrollment ID: I20250522003639 |
| Provider Name | Rich S. Rana |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932323862 PECOS PAC ID: 7517145964 Enrollment ID: I20250522003653 |
| Provider Name | Elizabeth Biegelsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982770194 PECOS PAC ID: 7618985888 Enrollment ID: I20250523000507 |
| Provider Name | Chih Yun Teng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164008942 PECOS PAC ID: 2163950502 Enrollment ID: I20250523000757 |
| Provider Name | Vaeman Chintamaneni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811426141 PECOS PAC ID: 3375924251 Enrollment ID: I20250523000798 |
| Provider Name | Akash Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215463583 PECOS PAC ID: 9931452679 Enrollment ID: I20250523001987 |
| Provider Name | Arshad Banday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336473495 PECOS PAC ID: 9830345859 Enrollment ID: I20250523002288 |
| Provider Name | Colleen Do Zanis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649566357 PECOS PAC ID: 0446561468 Enrollment ID: I20250523002753 |
| Provider Name | Deepan Paul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497284962 PECOS PAC ID: 1355619230 Enrollment ID: I20250525000001 |
| Provider Name | Jeffrey Wharton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982962536 PECOS PAC ID: 1759513492 Enrollment ID: I20250526000053 |
| Provider Name | James Tsai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275735607 PECOS PAC ID: 0446437644 Enrollment ID: I20250526000200 |
| Provider Name | Kemilla Charles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538232855 PECOS PAC ID: 7810964921 Enrollment ID: I20250527000008 |
| Provider Name | Sushila Chelliah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730218512 PECOS PAC ID: 8325172620 Enrollment ID: I20250527001323 |
| Provider Name | Roy Won |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225470354 PECOS PAC ID: 6800182643 Enrollment ID: I20250528000024 |
| Provider Name | Andrew Kim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417032814 PECOS PAC ID: 7214210772 Enrollment ID: I20250528000070 |
| Provider Name | Jasmin Roohi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487978128 PECOS PAC ID: 1759530686 Enrollment ID: I20250528000505 |
| Provider Name | Brian Dummett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891028486 PECOS PAC ID: 0345415949 Enrollment ID: I20250528000722 |
| Provider Name | John Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053574509 PECOS PAC ID: 3971753013 Enrollment ID: I20250528002053 |
| Provider Name | Kishan Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144683640 PECOS PAC ID: 7517252943 Enrollment ID: I20250528002733 |
| Provider Name | Miranda Wellington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124314737 PECOS PAC ID: 1153644919 Enrollment ID: I20250528003529 |
| Provider Name | Benjamin Magno |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366515637 PECOS PAC ID: 9032397443 Enrollment ID: I20250529004125 |
| Provider Name | Keisha Sullivan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1437545720 PECOS PAC ID: 4082908140 Enrollment ID: I20250530001294 |
| Provider Name | Graham Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467747436 PECOS PAC ID: 6608006465 Enrollment ID: I20250530002112 |
| Provider Name | Claude Guerrier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447566591 PECOS PAC ID: 9133415276 Enrollment ID: I20250602000050 |
| Provider Name | Marc Kouyoumdjian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629136999 PECOS PAC ID: 1658406681 Enrollment ID: I20250602000126 |
| Provider Name | Mahrukh Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841358801 PECOS PAC ID: 7214060185 Enrollment ID: I20250602000209 |
| Provider Name | Jade Texcell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568450427 PECOS PAC ID: 6507159647 Enrollment ID: I20250602000244 |
| Provider Name | Mohammed Loya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174940266 PECOS PAC ID: 8224375787 Enrollment ID: I20250602000320 |
| Provider Name | Shahida Khatoon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376103721 PECOS PAC ID: 0941656961 Enrollment ID: I20250602001506 |
| Provider Name | John Reyes-castano |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1073770145 PECOS PAC ID: 1254593056 Enrollment ID: I20250602002159 |
| Provider Name | Natasha Ang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134418650 PECOS PAC ID: 8325263593 Enrollment ID: I20250602002782 |
| Provider Name | Lisa Gillis |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1639680614 PECOS PAC ID: 9638541352 Enrollment ID: I20250603000138 |
| Provider Name | Kelsey Boyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083271019 PECOS PAC ID: 5496081309 Enrollment ID: I20250603000352 |
| Provider Name | Beatriz Chanduvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770586109 PECOS PAC ID: 7113059189 Enrollment ID: I20250603003378 |
| Provider Name | Hyein Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720372873 PECOS PAC ID: 0446559892 Enrollment ID: I20250606001807 |
| Provider Name | Shaily Sheth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457049819 PECOS PAC ID: 8123481918 Enrollment ID: I20250610001110 |
Bright Horizons Behavioral Health Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3531 Washington Blvd Ste 220-224, Halethorpe, MD 21227 Phone: 410-204-8971 Fax: 888-760-4333 | |
Wye Oak Clinic, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1937 Lansdowne Rd, Halethorpe, MD 21227 Phone: 410-536-0555 Fax: 410-536-0231 | |
Groundwork Behavioral Health Services Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4713-4715 Leeds Ave., Halethorpe, MD 21227 Phone: 410-831-1331 | |
Optimum Support Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Twin Springs Rd Ste A-d, Halethorpe, MD 21227 Phone: 443-618-4344 | |
Resolution Health And Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 S Edgewood St Ste 100, Halethorpe, MD 21227 Phone: 410-275-0928 Fax: 410-701-2577 | |
M & M Mental Health And Wellness Clinic Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Waelchli Ave, Halethorpe, MD 21227 Phone: 443-845-4269 |