| Lrgh Professional Billing Services | |
|
85 Spring St Laconia NH 03246-3113 | |
| (603) 524-3211 | |
| Not Available |
| Full Name | Lrgh Professional Billing Services |
|---|---|
| Speciality | Family Medicine |
| Location | 85 Spring St, Laconia, New Hampshire |
| Authorized Official Name and Position | Kevin W Donovan (PRESIDENT/CEO) |
| Authorized Official Contact | 6035243211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lrgh Professional Billing Services Po Box 1327 Laconia NH 03247-1327 Ph: (603) 524-3211 | Lrgh Professional Billing Services 85 Spring St Laconia NH 03246-3113 Ph: (603) 524-3211 |
| NPI Number | 1700976032 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 01/15/2019 |
| Medicare PECOS PAC ID | 8820908189 |
|---|---|
| Medicare Enrollment ID | O20040303000982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700976032 | NPI | - | NPPES |
| LRGH703507 | Other | NH | ANTHEM |
| 3076749 | Medicaid | NH | |
| 59780 | Other | NH | CIGNA |
| Provider Name | Amy Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952331373 PECOS PAC ID: 2163321019 Enrollment ID: I20040108000796 |
| Provider Name | Melissa B Hanrahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235100223 PECOS PAC ID: 3072414853 Enrollment ID: I20040115000415 |
| Provider Name | Paul K Friend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740250265 PECOS PAC ID: 3577464239 Enrollment ID: I20040115000885 |
| Provider Name | Danny M Sims |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1801849989 PECOS PAC ID: 8729076575 Enrollment ID: I20040503000382 |
| Provider Name | Peter H Crow |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740233816 PECOS PAC ID: 7214925072 Enrollment ID: I20040503000422 |
| Provider Name | David F Mattice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669445086 PECOS PAC ID: 7416947684 Enrollment ID: I20040518000698 |
| Provider Name | Barrett L Chapin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629009493 PECOS PAC ID: 6800788159 Enrollment ID: I20040618000630 |
| Provider Name | Caitlin L Dulac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063453447 PECOS PAC ID: 7012976137 Enrollment ID: I20041005000880 |
| Provider Name | Joel C Hansford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518976083 PECOS PAC ID: 5799741880 Enrollment ID: I20041209000938 |
| Provider Name | Thomas H Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184643546 PECOS PAC ID: 4082671151 Enrollment ID: I20041215000381 |
| Provider Name | Kenneth R Limburg |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164449104 PECOS PAC ID: 3971554353 Enrollment ID: I20050202000813 |
| Provider Name | Lawrence Rush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619908886 PECOS PAC ID: 7012909302 Enrollment ID: I20050202000855 |
| Provider Name | Craig W Markert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356376586 PECOS PAC ID: 7113825449 Enrollment ID: I20050202000874 |
| Provider Name | Frederic A Fernholz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083631022 PECOS PAC ID: 3870485121 Enrollment ID: I20050202000880 |
| Provider Name | Arnold R Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962427120 PECOS PAC ID: 7810889185 Enrollment ID: I20050202000893 |
| Provider Name | William Michael Tovell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326068453 PECOS PAC ID: 2062404361 Enrollment ID: I20050203000729 |
| Provider Name | Susan C Bayer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952324071 PECOS PAC ID: 5991697245 Enrollment ID: I20050203000743 |
| Provider Name | Leslie Suranyi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942227988 PECOS PAC ID: 1355333659 Enrollment ID: I20050308000624 |
| Provider Name | Valentin I Milchev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578591699 PECOS PAC ID: 9133011489 Enrollment ID: I20050321000103 |
| Provider Name | Gina M Divenuti |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912958703 PECOS PAC ID: 3173579778 Enrollment ID: I20050328000241 |
| Provider Name | Charles Daniel Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740251735 PECOS PAC ID: 3476595661 Enrollment ID: I20050527000179 |
| Provider Name | Paul F Racicot |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699748889 PECOS PAC ID: 8426092685 Enrollment ID: I20050617000698 |
| Provider Name | Cheryl A Dagnon |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487612438 PECOS PAC ID: 2567407539 Enrollment ID: I20050621001107 |
| Provider Name | Daniel H Kallmerten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710958467 PECOS PAC ID: 6305881681 Enrollment ID: I20050627001187 |
| Provider Name | Lisa M Ellis Morrissette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245286947 PECOS PAC ID: 5698711497 Enrollment ID: I20050701000442 |
| Provider Name | Virginia A Blackmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952371999 PECOS PAC ID: 1557397080 Enrollment ID: I20050715000070 |
| Provider Name | John E Kulcsar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295805000 PECOS PAC ID: 7113956863 Enrollment ID: I20050811001085 |
| Provider Name | Wayne D Domin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568427912 PECOS PAC ID: 0648203513 Enrollment ID: I20050913000248 |
| Provider Name | Denise L Naiva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245203603 PECOS PAC ID: 7416981717 Enrollment ID: I20050926001001 |
| Provider Name | Michele G Rush |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1902877970 PECOS PAC ID: 6406872076 Enrollment ID: I20051022000064 |
| Provider Name | Martin J Boucher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174598510 PECOS PAC ID: 1153348412 Enrollment ID: I20051026001155 |
| Provider Name | Stephen I Bogursky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851397442 PECOS PAC ID: 8729989520 Enrollment ID: I20051107000509 |
| Provider Name | Samuel C Aldridge |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922078153 PECOS PAC ID: 1456379502 Enrollment ID: I20051107000784 |
| Provider Name | Babs Levenstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649264375 PECOS PAC ID: 3678592193 Enrollment ID: I20051114001204 |
| Provider Name | Eliza A Deery |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801866157 PECOS PAC ID: 4981623238 Enrollment ID: I20051115001112 |
| Provider Name | Tajammul Shafique |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881764017 PECOS PAC ID: 5092736918 Enrollment ID: I20051207000646 |
| Provider Name | Christopher M Weinmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992875132 PECOS PAC ID: 8123040417 Enrollment ID: I20051230000097 |
| Provider Name | Richard J Obrien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518930551 PECOS PAC ID: 9638192214 Enrollment ID: I20060110000370 |
| Provider Name | Cynthia E Palage |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518065259 PECOS PAC ID: 0749203263 Enrollment ID: I20060111000444 |
| Provider Name | Kit R Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366512394 PECOS PAC ID: 1355364514 Enrollment ID: I20060113000365 |
| Provider Name | Richard G Hughes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235200130 PECOS PAC ID: 3375567589 Enrollment ID: I20060113000814 |
| Provider Name | Carolyn S Crosby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841260627 PECOS PAC ID: 5092739391 Enrollment ID: I20060125000211 |
| Provider Name | Mark F Kelly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1427016633 PECOS PAC ID: 9739194838 Enrollment ID: I20060210000276 |
| Provider Name | Peter G Doane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184694804 PECOS PAC ID: 2668483322 Enrollment ID: I20060509000467 |
| Provider Name | Vercin S Ephrem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366468928 PECOS PAC ID: 2961405741 Enrollment ID: I20060816000557 |
| Provider Name | Luchi S Quinones |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1548343650 PECOS PAC ID: 2163524349 Enrollment ID: I20070219000105 |
| Provider Name | Mary Abigail C Dacuycuy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619183035 PECOS PAC ID: 4789784604 Enrollment ID: I20070706000523 |
| Provider Name | Eileen M Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477766103 PECOS PAC ID: 2769583897 Enrollment ID: I20070719000484 |
| Provider Name | David M Gagne |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609085638 PECOS PAC ID: 1658462767 Enrollment ID: I20070803000219 |
| Provider Name | Michael Stuart Buff |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1699811547 PECOS PAC ID: 3870564016 Enrollment ID: I20070814000695 |
| Provider Name | Kristen A King |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801800586 PECOS PAC ID: 9032131495 Enrollment ID: I20070831000345 |
| Provider Name | Hillary M Conkling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699974535 PECOS PAC ID: 9931294923 Enrollment ID: I20071005000367 |
| Provider Name | Jo Ann G Lopez Valles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851413181 PECOS PAC ID: 1850483173 Enrollment ID: I20071010000511 |
| Provider Name | Shaun M Mcardle |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1285822122 PECOS PAC ID: 4183714108 Enrollment ID: I20071214000137 |
| Provider Name | James H Clifford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770553745 PECOS PAC ID: 2769553825 Enrollment ID: I20080617000368 |
| Provider Name | Lauren E Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982626297 PECOS PAC ID: 2466451273 Enrollment ID: I20080910000348 |
| Provider Name | Elizabeth C Andrada |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891853859 PECOS PAC ID: 7517034135 Enrollment ID: I20080924000308 |
| Provider Name | Matthew P Warden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528083250 PECOS PAC ID: 2062581879 Enrollment ID: I20081111000071 |
| Provider Name | Erica M Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386617496 PECOS PAC ID: 8426949629 Enrollment ID: I20090116000354 |
| Provider Name | George Idelkope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003838210 PECOS PAC ID: 7416047733 Enrollment ID: I20090501000381 |
| Provider Name | Lucy Wilson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1205988516 PECOS PAC ID: 5092867663 Enrollment ID: I20090713000041 |
| Provider Name | Laurie J Jorgenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396716031 PECOS PAC ID: 4385798735 Enrollment ID: I20090819000442 |
| Provider Name | Carlene Vasquez-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508199027 PECOS PAC ID: 3678611399 Enrollment ID: I20091117000293 |
| Provider Name | Robert Aranson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407894728 PECOS PAC ID: 4486613551 Enrollment ID: I20100125000394 |
| Provider Name | Vladimir Jelnov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801089115 PECOS PAC ID: 9234226028 Enrollment ID: I20100212000279 |
| Provider Name | Erin T Hattan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932355864 PECOS PAC ID: 2668508706 Enrollment ID: I20100329000585 |
| Provider Name | Jason R Mangiardi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144410325 PECOS PAC ID: 7416004775 Enrollment ID: I20100812000746 |
| Provider Name | James P Stark |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356309561 PECOS PAC ID: 6103837588 Enrollment ID: I20100913000261 |
| Provider Name | Abigail L Olden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659692564 PECOS PAC ID: 6103941257 Enrollment ID: I20100914000451 |
| Provider Name | Sandra L Maruszak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033378948 PECOS PAC ID: 5395938856 Enrollment ID: I20101018000509 |
| Provider Name | Mark J Aronson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023088713 PECOS PAC ID: 3476740499 Enrollment ID: I20101202001227 |
| Provider Name | Elisabeth A Pott Grinstein |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194717728 PECOS PAC ID: 8224076377 Enrollment ID: I20110211000241 |
| Provider Name | Katherine G Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205130820 PECOS PAC ID: 5193909174 Enrollment ID: I20110415000614 |
| Provider Name | Nicholas P Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053610329 PECOS PAC ID: 9234316019 Enrollment ID: I20110603000024 |
| Provider Name | David Paul Kuwayama |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1265591333 PECOS PAC ID: 4486753464 Enrollment ID: I20110614000637 |
| Provider Name | Jeremy S Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174784557 PECOS PAC ID: 0749458107 Enrollment ID: I20110729000550 |
| Provider Name | Fady Abou Rizk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518124189 PECOS PAC ID: 2860663176 Enrollment ID: I20110919000152 |
| Provider Name | Benjamin L Stafford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720398175 PECOS PAC ID: 2961681457 Enrollment ID: I20111011000754 |
| Provider Name | Billie Jo Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497035430 PECOS PAC ID: 0244404960 Enrollment ID: I20111115000564 |
| Provider Name | Chandler Marietta |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1568477982 PECOS PAC ID: 9436205580 Enrollment ID: I20111223000070 |
| Provider Name | Richard E Caesar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1538251715 PECOS PAC ID: 6305887738 Enrollment ID: I20111226000003 |
| Provider Name | Muhammad F Mirza |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316126998 PECOS PAC ID: 4880870591 Enrollment ID: I20120209000433 |
| Provider Name | Christopher C Canto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801857149 PECOS PAC ID: 6608850144 Enrollment ID: I20120511000007 |
| Provider Name | Nathaniel C. Fuster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427323377 PECOS PAC ID: 4486818119 Enrollment ID: I20120611000040 |
| Provider Name | Ashley E Donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265582209 PECOS PAC ID: 7719142496 Enrollment ID: I20120702000252 |
| Provider Name | Raza Shariff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154610020 PECOS PAC ID: 4385822527 Enrollment ID: I20120927000650 |
| Provider Name | Martin C Johns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346286788 PECOS PAC ID: 3971527243 Enrollment ID: I20121005000570 |
| Provider Name | Daniel P Steele |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356576516 PECOS PAC ID: 2163672403 Enrollment ID: I20121023000653 |
| Provider Name | Kristina M Foss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073861191 PECOS PAC ID: 1052562097 Enrollment ID: I20121121000318 |
| Provider Name | Gregory J Englund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376892448 PECOS PAC ID: 9335390392 Enrollment ID: I20121121000553 |
| Provider Name | Heidi C Blake |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639109267 PECOS PAC ID: 7719922376 Enrollment ID: I20121204000446 |
| Provider Name | Abdul Sattar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235401217 PECOS PAC ID: 6608028907 Enrollment ID: I20121213000327 |
| Provider Name | Maria M Diaz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013142959 PECOS PAC ID: 1254523988 Enrollment ID: I20130114000390 |
| Provider Name | Jamie L Laroche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275873929 PECOS PAC ID: 1355588914 Enrollment ID: I20130520000297 |
| Provider Name | Matthew J Harris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225271075 PECOS PAC ID: 9638311921 Enrollment ID: I20130816000056 |
| Provider Name | Raymond Edwin Suarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255538245 PECOS PAC ID: 9436334786 Enrollment ID: I20130820000021 |
| Provider Name | Joshua P Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700011798 PECOS PAC ID: 1052576758 Enrollment ID: I20130916000376 |
| Provider Name | Jeanne Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639519804 PECOS PAC ID: 7214171792 Enrollment ID: I20130924000219 |
| Provider Name | Tanya Carrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265861942 PECOS PAC ID: 9436386653 Enrollment ID: I20131216000415 |
| Provider Name | John Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831525302 PECOS PAC ID: 3577790625 Enrollment ID: I20131216001746 |
| Provider Name | Wendy A Demartino |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821125899 PECOS PAC ID: 0648364760 Enrollment ID: I20131231000465 |
| Provider Name | Sheena D Mcaroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639507056 PECOS PAC ID: 1850529348 Enrollment ID: I20140108000063 |
| Provider Name | Vanessa Lynn Hahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730510280 PECOS PAC ID: 6305076761 Enrollment ID: I20140304000787 |
| Provider Name | Mary R Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982032173 PECOS PAC ID: 7113158379 Enrollment ID: I20140401001349 |
| Provider Name | Carolyn Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942623699 PECOS PAC ID: 8325270168 Enrollment ID: I20140410000640 |
| Provider Name | Gurpinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336580810 PECOS PAC ID: 9739305863 Enrollment ID: I20140728000432 |
| Provider Name | Veronica L Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558655134 PECOS PAC ID: 8729204573 Enrollment ID: I20140731000146 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912986530 PECOS PAC ID: 2062554371 Enrollment ID: I20140813001542 |
| Provider Name | Kanwardeep Singh Sethi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548577943 PECOS PAC ID: 4981848603 Enrollment ID: I20140826001828 |
| Provider Name | Ravi Shahu Khal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477975753 PECOS PAC ID: 9537387568 Enrollment ID: I20140904000399 |
| Provider Name | Kamen S Rangelov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871753830 PECOS PAC ID: 0143449934 Enrollment ID: I20140909001908 |
| Provider Name | Tricia J Keville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710395652 PECOS PAC ID: 3072732601 Enrollment ID: I20140915000890 |
| Provider Name | Mark W Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508974544 PECOS PAC ID: 5890975650 Enrollment ID: I20141021000511 |
| Provider Name | William T Kimberly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053447771 PECOS PAC ID: 2961535885 Enrollment ID: I20150115000084 |
| Provider Name | Aneesh Bhim Singhal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629059084 PECOS PAC ID: 6608858162 Enrollment ID: I20150116000096 |
| Provider Name | Jonathan Rosand |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194715524 PECOS PAC ID: 3870563711 Enrollment ID: I20150116000849 |
| Provider Name | Guy Rordorf |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518957422 PECOS PAC ID: 7214901214 Enrollment ID: I20150116001421 |
| Provider Name | Scott B Silverman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871549089 PECOS PAC ID: 5092814749 Enrollment ID: I20150116001495 |
| Provider Name | Patricia L Musolino |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215105820 PECOS PAC ID: 0244498707 Enrollment ID: I20150116001842 |
| Provider Name | Eric S Rosenthal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306969605 PECOS PAC ID: 1759412836 Enrollment ID: I20150120000044 |
| Provider Name | Anand Viswanathan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972587434 PECOS PAC ID: 2567466097 Enrollment ID: I20150120001323 |
| Provider Name | Natalia Sana Rost |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144211640 PECOS PAC ID: 0941308134 Enrollment ID: I20150121001914 |
| Provider Name | Leigh Robert Hochberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629069109 PECOS PAC ID: 2062461304 Enrollment ID: I20150211000280 |
| Provider Name | Martha J Moorehead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679962575 PECOS PAC ID: 4486971678 Enrollment ID: I20150327000818 |
| Provider Name | Ellen A Weinberg |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891763710 PECOS PAC ID: 0941101968 Enrollment ID: I20150507000157 |
| Provider Name | Margaret S. Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508142209 PECOS PAC ID: 2365618196 Enrollment ID: I20150629000102 |
| Provider Name | Gurbakhshish Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063732121 PECOS PAC ID: 3870716087 Enrollment ID: I20150713000193 |
| Provider Name | Samuel L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346508108 PECOS PAC ID: 4587979729 Enrollment ID: I20150817001555 |
| Provider Name | Lisa Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750351235 PECOS PAC ID: 9931104122 Enrollment ID: I20150820010399 |
| Provider Name | Garret C Yost |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154667384 PECOS PAC ID: 3476794256 Enrollment ID: I20150824000772 |
| Provider Name | Monisha Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760738058 PECOS PAC ID: 1052557741 Enrollment ID: I20150826002782 |
| Provider Name | Steven M Dewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689933004 PECOS PAC ID: 2365758901 Enrollment ID: I20150827002630 |
| Provider Name | Stephen D Marshall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427285493 PECOS PAC ID: 7214151380 Enrollment ID: I20150908000239 |
| Provider Name | Ramandeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710224175 PECOS PAC ID: 5395054043 Enrollment ID: I20151020000211 |
| Provider Name | Sara J Joncas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033551643 PECOS PAC ID: 4587899158 Enrollment ID: I20151105001267 |
| Provider Name | Brandy N Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609242429 PECOS PAC ID: 6709186604 Enrollment ID: I20151125001408 |
| Provider Name | Nancy A Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902281454 PECOS PAC ID: 2365745015 Enrollment ID: I20160129001289 |
| Provider Name | Joan E Caragher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801940069 PECOS PAC ID: 6406932110 Enrollment ID: I20160203000886 |
| Provider Name | Jerry R Rittenhouse |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1831124916 PECOS PAC ID: 8921075607 Enrollment ID: I20160414000651 |
| Provider Name | Patrick Ryan Stevens |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1992024533 PECOS PAC ID: 8820304769 Enrollment ID: I20160729000211 |
| Provider Name | Gabrielle E Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245686450 PECOS PAC ID: 3678867314 Enrollment ID: I20160803002002 |
| Provider Name | Kyle T Baron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821330242 PECOS PAC ID: 6204069982 Enrollment ID: I20160812000648 |
| Provider Name | Ann Marie B Giedd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053659417 PECOS PAC ID: 7719127117 Enrollment ID: I20160909000057 |
| Provider Name | Ana Zamora-martinez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417261033 PECOS PAC ID: 9032352968 Enrollment ID: I20160914000237 |
| Provider Name | Andrew J Ray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801183439 PECOS PAC ID: 7618102013 Enrollment ID: I20161007000091 |
| Provider Name | Tristan Wihbey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104269687 PECOS PAC ID: 7618275058 Enrollment ID: I20161010000981 |
| Provider Name | Nirali Dani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265796593 PECOS PAC ID: 2163726795 Enrollment ID: I20161014000565 |
| Provider Name | Emily Ray |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598052862 PECOS PAC ID: 4082850912 Enrollment ID: I20161018002807 |
| Provider Name | Juanita M Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255880514 PECOS PAC ID: 6204117559 Enrollment ID: I20161229000896 |
| Provider Name | Joanie Peter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174819445 PECOS PAC ID: 8426280033 Enrollment ID: I20170109001635 |
| Provider Name | Stacy A Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669924452 PECOS PAC ID: 4284916925 Enrollment ID: I20170112003187 |
| Provider Name | Stacy L Casella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871037218 PECOS PAC ID: 0749563336 Enrollment ID: I20170206000744 |
| Provider Name | Jennifer M Pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770028870 PECOS PAC ID: 3971886979 Enrollment ID: I20170217001544 |
| Provider Name | David N Whitten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114907441 PECOS PAC ID: 5496882243 Enrollment ID: I20170622002373 |
| Provider Name | Kenneth Rapp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134534548 PECOS PAC ID: 2264700863 Enrollment ID: I20170623001067 |
| Provider Name | Keith W Vancuran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982760823 PECOS PAC ID: 3678675105 Enrollment ID: I20170818002029 |
| Provider Name | Kathi Rachelle Fournier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508394024 PECOS PAC ID: 9032481452 Enrollment ID: I20170821000821 |
| Provider Name | Allysia Guy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669619326 PECOS PAC ID: 4880843440 Enrollment ID: I20170821002487 |
| Provider Name | Jeffrey Shigeru Tanita |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922040443 PECOS PAC ID: 1850314469 Enrollment ID: I20170916000215 |
| Provider Name | Sahar F Zafar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801123997 PECOS PAC ID: 3678701554 Enrollment ID: I20170926002170 |
| Provider Name | Megan Sottak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750810347 PECOS PAC ID: 9638445778 Enrollment ID: I20171018000405 |
| Provider Name | Richard K Nasstrom |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144665712 PECOS PAC ID: 3779859335 Enrollment ID: I20171026000304 |
| Provider Name | Lydia S Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790201069 PECOS PAC ID: 8123394665 Enrollment ID: I20171027000498 |
| Provider Name | Samantha J Downes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861919318 PECOS PAC ID: 9133485774 Enrollment ID: I20171114002728 |
| Provider Name | Jessica L Lachance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629517412 PECOS PAC ID: 1153688197 Enrollment ID: I20171130000484 |
| Provider Name | William Bk Terrin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154718476 PECOS PAC ID: 7012288947 Enrollment ID: I20180222000977 |
| Provider Name | Roy N Skousen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043229354 PECOS PAC ID: 7517935455 Enrollment ID: I20180309000399 |
| Provider Name | Melissa Maureen Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497254007 PECOS PAC ID: 2365704988 Enrollment ID: I20180320000872 |
| Provider Name | Blake R Sonne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265840789 PECOS PAC ID: 3577831924 Enrollment ID: I20180321002291 |
| Provider Name | Glenn Edward Mott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881195048 PECOS PAC ID: 3072875335 Enrollment ID: I20180326001773 |
| Provider Name | Richard Alexander Sweet |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821357773 PECOS PAC ID: 6204108764 Enrollment ID: I20180405001613 |
| Provider Name | Francisco Grinberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750328142 PECOS PAC ID: 4082507454 Enrollment ID: I20180501000907 |
| Provider Name | Andrea Marie Harriott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205135571 PECOS PAC ID: 4486898814 Enrollment ID: I20180510000453 |
| Provider Name | George Chudolij |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003817560 PECOS PAC ID: 4082509179 Enrollment ID: I20180615001369 |
| Provider Name | Matthew Causland Ruppel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669866141 PECOS PAC ID: 0941578900 Enrollment ID: I20180619002282 |
| Provider Name | Annalisa Mcclure-beaulieu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083956510 PECOS PAC ID: 3577700145 Enrollment ID: I20180627002276 |
| Provider Name | Reda Benhorma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881036762 PECOS PAC ID: 8527352335 Enrollment ID: I20180702000325 |
| Provider Name | Heidi-anne M Hanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407232168 PECOS PAC ID: 2264788892 Enrollment ID: I20180711002997 |
| Provider Name | John E Williams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699763151 PECOS PAC ID: 1052216280 Enrollment ID: I20180717003074 |
| Provider Name | Catherine C Pettit |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760617880 PECOS PAC ID: 4385894658 Enrollment ID: I20180802002160 |
| Provider Name | Stephen Ferraresi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396131843 PECOS PAC ID: 5193031813 Enrollment ID: I20180810000803 |
| Provider Name | Timothy A Grau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952563256 PECOS PAC ID: 8123193109 Enrollment ID: I20180810001074 |
| Provider Name | Shanta Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063897304 PECOS PAC ID: 8628327129 Enrollment ID: I20180816001161 |
| Provider Name | Kristina Sycamore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699193813 PECOS PAC ID: 0446479976 Enrollment ID: I20180816001207 |
| Provider Name | Karim G Sabeh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134461965 PECOS PAC ID: 4880941921 Enrollment ID: I20180830002008 |
| Provider Name | Christopher Seitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043650831 PECOS PAC ID: 3870725641 Enrollment ID: I20180830003325 |
| Provider Name | Christina E Frix |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649223231 PECOS PAC ID: 1557440385 Enrollment ID: I20180911000278 |
| Provider Name | Joshua R Rudner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306264155 PECOS PAC ID: 7810110178 Enrollment ID: I20180920000723 |
| Provider Name | Meredith Carbone-doyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205241932 PECOS PAC ID: 8820214976 Enrollment ID: I20181012001956 |
| Provider Name | Jessica M Lescarbeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124507488 PECOS PAC ID: 2062765811 Enrollment ID: I20181025001036 |
| Provider Name | Amanda Yager |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396005922 PECOS PAC ID: 6204085228 Enrollment ID: I20181221001002 |
| Provider Name | Gurvinder Singh Bali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053798876 PECOS PAC ID: 8426350380 Enrollment ID: I20190115003152 |
| Provider Name | Christopher Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609237577 PECOS PAC ID: 3274870969 Enrollment ID: I20190204002741 |
| Provider Name | Lorna M Piche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568902203 PECOS PAC ID: 2365795077 Enrollment ID: I20190222001835 |
| Provider Name | Jonathan D Polak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659750560 PECOS PAC ID: 6800195868 Enrollment ID: I20190424000488 |
| Provider Name | Christopher M Blum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609238005 PECOS PAC ID: 5193067098 Enrollment ID: I20190424002451 |
| Provider Name | Heather M Grenon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396201380 PECOS PAC ID: 6800138389 Enrollment ID: I20190502001732 |
| Provider Name | Alyssa K Kessler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720411234 PECOS PAC ID: 8527367283 Enrollment ID: I20190506002842 |
| Provider Name | Jonathan R Morgan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437511599 PECOS PAC ID: 8426342304 Enrollment ID: I20190812002483 |
| Provider Name | Tami L Hayhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942773890 PECOS PAC ID: 5991033888 Enrollment ID: I20190830001646 |
| Provider Name | Karen J Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366003741 PECOS PAC ID: 1951630094 Enrollment ID: I20190916000154 |
| Provider Name | Marc T Astin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902813371 PECOS PAC ID: 6406895614 Enrollment ID: I20191022002426 |
| Provider Name | Yaroslav Basyuk |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1467795724 PECOS PAC ID: 1850623851 Enrollment ID: I20191024000362 |
| Provider Name | Chad R Saint Amant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619526423 PECOS PAC ID: 3971835703 Enrollment ID: I20191029001148 |
| Provider Name | Angelina Hubert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518235308 PECOS PAC ID: 9234391657 Enrollment ID: I20200107001598 |
| Provider Name | Mary Chau-hanh Pham |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306171756 PECOS PAC ID: 7315061033 Enrollment ID: I20200116001236 |
| Provider Name | Theodore T Tsaltas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679594881 PECOS PAC ID: 9234281882 Enrollment ID: I20200130000759 |
| Provider Name | Julia Veronica Fiuk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124467097 PECOS PAC ID: 7810291697 Enrollment ID: I20200219002897 |
| Provider Name | Lisa M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629134648 PECOS PAC ID: 1052397965 Enrollment ID: I20200302000123 |
| Provider Name | Stephanie R Penney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326678095 PECOS PAC ID: 4688002603 Enrollment ID: I20200325000472 |
| Provider Name | Joseph Benedict |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689092108 PECOS PAC ID: 2769601418 Enrollment ID: I20200728001231 |
| Provider Name | Kenneth N Goodhart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316977754 PECOS PAC ID: 1254225188 Enrollment ID: I20200813000615 |
| Provider Name | Barry Cohen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1295839660 PECOS PAC ID: 8325027642 Enrollment ID: I20200827000947 |
| Provider Name | Bipin Belbase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568984821 PECOS PAC ID: 2567889751 Enrollment ID: I20200902002305 |
| Provider Name | Jie Zhou |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316994684 PECOS PAC ID: 0042119281 Enrollment ID: I20200922001364 |
| Provider Name | Heather M Strohm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710517172 PECOS PAC ID: 4486065562 Enrollment ID: I20201120001138 |
| Provider Name | Peter Jassal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548495252 PECOS PAC ID: 3173715745 Enrollment ID: I20201202000497 |
| Provider Name | Celestine C Atangcho |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932516044 PECOS PAC ID: 3577888502 Enrollment ID: I20201211002229 |
| Provider Name | Danielle M Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831338110 PECOS PAC ID: 5991862393 Enrollment ID: I20201221001755 |
| Provider Name | Eric Siegel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205010642 PECOS PAC ID: 6406972561 Enrollment ID: I20201224000375 |
| Provider Name | Carol C Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225084007 PECOS PAC ID: 1254457542 Enrollment ID: I20210405000301 |
Granite State Geriatrics Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 635 Main St Ste 303, Laconia, NH 03246 Phone: 603-409-0735 Fax: 877-919-0640 | |
Concord Hospital-laconia Professional Billing Service Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 85 Spring St, Laconia, NH 03246 Phone: 603-524-3211 | |
Concord Hospital Psychiatric Unit-laconia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Highland St, Laconia, NH 03246 Phone: 603-524-3211 | |
Lifeworks Counseling Associates, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 35 Academy St, Laconia, NH 03246 Phone: 603-556-4360 | |
Open View Therapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 783 Elm St Unit 4, Laconia, NH 03246 Phone: 415-971-9561 | |
Downetown Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Mill Plz, Laconia, NH 03246 Phone: 603-945-4561 | |
Gray Matters Counseling And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Union Ave, Laconia, NH 03246 Phone: 603-260-1101 |