| Medical Affiliates Of Cape Cod, Inc. | |
|
27 Park St Gleason House Hyannis MA 02601 | |
| (508) 862-5040 | |
| (508) 790-0030 |
| Full Name | Medical Affiliates Of Cape Cod, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 27 Park St, Hyannis, Massachusetts |
| Authorized Official Name and Position | Rebecca L Dayton (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 5089578449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Affiliates Of Cape Cod, Inc. 297 North St Ste 221 Hyannis MA 02601-5133 Ph: (508) 862-7777 | Medical Affiliates Of Cape Cod, Inc. 27 Park St Gleason House Hyannis MA 02601 Ph: (508) 862-5040 |
| NPI Number | 1770534927 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 02/04/2026 |
| Certification Date | 02/04/2026 |
| Medicare PECOS PAC ID | 3577471564 |
|---|---|
| Medicare Enrollment ID | O20040510001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770534927 | NPI | - | NPPES |
| 9707280 | Medicaid | MA |
| Provider Name | Mary Crowell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003854365 PECOS PAC ID: 9931005485 Enrollment ID: I20031208000494 |
| Provider Name | Eric A Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376572966 PECOS PAC ID: 6901799105 Enrollment ID: I20040203000347 |
| Provider Name | Vladimir Koren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124093950 PECOS PAC ID: 9234024555 Enrollment ID: I20040217000207 |
| Provider Name | Jeffrey Spillane |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063489961 PECOS PAC ID: 9537152624 Enrollment ID: I20040405001621 |
| Provider Name | Douglas G Mann |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1669492849 PECOS PAC ID: 9931192747 Enrollment ID: I20040407000375 |
| Provider Name | Devin A Mcmanus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548263486 PECOS PAC ID: 2163416736 Enrollment ID: I20040414001451 |
| Provider Name | Alexander P Rabin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548249758 PECOS PAC ID: 7810988037 Enrollment ID: I20040518001107 |
| Provider Name | John C Hostetter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518069954 PECOS PAC ID: 4587648324 Enrollment ID: I20040617000901 |
| Provider Name | Nancy A Schaefer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720054117 PECOS PAC ID: 8921086745 Enrollment ID: I20040708001481 |
| Provider Name | Kathryn Rudman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497718035 PECOS PAC ID: 0345228771 Enrollment ID: I20040712000525 |
| Provider Name | Nancy Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609864479 PECOS PAC ID: 5496735813 Enrollment ID: I20040724000249 |
| Provider Name | Joycelyn A Datu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568421279 PECOS PAC ID: 5698746451 Enrollment ID: I20040804001061 |
| Provider Name | Jill S Oxley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316984420 PECOS PAC ID: 9739150400 Enrollment ID: I20040804001880 |
| Provider Name | Roberto A Cruz-gervis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649259060 PECOS PAC ID: 1658355540 Enrollment ID: I20040823000982 |
| Provider Name | William J Pegg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285798074 PECOS PAC ID: 3870553746 Enrollment ID: I20041014000857 |
| Provider Name | David Handin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710903794 PECOS PAC ID: 4284699133 Enrollment ID: I20041119000977 |
| Provider Name | Lisa Weinstein Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528033305 PECOS PAC ID: 3375508989 Enrollment ID: I20041123000559 |
| Provider Name | Michael V Orlov |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407844020 PECOS PAC ID: 1658337092 Enrollment ID: I20041207000765 |
| Provider Name | Robert B Wilsterman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609804632 PECOS PAC ID: 3870541550 Enrollment ID: I20050110000526 |
| Provider Name | Sarah D Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285754937 PECOS PAC ID: 8527016021 Enrollment ID: I20050111000985 |
| Provider Name | Barbara Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003953415 PECOS PAC ID: 4284685579 Enrollment ID: I20050203000535 |
| Provider Name | Mary L Joe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063402659 PECOS PAC ID: 6305898610 Enrollment ID: I20050215000687 |
| Provider Name | James W Oconnor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891752572 PECOS PAC ID: 3971559956 Enrollment ID: I20050323000215 |
| Provider Name | Gary L Peters |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154306108 PECOS PAC ID: 5496701492 Enrollment ID: I20050323000443 |
| Provider Name | Debra I Poletto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558308148 PECOS PAC ID: 5799731642 Enrollment ID: I20050324000079 |
| Provider Name | Marcia Franklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649227588 PECOS PAC ID: 2062484470 Enrollment ID: I20050328000103 |
| Provider Name | Philip J. Dombrowski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679672794 PECOS PAC ID: 5799731139 Enrollment ID: I20050329000408 |
| Provider Name | James A Chingos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508826421 PECOS PAC ID: 5991751265 Enrollment ID: I20050330000152 |
| Provider Name | Michael T Leahy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720050073 PECOS PAC ID: 2668429598 Enrollment ID: I20050404000413 |
| Provider Name | Ziad Farah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700854619 PECOS PAC ID: 1456308238 Enrollment ID: I20050404000888 |
| Provider Name | Richard J Angelo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407837305 PECOS PAC ID: 2062469737 Enrollment ID: I20050405000559 |
| Provider Name | Carlos A Fonts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043286958 PECOS PAC ID: 4183671787 Enrollment ID: I20050406000206 |
| Provider Name | Fred W Ruymann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568466316 PECOS PAC ID: 2961459573 Enrollment ID: I20050406000259 |
| Provider Name | Bruce A Stelle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548238405 PECOS PAC ID: 2365499662 Enrollment ID: I20050407000805 |
| Provider Name | Mark F Losordo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285600569 PECOS PAC ID: 5294772349 Enrollment ID: I20050411001111 |
| Provider Name | Edward F Caldwell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1558355628 PECOS PAC ID: 6507803517 Enrollment ID: I20050412000394 |
| Provider Name | Carl M Sigsbee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508818865 PECOS PAC ID: 4082685557 Enrollment ID: I20050418000963 |
| Provider Name | Patricia Hammel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467403543 PECOS PAC ID: 9739150202 Enrollment ID: I20050421001033 |
| Provider Name | William O Agel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871560375 PECOS PAC ID: 0749228468 Enrollment ID: I20050421001422 |
| Provider Name | Bruce F Levy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801999230 PECOS PAC ID: 6800834383 Enrollment ID: I20050425000784 |
| Provider Name | Patrick J Murray |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1376543058 PECOS PAC ID: 4486621166 Enrollment ID: I20050426000974 |
| Provider Name | Ian D Schein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386663243 PECOS PAC ID: 3971542267 Enrollment ID: I20050426001353 |
| Provider Name | John J Guerin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740391432 PECOS PAC ID: 8022057314 Enrollment ID: I20050426001385 |
| Provider Name | Bruce R Gordon |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467446542 PECOS PAC ID: 4688613482 Enrollment ID: I20050502000289 |
| Provider Name | Lawrence S Mcauliffe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447358874 PECOS PAC ID: 0143206615 Enrollment ID: I20050502000307 |
| Provider Name | C Richard R Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639121908 PECOS PAC ID: 6608847181 Enrollment ID: I20050502000346 |
| Provider Name | Emilio M Melchionna |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912908229 PECOS PAC ID: 9335115021 Enrollment ID: I20050513000491 |
| Provider Name | Magda Bishai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366494734 PECOS PAC ID: 6507765211 Enrollment ID: I20050524000320 |
| Provider Name | David A Wood |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053300467 PECOS PAC ID: 0941242317 Enrollment ID: I20050525000955 |
| Provider Name | Laura R Benzaquen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558351015 PECOS PAC ID: 7618919945 Enrollment ID: I20050526000713 |
| Provider Name | Thomas A Hanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366418097 PECOS PAC ID: 1850335217 Enrollment ID: I20050616000192 |
| Provider Name | Sharon F Daley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194794206 PECOS PAC ID: 1759325996 Enrollment ID: I20050617000544 |
| Provider Name | Nancy J O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164459285 PECOS PAC ID: 9234174038 Enrollment ID: I20050622000880 |
| Provider Name | M Francine Carbonneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851350359 PECOS PAC ID: 6608811070 Enrollment ID: I20050627000205 |
| Provider Name | Donald E Omalley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598737090 PECOS PAC ID: 4486628781 Enrollment ID: I20050701000296 |
| Provider Name | Paul M Dimond |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003881632 PECOS PAC ID: 5193751402 Enrollment ID: I20050708000518 |
| Provider Name | Jorge A Alfonso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013983402 PECOS PAC ID: 6901832708 Enrollment ID: I20050713000393 |
| Provider Name | Xiang-yang Guo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245282508 PECOS PAC ID: 5799712022 Enrollment ID: I20050719000645 |
| Provider Name | Jonathan Costa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821065244 PECOS PAC ID: 4284661471 Enrollment ID: I20050719001132 |
| Provider Name | Daniel C Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023015609 PECOS PAC ID: 4688601313 Enrollment ID: I20050725000313 |
| Provider Name | Shannon M List |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225158983 PECOS PAC ID: 7113955527 Enrollment ID: I20050727000970 |
| Provider Name | Ralph C Delorie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356392112 PECOS PAC ID: 9537198866 Enrollment ID: I20050808000504 |
| Provider Name | Matthew J Hamilton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982652814 PECOS PAC ID: 5597795856 Enrollment ID: I20050816000865 |
| Provider Name | Peter L Friedman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841398252 PECOS PAC ID: 3375574494 Enrollment ID: I20050829000099 |
| Provider Name | Daniel Luczkow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942250733 PECOS PAC ID: 2567494412 Enrollment ID: I20050831000594 |
| Provider Name | David M Bowling |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194716308 PECOS PAC ID: 4981636651 Enrollment ID: I20050901000592 |
| Provider Name | James A Mccarthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245337963 PECOS PAC ID: 7618901166 Enrollment ID: I20050923000214 |
| Provider Name | Marcial A Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366423196 PECOS PAC ID: 3577597970 Enrollment ID: I20050926000383 |
| Provider Name | Ann M Gryboski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053389924 PECOS PAC ID: 1254365463 Enrollment ID: I20050926001172 |
| Provider Name | Donald M Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063413631 PECOS PAC ID: 3971599937 Enrollment ID: I20050927000992 |
| Provider Name | Paul F Demeo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326095050 PECOS PAC ID: 1355367483 Enrollment ID: I20051018001171 |
| Provider Name | Debbie Fuentes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639144074 PECOS PAC ID: 0244257590 Enrollment ID: I20051027000397 |
| Provider Name | Don Jaffe |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1457352031 PECOS PAC ID: 9830117928 Enrollment ID: I20051107001160 |
| Provider Name | Joseph E Chase |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578559597 PECOS PAC ID: 6800814914 Enrollment ID: I20051108000135 |
| Provider Name | Stacy E Hostetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568437374 PECOS PAC ID: 2365461506 Enrollment ID: I20051116000693 |
| Provider Name | Catherine M Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255308755 PECOS PAC ID: 8921028556 Enrollment ID: I20051129000122 |
| Provider Name | Margaret Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871546622 PECOS PAC ID: 7416977814 Enrollment ID: I20051130000609 |
| Provider Name | Kevin M Allen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265407092 PECOS PAC ID: 6709822570 Enrollment ID: I20051201000497 |
| Provider Name | Kevin A Bresnahan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003867144 PECOS PAC ID: 6901877471 Enrollment ID: I20051201000507 |
| Provider Name | Craig S Cornwall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750331443 PECOS PAC ID: 1456322924 Enrollment ID: I20051201000525 |
| Provider Name | Robert D Malin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043261910 PECOS PAC ID: 3072584549 Enrollment ID: I20051201000540 |
| Provider Name | Robert S Zarum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831149327 PECOS PAC ID: 3274553581 Enrollment ID: I20051201000567 |
| Provider Name | Peter M Pillitteri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972690618 PECOS PAC ID: 3971523291 Enrollment ID: I20051201000607 |
| Provider Name | Nathan T Rudman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518917400 PECOS PAC ID: 7416977731 Enrollment ID: I20051201000618 |
| Provider Name | Jeff Herbst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316998396 PECOS PAC ID: 4688694904 Enrollment ID: I20051201000625 |
| Provider Name | Steven A Kohler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134170194 PECOS PAC ID: 7113947433 Enrollment ID: I20051201000650 |
| Provider Name | Elizabeth Mahanor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013994755 PECOS PAC ID: 8729071279 Enrollment ID: I20051215000304 |
| Provider Name | David T Martin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215971692 PECOS PAC ID: 4284625054 Enrollment ID: I20060104000116 |
| Provider Name | Kimberly A Lane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316270226 PECOS PAC ID: 3072536119 Enrollment ID: I20060104000605 |
| Provider Name | Scott M Harris |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023007283 PECOS PAC ID: 6901829738 Enrollment ID: I20060109000072 |
| Provider Name | Kimberly Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578629028 PECOS PAC ID: 1355355355 Enrollment ID: I20060130000281 |
| Provider Name | Mary E Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396786489 PECOS PAC ID: 7315951217 Enrollment ID: I20060131000241 |
| Provider Name | Ellen T Carty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124078811 PECOS PAC ID: 7517972763 Enrollment ID: I20060209000453 |
| Provider Name | Shawn A Howland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740323229 PECOS PAC ID: 5890702559 Enrollment ID: I20060321000607 |
| Provider Name | Stephen Willard Brooks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306899638 PECOS PAC ID: 0840261517 Enrollment ID: I20060405000613 |
| Provider Name | Ramon Espinosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245287838 PECOS PAC ID: 1456360189 Enrollment ID: I20060407000375 |
| Provider Name | Michael E Markowski |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295774057 PECOS PAC ID: 0941210181 Enrollment ID: I20060502000608 |
| Provider Name | Ryan J Bemis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639137235 PECOS PAC ID: 0840202107 Enrollment ID: I20060705000052 |
| Provider Name | Matthew T Rittel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902864788 PECOS PAC ID: 7113930223 Enrollment ID: I20060713000022 |
| Provider Name | Joseph P Cobb |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740230846 PECOS PAC ID: 0840203881 Enrollment ID: I20060717000258 |
| Provider Name | Ashwini Sahni |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649233529 PECOS PAC ID: 4789697558 Enrollment ID: I20060720000316 |
| Provider Name | Julie L Bemis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366497315 PECOS PAC ID: 5698770410 Enrollment ID: I20060928000345 |
| Provider Name | Mita Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750390894 PECOS PAC ID: 0446255087 Enrollment ID: I20061003000494 |
| Provider Name | Judee M Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295756617 PECOS PAC ID: 6901804723 Enrollment ID: I20061109000652 |
| Provider Name | Heather C Malcomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528147709 PECOS PAC ID: 1759389067 Enrollment ID: I20061121000416 |
| Provider Name | Gail M Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316018633 PECOS PAC ID: 3375541329 Enrollment ID: I20061129000363 |
| Provider Name | Lawrence M Novak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356398721 PECOS PAC ID: 7214937374 Enrollment ID: I20070115000017 |
| Provider Name | Valerie A Walbek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679625099 PECOS PAC ID: 8022115369 Enrollment ID: I20070521000373 |
| Provider Name | Mark S Loewen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295747319 PECOS PAC ID: 8224034202 Enrollment ID: I20070720000572 |
| Provider Name | Joseph M Gergyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336116060 PECOS PAC ID: 6507967361 Enrollment ID: I20070723000846 |
| Provider Name | Michelle F Costa |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1962548941 PECOS PAC ID: 3274625157 Enrollment ID: I20070823000166 |
| Provider Name | Gordon K Nakata |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497808505 PECOS PAC ID: 6800988551 Enrollment ID: I20070825000020 |
| Provider Name | David E Mcginnis |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1689634115 PECOS PAC ID: 0840266052 Enrollment ID: I20070911000215 |
| Provider Name | Jane W Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952461402 PECOS PAC ID: 0648364505 Enrollment ID: I20070922000042 |
| Provider Name | Mahmood M Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285843169 PECOS PAC ID: 2163516808 Enrollment ID: I20070926000015 |
| Provider Name | Allan Kuong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790868412 PECOS PAC ID: 1153368733 Enrollment ID: I20071013000092 |
| Provider Name | Mary M Smyth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912964388 PECOS PAC ID: 2567559610 Enrollment ID: I20071106000457 |
| Provider Name | Claude Laurent Roger Joseph Sader |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578510392 PECOS PAC ID: 6800780487 Enrollment ID: I20080108000557 |
| Provider Name | Nicole M Salter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609068220 PECOS PAC ID: 3678654225 Enrollment ID: I20080122000029 |
| Provider Name | Andrew C Jorgensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134106271 PECOS PAC ID: 6103719521 Enrollment ID: I20080216000101 |
| Provider Name | Christopher L Wathier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295724664 PECOS PAC ID: 4587742051 Enrollment ID: I20080424000020 |
| Provider Name | Jennifer H Ladner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801833488 PECOS PAC ID: 7012093628 Enrollment ID: I20080430000658 |
| Provider Name | James B Knox |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386691178 PECOS PAC ID: 8921184532 Enrollment ID: I20080606000436 |
| Provider Name | Nevine Henin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982672473 PECOS PAC ID: 9335219849 Enrollment ID: I20080610000018 |
| Provider Name | Linda F Habeeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619927035 PECOS PAC ID: 0547332835 Enrollment ID: I20080701000546 |
| Provider Name | Mark W Wolfe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962500322 PECOS PAC ID: 1557447166 Enrollment ID: I20080709000548 |
| Provider Name | Peter D Bosco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538110895 PECOS PAC ID: 6002989613 Enrollment ID: I20080715000604 |
| Provider Name | Miguel A Prieto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437144847 PECOS PAC ID: 5092880864 Enrollment ID: I20080814000118 |
| Provider Name | Sarah A Todd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063615276 PECOS PAC ID: 5395812002 Enrollment ID: I20080923000121 |
| Provider Name | Ross A Johnston |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346299633 PECOS PAC ID: 8820076664 Enrollment ID: I20081023000442 |
| Provider Name | Karin A Sloan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376653782 PECOS PAC ID: 6901873439 Enrollment ID: I20081027000359 |
| Provider Name | Simon L Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609836162 PECOS PAC ID: 9931120391 Enrollment ID: I20081103000071 |
| Provider Name | Leonard Digiovanni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124081401 PECOS PAC ID: 9133288137 Enrollment ID: I20081105000768 |
| Provider Name | Lisa R Ferley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699733469 PECOS PAC ID: 4587643598 Enrollment ID: I20081107000182 |
| Provider Name | Michael E Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619125630 PECOS PAC ID: 5698835098 Enrollment ID: I20081114000447 |
| Provider Name | Paul J Houle |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1184624330 PECOS PAC ID: 0042383408 Enrollment ID: I20081202000252 |
| Provider Name | Achilles K Papavasiliou |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1083615744 PECOS PAC ID: 3577636935 Enrollment ID: I20081202000272 |
| Provider Name | Katherine K Parsons |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992833065 PECOS PAC ID: 3274694997 Enrollment ID: I20081212000236 |
| Provider Name | Robert M Baginski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699986828 PECOS PAC ID: 5496817082 Enrollment ID: I20081216000149 |
| Provider Name | Kimberly S Florence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679727143 PECOS PAC ID: 1052474632 Enrollment ID: I20090107000675 |
| Provider Name | Scott A Slater |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518918291 PECOS PAC ID: 2264596279 Enrollment ID: I20090205000170 |
| Provider Name | Paul A Skudder, Jr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861481657 PECOS PAC ID: 5991790172 Enrollment ID: I20090407000077 |
| Provider Name | Jason A Kahn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255400198 PECOS PAC ID: 1850497389 Enrollment ID: I20090506000068 |
| Provider Name | Janine E Connors |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851367247 PECOS PAC ID: 8022167915 Enrollment ID: I20090526000235 |
| Provider Name | Kyle Harvey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144498460 PECOS PAC ID: 7416002423 Enrollment ID: I20090827000059 |
| Provider Name | Theodore A Spevack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952369597 PECOS PAC ID: 8224068762 Enrollment ID: I20090910000511 |
| Provider Name | David W Gager |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1851466478 PECOS PAC ID: 6901995794 Enrollment ID: I20091202000234 |
| Provider Name | Thomas A Chasse |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1811954712 PECOS PAC ID: 0446291231 Enrollment ID: I20091218000049 |
| Provider Name | Anju Nohria |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1912963851 PECOS PAC ID: 5193867869 Enrollment ID: I20100119000053 |
| Provider Name | Lesley E Segal |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659571875 PECOS PAC ID: 5496880486 Enrollment ID: I20100316000580 |
| Provider Name | Patricia Ryan-blanchard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639144421 PECOS PAC ID: 0547399685 Enrollment ID: I20100527000283 |
| Provider Name | Michael J Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881650521 PECOS PAC ID: 8820091556 Enrollment ID: I20100608000023 |
| Provider Name | Nathaniel G Clark |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386687234 PECOS PAC ID: 7012949548 Enrollment ID: I20100627000014 |
| Provider Name | Sean P Horrigan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1821140351 PECOS PAC ID: 5092839209 Enrollment ID: I20100825000150 |
| Provider Name | Liam Haveran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417093675 PECOS PAC ID: 8123142015 Enrollment ID: I20100830000500 |
| Provider Name | Timothy Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457320632 PECOS PAC ID: 1254498553 Enrollment ID: I20100901000016 |
| Provider Name | Li Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215977327 PECOS PAC ID: 7113823550 Enrollment ID: I20100908001112 |
| Provider Name | Thomas B Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588632723 PECOS PAC ID: 2769452705 Enrollment ID: I20101021000570 |
| Provider Name | Ruth Holland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588666358 PECOS PAC ID: 3476448713 Enrollment ID: I20101102001506 |
| Provider Name | Ayesha Khalid |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528285921 PECOS PAC ID: 6507937505 Enrollment ID: I20101207000519 |
| Provider Name | Jonathan R Pilcher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295794840 PECOS PAC ID: 7911195763 Enrollment ID: I20101221000972 |
| Provider Name | Elizabeth G Murray |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720149594 PECOS PAC ID: 7214116243 Enrollment ID: I20110124000634 |
| Provider Name | Morris L Rivera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669440335 PECOS PAC ID: 9133122377 Enrollment ID: I20110204000059 |
| Provider Name | Hani Ibrahim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770508988 PECOS PAC ID: 8628108651 Enrollment ID: I20110217000745 |
| Provider Name | Patrick Flynn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184798431 PECOS PAC ID: 6002919610 Enrollment ID: I20110315000705 |
| Provider Name | Alissa A Devito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194020180 PECOS PAC ID: 2668655762 Enrollment ID: I20110328000517 |
| Provider Name | Theodore A Calianos |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1528021813 PECOS PAC ID: 4284737891 Enrollment ID: I20110426000192 |
| Provider Name | Peter Crosson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952481095 PECOS PAC ID: 1850284639 Enrollment ID: I20110510000829 |
| Provider Name | Kumara Sidhartha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629091608 PECOS PAC ID: 4284810136 Enrollment ID: I20110511000199 |
| Provider Name | Luba Hafkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942407028 PECOS PAC ID: 8527254440 Enrollment ID: I20110711000141 |
| Provider Name | Garrick C Stewart |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1295771541 PECOS PAC ID: 1759559156 Enrollment ID: I20110728000548 |
| Provider Name | Jennifer Nalepinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851672364 PECOS PAC ID: 0648329987 Enrollment ID: I20111108000263 |
| Provider Name | Susan Theresa Egan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124300702 PECOS PAC ID: 5092989475 Enrollment ID: I20111121000702 |
| Provider Name | Arash Tadbiri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326201815 PECOS PAC ID: 7810048428 Enrollment ID: I20111223000008 |
| Provider Name | Louis A Hieb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023053964 PECOS PAC ID: 6608880612 Enrollment ID: I20120808000052 |
| Provider Name | Brett A Sylvia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033345970 PECOS PAC ID: 2365690385 Enrollment ID: I20120918000139 |
| Provider Name | Michael J Rest |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477737708 PECOS PAC ID: 7810055407 Enrollment ID: I20121003000034 |
| Provider Name | Matthew Timberger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710141312 PECOS PAC ID: 0042460701 Enrollment ID: I20121016000179 |
| Provider Name | Erin A Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255686580 PECOS PAC ID: 0547410722 Enrollment ID: I20121024000444 |
| Provider Name | Colleen Ryfa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336356211 PECOS PAC ID: 2860643152 Enrollment ID: I20121114000440 |
| Provider Name | Tamara L Thome |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619192408 PECOS PAC ID: 9032302682 Enrollment ID: I20130211000477 |
| Provider Name | Stephanie I Cody |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205098522 PECOS PAC ID: 6204986151 Enrollment ID: I20130311000311 |
| Provider Name | Amy Lynn French |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841511946 PECOS PAC ID: 3870738974 Enrollment ID: I20130320000374 |
| Provider Name | Adeeb Al-quthami |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245483965 PECOS PAC ID: 2567609100 Enrollment ID: I20130520000036 |
| Provider Name | Nicholas D Coppa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205017605 PECOS PAC ID: 9638252356 Enrollment ID: I20130701000149 |
| Provider Name | Julie M Dateo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366723934 PECOS PAC ID: 3971743279 Enrollment ID: I20130710000457 |
| Provider Name | Kelley B Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720325632 PECOS PAC ID: 5193965259 Enrollment ID: I20130712000561 |
| Provider Name | Michael J O Connell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093032427 PECOS PAC ID: 9032350780 Enrollment ID: I20130723000925 |
| Provider Name | Amanda Ortengren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407178494 PECOS PAC ID: 7012176886 Enrollment ID: I20130806000240 |
| Provider Name | Catalina Norman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831374107 PECOS PAC ID: 1658496153 Enrollment ID: I20130826000532 |
| Provider Name | Jacob G Crowell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710206933 PECOS PAC ID: 6608010558 Enrollment ID: I20130917000054 |
| Provider Name | Daniel M Golovko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184935439 PECOS PAC ID: 1355575093 Enrollment ID: I20131011000008 |
| Provider Name | Ellen Ficks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316116668 PECOS PAC ID: 3072749175 Enrollment ID: I20131120000446 |
| Provider Name | Sara D Seyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831522838 PECOS PAC ID: 6204063746 Enrollment ID: I20131209000752 |
| Provider Name | Anna Marie M Espiritu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164603361 PECOS PAC ID: 3779652573 Enrollment ID: I20131217001423 |
| Provider Name | Karl C Stajduhar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356386734 PECOS PAC ID: 8426073941 Enrollment ID: I20140210000433 |
| Provider Name | Peter A Bourell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487975124 PECOS PAC ID: 4486884350 Enrollment ID: I20140221000334 |
| Provider Name | Jurgen Craig Muller |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1073594123 PECOS PAC ID: 8628113883 Enrollment ID: I20140304000169 |
| Provider Name | John A Besaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689717563 PECOS PAC ID: 4183850969 Enrollment ID: I20140306001447 |
| Provider Name | Jodi S Belson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1912974973 PECOS PAC ID: 8628149010 Enrollment ID: I20140512001306 |
| Provider Name | Valerie C Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497195713 PECOS PAC ID: 2163645755 Enrollment ID: I20140529001515 |
| Provider Name | Julia A Craig-muller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235110396 PECOS PAC ID: 0547315541 Enrollment ID: I20140620000504 |
| Provider Name | Rose A Shorter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861430852 PECOS PAC ID: 9830264407 Enrollment ID: I20140620000681 |
| Provider Name | Karen M Lynch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184855314 PECOS PAC ID: 2769616630 Enrollment ID: I20140627001526 |
| Provider Name | Shirley A. Neyhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124245238 PECOS PAC ID: 8022234624 Enrollment ID: I20140716001823 |
| Provider Name | Benjamin R Levin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356631436 PECOS PAC ID: 8729206404 Enrollment ID: I20140821000324 |
| Provider Name | Oliver Berrett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790066645 PECOS PAC ID: 5597921783 Enrollment ID: I20140825001163 |
| Provider Name | Stephanie L Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174932776 PECOS PAC ID: 4880813773 Enrollment ID: I20140908001135 |
| Provider Name | Khawaja Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871687038 PECOS PAC ID: 3870539083 Enrollment ID: I20140924000987 |
| Provider Name | Andrew N Markwith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609036961 PECOS PAC ID: 5698996429 Enrollment ID: I20141021000714 |
| Provider Name | Michael Messina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992091607 PECOS PAC ID: 5395974331 Enrollment ID: I20141022001599 |
| Provider Name | Elissa C Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710157615 PECOS PAC ID: 2961570874 Enrollment ID: I20141022002284 |
| Provider Name | Kyle Marling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538579867 PECOS PAC ID: 5799906046 Enrollment ID: I20141030000124 |
| Provider Name | Amanda E Horn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639324080 PECOS PAC ID: 1557413960 Enrollment ID: I20150210000109 |
| Provider Name | Kim M Rochon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457768624 PECOS PAC ID: 8729303961 Enrollment ID: I20150211001404 |
| Provider Name | Christina M Mastriano |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1437454360 PECOS PAC ID: 3274510458 Enrollment ID: I20150212000086 |
| Provider Name | Anne S Zlevor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841574472 PECOS PAC ID: 2163645516 Enrollment ID: I20150410001101 |
| Provider Name | Theresa M Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972904506 PECOS PAC ID: 1153649470 Enrollment ID: I20150417000728 |
| Provider Name | Justin L Yamin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164650727 PECOS PAC ID: 0749509164 Enrollment ID: I20150507000563 |
| Provider Name | Allen C Bragdon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285659177 PECOS PAC ID: 2668576281 Enrollment ID: I20150512000802 |
| Provider Name | Corey Signs |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003209305 PECOS PAC ID: 1658692843 Enrollment ID: I20150529002046 |
| Provider Name | Nisha M David |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851689988 PECOS PAC ID: 9436381118 Enrollment ID: I20150710000533 |
| Provider Name | Mathew Pulicken |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629231832 PECOS PAC ID: 8921274804 Enrollment ID: I20150729006703 |
| Provider Name | Shawn V Hennessy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679952238 PECOS PAC ID: 7911211743 Enrollment ID: I20150806010872 |
| Provider Name | Tara J Chute |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023303997 PECOS PAC ID: 0345472114 Enrollment ID: I20150814014294 |
| Provider Name | David W Rancourt |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861626475 PECOS PAC ID: 7315125937 Enrollment ID: I20150909000798 |
| Provider Name | Margaret C. Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811370620 PECOS PAC ID: 9032426002 Enrollment ID: I20150923002930 |
| Provider Name | Linda S Dorflinger |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487794202 PECOS PAC ID: 7113988965 Enrollment ID: I20150930001813 |
| Provider Name | Heather M Koehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225497431 PECOS PAC ID: 3577862697 Enrollment ID: I20160425000688 |
| Provider Name | Elizabeth R Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336399435 PECOS PAC ID: 6305135682 Enrollment ID: I20160511000076 |
| Provider Name | Aaron M. Dickstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003059239 PECOS PAC ID: 4082878061 Enrollment ID: I20160609001876 |
| Provider Name | Ashish M Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538328166 PECOS PAC ID: 8426270521 Enrollment ID: I20160613001630 |
| Provider Name | Shant O Broukian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538505920 PECOS PAC ID: 3779874375 Enrollment ID: I20160628002207 |
| Provider Name | Emily K Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336523281 PECOS PAC ID: 3870888290 Enrollment ID: I20160824002616 |
| Provider Name | Sasha D Girouard |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1346505120 PECOS PAC ID: 8426285768 Enrollment ID: I20160909000644 |
| Provider Name | Christopher Jackson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053601765 PECOS PAC ID: 7719282326 Enrollment ID: I20160921000755 |
| Provider Name | Katie J Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790151967 PECOS PAC ID: 2668769159 Enrollment ID: I20160927002405 |
| Provider Name | Justin Popso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215371331 PECOS PAC ID: 8224325493 Enrollment ID: I20161003001473 |
| Provider Name | Michael Joseph Mentakis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811988033 PECOS PAC ID: 7416987763 Enrollment ID: I20161017000292 |
| Provider Name | Marissa S Frongillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588017263 PECOS PAC ID: 8123309283 Enrollment ID: I20170103001473 |
| Provider Name | Dana L Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770032351 PECOS PAC ID: 1153604814 Enrollment ID: I20170203001770 |
| Provider Name | Michelle R Martinis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366822967 PECOS PAC ID: 4284943754 Enrollment ID: I20170330000146 |
| Provider Name | Charles Jeffrey Siegert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811163207 PECOS PAC ID: 5597050617 Enrollment ID: I20170509002917 |
| Provider Name | Krzysztof Rosadzinsk |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1538415526 PECOS PAC ID: 1456573336 Enrollment ID: I20170517002256 |
| Provider Name | Michael Y Mi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699189944 PECOS PAC ID: 4789991431 Enrollment ID: I20170526001439 |
| Provider Name | Megan Ann Titas |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487820338 PECOS PAC ID: 8123265188 Enrollment ID: I20170531001354 |
| Provider Name | Kinsey M Leonard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205254976 PECOS PAC ID: 9931327228 Enrollment ID: I20170607000828 |
| Provider Name | Diane White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588100796 PECOS PAC ID: 9739459785 Enrollment ID: I20170724002810 |
| Provider Name | Lindsey M Korepta |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1194088120 PECOS PAC ID: 2163651654 Enrollment ID: I20170815000083 |
| Provider Name | Jennifer Ruoyu Bai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407226160 PECOS PAC ID: 1951673649 Enrollment ID: I20170815003102 |
| Provider Name | Alison C Jessup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285161059 PECOS PAC ID: 3577835909 Enrollment ID: I20170821001264 |
| Provider Name | Paula Kirby-long |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063566925 PECOS PAC ID: 5294822482 Enrollment ID: I20171004001066 |
| Provider Name | Mary Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124556725 PECOS PAC ID: 0749556306 Enrollment ID: I20171026000007 |
| Provider Name | Robert Eaton Burr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770533788 PECOS PAC ID: 4981625902 Enrollment ID: I20171030003486 |
| Provider Name | William Vranos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255393666 PECOS PAC ID: 9234180027 Enrollment ID: I20171117001689 |
| Provider Name | Sarah West Allen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1942503875 PECOS PAC ID: 9133300379 Enrollment ID: I20171205002742 |
| Provider Name | Helen Marie Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306358791 PECOS PAC ID: 3779840228 Enrollment ID: I20171208000717 |
| Provider Name | Melissa R Caughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538194303 PECOS PAC ID: 3870486665 Enrollment ID: I20180202000235 |
| Provider Name | Tara B Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447762943 PECOS PAC ID: 1557621851 Enrollment ID: I20180206001455 |
| Provider Name | Emily R.w. Lopes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669885737 PECOS PAC ID: 1557588852 Enrollment ID: I20180518000590 |
| Provider Name | Heather Marie Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497264709 PECOS PAC ID: 2264788850 Enrollment ID: I20180712001462 |
| Provider Name | Murali Krishna Bogavalli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316255870 PECOS PAC ID: 6608183462 Enrollment ID: I20180719001759 |
| Provider Name | Shawn Braunagel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1154766079 PECOS PAC ID: 7416242037 Enrollment ID: I20180723001728 |
| Provider Name | Haixia Jia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104207430 PECOS PAC ID: 4183890759 Enrollment ID: I20180807002729 |
| Provider Name | Karen Rachel Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285129171 PECOS PAC ID: 4880943620 Enrollment ID: I20180828000585 |
| Provider Name | Brittany Marie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255812343 PECOS PAC ID: 6507117496 Enrollment ID: I20180914001387 |
| Provider Name | Wendi A Cardeiro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962428573 PECOS PAC ID: 4789699067 Enrollment ID: I20180917001262 |
| Provider Name | Myles La Verne Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447645262 PECOS PAC ID: 5193014058 Enrollment ID: I20180917001268 |
| Provider Name | Courtney Leigh Burbank Gallimore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437609401 PECOS PAC ID: 6103178389 Enrollment ID: I20181017000295 |
| Provider Name | Maricel Lilian Ridella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740472646 PECOS PAC ID: 4082862560 Enrollment ID: I20181102000473 |
| Provider Name | Waqas T Qureshi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225267081 PECOS PAC ID: 1254584485 Enrollment ID: I20181106000349 |
| Provider Name | Lindsay R Lacorte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285999250 PECOS PAC ID: 8325332430 Enrollment ID: I20181119000594 |
| Provider Name | Jocelyn Hulburt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174019590 PECOS PAC ID: 4284988569 Enrollment ID: I20181127000615 |
| Provider Name | Elizabeth M Speed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598928178 PECOS PAC ID: 9739319765 Enrollment ID: I20181203002908 |
| Provider Name | Christine Chad |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033382957 PECOS PAC ID: 6002152691 Enrollment ID: I20190118002161 |
| Provider Name | Evan Mitchell Klass |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083785174 PECOS PAC ID: 7719925973 Enrollment ID: I20190308000577 |
| Provider Name | Maria Tereza Dias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376009019 PECOS PAC ID: 1557602174 Enrollment ID: I20190409001842 |
| Provider Name | Lee Joseph |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184854994 PECOS PAC ID: 3173765583 Enrollment ID: I20190507000816 |
| Provider Name | Brian George Daggett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114925716 PECOS PAC ID: 9830105592 Enrollment ID: I20190610001294 |
| Provider Name | Raj Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215377981 PECOS PAC ID: 5890042089 Enrollment ID: I20190624001819 |
| Provider Name | Shana Rakowsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083096689 PECOS PAC ID: 5597072025 Enrollment ID: I20190628001134 |
| Provider Name | Hira Fahad Zafar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124479720 PECOS PAC ID: 9133455322 Enrollment ID: I20190725002141 |
| Provider Name | Jonathan Adam Sunkin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548325467 PECOS PAC ID: 3274776174 Enrollment ID: I20190807004015 |
| Provider Name | Joshua Lupton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144612094 PECOS PAC ID: 4183934870 Enrollment ID: I20190812002956 |
| Provider Name | Courtney Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265961510 PECOS PAC ID: 0143558510 Enrollment ID: I20190822002526 |
| Provider Name | Julian Dachille |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013170497 PECOS PAC ID: 2567769581 Enrollment ID: I20191018002139 |
| Provider Name | Lisa Dutra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932758299 PECOS PAC ID: 0345673059 Enrollment ID: I20191211001708 |
| Provider Name | Katrin Sara Sadigh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770928681 PECOS PAC ID: 8921313560 Enrollment ID: I20200110000697 |
| Provider Name | Qi Zheng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518281542 PECOS PAC ID: 4880982362 Enrollment ID: I20200207000386 |
| Provider Name | Kelly Ann Shine |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477522472 PECOS PAC ID: 9739247594 Enrollment ID: I20200226002341 |
| Provider Name | Brittany Elizabeth Schley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831739200 PECOS PAC ID: 7012348287 Enrollment ID: I20200504002489 |
| Provider Name | Wally Omar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063823425 PECOS PAC ID: 9335471903 Enrollment ID: I20200526002639 |
| Provider Name | Denise Kalbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164041166 PECOS PAC ID: 5092131946 Enrollment ID: I20200821002418 |
| Provider Name | Matthew Kalliath |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346623824 PECOS PAC ID: 5890112247 Enrollment ID: I20200831000832 |
| Provider Name | Long H Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538402656 PECOS PAC ID: 0749597896 Enrollment ID: I20200909001121 |
| Provider Name | Holly Renee Boyle Zheng |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689022782 PECOS PAC ID: 6507286572 Enrollment ID: I20201013000423 |
| Provider Name | Paul Dolinsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942212998 PECOS PAC ID: 5698804698 Enrollment ID: I20201116002702 |
| Provider Name | Sheila Maier |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033599162 PECOS PAC ID: 2163787623 Enrollment ID: I20201124001203 |
| Provider Name | Julie M Sieben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396077764 PECOS PAC ID: 3173794245 Enrollment ID: I20201214002687 |
| Provider Name | Anthony Md Sherman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235235524 PECOS PAC ID: 0244255289 Enrollment ID: I20201222000383 |
| Provider Name | Ellie Gonyeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114541976 PECOS PAC ID: 0446663751 Enrollment ID: I20210106000153 |
| Provider Name | Kyle Marie E Beres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962005835 PECOS PAC ID: 6002229788 Enrollment ID: I20210120000570 |
| Provider Name | Shishira Bharadwaj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457587172 PECOS PAC ID: 7315102530 Enrollment ID: I20210122001037 |
| Provider Name | Martina Ziegenbein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1629114277 PECOS PAC ID: 5092806406 Enrollment ID: I20210125002215 |
| Provider Name | Natalie Nielsen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679884779 PECOS PAC ID: 0042505497 Enrollment ID: I20210127003402 |
| Provider Name | Peng Yu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124468277 PECOS PAC ID: 7810234887 Enrollment ID: I20210213000014 |
| Provider Name | Adam Mohmand-borkowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316268725 PECOS PAC ID: 2860622610 Enrollment ID: I20210331001553 |
| Provider Name | Michelle Dyke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790123347 PECOS PAC ID: 0042448896 Enrollment ID: I20210331001758 |
| Provider Name | Jenine E. John |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598056434 PECOS PAC ID: 4385998509 Enrollment ID: I20210409000904 |
| Provider Name | Kristina Anele Jarvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497305486 PECOS PAC ID: 1153739198 Enrollment ID: I20210413000488 |
| Provider Name | Christian Noble |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407137094 PECOS PAC ID: 3577730662 Enrollment ID: I20210503002012 |
| Provider Name | Naomi Jean Kalliath |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770967739 PECOS PAC ID: 5395144653 Enrollment ID: I20210519001138 |
| Provider Name | Ryan Williams |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891086278 PECOS PAC ID: 1153611991 Enrollment ID: I20210706002465 |
| Provider Name | Thais A Tibbetts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437733292 PECOS PAC ID: 0648672428 Enrollment ID: I20210715004021 |
| Provider Name | Roman Andreyevich Kuznetsov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205299039 PECOS PAC ID: 0345532503 Enrollment ID: I20210715004280 |
| Provider Name | Zachary A Zanfes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760829030 PECOS PAC ID: 8123377538 Enrollment ID: I20210720000191 |
| Provider Name | Kayleigh E Eckstrom |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467026955 PECOS PAC ID: 6709289879 Enrollment ID: I20210727002250 |
| Provider Name | Sean D Rumrill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124479795 PECOS PAC ID: 8820380900 Enrollment ID: I20210729002510 |
| Provider Name | Amanda Blair Shapiro |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558937904 PECOS PAC ID: 0749686368 Enrollment ID: I20210908000575 |
| Provider Name | Callista Everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346915022 PECOS PAC ID: 9234535311 Enrollment ID: I20210915002152 |
| Provider Name | Jaclyn Kubisak Ralph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578148599 PECOS PAC ID: 9234536947 Enrollment ID: I20210923000475 |
| Provider Name | Rabia Nasir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437655107 PECOS PAC ID: 9335498708 Enrollment ID: I20211015001064 |
| Provider Name | Myles Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275208225 PECOS PAC ID: 3072902394 Enrollment ID: I20211108001502 |
| Provider Name | Sara Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194828244 PECOS PAC ID: 3678676319 Enrollment ID: I20211111002055 |
| Provider Name | Kenneth Spector |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497818462 PECOS PAC ID: 8729177092 Enrollment ID: I20211214001200 |
| Provider Name | Andrew J Lerrick |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730185513 PECOS PAC ID: 7911914643 Enrollment ID: I20220111000129 |
| Provider Name | Jillian M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063039261 PECOS PAC ID: 6103211289 Enrollment ID: I20220329000106 |
| Provider Name | Patrick Leong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447237003 PECOS PAC ID: 6103843057 Enrollment ID: I20220404001227 |
| Provider Name | Deanna Jo Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689273054 PECOS PAC ID: 6305232943 Enrollment ID: I20220406002507 |
| Provider Name | Colleen Carlson Overstreet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922767763 PECOS PAC ID: 3274920236 Enrollment ID: I20220422000654 |
| Provider Name | Aileen Katherine Kerns |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1356721724 PECOS PAC ID: 2365719770 Enrollment ID: I20220615001857 |
| Provider Name | Bonnie Diane Costa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356090252 PECOS PAC ID: 8921489600 Enrollment ID: I20220713002167 |
| Provider Name | Jennifer Keim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679228704 PECOS PAC ID: 0941681324 Enrollment ID: I20220715002282 |
| Provider Name | Nematullah Sharaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386141000 PECOS PAC ID: 3072868298 Enrollment ID: I20220726003786 |
| Provider Name | Elizabeth Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356455265 PECOS PAC ID: 1254354046 Enrollment ID: I20220803000926 |
| Provider Name | Taraneh Azar |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043289739 PECOS PAC ID: 3577456086 Enrollment ID: I20220913002379 |
| Provider Name | Mark I Jacobs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487638409 PECOS PAC ID: 0941250765 Enrollment ID: I20221104002382 |
| Provider Name | Tarik M Ramahi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023023504 PECOS PAC ID: 3274538756 Enrollment ID: I20221110002212 |
| Provider Name | Lisamarie Cantey Bertschy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467189035 PECOS PAC ID: 1153799721 Enrollment ID: I20221202000110 |
| Provider Name | Michael Van Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164153516 PECOS PAC ID: 5395114425 Enrollment ID: I20221213001741 |
| Provider Name | Michael Neel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114925401 PECOS PAC ID: 3678752243 Enrollment ID: I20230125000153 |
| Provider Name | Julianne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134832934 PECOS PAC ID: 0143691097 Enrollment ID: I20230201000507 |
| Provider Name | Mark J Zapata |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518462274 PECOS PAC ID: 8820347321 Enrollment ID: I20230411002421 |
| Provider Name | Shakera Headley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831805001 PECOS PAC ID: 9830554187 Enrollment ID: I20230420002179 |
| Provider Name | Cari Zigouras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316651243 PECOS PAC ID: 6204292642 Enrollment ID: I20230510000527 |
| Provider Name | Courtney B Miller |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740784297 PECOS PAC ID: 8022372655 Enrollment ID: I20230530000633 |
| Provider Name | Michael Ayers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1225002140 PECOS PAC ID: 6709843857 Enrollment ID: I20230531003468 |
| Provider Name | Alexis Tressor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982227468 PECOS PAC ID: 8820419013 Enrollment ID: I20230627003094 |
| Provider Name | Danielle Lynne Pfister |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649954959 PECOS PAC ID: 0648633693 Enrollment ID: I20230824000996 |
| Provider Name | Stephanie M Tripathi |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164113007 PECOS PAC ID: 1355704297 Enrollment ID: I20230825000961 |
| Provider Name | Konstantin Ravvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851851901 PECOS PAC ID: 7113256207 Enrollment ID: I20230914000965 |
| Provider Name | Jacklyn Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588351217 PECOS PAC ID: 4284098567 Enrollment ID: I20230920000554 |
| Provider Name | Caitlin Marie Celia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427711324 PECOS PAC ID: 1254785223 Enrollment ID: I20230925001648 |
| Provider Name | Ralph Cook |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619366333 PECOS PAC ID: 3678819901 Enrollment ID: I20231013001962 |
| Provider Name | Jaqueline Olympio Dasilva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376291260 PECOS PAC ID: 4284080433 Enrollment ID: I20231025001350 |
| Provider Name | Patricia Allison Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194445221 PECOS PAC ID: 2668828559 Enrollment ID: I20231030000725 |
| Provider Name | Madison Sommers Mcnary |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972292712 PECOS PAC ID: 7416305834 Enrollment ID: I20231127000466 |
| Provider Name | Holly Rebecca Womack |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114556206 PECOS PAC ID: 2365865078 Enrollment ID: I20231221000808 |
| Provider Name | Taryn Lee Pasquino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164152476 PECOS PAC ID: 9931551058 Enrollment ID: I20240114000064 |
| Provider Name | Michelle Clausen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669849121 PECOS PAC ID: 5890095236 Enrollment ID: I20240304002789 |
| Provider Name | Alba Coraini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366005860 PECOS PAC ID: 7416285762 Enrollment ID: I20240430002308 |
| Provider Name | Lee Elber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104831973 PECOS PAC ID: 1254470081 Enrollment ID: I20240515000845 |
| Provider Name | Kevin Clark |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174056899 PECOS PAC ID: 4981976024 Enrollment ID: I20240528002373 |
| Provider Name | Peter Jeffrey Laub |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1295266187 PECOS PAC ID: 3274805940 Enrollment ID: I20240607000538 |
| Provider Name | Daniel Eduardo Alape Moya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477058816 PECOS PAC ID: 5092060913 Enrollment ID: I20240620000079 |
| Provider Name | Pamela Allison Rutherford |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184482465 PECOS PAC ID: 5294270526 Enrollment ID: I20240711001066 |
| Provider Name | Kenneth Jackson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174083810 PECOS PAC ID: 1052787389 Enrollment ID: I20240717000516 |
| Provider Name | Patrick Robert Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225545254 PECOS PAC ID: 8729523469 Enrollment ID: I20240717002632 |
| Provider Name | Perla Franco Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770073660 PECOS PAC ID: 5294270989 Enrollment ID: I20240717004796 |
| Provider Name | John Oghene |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1528421609 PECOS PAC ID: 8325303498 Enrollment ID: I20240725000543 |
| Provider Name | Wade Billings |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245767490 PECOS PAC ID: 8820366461 Enrollment ID: I20240730000162 |
| Provider Name | Michael Levangie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891707816 PECOS PAC ID: 6103019120 Enrollment ID: I20240806003954 |
| Provider Name | Eva J Strobl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235750910 PECOS PAC ID: 6901344860 Enrollment ID: I20240812000158 |
| Provider Name | Catherine M Mullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952986721 PECOS PAC ID: 9537607833 Enrollment ID: I20240819000701 |
| Provider Name | Erica Lynn Benton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992589774 PECOS PAC ID: 8123567963 Enrollment ID: I20240826000935 |
| Provider Name | Marlene Virginia Marte Furment |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376195123 PECOS PAC ID: 1052851565 Enrollment ID: I20240911002159 |
| Provider Name | Kelsey N Rigby |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871052795 PECOS PAC ID: 0042693848 Enrollment ID: I20240912003871 |
| Provider Name | Marsha Mather |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831772623 PECOS PAC ID: 5991102485 Enrollment ID: I20240917003830 |
| Provider Name | Doriann Klaassen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043721632 PECOS PAC ID: 2961733837 Enrollment ID: I20241011003898 |
| Provider Name | Jillian N Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104654078 PECOS PAC ID: 9335673599 Enrollment ID: I20241111000970 |
| Provider Name | Tracey Nicole Cardoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164258448 PECOS PAC ID: 5092249276 Enrollment ID: I20241111001773 |
| Provider Name | Nicole Marie Fanara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548943244 PECOS PAC ID: 6406381466 Enrollment ID: I20241127002166 |
| Provider Name | Brian King |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417311853 PECOS PAC ID: 6901191204 Enrollment ID: I20241202001367 |
| Provider Name | Andrew Wall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578067021 PECOS PAC ID: 5395009922 Enrollment ID: I20241206000540 |
| Provider Name | Nida Shuttari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720649882 PECOS PAC ID: 2567797525 Enrollment ID: I20241211001459 |
| Provider Name | Victor Mokarry |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144206129 PECOS PAC ID: 9931097300 Enrollment ID: I20241227002200 |
| Provider Name | Zachary Hermes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700315926 PECOS PAC ID: 7012288301 Enrollment ID: I20250107002346 |
| Provider Name | Sarah Son-theroux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023856895 PECOS PAC ID: 8123556461 Enrollment ID: I20250114001881 |
| Provider Name | Bradford Chervin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033215256 PECOS PAC ID: 9436246097 Enrollment ID: I20250204001557 |
| Provider Name | Charles Riley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821357419 PECOS PAC ID: 4880993021 Enrollment ID: I20250217002773 |
| Provider Name | Ryan Carlson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720221963 PECOS PAC ID: 6406003409 Enrollment ID: I20250228000229 |
| Provider Name | Shailee Jain |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417444738 PECOS PAC ID: 5799034930 Enrollment ID: I20250307001723 |
| Provider Name | Jessen Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164091088 PECOS PAC ID: 9133641558 Enrollment ID: I20250314001912 |
| Provider Name | Alexandria Leigh Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780417535 PECOS PAC ID: 7810419868 Enrollment ID: I20250319001056 |
| Provider Name | Jordan Chadwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306660444 PECOS PAC ID: 6103340674 Enrollment ID: I20250404003320 |
| Provider Name | Evan Guthrie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750558474 PECOS PAC ID: 1355599440 Enrollment ID: I20250410003247 |
| Provider Name | Mitchell Wilson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659933505 PECOS PAC ID: 5395260442 Enrollment ID: I20250422000654 |
Cape Cod Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Park St, Hyannis, MA 02601 Phone: 508-771-1800 | |
Leek Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Lewis Bay Rd, Hyannis, MA 02601 Phone: 508-418-8242 | |
Living Independently Forever Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 Lincoln Road Ext, Hyannis, MA 02601 Phone: 508-418-5666 Fax: 508-778-4919 | |
Cape Cod Healthcare Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 460 W Main St, Hyannis, MA 02601 Phone: 508-790-3360 Fax: 508-790-3304 | |
Dove Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 154 Bearses Way, Hyannis, MA 02601 Phone: 508-280-5308 | |
Cape Cod Hospital Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Park St, Hyannis, MA 02601 Phone: 508-771-1800 | |
Bay Cove Human Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Main St, Hyannis, MA 02601 Phone: 617-371-3000 |