| Mercy Behavioral Care Clinic | |
|
1125 Pierce St Sioux City IA 51105-1485 | |
| (712) 258-6780 | |
| (712) 279-5883 |
| Full Name | Mercy Behavioral Care Clinic |
|---|---|
| Speciality | Counselor |
| Location | 1125 Pierce St, Sioux City, Iowa |
| Authorized Official Name and Position | Brian K. Monsma (EXECUTIVE NETWORK DIRECTOR) |
| Authorized Official Contact | 7122792925 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Behavioral Care Clinic Po Box 1836 Sioux City IA 51102-1836 Ph: (712) 279-5830 | Mercy Behavioral Care Clinic 1125 Pierce St Sioux City IA 51105-1485 Ph: (712) 258-6780 |
| NPI Number | 1134161151 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 11/14/2007 |
| Medicare PECOS PAC ID | 5799694063 |
|---|---|
| Medicare Enrollment ID | O20031118000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134161151 | NPI | - | NPPES |
| 0421495 | Medicaid | IA |
| Provider Name | Amy L Callaghan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215924964 PECOS PAC ID: 6305730870 Enrollment ID: I20040214000158 |
| Provider Name | Douglas M Guy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508827692 PECOS PAC ID: 9830094135 Enrollment ID: I20040225000159 |
| Provider Name | Kelly S Pomerenke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205826641 PECOS PAC ID: 5799672978 Enrollment ID: I20040302000996 |
| Provider Name | Rodney L Cassens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063455053 PECOS PAC ID: 0749273142 Enrollment ID: I20040402001481 |
| Provider Name | Jitendrakumar S Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285710764 PECOS PAC ID: 0749275790 Enrollment ID: I20040419000633 |
| Provider Name | James E Schrier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619944048 PECOS PAC ID: 4587657192 Enrollment ID: I20040507000525 |
| Provider Name | Fahima Qalbani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629071881 PECOS PAC ID: 8628026770 Enrollment ID: I20050105001119 |
| Provider Name | Rodney J Dean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528037082 PECOS PAC ID: 3870585813 Enrollment ID: I20050303001054 |
| Provider Name | Daniel Lamptey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740246008 PECOS PAC ID: 6608803929 Enrollment ID: I20050719000556 |
| Provider Name | Alexander Flower |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023094406 PECOS PAC ID: 0143230037 Enrollment ID: I20060421000059 |
| Provider Name | Ketan Arvind Dhadphale |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851400121 PECOS PAC ID: 6507967874 Enrollment ID: I20070731000305 |
| Provider Name | Adnan Qalbani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811100449 PECOS PAC ID: 3476644840 Enrollment ID: I20070814000714 |
| Provider Name | Vasant Jayasankar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1881763704 PECOS PAC ID: 0143313650 Enrollment ID: I20070829000483 |
| Provider Name | Michael C Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881877298 PECOS PAC ID: 7517041254 Enrollment ID: I20080220000131 |
| Provider Name | David H Daniels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972558229 PECOS PAC ID: 0244318566 Enrollment ID: I20080425000585 |
| Provider Name | Steven P Joyce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316922875 PECOS PAC ID: 1355413949 Enrollment ID: I20080626000023 |
| Provider Name | Mark A Tannenbaum |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033191861 PECOS PAC ID: 9537205331 Enrollment ID: I20091008000373 |
| Provider Name | Gregory W Halbur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780624205 PECOS PAC ID: 7911045034 Enrollment ID: I20091111000039 |
| Provider Name | Larry W Sellers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598714875 PECOS PAC ID: 5193869790 Enrollment ID: I20100220000119 |
| Provider Name | Mark S Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851363196 PECOS PAC ID: 7416868088 Enrollment ID: I20100225000116 |
| Provider Name | Suhair Afana Najdawi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316985534 PECOS PAC ID: 7113984428 Enrollment ID: I20100512000974 |
| Provider Name | Cindy P Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790738714 PECOS PAC ID: 6204965544 Enrollment ID: I20100526000083 |
| Provider Name | David J Ensz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124245899 PECOS PAC ID: 8022114263 Enrollment ID: I20100608000755 |
| Provider Name | Aaron M From |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255319596 PECOS PAC ID: 2062443369 Enrollment ID: I20110622000736 |
| Provider Name | Tonja L Winekauf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710275912 PECOS PAC ID: 2769656834 Enrollment ID: I20111130000026 |
| Provider Name | Ifan Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346235199 PECOS PAC ID: 4981889250 Enrollment ID: I20111208000084 |
| Provider Name | Mir Rauf Subla |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1871577379 PECOS PAC ID: 7618881251 Enrollment ID: I20120913000035 |
| Provider Name | Kyle G Ulveling |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790906246 PECOS PAC ID: 2062654965 Enrollment ID: I20130806000040 |
| Provider Name | Sarah Pearman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841629490 PECOS PAC ID: 0143450015 Enrollment ID: I20140221000191 |
| Provider Name | Kimberly J Stowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447681176 PECOS PAC ID: 4183856875 Enrollment ID: I20140411000412 |
| Provider Name | Todd M James |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467764498 PECOS PAC ID: 3476700105 Enrollment ID: I20140604002096 |
| Provider Name | Surender Singh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225294671 PECOS PAC ID: 4183841687 Enrollment ID: I20140806002179 |
| Provider Name | Lois M Pirozek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407258130 PECOS PAC ID: 1456572403 Enrollment ID: I20141016001827 |
| Provider Name | James Murtagh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760655526 PECOS PAC ID: 5991859456 Enrollment ID: I20141219001027 |
| Provider Name | Curtis L Hoogendoorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861806630 PECOS PAC ID: 2961728647 Enrollment ID: I20150225000572 |
| Provider Name | Amanda J Rausch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073912200 PECOS PAC ID: 4688991284 Enrollment ID: I20150319000689 |
| Provider Name | Gregory I Gordon |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1205804267 PECOS PAC ID: 0840267555 Enrollment ID: I20150403000428 |
| Provider Name | Amanda L Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427480425 PECOS PAC ID: 7012235583 Enrollment ID: I20150413001746 |
| Provider Name | Daniel Dube |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629214028 PECOS PAC ID: 8123185980 Enrollment ID: I20150428001487 |
| Provider Name | Rebecca Mattas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881092294 PECOS PAC ID: 5991704249 Enrollment ID: I20150608001878 |
| Provider Name | Jennifer June Milby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013396639 PECOS PAC ID: 8921329269 Enrollment ID: I20150611001514 |
| Provider Name | Sandeep S Gupta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194990945 PECOS PAC ID: 3678742723 Enrollment ID: I20150903000074 |
| Provider Name | Bernadette Borte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366678344 PECOS PAC ID: 3072759604 Enrollment ID: I20160414000393 |
| Provider Name | Jessica S Wineland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295137313 PECOS PAC ID: 7214226620 Enrollment ID: I20160524001151 |
| Provider Name | Faisal Tai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619381316 PECOS PAC ID: 7911125265 Enrollment ID: I20160829002908 |
| Provider Name | Aaron R Braun |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1821251083 PECOS PAC ID: 3274774294 Enrollment ID: I20161103000726 |
| Provider Name | Stilianos Efstratiadis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437328556 PECOS PAC ID: 2668522319 Enrollment ID: I20170308001526 |
| Provider Name | Syed Ali |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679544704 PECOS PAC ID: 5597796656 Enrollment ID: I20170613000312 |
| Provider Name | Abby Van Zee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679095897 PECOS PAC ID: 3971875873 Enrollment ID: I20170825003320 |
| Provider Name | Ashley L Pollema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639691322 PECOS PAC ID: 5698047512 Enrollment ID: I20170828000234 |
| Provider Name | Brooke R Fiddelke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275056608 PECOS PAC ID: 1052684818 Enrollment ID: I20170830002421 |
| Provider Name | Theresa Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760901300 PECOS PAC ID: 2163798208 Enrollment ID: I20171018000495 |
| Provider Name | Myra A Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609146471 PECOS PAC ID: 1153581756 Enrollment ID: I20171109000971 |
| Provider Name | Jackie L Kuchta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053813964 PECOS PAC ID: 0143575282 Enrollment ID: I20180613003448 |
| Provider Name | James C Spann |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134209273 PECOS PAC ID: 1557363934 Enrollment ID: I20181009000200 |
| Provider Name | Erik Peterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619321197 PECOS PAC ID: 3476852740 Enrollment ID: I20181109000843 |
| Provider Name | Glynne Edwards |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114234895 PECOS PAC ID: 4486978434 Enrollment ID: I20181204003662 |
| Provider Name | Maria A Azpeitia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356827968 PECOS PAC ID: 1456696830 Enrollment ID: I20181213002309 |
| Provider Name | Amy Lynde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932601150 PECOS PAC ID: 9739441601 Enrollment ID: I20190403001449 |
| Provider Name | Giovanni B. Ciuffo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912993551 PECOS PAC ID: 4880686021 Enrollment ID: I20190410001685 |
| Provider Name | Kendra Marie Hammond |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417134883 PECOS PAC ID: 9537236427 Enrollment ID: I20190506002078 |
| Provider Name | Dori K Sevde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225595838 PECOS PAC ID: 4981939139 Enrollment ID: I20190711000117 |
| Provider Name | Timothy L Traugott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881858694 PECOS PAC ID: 8921286535 Enrollment ID: I20190917002411 |
| Provider Name | Amelia J Klimisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619416526 PECOS PAC ID: 2961773825 Enrollment ID: I20191002000769 |
| Provider Name | Daniela D Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063061042 PECOS PAC ID: 4880028919 Enrollment ID: I20191226001489 |
| Provider Name | Ali Novin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124674635 PECOS PAC ID: 3678909744 Enrollment ID: I20200210000108 |
| Provider Name | Renata Chalfin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043637143 PECOS PAC ID: 4486988383 Enrollment ID: I20200214000145 |
| Provider Name | Brandon A Vanhessche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073992921 PECOS PAC ID: 3870889306 Enrollment ID: I20200221000232 |
| Provider Name | Ahmad Abou Leila |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861741126 PECOS PAC ID: 4183993546 Enrollment ID: I20200401000355 |
| Provider Name | Amanda L Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104459924 PECOS PAC ID: 9436588662 Enrollment ID: I20200408004412 |
| Provider Name | Jennifer Lucart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528608528 PECOS PAC ID: 2365873981 Enrollment ID: I20200515001175 |
| Provider Name | Clifford Meyers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699090217 PECOS PAC ID: 4688988256 Enrollment ID: I20200601002801 |
| Provider Name | Jessica Floyd |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386888113 PECOS PAC ID: 3779729868 Enrollment ID: I20200601002809 |
| Provider Name | Neil J Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295155364 PECOS PAC ID: 5193076578 Enrollment ID: I20200603000573 |
| Provider Name | Cory D Lamar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740469030 PECOS PAC ID: 5991952046 Enrollment ID: I20200608000518 |
| Provider Name | Mohammed Zaman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215126032 PECOS PAC ID: 4284882895 Enrollment ID: I20200616002813 |
| Provider Name | Stanley Garken Lue |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003017427 PECOS PAC ID: 6204005648 Enrollment ID: I20200616002964 |
| Provider Name | Vahid Behravan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871722520 PECOS PAC ID: 6507189123 Enrollment ID: I20200616002990 |
| Provider Name | Neetu Dhadwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962842492 PECOS PAC ID: 4183852270 Enrollment ID: I20200616003079 |
| Provider Name | Tigist Mehari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235490426 PECOS PAC ID: 4688955370 Enrollment ID: I20200616003088 |
| Provider Name | Richard Newman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831199850 PECOS PAC ID: 2365415957 Enrollment ID: I20200616003107 |
| Provider Name | Sandro James Corti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538503131 PECOS PAC ID: 4789953696 Enrollment ID: I20200616003113 |
| Provider Name | Shubhangi Chumble |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881684074 PECOS PAC ID: 6305844242 Enrollment ID: I20200617002392 |
| Provider Name | Sui Li |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992026371 PECOS PAC ID: 0345554929 Enrollment ID: I20200618000353 |
| Provider Name | Nattasha Acevedo Ramirez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366786451 PECOS PAC ID: 7214217793 Enrollment ID: I20200618000537 |
| Provider Name | Katherine Colleen Riordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689832107 PECOS PAC ID: 8224174354 Enrollment ID: I20200618000618 |
| Provider Name | Theresa B. Sevilis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407111461 PECOS PAC ID: 6608191911 Enrollment ID: I20200618000667 |
| Provider Name | Yelena G Vidgop |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336300771 PECOS PAC ID: 0941444095 Enrollment ID: I20200618000686 |
| Provider Name | Yazan M Suradi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952600223 PECOS PAC ID: 5698055945 Enrollment ID: I20200618000725 |
| Provider Name | Michelle Boudreau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346534864 PECOS PAC ID: 7416182480 Enrollment ID: I20200618000727 |
| Provider Name | Geetanjali Vajapey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740523935 PECOS PAC ID: 5799087441 Enrollment ID: I20200618000818 |
| Provider Name | Vivian Marie Suarez Gonzalez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801107388 PECOS PAC ID: 7618145830 Enrollment ID: I20200618000820 |
| Provider Name | Mark N Friedman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932181849 PECOS PAC ID: 5092732388 Enrollment ID: I20200618000834 |
| Provider Name | Rebecca Jimenez-sanders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154587152 PECOS PAC ID: 0143536656 Enrollment ID: I20200618000842 |
| Provider Name | Harsha Ghatge Nagaraja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568606259 PECOS PAC ID: 5496983009 Enrollment ID: I20200618000846 |
| Provider Name | Murtaza Amir |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508971920 PECOS PAC ID: 4688602915 Enrollment ID: I20200618000934 |
| Provider Name | Patricia Colon-garcia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427157270 PECOS PAC ID: 0446356216 Enrollment ID: I20200618000949 |
| Provider Name | Chut Sombutmai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649320987 PECOS PAC ID: 4284807413 Enrollment ID: I20200618000980 |
| Provider Name | Jason R Sebesto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861786246 PECOS PAC ID: 0749416238 Enrollment ID: I20200618001360 |
| Provider Name | Joao Mc-oneil Plancher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700142668 PECOS PAC ID: 9638317837 Enrollment ID: I20200618001688 |
| Provider Name | Muhammad Masud |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700179231 PECOS PAC ID: 8628381662 Enrollment ID: I20200618002301 |
| Provider Name | Mai Won |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871676676 PECOS PAC ID: 2860418175 Enrollment ID: I20200623002514 |
| Provider Name | Alaa A El Gendy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437186970 PECOS PAC ID: 3072584192 Enrollment ID: I20200629002585 |
| Provider Name | Christopher Bixler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770575656 PECOS PAC ID: 8224100334 Enrollment ID: I20200706001554 |
| Provider Name | Losty T Torres Potter |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619358603 PECOS PAC ID: 3476978131 Enrollment ID: I20200729001524 |
| Provider Name | Mazen Almidani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912936725 PECOS PAC ID: 4587667282 Enrollment ID: I20200814001977 |
| Provider Name | Evan Schmitz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1649471947 PECOS PAC ID: 5799886115 Enrollment ID: I20201008002001 |
| Provider Name | Melissa A Levering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699381160 PECOS PAC ID: 9436569159 Enrollment ID: I20201109002976 |
| Provider Name | Niral A Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053563072 PECOS PAC ID: 9537328869 Enrollment ID: I20201116001616 |
| Provider Name | Mohammed S Akram |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619921806 PECOS PAC ID: 0941213300 Enrollment ID: I20201201002522 |
| Provider Name | Justin T Hargrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720695224 PECOS PAC ID: 6608287206 Enrollment ID: I20201203001938 |
| Provider Name | Ahmed Marwan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366599185 PECOS PAC ID: 2062662422 Enrollment ID: I20201203002416 |
| Provider Name | James J Mc Farland |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760510978 PECOS PAC ID: 2062314453 Enrollment ID: I20201203002493 |
| Provider Name | Sam Kumar Saha |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1629394390 PECOS PAC ID: 3870733181 Enrollment ID: I20201211001642 |
| Provider Name | Mariecken V Fowler |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1548200116 PECOS PAC ID: 4688602758 Enrollment ID: I20201214001329 |
| Provider Name | Lorianne Elizabeth Avino |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1306898762 PECOS PAC ID: 6305859919 Enrollment ID: I20201214001666 |
| Provider Name | Joshua Todd Mendelson |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1265641070 PECOS PAC ID: 8921139023 Enrollment ID: I20201218000291 |
| Provider Name | Tao Tong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942401815 PECOS PAC ID: 2961558168 Enrollment ID: I20201228002140 |
| Provider Name | Hsiong Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912165374 PECOS PAC ID: 1456548601 Enrollment ID: I20201229000619 |
| Provider Name | Joseph Anigbogu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972583508 PECOS PAC ID: 9133015894 Enrollment ID: I20201230000514 |
| Provider Name | Raina Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366698482 PECOS PAC ID: 4385816685 Enrollment ID: I20210107001645 |
| Provider Name | Darshana Pritesh Amin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407901382 PECOS PAC ID: 4082750468 Enrollment ID: I20210108001521 |
| Provider Name | Morgan Patrylo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972946002 PECOS PAC ID: 4880948959 Enrollment ID: I20210108001750 |
| Provider Name | Mark Mitchell Mcdonald |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366837429 PECOS PAC ID: 6709156334 Enrollment ID: I20210108001767 |
| Provider Name | Birenkumar Rajandrakumar Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679900062 PECOS PAC ID: 0547533788 Enrollment ID: I20210208000907 |
| Provider Name | Nina Grace Bradley |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750692422 PECOS PAC ID: 6709025505 Enrollment ID: I20210304000726 |
| Provider Name | Obeidurahman Rehmani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619275963 PECOS PAC ID: 2668605106 Enrollment ID: I20210319000962 |
| Provider Name | Alicia Drotzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982042594 PECOS PAC ID: 6608285861 Enrollment ID: I20210429002503 |
| Provider Name | Tina R Shah |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437310513 PECOS PAC ID: 3274836341 Enrollment ID: I20210503000510 |
| Provider Name | Gary Chan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548649254 PECOS PAC ID: 8921400748 Enrollment ID: I20210715001689 |
| Provider Name | Alexandria Kohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013427640 PECOS PAC ID: 8224469788 Enrollment ID: I20210811000663 |
| Provider Name | Brian Sorace |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639565997 PECOS PAC ID: 9032426697 Enrollment ID: I20210811002287 |
| Provider Name | Shikha Sharma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508000274 PECOS PAC ID: 1254527146 Enrollment ID: I20210823002133 |
| Provider Name | Adedapo Adeyinka Iluyomade |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235576257 PECOS PAC ID: 6103241161 Enrollment ID: I20210901003180 |
| Provider Name | Kayla Folsom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922772698 PECOS PAC ID: 9335545946 Enrollment ID: I20210908000329 |
| Provider Name | William Stellar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053397182 PECOS PAC ID: 7113831215 Enrollment ID: I20210921001847 |
| Provider Name | Muhammad Ali Chaudhry |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609001262 PECOS PAC ID: 5597920801 Enrollment ID: I20210921002186 |
| Provider Name | Benzion Chaim Yitzchok Blech |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538515465 PECOS PAC ID: 9638461056 Enrollment ID: I20211027001357 |
| Provider Name | Evan G Black |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346260247 PECOS PAC ID: 6103724554 Enrollment ID: I20211104001106 |
| Provider Name | David Poliner |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861836819 PECOS PAC ID: 6507154077 Enrollment ID: I20211209002436 |
| Provider Name | Stephanie J Carter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497997407 PECOS PAC ID: 5092029124 Enrollment ID: I20211209002596 |
| Provider Name | Mohammad A El Baba |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518319789 PECOS PAC ID: 8022301902 Enrollment ID: I20211213001836 |
| Provider Name | Kirsten M Nedved |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013673896 PECOS PAC ID: 3971994211 Enrollment ID: I20211222000246 |
| Provider Name | Ashraf Omar Rashid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558435396 PECOS PAC ID: 0345344719 Enrollment ID: I20211228002079 |
| Provider Name | Fermina Alia Pirmohamed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508138314 PECOS PAC ID: 9133369754 Enrollment ID: I20220111001268 |
| Provider Name | Georgy Cherkassky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760827778 PECOS PAC ID: 7416197702 Enrollment ID: I20220111001709 |
| Provider Name | Ricky Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063779213 PECOS PAC ID: 6901039734 Enrollment ID: I20220113000223 |
| Provider Name | Paul Jason Granet |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1992785497 PECOS PAC ID: 8527083377 Enrollment ID: I20220113002035 |
| Provider Name | Samuel Butman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982616884 PECOS PAC ID: 9638178841 Enrollment ID: I20220119002381 |
| Provider Name | Roberto Amado-cattaneo |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073700225 PECOS PAC ID: 8527955004 Enrollment ID: I20220311000389 |
| Provider Name | Kristi Patricia Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750514261 PECOS PAC ID: 6406080811 Enrollment ID: I20220323001905 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659363190 PECOS PAC ID: 5092704791 Enrollment ID: I20220324001050 |
| Provider Name | Colby A. Richardson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558724799 PECOS PAC ID: 2567866973 Enrollment ID: I20220324002095 |
| Provider Name | Morgan Elizabeth Figurelle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801241260 PECOS PAC ID: 8729373642 Enrollment ID: I20220331000872 |
| Provider Name | Jessica Shin Choe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215194030 PECOS PAC ID: 3678857323 Enrollment ID: I20220331000923 |
| Provider Name | Abhi H Kapuria |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730542812 PECOS PAC ID: 8820493935 Enrollment ID: I20220331001022 |
| Provider Name | Andrew Novick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316568728 PECOS PAC ID: 7315335361 Enrollment ID: I20220331001028 |
| Provider Name | Robert Myers |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700248937 PECOS PAC ID: 7416356324 Enrollment ID: I20220331001460 |
| Provider Name | Guha K Venkatraman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356517593 PECOS PAC ID: 3476721887 Enrollment ID: I20220331002067 |
| Provider Name | Satinder Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386085546 PECOS PAC ID: 7618229436 Enrollment ID: I20220401002252 |
| Provider Name | Carla L Uhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457013674 PECOS PAC ID: 6800282377 Enrollment ID: I20220408002302 |
| Provider Name | Amen Sergew |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1407993769 PECOS PAC ID: 6800813916 Enrollment ID: I20220413002602 |
| Provider Name | Anant Shenoy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194998005 PECOS PAC ID: 5991855140 Enrollment ID: I20220428000812 |
| Provider Name | Victoria A Barkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134875172 PECOS PAC ID: 7517344708 Enrollment ID: I20220509001341 |
| Provider Name | Linda Y. Jiang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427476456 PECOS PAC ID: 3678870276 Enrollment ID: I20220513001358 |
| Provider Name | Ravi Yarlagadda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679531636 PECOS PAC ID: 7911975560 Enrollment ID: I20220513001444 |
| Provider Name | Wendi Kulin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043411333 PECOS PAC ID: 5193857647 Enrollment ID: I20220513001562 |
| Provider Name | James Andry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205192838 PECOS PAC ID: 6002119633 Enrollment ID: I20220513001749 |
| Provider Name | Jenna R Kanter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063737302 PECOS PAC ID: 1850514456 Enrollment ID: I20220513001773 |
| Provider Name | Yu-hsuan Liao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063868677 PECOS PAC ID: 9133523350 Enrollment ID: I20220513001806 |
| Provider Name | Thomas M Holian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396730354 PECOS PAC ID: 8426955121 Enrollment ID: I20220609002404 |
| Provider Name | Steven Gangloff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952756058 PECOS PAC ID: 4587951637 Enrollment ID: I20220624000676 |
| Provider Name | Lakshmi Mukundan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619137015 PECOS PAC ID: 6800111303 Enrollment ID: I20220624000968 |
| Provider Name | Olusola M Ogundipe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194258558 PECOS PAC ID: 0840562096 Enrollment ID: I20220629002083 |
| Provider Name | Ida L Mazza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518953850 PECOS PAC ID: 8628018140 Enrollment ID: I20220705002661 |
| Provider Name | Monica L Mcdonald |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1548222011 PECOS PAC ID: 7012932494 Enrollment ID: I20220712002814 |
| Provider Name | Vanessa B Ogundipe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477047173 PECOS PAC ID: 5799031829 Enrollment ID: I20220725000217 |
| Provider Name | Kuldeep B Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649685413 PECOS PAC ID: 1456679216 Enrollment ID: I20220725000314 |
| Provider Name | Michael Mirzoyan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1073787545 PECOS PAC ID: 9931230562 Enrollment ID: I20220801001649 |
| Provider Name | Ajay Labroo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831199371 PECOS PAC ID: 7416924279 Enrollment ID: I20220812001198 |
| Provider Name | Carlos Corral |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245212539 PECOS PAC ID: 3072604750 Enrollment ID: I20220922002019 |
| Provider Name | Saurin G Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336182880 PECOS PAC ID: 6901801208 Enrollment ID: I20220922002232 |
| Provider Name | Narongsak Boonswang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821015652 PECOS PAC ID: 9739184169 Enrollment ID: I20220922002336 |
| Provider Name | John Adan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295709665 PECOS PAC ID: 5799747002 Enrollment ID: I20221024000492 |
| Provider Name | Brianne R Felts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720714918 PECOS PAC ID: 4183090657 Enrollment ID: I20221025001829 |
| Provider Name | Tuan T. Lam |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124290713 PECOS PAC ID: 1456409929 Enrollment ID: I20221026003084 |
| Provider Name | Laressa L Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972227510 PECOS PAC ID: 0345616736 Enrollment ID: I20221027000132 |
| Provider Name | John Mckinney |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1457330813 PECOS PAC ID: 6305940537 Enrollment ID: I20221028001528 |
| Provider Name | Cyril E Tabe |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558457135 PECOS PAC ID: 4183624125 Enrollment ID: I20221207003118 |
| Provider Name | Nuri Ilker Akkus |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538164421 PECOS PAC ID: 9739172057 Enrollment ID: I20221213000456 |
| Provider Name | Cary Howard Meyers |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851329833 PECOS PAC ID: 5890699979 Enrollment ID: I20230103002412 |
| Provider Name | Nathanael J Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255794525 PECOS PAC ID: 0648560250 Enrollment ID: I20230117000293 |
| Provider Name | Agnelio Silverio Cardentey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164957452 PECOS PAC ID: 3870960412 Enrollment ID: I20230209002842 |
| Provider Name | Indira De Jesus Alvelo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700074796 PECOS PAC ID: 2264651207 Enrollment ID: I20230211000289 |
| Provider Name | Jason P Stabley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992713234 PECOS PAC ID: 8022904036 Enrollment ID: I20230214002388 |
| Provider Name | Srijana Zarkou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649482340 PECOS PAC ID: 3779617139 Enrollment ID: I20230214003154 |
| Provider Name | Arvind Vasudevan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770503526 PECOS PAC ID: 2860414091 Enrollment ID: I20230214003261 |
| Provider Name | Felix G Rivera-perez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003078692 PECOS PAC ID: 4981755733 Enrollment ID: I20230215000307 |
| Provider Name | Nicholas Anthony Ressa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366974867 PECOS PAC ID: 8921370404 Enrollment ID: I20230215000425 |
| Provider Name | Cintasha Redmond |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639437452 PECOS PAC ID: 8628344728 Enrollment ID: I20230215000471 |
| Provider Name | Kelly Milton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770882458 PECOS PAC ID: 8729206099 Enrollment ID: I20230216001661 |
| Provider Name | Edward N Misulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902396559 PECOS PAC ID: 8123409125 Enrollment ID: I20230224001913 |
| Provider Name | Jimmy Diep Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285815605 PECOS PAC ID: 5799837621 Enrollment ID: I20230224002110 |
| Provider Name | Kylee K Lefebvre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952023087 PECOS PAC ID: 7810360112 Enrollment ID: I20230308000593 |
| Provider Name | Nida Faheem |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952744732 PECOS PAC ID: 2062710775 Enrollment ID: I20230316000218 |
| Provider Name | Adam Mitchell Koss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760801112 PECOS PAC ID: 2769604123 Enrollment ID: I20230328001086 |
| Provider Name | Shashank Jolly |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902047814 PECOS PAC ID: 3779634522 Enrollment ID: I20230403000426 |
| Provider Name | Barbara Robinson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851489041 PECOS PAC ID: 5799713145 Enrollment ID: I20230503000316 |
| Provider Name | Debanshu Roy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992125751 PECOS PAC ID: 6507156510 Enrollment ID: I20230613001708 |
| Provider Name | Patricia Kleinholz-owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629344882 PECOS PAC ID: 5496043440 Enrollment ID: I20230615000256 |
| Provider Name | Khalid H Changal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1861846560 PECOS PAC ID: 0648630020 Enrollment ID: I20230717002563 |
| Provider Name | Bradley M Klein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619314705 PECOS PAC ID: 6709154743 Enrollment ID: I20230724002470 |
| Provider Name | Ryna Then |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427346303 PECOS PAC ID: 4587891080 Enrollment ID: I20230724002776 |
| Provider Name | Kyle Binder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635422 PECOS PAC ID: 8325479116 Enrollment ID: I20230725000436 |
| Provider Name | Wendy Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285780718 PECOS PAC ID: 3678613544 Enrollment ID: I20230725000471 |
| Provider Name | Amol R Mehta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649775503 PECOS PAC ID: 5395095293 Enrollment ID: I20230731003538 |
| Provider Name | Justin De'prey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356872063 PECOS PAC ID: 3274806674 Enrollment ID: I20230802001874 |
| Provider Name | Igor Alexandrovich Malenky |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740714054 PECOS PAC ID: 8820361330 Enrollment ID: I20230803004136 |
| Provider Name | Shao-hwa P Wei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205062361 PECOS PAC ID: 7517278146 Enrollment ID: I20230804002275 |
| Provider Name | Ellie Frazey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003472366 PECOS PAC ID: 2567820848 Enrollment ID: I20230810002889 |
| Provider Name | Robert A Fishman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982807921 PECOS PAC ID: 2062667454 Enrollment ID: I20230821000335 |
| Provider Name | Mark Z Sabra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942616560 PECOS PAC ID: 7911200340 Enrollment ID: I20230829001891 |
| Provider Name | Nabil T Braiteh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497107270 PECOS PAC ID: 2769777390 Enrollment ID: I20230908001990 |
| Provider Name | Avery W Peirce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306523535 PECOS PAC ID: 3072967249 Enrollment ID: I20230922000412 |
| Provider Name | Emily Kelly Koffel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003392424 PECOS PAC ID: 8224380142 Enrollment ID: I20230928003979 |
| Provider Name | Russell Leon Mcelveen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275714735 PECOS PAC ID: 1951540343 Enrollment ID: I20231004001922 |
| Provider Name | Louis Elkins |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114993060 PECOS PAC ID: 8325097637 Enrollment ID: I20231016002283 |
| Provider Name | Lauren M Mccleery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154980696 PECOS PAC ID: 7012349855 Enrollment ID: I20231018002639 |
| Provider Name | Norman Hetzler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487660775 PECOS PAC ID: 2668577016 Enrollment ID: I20231024001367 |
| Provider Name | Vinu Simon Abraham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336123249 PECOS PAC ID: 7012960305 Enrollment ID: I20231024001521 |
| Provider Name | Katie Elizabeth Abney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073150918 PECOS PAC ID: 4981039153 Enrollment ID: I20231024002055 |
| Provider Name | Danoushka Loris Tememe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255742227 PECOS PAC ID: 5294950812 Enrollment ID: I20231025003538 |
| Provider Name | Matthew Aaron Williams |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336475904 PECOS PAC ID: 4385897057 Enrollment ID: I20231207001696 |
| Provider Name | Kamel Gharaibeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20231213002077 |
| Provider Name | James W Burhop |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063492593 PECOS PAC ID: 9335107143 Enrollment ID: I20231220001664 |
| Provider Name | Arshad M Yousuf |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245511567 PECOS PAC ID: 2769459569 Enrollment ID: I20240123001492 |
| Provider Name | Frederick C Chen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1649244898 PECOS PAC ID: 1254389448 Enrollment ID: I20240222001982 |
| Provider Name | Matheau A Julien |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619189933 PECOS PAC ID: 6002118254 Enrollment ID: I20240222003048 |
| Provider Name | Numthip Chitravas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073761789 PECOS PAC ID: 4486898095 Enrollment ID: I20240314003093 |
| Provider Name | Hector E Santiago Belledonne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1487852919 PECOS PAC ID: 4385885268 Enrollment ID: I20240314003801 |
Mvp Integrative Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Pierce Street, Sioux City, IA 51105 Phone: 712-255-0204 Fax: 712-255-1120 | |
Mental Health Matters, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 4th St, Suite 202 #10, Sioux City, IA 51101 Phone: 712-898-3637 | |
Baker Psychology, Plc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1106 4th St Ste 205, Sioux City, IA 51101 Phone: 712-252-1473 Fax: 712-252-5672 | |
Lee And Associates Consultants Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Casselman, Sioux City, IA 51103 Phone: 712-253-3232 Fax: 712-258-3065 | |
Advance Therapy Mental Health And Recovery Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Douglas St Ste 325, Benson Bldg, Sioux City, IA 51101 Phone: 712-277-3200 Fax: 712-277-3208 | |
Integrated Counseling Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Pierce St, Sioux City, IA 51105 Phone: 712-255-0232 Fax: 712-255-0354 | |
Family Access Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Pierce St, Sioux City, IA 51105 Phone: 712-255-0204 Fax: 712-255-1120 |