| Mercy Medical Center | |
|
5264 Council St Ne Cedar Rapids IA 52402-2471 | |
| (319) 398-6575 | |
| (319) 369-4673 |
| Full Name | Mercy Medical Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5264 Council St Ne, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Timothy L Charles (PRESIDENT AND CEO) |
| Authorized Official Contact | 3193986697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Center Po Box 1824 Cedar Rapids IA 52406-1824 Ph: (319) 369-4505 | Mercy Medical Center 5264 Council St Ne Cedar Rapids IA 52402-2471 Ph: (319) 398-6575 |
| NPI Number | 1700834165 |
|---|---|
| Provider Enumeration Date | 05/05/2006 |
| Last Update Date | 10/05/2018 |
| Medicare PECOS PAC ID | 4183535271 |
|---|---|
| Medicare Enrollment ID | O20031215000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700834165 | NPI | - | NPPES |
| Provider Name | Vincent A Taeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770659591 PECOS PAC ID: 0941109359 Enrollment ID: I20040105000823 |
| Provider Name | Jonathan F Arnold |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1497747935 PECOS PAC ID: 5991691057 Enrollment ID: I20040225000609 |
| Provider Name | Hans E Steine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043290133 PECOS PAC ID: 1658365515 Enrollment ID: I20040413000907 |
| Provider Name | Leila A Kutteh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679558340 PECOS PAC ID: 6002805199 Enrollment ID: I20040512000841 |
| Provider Name | Scott K Nau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669450896 PECOS PAC ID: 5395736979 Enrollment ID: I20040521000616 |
| Provider Name | Kristen M Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518952720 PECOS PAC ID: 4183603160 Enrollment ID: I20040714000859 |
| Provider Name | Martin W Carpenter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558359174 PECOS PAC ID: 5890774509 Enrollment ID: I20040716000213 |
| Provider Name | Ann F Bell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467446401 PECOS PAC ID: 7113919713 Enrollment ID: I20040902000291 |
| Provider Name | Richard J Mersch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780662049 PECOS PAC ID: 1557339124 Enrollment ID: I20040921001020 |
| Provider Name | Tarah T Colaizy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386639227 PECOS PAC ID: 3072573377 Enrollment ID: I20041012000712 |
| Provider Name | Afzal H Abdullah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1932199395 PECOS PAC ID: 2567402605 Enrollment ID: I20050507000081 |
| Provider Name | Mary L Tharp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679534440 PECOS PAC ID: 3870534605 Enrollment ID: I20050520001026 |
| Provider Name | David J Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992766778 PECOS PAC ID: 7113963091 Enrollment ID: I20050630000549 |
| Provider Name | Mark M Zittergruen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851312557 PECOS PAC ID: 2961478631 Enrollment ID: I20050815000584 |
| Provider Name | David Kum-wah Chew |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1366424509 PECOS PAC ID: 9032134473 Enrollment ID: I20051013001044 |
| Provider Name | David Seeger Tearse |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184621468 PECOS PAC ID: 9830117290 Enrollment ID: I20051104000265 |
| Provider Name | Ram Niwas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861461089 PECOS PAC ID: 8123033222 Enrollment ID: I20060210000346 |
| Provider Name | Fadi Y Yacoub |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1285690412 PECOS PAC ID: 6800808932 Enrollment ID: I20060608000034 |
| Provider Name | Deborah W Wilbur |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1063461689 PECOS PAC ID: 0749292738 Enrollment ID: I20060609000204 |
| Provider Name | Nancy L Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346298221 PECOS PAC ID: 3274545009 Enrollment ID: I20060619000211 |
| Provider Name | Stephen C Maze |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669452181 PECOS PAC ID: 3173567930 Enrollment ID: I20060711000337 |
| Provider Name | Cam F Campbell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174503254 PECOS PAC ID: 5395637276 Enrollment ID: I20060717000274 |
| Provider Name | Darin W Smith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1275584922 PECOS PAC ID: 3678555323 Enrollment ID: I20060807000352 |
| Provider Name | Nazir Y Kayali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083619571 PECOS PAC ID: 4688679251 Enrollment ID: I20061003000731 |
| Provider Name | Mirza Omer M Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285720490 PECOS PAC ID: 2668471715 Enrollment ID: I20061219000072 |
| Provider Name | Jennifer A Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669531935 PECOS PAC ID: 3971503541 Enrollment ID: I20070104000220 |
| Provider Name | Jasmine S Nabi |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1932326568 PECOS PAC ID: 2961503651 Enrollment ID: I20070725000293 |
| Provider Name | Erika Siska |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750583605 PECOS PAC ID: 6002905726 Enrollment ID: I20071204000254 |
| Provider Name | Rachel J Francois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720060742 PECOS PAC ID: 0345320719 Enrollment ID: I20080110000547 |
| Provider Name | Kirsten S Leff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205052594 PECOS PAC ID: 5496855215 Enrollment ID: I20080422000688 |
| Provider Name | Brenda L Keenan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124190798 PECOS PAC ID: 7517039043 Enrollment ID: I20080627000574 |
| Provider Name | Susan Marie Schima |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871674341 PECOS PAC ID: 8224108329 Enrollment ID: I20080715000262 |
| Provider Name | Keeli A Howe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639371354 PECOS PAC ID: 4587738745 Enrollment ID: I20080806000176 |
| Provider Name | Erica S Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922247808 PECOS PAC ID: 6406912039 Enrollment ID: I20090306000250 |
| Provider Name | Dominic J Peraud |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376663724 PECOS PAC ID: 0749332096 Enrollment ID: I20090716000582 |
| Provider Name | Adam L Shires |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558441386 PECOS PAC ID: 4486707213 Enrollment ID: I20090727000662 |
| Provider Name | Lisa J Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568692606 PECOS PAC ID: 8729132428 Enrollment ID: I20090814000261 |
| Provider Name | Amie J Hass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215167598 PECOS PAC ID: 5799831798 Enrollment ID: I20090916000342 |
| Provider Name | Cynthia A Hemesath |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164665006 PECOS PAC ID: 4385784776 Enrollment ID: I20091215000638 |
| Provider Name | Terry E Parsons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811977994 PECOS PAC ID: 3375589179 Enrollment ID: I20100513000275 |
| Provider Name | Christopher G Walsh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891775995 PECOS PAC ID: 0547206344 Enrollment ID: I20100513000562 |
| Provider Name | Carrie L Dykstra |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922088079 PECOS PAC ID: 2961448758 Enrollment ID: I20100513000865 |
| Provider Name | Michael Almasi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972583466 PECOS PAC ID: 9335185123 Enrollment ID: I20100513001136 |
| Provider Name | Christine M Botkin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326028820 PECOS PAC ID: 7416993209 Enrollment ID: I20100514000434 |
| Provider Name | Jeffrey J Buffo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700866845 PECOS PAC ID: 8325084114 Enrollment ID: I20100514000441 |
| Provider Name | David A Burkamper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063492106 PECOS PAC ID: 3476597147 Enrollment ID: I20100514000461 |
| Provider Name | Brent A Feller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912987066 PECOS PAC ID: 6406892298 Enrollment ID: I20100519000924 |
| Provider Name | Michael F Caudill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689636029 PECOS PAC ID: 0749319721 Enrollment ID: I20100601000450 |
| Provider Name | Sundara Rameshwar Reddy Munagala Venkata |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225140809 PECOS PAC ID: 3678602679 Enrollment ID: I20100601000686 |
| Provider Name | Tamara Taylor-hillyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972585230 PECOS PAC ID: 1557377934 Enrollment ID: I20100629000906 |
| Provider Name | Maureen A Mcdonagh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093039844 PECOS PAC ID: 9234262387 Enrollment ID: I20100727000481 |
| Provider Name | David L Rubsam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124346507 PECOS PAC ID: 2668506379 Enrollment ID: I20100817001033 |
| Provider Name | Douglas M Kinscherff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770603086 PECOS PAC ID: 8123152840 Enrollment ID: I20100817001179 |
| Provider Name | Clarella M Snavely |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740241116 PECOS PAC ID: 4183818818 Enrollment ID: I20101027000278 |
| Provider Name | Wieslaw Machnowski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629056957 PECOS PAC ID: 7517154529 Enrollment ID: I20101202001149 |
| Provider Name | Luke R Hansen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114991965 PECOS PAC ID: 0840479739 Enrollment ID: I20110125000126 |
| Provider Name | Desiree M Shaw |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497758403 PECOS PAC ID: 8921091836 Enrollment ID: I20110221000724 |
| Provider Name | Claudia S Zavala |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588644249 PECOS PAC ID: 3678750445 Enrollment ID: I20110602000688 |
| Provider Name | Sara M Hubbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356638266 PECOS PAC ID: 5698953974 Enrollment ID: I20110711000464 |
| Provider Name | Bryan M Purdy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659582310 PECOS PAC ID: 9830367952 Enrollment ID: I20110715000407 |
| Provider Name | Shelly L Mcgurk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316228588 PECOS PAC ID: 6901078344 Enrollment ID: I20111007000454 |
| Provider Name | Joni K Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902111503 PECOS PAC ID: 0143497834 Enrollment ID: I20120120000454 |
| Provider Name | William P Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184646234 PECOS PAC ID: 9638192487 Enrollment ID: I20120418000235 |
| Provider Name | Jenifer L Schmidt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386644185 PECOS PAC ID: 7012089683 Enrollment ID: I20120611000041 |
| Provider Name | Vincent J Reid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144474370 PECOS PAC ID: 1052478914 Enrollment ID: I20120620000628 |
| Provider Name | Jessica M Kelley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346412046 PECOS PAC ID: 7911155643 Enrollment ID: I20120920000759 |
| Provider Name | Michelle M Lutz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417120288 PECOS PAC ID: 7214186683 Enrollment ID: I20120927000828 |
| Provider Name | Ryan T Chizek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295080166 PECOS PAC ID: 8628220472 Enrollment ID: I20121130000577 |
| Provider Name | Rhonda A Bridgewater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073866331 PECOS PAC ID: 8729232970 Enrollment ID: I20130218000011 |
| Provider Name | Paula Diane Stultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164569737 PECOS PAC ID: 2567418908 Enrollment ID: I20130412000572 |
| Provider Name | Rachel Ks Cogdill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861673212 PECOS PAC ID: 8921174764 Enrollment ID: I20130426000507 |
| Provider Name | Matthew J Kidwell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508092552 PECOS PAC ID: 2860639846 Enrollment ID: I20130510000419 |
| Provider Name | Ezra A Hallam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467688259 PECOS PAC ID: 0244479657 Enrollment ID: I20130615000083 |
| Provider Name | Suraj Bopanna |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740433291 PECOS PAC ID: 9436390325 Enrollment ID: I20130718000095 |
| Provider Name | Waseemuddin Ahmed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497913305 PECOS PAC ID: 1759532625 Enrollment ID: I20130820000995 |
| Provider Name | Kathryn R Reed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487880258 PECOS PAC ID: 3870736960 Enrollment ID: I20130820001063 |
| Provider Name | Samuel Wood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1356387260 PECOS PAC ID: 2365454717 Enrollment ID: I20130920000152 |
| Provider Name | Brenda D Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548695497 PECOS PAC ID: 2567690407 Enrollment ID: I20140122001167 |
| Provider Name | Caroline R Moniza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366420820 PECOS PAC ID: 3870511918 Enrollment ID: I20140124001730 |
| Provider Name | Melanie M Blais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407890155 PECOS PAC ID: 8628030095 Enrollment ID: I20140128001309 |
| Provider Name | Sara M Goslin Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366867301 PECOS PAC ID: 7214168574 Enrollment ID: I20140331000215 |
| Provider Name | Imran Hassan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023088978 PECOS PAC ID: 1355371709 Enrollment ID: I20140404001298 |
| Provider Name | Sajida Ahad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326024837 PECOS PAC ID: 4385651371 Enrollment ID: I20140507001784 |
| Provider Name | Sara Nesler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467460238 PECOS PAC ID: 8123025749 Enrollment ID: I20140625000350 |
| Provider Name | Ryan D Hollenbeck |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689878175 PECOS PAC ID: 1557534245 Enrollment ID: I20140703000605 |
| Provider Name | Liang Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417238759 PECOS PAC ID: 5395961288 Enrollment ID: I20140730000754 |
| Provider Name | Jacob H Shields |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336450279 PECOS PAC ID: 6103040886 Enrollment ID: I20140811002719 |
| Provider Name | Bhavya Akhauri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639332745 PECOS PAC ID: 3577798719 Enrollment ID: I20140905001769 |
| Provider Name | Amandeep Singh Dhaliwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982921128 PECOS PAC ID: 5092934794 Enrollment ID: I20140911000468 |
| Provider Name | Samuel J Drahos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619383486 PECOS PAC ID: 8527288133 Enrollment ID: I20141002001798 |
| Provider Name | Benjamin M Kurt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952710980 PECOS PAC ID: 9931423506 Enrollment ID: I20150130001853 |
| Provider Name | Karen J Mauss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073709549 PECOS PAC ID: 5991020356 Enrollment ID: I20150206001989 |
| Provider Name | Jay R Diaz-parlet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417011875 PECOS PAC ID: 9032246046 Enrollment ID: I20150610000685 |
| Provider Name | Brian T Cheney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841583150 PECOS PAC ID: 3375784150 Enrollment ID: I20150611002592 |
| Provider Name | Pavlina S Kemp |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1780900597 PECOS PAC ID: 4082854211 Enrollment ID: I20150723007138 |
| Provider Name | Alina V Dumitrescu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942442231 PECOS PAC ID: 2365758869 Enrollment ID: I20150828001349 |
| Provider Name | Rochelle M Remus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285991273 PECOS PAC ID: 6103132345 Enrollment ID: I20150902000994 |
| Provider Name | Dustin Allen Huinker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811137359 PECOS PAC ID: 5890851687 Enrollment ID: I20150908002683 |
| Provider Name | Sara J Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306228309 PECOS PAC ID: 7719294966 Enrollment ID: I20150921000980 |
| Provider Name | Ronald J Ridder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861463440 PECOS PAC ID: 9133177520 Enrollment ID: I20160112003066 |
| Provider Name | Ginger R Massey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326058074 PECOS PAC ID: 4789687187 Enrollment ID: I20160425001581 |
| Provider Name | Khalid Al Katranji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063852762 PECOS PAC ID: 0042453045 Enrollment ID: I20160610001105 |
| Provider Name | Brant A Rustwick |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992063960 PECOS PAC ID: 5092956961 Enrollment ID: I20160615001442 |
| Provider Name | Shane A Gailushas |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1073786521 PECOS PAC ID: 7113160169 Enrollment ID: I20160623000899 |
| Provider Name | Stephanie R Mueller Winnike |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1922458629 PECOS PAC ID: 7315238102 Enrollment ID: I20160627000480 |
| Provider Name | Christina J Sarrica |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134483290 PECOS PAC ID: 6608019088 Enrollment ID: I20160830002523 |
| Provider Name | Megan L Palmer |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720439987 PECOS PAC ID: 6709173859 Enrollment ID: I20160919000120 |
| Provider Name | Robert Matthew Smith |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720216831 PECOS PAC ID: 1850520693 Enrollment ID: I20161005000697 |
| Provider Name | Ann L Stroh |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568585206 PECOS PAC ID: 3870685159 Enrollment ID: I20161026001004 |
| Provider Name | Nicole S Plagge |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114113438 PECOS PAC ID: 2466735949 Enrollment ID: I20170207001534 |
| Provider Name | Kimberly A Jaeger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821443904 PECOS PAC ID: 2567745995 Enrollment ID: I20170209002096 |
| Provider Name | Shiny Mathewkutty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235339961 PECOS PAC ID: 5496949596 Enrollment ID: I20170216001372 |
| Provider Name | David Reed |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912945791 PECOS PAC ID: 0547394082 Enrollment ID: I20170307000394 |
| Provider Name | Kiersten M Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922545177 PECOS PAC ID: 9830475854 Enrollment ID: I20170405002071 |
| Provider Name | David R Neira |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023204591 PECOS PAC ID: 5193092476 Enrollment ID: I20170517002860 |
| Provider Name | Robert Ruelaz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881749026 PECOS PAC ID: 5597847723 Enrollment ID: I20170531000058 |
| Provider Name | Chong C Lee |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1497855647 PECOS PAC ID: 7810959293 Enrollment ID: I20170630000266 |
| Provider Name | Michael D Baker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821436643 PECOS PAC ID: 6901048750 Enrollment ID: I20170710000281 |
| Provider Name | Jeremiah C Murphy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295750222 PECOS PAC ID: 2668413659 Enrollment ID: I20170808000305 |
| Provider Name | Amal S El-bakush |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609162908 PECOS PAC ID: 3577852177 Enrollment ID: I20170921002995 |
| Provider Name | Hillary L Behn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952812679 PECOS PAC ID: 0042579419 Enrollment ID: I20180109003411 |
| Provider Name | Padget E Skogman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295149060 PECOS PAC ID: 1254557077 Enrollment ID: I20180214000414 |
| Provider Name | Rajeev S. Dixit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003903899 PECOS PAC ID: 3375803844 Enrollment ID: I20180305002645 |
| Provider Name | Monali Y Desai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417111303 PECOS PAC ID: 0749458131 Enrollment ID: I20180413000501 |
| Provider Name | Chad M Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194222711 PECOS PAC ID: 1759645187 Enrollment ID: I20180510001024 |
| Provider Name | Paloma Pina |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801034020 PECOS PAC ID: 9739368226 Enrollment ID: I20180706000111 |
| Provider Name | Brian D Witt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952628646 PECOS PAC ID: 2466759675 Enrollment ID: I20180716000751 |
| Provider Name | Gautam K Reddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134533110 PECOS PAC ID: 0648497883 Enrollment ID: I20180724001715 |
| Provider Name | Srikanth Sankar Ravisankar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225267594 PECOS PAC ID: 5698084283 Enrollment ID: I20180726001402 |
| Provider Name | Andrew P Behounek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205329034 PECOS PAC ID: 5890043301 Enrollment ID: I20180731001939 |
| Provider Name | Natalie F Johnston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467699892 PECOS PAC ID: 9739437930 Enrollment ID: I20180803002074 |
| Provider Name | Kellie C Corkery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437522869 PECOS PAC ID: 9830448232 Enrollment ID: I20180817002022 |
| Provider Name | Barbara Ann Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265910939 PECOS PAC ID: 0042560138 Enrollment ID: I20180911003023 |
| Provider Name | Megan Lakshmi Srinivas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710397179 PECOS PAC ID: 5395010144 Enrollment ID: I20181001000915 |
| Provider Name | Lisa M Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407337488 PECOS PAC ID: 2668724717 Enrollment ID: I20181017003329 |
| Provider Name | Cailey N Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679050652 PECOS PAC ID: 8628321577 Enrollment ID: I20181023003696 |
| Provider Name | Scott A Legrand |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861528515 PECOS PAC ID: 0941498349 Enrollment ID: I20181030000582 |
| Provider Name | Sarah A Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861972424 PECOS PAC ID: 6709139942 Enrollment ID: I20181105002720 |
| Provider Name | Joanna R Godbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205312188 PECOS PAC ID: 4486908332 Enrollment ID: I20181113002598 |
| Provider Name | Dana Marie Lowry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710416821 PECOS PAC ID: 2961771092 Enrollment ID: I20181211002508 |
| Provider Name | Lori A Erner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659741296 PECOS PAC ID: 2668717372 Enrollment ID: I20181228001230 |
| Provider Name | Melissa L Buchholz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376739698 PECOS PAC ID: 8921343633 Enrollment ID: I20181228001256 |
| Provider Name | Stacey R Schares |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568658029 PECOS PAC ID: 7911242623 Enrollment ID: I20181228001284 |
| Provider Name | Rebecca F Strabala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528536240 PECOS PAC ID: 5193060804 Enrollment ID: I20181228001313 |
| Provider Name | Megan S Hixson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154899888 PECOS PAC ID: 0446595151 Enrollment ID: I20181228001351 |
| Provider Name | Brian N Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972799286 PECOS PAC ID: 3577809508 Enrollment ID: I20190114000719 |
| Provider Name | Jessica A Pearson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760854848 PECOS PAC ID: 2365788924 Enrollment ID: I20190118000725 |
| Provider Name | Allison R Cox |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982173522 PECOS PAC ID: 3971849530 Enrollment ID: I20190118000853 |
| Provider Name | Stacy M Pohlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053881458 PECOS PAC ID: 7618216342 Enrollment ID: I20190225001764 |
| Provider Name | Oforbuike Chukwunenye Ewelukwa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891094561 PECOS PAC ID: 4981832441 Enrollment ID: I20190315000345 |
| Provider Name | Krystal W Nizar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760748446 PECOS PAC ID: 0547553307 Enrollment ID: I20190412001329 |
| Provider Name | Andrew T Shen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538423231 PECOS PAC ID: 1153550645 Enrollment ID: I20190603001198 |
| Provider Name | Stephanie N Beltramea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932664851 PECOS PAC ID: 4082947841 Enrollment ID: I20190610002247 |
| Provider Name | Francisco J Ojeda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104875582 PECOS PAC ID: 7416084587 Enrollment ID: I20190610002374 |
| Provider Name | Kelsey R Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205395985 PECOS PAC ID: 4486987294 Enrollment ID: I20190611001162 |
| Provider Name | Cody C Breinholt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366880338 PECOS PAC ID: 4082857198 Enrollment ID: I20190622000284 |
| Provider Name | Jennifer L Somerville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851957732 PECOS PAC ID: 3678809266 Enrollment ID: I20190718003519 |
| Provider Name | Bradley C Gordan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134562762 PECOS PAC ID: 2264668144 Enrollment ID: I20190726002738 |
| Provider Name | Lindsay M Hopp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215464169 PECOS PAC ID: 4587991120 Enrollment ID: I20190806000742 |
| Provider Name | Hanna Bishop Molinari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467007096 PECOS PAC ID: 7911238696 Enrollment ID: I20191010001000 |
| Provider Name | Karen Samani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013439793 PECOS PAC ID: 7214361856 Enrollment ID: I20200107001918 |
| Provider Name | Sachin Goyal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174964019 PECOS PAC ID: 1658707492 Enrollment ID: I20200214000302 |
| Provider Name | April Lynn Haven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528609070 PECOS PAC ID: 7810324449 Enrollment ID: I20200220002349 |
| Provider Name | Lindsay N Ehlers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316586159 PECOS PAC ID: 0143658773 Enrollment ID: I20200313002020 |
| Provider Name | Barakat Aburajab Altamimi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225444862 PECOS PAC ID: 0143542779 Enrollment ID: I20200319000428 |
| Provider Name | Lindsey A Rooff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902144769 PECOS PAC ID: 5597194985 Enrollment ID: I20200406003166 |
| Provider Name | Susan L Slycord |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1629417191 PECOS PAC ID: 6002050986 Enrollment ID: I20200418000398 |
| Provider Name | Aaron Wendell Swenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093932709 PECOS PAC ID: 8921243817 Enrollment ID: I20200520002491 |
| Provider Name | Jasmine Hernandez |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1487034617 PECOS PAC ID: 9638482821 Enrollment ID: I20200521002119 |
| Provider Name | Rohan K Penmetcha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841603172 PECOS PAC ID: 0749601938 Enrollment ID: I20200526000784 |
| Provider Name | Haley R Plath |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104354216 PECOS PAC ID: 5496025678 Enrollment ID: I20200605002070 |
| Provider Name | Richard W Russillo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740630938 PECOS PAC ID: 0941593255 Enrollment ID: I20200721000697 |
| Provider Name | Mitchell R Steffensmeier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841803194 PECOS PAC ID: 4284045691 Enrollment ID: I20201116000917 |
| Provider Name | Jennifer A Langowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629042825 PECOS PAC ID: 3072593987 Enrollment ID: I20201230002454 |
| Provider Name | Joshua D Gustafson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467687897 PECOS PAC ID: 1850529660 Enrollment ID: I20210428000352 |
| Provider Name | Morgan Fergus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750965612 PECOS PAC ID: 7113326653 Enrollment ID: I20210603000448 |
| Provider Name | Ali A Saeed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073997045 PECOS PAC ID: 5395052922 Enrollment ID: I20210603000485 |
| Provider Name | John A Becker |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477543106 PECOS PAC ID: 5890693634 Enrollment ID: I20210603000912 |
| Provider Name | Ricky Allen Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700875747 PECOS PAC ID: 1759273782 Enrollment ID: I20210625000970 |
| Provider Name | Uche P Maduka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326575218 PECOS PAC ID: 6204106834 Enrollment ID: I20210708001086 |
| Provider Name | Jerud R Cozine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508431321 PECOS PAC ID: 8123420064 Enrollment ID: I20210714002087 |
| Provider Name | Derrick C Graulein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134581036 PECOS PAC ID: 7911293634 Enrollment ID: I20210714003369 |
| Provider Name | Melanie Cassell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952976854 PECOS PAC ID: 9032512603 Enrollment ID: I20210721000441 |
| Provider Name | Courtney M Coulter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578087318 PECOS PAC ID: 8628472750 Enrollment ID: I20210811000889 |
| Provider Name | Abby M Gonik |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1730347154 PECOS PAC ID: 4981764446 Enrollment ID: I20211001002363 |
| Provider Name | Sarah J Kaspryk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780353102 PECOS PAC ID: 7517365133 Enrollment ID: I20211013000589 |
| Provider Name | Matthew C Ferroni |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700171675 PECOS PAC ID: 4587931167 Enrollment ID: I20211013002714 |
| Provider Name | Mark A Milton |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1922023951 PECOS PAC ID: 3870572811 Enrollment ID: I20211021001878 |
| Provider Name | Jessie E Leeper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770253692 PECOS PAC ID: 2062800923 Enrollment ID: I20211026000715 |
| Provider Name | Traci E Ridgway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972265643 PECOS PAC ID: 2769870625 Enrollment ID: I20211026000821 |
| Provider Name | Courtney N Carradus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770255333 PECOS PAC ID: 4789073917 Enrollment ID: I20211110000433 |
| Provider Name | Paula Marie Ferring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114682705 PECOS PAC ID: 1951791268 Enrollment ID: I20211130003096 |
| Provider Name | Garietta N Falls-beddies |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568682490 PECOS PAC ID: 5890976823 Enrollment ID: I20211215000545 |
| Provider Name | Steven R Schopick |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205816998 PECOS PAC ID: 0244293256 Enrollment ID: I20211227000259 |
| Provider Name | Emily Beardsworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417534694 PECOS PAC ID: 6002207107 Enrollment ID: I20211228001828 |
| Provider Name | Claire E Petersen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124782925 PECOS PAC ID: 3779976907 Enrollment ID: I20220210000316 |
| Provider Name | Tasha S Chapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225707144 PECOS PAC ID: 0648663765 Enrollment ID: I20220211001480 |
| Provider Name | Amy L Kruse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053864520 PECOS PAC ID: 3173918497 Enrollment ID: I20220322003023 |
| Provider Name | Nicole M Banasik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609521202 PECOS PAC ID: 3173918406 Enrollment ID: I20220323000093 |
| Provider Name | Shanker Das Kundumadam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720475403 PECOS PAC ID: 1850690397 Enrollment ID: I20220329001788 |
| Provider Name | Jonatan D Nunez Breton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780090241 PECOS PAC ID: 7113324807 Enrollment ID: I20220425001464 |
| Provider Name | Nathalie A Pena Polanco |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063828523 PECOS PAC ID: 6002218005 Enrollment ID: I20220426000523 |
| Provider Name | Andrew Sk Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1871972695 PECOS PAC ID: 3779896956 Enrollment ID: I20220503002386 |
| Provider Name | Alison K Mcneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427395664 PECOS PAC ID: 0547415564 Enrollment ID: I20220520000614 |
| Provider Name | Carson E Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730824079 PECOS PAC ID: 1456738988 Enrollment ID: I20220521000239 |
| Provider Name | James Matthew Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114389285 PECOS PAC ID: 5597144105 Enrollment ID: I20220628000354 |
| Provider Name | Ryan J Tegtmeier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255823019 PECOS PAC ID: 7719235803 Enrollment ID: I20220718002158 |
| Provider Name | Daniela Alexandru-abrams |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1386960433 PECOS PAC ID: 2961703145 Enrollment ID: I20220720002414 |
| Provider Name | Mohammed Abdallah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1457392300 PECOS PAC ID: 7012097850 Enrollment ID: I20220720002945 |
| Provider Name | Miruais S Hamed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437291465 PECOS PAC ID: 5395990154 Enrollment ID: I20220801000443 |
| Provider Name | Stephanie M Lukaszka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073248316 PECOS PAC ID: 8628451010 Enrollment ID: I20220817003385 |
| Provider Name | James H Myers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376038356 PECOS PAC ID: 9537417621 Enrollment ID: I20220822002349 |
| Provider Name | Maheedhar Gedela |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104231216 PECOS PAC ID: 1658598651 Enrollment ID: I20220913001605 |
| Provider Name | Abduljabbar A Dheyab |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053607580 PECOS PAC ID: 2961709407 Enrollment ID: I20220919002802 |
| Provider Name | Ashley M Schumacher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912566340 PECOS PAC ID: 0042546061 Enrollment ID: I20220927002506 |
| Provider Name | Joel E. Colley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487650305 PECOS PAC ID: 8224054010 Enrollment ID: I20221004000638 |
| Provider Name | Sarah K Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407577612 PECOS PAC ID: 1052787439 Enrollment ID: I20221026003066 |
| Provider Name | Breanna Marie Garcia Talbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992428643 PECOS PAC ID: 6901273770 Enrollment ID: I20221108000879 |
| Provider Name | Emily M Wilson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205552049 PECOS PAC ID: 4789052986 Enrollment ID: I20221118002301 |
| Provider Name | Kyle B Nichols |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194041285 PECOS PAC ID: 3678706009 Enrollment ID: I20221213000955 |
| Provider Name | Afamefuna Accomaye Onuora |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366622508 PECOS PAC ID: 6800910324 Enrollment ID: I20221220001292 |
| Provider Name | Syed J Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780036384 PECOS PAC ID: 0244565497 Enrollment ID: I20230317000231 |
| Provider Name | Giovanni Gerardo Cordoba Solis |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760903504 PECOS PAC ID: 4880006287 Enrollment ID: I20230413002320 |
| Provider Name | Samuel Lucas Grasso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689026437 PECOS PAC ID: 9032574926 Enrollment ID: I20230502003227 |
| Provider Name | Bakri Kaakeh |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1245588326 PECOS PAC ID: 6204071970 Enrollment ID: I20230504000953 |
| Provider Name | Cheng H Lo |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1023037934 PECOS PAC ID: 7012983869 Enrollment ID: I20230511000206 |
| Provider Name | Allison M Prybil |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215668215 PECOS PAC ID: 4981061421 Enrollment ID: I20230527000281 |
| Provider Name | Hallie L Smyth |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902506736 PECOS PAC ID: 5799142360 Enrollment ID: I20230613002635 |
| Provider Name | Maggie Jane Limoges-davies |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104119965 PECOS PAC ID: 1850683517 Enrollment ID: I20230614000282 |
| Provider Name | Amy Turnis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942741152 PECOS PAC ID: 9234599325 Enrollment ID: I20230720003572 |
| Provider Name | Dani M Zavasky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710933395 PECOS PAC ID: 9537065305 Enrollment ID: I20230803000564 |
| Provider Name | Joseph A Gillespie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912223371 PECOS PAC ID: 2163668815 Enrollment ID: I20230808003194 |
| Provider Name | Axel Sinclair Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134549637 PECOS PAC ID: 7113348442 Enrollment ID: I20230830002594 |
| Provider Name | Sara J Arafat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760160253 PECOS PAC ID: 5193188720 Enrollment ID: I20230830002684 |
| Provider Name | Alison Fecher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952406910 PECOS PAC ID: 1951377829 Enrollment ID: I20230830002758 |
| Provider Name | Zhen L Deng |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750886958 PECOS PAC ID: 7618219296 Enrollment ID: I20230908000156 |
| Provider Name | Ryan P Mcginnis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154899730 PECOS PAC ID: 0143684795 Enrollment ID: I20230914002473 |
| Provider Name | Keegan J Kavanaugh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336762947 PECOS PAC ID: 9830512045 Enrollment ID: I20230915001528 |
| Provider Name | Mackenzie F Theisen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598426272 PECOS PAC ID: 9436505922 Enrollment ID: I20231019000321 |
| Provider Name | Frances D Levack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275310674 PECOS PAC ID: 5395192827 Enrollment ID: I20231106001411 |
| Provider Name | Seth A Bellister |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891043956 PECOS PAC ID: 9537433727 Enrollment ID: I20231113001795 |
| Provider Name | Barabara J Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306627443 PECOS PAC ID: 0749639409 Enrollment ID: I20231207001173 |
| Provider Name | Andrew D Michaels |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588618250 PECOS PAC ID: 9234132317 Enrollment ID: I20231207001329 |
| Provider Name | Kelly Hawthorne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144094269 PECOS PAC ID: 3577912732 Enrollment ID: I20231213001446 |
| Provider Name | Kelsey Holladay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740928555 PECOS PAC ID: 3971953258 Enrollment ID: I20231228002858 |
| Provider Name | Susan L Hoyler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588273908 PECOS PAC ID: 7315399771 Enrollment ID: I20240122001948 |
| Provider Name | Kassiani A Kelleher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124709829 PECOS PAC ID: 4082057096 Enrollment ID: I20240207000487 |
| Provider Name | Alison A Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215790209 PECOS PAC ID: 1850737206 Enrollment ID: I20240308000103 |
| Provider Name | Sarah C Romano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710749262 PECOS PAC ID: 5395181192 Enrollment ID: I20240315000618 |
| Provider Name | Raymond Silva |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1184665747 PECOS PAC ID: 7719051994 Enrollment ID: I20240315003307 |
| Provider Name | Katie L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336904432 PECOS PAC ID: 7012354863 Enrollment ID: I20240328001432 |
| Provider Name | Dominic F Heffel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1790707883 PECOS PAC ID: 0345323234 Enrollment ID: I20240517001942 |
| Provider Name | Nicholas R Henry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235753401 PECOS PAC ID: 3779906607 Enrollment ID: I20240617002661 |
| Provider Name | Alec D Stein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629606892 PECOS PAC ID: 4789007881 Enrollment ID: I20240628001030 |
| Provider Name | Shawn R Stepp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992068100 PECOS PAC ID: 4981148087 Enrollment ID: I20240701000830 |
| Provider Name | Tyler J Greiner |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194341032 PECOS PAC ID: 3779906649 Enrollment ID: I20240709000803 |
| Provider Name | Sarah Stovie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790251536 PECOS PAC ID: 8628513140 Enrollment ID: I20240709002633 |
| Provider Name | Jordan R King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265090401 PECOS PAC ID: 4284090473 Enrollment ID: I20240807002067 |
| Provider Name | David C Lachman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083877765 PECOS PAC ID: 1456406032 Enrollment ID: I20240819002076 |
| Provider Name | John L Thurston |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588959076 PECOS PAC ID: 9436440245 Enrollment ID: I20240820000187 |
| Provider Name | Nicholas D Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780427377 PECOS PAC ID: 2769921899 Enrollment ID: I20240903002487 |
| Provider Name | Brooke A Stammeyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790168318 PECOS PAC ID: 3577002641 Enrollment ID: I20240903003746 |
| Provider Name | Kurtis C Birusingh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1114098092 PECOS PAC ID: 9739248204 Enrollment ID: I20240904002172 |
| Provider Name | Kanaan Mansoor |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700307147 PECOS PAC ID: 8022381821 Enrollment ID: I20240910003887 |
| Provider Name | Daniel S Paley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326041674 PECOS PAC ID: 4082517255 Enrollment ID: I20241017000425 |
| Provider Name | Tanner N Tryon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205232873 PECOS PAC ID: 9830411578 Enrollment ID: I20241018003626 |
| Provider Name | Sierra L Portz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417692583 PECOS PAC ID: 7618401548 Enrollment ID: I20241114000563 |
| Provider Name | Chad R Marshall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871115741 PECOS PAC ID: 6103241377 Enrollment ID: I20241114000710 |
| Provider Name | Michelle Wiegand-bigger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427877091 PECOS PAC ID: 0042745341 Enrollment ID: I20241122004068 |
| Provider Name | Reena Sanmukh Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1831406412 PECOS PAC ID: 0749570711 Enrollment ID: I20241126002363 |
| Provider Name | Eric W. Bridges |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1043210024 PECOS PAC ID: 8820051857 Enrollment ID: I20241127001918 |
| Provider Name | Tracy L Mccoy Maloskey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508177064 PECOS PAC ID: 3072737659 Enrollment ID: I20241127002319 |
| Provider Name | Brendon D Honick |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1285048728 PECOS PAC ID: 1355645953 Enrollment ID: I20241217001087 |
| Provider Name | Curt Feinberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508862459 PECOS PAC ID: 4082690730 Enrollment ID: I20241218000551 |
| Provider Name | Michael M Liddy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285845552 PECOS PAC ID: 8022288109 Enrollment ID: I20250127000658 |
| Provider Name | Shannon M Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548085590 PECOS PAC ID: 9739618307 Enrollment ID: I20250128000481 |
| Provider Name | Chiaki Nakanishi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659660553 PECOS PAC ID: 0143467431 Enrollment ID: I20250128000831 |
| Provider Name | Jason Pang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639639883 PECOS PAC ID: 1254790033 Enrollment ID: I20250129000820 |
| Provider Name | Howard Hy Lau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053304915 PECOS PAC ID: 6709067606 Enrollment ID: I20250129001331 |
| Provider Name | Marcus B Mitchell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235662552 PECOS PAC ID: 3072861004 Enrollment ID: I20250129001556 |
| Provider Name | Srikar Jonna |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588075667 PECOS PAC ID: 0648579805 Enrollment ID: I20250129002496 |
| Provider Name | Charles T Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497962914 PECOS PAC ID: 6507942034 Enrollment ID: I20250131001834 |
| Provider Name | Bernardo Tisminezky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952357717 PECOS PAC ID: 0042235335 Enrollment ID: I20250131002098 |
| Provider Name | Carl M Smagula |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568414100 PECOS PAC ID: 6800863606 Enrollment ID: I20250131002308 |
| Provider Name | Dmitriy S Tckachenko |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285645531 PECOS PAC ID: 9537165402 Enrollment ID: I20250205001133 |
| Provider Name | Lei Yao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477646859 PECOS PAC ID: 9234286261 Enrollment ID: I20250213000711 |
| Provider Name | Richard E Galgon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972583896 PECOS PAC ID: 9537342407 Enrollment ID: I20250213002682 |
| Provider Name | Tao Hong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033188248 PECOS PAC ID: 4183695760 Enrollment ID: I20250213003378 |
| Provider Name | Mitesh J Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073527123 PECOS PAC ID: 7517937006 Enrollment ID: I20250214000700 |
| Provider Name | Tina Deborah Montemurno |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003007360 PECOS PAC ID: 9830262435 Enrollment ID: I20250214001067 |
| Provider Name | Danae M Aplas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144236498 PECOS PAC ID: 4385601301 Enrollment ID: I20250218001051 |
| Provider Name | Joseph P Grajo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578512620 PECOS PAC ID: 7911938956 Enrollment ID: I20250219001994 |
| Provider Name | Preethy Subramanian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598113763 PECOS PAC ID: 7416373899 Enrollment ID: I20250224001746 |
| Provider Name | Ronggang Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609820224 PECOS PAC ID: 9739245481 Enrollment ID: I20250227000329 |
| Provider Name | Ornella T Lemonius |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447646450 PECOS PAC ID: 7113224064 Enrollment ID: I20250227000390 |
| Provider Name | Olga Gorenyuk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508057373 PECOS PAC ID: 5193988640 Enrollment ID: I20250227000537 |
| Provider Name | Ithiel L Fuller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821217746 PECOS PAC ID: 0941355382 Enrollment ID: I20250227000669 |
| Provider Name | Justin R Ahlman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316914328 PECOS PAC ID: 3173548872 Enrollment ID: I20250227001055 |
| Provider Name | Bruce Puryear |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821068016 PECOS PAC ID: 6103885652 Enrollment ID: I20250228000843 |
| Provider Name | Reid M Rubsamen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073549499 PECOS PAC ID: 4284763756 Enrollment ID: I20250228000995 |
| Provider Name | Joanna Darlene Sawyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942258066 PECOS PAC ID: 1254468903 Enrollment ID: I20250228001130 |
| Provider Name | Eric F Meyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982719589 PECOS PAC ID: 2466414495 Enrollment ID: I20250228003411 |
| Provider Name | Ngozi U Onyesoh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679981104 PECOS PAC ID: 2668773888 Enrollment ID: I20250303001383 |
| Provider Name | William Brendan Hayes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760433098 PECOS PAC ID: 9638143373 Enrollment ID: I20250303001592 |
| Provider Name | Jack T Dong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861855249 PECOS PAC ID: 3375834120 Enrollment ID: I20250303002556 |
| Provider Name | Ty Weller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942282447 PECOS PAC ID: 1850332909 Enrollment ID: I20250304000947 |
| Provider Name | Adam W Everett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598912479 PECOS PAC ID: 9335334457 Enrollment ID: I20250304001257 |
| Provider Name | Saima Kamal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962716712 PECOS PAC ID: 4789995523 Enrollment ID: I20250310001556 |
| Provider Name | Phillip K Stott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780845701 PECOS PAC ID: 5991960353 Enrollment ID: I20250310001627 |
| Provider Name | Harsh Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114451820 PECOS PAC ID: 1850662156 Enrollment ID: I20250310001841 |
| Provider Name | Brandan Hernandez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558321604 PECOS PAC ID: 5496805152 Enrollment ID: I20250313001522 |
| Provider Name | Ahmed Abdel Rahman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316972698 PECOS PAC ID: 3779558127 Enrollment ID: I20250315000030 |
| Provider Name | Robert F Birch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184678534 PECOS PAC ID: 1254461627 Enrollment ID: I20250315000063 |
| Provider Name | Roy Niels Skousen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043229354 PECOS PAC ID: 7517935455 Enrollment ID: I20250315000071 |
| Provider Name | Steven J Thorup |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366459679 PECOS PAC ID: 7416927231 Enrollment ID: I20250315000078 |
| Provider Name | Lan-anh S Bui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649278771 PECOS PAC ID: 7416901988 Enrollment ID: I20250315000081 |
| Provider Name | Stephen M Campbell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073743480 PECOS PAC ID: 1951533934 Enrollment ID: I20250315000088 |
| Provider Name | Navid Etemadi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417303074 PECOS PAC ID: 1951694454 Enrollment ID: I20250315000096 |
| Provider Name | Austin T Rich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841215514 PECOS PAC ID: 8123027786 Enrollment ID: I20250315000118 |
| Provider Name | Christina L Seeburger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336170174 PECOS PAC ID: 3779776737 Enrollment ID: I20250315000126 |
| Provider Name | Steven Delwood Berndt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205854932 PECOS PAC ID: 1759575806 Enrollment ID: I20250326000254 |
| Provider Name | Brian K Kradel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356370852 PECOS PAC ID: 7517864382 Enrollment ID: I20250326000964 |
| Provider Name | Rebecca E Varebrook |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588927651 PECOS PAC ID: 5597030478 Enrollment ID: I20250329000196 |
| Provider Name | Srinivas K Sharma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821189457 PECOS PAC ID: 6800787029 Enrollment ID: I20250329000206 |
| Provider Name | Iheanyi Chinedu Uwanamodo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386623205 PECOS PAC ID: 3779496476 Enrollment ID: I20250401002474 |
| Provider Name | Leslie C Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265460083 PECOS PAC ID: 3173707973 Enrollment ID: I20250401002693 |
| Provider Name | Simon C Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629173612 PECOS PAC ID: 1153425038 Enrollment ID: I20250403003465 |
| Provider Name | Vivian T Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083666564 PECOS PAC ID: 5890721435 Enrollment ID: I20250407000886 |
| Provider Name | Marwan Louis Haddad |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033181631 PECOS PAC ID: 3971591470 Enrollment ID: I20250407001003 |
| Provider Name | David Michael Enscoe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831274356 PECOS PAC ID: 7517148547 Enrollment ID: I20250407001276 |
| Provider Name | Donald M Merrill |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679555494 PECOS PAC ID: 2567437072 Enrollment ID: I20250407001707 |
| Provider Name | Jayike A Nwokolo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942704721 PECOS PAC ID: 2466700471 Enrollment ID: I20250407001779 |
| Provider Name | Adib Alturkmani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154959690 PECOS PAC ID: 1759819568 Enrollment ID: I20250407001807 |
| Provider Name | Rachel M Miller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992533681 PECOS PAC ID: 3678097128 Enrollment ID: I20250407001975 |
| Provider Name | Lindsey Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043020365 PECOS PAC ID: 7012431570 Enrollment ID: I20250407002130 |
| Provider Name | Adam Daniel Camp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518107606 PECOS PAC ID: 0042453599 Enrollment ID: I20250407002940 |
| Provider Name | James Tang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831503846 PECOS PAC ID: 7113351156 Enrollment ID: I20250408001653 |
| Provider Name | David Ralph Lorelli |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1710989363 PECOS PAC ID: 1557345972 Enrollment ID: I20250408001927 |
| Provider Name | Michael John Karge |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518900042 PECOS PAC ID: 0042243321 Enrollment ID: I20250408002402 |
| Provider Name | Yongbo Liao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659393387 PECOS PAC ID: 3274535901 Enrollment ID: I20250408002572 |
| Provider Name | Priscilla D Clark |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073871901 PECOS PAC ID: 3173891710 Enrollment ID: I20250408002656 |
| Provider Name | Meredith Goodwin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053553057 PECOS PAC ID: 0941427322 Enrollment ID: I20250408002952 |
| Provider Name | Kirk N Rossiter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821289950 PECOS PAC ID: 3577637479 Enrollment ID: I20250416000967 |
| Provider Name | Ralph G Matalon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063445450 PECOS PAC ID: 9638356132 Enrollment ID: I20250429003457 |
| Provider Name | Joe N Bui |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447218805 PECOS PAC ID: 4587600812 Enrollment ID: I20250507001458 |
| Provider Name | Michael P Theisen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134167943 PECOS PAC ID: 7012906563 Enrollment ID: I20250507003334 |
| Provider Name | Joshua J Oliver |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477973501 PECOS PAC ID: 0749525335 Enrollment ID: I20250508000854 |
| Provider Name | Kaitlynn D Pate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275248122 PECOS PAC ID: 8527585785 Enrollment ID: I20250510000167 |
| Provider Name | Gilles J Hoilat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871153247 PECOS PAC ID: 5092196147 Enrollment ID: I20250510000182 |
| Provider Name | Sheala Mullaney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457730905 PECOS PAC ID: 6800178906 Enrollment ID: I20250519002090 |
| Provider Name | Cheng-ting Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720474307 PECOS PAC ID: 5698011278 Enrollment ID: I20250519002182 |
| Provider Name | Amanda S Deis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366931586 PECOS PAC ID: 1153677521 Enrollment ID: I20250519002367 |
| Provider Name | Emily Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043772940 PECOS PAC ID: 5294065736 Enrollment ID: I20250529002433 |
| Provider Name | Jacklyn B Tran Nguyen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225051360 PECOS PAC ID: 0446254338 Enrollment ID: I20250529003680 |
| Provider Name | Aymen A Alian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386803740 PECOS PAC ID: 4587737473 Enrollment ID: I20250602000449 |
| Provider Name | Ola Yinka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134167711 PECOS PAC ID: 5193790939 Enrollment ID: I20250602000907 |
| Provider Name | Nevin D Dikel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235241985 PECOS PAC ID: 2567458136 Enrollment ID: I20250602001729 |
| Provider Name | Cassidy L Bugg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376345348 PECOS PAC ID: 4981113768 Enrollment ID: I20250603002184 |
| Provider Name | Taylor A Park |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1184473753 PECOS PAC ID: 3072022714 Enrollment ID: I20250603003674 |
| Provider Name | Samy Louka |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700950136 PECOS PAC ID: 2961392980 Enrollment ID: I20250604004178 |
| Provider Name | Silpa Goriparthi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619260908 PECOS PAC ID: 3476786310 Enrollment ID: I20250605001144 |
| Provider Name | Erin E Flaherty |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376788125 PECOS PAC ID: 4082847868 Enrollment ID: I20250605002423 |
| Provider Name | Stanislav Sidash |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790129435 PECOS PAC ID: 8022302918 Enrollment ID: I20250609001270 |
| Provider Name | David Sabo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558396283 PECOS PAC ID: 5698207512 Enrollment ID: I20250609001665 |
| Provider Name | Susan N Moruri |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306006861 PECOS PAC ID: 4981621059 Enrollment ID: I20250613002643 |
| Provider Name | Ikechukwu I Okafo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295264182 PECOS PAC ID: 5890050744 Enrollment ID: I20250613002815 |
Mercy Physician Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 10th St Se, Cedar Rapids, IA 52403 Phone: 319-369-4798 | |
Rosefinch Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5001 1st Ave Se Ste 105161, Cedar Rapids, IA 52402 Phone: 319-804-8815 | |
Keli Hagen Lisw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4403 1st Ave Se Ste 412, Cedar Rapids, IA 52402 Phone: 319-213-2922 | |
Tanager Place Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2309 C St Sw, Cedar Rapids, IA 52404 Phone: 319-365-9164 Fax: 319-365-6411 | |
Abbe Center Cmh@linn Community Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 3rd Ave Se, Cedar Rapids, IA 52403 Phone: 319-730-7315 | |
Horizons, A Family Service Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 5th St Se, Cedar Rapids, IA 52401 Phone: 319-398-3943 Fax: 888-632-7914 | |
Tanager Place Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2309 C St Sw, Cedar Rapids, IA 52404 Phone: 319-365-9164 Fax: 319-365-6411 |