| Moses Cone Physician Services, Inc. | |
|
1200 N Elm St Greensboro NC 27401-1004 | |
| (336) 832-7764 | |
| (336) 832-8272 |
| Full Name | Moses Cone Physician Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 N Elm St, Greensboro, North Carolina |
| Authorized Official Name and Position | Robert L Goldstein (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 3366635001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moses Cone Physician Services, Inc. Po Box 405633 Atlanta GA 30384-5633 Ph: () - | Moses Cone Physician Services, Inc. 1200 N Elm St Greensboro NC 27401-1004 Ph: (336) 832-7764 |
| NPI Number | 1093953127 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 12/02/2016 |
| Medicare PECOS PAC ID | 4284782210 |
|---|---|
| Medicare Enrollment ID | O20090501000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093953127 | NPI | - | NPPES |
| Provider Name | Carl E Gessner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871557116 PECOS PAC ID: 1850204603 Enrollment ID: I20031107000694 |
| Provider Name | Jeffrey C Hatcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457308918 PECOS PAC ID: 2769396431 Enrollment ID: I20031117000717 |
| Provider Name | Stephen Mills |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407851231 PECOS PAC ID: 0749184869 Enrollment ID: I20031120000911 |
| Provider Name | Stephen Michael Dahlstedt |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861487936 PECOS PAC ID: 6305742750 Enrollment ID: I20031208000998 |
| Provider Name | Yvonne R Lowne-chase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205890696 PECOS PAC ID: 1557259918 Enrollment ID: I20040308000608 |
| Provider Name | Jeffery S Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497715833 PECOS PAC ID: 0941198998 Enrollment ID: I20040317001055 |
| Provider Name | Sona A Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770554834 PECOS PAC ID: 5597669762 Enrollment ID: I20040319000459 |
| Provider Name | Leslie D Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265511554 PECOS PAC ID: 1759373715 Enrollment ID: I20040331000495 |
| Provider Name | Robert M Rourk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487609145 PECOS PAC ID: 8224024260 Enrollment ID: I20040423000724 |
| Provider Name | Peter Van Trigt |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1427053263 PECOS PAC ID: 7810891652 Enrollment ID: I20040505001182 |
| Provider Name | Nwannadiya Glory Ugah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760478119 PECOS PAC ID: 8426047424 Enrollment ID: I20040506000760 |
| Provider Name | Tanya S Pratt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760420715 PECOS PAC ID: 5890784706 Enrollment ID: I20040506001648 |
| Provider Name | Stephanie R Tickerhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942479571 PECOS PAC ID: 4284624073 Enrollment ID: I20040513001406 |
| Provider Name | Najeeb U Rehman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568415594 PECOS PAC ID: 3577553296 Enrollment ID: I20040514000788 |
| Provider Name | Margaret E Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225081664 PECOS PAC ID: 4183607369 Enrollment ID: I20040609000716 |
| Provider Name | Broadus Zane Atkins |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124022983 PECOS PAC ID: 4284619396 Enrollment ID: I20040622001672 |
| Provider Name | Chere M Gregory |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164402236 PECOS PAC ID: 3577548189 Enrollment ID: I20040623001632 |
| Provider Name | Charles E Fields |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962407437 PECOS PAC ID: 2961489083 Enrollment ID: I20040706001240 |
| Provider Name | Eric Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669401352 PECOS PAC ID: 4486632924 Enrollment ID: I20040710000284 |
| Provider Name | Joseph P Isley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447229984 PECOS PAC ID: 6507838901 Enrollment ID: I20040806000843 |
| Provider Name | Hazel Vanessa Duncan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922149632 PECOS PAC ID: 0547233538 Enrollment ID: I20040817001410 |
| Provider Name | Corinna L Sullivan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962503672 PECOS PAC ID: 5294708129 Enrollment ID: I20040818000320 |
| Provider Name | Denise Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245272111 PECOS PAC ID: 3375516180 Enrollment ID: I20040818000980 |
| Provider Name | Stanley E Harrison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770538431 PECOS PAC ID: 5991779365 Enrollment ID: I20040823000072 |
| Provider Name | Rachel H Hagler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396718482 PECOS PAC ID: 5193799922 Enrollment ID: I20040825001445 |
| Provider Name | Pramod P Sethi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972560894 PECOS PAC ID: 9436121886 Enrollment ID: I20040828000032 |
| Provider Name | Sandi L Fields |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326074840 PECOS PAC ID: 3779559075 Enrollment ID: I20040908000905 |
| Provider Name | Steven Paul Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457355406 PECOS PAC ID: 7012983232 Enrollment ID: I20040908001168 |
| Provider Name | Sendil K Krishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669573432 PECOS PAC ID: 6204803588 Enrollment ID: I20040915000824 |
| Provider Name | Bradley J Stoneking |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336172543 PECOS PAC ID: 0941278543 Enrollment ID: I20040921001264 |
| Provider Name | Allison I Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598865768 PECOS PAC ID: 2365411626 Enrollment ID: I20041002000069 |
| Provider Name | Karen Jane Kirby-graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215946264 PECOS PAC ID: 8325007578 Enrollment ID: I20041005000319 |
| Provider Name | Cuong Peter Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750340014 PECOS PAC ID: 0143289199 Enrollment ID: I20041006000683 |
| Provider Name | Jan A Mansy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093782484 PECOS PAC ID: 5193785301 Enrollment ID: I20041012001546 |
| Provider Name | Melissa Lynn Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518997444 PECOS PAC ID: 0345201950 Enrollment ID: I20041026000542 |
| Provider Name | Todd F Early |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619972684 PECOS PAC ID: 7911801758 Enrollment ID: I20041102000245 |
| Provider Name | Carmen Dohmeier |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1588620066 PECOS PAC ID: 5597728592 Enrollment ID: I20041110000876 |
| Provider Name | Christopher Oti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124066535 PECOS PAC ID: 4082679915 Enrollment ID: I20041119000785 |
| Provider Name | George Osei-bonsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083679864 PECOS PAC ID: 4284601352 Enrollment ID: I20041119001102 |
| Provider Name | Clanford Lyonel Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342879 PECOS PAC ID: 3476518192 Enrollment ID: I20041122001091 |
| Provider Name | David Tat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013976646 PECOS PAC ID: 2668437542 Enrollment ID: I20041129000944 |
| Provider Name | Birhane G Kaleab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336250265 PECOS PAC ID: 0749181469 Enrollment ID: I20041202000070 |
| Provider Name | Laura Woodruff Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912944513 PECOS PAC ID: 9739147307 Enrollment ID: I20041229000387 |
| Provider Name | Bradley S Chotiner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962469528 PECOS PAC ID: 8921057233 Enrollment ID: I20050113000486 |
| Provider Name | Terry Lee Noah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295815751 PECOS PAC ID: 0941252381 Enrollment ID: I20050215000062 |
| Provider Name | Kimberly Dawn Shaw |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639241490 PECOS PAC ID: 9537112073 Enrollment ID: I20050224000854 |
| Provider Name | Adeline C Viyuoh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417037003 PECOS PAC ID: 0446203996 Enrollment ID: I20050224000931 |
| Provider Name | Christina Phyllis Rama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902850407 PECOS PAC ID: 3678520145 Enrollment ID: I20050406000798 |
| Provider Name | Michelle A Matthews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215970777 PECOS PAC ID: 9537052444 Enrollment ID: I20050412000277 |
| Provider Name | Theresa G Sheehan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265504179 PECOS PAC ID: 0345297149 Enrollment ID: I20050412000357 |
| Provider Name | Robert A Yapundich |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417996695 PECOS PAC ID: 4981643814 Enrollment ID: I20050428001269 |
| Provider Name | Sylvester Izuchukwu Ogbata |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346209707 PECOS PAC ID: 3173563202 Enrollment ID: I20050509000732 |
| Provider Name | Mary Walker Larach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013942762 PECOS PAC ID: 8729028451 Enrollment ID: I20050511000934 |
| Provider Name | Kristi M Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750391314 PECOS PAC ID: 4880639483 Enrollment ID: I20050623000926 |
| Provider Name | Jennifer Elaine Yates |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376535369 PECOS PAC ID: 1153357629 Enrollment ID: I20050715000493 |
| Provider Name | David A Rosen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558458463 PECOS PAC ID: 7315974730 Enrollment ID: I20050718000731 |
| Provider Name | Douglas E Schultz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487631859 PECOS PAC ID: 6901830926 Enrollment ID: I20050920000565 |
| Provider Name | Jennifer A Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073602348 PECOS PAC ID: 6305871252 Enrollment ID: I20050929000717 |
| Provider Name | Christopher Y Blackman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871530568 PECOS PAC ID: 7911922372 Enrollment ID: I20051014000033 |
| Provider Name | Makanjuola I Oladigbo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811960669 PECOS PAC ID: 1456315688 Enrollment ID: I20051014000183 |
| Provider Name | Jeffrey T Mcclung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083697395 PECOS PAC ID: 0143247353 Enrollment ID: I20051027000495 |
| Provider Name | Frances H Cresenzo-dishmon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821187998 PECOS PAC ID: 3072532043 Enrollment ID: I20051121000446 |
| Provider Name | Michael J Brennan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679521140 PECOS PAC ID: 9739101643 Enrollment ID: I20051220000498 |
| Provider Name | Saima Rizwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275582793 PECOS PAC ID: 6507889656 Enrollment ID: I20060104000711 |
| Provider Name | Shervin Eshraghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538191507 PECOS PAC ID: 1759304827 Enrollment ID: I20060104000824 |
| Provider Name | Gokul Krishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457301269 PECOS PAC ID: 6204840853 Enrollment ID: I20060202000667 |
| Provider Name | Marshall C Hall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881676484 PECOS PAC ID: 1456367358 Enrollment ID: I20060302000097 |
| Provider Name | Deborah B Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255373288 PECOS PAC ID: 0941217186 Enrollment ID: I20060314000346 |
| Provider Name | Eugene H Wade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548256266 PECOS PAC ID: 2163400623 Enrollment ID: I20060327000024 |
| Provider Name | Bryan K Bartle |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1043214687 PECOS PAC ID: 9739083577 Enrollment ID: I20060410000450 |
| Provider Name | Patrick Wright |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265482889 PECOS PAC ID: 7315956380 Enrollment ID: I20060419000556 |
| Provider Name | Francisco A Naveira |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548299126 PECOS PAC ID: 7012926942 Enrollment ID: I20060421000034 |
| Provider Name | Arshad N Kakrakandy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336101757 PECOS PAC ID: 7618989518 Enrollment ID: I20060614000145 |
| Provider Name | Scott A Macdiarmid |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346222775 PECOS PAC ID: 7113939463 Enrollment ID: I20060703000105 |
| Provider Name | Novlet J Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003802083 PECOS PAC ID: 9335165703 Enrollment ID: I20060808000234 |
| Provider Name | Catherine D Metheney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407882723 PECOS PAC ID: 7719981810 Enrollment ID: I20060901000235 |
| Provider Name | Karen Ellna Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992735013 PECOS PAC ID: 6709880818 Enrollment ID: I20060901000340 |
| Provider Name | Osvaldo A Camilo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902829898 PECOS PAC ID: 6204831399 Enrollment ID: I20060923000046 |
| Provider Name | Daniel P Goodrich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457370199 PECOS PAC ID: 4688670383 Enrollment ID: I20061019000250 |
| Provider Name | Ralph L Ely |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720006547 PECOS PAC ID: 1153328810 Enrollment ID: I20061023000497 |
| Provider Name | Kendall K Garing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881618734 PECOS PAC ID: 5597762088 Enrollment ID: I20061025000583 |
| Provider Name | Sorin C Laza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124036736 PECOS PAC ID: 0840298113 Enrollment ID: I20061121000127 |
| Provider Name | Lester S Borden |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245249929 PECOS PAC ID: 0143246371 Enrollment ID: I20061211000080 |
| Provider Name | John J Wrenn |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659372019 PECOS PAC ID: 3678572617 Enrollment ID: I20061220000364 |
| Provider Name | Jeffrey R Greene |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124070651 PECOS PAC ID: 8022010230 Enrollment ID: I20070131000677 |
| Provider Name | Jerzy A Sopala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629055033 PECOS PAC ID: 3678575537 Enrollment ID: I20070206000024 |
| Provider Name | Frederick K Asare |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821195090 PECOS PAC ID: 1557464567 Enrollment ID: I20070313000158 |
| Provider Name | Darren Wohl |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649289836 PECOS PAC ID: 0244333276 Enrollment ID: I20070313000308 |
| Provider Name | Robert D Schertz |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1992744650 PECOS PAC ID: 1254436942 Enrollment ID: I20070426000209 |
| Provider Name | Ava M Swayze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073541678 PECOS PAC ID: 7810957875 Enrollment ID: I20070518000097 |
| Provider Name | Peter M Belford |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1205877990 PECOS PAC ID: 5698875458 Enrollment ID: I20070709000266 |
| Provider Name | Evelina G Kartsimaris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184705220 PECOS PAC ID: 1355442245 Enrollment ID: I20070723000165 |
| Provider Name | James Nitka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134120306 PECOS PAC ID: 1951302314 Enrollment ID: I20070728000279 |
| Provider Name | Harvette C Jenkins-bah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114914488 PECOS PAC ID: 7911953427 Enrollment ID: I20070731000675 |
| Provider Name | Amy E Bedsole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902026859 PECOS PAC ID: 7911098355 Enrollment ID: I20070814000410 |
| Provider Name | Thomas W Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700855244 PECOS PAC ID: 6800988940 Enrollment ID: I20070828001117 |
| Provider Name | Su Wooi Teoh |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1619033164 PECOS PAC ID: 4183717440 Enrollment ID: I20070904000241 |
| Provider Name | Kathleen Marie Wiese |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790987923 PECOS PAC ID: 7214020809 Enrollment ID: I20070912000886 |
| Provider Name | Claire Sanger Dillingham |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902006646 PECOS PAC ID: 9032203419 Enrollment ID: I20070915000275 |
| Provider Name | Scott C Stoioff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1881763316 PECOS PAC ID: 0446344311 Enrollment ID: I20070922000147 |
| Provider Name | Anand Hongalgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104026103 PECOS PAC ID: 8820183809 Enrollment ID: I20071005000296 |
| Provider Name | Padonda B Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861692493 PECOS PAC ID: 4789770546 Enrollment ID: I20071010000254 |
| Provider Name | Angela M Kabbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184740862 PECOS PAC ID: 4284720996 Enrollment ID: I20071010000786 |
| Provider Name | Claudia Viola Claiborne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407825466 PECOS PAC ID: 1153418082 Enrollment ID: I20071024000604 |
| Provider Name | Rachal Alice David |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265646582 PECOS PAC ID: 0446347108 Enrollment ID: I20071029000400 |
| Provider Name | Richard J Wieting |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639158678 PECOS PAC ID: 7416053707 Enrollment ID: I20071030000563 |
| Provider Name | Ashley J Edwards |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1538289426 PECOS PAC ID: 4880781913 Enrollment ID: I20071106000332 |
| Provider Name | Saadat A Khan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1760572150 PECOS PAC ID: 5193769206 Enrollment ID: I20071129000475 |
| Provider Name | Surafeal Abraha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306930631 PECOS PAC ID: 6103848874 Enrollment ID: I20071210000564 |
| Provider Name | Andrew E Kirsteins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053394254 PECOS PAC ID: 8123010360 Enrollment ID: I20071212000737 |
| Provider Name | Robert W Comer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205056041 PECOS PAC ID: 6507948726 Enrollment ID: I20080128000301 |
| Provider Name | John V Ferguson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528157930 PECOS PAC ID: 5991730749 Enrollment ID: I20080318000605 |
| Provider Name | Mary M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023114089 PECOS PAC ID: 6901982099 Enrollment ID: I20080331000143 |
| Provider Name | James Youngchull Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386684330 PECOS PAC ID: 8123019320 Enrollment ID: I20080422000176 |
| Provider Name | Cornelius Nestore Van Dam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174735070 PECOS PAC ID: 5991883613 Enrollment ID: I20080422000382 |
| Provider Name | Cheryl A Wicker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659319291 PECOS PAC ID: 3678642840 Enrollment ID: I20080514000811 |
| Provider Name | Luther Eure |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881783975 PECOS PAC ID: 1850461146 Enrollment ID: I20080529000220 |
| Provider Name | William Md Keates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750579942 PECOS PAC ID: 3971673708 Enrollment ID: I20080604000706 |
| Provider Name | Inga Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699932293 PECOS PAC ID: 3870664931 Enrollment ID: I20080617000344 |
| Provider Name | Jessica C Copland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083743546 PECOS PAC ID: 5395818546 Enrollment ID: I20080721000635 |
| Provider Name | Edward B Gerhardt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1679578652 PECOS PAC ID: 9638073471 Enrollment ID: I20080724000634 |
| Provider Name | Steven C Hendrickson |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1467457283 PECOS PAC ID: 1557265394 Enrollment ID: I20080724000661 |
| Provider Name | Christopher S Dickson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871598839 PECOS PAC ID: 6901700749 Enrollment ID: I20080724000694 |
| Provider Name | Brian Douglas Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548450778 PECOS PAC ID: 3476627134 Enrollment ID: I20080730000278 |
| Provider Name | Ivelisse Olivencia-simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295931251 PECOS PAC ID: 8628142643 Enrollment ID: I20080808000158 |
| Provider Name | Endia Cherese Johnson-pitts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801819594 PECOS PAC ID: 0244305266 Enrollment ID: I20080826000304 |
| Provider Name | Nayana Abrol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497956205 PECOS PAC ID: 5294800231 Enrollment ID: I20080826000440 |
| Provider Name | Virginia Fredericka Wright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023211489 PECOS PAC ID: 3870669740 Enrollment ID: I20080829000504 |
| Provider Name | Timothy Finnegan |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083757892 PECOS PAC ID: 2668447103 Enrollment ID: I20080904000370 |
| Provider Name | Deborah J Opalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780713271 PECOS PAC ID: 9436225034 Enrollment ID: I20080905000147 |
| Provider Name | Jamila Shaheen Bhatti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801825583 PECOS PAC ID: 2264508670 Enrollment ID: I20080909000641 |
| Provider Name | Tina P Goodpasture |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376791673 PECOS PAC ID: 7517034218 Enrollment ID: I20080923000089 |
| Provider Name | Timothy J Oster |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851447478 PECOS PAC ID: 1951493048 Enrollment ID: I20080929000139 |
| Provider Name | Vance W Brabham |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447472071 PECOS PAC ID: 6709953003 Enrollment ID: I20080929000635 |
| Provider Name | Padmaja Vasireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699962639 PECOS PAC ID: 6103994330 Enrollment ID: I20081001000331 |
| Provider Name | Vipul S Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568648335 PECOS PAC ID: 6103994892 Enrollment ID: I20081008000234 |
| Provider Name | Simbiso Ranga |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225204191 PECOS PAC ID: 2860560182 Enrollment ID: I20081014000075 |
| Provider Name | Frederic Kendall Newton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154466100 PECOS PAC ID: 6305945528 Enrollment ID: I20081030000281 |
| Provider Name | Mohammad L Garba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235177809 PECOS PAC ID: 7517998644 Enrollment ID: I20081031000466 |
| Provider Name | Mark A Jenkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629092184 PECOS PAC ID: 2961561626 Enrollment ID: I20081110000612 |
| Provider Name | Zeba Anwar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710152608 PECOS PAC ID: 3870653231 Enrollment ID: I20081115000169 |
| Provider Name | Anastassia V Doutova |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1164647731 PECOS PAC ID: 0840350187 Enrollment ID: I20081117000714 |
| Provider Name | Mary Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548426414 PECOS PAC ID: 8325109614 Enrollment ID: I20081204000811 |
| Provider Name | Crystal N Wiley Cene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477581627 PECOS PAC ID: 5395753818 Enrollment ID: I20081218000320 |
| Provider Name | Daniel V Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932301033 PECOS PAC ID: 3577626704 Enrollment ID: I20090113000921 |
| Provider Name | Christopher Nils Spongberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982762662 PECOS PAC ID: 4880758606 Enrollment ID: I20090122000647 |
| Provider Name | Sara-maiz Afsani Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114191244 PECOS PAC ID: 7517021199 Enrollment ID: I20090126000697 |
| Provider Name | Ahmad T Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710082425 PECOS PAC ID: 3072407451 Enrollment ID: I20090520000087 |
| Provider Name | Yijun Yan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508056680 PECOS PAC ID: 3173611084 Enrollment ID: I20090522000041 |
| Provider Name | Delila Bailey Modzik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760625834 PECOS PAC ID: 8628129335 Enrollment ID: I20090619000061 |
| Provider Name | Rujuta Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497891683 PECOS PAC ID: 4789736273 Enrollment ID: I20090714000574 |
| Provider Name | Tochukwu N Agbata |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588807127 PECOS PAC ID: 5799838868 Enrollment ID: I20090806000781 |
| Provider Name | Charles Stewart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528257219 PECOS PAC ID: 8628153590 Enrollment ID: I20090822000143 |
| Provider Name | Estela Y Hernandez Acosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841412699 PECOS PAC ID: 2365596434 Enrollment ID: I20090825000202 |
| Provider Name | Stephen K Chiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194924860 PECOS PAC ID: 4880749480 Enrollment ID: I20090903000376 |
| Provider Name | James G Adams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659351385 PECOS PAC ID: 8123189131 Enrollment ID: I20090908000691 |
| Provider Name | Katherine Tabori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518089291 PECOS PAC ID: 5799831293 Enrollment ID: I20090924000722 |
| Provider Name | Manpreet S Bhutani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245412758 PECOS PAC ID: 4385781889 Enrollment ID: I20091102000027 |
| Provider Name | Richard Brandon Stacey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679655526 PECOS PAC ID: 9436299484 Enrollment ID: I20091222000726 |
| Provider Name | Marcus V Duda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124065172 PECOS PAC ID: 4082755582 Enrollment ID: I20100106000288 |
| Provider Name | Anna Wentz Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104155530 PECOS PAC ID: 6800937731 Enrollment ID: I20100113000935 |
| Provider Name | Mark C Yates |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598702359 PECOS PAC ID: 4385787001 Enrollment ID: I20100203000605 |
| Provider Name | Mary Alice Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205810173 PECOS PAC ID: 4183769524 Enrollment ID: I20100309000853 |
| Provider Name | William Henry Hickling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659337624 PECOS PAC ID: 7517870777 Enrollment ID: I20100326000777 |
| Provider Name | Kathryn P Whiteheart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831427996 PECOS PAC ID: 0749317956 Enrollment ID: I20100420000691 |
| Provider Name | Gregory Scott Dean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639116684 PECOS PAC ID: 9931236890 Enrollment ID: I20100423000803 |
| Provider Name | David S Grapey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295720274 PECOS PAC ID: 7315075561 Enrollment ID: I20100507000462 |
| Provider Name | Laura Easterwood Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700011699 PECOS PAC ID: 1456480714 Enrollment ID: I20100525000214 |
| Provider Name | Preetha Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720209976 PECOS PAC ID: 1052441383 Enrollment ID: I20100614000470 |
| Provider Name | John E Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265496228 PECOS PAC ID: 8022149715 Enrollment ID: I20100624000230 |
| Provider Name | Peter White Whitfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700838828 PECOS PAC ID: 9133250871 Enrollment ID: I20100624000686 |
| Provider Name | Peter Frank Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851355267 PECOS PAC ID: 8820129406 Enrollment ID: I20100625000242 |
| Provider Name | Shaili Deveshwar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1295788990 PECOS PAC ID: 0547391898 Enrollment ID: I20100630000186 |
| Provider Name | William M Caldwell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205850153 PECOS PAC ID: 1355473182 Enrollment ID: I20100714000813 |
| Provider Name | Jennifer Cannon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356464846 PECOS PAC ID: 3678605029 Enrollment ID: I20100720000815 |
| Provider Name | Michael E Norins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699739557 PECOS PAC ID: 3870626534 Enrollment ID: I20100802000200 |
| Provider Name | Angel A Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942331566 PECOS PAC ID: 0244363935 Enrollment ID: I20100802000560 |
| Provider Name | Ezequiel Zamora |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1427251123 PECOS PAC ID: 2961535406 Enrollment ID: I20100804000158 |
| Provider Name | John M Byers |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194779140 PECOS PAC ID: 0244363612 Enrollment ID: I20100805000500 |
| Provider Name | Heather E Boscia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487967386 PECOS PAC ID: 0244363539 Enrollment ID: I20100806000742 |
| Provider Name | Valerie A Leschber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518922145 PECOS PAC ID: 3274666474 Enrollment ID: I20100809000128 |
| Provider Name | Vikram R Penumalli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699920991 PECOS PAC ID: 1254481294 Enrollment ID: I20100823001104 |
| Provider Name | Jeffrey W Byrnett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467455295 PECOS PAC ID: 8224152293 Enrollment ID: I20100826001228 |
| Provider Name | Ripudeep Rai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063532455 PECOS PAC ID: 8729159363 Enrollment ID: I20100828000011 |
| Provider Name | Lisa J Rose Jones |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1386840890 PECOS PAC ID: 1456476852 Enrollment ID: I20100908000714 |
| Provider Name | Gagan S Lama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770693772 PECOS PAC ID: 9234137456 Enrollment ID: I20100908000898 |
| Provider Name | Ekta V Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720281405 PECOS PAC ID: 9234254699 Enrollment ID: I20100909000275 |
| Provider Name | Crystal M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417262023 PECOS PAC ID: 6002931037 Enrollment ID: I20100915000204 |
| Provider Name | Karen Marie Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740594357 PECOS PAC ID: 4183749112 Enrollment ID: I20100915000216 |
| Provider Name | Elizabeth L Golding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124224993 PECOS PAC ID: 8022133909 Enrollment ID: I20100915000814 |
| Provider Name | Benjamin Huneycutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023050549 PECOS PAC ID: 4486626140 Enrollment ID: I20100916000155 |
| Provider Name | Aleksei V Plotnikov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083671036 PECOS PAC ID: 6800911496 Enrollment ID: I20100920000976 |
| Provider Name | Abraham Feliz Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790981587 PECOS PAC ID: 3971628579 Enrollment ID: I20100920001013 |
| Provider Name | Eric C Lindzen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770559304 PECOS PAC ID: 0143265785 Enrollment ID: I20100923000953 |
| Provider Name | Shanker M Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639325657 PECOS PAC ID: 1456409416 Enrollment ID: I20100924001100 |
| Provider Name | Dawood S Elgergawy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528373529 PECOS PAC ID: 4981720901 Enrollment ID: I20100928000712 |
| Provider Name | Sally Metcalf Lambeth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760539589 PECOS PAC ID: 2668598699 Enrollment ID: I20100928000780 |
| Provider Name | Jehanzeb Memon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336371434 PECOS PAC ID: 3173649100 Enrollment ID: I20100928000836 |
| Provider Name | William F Hopper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891759270 PECOS PAC ID: 8325230287 Enrollment ID: I20101011000360 |
| Provider Name | Robyn Nicholle Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871593061 PECOS PAC ID: 9032192307 Enrollment ID: I20101014001198 |
| Provider Name | Gaurang M Palikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790704633 PECOS PAC ID: 1759574973 Enrollment ID: I20101020001120 |
| Provider Name | Robert Prince Doolittle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235173766 PECOS PAC ID: 3173717741 Enrollment ID: I20101028000556 |
| Provider Name | Steven A Daub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750325213 PECOS PAC ID: 0547454076 Enrollment ID: I20101028001351 |
| Provider Name | Denny M Rodenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669436994 PECOS PAC ID: 0749475028 Enrollment ID: I20101111001392 |
| Provider Name | Mutaz A Elmahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760680946 PECOS PAC ID: 7113113986 Enrollment ID: I20101119000473 |
| Provider Name | J Wayne Keeling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558362889 PECOS PAC ID: 8426169905 Enrollment ID: I20101119000995 |
| Provider Name | Seyed Shahmehdi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356521439 PECOS PAC ID: 4486841509 Enrollment ID: I20101215000098 |
| Provider Name | Courage Emokpae |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033175401 PECOS PAC ID: 2466346697 Enrollment ID: I20110112000137 |
| Provider Name | Chris W Guest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720020415 PECOS PAC ID: 5597736991 Enrollment ID: I20110304000815 |
| Provider Name | Katherine P Schorr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124324033 PECOS PAC ID: 7618159625 Enrollment ID: I20110314000070 |
| Provider Name | Kofi Adeleke Doonquah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740210426 PECOS PAC ID: 5890977805 Enrollment ID: I20110314000100 |
| Provider Name | Bernard B Ayiku |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740509629 PECOS PAC ID: 5294918686 Enrollment ID: I20110322000918 |
| Provider Name | Debby Crosley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285824961 PECOS PAC ID: 1153404868 Enrollment ID: I20110413000911 |
| Provider Name | Tarek Dakakni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487809307 PECOS PAC ID: 2860670452 Enrollment ID: I20110630000179 |
| Provider Name | Richard E Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114923182 PECOS PAC ID: 9537053830 Enrollment ID: I20110712000389 |
| Provider Name | Michael W Cammarata |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235390535 PECOS PAC ID: 7012187370 Enrollment ID: I20110824000932 |
| Provider Name | Brian Liang-yu Chen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871750695 PECOS PAC ID: 5193995884 Enrollment ID: I20110907001571 |
| Provider Name | Veronica M Uloko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285876094 PECOS PAC ID: 9133219702 Enrollment ID: I20110921000494 |
| Provider Name | Belkys A Regalado Romero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245476860 PECOS PAC ID: 4183896236 Enrollment ID: I20111013000373 |
| Provider Name | Karen W Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134324239 PECOS PAC ID: 5395938922 Enrollment ID: I20111018000131 |
| Provider Name | Jarrod Dwayne Kanady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760713945 PECOS PAC ID: 3072786839 Enrollment ID: I20111024000565 |
| Provider Name | George J Shalhoub |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194989798 PECOS PAC ID: 9931372539 Enrollment ID: I20111026000767 |
| Provider Name | Prashant Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457386971 PECOS PAC ID: 9830193226 Enrollment ID: I20111027000140 |
| Provider Name | Jai-gurmukh K Samtani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891953428 PECOS PAC ID: 0446423073 Enrollment ID: I20111027000143 |
| Provider Name | Tara Lisa Stewart |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417043647 PECOS PAC ID: 4688847627 Enrollment ID: I20111108000035 |
| Provider Name | Adam R Kuykendal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447412713 PECOS PAC ID: 9234303017 Enrollment ID: I20111111000516 |
| Provider Name | David Carl Kowalski |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689760803 PECOS PAC ID: 6305730334 Enrollment ID: I20111114000492 |
| Provider Name | Vijaya B Akula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407132228 PECOS PAC ID: 9638344799 Enrollment ID: I20111219000801 |
| Provider Name | Eva N Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477711109 PECOS PAC ID: 4284800616 Enrollment ID: I20120105000697 |
| Provider Name | Obinna O Adibe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942476692 PECOS PAC ID: 9335213636 Enrollment ID: I20120302000149 |
| Provider Name | Carlos Madera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598903056 PECOS PAC ID: 8123287117 Enrollment ID: I20120312000106 |
| Provider Name | Laxman R Pokhrel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255564977 PECOS PAC ID: 8729240130 Enrollment ID: I20120501000678 |
| Provider Name | Neelima Kamineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639261456 PECOS PAC ID: 5496850968 Enrollment ID: I20120531000640 |
| Provider Name | Joshua R Borders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295008381 PECOS PAC ID: 5991969115 Enrollment ID: I20120619000259 |
| Provider Name | Enobong Newlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548429343 PECOS PAC ID: 1254596349 Enrollment ID: I20120621000657 |
| Provider Name | Matthew R Eskridge |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588747539 PECOS PAC ID: 5193878676 Enrollment ID: I20120627000392 |
| Provider Name | Erica Renee Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528293883 PECOS PAC ID: 7911163332 Enrollment ID: I20120730000205 |
| Provider Name | Jacob J Stinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750525416 PECOS PAC ID: 3476709403 Enrollment ID: I20120807000940 |
| Provider Name | Diego Fernando Pabon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104945864 PECOS PAC ID: 6901053057 Enrollment ID: I20120825000001 |
| Provider Name | Deirdre B Fraller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386908861 PECOS PAC ID: 3971751496 Enrollment ID: I20120907000046 |
| Provider Name | Jennifer R Badik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659529808 PECOS PAC ID: 0547418832 Enrollment ID: I20120911000474 |
| Provider Name | Theodore Manny |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871773143 PECOS PAC ID: 6507014719 Enrollment ID: I20120913000205 |
| Provider Name | Andy Chon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093978538 PECOS PAC ID: 3870741457 Enrollment ID: I20120925000039 |
| Provider Name | Alma M Devine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447487681 PECOS PAC ID: 2567611064 Enrollment ID: I20120926000828 |
| Provider Name | Iskra Magick Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659508802 PECOS PAC ID: 6406006733 Enrollment ID: I20121023000556 |
| Provider Name | Jacob P Kelly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851551949 PECOS PAC ID: 2567630015 Enrollment ID: I20121023000583 |
| Provider Name | Thao P Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780811448 PECOS PAC ID: 8527219278 Enrollment ID: I20121107000000 |
| Provider Name | Ali A Hijazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225033368 PECOS PAC ID: 3476656174 Enrollment ID: I20121109000477 |
| Provider Name | Anton Lishmanov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275763757 PECOS PAC ID: 4688825532 Enrollment ID: I20121127000401 |
| Provider Name | Fang Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528226164 PECOS PAC ID: 0840443883 Enrollment ID: I20121226000422 |
| Provider Name | Orlando Luis Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013146240 PECOS PAC ID: 6608029889 Enrollment ID: I20130122000349 |
| Provider Name | Nishant Dhungel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154583664 PECOS PAC ID: 1456476860 Enrollment ID: I20130214000269 |
| Provider Name | Janece F Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811235294 PECOS PAC ID: 2365697414 Enrollment ID: I20130221000476 |
| Provider Name | Jessica L Vann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396942207 PECOS PAC ID: 9436289733 Enrollment ID: I20130225000368 |
| Provider Name | Lisa A Leftwich Kirby |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174869184 PECOS PAC ID: 8325293251 Enrollment ID: I20130226000650 |
| Provider Name | Sahar Amery |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013172485 PECOS PAC ID: 1254491293 Enrollment ID: I20130404000173 |
| Provider Name | Lauren E Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538401542 PECOS PAC ID: 1254570765 Enrollment ID: I20130613000234 |
| Provider Name | Scott L Holwerda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285954024 PECOS PAC ID: 8224278361 Enrollment ID: I20130712000362 |
| Provider Name | Sabina Ahmed Mir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144492703 PECOS PAC ID: 4284877747 Enrollment ID: I20130830000631 |
| Provider Name | Mcneill P Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629242300 PECOS PAC ID: 7810130317 Enrollment ID: I20130903000297 |
| Provider Name | Jeffrey Howard Walden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548571987 PECOS PAC ID: 7214170570 Enrollment ID: I20130905000572 |
| Provider Name | Reza Nabizadeh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356507644 PECOS PAC ID: 6002059367 Enrollment ID: I20130905000611 |
| Provider Name | Crystal C Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558625467 PECOS PAC ID: 4284878182 Enrollment ID: I20130916000251 |
| Provider Name | Emily B Mullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689800880 PECOS PAC ID: 0648435677 Enrollment ID: I20130916000775 |
| Provider Name | Kimberly R Booker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013359934 PECOS PAC ID: 8426292707 Enrollment ID: I20130926000792 |
| Provider Name | Jared M Gardner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962722975 PECOS PAC ID: 6709010952 Enrollment ID: I20131002000216 |
| Provider Name | Steven J Newton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336469667 PECOS PAC ID: 0840424602 Enrollment ID: I20131009002044 |
| Provider Name | Thomas J Thekkekandam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962637926 PECOS PAC ID: 4880829951 Enrollment ID: I20131025000441 |
| Provider Name | Yuriy Zeylikman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003255357 PECOS PAC ID: 8921233875 Enrollment ID: I20131030001008 |
| Provider Name | Edgardo G Maldonado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346279981 PECOS PAC ID: 6507846532 Enrollment ID: I20131104000062 |
| Provider Name | Joyce S Shen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992017867 PECOS PAC ID: 0345476651 Enrollment ID: I20131114001906 |
| Provider Name | Mircea George Cristescu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992758700 PECOS PAC ID: 8527085422 Enrollment ID: I20131216000009 |
| Provider Name | Shannon Mcqueen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255336632 PECOS PAC ID: 0941437909 Enrollment ID: I20131218001645 |
| Provider Name | Anupama Matcha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033341565 PECOS PAC ID: 0840427514 Enrollment ID: I20131230001612 |
| Provider Name | Celyn P Holt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831124700 PECOS PAC ID: 6608003389 Enrollment ID: I20131230001935 |
| Provider Name | Waqas T Qureshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225267081 PECOS PAC ID: 1254584485 Enrollment ID: I20140109000982 |
| Provider Name | Trinity Vera |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821300047 PECOS PAC ID: 9739318791 Enrollment ID: I20140214001609 |
| Provider Name | Rafal Poplawski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477712958 PECOS PAC ID: 3678733706 Enrollment ID: I20140217000992 |
| Provider Name | Belinda Kyeiwah Kyere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235550054 PECOS PAC ID: 9638309909 Enrollment ID: I20140306000460 |
| Provider Name | Costin M Gherghe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659691749 PECOS PAC ID: 8123259678 Enrollment ID: I20140326000246 |
| Provider Name | Curtis J Woods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659350619 PECOS PAC ID: 1355564402 Enrollment ID: I20140519001793 |
| Provider Name | Sharon L Biby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093946519 PECOS PAC ID: 7113140278 Enrollment ID: I20140519002075 |
| Provider Name | Takia S Starkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164857124 PECOS PAC ID: 8224251137 Enrollment ID: I20140522000356 |
| Provider Name | Suzanne Nickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023337714 PECOS PAC ID: 6305960154 Enrollment ID: I20140620001925 |
| Provider Name | Evan S Corey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801116884 PECOS PAC ID: 4284859562 Enrollment ID: I20140630000308 |
| Provider Name | David Manuel Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801850151 PECOS PAC ID: 9335219237 Enrollment ID: I20140725002315 |
| Provider Name | Aaron J Lampkin |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1619298171 PECOS PAC ID: 1759521438 Enrollment ID: I20140902000338 |
| Provider Name | Pranav M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538457577 PECOS PAC ID: 4981823572 Enrollment ID: I20140912001578 |
| Provider Name | Naiping Michael Xu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497997803 PECOS PAC ID: 6305065533 Enrollment ID: I20140919001222 |
| Provider Name | Charlotte Lum Nche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447677448 PECOS PAC ID: 3971723537 Enrollment ID: I20141001002799 |
| Provider Name | Desiree Cihelka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720364813 PECOS PAC ID: 8628235959 Enrollment ID: I20141007001637 |
| Provider Name | Maryann A Mikhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225395593 PECOS PAC ID: 3870713274 Enrollment ID: I20141007001896 |
| Provider Name | Olugbemiga E Jegede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003006503 PECOS PAC ID: 1951572312 Enrollment ID: I20141014001668 |
| Provider Name | Srobona Tublu Chatterjee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396845426 PECOS PAC ID: 1759500895 Enrollment ID: I20141016002729 |
| Provider Name | Alethea Yvette Rucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053549493 PECOS PAC ID: 1557525102 Enrollment ID: I20141024001597 |
| Provider Name | Eshwar Lal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447581335 PECOS PAC ID: 3678720331 Enrollment ID: I20141106000411 |
| Provider Name | Barry D Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316112089 PECOS PAC ID: 1456573245 Enrollment ID: I20141111001531 |
| Provider Name | Peter Acheampong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336428580 PECOS PAC ID: 8729259007 Enrollment ID: I20141213000318 |
| Provider Name | Ulugbek N Buriev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578876363 PECOS PAC ID: 9931365970 Enrollment ID: I20141229000331 |
| Provider Name | Robert Malcolm Hendry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710204953 PECOS PAC ID: 9335462878 Enrollment ID: I20150108000830 |
| Provider Name | Alicia Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467856682 PECOS PAC ID: 5890019392 Enrollment ID: I20150109000764 |
| Provider Name | John Conrad Withrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235538836 PECOS PAC ID: 7911221353 Enrollment ID: I20150113002055 |
| Provider Name | Michael Blair Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962824797 PECOS PAC ID: 2860624459 Enrollment ID: I20150202002024 |
| Provider Name | Mohammadtokir Mujtaba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578727178 PECOS PAC ID: 8224226667 Enrollment ID: I20150216000796 |
| Provider Name | Benjamin Herrick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588838965 PECOS PAC ID: 3173848025 Enrollment ID: I20150217001175 |
| Provider Name | Francisco Augusto Sylvester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265422737 PECOS PAC ID: 3971771304 Enrollment ID: I20150410001608 |
| Provider Name | Eunice L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659523215 PECOS PAC ID: 6608930417 Enrollment ID: I20150422000497 |
| Provider Name | Egya Nyameke Chinbuah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689989204 PECOS PAC ID: 6002008620 Enrollment ID: I20150519001116 |
| Provider Name | Christy A Hawks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114310232 PECOS PAC ID: 3072834084 Enrollment ID: I20150603000055 |
| Provider Name | Eric A Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669859740 PECOS PAC ID: 2062725484 Enrollment ID: I20150714002398 |
| Provider Name | Meziane A Guerch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245442540 PECOS PAC ID: 3274846167 Enrollment ID: I20150721002658 |
| Provider Name | Jose Luis Vega |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558503458 PECOS PAC ID: 1850583790 Enrollment ID: I20150724010582 |
| Provider Name | Ashley Jf Brandon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790912574 PECOS PAC ID: 0143443598 Enrollment ID: I20150803001085 |
| Provider Name | David Merrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922369552 PECOS PAC ID: 3072828318 Enrollment ID: I20150817001058 |
| Provider Name | David F Willis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982961181 PECOS PAC ID: 6800102310 Enrollment ID: I20150828001743 |
| Provider Name | Bryan Richard Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164862801 PECOS PAC ID: 3678880010 Enrollment ID: I20150916002774 |
| Provider Name | William Sprunt Stoudemire |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245590173 PECOS PAC ID: 1254557788 Enrollment ID: I20150916003032 |
| Provider Name | Antonia P Ahern |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295053742 PECOS PAC ID: 8224346952 Enrollment ID: I20150930000905 |
| Provider Name | Cecily Robin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013206911 PECOS PAC ID: 8022296854 Enrollment ID: I20150930003339 |
| Provider Name | Elizabeth A Crawford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780942516 PECOS PAC ID: 1456572783 Enrollment ID: I20151001002990 |
| Provider Name | Jindong Xu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295048833 PECOS PAC ID: 5597906685 Enrollment ID: I20151007000845 |
| Provider Name | Rajashekar U Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871858514 PECOS PAC ID: 5294980637 Enrollment ID: I20151009002101 |
| Provider Name | Na Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588922041 PECOS PAC ID: 7113148420 Enrollment ID: I20151019002117 |
| Provider Name | Rondell A Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699034462 PECOS PAC ID: 8921244633 Enrollment ID: I20151022002773 |
| Provider Name | Xilin Niu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275891277 PECOS PAC ID: 4183845589 Enrollment ID: I20151030001226 |
| Provider Name | Tonya S Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366819807 PECOS PAC ID: 8628388196 Enrollment ID: I20151112002373 |
| Provider Name | Sarah E Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891100988 PECOS PAC ID: 8426275355 Enrollment ID: I20151118001620 |
| Provider Name | Robin Edwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871756890 PECOS PAC ID: 1153467352 Enrollment ID: I20151120001986 |
| Provider Name | Ravindra Nallamothu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265764781 PECOS PAC ID: 4789877796 Enrollment ID: I20151214001948 |
| Provider Name | Yan Feng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003067455 PECOS PAC ID: 8820237423 Enrollment ID: I20151229001014 |
| Provider Name | Michele R Landry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710362371 PECOS PAC ID: 8628370749 Enrollment ID: I20160106002816 |
| Provider Name | Yuan Fan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639312481 PECOS PAC ID: 7719131879 Enrollment ID: I20160208001485 |
| Provider Name | Nikki Harrison Carter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992852701 PECOS PAC ID: 9436201183 Enrollment ID: I20160301002610 |
| Provider Name | Mir M Ikramullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871817817 PECOS PAC ID: 8921244013 Enrollment ID: I20160302001791 |
| Provider Name | Andrew Patrick Ambrosy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790084051 PECOS PAC ID: 2264739077 Enrollment ID: I20160322001915 |
| Provider Name | Eddy Gutierrez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790042513 PECOS PAC ID: 5597074278 Enrollment ID: I20160502000512 |
| Provider Name | Cory L Nafziger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912364050 PECOS PAC ID: 8527357359 Enrollment ID: I20160518001794 |
| Provider Name | Patrick Mckenzie |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225359920 PECOS PAC ID: 9830402726 Enrollment ID: I20160608002385 |
| Provider Name | Tasha A Dove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649666066 PECOS PAC ID: 1254644495 Enrollment ID: I20160617001704 |
| Provider Name | Ashley B Jessup |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417119850 PECOS PAC ID: 3375835820 Enrollment ID: I20160701001868 |
| Provider Name | Phillip Michael Hobbs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851611834 PECOS PAC ID: 3375779101 Enrollment ID: I20160711000826 |
| Provider Name | James Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164713756 PECOS PAC ID: 0941421887 Enrollment ID: I20160719000995 |
| Provider Name | Ahmad Hamad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235414681 PECOS PAC ID: 4486971280 Enrollment ID: I20160805001989 |
| Provider Name | Qaiser Toqeer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093079048 PECOS PAC ID: 3173764446 Enrollment ID: I20160810001178 |
| Provider Name | Gene Wayne Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437411253 PECOS PAC ID: 3476848078 Enrollment ID: I20160822001431 |
| Provider Name | Joshua A Dettinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184062085 PECOS PAC ID: 8325263882 Enrollment ID: I20160906000320 |
| Provider Name | Charles T Woodham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699968933 PECOS PAC ID: 3476702697 Enrollment ID: I20160906001973 |
| Provider Name | Noah Bedford Wouk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679911879 PECOS PAC ID: 2668697145 Enrollment ID: I20160908000964 |
| Provider Name | Kimberly Niles Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023453214 PECOS PAC ID: 9830418573 Enrollment ID: I20160913001811 |
| Provider Name | Bryan Wayne Howington |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184062416 PECOS PAC ID: 8426370008 Enrollment ID: I20160914000592 |
| Provider Name | Natalie Marya Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225476120 PECOS PAC ID: 1557668688 Enrollment ID: I20160917000450 |
| Provider Name | Aleksandr Shikhman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578988390 PECOS PAC ID: 1052530144 Enrollment ID: I20160920001128 |
| Provider Name | Vickie L Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821541368 PECOS PAC ID: 7810284098 Enrollment ID: I20161004000066 |
| Provider Name | Brittany J Mcintyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104266071 PECOS PAC ID: 8022306059 Enrollment ID: I20161006002412 |
| Provider Name | Dawn W Whitmire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154772366 PECOS PAC ID: 8527356104 Enrollment ID: I20161014000133 |
| Provider Name | Christopher P Danford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306189287 PECOS PAC ID: 9739496423 Enrollment ID: I20161017000372 |
| Provider Name | Zulfiqar A Turk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20161027001891 |
| Provider Name | Stephanie M Wolfe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043505415 PECOS PAC ID: 9436437944 Enrollment ID: I20161102002697 |
| Provider Name | Jesse Sabiiti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932392693 PECOS PAC ID: 3678660008 Enrollment ID: I20161116001301 |
| Provider Name | Solianny Desouza Kennerly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780022335 PECOS PAC ID: 0345461687 Enrollment ID: I20161116002706 |
| Provider Name | Ramesh K C |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396024055 PECOS PAC ID: 5991924466 Enrollment ID: I20161208001448 |
| Provider Name | Erin R Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750830196 PECOS PAC ID: 0648551895 Enrollment ID: I20161229001317 |
| Provider Name | Ayeshia Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215485867 PECOS PAC ID: 7214218270 Enrollment ID: I20170105001197 |
| Provider Name | Timothy S Opyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447637814 PECOS PAC ID: 0143502872 Enrollment ID: I20170112002926 |
| Provider Name | Ram Narayan Kaveer Nandigam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881856078 PECOS PAC ID: 9335303569 Enrollment ID: I20170123001998 |
| Provider Name | Eiad Sabia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760796734 PECOS PAC ID: 7416190525 Enrollment ID: I20170202001843 |
| Provider Name | Blake K Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164764684 PECOS PAC ID: 2466685490 Enrollment ID: I20170327000795 |
| Provider Name | Mauricio D Arrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184884488 PECOS PAC ID: 7810062585 Enrollment ID: I20170403002120 |
| Provider Name | Lerissa Ann Antonio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730406778 PECOS PAC ID: 8820232218 Enrollment ID: I20170406001269 |
| Provider Name | Kuber P Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205115359 PECOS PAC ID: 2163640905 Enrollment ID: I20170418000818 |
| Provider Name | Julia B Mcilquham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699187682 PECOS PAC ID: 9335426055 Enrollment ID: I20170508000452 |
| Provider Name | Dawn T Langeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861651184 PECOS PAC ID: 7911058516 Enrollment ID: I20170510002657 |
| Provider Name | Andrew M Price |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881958221 PECOS PAC ID: 5597059295 Enrollment ID: I20170623001136 |
| Provider Name | Samuel Austin Patteson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699210583 PECOS PAC ID: 3476821984 Enrollment ID: I20170623001810 |
| Provider Name | Patrick D Kuhlman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386064640 PECOS PAC ID: 1052624343 Enrollment ID: I20170627001447 |
| Provider Name | Kingsley Prakash Anand Pudota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942594924 PECOS PAC ID: 6103078993 Enrollment ID: I20170728003160 |
| Provider Name | Matthew Whitaker Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831516806 PECOS PAC ID: 5294056172 Enrollment ID: I20170731000546 |
| Provider Name | Shayla D Nettey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871913004 PECOS PAC ID: 4385915966 Enrollment ID: I20170731002388 |
| Provider Name | Brenda Lee Morrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972031029 PECOS PAC ID: 5991076762 Enrollment ID: I20170814000501 |
| Provider Name | Gabriel Mansouraty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689960155 PECOS PAC ID: 2062673106 Enrollment ID: I20170816001436 |
| Provider Name | Aaron Isaac Loochtan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124360474 PECOS PAC ID: 8921370503 Enrollment ID: I20170816002708 |
| Provider Name | Brandon Christopher Cain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730407040 PECOS PAC ID: 8527204601 Enrollment ID: I20170821001227 |
| Provider Name | Bilal Lateef |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528404670 PECOS PAC ID: 1355566803 Enrollment ID: I20170821001349 |
| Provider Name | Ryan B Grunz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427332311 PECOS PAC ID: 8224300595 Enrollment ID: I20170822000010 |
| Provider Name | Jennifer C Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841604600 PECOS PAC ID: 9436374774 Enrollment ID: I20170822002949 |
| Provider Name | Alexis Hugelmeyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225288632 PECOS PAC ID: 9830258656 Enrollment ID: I20170823001328 |
| Provider Name | Dron P Bhandari |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841562774 PECOS PAC ID: 0143541649 Enrollment ID: I20170830000336 |
| Provider Name | Rohini Reddy Vanga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578798591 PECOS PAC ID: 5890928972 Enrollment ID: I20170905000343 |
| Provider Name | Jason Evan Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285809475 PECOS PAC ID: 6507003498 Enrollment ID: I20170905003131 |
| Provider Name | Quang Dang Vu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952745705 PECOS PAC ID: 2567735079 Enrollment ID: I20170905003322 |
| Provider Name | Elizabeth A Ouma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730618455 PECOS PAC ID: 7618240953 Enrollment ID: I20170907001895 |
| Provider Name | Yvonne S Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790764603 PECOS PAC ID: 6103987607 Enrollment ID: I20170911000169 |
| Provider Name | Yunxiang Zhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679985782 PECOS PAC ID: 5991920803 Enrollment ID: I20170911000206 |
| Provider Name | Dileep Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033477781 PECOS PAC ID: 9133417983 Enrollment ID: I20170912001485 |
| Provider Name | Chester K Yarbrough |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457589939 PECOS PAC ID: 4981833092 Enrollment ID: I20171003004474 |
| Provider Name | Zelda Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068320 PECOS PAC ID: 1951676345 Enrollment ID: I20171011001826 |
| Provider Name | Edwin Silva Zapata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760896518 PECOS PAC ID: 0648545996 Enrollment ID: I20171012000985 |
| Provider Name | Nicholas P Wendling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669886420 PECOS PAC ID: 9133344435 Enrollment ID: I20171024003708 |
| Provider Name | Kimberly S Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760919187 PECOS PAC ID: 1951677590 Enrollment ID: I20171025002950 |
| Provider Name | Ejiroghene E Emokpae |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497175939 PECOS PAC ID: 5991926305 Enrollment ID: I20171031001064 |
| Provider Name | Richard Quan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861477168 PECOS PAC ID: 5395717409 Enrollment ID: I20171101002307 |
| Provider Name | Megan Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265952485 PECOS PAC ID: 4486910767 Enrollment ID: I20171102003244 |
| Provider Name | Alexandria Marie Ukleja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215342779 PECOS PAC ID: 7214156868 Enrollment ID: I20171102003459 |
| Provider Name | Jose L Piscoya |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578723102 PECOS PAC ID: 0345506317 Enrollment ID: I20171107001988 |
| Provider Name | Kasie J Mahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982139911 PECOS PAC ID: 7315203262 Enrollment ID: I20171108002385 |
| Provider Name | Kiran Anna |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255596268 PECOS PAC ID: 8022273382 Enrollment ID: I20171114001988 |
| Provider Name | Ralph A Nettey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063823466 PECOS PAC ID: 4688930225 Enrollment ID: I20171114002753 |
| Provider Name | Michael C Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003162215 PECOS PAC ID: 8527210020 Enrollment ID: I20171127000002 |
| Provider Name | Katalina Marie Eubanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700396009 PECOS PAC ID: 9830456995 Enrollment ID: I20171127002924 |
| Provider Name | Omair L Sheikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861806366 PECOS PAC ID: 1951607571 Enrollment ID: I20171128001345 |
| Provider Name | Zarna Jitendra Dahya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548559032 PECOS PAC ID: 0345495842 Enrollment ID: I20171201001561 |
| Provider Name | Amrit Adhikari B.k. |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942612387 PECOS PAC ID: 1951669456 Enrollment ID: I20171211000183 |
| Provider Name | Binaya Raman Dahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093067761 PECOS PAC ID: 8921310343 Enrollment ID: I20171211000606 |
| Provider Name | Ankit Chirag Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710327549 PECOS PAC ID: 7911292263 Enrollment ID: I20171211002491 |
| Provider Name | Stefanie A Colavito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548282916 PECOS PAC ID: 1355393034 Enrollment ID: I20171215000736 |
| Provider Name | Suzanne Ben-kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801117213 PECOS PAC ID: 9739338815 Enrollment ID: I20171215000873 |
| Provider Name | Nneka I Nweke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811275233 PECOS PAC ID: 8325267529 Enrollment ID: I20171219001957 |
| Provider Name | Barbara E Newberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124014071 PECOS PAC ID: 2062548142 Enrollment ID: I20180111001653 |
| Provider Name | Mayah Michelle Dozier-lineberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962912774 PECOS PAC ID: 9931468998 Enrollment ID: I20180119001010 |
| Provider Name | Isami Sakai |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184940918 PECOS PAC ID: 0749580173 Enrollment ID: I20180124002260 |
| Provider Name | Miguel Jose Sagardia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053390641 PECOS PAC ID: 4688696677 Enrollment ID: I20180212000157 |
| Provider Name | Spenser Robert Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003268848 PECOS PAC ID: 8527329937 Enrollment ID: I20180228000364 |
| Provider Name | Virginia Wolfe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275625253 PECOS PAC ID: 2062773278 Enrollment ID: I20180305001426 |
| Provider Name | Raghavendri Chigullapally |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447575071 PECOS PAC ID: 7315115938 Enrollment ID: I20180319000019 |
| Provider Name | Navneet Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710390596 PECOS PAC ID: 2062774391 Enrollment ID: I20180326000416 |
| Provider Name | Caren Denise Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114954872 PECOS PAC ID: 8527146984 Enrollment ID: I20180328003103 |
| Provider Name | Kshitiz Alekh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669605341 PECOS PAC ID: 0840413290 Enrollment ID: I20180402001212 |
| Provider Name | Emily Elizabeth Boyce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386144749 PECOS PAC ID: 8325301054 Enrollment ID: I20180411001630 |
| Provider Name | Stephanie Feltis Matthews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750893244 PECOS PAC ID: 6002170818 Enrollment ID: I20180502002587 |
| Provider Name | Stephanie Nicole Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023518909 PECOS PAC ID: 3870857683 Enrollment ID: I20180502002793 |
| Provider Name | Michelle Smith Flinchum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568859288 PECOS PAC ID: 7517222169 Enrollment ID: I20180531001284 |
| Provider Name | Pardeep Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164781936 PECOS PAC ID: 3072827393 Enrollment ID: I20180613001438 |
| Provider Name | Brian Russell Nelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366941692 PECOS PAC ID: 5597010330 Enrollment ID: I20180619000514 |
| Provider Name | Aravind Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255742466 PECOS PAC ID: 3375809080 Enrollment ID: I20180619003073 |
| Provider Name | Ashish Arora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760826820 PECOS PAC ID: 1557617818 Enrollment ID: I20180629000697 |
| Provider Name | Babu Subramaniam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306808258 PECOS PAC ID: 8628165677 Enrollment ID: I20180709002359 |
| Provider Name | Mahmoud Al Masry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851694889 PECOS PAC ID: 8628295730 Enrollment ID: I20180716002621 |
| Provider Name | Xenia T Blount |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003221672 PECOS PAC ID: 4688992332 Enrollment ID: I20180717002899 |
| Provider Name | Elizabeth G Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124084306 PECOS PAC ID: 6800849258 Enrollment ID: I20180717003154 |
| Provider Name | Christopher A Winter |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982043824 PECOS PAC ID: 0840434569 Enrollment ID: I20180718003898 |
| Provider Name | Adam Ross Schertz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952798985 PECOS PAC ID: 0244549236 Enrollment ID: I20180723002493 |
| Provider Name | Eugene D Bell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1588992168 PECOS PAC ID: 8224270269 Enrollment ID: I20180807002371 |
| Provider Name | Virginia Ann Moye |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1871908228 PECOS PAC ID: 8224257837 Enrollment ID: I20180823002783 |
| Provider Name | Pearl O Nyanor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558605766 PECOS PAC ID: 3870747389 Enrollment ID: I20180824000571 |
| Provider Name | Alvin Caldwell Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962889592 PECOS PAC ID: 3971816687 Enrollment ID: I20180828000041 |
| Provider Name | Natalie Metts Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003393174 PECOS PAC ID: 2466703913 Enrollment ID: I20180921000882 |
| Provider Name | William Clay Lancaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922480037 PECOS PAC ID: 7618266834 Enrollment ID: I20180924000004 |
| Provider Name | Shae Lee Nicole Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831684661 PECOS PAC ID: 8820349947 Enrollment ID: I20180927003371 |
| Provider Name | Carole Ngankeu Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518300474 PECOS PAC ID: 8325399371 Enrollment ID: I20181001003363 |
| Provider Name | Lindsay Cheryl Bridges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184980054 PECOS PAC ID: 0345549218 Enrollment ID: I20181002002834 |
| Provider Name | David Nabil Girguis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275929101 PECOS PAC ID: 1153635222 Enrollment ID: I20181008002518 |
| Provider Name | Edgardo J Cintron Diaz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740569839 PECOS PAC ID: 1254683857 Enrollment ID: I20181010000020 |
| Provider Name | Nkeiruka Jennifer Ezenduka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811379175 PECOS PAC ID: 9436402575 Enrollment ID: I20181019000624 |
| Provider Name | Charles Andrew Bodenheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043792880 PECOS PAC ID: 6406109255 Enrollment ID: I20181025001132 |
| Provider Name | Hunter Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386087005 PECOS PAC ID: 3375897218 Enrollment ID: I20181113002208 |
| Provider Name | Liling Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306233457 PECOS PAC ID: 5890049589 Enrollment ID: I20181115002050 |
| Provider Name | Eric Jovan Austria |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447538988 PECOS PAC ID: 3274826177 Enrollment ID: I20181128000148 |
| Provider Name | Aseem Kaul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639557200 PECOS PAC ID: 5496063349 Enrollment ID: I20181203001165 |
| Provider Name | Pratik Dilip Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144589466 PECOS PAC ID: 3870711617 Enrollment ID: I20181211003393 |
| Provider Name | Michelle Elizabeth Stoisits |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285018366 PECOS PAC ID: 6305181207 Enrollment ID: I20181220003484 |
| Provider Name | Lisa Leigh Corum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174524821 PECOS PAC ID: 8628968583 Enrollment ID: I20190116002080 |
| Provider Name | Courtney Heard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285102053 PECOS PAC ID: 1658618905 Enrollment ID: I20190124003657 |
| Provider Name | Denise Ann Wolfe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225507619 PECOS PAC ID: 0042557803 Enrollment ID: I20190201000249 |
| Provider Name | Athena Nicole Pickenpack-cousar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417427188 PECOS PAC ID: 9638417124 Enrollment ID: I20190207001428 |
| Provider Name | Oladapo Adefeso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346622453 PECOS PAC ID: 7113223140 Enrollment ID: I20190211002076 |
| Provider Name | Esther Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194918375 PECOS PAC ID: 8628318391 Enrollment ID: I20190314002429 |
| Provider Name | Julie Ann Riddles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548682040 PECOS PAC ID: 2264772862 Enrollment ID: I20190318002812 |
| Provider Name | Jessica N Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306300553 PECOS PAC ID: 4880935253 Enrollment ID: I20190411002436 |
| Provider Name | Allison Kay Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144518184 PECOS PAC ID: 1658504154 Enrollment ID: I20190418000035 |
| Provider Name | Whitney Fay Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447717640 PECOS PAC ID: 9234471228 Enrollment ID: I20190423000619 |
| Provider Name | Gaytri Patel Barker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053817197 PECOS PAC ID: 5799028817 Enrollment ID: I20190513001977 |
| Provider Name | Aviva Wallace Kaplin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346676988 PECOS PAC ID: 0840549549 Enrollment ID: I20190530001365 |
| Provider Name | Maryellen Dolat Pace |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134411390 PECOS PAC ID: 3678713948 Enrollment ID: I20190605001604 |
| Provider Name | Jessica Ridley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710458328 PECOS PAC ID: 6709119613 Enrollment ID: I20190607002613 |
| Provider Name | Margaret Rhea Macomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699235390 PECOS PAC ID: 8325372204 Enrollment ID: I20190626002616 |
| Provider Name | Catherine Lauren Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497118335 PECOS PAC ID: 6305172628 Enrollment ID: I20190724003152 |
| Provider Name | Campbell P Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205392750 PECOS PAC ID: 3476889437 Enrollment ID: I20190729002071 |
| Provider Name | Carina Murphy Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336534577 PECOS PAC ID: 6305153909 Enrollment ID: I20190730002743 |
| Provider Name | Lauren S Feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255674834 PECOS PAC ID: 8729316294 Enrollment ID: I20190821002552 |
| Provider Name | Taye Tolcha Gonfa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528412483 PECOS PAC ID: 6709114952 Enrollment ID: I20190826002066 |
| Provider Name | Felix Okechukwu Ajuonuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629429469 PECOS PAC ID: 2668700527 Enrollment ID: I20190830000005 |
| Provider Name | Colleen Stack |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245659226 PECOS PAC ID: 8426387390 Enrollment ID: I20190903001764 |
| Provider Name | Christopher Jerome Clark |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1134480668 PECOS PAC ID: 2860713765 Enrollment ID: I20190903001952 |
| Provider Name | Brian C Sninsky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336568807 PECOS PAC ID: 1456575653 Enrollment ID: I20190903002421 |
| Provider Name | Vasundhra Rathore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669836565 PECOS PAC ID: 7113211384 Enrollment ID: I20190906001251 |
| Provider Name | Jolene Tadzia Cannady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104366038 PECOS PAC ID: 9335493196 Enrollment ID: I20190909000842 |
| Provider Name | Sarah Elizabeth Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043871866 PECOS PAC ID: 9436488830 Enrollment ID: I20190910003727 |
| Provider Name | Tina Lai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942689500 PECOS PAC ID: 0547579625 Enrollment ID: I20190923001359 |
| Provider Name | Vishal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083078067 PECOS PAC ID: 4183918196 Enrollment ID: I20191016000989 |
| Provider Name | Jules Varnel Osias |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417185455 PECOS PAC ID: 8325353303 Enrollment ID: I20191017000761 |
| Provider Name | Jessica Rein Cody |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710372305 PECOS PAC ID: 3476822636 Enrollment ID: I20191017002553 |
| Provider Name | Hannah Marie Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780246165 PECOS PAC ID: 6800222019 Enrollment ID: I20200206002992 |
| Provider Name | Colleen Maria Kennedy Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750375911 PECOS PAC ID: 4789604562 Enrollment ID: I20200211000288 |
| Provider Name | Justin Brock Howerter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942645791 PECOS PAC ID: 4284876996 Enrollment ID: I20200212002845 |
| Provider Name | Lana Wahid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750701918 PECOS PAC ID: 7911064852 Enrollment ID: I20200217002629 |
| Provider Name | Karen Elizabeth Janke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699310409 PECOS PAC ID: 5294162301 Enrollment ID: I20200303000776 |
| Provider Name | Kathryn L Strup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881243558 PECOS PAC ID: 2567890346 Enrollment ID: I20200309002044 |
| Provider Name | Shannon Walters Kincaid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922512953 PECOS PAC ID: 6800224346 Enrollment ID: I20200317001767 |
| Provider Name | Jennifer Robertson Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720516917 PECOS PAC ID: 1052740024 Enrollment ID: I20200326003760 |
| Provider Name | Andrew Core |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063875771 PECOS PAC ID: 0446544423 Enrollment ID: I20200406001243 |
| Provider Name | Shardul Gadhia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801229604 PECOS PAC ID: 8527284603 Enrollment ID: I20200409000027 |
| Provider Name | Tyrone Alexander Kyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174882500 PECOS PAC ID: 1456595719 Enrollment ID: I20200421002425 |
| Provider Name | Ravi N Pahwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134429756 PECOS PAC ID: 6002058195 Enrollment ID: I20200422000150 |
| Provider Name | Michelle Ferolito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477894467 PECOS PAC ID: 5193951481 Enrollment ID: I20200429000195 |
| Provider Name | Thomas N Bell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801248810 PECOS PAC ID: 2365778024 Enrollment ID: I20200501002847 |
| Provider Name | Asia Bristine Zierle-ghosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205288578 PECOS PAC ID: 7810284668 Enrollment ID: I20200701003075 |
| Provider Name | Harrell Oba Lightfoot |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619137312 PECOS PAC ID: 8224322128 Enrollment ID: I20200707000745 |
| Provider Name | Pat Ohenhen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679112437 PECOS PAC ID: 8123442084 Enrollment ID: I20200724000416 |
| Provider Name | Austin C Skakle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770938235 PECOS PAC ID: 6103119953 Enrollment ID: I20200729002931 |
| Provider Name | Collier Stephens Pace |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1417240953 PECOS PAC ID: 5193965408 Enrollment ID: I20200804002270 |
| Provider Name | Jacob K Buccini |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821627795 PECOS PAC ID: 6002231040 Enrollment ID: I20200807000072 |
| Provider Name | Kelly Griffith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699208496 PECOS PAC ID: 0749554533 Enrollment ID: I20200810002575 |
| Provider Name | Matthew Maurice Eckstat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437549763 PECOS PAC ID: 2163717711 Enrollment ID: I20200811002508 |
| Provider Name | Pauline E Dibia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891222824 PECOS PAC ID: 0446677306 Enrollment ID: I20200825000084 |
| Provider Name | Ching Ting Tu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588193239 PECOS PAC ID: 9537430095 Enrollment ID: I20200825003595 |
| Provider Name | Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659891109 PECOS PAC ID: 3476824160 Enrollment ID: I20200826000545 |
| Provider Name | Priyanka O Yadav |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194100529 PECOS PAC ID: 0143514778 Enrollment ID: I20200829000084 |
| Provider Name | Rinka Ravi Pahwani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790201770 PECOS PAC ID: 8820415201 Enrollment ID: I20200831001755 |
| Provider Name | Joseph M Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427672682 PECOS PAC ID: 4981022126 Enrollment ID: I20200921000251 |
| Provider Name | Christie J Leath-warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558891523 PECOS PAC ID: 8224456496 Enrollment ID: I20200921001198 |
| Provider Name | Karen Kazemi |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1588298988 PECOS PAC ID: 3971923657 Enrollment ID: I20201019001902 |
| Provider Name | Jamiese Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023421500 PECOS PAC ID: 0941591168 Enrollment ID: I20201207000763 |
| Provider Name | Sudheer Sreenath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578977906 PECOS PAC ID: 6406147313 Enrollment ID: I20201207002146 |
| Provider Name | Robin Marie Waldron |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053536573 PECOS PAC ID: 5092127381 Enrollment ID: I20201210000543 |
| Provider Name | Kristoffer Lee Leamon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427335322 PECOS PAC ID: 8820400146 Enrollment ID: I20201210000977 |
| Provider Name | John Robert Absher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417949751 PECOS PAC ID: 3779513809 Enrollment ID: I20210111000792 |
| Provider Name | Sumayya Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639604903 PECOS PAC ID: 4587922679 Enrollment ID: I20210114001966 |
| Provider Name | Ping Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417322256 PECOS PAC ID: 0042505091 Enrollment ID: I20210115000519 |
| Provider Name | Jessica Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386179547 PECOS PAC ID: 3476815804 Enrollment ID: I20210125000949 |
| Provider Name | Christina Morgan Weaver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689883787 PECOS PAC ID: 4385059641 Enrollment ID: I20210218001303 |
| Provider Name | Hannah M Masoud |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073047528 PECOS PAC ID: 7315215852 Enrollment ID: I20210305000300 |
| Provider Name | Dekui Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043330012 PECOS PAC ID: 8729150404 Enrollment ID: I20210308001476 |
| Provider Name | Prashanth Reddy Rawla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942596077 PECOS PAC ID: 8729203914 Enrollment ID: I20210312000497 |
| Provider Name | Audrey Elizabeth Snyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407978638 PECOS PAC ID: 1951544881 Enrollment ID: I20210315001294 |
| Provider Name | Amber Marie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609461995 PECOS PAC ID: 3870900798 Enrollment ID: I20210322000221 |
| Provider Name | David Guthrie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164015194 PECOS PAC ID: 6507273828 Enrollment ID: I20210401000900 |
| Provider Name | Rose Guo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396199543 PECOS PAC ID: 3274832985 Enrollment ID: I20210603001265 |
| Provider Name | Robert Lovell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720098080 PECOS PAC ID: 8426015827 Enrollment ID: I20210610002711 |
| Provider Name | Imane Abdelmoumen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518348051 PECOS PAC ID: 2567888795 Enrollment ID: I20210616000551 |
| Provider Name | Matthew Ryan Gay |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730541780 PECOS PAC ID: 8628361425 Enrollment ID: I20210621002114 |
| Provider Name | Charles Kirkpatrick Carver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912391533 PECOS PAC ID: 7719297654 Enrollment ID: I20210625000173 |
| Provider Name | Gellen April Marie Lustria Nonato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992388144 PECOS PAC ID: 7012318645 Enrollment ID: I20210702000185 |
| Provider Name | Krista Allison Kalmerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063006476 PECOS PAC ID: 2769884113 Enrollment ID: I20210708001085 |
| Provider Name | Daniel Castaneda Mayorga |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649653932 PECOS PAC ID: 8628470622 Enrollment ID: I20210714000315 |
| Provider Name | Kelsea Jo Just |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538742523 PECOS PAC ID: 5092119990 Enrollment ID: I20210813000727 |
| Provider Name | Rutwik Kiritbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952899049 PECOS PAC ID: 5799189619 Enrollment ID: I20210813001397 |
| Provider Name | Salman Ali Khaliqdina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285166884 PECOS PAC ID: 8224300462 Enrollment ID: I20210818001323 |
| Provider Name | Srishti Lipsa Bhagat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891229449 PECOS PAC ID: 1456638550 Enrollment ID: I20210818002822 |
| Provider Name | Christopher William Rice |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1235584335 PECOS PAC ID: 0941594253 Enrollment ID: I20210819000482 |
| Provider Name | Mark Andrew Cairns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760802979 PECOS PAC ID: 9133343114 Enrollment ID: I20210820001123 |
| Provider Name | Erica June Brenner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083001465 PECOS PAC ID: 9931420866 Enrollment ID: I20210831002215 |
| Provider Name | Haley Ann Athey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164977856 PECOS PAC ID: 7012204829 Enrollment ID: I20210902000430 |
| Provider Name | Alison Mitchell Rumball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386133502 PECOS PAC ID: 4385040468 Enrollment ID: I20210915002332 |
| Provider Name | Ramandeep Ghumman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407427685 PECOS PAC ID: 8921405879 Enrollment ID: I20210921000768 |
| Provider Name | Colette Meehan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932424967 PECOS PAC ID: 7214166792 Enrollment ID: I20211013000102 |
| Provider Name | Thomas Nelson Hawken |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1417377102 PECOS PAC ID: 8628378189 Enrollment ID: I20211014002825 |
| Provider Name | Alan Zhou |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588332126 PECOS PAC ID: 3476951823 Enrollment ID: I20211014003178 |
| Provider Name | Amy N Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235626789 PECOS PAC ID: 4789072000 Enrollment ID: I20211019001738 |
| Provider Name | Shaunda L Menke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194995340 PECOS PAC ID: 0244639631 Enrollment ID: I20211104001421 |
| Provider Name | Maria Carr |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821752692 PECOS PAC ID: 8921497538 Enrollment ID: I20211118003214 |
| Provider Name | Alexander Melvin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356839393 PECOS PAC ID: 5395097174 Enrollment ID: I20211119000276 |
| Provider Name | Richard Macneil |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1376064568 PECOS PAC ID: 9739588427 Enrollment ID: I20211123001987 |
| Provider Name | Jonathan Jonah Mayl |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477059616 PECOS PAC ID: 4082004478 Enrollment ID: I20211129000349 |
| Provider Name | Stevi Williams Toberman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154083228 PECOS PAC ID: 2961892856 Enrollment ID: I20211208002500 |
| Provider Name | Taylor Smith Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467020552 PECOS PAC ID: 3971991324 Enrollment ID: I20211215000247 |
| Provider Name | Emily K Manton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427548890 PECOS PAC ID: 1355733809 Enrollment ID: I20220113002046 |
| Provider Name | Melissa Danielle Leonard |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396233169 PECOS PAC ID: 1153675251 Enrollment ID: I20220202003056 |
| Provider Name | Pamela Jean Reitnauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013911494 PECOS PAC ID: 4183017643 Enrollment ID: I20220204000209 |
| Provider Name | Shayan S Anwar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861997462 PECOS PAC ID: 3072861400 Enrollment ID: I20220204001446 |
| Provider Name | Dacia Jordan Mcleod |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255601480 PECOS PAC ID: 2860885159 Enrollment ID: I20220209001663 |
| Provider Name | Chelsea Law Carlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801563572 PECOS PAC ID: 9931593894 Enrollment ID: I20220218001997 |
| Provider Name | Crystal Nnenne Azu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114457769 PECOS PAC ID: 3476822321 Enrollment ID: I20220317002274 |
| Provider Name | Simone R Yuds |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689288540 PECOS PAC ID: 6305234097 Enrollment ID: I20220329002893 |
| Provider Name | Mary F Lucas-ziemba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225784630 PECOS PAC ID: 8325434483 Enrollment ID: I20220330000566 |
| Provider Name | Nikia Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710907100 PECOS PAC ID: 9335152792 Enrollment ID: I20220519002179 |
| Provider Name | James Kevin Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245857143 PECOS PAC ID: 2860879384 Enrollment ID: I20220521000011 |
| Provider Name | Grace Daniel Garrett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1568108413 PECOS PAC ID: 1052799517 Enrollment ID: I20220613000979 |
| Provider Name | Megan Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831833052 PECOS PAC ID: 2668851106 Enrollment ID: I20220614000958 |
| Provider Name | Rajiv C Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215497102 PECOS PAC ID: 3870827488 Enrollment ID: I20220802000273 |
| Provider Name | Robert David Dorrell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245897198 PECOS PAC ID: 4486986163 Enrollment ID: I20220803000884 |
| Provider Name | Dana W Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043772460 PECOS PAC ID: 1052648649 Enrollment ID: I20220804001657 |
| Provider Name | Kiersten Paige Mullis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639632391 PECOS PAC ID: 2860874740 Enrollment ID: I20220809003168 |
| Provider Name | Joshua Eli Robins |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1275064644 PECOS PAC ID: 1658622477 Enrollment ID: I20220815003371 |
| Provider Name | Daniel Luppens |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1124146501 PECOS PAC ID: 5698812337 Enrollment ID: I20220823000394 |
| Provider Name | Chelsey Lee Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760945893 PECOS PAC ID: 3870978588 Enrollment ID: I20220916000802 |
| Provider Name | Rebecca Klenk Doran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861027278 PECOS PAC ID: 6800217555 Enrollment ID: I20220921000990 |
| Provider Name | Amy Barnhill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922737469 PECOS PAC ID: 6305222597 Enrollment ID: I20220926000498 |
| Provider Name | Amadou Camara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083102453 PECOS PAC ID: 3072850031 Enrollment ID: I20220929003780 |
| Provider Name | Folashade Ruth Paseda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144968959 PECOS PAC ID: 4183000961 Enrollment ID: I20220930002564 |
| Provider Name | Steven Louis Bokshan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821476607 PECOS PAC ID: 8527499680 Enrollment ID: I20221005000068 |
| Provider Name | Alexandra Maria Cupito |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992112569 PECOS PAC ID: 1850700485 Enrollment ID: I20221007002160 |
| Provider Name | Graham Luke Machen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1447695317 PECOS PAC ID: 4880981372 Enrollment ID: I20221010000856 |
| Provider Name | Ashley Eva Eisner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306341086 PECOS PAC ID: 5294142436 Enrollment ID: I20221117000212 |
| Provider Name | Catherine Pappayliou |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518491810 PECOS PAC ID: 6204106933 Enrollment ID: I20221117000314 |
| Provider Name | Cortney Elizabeth De La Torre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508592601 PECOS PAC ID: 8729456710 Enrollment ID: I20221123000168 |
| Provider Name | Thomas William Ferkol |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578580031 PECOS PAC ID: 0345308151 Enrollment ID: I20221129002419 |
| Provider Name | Jason Mark Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467018903 PECOS PAC ID: 7810329596 Enrollment ID: I20221213003335 |
| Provider Name | Devon Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760072268 PECOS PAC ID: 5496124455 Enrollment ID: I20221214000116 |
| Provider Name | Kristin Marie Gellert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437868932 PECOS PAC ID: 0446629380 Enrollment ID: I20221215000524 |
| Provider Name | Courtney Lynn Mahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548995186 PECOS PAC ID: 5193194058 Enrollment ID: I20221215001450 |
| Provider Name | Katy Foust |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740941459 PECOS PAC ID: 0749659647 Enrollment ID: I20221216000083 |
| Provider Name | Bonnie Lynn Elsdon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972841849 PECOS PAC ID: 8628293487 Enrollment ID: I20221216001694 |
| Provider Name | Kristen Unger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407571466 PECOS PAC ID: 4981074614 Enrollment ID: I20221221001570 |
| Provider Name | Alexandra Robins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770120263 PECOS PAC ID: 9931579489 Enrollment ID: I20221228001500 |
| Provider Name | Nathanael David Moore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871965467 PECOS PAC ID: 3173993938 Enrollment ID: I20230112001184 |
| Provider Name | Kelly Ballie |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447968433 PECOS PAC ID: 6507237575 Enrollment ID: I20230131000227 |
| Provider Name | Diane Winn Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114949369 PECOS PAC ID: 1951331586 Enrollment ID: I20230131001248 |
| Provider Name | Gloria Kou Zarwolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598402752 PECOS PAC ID: 5294108163 Enrollment ID: I20230224001457 |
| Provider Name | Zackery Sira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306290572 PECOS PAC ID: 9739428491 Enrollment ID: I20230309000974 |
| Provider Name | Daniel K Olson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467914515 PECOS PAC ID: 7012383334 Enrollment ID: I20230320001650 |
| Provider Name | Emily Parcell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689336091 PECOS PAC ID: 7810362225 Enrollment ID: I20230417000583 |
| Provider Name | Desiree Angelica Ward |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1578180543 PECOS PAC ID: 8921464769 Enrollment ID: I20230519002104 |
| Provider Name | Vondra Brimage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568082873 PECOS PAC ID: 3375900798 Enrollment ID: I20230530003281 |
| Provider Name | Tanya Marie Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831728138 PECOS PAC ID: 4284092594 Enrollment ID: I20230619001838 |
| Provider Name | Priscilla Faye Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093127318 PECOS PAC ID: 2163649617 Enrollment ID: I20230620003094 |
| Provider Name | Phillip Dixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689296444 PECOS PAC ID: 7618394016 Enrollment ID: I20230629002563 |
| Provider Name | Hersh Goel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164760484 PECOS PAC ID: 2769607779 Enrollment ID: I20230714003602 |
| Provider Name | Iliana Del Orbe Polanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821716747 PECOS PAC ID: 6901267764 Enrollment ID: I20230727000349 |
| Provider Name | Paul William Weldner |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437160462 PECOS PAC ID: 1456389709 Enrollment ID: I20230731003871 |
| Provider Name | Lauren Mims |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1114376738 PECOS PAC ID: 6608160395 Enrollment ID: I20230817002931 |
| Provider Name | Michael Albrecht Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154856920 PECOS PAC ID: 9739459678 Enrollment ID: I20230821003275 |
| Provider Name | James Jeffrey Steen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487275145 PECOS PAC ID: 6406270917 Enrollment ID: I20230829002242 |
| Provider Name | Daniel Enter |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1366705329 PECOS PAC ID: 0042516221 Enrollment ID: I20230905001349 |
| Provider Name | Jackson B Taylor |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1487821559 PECOS PAC ID: 3870731326 Enrollment ID: I20231009003215 |
| Provider Name | Erin Casey Lehner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184496002 PECOS PAC ID: 9537516257 Enrollment ID: I20231116002684 |
| Provider Name | Jessica Leigh Penn Venzon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558138206 PECOS PAC ID: 2860842747 Enrollment ID: I20231219003061 |
| Provider Name | Jessica Le-ann Scales |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306268669 PECOS PAC ID: 2860842101 Enrollment ID: I20231228001334 |
| Provider Name | Patrick Hampton Dickinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770289134 PECOS PAC ID: 3375993678 Enrollment ID: I20231228003578 |
| Provider Name | Abigail Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083294391 PECOS PAC ID: 1254782907 Enrollment ID: I20240108003619 |
| Provider Name | Iulia Basaraba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104447705 PECOS PAC ID: 8628492154 Enrollment ID: I20240124002631 |
| Provider Name | Jane Allen Tilley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811248099 PECOS PAC ID: 4284078718 Enrollment ID: I20240222003545 |
| Provider Name | Prince Tano Djan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225569015 PECOS PAC ID: 0446536593 Enrollment ID: I20240304002169 |
Step By Step Care, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Centerview Dr Ste 105, Greensboro, NC 27407 Phone: 336-378-0109 Fax: 336-378-0180 | |
Cone Adolescent Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131c N Church St, Room 4, Greensboro, NC 27401 Phone: 336-832-7867 Fax: 336-832-7869 | |
James F Scherer Ccsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5318 W Friendly Ave, Greensboro, NC 27410 Phone: 336-292-6947 Fax: 336-292-7409 | |
Therapeutic Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1527 Earl Dr, Greensboro, NC 27406 Phone: 336-299-0754 Fax: 336-299-0755 | |
Greensboro Day School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5401 Lawndale Dr, Greensboro, NC 27455 Phone: 336-288-8590 | |
The Embracement Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Elm St, Ste 35, Greensboro, NC 27401 Phone: 336-328-7821 | |
Envisions Of Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Centerview Drive, Suite 110, Greensboro, NC 27407 Phone: 336-887-0708 Fax: 336-887-1085 |