| Nemours Children's Health Delaware | |
|
1600 Rockland Rd Wilmington DE 19803-3607 | |
| (302) 651-4000 | |
| (302) 651-4945 |
| Full Name | Nemours Children's Health Delaware |
|---|---|
| Speciality | Clinic/Center |
| Location | 1600 Rockland Rd, Wilmington, Delaware |
| Authorized Official Name and Position | Rodney A Mckendree (VP, FINANCE) |
| Authorized Official Contact | 9046975628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nemours Children's Health Delaware Po Box 404112 C/o Managed Care Atlanta GA 30384-4112 Ph: (904) 390-3610 | Nemours Children's Health Delaware 1600 Rockland Rd Wilmington DE 19803-3607 Ph: (302) 651-4000 |
| NPI Number | 1366594699 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Medicare PECOS PAC ID | 9537072483 |
|---|---|
| Medicare Enrollment ID | O20040422000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366594699 | NPI | - | NPPES |
| 0000213002 | Medicaid | DE | |
| 0000544302 | Medicaid | DE |
| Provider Name | Michelle M Rhoads |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992897748 PECOS PAC ID: 7618865288 Enrollment ID: I20040305000583 |
| Provider Name | Rochelle E Haas |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1679665475 PECOS PAC ID: 2264425370 Enrollment ID: I20040405001769 |
| Provider Name | Jing Jin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629160502 PECOS PAC ID: 2062402860 Enrollment ID: I20040513001533 |
| Provider Name | Janette A Marston-nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164559233 PECOS PAC ID: 7810970837 Enrollment ID: I20040610001238 |
| Provider Name | Jonathan S Myers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023013190 PECOS PAC ID: 7214916923 Enrollment ID: I20040716000176 |
| Provider Name | Christopher D Derby |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1962593236 PECOS PAC ID: 1153300579 Enrollment ID: I20040805000872 |
| Provider Name | Robert Anthony Heinle |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437369840 PECOS PAC ID: 4981673472 Enrollment ID: I20040930001057 |
| Provider Name | Gerard A Kuhn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851482236 PECOS PAC ID: 7315906476 Enrollment ID: I20041005001178 |
| Provider Name | Frederick Panico |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326037854 PECOS PAC ID: 5294727459 Enrollment ID: I20041014000140 |
| Provider Name | Susmita B Nesargi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023100815 PECOS PAC ID: 6901869726 Enrollment ID: I20041111000521 |
| Provider Name | Kirk Reichard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063504801 PECOS PAC ID: 6800862848 Enrollment ID: I20041202000787 |
| Provider Name | Jonathan L Powell |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336239078 PECOS PAC ID: 4880651272 Enrollment ID: I20041217000047 |
| Provider Name | Bradley W Robinson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376503714 PECOS PAC ID: 1153386909 Enrollment ID: I20050104000948 |
| Provider Name | Judith A Jones |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548352370 PECOS PAC ID: 9537117577 Enrollment ID: I20050106000749 |
| Provider Name | Jeffrey Campbell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457442725 PECOS PAC ID: 9436061611 Enrollment ID: I20050217000296 |
| Provider Name | Marcy K Deemedio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548351828 PECOS PAC ID: 9739132499 Enrollment ID: I20050223000271 |
| Provider Name | Wolfgang Ak Radtke |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841382686 PECOS PAC ID: 0648226340 Enrollment ID: I20050325000138 |
| Provider Name | Christopher Raab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790877520 PECOS PAC ID: 9739136078 Enrollment ID: I20050407001032 |
| Provider Name | Amanda Mandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255423125 PECOS PAC ID: 7618914508 Enrollment ID: I20050412001127 |
| Provider Name | Jonathan H Salvin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104918937 PECOS PAC ID: 3779522933 Enrollment ID: I20050624000073 |
| Provider Name | Stephen Joseph Falchek |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932290228 PECOS PAC ID: 0244229078 Enrollment ID: I20050831000033 |
| Provider Name | Stephen E Shaffer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023100872 PECOS PAC ID: 9032100615 Enrollment ID: I20050831000040 |
| Provider Name | Zarela L Molle Rios |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720178460 PECOS PAC ID: 4385676303 Enrollment ID: I20050909000750 |
| Provider Name | Xiang Sharon Luo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861414575 PECOS PAC ID: 0143253385 Enrollment ID: I20050916000929 |
| Provider Name | Peter G Gabos |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1033209770 PECOS PAC ID: 5890711873 Enrollment ID: I20051019000372 |
| Provider Name | John M Loiselle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619069598 PECOS PAC ID: 6901822725 Enrollment ID: I20051020001081 |
| Provider Name | Lance E Underwood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407823933 PECOS PAC ID: 9032135652 Enrollment ID: I20051021000648 |
| Provider Name | Mihir Thacker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801988654 PECOS PAC ID: 7315963949 Enrollment ID: I20051021000723 |
| Provider Name | Robert P Brislin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952492241 PECOS PAC ID: 9537134085 Enrollment ID: I20051212000583 |
| Provider Name | Deborah M Consolini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144311416 PECOS PAC ID: 2860414125 Enrollment ID: I20051229000748 |
| Provider Name | Sharon W Gould |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487614525 PECOS PAC ID: 6103849542 Enrollment ID: I20060111000738 |
| Provider Name | Susanne I Kost |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033201827 PECOS PAC ID: 9133143464 Enrollment ID: I20060125000428 |
| Provider Name | Carlos D Rose |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1164514980 PECOS PAC ID: 4284658535 Enrollment ID: I20060125000579 |
| Provider Name | Stephen G Murphy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205928090 PECOS PAC ID: 9537158480 Enrollment ID: I20060425000054 |
| Provider Name | Joel Temple |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932291762 PECOS PAC ID: 6002887593 Enrollment ID: I20070126000158 |
| Provider Name | Maura Mcmanus |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1578655353 PECOS PAC ID: 2466454905 Enrollment ID: I20070212000638 |
| Provider Name | Oliver J Yost |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629160478 PECOS PAC ID: 8628170743 Enrollment ID: I20070220000768 |
| Provider Name | Suken A Shah |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932291788 PECOS PAC ID: 1355443037 Enrollment ID: I20070227000329 |
| Provider Name | Alexandra A Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003976101 PECOS PAC ID: 0547362261 Enrollment ID: I20070227000731 |
| Provider Name | Caroline D Boyd |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376608232 PECOS PAC ID: 5698877454 Enrollment ID: I20070301000435 |
| Provider Name | Stephen Dunn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356317366 PECOS PAC ID: 5294791638 Enrollment ID: I20070531000198 |
| Provider Name | Colleen P Ditro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871684142 PECOS PAC ID: 8628177367 Enrollment ID: I20070621000352 |
| Provider Name | Aravinda Ayyagari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346227675 PECOS PAC ID: 9537269485 Enrollment ID: I20070709000128 |
| Provider Name | Anand Gundakaram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346323045 PECOS PAC ID: 8729171814 Enrollment ID: I20070905000744 |
| Provider Name | Patrick C Barth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588795835 PECOS PAC ID: 7416049994 Enrollment ID: I20071109000267 |
| Provider Name | Carolyn Glazer-hockstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881694156 PECOS PAC ID: 0749219202 Enrollment ID: I20080703000451 |
| Provider Name | Lauren W Averill |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386798403 PECOS PAC ID: 6406922764 Enrollment ID: I20080910000399 |
| Provider Name | Jondi Kakuberi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871641126 PECOS PAC ID: 1355350323 Enrollment ID: I20090106000284 |
| Provider Name | Krishna Wood White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801969894 PECOS PAC ID: 0042224461 Enrollment ID: I20090309000357 |
| Provider Name | Teodoro Ernesto Figueroa |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841381134 PECOS PAC ID: 4082766134 Enrollment ID: I20090721000174 |
| Provider Name | Steven M Selbst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114019965 PECOS PAC ID: 4284788514 Enrollment ID: I20090820000353 |
| Provider Name | Magdy W Attia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639260912 PECOS PAC ID: 4688728926 Enrollment ID: I20090820000413 |
| Provider Name | Amy D. Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669451720 PECOS PAC ID: 6406922855 Enrollment ID: I20090909000140 |
| Provider Name | Pamela Smith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073673521 PECOS PAC ID: 6305824111 Enrollment ID: I20090924000191 |
| Provider Name | Annemarie C Brescia |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588755847 PECOS PAC ID: 7113064270 Enrollment ID: I20091021000619 |
| Provider Name | Sidney Charles Bean |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124070404 PECOS PAC ID: 8527018290 Enrollment ID: I20091028000663 |
| Provider Name | Ellen A Spurrier |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023100856 PECOS PAC ID: 9537156039 Enrollment ID: I20091111000253 |
| Provider Name | Kerry A Bron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114076502 PECOS PAC ID: 2961540984 Enrollment ID: I20091112000193 |
| Provider Name | Ahmad Hesham Hussein Bani Hani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992778336 PECOS PAC ID: 1557409810 Enrollment ID: I20091120000363 |
| Provider Name | Meg Frizzola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275666026 PECOS PAC ID: 0941340566 Enrollment ID: I20091211000670 |
| Provider Name | Badal G Jain |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710119979 PECOS PAC ID: 6204978414 Enrollment ID: I20100127000295 |
| Provider Name | Joseph Piatt |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245228220 PECOS PAC ID: 8325088917 Enrollment ID: I20100510000248 |
| Provider Name | Arezoo Zomorrodi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043230634 PECOS PAC ID: 2163441577 Enrollment ID: I20100510000493 |
| Provider Name | Glenn Jeffrey Pelletier |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440273 PECOS PAC ID: 5799758470 Enrollment ID: I20100607000173 |
| Provider Name | Vinay Vardhan Reddy Kandula |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023202611 PECOS PAC ID: 8729110234 Enrollment ID: I20100720000225 |
| Provider Name | Jennifer M Ty |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174605414 PECOS PAC ID: 2365575339 Enrollment ID: I20100728000989 |
| Provider Name | Katherine W Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972503076 PECOS PAC ID: 9032146949 Enrollment ID: I20100803000141 |
| Provider Name | Andrew M Barrett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1306899059 PECOS PAC ID: 6800854159 Enrollment ID: I20100811000403 |
| Provider Name | Maria Eugenia Petrini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467544205 PECOS PAC ID: 8224152566 Enrollment ID: I20100824000536 |
| Provider Name | Michael Joseph Luceri |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1538362371 PECOS PAC ID: 5991820250 Enrollment ID: I20100910000453 |
| Provider Name | Jason M Silversteen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174783237 PECOS PAC ID: 9335264506 Enrollment ID: I20100910000606 |
| Provider Name | Margarita S Lorch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629100136 PECOS PAC ID: 4284726530 Enrollment ID: I20101112000967 |
| Provider Name | Paula C Ko |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942216320 PECOS PAC ID: 6305922352 Enrollment ID: I20101207000445 |
| Provider Name | Andrew W Walter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629160445 PECOS PAC ID: 2769407147 Enrollment ID: I20101229000823 |
| Provider Name | Nicole A Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578695045 PECOS PAC ID: 4183812571 Enrollment ID: I20101229000882 |
| Provider Name | Robin E Miller |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588756373 PECOS PAC ID: 1658284518 Enrollment ID: I20110204000346 |
| Provider Name | Deepika Thacker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356578918 PECOS PAC ID: 1557413481 Enrollment ID: I20110211000819 |
| Provider Name | Phyllis E Chambers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598842676 PECOS PAC ID: 3779764527 Enrollment ID: I20110226000067 |
| Provider Name | Abhaya R Seshachar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568430882 PECOS PAC ID: 7618990250 Enrollment ID: I20110314000616 |
| Provider Name | Freeman Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992897789 PECOS PAC ID: 0143406355 Enrollment ID: I20110523000556 |
| Provider Name | Adebowale A Adeyemi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952420580 PECOS PAC ID: 2163609058 Enrollment ID: I20110601000529 |
| Provider Name | Nicholas B Slamon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114046166 PECOS PAC ID: 3072606557 Enrollment ID: I20110627000732 |
| Provider Name | Sarah Ambro Perry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023142247 PECOS PAC ID: 7214105808 Enrollment ID: I20110726000771 |
| Provider Name | Matthew D Diguglielmo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033254396 PECOS PAC ID: 1759550700 Enrollment ID: I20110808000539 |
| Provider Name | Ambika R Shenoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497921027 PECOS PAC ID: 4981874468 Enrollment ID: I20110823000139 |
| Provider Name | Malgorzata S Lutwin Kawalec |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093946071 PECOS PAC ID: 9436298965 Enrollment ID: I20111024000748 |
| Provider Name | Dinesh K Choudhry |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235220500 PECOS PAC ID: 1456418540 Enrollment ID: I20111102000778 |
| Provider Name | Abdul M Bhat |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982795233 PECOS PAC ID: 1153224134 Enrollment ID: I20111107000658 |
| Provider Name | Deborah A Rabinowitz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962793349 PECOS PAC ID: 5890969653 Enrollment ID: I20111114000682 |
| Provider Name | Rhoda L Powell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1669460531 PECOS PAC ID: 3678540937 Enrollment ID: I20111115000321 |
| Provider Name | Mary P Harty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750473534 PECOS PAC ID: 4385600964 Enrollment ID: I20111121000613 |
| Provider Name | Louise Reid Nichols |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548432966 PECOS PAC ID: 6002955085 Enrollment ID: I20111122000455 |
| Provider Name | Marisa Lyn Meyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1437316692 PECOS PAC ID: 1759555055 Enrollment ID: I20111123000302 |
| Provider Name | Jose Fernando Delrosario |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619068988 PECOS PAC ID: 9436134764 Enrollment ID: I20111130000139 |
| Provider Name | Jessica L Tomaszewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366615924 PECOS PAC ID: 0749452050 Enrollment ID: I20111201000355 |
| Provider Name | Grace Wenjun Guo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730271610 PECOS PAC ID: 8628243235 Enrollment ID: I20111209000510 |
| Provider Name | Jillian Gail Savage |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801063474 PECOS PAC ID: 8224202031 Enrollment ID: I20111212000454 |
| Provider Name | Sarah L Foster |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972636017 PECOS PAC ID: 2163698986 Enrollment ID: I20111229000058 |
| Provider Name | Jaime N Debrabander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609157809 PECOS PAC ID: 2961678669 Enrollment ID: I20111230000207 |
| Provider Name | Paul Rosen |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1760457675 PECOS PAC ID: 7911194469 Enrollment ID: I20120130000232 |
| Provider Name | Jay Jay Greenspan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639234594 PECOS PAC ID: 5799772281 Enrollment ID: I20120319000480 |
| Provider Name | Divya Dixit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306937677 PECOS PAC ID: 8527228840 Enrollment ID: I20120323000501 |
| Provider Name | Colette C Mull |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588616544 PECOS PAC ID: 8123076866 Enrollment ID: I20120402000556 |
| Provider Name | Jennette Alayne Firlein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700101938 PECOS PAC ID: 3173784873 Enrollment ID: I20120405000109 |
| Provider Name | Joseph A Napoli |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1255423133 PECOS PAC ID: 0244492742 Enrollment ID: I20120430000255 |
| Provider Name | Deepthi Alapati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184866659 PECOS PAC ID: 3274796289 Enrollment ID: I20120531000024 |
| Provider Name | Erika Michelle Kutsch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033348297 PECOS PAC ID: 5496910457 Enrollment ID: I20120626000406 |
| Provider Name | Amavi E Pitts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922238476 PECOS PAC ID: 4981740966 Enrollment ID: I20120628000035 |
| Provider Name | Jane Ann Ierardi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720078504 PECOS PAC ID: 1052307568 Enrollment ID: I20120628000414 |
| Provider Name | Monica Sestopal Epelman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043283385 PECOS PAC ID: 4082673397 Enrollment ID: I20120712000190 |
| Provider Name | Catherine M Soprano |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659544229 PECOS PAC ID: 2860658556 Enrollment ID: I20120725000080 |
| Provider Name | David Dinan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699980045 PECOS PAC ID: 8527113802 Enrollment ID: I20120813000518 |
| Provider Name | Elizabeth Ponder Mcgraw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801901889 PECOS PAC ID: 2668461914 Enrollment ID: I20120822000151 |
| Provider Name | Zahir U Sarwar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669588588 PECOS PAC ID: 4385636125 Enrollment ID: I20120828000696 |
| Provider Name | Lynn M Fuchs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306004072 PECOS PAC ID: 7618125832 Enrollment ID: I20120913000297 |
| Provider Name | Gauravi K Sabharwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568530202 PECOS PAC ID: 4587684402 Enrollment ID: I20120926000184 |
| Provider Name | Thao-ly Tam Phan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437390358 PECOS PAC ID: 2466601760 Enrollment ID: I20121002000216 |
| Provider Name | Marianne C San Antonio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902081664 PECOS PAC ID: 2860641768 Enrollment ID: I20121010000121 |
| Provider Name | Andrea K Gallo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114284544 PECOS PAC ID: 8628228392 Enrollment ID: I20121016000359 |
| Provider Name | Shobhana Sathish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154551539 PECOS PAC ID: 1052562949 Enrollment ID: I20121128000020 |
| Provider Name | Jean Pagani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013008226 PECOS PAC ID: 1355471939 Enrollment ID: I20121205000075 |
| Provider Name | Heather C Nardone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1922164870 PECOS PAC ID: 3375602592 Enrollment ID: I20121205000337 |
| Provider Name | Nancy Forsyth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255592028 PECOS PAC ID: 7113179193 Enrollment ID: I20121227000024 |
| Provider Name | Kevin M Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568557643 PECOS PAC ID: 4880696301 Enrollment ID: I20121228000071 |
| Provider Name | Shirley D Viteri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477743110 PECOS PAC ID: 6901059757 Enrollment ID: I20130104000151 |
| Provider Name | Mark J Halsted |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659384899 PECOS PAC ID: 2769557974 Enrollment ID: I20130114000424 |
| Provider Name | Susan M Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922232701 PECOS PAC ID: 9931353430 Enrollment ID: I20130212000219 |
| Provider Name | Steven Dale Warwick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811033483 PECOS PAC ID: 8820243728 Enrollment ID: I20130226000346 |
| Provider Name | Angela Dorman Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1184706533 PECOS PAC ID: 5294910287 Enrollment ID: I20130226000546 |
| Provider Name | Mark T Ogino |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477654598 PECOS PAC ID: 1658328059 Enrollment ID: I20130228000161 |
| Provider Name | Jineen R Orr |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124364054 PECOS PAC ID: 1254576416 Enrollment ID: I20130319000129 |
| Provider Name | Kevin Geffe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730383779 PECOS PAC ID: 8123264876 Enrollment ID: I20130424001030 |
| Provider Name | Sara Ruth Slovin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528157229 PECOS PAC ID: 8224276688 Enrollment ID: I20130524000634 |
| Provider Name | Wagdy B Sedrak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134211972 PECOS PAC ID: 1759529027 Enrollment ID: I20130528000225 |
| Provider Name | Julieanne P Sees |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770782658 PECOS PAC ID: 5496989162 Enrollment ID: I20131011001063 |
| Provider Name | Tetsu Uejima |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841363405 PECOS PAC ID: 5294807095 Enrollment ID: I20131226000084 |
| Provider Name | Michael Janeczko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417168105 PECOS PAC ID: 2062504665 Enrollment ID: I20140207000030 |
| Provider Name | Karen Ann Ravin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538266564 PECOS PAC ID: 4981705191 Enrollment ID: I20140310001812 |
| Provider Name | Jeremiah J Sabado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003024159 PECOS PAC ID: 7911139993 Enrollment ID: I20140404001216 |
| Provider Name | Emily K Fingado |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740453190 PECOS PAC ID: 7517135098 Enrollment ID: I20140417001006 |
| Provider Name | Sonia S Cheng |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528088432 PECOS PAC ID: 5092703264 Enrollment ID: I20140516001602 |
| Provider Name | Patricia H. Donovan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356570394 PECOS PAC ID: 2668695768 Enrollment ID: I20140519000359 |
| Provider Name | Kesavan Sadacharam |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023321791 PECOS PAC ID: 7416170840 Enrollment ID: I20140603001381 |
| Provider Name | Vandna Passi |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1376840298 PECOS PAC ID: 9830314632 Enrollment ID: I20140711001066 |
| Provider Name | Andrew Ellefson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972796225 PECOS PAC ID: 2264612175 Enrollment ID: I20140715000633 |
| Provider Name | Renee C Gresh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164748554 PECOS PAC ID: 1951533843 Enrollment ID: I20140728000497 |
| Provider Name | Christopher James Plymire |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326365982 PECOS PAC ID: 6204053887 Enrollment ID: I20140805001141 |
| Provider Name | Nguyen P. Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699953224 PECOS PAC ID: 5698832525 Enrollment ID: I20140820001814 |
| Provider Name | Vanessa L Shanks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629239330 PECOS PAC ID: 3577786763 Enrollment ID: I20140822001565 |
| Provider Name | Matthew P Kusulas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144508300 PECOS PAC ID: 8325294440 Enrollment ID: I20140828001112 |
| Provider Name | Laura L Owens |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538335583 PECOS PAC ID: 6800014937 Enrollment ID: I20140902001136 |
| Provider Name | Daniel R Dirnberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467435438 PECOS PAC ID: 8729266101 Enrollment ID: I20140908002235 |
| Provider Name | Monique A Mayo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033440102 PECOS PAC ID: 5991952616 Enrollment ID: I20140911000174 |
| Provider Name | Fabiola Cristina Weber-guzman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346361680 PECOS PAC ID: 8628294808 Enrollment ID: I20140923002354 |
| Provider Name | Dorothy Hendricks |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104081645 PECOS PAC ID: 6709005739 Enrollment ID: I20141001001151 |
| Provider Name | Doyle J Lim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700905288 PECOS PAC ID: 2365538360 Enrollment ID: I20141006000242 |
| Provider Name | Daniel J Podberesky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740268077 PECOS PAC ID: 7315023546 Enrollment ID: I20141024000297 |
| Provider Name | Kathryn Maureen Maclaughlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114244209 PECOS PAC ID: 4183845795 Enrollment ID: I20141024000407 |
| Provider Name | Robyn R Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285832469 PECOS PAC ID: 8820219116 Enrollment ID: I20141030001682 |
| Provider Name | Jodi E Gustave |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174554190 PECOS PAC ID: 6305836057 Enrollment ID: I20141030001870 |
| Provider Name | Haytham Hamwi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548580137 PECOS PAC ID: 5092937706 Enrollment ID: I20141113001333 |
| Provider Name | Corinna Schultz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487856498 PECOS PAC ID: 2365662780 Enrollment ID: I20141114000339 |
| Provider Name | Kimberly Mcmahon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699917468 PECOS PAC ID: 3476775057 Enrollment ID: I20141114001664 |
| Provider Name | Beth Ann Logan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164831632 PECOS PAC ID: 9436371937 Enrollment ID: I20141118002202 |
| Provider Name | William Mackenzie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760574552 PECOS PAC ID: 2961491444 Enrollment ID: I20141125000777 |
| Provider Name | Diane R Hemingway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891774345 PECOS PAC ID: 1951344779 Enrollment ID: I20141210000278 |
| Provider Name | William R Bireley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699929521 PECOS PAC ID: 3971746108 Enrollment ID: I20141222001938 |
| Provider Name | Carly D Levy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013110980 PECOS PAC ID: 2466775077 Enrollment ID: I20150106000586 |
| Provider Name | Melissa M Skibo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942473640 PECOS PAC ID: 5698907244 Enrollment ID: I20150126000061 |
| Provider Name | Cathy Mcadams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508956244 PECOS PAC ID: 3476877390 Enrollment ID: I20150126001244 |
| Provider Name | Amanda J Shillingford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326167347 PECOS PAC ID: 6204921190 Enrollment ID: I20150209001472 |
| Provider Name | Steven Bernard Ritz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205928058 PECOS PAC ID: 6608861273 Enrollment ID: I20150224001932 |
| Provider Name | Natasha Seerattan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780081505 PECOS PAC ID: 4587980081 Enrollment ID: I20150227000789 |
| Provider Name | Anthony W Gannon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1376754002 PECOS PAC ID: 0446315246 Enrollment ID: I20150305000774 |
| Provider Name | Marilyn Kay Lynam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942264205 PECOS PAC ID: 7719203561 Enrollment ID: I20150313000977 |
| Provider Name | Judith N Feick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891750246 PECOS PAC ID: 8224355524 Enrollment ID: I20150325002437 |
| Provider Name | Karen M Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679546444 PECOS PAC ID: 5496072639 Enrollment ID: I20150326001599 |
| Provider Name | Julie Wei |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1477519692 PECOS PAC ID: 8729157524 Enrollment ID: I20150414001652 |
| Provider Name | Alana Salvucci |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295936862 PECOS PAC ID: 8123244142 Enrollment ID: I20150416000730 |
| Provider Name | Karen L Zaritsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700848017 PECOS PAC ID: 3274575477 Enrollment ID: I20150505001881 |
| Provider Name | Dustin D Flannery |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073802591 PECOS PAC ID: 8729210075 Enrollment ID: I20150512002321 |
| Provider Name | Augustine O Chikezie |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669562393 PECOS PAC ID: 4880797174 Enrollment ID: I20150603000645 |
| Provider Name | Steven K Reader |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184880437 PECOS PAC ID: 2163743410 Enrollment ID: I20150611001995 |
| Provider Name | Andrew A Henderson |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1134210511 PECOS PAC ID: 4880905991 Enrollment ID: I20150616001965 |
| Provider Name | Odiraa C Nwankwor |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326201690 PECOS PAC ID: 4981845781 Enrollment ID: I20150625000567 |
| Provider Name | Aaron S Chidekel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790876043 PECOS PAC ID: 7416905641 Enrollment ID: I20150629000883 |
| Provider Name | Corinne Wong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790948222 PECOS PAC ID: 4587899596 Enrollment ID: I20150630000588 |
| Provider Name | Evan Graber |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124350582 PECOS PAC ID: 4587886569 Enrollment ID: I20150727000225 |
| Provider Name | David T Saul |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417184342 PECOS PAC ID: 2365756814 Enrollment ID: I20150729008894 |
| Provider Name | Giovanna Uzelac |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1902190390 PECOS PAC ID: 3476772849 Enrollment ID: I20150731015055 |
| Provider Name | Natalie Van Venrooij |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1962621383 PECOS PAC ID: 2860628617 Enrollment ID: I20150827001297 |
| Provider Name | Ashley E Anttila |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083904817 PECOS PAC ID: 8325267461 Enrollment ID: I20150903001899 |
| Provider Name | Matthew Michael Demczko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588921316 PECOS PAC ID: 4082846738 Enrollment ID: I20150904000618 |
| Provider Name | Ashish O Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417246216 PECOS PAC ID: 2264740414 Enrollment ID: I20151007002818 |
| Provider Name | Chitra Vaidyanathan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780759050 PECOS PAC ID: 7810206562 Enrollment ID: I20151020000310 |
| Provider Name | Kaynan Doctor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033376660 PECOS PAC ID: 1658549431 Enrollment ID: I20151103001513 |
| Provider Name | Jessica Fuhr Rohde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437417193 PECOS PAC ID: 6507176203 Enrollment ID: I20151110000325 |
| Provider Name | Tushar Chandra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306126222 PECOS PAC ID: 8426205279 Enrollment ID: I20151112002115 |
| Provider Name | Beth I Schwartz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700051554 PECOS PAC ID: 4789814203 Enrollment ID: I20151124000110 |
| Provider Name | Joanna Fertala Costa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003058561 PECOS PAC ID: 3173746302 Enrollment ID: I20151124000391 |
| Provider Name | Maia Noeder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831574946 PECOS PAC ID: 6608176615 Enrollment ID: I20151124000731 |
| Provider Name | Lori Handy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124258447 PECOS PAC ID: 4183924525 Enrollment ID: I20151208000117 |
| Provider Name | Stephen Michael Sandelich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114212099 PECOS PAC ID: 4385954866 Enrollment ID: I20151211002342 |
| Provider Name | Vilma Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982795225 PECOS PAC ID: 1951604073 Enrollment ID: I20160125000865 |
| Provider Name | Brian W Sykes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568728863 PECOS PAC ID: 8527281062 Enrollment ID: I20160211002552 |
| Provider Name | Wendla P Kutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043302888 PECOS PAC ID: 4385882760 Enrollment ID: I20160405000184 |
| Provider Name | Joanne Murren-boezem |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093765000 PECOS PAC ID: 5991004939 Enrollment ID: I20160426001895 |
| Provider Name | Jennifer Turano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770963449 PECOS PAC ID: 7911297049 Enrollment ID: I20160602000781 |
| Provider Name | Michael Devin Fox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366737207 PECOS PAC ID: 3779803937 Enrollment ID: I20160701001832 |
| Provider Name | Gurjeet Kaur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457608754 PECOS PAC ID: 1052603727 Enrollment ID: I20160718000481 |
| Provider Name | Takeshi Tsuda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750473500 PECOS PAC ID: 9638130099 Enrollment ID: I20160922002475 |
| Provider Name | Sharon S Lehman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942392733 PECOS PAC ID: 2769438258 Enrollment ID: I20160924000292 |
| Provider Name | Rachel Thompson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760793822 PECOS PAC ID: 4183911738 Enrollment ID: I20160924000375 |
| Provider Name | Amy E Renwick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801988621 PECOS PAC ID: 2264729839 Enrollment ID: I20160926000585 |
| Provider Name | Annie K Lim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1154552081 PECOS PAC ID: 9537300793 Enrollment ID: I20160929001573 |
| Provider Name | Beth A Shortridge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194907550 PECOS PAC ID: 8123316270 Enrollment ID: I20161005002457 |
| Provider Name | Ashishkumar Kanaiyalal Parikh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144545609 PECOS PAC ID: 8921234295 Enrollment ID: I20161010000876 |
| Provider Name | Manuel J Datiles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043577000 PECOS PAC ID: 8729228184 Enrollment ID: I20161010001311 |
| Provider Name | Erin Alexis Teeple |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720110166 PECOS PAC ID: 4789964131 Enrollment ID: I20161201000766 |
| Provider Name | Eric T Stickles |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376784066 PECOS PAC ID: 6002059540 Enrollment ID: I20161215000426 |
| Provider Name | William Anthony Emanuele |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144658337 PECOS PAC ID: 7719268200 Enrollment ID: I20161220002388 |
| Provider Name | Julia Elizabeth Reid |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164781316 PECOS PAC ID: 1355581844 Enrollment ID: I20170105000610 |
| Provider Name | Hannah Stinson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578841243 PECOS PAC ID: 0840446548 Enrollment ID: I20170123001197 |
| Provider Name | Eileen Shieh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225328990 PECOS PAC ID: 5092938670 Enrollment ID: I20170123002044 |
| Provider Name | Mena T Scavina |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285726026 PECOS PAC ID: 4789966599 Enrollment ID: I20170131000087 |
| Provider Name | Harry Lehman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215934245 PECOS PAC ID: 5698059806 Enrollment ID: I20170308000857 |
| Provider Name | Madhu Borra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780871624 PECOS PAC ID: 0840377982 Enrollment ID: I20170419002011 |
| Provider Name | Mary Theroux |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750441853 PECOS PAC ID: 2264599380 Enrollment ID: I20170510001609 |
| Provider Name | David Pressel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942392774 PECOS PAC ID: 4688941974 Enrollment ID: I20170516001862 |
| Provider Name | Tal Grunwald |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285954560 PECOS PAC ID: 0840567830 Enrollment ID: I20170523000915 |
| Provider Name | Tejal Mody |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417110461 PECOS PAC ID: 2264675529 Enrollment ID: I20170526000513 |
| Provider Name | Alana Blaine Jones |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1356635924 PECOS PAC ID: 2668781972 Enrollment ID: I20170602001186 |
| Provider Name | Puneeta Ramachandra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871784462 PECOS PAC ID: 7719114974 Enrollment ID: I20170613002343 |
| Provider Name | Omar Maatouk |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720428915 PECOS PAC ID: 8325316458 Enrollment ID: I20170614001369 |
| Provider Name | Lisa Marie Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316380462 PECOS PAC ID: 9830330513 Enrollment ID: I20170615001518 |
| Provider Name | Vikas Uppal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1558695296 PECOS PAC ID: 1951679778 Enrollment ID: I20170620003293 |
| Provider Name | Lynda D Arai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720179005 PECOS PAC ID: 2668554486 Enrollment ID: I20170627001991 |
| Provider Name | Jenna Wright Briddell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1346549847 PECOS PAC ID: 6305140484 Enrollment ID: I20170630001164 |
| Provider Name | Loren Berman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144495003 PECOS PAC ID: 5991022774 Enrollment ID: I20170712000026 |
| Provider Name | Louis Guernsey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134211014 PECOS PAC ID: 1951522614 Enrollment ID: I20170717000949 |
| Provider Name | Arthur Benjamin Meyers |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1356511596 PECOS PAC ID: 5991970709 Enrollment ID: I20170719000217 |
| Provider Name | Dustin Root |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1588048045 PECOS PAC ID: 3173894268 Enrollment ID: I20170808002662 |
| Provider Name | Patricia Solo Josephson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831145689 PECOS PAC ID: 9436467370 Enrollment ID: I20170828001739 |
| Provider Name | Rituparna Deb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073928065 PECOS PAC ID: 3274806575 Enrollment ID: I20170908000800 |
| Provider Name | Patrick R Hanley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053631291 PECOS PAC ID: 6709026891 Enrollment ID: I20170918002678 |
| Provider Name | Daniel A Doyle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780775056 PECOS PAC ID: 1557581600 Enrollment ID: I20170921000444 |
| Provider Name | Mindy Jill Dickerman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1912991795 PECOS PAC ID: 7214967447 Enrollment ID: I20171115002084 |
| Provider Name | Yosef Levenbrown |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225296627 PECOS PAC ID: 8820221294 Enrollment ID: I20171120002333 |
| Provider Name | Chijioke Ikomi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972940989 PECOS PAC ID: 8628335742 Enrollment ID: I20171128002383 |
| Provider Name | Allison S Aguado |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1750595138 PECOS PAC ID: 6002063682 Enrollment ID: I20180102000808 |
| Provider Name | Arieda Gjikopulli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912292624 PECOS PAC ID: 9032348339 Enrollment ID: I20180103001519 |
| Provider Name | Jigar C Chauhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518255280 PECOS PAC ID: 5799045324 Enrollment ID: I20180130002721 |
| Provider Name | Kathleen Schenker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205169620 PECOS PAC ID: 3971726944 Enrollment ID: I20180131002785 |
| Provider Name | Lisa M Grimaldi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447319306 PECOS PAC ID: 6406889310 Enrollment ID: I20180219002838 |
| Provider Name | Laura Lee Hayes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457552127 PECOS PAC ID: 8426136169 Enrollment ID: I20180220001953 |
| Provider Name | Janet E Larson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205876356 PECOS PAC ID: 0648239095 Enrollment ID: I20180223000299 |
| Provider Name | Kimberly Lynn Fugok |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366732471 PECOS PAC ID: 7810110376 Enrollment ID: I20180301000552 |
| Provider Name | Jeanne M Franzone |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306163126 PECOS PAC ID: 0547532889 Enrollment ID: I20180305002133 |
| Provider Name | Michael Wade Shrader |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922040161 PECOS PAC ID: 6901708098 Enrollment ID: I20180305002187 |
| Provider Name | Shara Rose Bialo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700028396 PECOS PAC ID: 4486872611 Enrollment ID: I20180307000409 |
| Provider Name | David N Kenagy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316092554 PECOS PAC ID: 4880643683 Enrollment ID: I20180312000111 |
| Provider Name | Barry Dashefsky |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003980467 PECOS PAC ID: 6406041029 Enrollment ID: I20180312000191 |
| Provider Name | Anastasia S. Mikhno |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841603057 PECOS PAC ID: 9032470901 Enrollment ID: I20180312000256 |
| Provider Name | Jorge Jara Kudin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376962936 PECOS PAC ID: 7113140989 Enrollment ID: I20180321001354 |
| Provider Name | Scott Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063654531 PECOS PAC ID: 9537445283 Enrollment ID: I20180403002730 |
| Provider Name | John W Ostrowski |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790770956 PECOS PAC ID: 6204058761 Enrollment ID: I20180420000282 |
| Provider Name | Aaron Jefthy Tan Yee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114206737 PECOS PAC ID: 6507081031 Enrollment ID: I20180517001534 |
| Provider Name | Manish Purohit |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073711958 PECOS PAC ID: 3274619192 Enrollment ID: I20180530002323 |
| Provider Name | Salwa Sulieman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003089392 PECOS PAC ID: 8921228479 Enrollment ID: I20180531000133 |
| Provider Name | Brian Patrick Mahoney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427009547 PECOS PAC ID: 0345504817 Enrollment ID: I20180531000697 |
| Provider Name | Kelvin C Fong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912249079 PECOS PAC ID: 7911262373 Enrollment ID: I20180606000277 |
| Provider Name | John Edward Schneider |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396060695 PECOS PAC ID: 4082831508 Enrollment ID: I20180606002810 |
| Provider Name | Elizabeth Odonnell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639460751 PECOS PAC ID: 6406089283 Enrollment ID: I20180607000869 |
| Provider Name | Attila George Devenyi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366530974 PECOS PAC ID: 8426185802 Enrollment ID: I20180611001088 |
| Provider Name | Steven Bruce Fishberger |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1225002587 PECOS PAC ID: 5890734040 Enrollment ID: I20180613002372 |
| Provider Name | Hilda Kokwihukya Kabali |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295093193 PECOS PAC ID: 1153635818 Enrollment ID: I20180614002814 |
| Provider Name | Emily N Hegamyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164841250 PECOS PAC ID: 3678829025 Enrollment ID: I20180627002917 |
| Provider Name | Kara Odom Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164550687 PECOS PAC ID: 0345322707 Enrollment ID: I20180628000045 |
| Provider Name | Craig Andrew Shapiro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558528448 PECOS PAC ID: 8123347465 Enrollment ID: I20180711000124 |
| Provider Name | Candace Danielle Scace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972824969 PECOS PAC ID: 4880941350 Enrollment ID: I20180716002572 |
| Provider Name | Rahul Nikam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700339504 PECOS PAC ID: 5092002220 Enrollment ID: I20180718000478 |
| Provider Name | Stephanie Howe Guarino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114219458 PECOS PAC ID: 6103066550 Enrollment ID: I20180719001232 |
| Provider Name | Brian J Duffy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952569022 PECOS PAC ID: 3173574993 Enrollment ID: I20180723000440 |
| Provider Name | Emi H Caywood |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1306990585 PECOS PAC ID: 3274697909 Enrollment ID: I20180723000587 |
| Provider Name | Jeffrey S Demare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922065267 PECOS PAC ID: 4688604903 Enrollment ID: I20180730000434 |
| Provider Name | Ricki S Carroll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013270370 PECOS PAC ID: 4183930225 Enrollment ID: I20180730003449 |
| Provider Name | Mark J Cartoski |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1134430986 PECOS PAC ID: 4688816739 Enrollment ID: I20180813002320 |
| Provider Name | James J Evans |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1124048194 PECOS PAC ID: 2365494630 Enrollment ID: I20180814002133 |
| Provider Name | Caroline A Gluck |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477852945 PECOS PAC ID: 1658642608 Enrollment ID: I20180814003529 |
| Provider Name | Ashesh P Shah |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588822977 PECOS PAC ID: 6305002924 Enrollment ID: I20180821000178 |
| Provider Name | Laura Elizabeth Poskitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871970863 PECOS PAC ID: 4486975513 Enrollment ID: I20180904001172 |
| Provider Name | Erica Del Grippo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811255284 PECOS PAC ID: 5698025047 Enrollment ID: I20180905001500 |
| Provider Name | Kathleen M Pitterle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396038154 PECOS PAC ID: 6507164340 Enrollment ID: I20180912000815 |
| Provider Name | Stephen L.e. Bresson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144457789 PECOS PAC ID: 3274846605 Enrollment ID: I20180917001768 |
| Provider Name | Claude Anthony Beaty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922273804 PECOS PAC ID: 9133378284 Enrollment ID: I20181011002526 |
| Provider Name | Kristin E Meyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497847370 PECOS PAC ID: 1759633092 Enrollment ID: I20181015001393 |
| Provider Name | Alana J Arnold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942635925 PECOS PAC ID: 0446502629 Enrollment ID: I20181017000386 |
| Provider Name | Jonathan William Kussmaul |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760878227 PECOS PAC ID: 0446561633 Enrollment ID: I20181017001911 |
| Provider Name | Robert Scott Lang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760645808 PECOS PAC ID: 6800052630 Enrollment ID: I20181018000243 |
| Provider Name | Casey I Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083000608 PECOS PAC ID: 5395063366 Enrollment ID: I20181025001308 |
| Provider Name | Abigail Rea Strang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346530250 PECOS PAC ID: 3971736778 Enrollment ID: I20181102002255 |
| Provider Name | Shaida Nasiri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104266931 PECOS PAC ID: 5193069375 Enrollment ID: I20181128002221 |
| Provider Name | Abby L Nerlinger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124339130 PECOS PAC ID: 0941444756 Enrollment ID: I20181129000933 |
| Provider Name | Salma Siddique |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275826034 PECOS PAC ID: 2769781152 Enrollment ID: I20181206001665 |
| Provider Name | Janice H Dickter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396968137 PECOS PAC ID: 9537229976 Enrollment ID: I20181212000085 |
| Provider Name | Leonard John Nowcid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154766715 PECOS PAC ID: 8921398546 Enrollment ID: I20181219000003 |
| Provider Name | Faaiza K Kazmi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710942883 PECOS PAC ID: 6507877040 Enrollment ID: I20190109003044 |
| Provider Name | Charles N Paidas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225040561 PECOS PAC ID: 7719945864 Enrollment ID: I20190114001705 |
| Provider Name | Jessica M Gotay-lemar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912040627 PECOS PAC ID: 6406193648 Enrollment ID: I20190128000227 |
| Provider Name | John Patton Bernardi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013112218 PECOS PAC ID: 5890896500 Enrollment ID: I20190308000026 |
| Provider Name | Kelly Anne Ryan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326253550 PECOS PAC ID: 9436315090 Enrollment ID: I20190311000817 |
| Provider Name | Pankaj Watal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700261500 PECOS PAC ID: 1153664685 Enrollment ID: I20190523001774 |
| Provider Name | Michael S Maguire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992199079 PECOS PAC ID: 8224344536 Enrollment ID: I20190611000511 |
| Provider Name | Chengyuan Wu |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811160823 PECOS PAC ID: 1951533975 Enrollment ID: I20190624003061 |
| Provider Name | Marisa Riverso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972922664 PECOS PAC ID: 8729385778 Enrollment ID: I20190702002313 |
| Provider Name | Deborah Lauren Hammett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376907147 PECOS PAC ID: 6800195371 Enrollment ID: I20190805002513 |
| Provider Name | Kimberlee Rae Chromey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346604907 PECOS PAC ID: 6002105152 Enrollment ID: I20190815003061 |
| Provider Name | Nickolas Jae Nahm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780944330 PECOS PAC ID: 7113159823 Enrollment ID: I20190903001547 |
| Provider Name | Ana Melikishvili |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215374236 PECOS PAC ID: 0648500280 Enrollment ID: I20190925001933 |
| Provider Name | Abraham Oommen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316367899 PECOS PAC ID: 7618191990 Enrollment ID: I20191007000022 |
| Provider Name | Jason Howard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194373910 PECOS PAC ID: 3375874282 Enrollment ID: I20191008000541 |
| Provider Name | Matthew Mikhail Boelig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114157419 PECOS PAC ID: 4082945902 Enrollment ID: I20191008001098 |
| Provider Name | Nicholas Adam Kalbach |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972981850 PECOS PAC ID: 3971834896 Enrollment ID: I20191008001180 |
| Provider Name | Andrea Ali-panzarella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528364908 PECOS PAC ID: 5496086316 Enrollment ID: I20191008001346 |
| Provider Name | Rima H Himelstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982740171 PECOS PAC ID: 5799836607 Enrollment ID: I20191008002058 |
| Provider Name | William Giles Stuart Mackenzie |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952744898 PECOS PAC ID: 4587995956 Enrollment ID: I20191016001337 |
| Provider Name | Rachel S Schare |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144273293 PECOS PAC ID: 9739405655 Enrollment ID: I20191022001194 |
| Provider Name | Catherine Ann Madurski |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376986505 PECOS PAC ID: 7113150533 Enrollment ID: I20191105001728 |
| Provider Name | Gina Marie Fong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346583689 PECOS PAC ID: 2860781655 Enrollment ID: I20191113000019 |
| Provider Name | Edward Joseph Caterson |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1750452884 PECOS PAC ID: 6709902653 Enrollment ID: I20191114000018 |
| Provider Name | Evan Matthew Mulvihill |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1861838617 PECOS PAC ID: 4981999422 Enrollment ID: I20191122000011 |
| Provider Name | Raphael Jaewon Yoo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154559037 PECOS PAC ID: 8426342957 Enrollment ID: I20191205003087 |
| Provider Name | Samina Muneeruddin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821299934 PECOS PAC ID: 2668641358 Enrollment ID: I20191209001059 |
| Provider Name | Andrea Repine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497301642 PECOS PAC ID: 2062846298 Enrollment ID: I20191223000438 |
| Provider Name | Sharon Weil-chalker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508815366 PECOS PAC ID: 1153408125 Enrollment ID: I20200123001826 |
| Provider Name | Sharon Weinberger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134360746 PECOS PAC ID: 4486707130 Enrollment ID: I20200203001372 |
| Provider Name | Francesca Matilde Darquea |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831504281 PECOS PAC ID: 8921357542 Enrollment ID: I20200204001589 |
| Provider Name | Jacqueline E Mcpeek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720432867 PECOS PAC ID: 0446541676 Enrollment ID: I20200204002793 |
| Provider Name | Katie L Blake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477896462 PECOS PAC ID: 7113165184 Enrollment ID: I20200205001176 |
| Provider Name | Michele Kacmarcik Savin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194847905 PECOS PAC ID: 8325287691 Enrollment ID: I20200212001309 |
| Provider Name | Carissa Marrie Baker-smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508031121 PECOS PAC ID: 1658566963 Enrollment ID: I20200221002234 |
| Provider Name | Lisa M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952660144 PECOS PAC ID: 5395970313 Enrollment ID: I20200228000390 |
| Provider Name | Allison Marie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437317518 PECOS PAC ID: 5890122998 Enrollment ID: I20200303000449 |
| Provider Name | Sahar Barfchin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689060394 PECOS PAC ID: 2567718240 Enrollment ID: I20200304000551 |
| Provider Name | Shubhika Srivastava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285617787 PECOS PAC ID: 7911082565 Enrollment ID: I20200310000031 |
| Provider Name | Jonathan E Beri |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023404373 PECOS PAC ID: 3577883560 Enrollment ID: I20200316000490 |
| Provider Name | Richard Lorber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669565149 PECOS PAC ID: 4486652815 Enrollment ID: I20200324000529 |
| Provider Name | Cheryl Ross-cammock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689615015 PECOS PAC ID: 4981658002 Enrollment ID: I20200325000680 |
| Provider Name | Swosti Joshi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164701595 PECOS PAC ID: 5991004186 Enrollment ID: I20200325002425 |
| Provider Name | Howard Katzenstein |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316969512 PECOS PAC ID: 2860636222 Enrollment ID: I20200325002710 |
| Provider Name | Malik Dawoud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720361835 PECOS PAC ID: 5597071969 Enrollment ID: I20200331000907 |
| Provider Name | Mindy Rabinowitz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962727701 PECOS PAC ID: 7416170907 Enrollment ID: I20200401002319 |
| Provider Name | Sudha Raman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609885540 PECOS PAC ID: 5799739942 Enrollment ID: I20200414003324 |
| Provider Name | Daniel Henry Sahm |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134514938 PECOS PAC ID: 9234489865 Enrollment ID: I20200416000119 |
| Provider Name | Tara Geist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912158429 PECOS PAC ID: 5193969566 Enrollment ID: I20200506002527 |
| Provider Name | Sarah Vanderveen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407486301 PECOS PAC ID: 2365873023 Enrollment ID: I20200512003776 |
| Provider Name | Melinda S Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073604351 PECOS PAC ID: 7911982129 Enrollment ID: I20200605000448 |
| Provider Name | Janie Klug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366009854 PECOS PAC ID: 7517388929 Enrollment ID: I20200610001134 |
| Provider Name | Darcy Hamill |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336541382 PECOS PAC ID: 9032531496 Enrollment ID: I20200612001571 |
| Provider Name | Abdellatif H Abdelwahab |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326236407 PECOS PAC ID: 6608014584 Enrollment ID: I20200616000794 |
| Provider Name | Julia D Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245433275 PECOS PAC ID: 4284876699 Enrollment ID: I20200616001037 |
| Provider Name | Ryan Scott Holton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083075360 PECOS PAC ID: 4284927740 Enrollment ID: I20200618002140 |
| Provider Name | Rachna Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861588477 PECOS PAC ID: 1052452844 Enrollment ID: I20200714000539 |
| Provider Name | Ashwini Sharan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1225055221 PECOS PAC ID: 1557313822 Enrollment ID: I20200715000159 |
| Provider Name | Stacy White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053750323 PECOS PAC ID: 6507110087 Enrollment ID: I20200715000451 |
| Provider Name | Beth Euston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992195895 PECOS PAC ID: 1951628007 Enrollment ID: I20200717001865 |
| Provider Name | Anurag Arora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649630203 PECOS PAC ID: 9830512458 Enrollment ID: I20200720002218 |
| Provider Name | Keara Decotiis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497192181 PECOS PAC ID: 0547487050 Enrollment ID: I20200721001344 |
| Provider Name | Courtney Gaffney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912547308 PECOS PAC ID: 5698199750 Enrollment ID: I20200722000715 |
| Provider Name | Naomi F Lauriello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275586141 PECOS PAC ID: 5193840197 Enrollment ID: I20200722003360 |
| Provider Name | Erin Buda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306487228 PECOS PAC ID: 1456776756 Enrollment ID: I20200804001054 |
| Provider Name | Asmaa Azab |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003292897 PECOS PAC ID: 5597014241 Enrollment ID: I20200812000956 |
| Provider Name | Christin Carroll |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528352069 PECOS PAC ID: 2062635402 Enrollment ID: I20200817002498 |
| Provider Name | Karen L Slate |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154552453 PECOS PAC ID: 3072659887 Enrollment ID: I20200819001763 |
| Provider Name | Jennifer Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962023218 PECOS PAC ID: 9931526662 Enrollment ID: I20200826002952 |
| Provider Name | Shannon Nichole Nees |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1841556024 PECOS PAC ID: 8426304064 Enrollment ID: I20200826003729 |
| Provider Name | Alyssa Denenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023577616 PECOS PAC ID: 5193142586 Enrollment ID: I20200831002334 |
| Provider Name | Lena Naffaa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629132956 PECOS PAC ID: 7517054117 Enrollment ID: I20200917000085 |
| Provider Name | Valerie Schwartz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588195119 PECOS PAC ID: 5092087536 Enrollment ID: I20200924002521 |
| Provider Name | Nathalie Peiris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770900888 PECOS PAC ID: 3678872611 Enrollment ID: I20200925000170 |
| Provider Name | Dante Cerza |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346301009 PECOS PAC ID: 8527132943 Enrollment ID: I20200929001302 |
| Provider Name | Sean Connolly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497173488 PECOS PAC ID: 2466678214 Enrollment ID: I20200930000141 |
| Provider Name | Seema Rani |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1881826519 PECOS PAC ID: 8527372036 Enrollment ID: I20201009002215 |
| Provider Name | Lauren May |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003137787 PECOS PAC ID: 6406270396 Enrollment ID: I20201013001318 |
| Provider Name | Matthew J Campbell |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1104269869 PECOS PAC ID: 7810220928 Enrollment ID: I20201015000066 |
| Provider Name | Wojciech Ratajczak |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295013308 PECOS PAC ID: 3971736984 Enrollment ID: I20201015000723 |
| Provider Name | Johanna Delacroix |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689807315 PECOS PAC ID: 7214238856 Enrollment ID: I20201021000125 |
| Provider Name | Abbas Zaidi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013265776 PECOS PAC ID: 1052645264 Enrollment ID: I20201102000585 |
| Provider Name | Colin Meyer-macaulay |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326699935 PECOS PAC ID: 0648680504 Enrollment ID: I20201104000307 |
| Provider Name | Marty Mcgraw |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043287311 PECOS PAC ID: 3375559024 Enrollment ID: I20201110002173 |
| Provider Name | Kanika Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821475898 PECOS PAC ID: 6608154430 Enrollment ID: I20201119002673 |
| Provider Name | Elizabeth Copeland Wright-jin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568843779 PECOS PAC ID: 5092128827 Enrollment ID: I20210115000109 |
| Provider Name | Shanique Kilgallon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316109036 PECOS PAC ID: 8921237926 Enrollment ID: I20210115000597 |
| Provider Name | Christine Marie Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104190040 PECOS PAC ID: 7810281227 Enrollment ID: I20210120001322 |
| Provider Name | Christine Marie Jones |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821382029 PECOS PAC ID: 6800176421 Enrollment ID: I20210120001963 |
| Provider Name | Jennifer L Agster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861721193 PECOS PAC ID: 4385058817 Enrollment ID: I20210125002148 |
| Provider Name | Jody Kieffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124313515 PECOS PAC ID: 6103142674 Enrollment ID: I20210209001403 |
| Provider Name | Megan Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861787970 PECOS PAC ID: 8820424005 Enrollment ID: I20210209002381 |
| Provider Name | Molly Anne Haislip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427674951 PECOS PAC ID: 6002221934 Enrollment ID: I20210226000476 |
| Provider Name | Mackenzie Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225621147 PECOS PAC ID: 8527475490 Enrollment ID: I20210322002080 |
| Provider Name | Rishi Parikh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255607172 PECOS PAC ID: 7416249297 Enrollment ID: I20210330000426 |
| Provider Name | Andrea Sorbello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790066595 PECOS PAC ID: 3274793344 Enrollment ID: I20210330002617 |
| Provider Name | Karen Veronica Mccandless |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033306493 PECOS PAC ID: 0042627358 Enrollment ID: I20210405001097 |
| Provider Name | Andrew Mower |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548331309 PECOS PAC ID: 1658476338 Enrollment ID: I20210616001761 |
| Provider Name | David M Kerner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548641301 PECOS PAC ID: 8527349398 Enrollment ID: I20210624000017 |
| Provider Name | Rodney Scott |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922433135 PECOS PAC ID: 1850528464 Enrollment ID: I20210624003380 |
| Provider Name | Rachel Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750702205 PECOS PAC ID: 7517368418 Enrollment ID: I20210630000124 |
| Provider Name | Lily Tran |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487865523 PECOS PAC ID: 5395902126 Enrollment ID: I20210630001493 |
| Provider Name | Sonal Bhatnagar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548490303 PECOS PAC ID: 1254646672 Enrollment ID: I20210630002494 |
| Provider Name | David Bergamo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689029548 PECOS PAC ID: 1557601283 Enrollment ID: I20210810003511 |
| Provider Name | Kaustuv De |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649687526 PECOS PAC ID: 2163826256 Enrollment ID: I20210811003707 |
| Provider Name | Amr Abdullah Ahmed Matoq |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1053739755 PECOS PAC ID: 4587880893 Enrollment ID: I20210920002212 |
| Provider Name | Stacey G. Fox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417083940 PECOS PAC ID: 7810075769 Enrollment ID: I20210921001827 |
| Provider Name | Marisela Vigil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861988065 PECOS PAC ID: 4880083781 Enrollment ID: I20211116000046 |
| Provider Name | Beth Ann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528281268 PECOS PAC ID: 2466499157 Enrollment ID: I20211130000971 |
| Provider Name | Erin Tingue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225540172 PECOS PAC ID: 5395135404 Enrollment ID: I20211203002171 |
| Provider Name | Melissa Anne Krouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710641774 PECOS PAC ID: 3476944034 Enrollment ID: I20211215002966 |
| Provider Name | Adrienne Law-kurpinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306505185 PECOS PAC ID: 3072904523 Enrollment ID: I20211217000717 |
| Provider Name | Tara Marie Webster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689330318 PECOS PAC ID: 5698167740 Enrollment ID: I20220121001376 |
| Provider Name | Erin Fletcher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538307038 PECOS PAC ID: 0143614925 Enrollment ID: I20220221000506 |
| Provider Name | Jennifer Laura Bleznak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477917839 PECOS PAC ID: 9931498029 Enrollment ID: I20220309000674 |
| Provider Name | Brittney Ann Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891290987 PECOS PAC ID: 1052706413 Enrollment ID: I20220322000353 |
| Provider Name | Ali Mirza Onder |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124128996 PECOS PAC ID: 8628073343 Enrollment ID: I20220322000854 |
| Provider Name | Kaitlyn Sutcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821750076 PECOS PAC ID: 0648665026 Enrollment ID: I20220322000986 |
| Provider Name | Archana Malik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083807408 PECOS PAC ID: 3072653344 Enrollment ID: I20220618000103 |
| Provider Name | Fabian P Ngido |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528354768 PECOS PAC ID: 7719105162 Enrollment ID: I20220627000759 |
| Provider Name | Laurie Capriotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467198135 PECOS PAC ID: 7113307463 Enrollment ID: I20220705002719 |
| Provider Name | Mario Andres Aycart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457640716 PECOS PAC ID: 3072751726 Enrollment ID: I20220712002700 |
| Provider Name | Michele Goodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689307472 PECOS PAC ID: 0244612059 Enrollment ID: I20220726002644 |
| Provider Name | Aryaz Sheybani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811316227 PECOS PAC ID: 5395965743 Enrollment ID: I20220728002401 |
| Provider Name | Justin Scott Nichols |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568966893 PECOS PAC ID: 0547515728 Enrollment ID: I20220802004107 |
| Provider Name | Joseph D'onofrio |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1821522152 PECOS PAC ID: 7315217288 Enrollment ID: I20220805002117 |
| Provider Name | Megan Askew |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700247624 PECOS PAC ID: 3072804418 Enrollment ID: I20220816001861 |
| Provider Name | Heather C Fackelman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811492770 PECOS PAC ID: 8123383940 Enrollment ID: I20220824002051 |
| Provider Name | Brooke Nicole Bucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346842960 PECOS PAC ID: 0941612675 Enrollment ID: I20220825001983 |
| Provider Name | Roseann Marie Hausmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902346554 PECOS PAC ID: 6406114040 Enrollment ID: I20220829000977 |
| Provider Name | Inga Friederike Strelow |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427432723 PECOS PAC ID: 2466747282 Enrollment ID: I20220909002562 |
| Provider Name | Nak Hyun Choi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780099168 PECOS PAC ID: 3274804893 Enrollment ID: I20220927004116 |
| Provider Name | Neena Makam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275979197 PECOS PAC ID: 1658652532 Enrollment ID: I20220928001309 |
| Provider Name | Courtney Kitchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497474456 PECOS PAC ID: 4688050313 Enrollment ID: I20221004002826 |
| Provider Name | Katherine Alexandra Freedman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053884502 PECOS PAC ID: 0446590368 Enrollment ID: I20221010000002 |
| Provider Name | Shanna Midgley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275256489 PECOS PAC ID: 0143696120 Enrollment ID: I20221017000388 |
| Provider Name | Angela Nadine Snow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043673072 PECOS PAC ID: 7012201122 Enrollment ID: I20221020002183 |
| Provider Name | Sally Dawood |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942683602 PECOS PAC ID: 3173949716 Enrollment ID: I20221021001965 |
| Provider Name | Dennis M Drehner |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578556643 PECOS PAC ID: 1355393901 Enrollment ID: I20221121001690 |
| Provider Name | Holly Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346256567 PECOS PAC ID: 1355393927 Enrollment ID: I20221124000058 |
| Provider Name | Ayaka Silverman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1952693160 PECOS PAC ID: 5890081897 Enrollment ID: I20221205001422 |
| Provider Name | Robert Raines-hepple |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336283902 PECOS PAC ID: 4284914284 Enrollment ID: I20221207001109 |
| Provider Name | Jacob Stephenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265411979 PECOS PAC ID: 3577665660 Enrollment ID: I20221212001188 |
| Provider Name | Chellise Cato |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447445580 PECOS PAC ID: 8527205053 Enrollment ID: I20221215001092 |
| Provider Name | Russell R Cross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811088529 PECOS PAC ID: 1052326295 Enrollment ID: I20221223000009 |
| Provider Name | Nicole Coultes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457654964 PECOS PAC ID: 1355521923 Enrollment ID: I20230119000326 |
| Provider Name | Priya Gyani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285954842 PECOS PAC ID: 8224266812 Enrollment ID: I20230207000471 |
| Provider Name | Jason Baxter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093731184 PECOS PAC ID: 5092746578 Enrollment ID: I20230207003669 |
| Provider Name | Kenneth E Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457464786 PECOS PAC ID: 1052357639 Enrollment ID: I20230207003672 |
| Provider Name | Deborah Lee Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700595444 PECOS PAC ID: 3173995461 Enrollment ID: I20230215000557 |
| Provider Name | Mariah Cicioni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447756937 PECOS PAC ID: 6002210325 Enrollment ID: I20230216002729 |
| Provider Name | Meghan Anne Mcgowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922760297 PECOS PAC ID: 3779955844 Enrollment ID: I20230218000348 |
| Provider Name | Sevan M Markosian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144992629 PECOS PAC ID: 5799164596 Enrollment ID: I20230310001955 |
| Provider Name | Alice Natalie Hackett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770963811 PECOS PAC ID: 7315312824 Enrollment ID: I20230417000050 |
| Provider Name | Faidah Badru |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740613629 PECOS PAC ID: 5496057879 Enrollment ID: I20230418001950 |
| Provider Name | Theresa Barrett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184289399 PECOS PAC ID: 4284969205 Enrollment ID: I20230418002170 |
| Provider Name | Amanda Mastrippolito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982009346 PECOS PAC ID: 3274853890 Enrollment ID: I20230426000371 |
| Provider Name | David Brousseau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245284595 PECOS PAC ID: 5294927125 Enrollment ID: I20230427002165 |
| Provider Name | Karen Farris |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891835120 PECOS PAC ID: 6709978679 Enrollment ID: I20230508002372 |
| Provider Name | Brian Alverson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841244399 PECOS PAC ID: 7214962471 Enrollment ID: I20230509000782 |
| Provider Name | Valerie Ross |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437428372 PECOS PAC ID: 7618135609 Enrollment ID: I20230605000884 |
| Provider Name | Melissa Blumberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891255287 PECOS PAC ID: 2567820939 Enrollment ID: I20230615003480 |
| Provider Name | Steve Auden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083723175 PECOS PAC ID: 5597805069 Enrollment ID: I20230627000552 |
| Provider Name | Aimee Forster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730536855 PECOS PAC ID: 9133588411 Enrollment ID: I20230705001272 |
| Provider Name | Alexis Maddocks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992930390 PECOS PAC ID: 7416236708 Enrollment ID: I20230707001540 |
| Provider Name | Bryan Zuniga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811421167 PECOS PAC ID: 4486923406 Enrollment ID: I20230710000402 |
| Provider Name | Beverly M Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598269201 PECOS PAC ID: 5395098149 Enrollment ID: I20230724000772 |
| Provider Name | Olivia Nwankwo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972965077 PECOS PAC ID: 8729406335 Enrollment ID: I20230724001763 |
| Provider Name | Namrita Mozumdar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114330735 PECOS PAC ID: 6901141621 Enrollment ID: I20230724001969 |
| Provider Name | Melissa Olsakowski Bowman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265061253 PECOS PAC ID: 6406287077 Enrollment ID: I20230804000961 |
| Provider Name | Pasquale Casale |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326120783 PECOS PAC ID: 9335124924 Enrollment ID: I20230808000006 |
| Provider Name | Elyse Andrews |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083242143 PECOS PAC ID: 0244661031 Enrollment ID: I20230808000039 |
| Provider Name | Elena Stekolchik |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386175677 PECOS PAC ID: 7315217270 Enrollment ID: I20230816002697 |
| Provider Name | Stephanie Kahn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952930307 PECOS PAC ID: 3375964539 Enrollment ID: I20230818002327 |
| Provider Name | David Blauvelt |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083008627 PECOS PAC ID: 8224391503 Enrollment ID: I20230825001500 |
| Provider Name | Rachel Lenhart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154853786 PECOS PAC ID: 6002154945 Enrollment ID: I20230831000028 |
| Provider Name | Jillian Taylor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457883688 PECOS PAC ID: 9032573001 Enrollment ID: I20230908001662 |
| Provider Name | Stacy A Mccrosson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104856251 PECOS PAC ID: 3779586003 Enrollment ID: I20230908002282 |
| Provider Name | Daniel Thomson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316300676 PECOS PAC ID: 0446645899 Enrollment ID: I20230912000413 |
| Provider Name | Madelyn Cohen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235588740 PECOS PAC ID: 2860856705 Enrollment ID: I20230912001043 |
| Provider Name | Lisa Montenegro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467463505 PECOS PAC ID: 2668529975 Enrollment ID: I20230928000004 |
| Provider Name | Kriti Gwal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750583787 PECOS PAC ID: 0648413997 Enrollment ID: I20230928000051 |
| Provider Name | Brian Ferrell White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669852661 PECOS PAC ID: 6507289949 Enrollment ID: I20230928003641 |
| Provider Name | Peter C Minneci |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568598332 PECOS PAC ID: 3476549445 Enrollment ID: I20231012002729 |
| Provider Name | Gary Rose |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770978108 PECOS PAC ID: 7416366323 Enrollment ID: I20231012003355 |
| Provider Name | Kristin Grannum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053930206 PECOS PAC ID: 3870948383 Enrollment ID: I20231018000708 |
| Provider Name | Rebecca Stainman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386095362 PECOS PAC ID: 2860848371 Enrollment ID: I20231019001338 |
| Provider Name | Karen Carvalho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467474429 PECOS PAC ID: 1850341769 Enrollment ID: I20231020000098 |
| Provider Name | Ashley Stoffers |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427402858 PECOS PAC ID: 7719224286 Enrollment ID: I20231023000006 |
| Provider Name | Duane Stopp Duke |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295928992 PECOS PAC ID: 6507004884 Enrollment ID: I20231025003111 |
| Provider Name | Renelle George |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891112892 PECOS PAC ID: 9537590856 Enrollment ID: I20231113003663 |
| Provider Name | Gabriele Meyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669904223 PECOS PAC ID: 5193172864 Enrollment ID: I20231117001000 |
| Provider Name | Melinda Danowitz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033640354 PECOS PAC ID: 4385902758 Enrollment ID: I20231120001712 |
| Provider Name | Kathleen Dalin Jerla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275782906 PECOS PAC ID: 5092163071 Enrollment ID: I20231201000556 |
| Provider Name | Jill Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356123780 PECOS PAC ID: 3870942170 Enrollment ID: I20231212003046 |
| Provider Name | Ellen Fraint |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215356712 PECOS PAC ID: 0547485898 Enrollment ID: I20231214003074 |
| Provider Name | Manish Kumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568708782 PECOS PAC ID: 2860621174 Enrollment ID: I20231218000173 |
| Provider Name | Laura Santry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275162273 PECOS PAC ID: 5193147338 Enrollment ID: I20231219000684 |
| Provider Name | Natalia Desiree Marcum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710124656 PECOS PAC ID: 1153771928 Enrollment ID: I20231220002654 |
| Provider Name | Allison Michelle Blatz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922454792 PECOS PAC ID: 7113207671 Enrollment ID: I20231227000436 |
| Provider Name | Danielle Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679123624 PECOS PAC ID: 4688081581 Enrollment ID: I20231227003393 |
| Provider Name | Elise Lester |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841955010 PECOS PAC ID: 1557752805 Enrollment ID: I20231229000074 |
| Provider Name | Jennifer Vodzak |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811152663 PECOS PAC ID: 0840447314 Enrollment ID: I20240104000552 |
| Provider Name | Brenna Dunleavy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497438188 PECOS PAC ID: 5193177590 Enrollment ID: I20240122003267 |
| Provider Name | Sabrina Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366216640 PECOS PAC ID: 0143673343 Enrollment ID: I20240124001128 |
| Provider Name | Woo Song Do |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902290596 PECOS PAC ID: 9133425150 Enrollment ID: I20240126002897 |
| Provider Name | Emily T. Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366796849 PECOS PAC ID: 3870883242 Enrollment ID: I20240131004112 |
| Provider Name | Katherine Bernoske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487300042 PECOS PAC ID: 9739567025 Enrollment ID: I20240206004361 |
| Provider Name | Janice E Dudley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427019694 PECOS PAC ID: 6507872298 Enrollment ID: I20240215000018 |
Grubb Road Passages Group Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2804 Grubb Rd, Wilmington, DE 19810 Phone: 302-691-7574 Fax: 302-691-7577 | |
Transitions4life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W 9th St Apt 431, Wilmington, DE 19801 Phone: 215-279-1208 | |
Concord Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Pennsylvania Ave, Wilmington, DE 19806 Phone: 302-594-9000 Fax: 302-594-9004 | |
First State Employment Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 Harlan Blvd, Wilmington, DE 19801 Phone: 302-250-5883 Fax: 302-984-3329 | |
James M Jack Lpc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 Philadelphia Pike, Wilmington, DE 19809 Phone: 302-798-4400 | |
Catholic Charities Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2601 W 4th St, Wilmington, DE 19805 Phone: 302-655-9624 Fax: 302-654-6432 | |
Melissa Huber, Lcsw.llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 Bess Ln, Wilmington, DE 19803 Phone: 302-762-5104 Fax: 302-762-6106 |