| Olathe Health Physicians, Inc. | |
|
20333 W 151st St Olathe KS 66061-5350 | |
| (913) 791-4200 | |
| (913) 324-8656 |
| Full Name | Olathe Health Physicians, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 20333 W 151st St, Olathe, Kansas |
| Authorized Official Name and Position | Catherine R. Wiens (VP/QUALITY & COMPLIANCE) |
| Authorized Official Contact | 9137914459 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Olathe Health Physicians, Inc. 20333 West 151st Street Olathe KS 66061-5350 Ph: (913) 791-4461 | Olathe Health Physicians, Inc. 20333 W 151st St Olathe KS 66061-5350 Ph: (913) 791-4200 |
| NPI Number | 1598784639 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 03/22/2020 |
| Certification Date | 03/22/2020 |
| Medicare PECOS PAC ID | 7618881905 |
|---|---|
| Medicare Enrollment ID | O20031119000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598784639 | NPI | - | NPPES |
| Provider Name | Michael P Davoren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376694927 PECOS PAC ID: 3870494768 Enrollment ID: I20040114000588 |
| Provider Name | Melinda S Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972586865 PECOS PAC ID: 9436043502 Enrollment ID: I20040210000607 |
| Provider Name | Vishal K Adma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649238221 PECOS PAC ID: 4688576622 Enrollment ID: I20040227000167 |
| Provider Name | David M Riley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306899497 PECOS PAC ID: 6800783663 Enrollment ID: I20040304000545 |
| Provider Name | Keith D Sheffer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801889225 PECOS PAC ID: 7517950801 Enrollment ID: I20040405000167 |
| Provider Name | David L Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1639171580 PECOS PAC ID: 9931180841 Enrollment ID: I20040526001451 |
| Provider Name | Charles Martin Striebinger |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1861453938 PECOS PAC ID: 2668367012 Enrollment ID: I20040609000571 |
| Provider Name | Steven Joe Hess |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902867096 PECOS PAC ID: 8325020126 Enrollment ID: I20040609000677 |
| Provider Name | Larry R Corum |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063413151 PECOS PAC ID: 7416931316 Enrollment ID: I20040617000477 |
| Provider Name | Cathy Lynn Messinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801090014 PECOS PAC ID: 1759336191 Enrollment ID: I20050317000925 |
| Provider Name | Jonathan L Newkirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689627796 PECOS PAC ID: 7214975507 Enrollment ID: I20050418001126 |
| Provider Name | Martin J Schermoly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861445009 PECOS PAC ID: 8426096165 Enrollment ID: I20050422000464 |
| Provider Name | Tomas L Griebling |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386743672 PECOS PAC ID: 7214976323 Enrollment ID: I20050428000256 |
| Provider Name | James M Sebghati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770536914 PECOS PAC ID: 9931148939 Enrollment ID: I20050429000347 |
| Provider Name | Terry John Wall |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831152073 PECOS PAC ID: 2668414335 Enrollment ID: I20050524000594 |
| Provider Name | Christopher A Bagby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528152501 PECOS PAC ID: 3678515228 Enrollment ID: I20050524001313 |
| Provider Name | Gregory Patrick Lynch |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811980220 PECOS PAC ID: 4284688573 Enrollment ID: I20050603000726 |
| Provider Name | Eric L Dyck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497708580 PECOS PAC ID: 0042253791 Enrollment ID: I20050603000831 |
| Provider Name | Dennis P Lawlor |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457326282 PECOS PAC ID: 2062467574 Enrollment ID: I20050606000479 |
| Provider Name | James K Bradley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689640229 PECOS PAC ID: 5597759241 Enrollment ID: I20050607000996 |
| Provider Name | Brian D Cooke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649223215 PECOS PAC ID: 6305881822 Enrollment ID: I20050624000879 |
| Provider Name | Christopher G Lewis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396721668 PECOS PAC ID: 2466401716 Enrollment ID: I20050919000948 |
| Provider Name | James L Marcum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942257886 PECOS PAC ID: 4183658537 Enrollment ID: I20050924000090 |
| Provider Name | Steven D Obermueller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275575425 PECOS PAC ID: 8224095161 Enrollment ID: I20050924000099 |
| Provider Name | Thomas F Baldwin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104872746 PECOS PAC ID: 1456385822 Enrollment ID: I20050924000277 |
| Provider Name | Jay W Murphy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740237684 PECOS PAC ID: 0840224143 Enrollment ID: I20050926001027 |
| Provider Name | Kelly L Rhodes-stark |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871556423 PECOS PAC ID: 2668421157 Enrollment ID: I20051026001185 |
| Provider Name | Susan M Herzberg |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174586218 PECOS PAC ID: 1850340662 Enrollment ID: I20051027000548 |
| Provider Name | Daniel Keleti |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356325245 PECOS PAC ID: 8820055825 Enrollment ID: I20051027000657 |
| Provider Name | Stella G Quiason |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770500795 PECOS PAC ID: 3971591702 Enrollment ID: I20051109000130 |
| Provider Name | Roger A Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578652574 PECOS PAC ID: 4880588110 Enrollment ID: I20051112000007 |
| Provider Name | Gary D Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396789939 PECOS PAC ID: 6709805211 Enrollment ID: I20051117000623 |
| Provider Name | Martalea G Anselmo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528042439 PECOS PAC ID: 3476567587 Enrollment ID: I20060127000460 |
| Provider Name | Dawn H Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104977768 PECOS PAC ID: 2668487117 Enrollment ID: I20060220000568 |
| Provider Name | Elizabeth K Long |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619028271 PECOS PAC ID: 7810902368 Enrollment ID: I20060220000587 |
| Provider Name | Richard A Korentager |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1952337735 PECOS PAC ID: 7214978543 Enrollment ID: I20060223000838 |
| Provider Name | Todd B Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174599732 PECOS PAC ID: 1052334828 Enrollment ID: I20060825000319 |
| Provider Name | Christa R Balanoff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659370161 PECOS PAC ID: 6608870035 Enrollment ID: I20060828000053 |
| Provider Name | Michael Patrick Mcginnis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346288982 PECOS PAC ID: 2264462365 Enrollment ID: I20060905000289 |
| Provider Name | Jeanine R Showalter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306952379 PECOS PAC ID: 4587668322 Enrollment ID: I20060908000253 |
| Provider Name | Kristine G Arano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629083324 PECOS PAC ID: 2769488535 Enrollment ID: I20061018000583 |
| Provider Name | Joyce Ann Schofield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255366902 PECOS PAC ID: 6709883580 Enrollment ID: I20061109000234 |
| Provider Name | Shalina D Gupta-burt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639140288 PECOS PAC ID: 6406824416 Enrollment ID: I20061120000218 |
| Provider Name | Angela M Katzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245314012 PECOS PAC ID: 5496755308 Enrollment ID: I20061227000257 |
| Provider Name | Ashley L Daly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497775175 PECOS PAC ID: 0244239614 Enrollment ID: I20070315000510 |
| Provider Name | Danelle L Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881738052 PECOS PAC ID: 4082717764 Enrollment ID: I20070319000173 |
| Provider Name | Anthony R Justesen |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1639122302 PECOS PAC ID: 4486750684 Enrollment ID: I20070504000210 |
| Provider Name | Ajay K Nangia |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164528667 PECOS PAC ID: 2062483084 Enrollment ID: I20070627000062 |
| Provider Name | Carrie L Werst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578770749 PECOS PAC ID: 5698866077 Enrollment ID: I20070814000784 |
| Provider Name | Tara J Grimaldi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043414105 PECOS PAC ID: 2163515511 Enrollment ID: I20070830000790 |
| Provider Name | Vance R Burns |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255406674 PECOS PAC ID: 6608837166 Enrollment ID: I20071203000221 |
| Provider Name | Susanne M Conrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144286733 PECOS PAC ID: 3971527565 Enrollment ID: I20080502000565 |
| Provider Name | Karl L Kroen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164601373 PECOS PAC ID: 8921081357 Enrollment ID: I20080620000554 |
| Provider Name | Kerri L Fellows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598881468 PECOS PAC ID: 0143392886 Enrollment ID: I20080711000532 |
| Provider Name | Joshua A Broghammer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689703639 PECOS PAC ID: 1254439078 Enrollment ID: I20080723000381 |
| Provider Name | Ravi K Yarlagadda |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336235035 PECOS PAC ID: 9335109438 Enrollment ID: I20080825000037 |
| Provider Name | Christopher Eckland |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932281714 PECOS PAC ID: 4082706577 Enrollment ID: I20080828000525 |
| Provider Name | Norman I Bamber |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1497933626 PECOS PAC ID: 3870666167 Enrollment ID: I20080915000505 |
| Provider Name | Jay S Zwibelman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851450068 PECOS PAC ID: 6406923234 Enrollment ID: I20080922000021 |
| Provider Name | Jessica Lynn Bettenhausen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649443359 PECOS PAC ID: 1759458995 Enrollment ID: I20081003000103 |
| Provider Name | Van L Jones |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538332945 PECOS PAC ID: 4082774757 Enrollment ID: I20081125000727 |
| Provider Name | Halla S Moussa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063488526 PECOS PAC ID: 6507927266 Enrollment ID: I20081216000016 |
| Provider Name | Ronald G Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326091430 PECOS PAC ID: 3870655855 Enrollment ID: I20081230000090 |
| Provider Name | Jane V Makona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407874209 PECOS PAC ID: 2961564802 Enrollment ID: I20081231000049 |
| Provider Name | Jami Louise Schmideskamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588770374 PECOS PAC ID: 1254496193 Enrollment ID: I20090210000429 |
| Provider Name | Cheryl Lea Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336394105 PECOS PAC ID: 6507921160 Enrollment ID: I20090213000299 |
| Provider Name | Denny M Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558403576 PECOS PAC ID: 1557414406 Enrollment ID: I20090724000702 |
| Provider Name | Kevin J Punswick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275774853 PECOS PAC ID: 6507919826 Enrollment ID: I20090804000830 |
| Provider Name | Heather M Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215101878 PECOS PAC ID: 7214081785 Enrollment ID: I20090818000503 |
| Provider Name | Matthew Brian Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235302662 PECOS PAC ID: 8224182753 Enrollment ID: I20090819000141 |
| Provider Name | David L Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669425807 PECOS PAC ID: 6103852454 Enrollment ID: I20091217000575 |
| Provider Name | Alisa B Cahill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609829233 PECOS PAC ID: 8022073667 Enrollment ID: I20100109000400 |
| Provider Name | James R Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073566600 PECOS PAC ID: 0648312215 Enrollment ID: I20100120000187 |
| Provider Name | Stephen R Smalley |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750344933 PECOS PAC ID: 7618926437 Enrollment ID: I20100201000005 |
| Provider Name | Stephanie Frances Roehm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356678288 PECOS PAC ID: 2860535481 Enrollment ID: I20100204000622 |
| Provider Name | Rita M Oplotnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922051580 PECOS PAC ID: 9638212863 Enrollment ID: I20100210000088 |
| Provider Name | John M Feehan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063464071 PECOS PAC ID: 0143364778 Enrollment ID: I20100220000408 |
| Provider Name | John M Greenwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750333670 PECOS PAC ID: 1850426057 Enrollment ID: I20100312000622 |
| Provider Name | David B Karty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144272949 PECOS PAC ID: 9032244264 Enrollment ID: I20100312000841 |
| Provider Name | Royce E Dunn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841243086 PECOS PAC ID: 7911933718 Enrollment ID: I20100324000331 |
| Provider Name | Patrick R Herrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164475851 PECOS PAC ID: 9739214115 Enrollment ID: I20100324000602 |
| Provider Name | Christina L Eliason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407808439 PECOS PAC ID: 2163559691 Enrollment ID: I20100414000931 |
| Provider Name | Todd W Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194751172 PECOS PAC ID: 4385671494 Enrollment ID: I20100423000837 |
| Provider Name | Keith T Ratzlaff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770536880 PECOS PAC ID: 8921136078 Enrollment ID: I20100511000205 |
| Provider Name | John L Sherard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861445561 PECOS PAC ID: 4486782554 Enrollment ID: I20100511000454 |
| Provider Name | Michael A Greenfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336191287 PECOS PAC ID: 6204964166 Enrollment ID: I20100513000517 |
| Provider Name | Scott A Nitzel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861443749 PECOS PAC ID: 3274662671 Enrollment ID: I20100524000380 |
| Provider Name | Bradley E Davis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1811989585 PECOS PAC ID: 2062426372 Enrollment ID: I20100525000586 |
| Provider Name | Sajeev B Menon |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811988819 PECOS PAC ID: 4688703598 Enrollment ID: I20100602000072 |
| Provider Name | Melanie A Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386835718 PECOS PAC ID: 2567596679 Enrollment ID: I20100811000522 |
| Provider Name | Craig A Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073664603 PECOS PAC ID: 8628979523 Enrollment ID: I20100824000516 |
| Provider Name | Harlan L Opie |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881745438 PECOS PAC ID: 6204997752 Enrollment ID: I20100824000598 |
| Provider Name | Uyen N Vu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710167887 PECOS PAC ID: 8729276704 Enrollment ID: I20101216000933 |
| Provider Name | Melissa S Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275834517 PECOS PAC ID: 6305027897 Enrollment ID: I20110216000494 |
| Provider Name | Dianna Lynn Marak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447209879 PECOS PAC ID: 5395937866 Enrollment ID: I20110222001194 |
| Provider Name | Melinda Gorney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689942914 PECOS PAC ID: 9739346933 Enrollment ID: I20120130000952 |
| Provider Name | Jawaria Khalid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821126566 PECOS PAC ID: 6800829441 Enrollment ID: I20120612000092 |
| Provider Name | Amanda J Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790042661 PECOS PAC ID: 2466616644 Enrollment ID: I20120620000198 |
| Provider Name | Hadley W Wyre |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093993115 PECOS PAC ID: 6406026228 Enrollment ID: I20120705000053 |
| Provider Name | Jessica N Gillespie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902070261 PECOS PAC ID: 0941466080 Enrollment ID: I20120718000369 |
| Provider Name | Melissa L Yeats |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609197060 PECOS PAC ID: 5294981361 Enrollment ID: I20120806000039 |
| Provider Name | Matthew Fieleke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467680900 PECOS PAC ID: 8123275823 Enrollment ID: I20120831000537 |
| Provider Name | Kallie M Foss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447488812 PECOS PAC ID: 4183875909 Enrollment ID: I20121102000535 |
| Provider Name | Melissa L Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841429958 PECOS PAC ID: 3375709884 Enrollment ID: I20121214000286 |
| Provider Name | Marion A West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649520628 PECOS PAC ID: 5294987392 Enrollment ID: I20121219000330 |
| Provider Name | Phani Ashok Attaluri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417066499 PECOS PAC ID: 8729086558 Enrollment ID: I20130411000058 |
| Provider Name | Jamie Lynn Wagner |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154534733 PECOS PAC ID: 2163517848 Enrollment ID: I20130507000324 |
| Provider Name | Thuytien Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386984045 PECOS PAC ID: 2062650187 Enrollment ID: I20130531000485 |
| Provider Name | Isidore O Nwagwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376812818 PECOS PAC ID: 9830339985 Enrollment ID: I20130712000414 |
| Provider Name | Mohammad Titi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598957060 PECOS PAC ID: 9436390937 Enrollment ID: I20130725000740 |
| Provider Name | Eugene K Lee |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033230933 PECOS PAC ID: 9032374905 Enrollment ID: I20130823000298 |
| Provider Name | Ajay Tejwani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023278439 PECOS PAC ID: 6800030982 Enrollment ID: I20130910000965 |
| Provider Name | Shelley K Gurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548389505 PECOS PAC ID: 9830214907 Enrollment ID: I20130917000535 |
| Provider Name | Michelle R Vieira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275806457 PECOS PAC ID: 7810121449 Enrollment ID: I20131014001007 |
| Provider Name | Balaji S Datti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356552095 PECOS PAC ID: 2567696073 Enrollment ID: I20131015002043 |
| Provider Name | Jennifer L Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770916884 PECOS PAC ID: 5698902328 Enrollment ID: I20131230000197 |
| Provider Name | Carrie E Tyner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114357613 PECOS PAC ID: 9032348446 Enrollment ID: I20140205001554 |
| Provider Name | Lindsey R Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578984175 PECOS PAC ID: 0244469187 Enrollment ID: I20140218002036 |
| Provider Name | Megan Arnone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740605534 PECOS PAC ID: 6204067259 Enrollment ID: I20140317000251 |
| Provider Name | Najla N Maalouf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639327281 PECOS PAC ID: 1759512445 Enrollment ID: I20140321001184 |
| Provider Name | Shawna L Vanleeuwen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265842363 PECOS PAC ID: 5597989475 Enrollment ID: I20140616001552 |
| Provider Name | Emily L Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578985131 PECOS PAC ID: 8729204615 Enrollment ID: I20140730000833 |
| Provider Name | Larissa R Edmonds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467868133 PECOS PAC ID: 7315164951 Enrollment ID: I20140805002921 |
| Provider Name | Paul D Martis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508154659 PECOS PAC ID: 8729239629 Enrollment ID: I20140821000897 |
| Provider Name | Dawn M Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679982060 PECOS PAC ID: 9537387972 Enrollment ID: I20140827001938 |
| Provider Name | Geneva G Beal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902205982 PECOS PAC ID: 7214157429 Enrollment ID: I20141009001316 |
| Provider Name | Sara J Cobine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225324924 PECOS PAC ID: 7911147095 Enrollment ID: I20141031001901 |
| Provider Name | Mary M Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730583527 PECOS PAC ID: 2860614575 Enrollment ID: I20141113001120 |
| Provider Name | Mistee M Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699061218 PECOS PAC ID: 6406075241 Enrollment ID: I20141120001599 |
| Provider Name | Anjalee G Carlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053609107 PECOS PAC ID: 4082861489 Enrollment ID: I20141217002749 |
| Provider Name | Mary C Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376932384 PECOS PAC ID: 2264757236 Enrollment ID: I20150216000066 |
| Provider Name | Rachael N Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669864492 PECOS PAC ID: 8123348661 Enrollment ID: I20150522001334 |
| Provider Name | Nicole M Spencer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730470675 PECOS PAC ID: 0345560553 Enrollment ID: I20150528002178 |
| Provider Name | Ashley R Moser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750524799 PECOS PAC ID: 0143541805 Enrollment ID: I20150612001012 |
| Provider Name | Dusan A Stanojevic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770782229 PECOS PAC ID: 5092026708 Enrollment ID: I20150623000477 |
| Provider Name | Michael G Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396078226 PECOS PAC ID: 1759553993 Enrollment ID: I20150623000971 |
| Provider Name | Neha Sood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447571567 PECOS PAC ID: 3274770185 Enrollment ID: I20150625000544 |
| Provider Name | John K Ma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205067758 PECOS PAC ID: 3274845540 Enrollment ID: I20150630001794 |
| Provider Name | Alison N Delich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265811442 PECOS PAC ID: 5395058093 Enrollment ID: I20150724010144 |
| Provider Name | Sarah Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003127085 PECOS PAC ID: 4789820911 Enrollment ID: I20150903000698 |
| Provider Name | Howard Y Lee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124255716 PECOS PAC ID: 3173754587 Enrollment ID: I20151007001305 |
| Provider Name | Stephanie B Crabtree |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255533683 PECOS PAC ID: 4688850076 Enrollment ID: I20151119001471 |
| Provider Name | Ashutosh V Bapat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669525812 PECOS PAC ID: 2961434014 Enrollment ID: I20151211001162 |
| Provider Name | Isaac D Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568876332 PECOS PAC ID: 2668699042 Enrollment ID: I20160222000084 |
| Provider Name | Joanna M Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316309958 PECOS PAC ID: 4688972466 Enrollment ID: I20160412000075 |
| Provider Name | Sadiq Naveed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578876801 PECOS PAC ID: 1951543073 Enrollment ID: I20160531002025 |
| Provider Name | Cathleen Suzanne Reitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588831663 PECOS PAC ID: 1759451651 Enrollment ID: I20160622001522 |
| Provider Name | Jyotsna Adma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245457217 PECOS PAC ID: 8224329107 Enrollment ID: I20160623001874 |
| Provider Name | Kapil K Aedma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437438249 PECOS PAC ID: 3072810373 Enrollment ID: I20160720001722 |
| Provider Name | Laura Wallis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972978484 PECOS PAC ID: 6002109394 Enrollment ID: I20160725001106 |
| Provider Name | Casey P Hertzenberg |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1407016439 PECOS PAC ID: 9335447911 Enrollment ID: I20160816001516 |
| Provider Name | Ashley I Lutjemeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154779197 PECOS PAC ID: 0749575397 Enrollment ID: I20160823000190 |
| Provider Name | Aman S Gill |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497986525 PECOS PAC ID: 1254644834 Enrollment ID: I20161012001194 |
| Provider Name | Danielle E Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831546423 PECOS PAC ID: 6406134261 Enrollment ID: I20161028001390 |
| Provider Name | Matthew T Mcleay |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265434328 PECOS PAC ID: 7618969783 Enrollment ID: I20161102000391 |
| Provider Name | Kevin O Guevarra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356744981 PECOS PAC ID: 7618258260 Enrollment ID: I20161220000824 |
| Provider Name | Coreen M Bisel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073055463 PECOS PAC ID: 3375826878 Enrollment ID: I20170207002515 |
| Provider Name | Jennifer M Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730637869 PECOS PAC ID: 9830472158 Enrollment ID: I20170213000872 |
| Provider Name | Emily M Ryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427348796 PECOS PAC ID: 0941517288 Enrollment ID: I20170322000095 |
| Provider Name | Donald A Neff |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1871766162 PECOS PAC ID: 9234363011 Enrollment ID: I20170510002035 |
| Provider Name | Sunpreet Singh Rakhra |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134485618 PECOS PAC ID: 1951609684 Enrollment ID: I20170614000242 |
| Provider Name | Michael S Tollette |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891057196 PECOS PAC ID: 2769788314 Enrollment ID: I20170616002089 |
| Provider Name | Bertram W Maidment |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043579410 PECOS PAC ID: 8022247857 Enrollment ID: I20170616002185 |
| Provider Name | Saad A Syed |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598031775 PECOS PAC ID: 4486922333 Enrollment ID: I20170621000784 |
| Provider Name | Tarryn A Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467982447 PECOS PAC ID: 8224307640 Enrollment ID: I20170628001835 |
| Provider Name | Naga V Garikipati |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1427063239 PECOS PAC ID: 3173520822 Enrollment ID: I20170726002478 |
| Provider Name | Yvonne Thanh-nga D Pham |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1922326958 PECOS PAC ID: 4183995244 Enrollment ID: I20170808001042 |
| Provider Name | William P Parker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427379296 PECOS PAC ID: 2567773211 Enrollment ID: I20170817003820 |
| Provider Name | Elizabeth Wells Musil |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558773119 PECOS PAC ID: 3870717218 Enrollment ID: I20170822000104 |
| Provider Name | John A Taylor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003813940 PECOS PAC ID: 2264425461 Enrollment ID: I20170919002861 |
| Provider Name | Jamil Y Abuzetun |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1124245659 PECOS PAC ID: 7911141098 Enrollment ID: I20170928000385 |
| Provider Name | Buffie M Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760900336 PECOS PAC ID: 0042585952 Enrollment ID: I20171003005913 |
| Provider Name | Jerriann Margaret Yorkovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588722235 PECOS PAC ID: 0547237018 Enrollment ID: I20171011001801 |
| Provider Name | Molly Hulsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023529468 PECOS PAC ID: 5799044160 Enrollment ID: I20180109003272 |
| Provider Name | Manar Y Suker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922396324 PECOS PAC ID: 0749506434 Enrollment ID: I20180209002327 |
| Provider Name | Gregory A Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780186908 PECOS PAC ID: 7810259157 Enrollment ID: I20180326000654 |
| Provider Name | Suzanne S Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255452199 PECOS PAC ID: 0446406409 Enrollment ID: I20180503000073 |
| Provider Name | Niranjan Seshadri |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306840210 PECOS PAC ID: 3072594852 Enrollment ID: I20180507000091 |
| Provider Name | Trevor Bledsoe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255777561 PECOS PAC ID: 5698054112 Enrollment ID: I20180604002057 |
| Provider Name | Megha Teeka Satyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255712329 PECOS PAC ID: 1355655036 Enrollment ID: I20180711001860 |
| Provider Name | Jonathan D Warren |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407198575 PECOS PAC ID: 2567769763 Enrollment ID: I20180724000343 |
| Provider Name | Christopher M Buckley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639431356 PECOS PAC ID: 7911204995 Enrollment ID: I20180822001313 |
| Provider Name | Ali A Al Arab |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275844524 PECOS PAC ID: 8224255757 Enrollment ID: I20180822002374 |
| Provider Name | Stephen R Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013496710 PECOS PAC ID: 8325397318 Enrollment ID: I20180824000559 |
| Provider Name | Ekta Aneja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649653098 PECOS PAC ID: 9032468814 Enrollment ID: I20180828002195 |
| Provider Name | Casey G Kowalik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083925127 PECOS PAC ID: 8628328945 Enrollment ID: I20180907001769 |
| Provider Name | Wilson R Molina |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1285867473 PECOS PAC ID: 6204972144 Enrollment ID: I20181008000360 |
| Provider Name | Sunita Muranjan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700071479 PECOS PAC ID: 4486793528 Enrollment ID: I20181011001574 |
| Provider Name | Edward B Christiansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538541107 PECOS PAC ID: 2860789609 Enrollment ID: I20181101002804 |
| Provider Name | Kelsey Nicole Wampler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841773496 PECOS PAC ID: 6608120746 Enrollment ID: I20181108001903 |
| Provider Name | Natalie Ketzner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598261604 PECOS PAC ID: 3072857218 Enrollment ID: I20181129001059 |
| Provider Name | Shandon W Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609349265 PECOS PAC ID: 2163760695 Enrollment ID: I20190208000267 |
| Provider Name | Kelsey N Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376046607 PECOS PAC ID: 4284999731 Enrollment ID: I20190308000109 |
| Provider Name | Matthew L Drake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588676464 PECOS PAC ID: 9739327388 Enrollment ID: I20190402000455 |
| Provider Name | Bhaswanth Dhanireddy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679972467 PECOS PAC ID: 0143518191 Enrollment ID: I20190516000111 |
| Provider Name | Katrina Huseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396308318 PECOS PAC ID: 8022351667 Enrollment ID: I20190522000888 |
| Provider Name | Zachary P Nicholas |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770876070 PECOS PAC ID: 4486947488 Enrollment ID: I20190531000304 |
| Provider Name | Shaundra Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295157634 PECOS PAC ID: 0143453225 Enrollment ID: I20190606002831 |
| Provider Name | Molly R Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336604826 PECOS PAC ID: 4789917444 Enrollment ID: I20190612000121 |
| Provider Name | Amanda S Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356692701 PECOS PAC ID: 4981854056 Enrollment ID: I20190617002647 |
| Provider Name | Ihab H Hassan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326258682 PECOS PAC ID: 1456539865 Enrollment ID: I20190706000054 |
| Provider Name | Jessica L Mowry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063655348 PECOS PAC ID: 6800060427 Enrollment ID: I20190715002912 |
| Provider Name | Connor W Hartpence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548619968 PECOS PAC ID: 3274827985 Enrollment ID: I20190726001440 |
| Provider Name | Brittany Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841857810 PECOS PAC ID: 2466789003 Enrollment ID: I20190806000863 |
| Provider Name | Danica N May |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386061760 PECOS PAC ID: 0345577821 Enrollment ID: I20190806002818 |
| Provider Name | Aneel K Jiwanlal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326486630 PECOS PAC ID: 7113151861 Enrollment ID: I20190910003583 |
| Provider Name | Jennifer L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447809215 PECOS PAC ID: 3779813209 Enrollment ID: I20190926001944 |
| Provider Name | Mischaela N Aring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811412885 PECOS PAC ID: 2466728449 Enrollment ID: I20190930001507 |
| Provider Name | Michael Lypka |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1265687719 PECOS PAC ID: 5890840193 Enrollment ID: I20191009002938 |
| Provider Name | Carolyn Kim Savioz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285989590 PECOS PAC ID: 2860764198 Enrollment ID: I20191028000845 |
| Provider Name | Melisa G. Boersma |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104048933 PECOS PAC ID: 9436244084 Enrollment ID: I20191116000434 |
| Provider Name | Katlynn D Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184266439 PECOS PAC ID: 0749615821 Enrollment ID: I20200117001467 |
| Provider Name | Boyd C Marts |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295823425 PECOS PAC ID: 3476501966 Enrollment ID: I20200122003304 |
| Provider Name | Preston J Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891325510 PECOS PAC ID: 9032142682 Enrollment ID: I20200318000226 |
| Provider Name | Julianne C Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689138661 PECOS PAC ID: 6204264344 Enrollment ID: I20200324000488 |
| Provider Name | Carmen R Duitsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396377743 PECOS PAC ID: 5395174387 Enrollment ID: I20200326000215 |
| Provider Name | Krista A Chernoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235762014 PECOS PAC ID: 2466881404 Enrollment ID: I20200326002389 |
| Provider Name | Ahmad Al-mubaslat |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255328738 PECOS PAC ID: 9638073901 Enrollment ID: I20200812002744 |
| Provider Name | Emily Tylski |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1740608546 PECOS PAC ID: 6305148032 Enrollment ID: I20200817002599 |
| Provider Name | Krishna Reddy |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710129036 PECOS PAC ID: 2062654833 Enrollment ID: I20200824002670 |
| Provider Name | Zachary David Lee |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154784429 PECOS PAC ID: 7719286335 Enrollment ID: I20200901003198 |
| Provider Name | Omar F Hasan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1972949766 PECOS PAC ID: 0840431714 Enrollment ID: I20200901003278 |
| Provider Name | Li Y Lan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316470388 PECOS PAC ID: 6507285707 Enrollment ID: I20201007000356 |
| Provider Name | Lyndsey J Kilgore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144649237 PECOS PAC ID: 1951608280 Enrollment ID: I20201008002661 |
| Provider Name | Nina Nadu K Lawson-moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619431608 PECOS PAC ID: 1557772878 Enrollment ID: I20201117003096 |
| Provider Name | Chethana Kanaparthi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295982031 PECOS PAC ID: 2163679101 Enrollment ID: I20201201002235 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881987071 PECOS PAC ID: 6507085875 Enrollment ID: I20201202002906 |
| Provider Name | David Megee |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1619199098 PECOS PAC ID: 5698809333 Enrollment ID: I20210105000818 |
| Provider Name | Caitlin E Kirker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326511098 PECOS PAC ID: 3072842392 Enrollment ID: I20210324001521 |
| Provider Name | Shyam M Shridharani |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730168626 PECOS PAC ID: 0143293332 Enrollment ID: I20210430000717 |
| Provider Name | Megan M Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780945493 PECOS PAC ID: 7416105838 Enrollment ID: I20210528001556 |
| Provider Name | Steven Schwartz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275574832 PECOS PAC ID: 8628142809 Enrollment ID: I20210716000604 |
| Provider Name | Jennifer E Mcivor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659941367 PECOS PAC ID: 0143623256 Enrollment ID: I20210727003670 |
| Provider Name | Larry V Carson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1588764385 PECOS PAC ID: 4183600893 Enrollment ID: I20210731000378 |
| Provider Name | Stephen E Griffith |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659552818 PECOS PAC ID: 2466620463 Enrollment ID: I20210804000482 |
| Provider Name | Heather A Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245834811 PECOS PAC ID: 8729482179 Enrollment ID: I20210806000389 |
| Provider Name | Ektaben S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134610579 PECOS PAC ID: 1557619012 Enrollment ID: I20210816000704 |
| Provider Name | Yiqing S Butler-xu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1659720225 PECOS PAC ID: 5698066520 Enrollment ID: I20210816001271 |
| Provider Name | Oscar Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649775735 PECOS PAC ID: 8022362060 Enrollment ID: I20210831000456 |
| Provider Name | Jessica Fairchilds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639696743 PECOS PAC ID: 5395002729 Enrollment ID: I20210902003383 |
| Provider Name | Matthew R Blue |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780063925 PECOS PAC ID: 4284932799 Enrollment ID: I20210908001805 |
| Provider Name | Sara Shelden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316611379 PECOS PAC ID: 1254737729 Enrollment ID: I20210908002990 |
| Provider Name | Faddy I Khamis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891288338 PECOS PAC ID: 8729336003 Enrollment ID: I20210915000524 |
| Provider Name | Ramana Gorrepati |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1295154375 PECOS PAC ID: 0749509354 Enrollment ID: I20210915001745 |
| Provider Name | Naina Patil |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427169390 PECOS PAC ID: 8820021785 Enrollment ID: I20210927000951 |
| Provider Name | Rebecca L Farmer |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1922427939 PECOS PAC ID: 5294958062 Enrollment ID: I20211019000351 |
| Provider Name | Kelsie Tjelmeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972126886 PECOS PAC ID: 0244628121 Enrollment ID: I20211026001600 |
| Provider Name | Lindsey L Hrizuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255096673 PECOS PAC ID: 2668861543 Enrollment ID: I20211115002038 |
| Provider Name | Holly B Ferrante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639845035 PECOS PAC ID: 5496145583 Enrollment ID: I20211203001680 |
| Provider Name | Krysta Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487149068 PECOS PAC ID: 7214288497 Enrollment ID: I20211207000198 |
| Provider Name | Susana Rodriguez-esler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831856954 PECOS PAC ID: 2567853591 Enrollment ID: I20211229001109 |
| Provider Name | Courtnye A Walker |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1689889792 PECOS PAC ID: 3678603669 Enrollment ID: I20220126000427 |
| Provider Name | Cassi R Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962153718 PECOS PAC ID: 2668865379 Enrollment ID: I20220201002426 |
| Provider Name | Emily Kristen Johansen Stoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669977781 PECOS PAC ID: 3779837265 Enrollment ID: I20220210000782 |
| Provider Name | Paige N Diel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740867803 PECOS PAC ID: 2365836103 Enrollment ID: I20220222000599 |
| Provider Name | Kristina D Cockerill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255001558 PECOS PAC ID: 9537553276 Enrollment ID: I20220223002036 |
| Provider Name | Heather Renee Colaizzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841840659 PECOS PAC ID: 1951633403 Enrollment ID: I20220315001146 |
| Provider Name | Patrick J Boos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982346607 PECOS PAC ID: 4385021740 Enrollment ID: I20220524002842 |
| Provider Name | Jordan K Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013549286 PECOS PAC ID: 7416334875 Enrollment ID: I20220524003107 |
| Provider Name | Maria E Klug |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568071231 PECOS PAC ID: 5698154110 Enrollment ID: I20220614000419 |
| Provider Name | Kari A Gaskell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588267496 PECOS PAC ID: 8820405608 Enrollment ID: I20220708002457 |
| Provider Name | Besma M Hasan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588059976 PECOS PAC ID: 7719298850 Enrollment ID: I20220722000963 |
| Provider Name | Mariah J Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518524024 PECOS PAC ID: 6305172065 Enrollment ID: I20220802001567 |
| Provider Name | Robert P Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164080560 PECOS PAC ID: 3577897073 Enrollment ID: I20220815002310 |
| Provider Name | Sagar R Vadhar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972953438 PECOS PAC ID: 3971895236 Enrollment ID: I20220915002188 |
| Provider Name | Colby Perkins Souders |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1083155592 PECOS PAC ID: 7315360997 Enrollment ID: I20221011002069 |
| Provider Name | Jessica M Oyervides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215676143 PECOS PAC ID: 5092181974 Enrollment ID: I20221018000894 |
| Provider Name | Laura M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629726369 PECOS PAC ID: 6507232378 Enrollment ID: I20221019001262 |
| Provider Name | John C Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114654787 PECOS PAC ID: 2769858299 Enrollment ID: I20221025000231 |
| Provider Name | Charles C Jehle |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639557366 PECOS PAC ID: 2961718424 Enrollment ID: I20221026000735 |
| Provider Name | Courtni R Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437875093 PECOS PAC ID: 1658748025 Enrollment ID: I20221028000546 |
| Provider Name | Jay C Shiao |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1063947653 PECOS PAC ID: 7719360759 Enrollment ID: I20221109000421 |
| Provider Name | Cara E Metzinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699483347 PECOS PAC ID: 7315317971 Enrollment ID: I20221223001250 |
| Provider Name | Jennifer R Herriage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518674274 PECOS PAC ID: 0042680530 Enrollment ID: I20221227001358 |
| Provider Name | Elise Soley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871259499 PECOS PAC ID: 5092193458 Enrollment ID: I20221228001111 |
| Provider Name | Jordan C Calabrese |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949976 PECOS PAC ID: 7810379104 Enrollment ID: I20230105000894 |
| Provider Name | Gabrielle L Church |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073236212 PECOS PAC ID: 9133590003 Enrollment ID: I20230201001075 |
| Provider Name | Leah N Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518100387 PECOS PAC ID: 0042684110 Enrollment ID: I20230314000301 |
| Provider Name | Grant M Latta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558534792 PECOS PAC ID: 4688048754 Enrollment ID: I20230314000325 |
| Provider Name | Henry T Puls |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033354493 PECOS PAC ID: 0749477669 Enrollment ID: I20230314000389 |
| Provider Name | Michael G Platt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710278841 PECOS PAC ID: 5799909412 Enrollment ID: I20230314001359 |
| Provider Name | Christine N Scoby |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174884910 PECOS PAC ID: 6204200074 Enrollment ID: I20230317000200 |
| Provider Name | Adrienne G Deporre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528324191 PECOS PAC ID: 2860866464 Enrollment ID: I20230322001550 |
| Provider Name | Jason C Eck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982809240 PECOS PAC ID: 3577657261 Enrollment ID: I20230405001984 |
| Provider Name | Ann M Morris |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831325844 PECOS PAC ID: 8921226408 Enrollment ID: I20230414000637 |
| Provider Name | Antonio Cuthbertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841905593 PECOS PAC ID: 4587039946 Enrollment ID: I20230417002263 |
| Provider Name | Yui-yee R Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124085626 PECOS PAC ID: 1658746037 Enrollment ID: I20230418000137 |
| Provider Name | Javon Heinrichs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881399053 PECOS PAC ID: 8628433851 Enrollment ID: I20230424000355 |
| Provider Name | Jacqueline M Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417110420 PECOS PAC ID: 5193180149 Enrollment ID: I20230427000916 |
| Provider Name | Jaream C Mckelvy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316561004 PECOS PAC ID: 0648636415 Enrollment ID: I20230520000244 |
| Provider Name | Kenneth Lipow |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427083674 PECOS PAC ID: 3678537446 Enrollment ID: I20230705002510 |
| Provider Name | Paige E Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710339239 PECOS PAC ID: 5092175836 Enrollment ID: I20230712002168 |
| Provider Name | Johnathan Andrew Drevik |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487179115 PECOS PAC ID: 1759741333 Enrollment ID: I20230713003382 |
| Provider Name | Alexandra J Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689203200 PECOS PAC ID: 4385034396 Enrollment ID: I20230721000670 |
| Provider Name | Jacob R Sneddon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972036820 PECOS PAC ID: 0143680074 Enrollment ID: I20230724002173 |
| Provider Name | Tarang Pankaj Patel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295186054 PECOS PAC ID: 3072805944 Enrollment ID: I20230807000274 |
| Provider Name | Brittnay T Schuetz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285240739 PECOS PAC ID: 1557723202 Enrollment ID: I20230814001115 |
| Provider Name | Laura Elizabeth Gibbons |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952752974 PECOS PAC ID: 3870886765 Enrollment ID: I20230814001417 |
| Provider Name | Blaine Alan Knox |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447781554 PECOS PAC ID: 4385915883 Enrollment ID: I20230830000324 |
| Provider Name | Madhavi Yarlagadda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841459526 PECOS PAC ID: 8123143153 Enrollment ID: I20240102003192 |
| Provider Name | Thomas J Katzfey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1245896869 PECOS PAC ID: 3779818372 Enrollment ID: I20240118000496 |
| Provider Name | Stephanie A Windish |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912313883 PECOS PAC ID: 8022394519 Enrollment ID: I20240131000187 |
Hall & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11240 Strangline Road, Olathe, KS 66062 Phone: 816-935-9420 | |
Ashley L Michel, Lscsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 513 N Mur Len Rd, Olathe, KS 66062 Phone: 913-667-9885 | |
Pathway To Hope, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2140 E Santa Fe St, Olathe, KS 66062 Phone: 913-397-8552 | |
Linda J Kohler, Md, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 E Willow Dr, Olathe, KS 66062 Phone: 913-393-9889 Fax: 913-393-9998 | |
Sunrise Counseling Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 N Mur Len Rd Ste A, Olathe, KS 66062 Phone: 816-360-9221 | |
Frontier Integrated Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 S Clairborne Rd Ste B, Olathe, KS 66062 Phone: 913-397-0300 Fax: 913-397-0301 | |
Dr Dodge & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18975 W 115th Ter, Olathe, KS 66061 Phone: 913-232-6861 |