| Otero County Hospital Association | |
|
2669 Scenic Dr Alamogordo NM 88310-8700 | |
| (575) 443-7403 | |
| Not Available |
| Full Name | Otero County Hospital Association |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2669 Scenic Dr, Alamogordo, New Mexico |
| Authorized Official Name and Position | Robert J Heckert (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5754437845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Otero County Hospital Association 2669 Scenic Dr Alamogordo NM 88310-8700 Ph: (575) 439-6100 | Otero County Hospital Association 2669 Scenic Dr Alamogordo NM 88310-8700 Ph: (575) 443-7403 |
| NPI Number | 1861450579 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Medicare PECOS PAC ID | 3173516606 |
|---|---|
| Medicare Enrollment ID | O20070212000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861450579 | NPI | - | NPPES |
| 21959838 | Medicaid | NM | |
| 32S004 | Other | NM | GEROPSYCH |
| 45930 | Medicaid | NM | |
| 32U004 | Other | NM | SWING BED |
| 91753821 | Medicaid | NM | |
| 000000018 | Medicaid | NM | |
| 32T004 | Other | NM | INPATIENT REHAB |
| C84086 | Other | NM | RAILROAD MEDICARE |
| Provider Name | James Wells |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639186059 PECOS PAC ID: 3274446950 Enrollment ID: I20031110000052 |
| Provider Name | Stanley R Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802968 PECOS PAC ID: 4082527205 Enrollment ID: I20031112000395 |
| Provider Name | Roberto Navarrette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659340602 PECOS PAC ID: 6608778071 Enrollment ID: I20040126000181 |
| Provider Name | Mihaela Bumbac Bujoi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164424214 PECOS PAC ID: 6305739897 Enrollment ID: I20040206000914 |
| Provider Name | William L Pollard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538165147 PECOS PAC ID: 3779473715 Enrollment ID: I20040316000271 |
| Provider Name | Stanley Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407863459 PECOS PAC ID: 2961394754 Enrollment ID: I20040326000617 |
| Provider Name | Giridhar Anireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366445496 PECOS PAC ID: 0648264317 Enrollment ID: I20040414000653 |
| Provider Name | Nasser J Alqassem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043282395 PECOS PAC ID: 5294729828 Enrollment ID: I20040414001105 |
| Provider Name | Ferial Abood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184803843 PECOS PAC ID: 2668466202 Enrollment ID: I20040414001186 |
| Provider Name | Sarojana Hanumandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952304081 PECOS PAC ID: 3173517729 Enrollment ID: I20040414001295 |
| Provider Name | Jagjit Mangat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679516918 PECOS PAC ID: 8022092501 Enrollment ID: I20040614000848 |
| Provider Name | Ruthven N Sampath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851484570 PECOS PAC ID: 9830177120 Enrollment ID: I20040713000193 |
| Provider Name | John P Simmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841285962 PECOS PAC ID: 4587558671 Enrollment ID: I20040729000269 |
| Provider Name | Carol M Marquez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164448528 PECOS PAC ID: 0547162901 Enrollment ID: I20041118000179 |
| Provider Name | Nikhil K Mehta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992708515 PECOS PAC ID: 6800845561 Enrollment ID: I20050222000293 |
| Provider Name | Ernest R Jabour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1306815691 PECOS PAC ID: 6709833395 Enrollment ID: I20050406000129 |
| Provider Name | Keith G Winterkorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538135165 PECOS PAC ID: 5799732343 Enrollment ID: I20050414001209 |
| Provider Name | Margaret H Chaffey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124094792 PECOS PAC ID: 0042257487 Enrollment ID: I20050416000085 |
| Provider Name | Roger L Cronk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811963499 PECOS PAC ID: 2860439205 Enrollment ID: I20050416000087 |
| Provider Name | Mark H Depper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437125697 PECOS PAC ID: 6305883745 Enrollment ID: I20050416000092 |
| Provider Name | Kathryn Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710953039 PECOS PAC ID: 9335187707 Enrollment ID: I20050418000855 |
| Provider Name | Russell Kenneth Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811963457 PECOS PAC ID: 8426096801 Enrollment ID: I20050418000951 |
| Provider Name | Terry A Boulware |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730112558 PECOS PAC ID: 7012803968 Enrollment ID: I20050714000188 |
| Provider Name | Robert C Smaltz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700883394 PECOS PAC ID: 8527098896 Enrollment ID: I20050816000929 |
| Provider Name | Alexander Lorusso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548236102 PECOS PAC ID: 9739154360 Enrollment ID: I20051010000618 |
| Provider Name | George Laws |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932169448 PECOS PAC ID: 6406881036 Enrollment ID: I20051024000646 |
| Provider Name | Fatma Midani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447284658 PECOS PAC ID: 1254366578 Enrollment ID: I20051121000245 |
| Provider Name | Cherie J Hayostek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114995990 PECOS PAC ID: 6608829981 Enrollment ID: I20051130000414 |
| Provider Name | Sandra E Grummert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205948494 PECOS PAC ID: 4789619545 Enrollment ID: I20051221000623 |
| Provider Name | Heather R Podhajecki |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1750394664 PECOS PAC ID: 7416988233 Enrollment ID: I20051223000137 |
| Provider Name | Jennifer J Deroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609843689 PECOS PAC ID: 0547280422 Enrollment ID: I20060104000333 |
| Provider Name | George M Massoud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003800988 PECOS PAC ID: 7517993561 Enrollment ID: I20060203000108 |
| Provider Name | Robert A Graor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114926409 PECOS PAC ID: 2365335338 Enrollment ID: I20060223000252 |
| Provider Name | Marcia L Hefker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609873355 PECOS PAC ID: 7315049467 Enrollment ID: I20070221000149 |
| Provider Name | Christopher J Creel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780763110 PECOS PAC ID: 3577663004 Enrollment ID: I20070712000244 |
| Provider Name | Nels N Dahlgren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396884318 PECOS PAC ID: 9830290204 Enrollment ID: I20070730000293 |
| Provider Name | Gregory A Charlton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386675270 PECOS PAC ID: 6103718226 Enrollment ID: I20070815000617 |
| Provider Name | Norman D Lindley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063639409 PECOS PAC ID: 7810083664 Enrollment ID: I20071010000210 |
| Provider Name | Belyn Schwartz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609905017 PECOS PAC ID: 3476633660 Enrollment ID: I20071228000456 |
| Provider Name | Alfredo F Gurmendi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346241361 PECOS PAC ID: 5294797734 Enrollment ID: I20080108000702 |
| Provider Name | Jayant Kumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558451039 PECOS PAC ID: 3577500404 Enrollment ID: I20080324000222 |
| Provider Name | David Fillmore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255315057 PECOS PAC ID: 6901893825 Enrollment ID: I20080501000081 |
| Provider Name | Nathan L Goldfein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689713612 PECOS PAC ID: 2365518925 Enrollment ID: I20080904000500 |
| Provider Name | Tracey M Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346411683 PECOS PAC ID: 4688732548 Enrollment ID: I20081021000580 |
| Provider Name | Andrew D Lancaster |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992842934 PECOS PAC ID: 6709949373 Enrollment ID: I20090107000555 |
| Provider Name | Sonam P Kundeling |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326044579 PECOS PAC ID: 1850297391 Enrollment ID: I20090422000359 |
| Provider Name | Chanse A Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134146699 PECOS PAC ID: 2062473390 Enrollment ID: I20090529000347 |
| Provider Name | Francisco M Ralls |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1164491122 PECOS PAC ID: 8123006590 Enrollment ID: I20090824000665 |
| Provider Name | Traci Waters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669705331 PECOS PAC ID: 1557407533 Enrollment ID: I20091005000542 |
| Provider Name | Brett L Butz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538155668 PECOS PAC ID: 3476581331 Enrollment ID: I20091124000634 |
| Provider Name | Douglas R Dodson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861464844 PECOS PAC ID: 3870540420 Enrollment ID: I20091130000548 |
| Provider Name | John J Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235101940 PECOS PAC ID: 2163426040 Enrollment ID: I20100104000653 |
| Provider Name | Eric Freeh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821060534 PECOS PAC ID: 2062469612 Enrollment ID: I20100224000856 |
| Provider Name | Christopher Lynn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043419997 PECOS PAC ID: 0042309296 Enrollment ID: I20100426000016 |
| Provider Name | Peter Bernat |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477882876 PECOS PAC ID: 8527196500 Enrollment ID: I20100512000691 |
| Provider Name | Altaf Ahmed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073594230 PECOS PAC ID: 0941248488 Enrollment ID: I20100616000337 |
| Provider Name | Claudio Perez-ledezma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619146966 PECOS PAC ID: 6901930817 Enrollment ID: I20100813000884 |
| Provider Name | Clifford Eugene Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457678617 PECOS PAC ID: 7416072020 Enrollment ID: I20100918000240 |
| Provider Name | Gregory Bennett Richardson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811994221 PECOS PAC ID: 5496645426 Enrollment ID: I20101101000856 |
| Provider Name | Maher M Al-rahamneh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497086409 PECOS PAC ID: 5092904417 Enrollment ID: I20110114000712 |
| Provider Name | Christine A Hobson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659597441 PECOS PAC ID: 7810176054 Enrollment ID: I20110120000565 |
| Provider Name | George P Imuro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689892358 PECOS PAC ID: 9739360447 Enrollment ID: I20110228000711 |
| Provider Name | Shahid Mansoor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053301747 PECOS PAC ID: 5294645172 Enrollment ID: I20110524000768 |
| Provider Name | Jagdev I Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740224500 PECOS PAC ID: 5991861106 Enrollment ID: I20110707000661 |
| Provider Name | Sonda Sue Boulware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841596608 PECOS PAC ID: 3971771049 Enrollment ID: I20110714000757 |
| Provider Name | Loren K Spencer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881852978 PECOS PAC ID: 3870763485 Enrollment ID: I20110908001891 |
| Provider Name | Charles Mark Race |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144275959 PECOS PAC ID: 6305749185 Enrollment ID: I20110927000130 |
| Provider Name | Margaret Suzanne Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386764728 PECOS PAC ID: 2264605922 Enrollment ID: I20111026000172 |
| Provider Name | Angela D Frietze |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679877476 PECOS PAC ID: 8325226160 Enrollment ID: I20111121000620 |
| Provider Name | Victor Cruz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861693947 PECOS PAC ID: 2365534930 Enrollment ID: I20120223000722 |
| Provider Name | Polly Anne Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013284777 PECOS PAC ID: 5597928531 Enrollment ID: I20120531000442 |
| Provider Name | Hector J Castro |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528211372 PECOS PAC ID: 9830348234 Enrollment ID: I20120928000236 |
| Provider Name | Karen A Lecomte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487636056 PECOS PAC ID: 7214902089 Enrollment ID: I20130502000375 |
| Provider Name | Anne F Foster |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902957491 PECOS PAC ID: 2961432133 Enrollment ID: I20131004000220 |
| Provider Name | Ying Zhao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881896314 PECOS PAC ID: 7517041064 Enrollment ID: I20131127000799 |
| Provider Name | Sabrina J Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710077631 PECOS PAC ID: 5395633507 Enrollment ID: I20140306001362 |
| Provider Name | Madhuri Kadiyala |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1467426320 PECOS PAC ID: 5991781999 Enrollment ID: I20140325000526 |
| Provider Name | Veronica Y Ruvo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740252725 PECOS PAC ID: 4183523855 Enrollment ID: I20140415002165 |
| Provider Name | John A Mcandrew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962454850 PECOS PAC ID: 6103993043 Enrollment ID: I20140516000168 |
| Provider Name | Chad Benninghoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912256256 PECOS PAC ID: 4385894203 Enrollment ID: I20140619000765 |
| Provider Name | Leandrita Flores Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104897248 PECOS PAC ID: 1951350669 Enrollment ID: I20140828000907 |
| Provider Name | Richard A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336571447 PECOS PAC ID: 3173757325 Enrollment ID: I20140912000189 |
| Provider Name | Okeny D Modi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124198049 PECOS PAC ID: 8426114380 Enrollment ID: I20150218001552 |
| Provider Name | Janet Kay Anter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215334529 PECOS PAC ID: 0345566642 Enrollment ID: I20150304001118 |
| Provider Name | Katrina A Rolen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821042029 PECOS PAC ID: 2668444241 Enrollment ID: I20150428001759 |
| Provider Name | Troy W Shepherd |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376898437 PECOS PAC ID: 4587977640 Enrollment ID: I20150717001725 |
| Provider Name | Barbara Marie Turpin Mccolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740676063 PECOS PAC ID: 8921312349 Enrollment ID: I20150729009422 |
| Provider Name | Harvey Alan Pflanzer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902906266 PECOS PAC ID: 0648229963 Enrollment ID: I20151028002914 |
| Provider Name | Geronimo Mendoza-urias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356605877 PECOS PAC ID: 2961712310 Enrollment ID: I20151114000069 |
| Provider Name | Brigid Meghan Gerety |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912950809 PECOS PAC ID: 8729061445 Enrollment ID: I20151117002240 |
| Provider Name | Jimmy C Leung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750370714 PECOS PAC ID: 1759370349 Enrollment ID: I20151231001141 |
| Provider Name | Kevin Scharff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255323846 PECOS PAC ID: 7618920356 Enrollment ID: I20160224002216 |
| Provider Name | Michelle Lynn Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386000636 PECOS PAC ID: 3072818087 Enrollment ID: I20160229000875 |
| Provider Name | Gregory S Willis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417941600 PECOS PAC ID: 7012902315 Enrollment ID: I20160506000139 |
| Provider Name | James Patrick Dumont |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124012190 PECOS PAC ID: 2163500265 Enrollment ID: I20160510000042 |
| Provider Name | Ginger A Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558592360 PECOS PAC ID: 3173657848 Enrollment ID: I20160705001509 |
| Provider Name | Shelby Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538473491 PECOS PAC ID: 1951603414 Enrollment ID: I20160721000208 |
| Provider Name | Mohammed Quraishi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871545269 PECOS PAC ID: 8123030814 Enrollment ID: I20160816002631 |
| Provider Name | Masoud Shiehmorteza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164724449 PECOS PAC ID: 3274821376 Enrollment ID: I20161005000740 |
| Provider Name | Talha Bashir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497194559 PECOS PAC ID: 6608099080 Enrollment ID: I20161014002128 |
| Provider Name | Lisa F Cramm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518401207 PECOS PAC ID: 8729361886 Enrollment ID: I20170215001604 |
| Provider Name | Flor Guerengomba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396181806 PECOS PAC ID: 7113227547 Enrollment ID: I20170330001357 |
| Provider Name | Lorena Jo Stovell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609329838 PECOS PAC ID: 8426335431 Enrollment ID: I20170501000199 |
| Provider Name | Catherine M Bjerum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275616021 PECOS PAC ID: 2365441524 Enrollment ID: I20170502000717 |
| Provider Name | Tobias Kulik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144545773 PECOS PAC ID: 4284853854 Enrollment ID: I20170728001422 |
| Provider Name | Cacy Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548786189 PECOS PAC ID: 6901172352 Enrollment ID: I20171030002573 |
| Provider Name | Harold Francis Rowley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508240219 PECOS PAC ID: 8820304637 Enrollment ID: I20171107003316 |
| Provider Name | Lindsey Crystal Savedge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699205013 PECOS PAC ID: 4486911690 Enrollment ID: I20171127000425 |
| Provider Name | Nina Nandy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992935001 PECOS PAC ID: 6507085206 Enrollment ID: I20171220002643 |
| Provider Name | Cari Lynn Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235683517 PECOS PAC ID: 5395033567 Enrollment ID: I20180118002387 |
| Provider Name | Carolina De Lourdes Ponce Orellana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366754889 PECOS PAC ID: 5294094231 Enrollment ID: I20180119000243 |
| Provider Name | Melinda Sue Kozma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821272899 PECOS PAC ID: 5294818449 Enrollment ID: I20180221001050 |
| Provider Name | Charlotte M Dubois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770082984 PECOS PAC ID: 4284996083 Enrollment ID: I20180314001184 |
| Provider Name | Mark R Walters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649301920 PECOS PAC ID: 0446273650 Enrollment ID: I20180320000956 |
| Provider Name | Garrett Cormie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760773170 PECOS PAC ID: 6204013907 Enrollment ID: I20180503000682 |
| Provider Name | Jana J Mcburney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508100207 PECOS PAC ID: 2264721943 Enrollment ID: I20180507000422 |
| Provider Name | Eduardo Meza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487729422 PECOS PAC ID: 3072505361 Enrollment ID: I20180620001660 |
| Provider Name | Martha Yuririan Montanez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164805420 PECOS PAC ID: 7113226101 Enrollment ID: I20180730003179 |
| Provider Name | Shaya Ansari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003851726 PECOS PAC ID: 8527071760 Enrollment ID: I20180807002430 |
| Provider Name | Sharlene E Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336637354 PECOS PAC ID: 3779831649 Enrollment ID: I20180809000413 |
| Provider Name | Tiffany Christine Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649400870 PECOS PAC ID: 0042336067 Enrollment ID: I20180820000718 |
| Provider Name | Renee Yvette Friday |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275531394 PECOS PAC ID: 7113932740 Enrollment ID: I20180828004158 |
| Provider Name | Danielle Marie Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235636820 PECOS PAC ID: 3870843030 Enrollment ID: I20180910000658 |
| Provider Name | Lucinda M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669950804 PECOS PAC ID: 3274884515 Enrollment ID: I20180925002757 |
| Provider Name | Scott Heejoon Shin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184794349 PECOS PAC ID: 3072642206 Enrollment ID: I20181106001701 |
| Provider Name | Tarun Md Girotra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164862413 PECOS PAC ID: 5890061089 Enrollment ID: I20181110000010 |
| Provider Name | Alynna A Manriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093056947 PECOS PAC ID: 7719127984 Enrollment ID: I20181115000663 |
| Provider Name | Thomas M Stegen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629545520 PECOS PAC ID: 0840544102 Enrollment ID: I20181126003624 |
| Provider Name | Dominique Pummill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609364249 PECOS PAC ID: 2062756257 Enrollment ID: I20181128002386 |
| Provider Name | Adam Barrie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053862276 PECOS PAC ID: 6608156831 Enrollment ID: I20181129000091 |
| Provider Name | James Andrew Botros |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326365263 PECOS PAC ID: 8921379587 Enrollment ID: I20181204003124 |
| Provider Name | Fernando Javier Guillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861974024 PECOS PAC ID: 1052656196 Enrollment ID: I20181218003597 |
| Provider Name | Sarah Lis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285101436 PECOS PAC ID: 2668718016 Enrollment ID: I20190107002090 |
| Provider Name | Sandra A Rickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699240721 PECOS PAC ID: 1658619887 Enrollment ID: I20190214000849 |
| Provider Name | Cassandra Groves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578027710 PECOS PAC ID: 8224376215 Enrollment ID: I20190218001340 |
| Provider Name | Michelle Aragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720549587 PECOS PAC ID: 3375885924 Enrollment ID: I20190430002599 |
| Provider Name | Andrew N Pike |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891821922 PECOS PAC ID: 5799905360 Enrollment ID: I20190530000055 |
| Provider Name | Melissa Ann Lefevre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619447430 PECOS PAC ID: 8325371313 Enrollment ID: I20190606000333 |
| Provider Name | Lourdes Avinaz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033551981 PECOS PAC ID: 7214298736 Enrollment ID: I20190606002600 |
| Provider Name | John Grady Johnston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700362183 PECOS PAC ID: 9537411087 Enrollment ID: I20190611001735 |
| Provider Name | Antony A Malo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447601182 PECOS PAC ID: 8820381197 Enrollment ID: I20190612002180 |
| Provider Name | Daniel Bustillos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881182160 PECOS PAC ID: 1759622939 Enrollment ID: I20190628000562 |
| Provider Name | John Randall Underwood |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1962467555 PECOS PAC ID: 5496654022 Enrollment ID: I20190703000954 |
| Provider Name | Thomas G Tullius |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467794818 PECOS PAC ID: 0840592622 Enrollment ID: I20190711001126 |
| Provider Name | Christian B Ricks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548522063 PECOS PAC ID: 8325374275 Enrollment ID: I20190730002692 |
| Provider Name | Ronnie Wing |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013974369 PECOS PAC ID: 6103892013 Enrollment ID: I20190801000281 |
| Provider Name | Kristin Marianna Turner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518237007 PECOS PAC ID: 2769710334 Enrollment ID: I20190820003008 |
| Provider Name | Richard Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127880 PECOS PAC ID: 5496084709 Enrollment ID: I20190912000370 |
| Provider Name | Kinsey Jo Airhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801448998 PECOS PAC ID: 4284964180 Enrollment ID: I20190918003683 |
| Provider Name | Caroline Michelle Teich Gant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366003469 PECOS PAC ID: 9234469891 Enrollment ID: I20190924002525 |
| Provider Name | Sarah A Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346714748 PECOS PAC ID: 9537499645 Enrollment ID: I20191002001529 |
| Provider Name | Stephen J Durant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336116268 PECOS PAC ID: 7315955044 Enrollment ID: I20191223001740 |
| Provider Name | Monica J Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912253287 PECOS PAC ID: 1658508353 Enrollment ID: I20191227000851 |
| Provider Name | Joe Ben Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245635622 PECOS PAC ID: 9739099888 Enrollment ID: I20200131001155 |
| Provider Name | Mohan Kumas Bangalore Puttaiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619007697 PECOS PAC ID: 8123098738 Enrollment ID: I20200131001530 |
| Provider Name | Phillip Plemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871840199 PECOS PAC ID: 8921321043 Enrollment ID: I20200219000297 |
| Provider Name | Jennifer Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033486725 PECOS PAC ID: 7113183781 Enrollment ID: I20200401003350 |
| Provider Name | Laura Beth Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821543232 PECOS PAC ID: 6204124803 Enrollment ID: I20200403001772 |
| Provider Name | Lauren Noland Mccullough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528454949 PECOS PAC ID: 7315251725 Enrollment ID: I20200723000499 |
| Provider Name | Muhammad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457791113 PECOS PAC ID: 0749585131 Enrollment ID: I20200727001465 |
| Provider Name | Ruth Rawlings |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457790552 PECOS PAC ID: 8426392549 Enrollment ID: I20200811001137 |
| Provider Name | Joann Barbour Couch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538153952 PECOS PAC ID: 2769808344 Enrollment ID: I20200813000180 |
| Provider Name | Lisa Barrett |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285778670 PECOS PAC ID: 2769678127 Enrollment ID: I20200903002686 |
| Provider Name | Anne P Cousins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063750354 PECOS PAC ID: 2466697883 Enrollment ID: I20200923001509 |
| Provider Name | Stephanie Swarthout |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376152108 PECOS PAC ID: 0941611214 Enrollment ID: I20201118001882 |
| Provider Name | Jeanne Wescoat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679594907 PECOS PAC ID: 4688670854 Enrollment ID: I20201125000696 |
| Provider Name | Jeanette Lara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265961114 PECOS PAC ID: 6709298599 Enrollment ID: I20201221001009 |
| Provider Name | Ifeanyi David Nwokeabia |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1104207323 PECOS PAC ID: 0446564272 Enrollment ID: I20210106001119 |
| Provider Name | Andrew Gunter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740624253 PECOS PAC ID: 8729220512 Enrollment ID: I20210209000462 |
| Provider Name | Cynthia Louise Gigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437749074 PECOS PAC ID: 7911312863 Enrollment ID: I20210226001405 |
| Provider Name | Kelly V Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1467612333 PECOS PAC ID: 5193095545 Enrollment ID: I20210317003081 |
| Provider Name | William James Morlan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558952408 PECOS PAC ID: 2466869342 Enrollment ID: I20210319001003 |
| Provider Name | Lynda Marie Daily Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275156598 PECOS PAC ID: 1557779576 Enrollment ID: I20210412002252 |
| Provider Name | Kimiko Dewing Blair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114190337 PECOS PAC ID: 5193902757 Enrollment ID: I20210427002116 |
| Provider Name | Marcia Walmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891081816 PECOS PAC ID: 6002070513 Enrollment ID: I20210429000535 |
| Provider Name | Mrunal P Tailor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730573239 PECOS PAC ID: 7618287780 Enrollment ID: I20210505000639 |
| Provider Name | Max Sale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447647672 PECOS PAC ID: 4981911658 Enrollment ID: I20210524001043 |
| Provider Name | Joseph Frey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528441219 PECOS PAC ID: 2062836844 Enrollment ID: I20210528001595 |
| Provider Name | Denise R Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255925509 PECOS PAC ID: 8729487426 Enrollment ID: I20210601000490 |
| Provider Name | Masoom Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467791764 PECOS PAC ID: 9537474978 Enrollment ID: I20210601001963 |
| Provider Name | Haley Burt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477115483 PECOS PAC ID: 4385076298 Enrollment ID: I20210602001308 |
| Provider Name | Ravi Kumar Thimmisetty |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326321449 PECOS PAC ID: 9234431388 Enrollment ID: I20210609003150 |
| Provider Name | Sarah Dodson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700321783 PECOS PAC ID: 3173804176 Enrollment ID: I20210610002636 |
| Provider Name | Farid Radmanesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841672540 PECOS PAC ID: 8527354588 Enrollment ID: I20210617000477 |
| Provider Name | Maryam Hosseini Farahabadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114381753 PECOS PAC ID: 5597007054 Enrollment ID: I20210621002627 |
| Provider Name | Samuel Burns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336532332 PECOS PAC ID: 9739591884 Enrollment ID: I20210716000104 |
| Provider Name | April Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265983019 PECOS PAC ID: 5799068482 Enrollment ID: I20210719003682 |
| Provider Name | Timothy Betz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295797025 PECOS PAC ID: 9931097680 Enrollment ID: I20210818003001 |
| Provider Name | Dennis Scott Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528732468 PECOS PAC ID: 1254736663 Enrollment ID: I20210826001945 |
| Provider Name | Monika Manchanda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689020950 PECOS PAC ID: 3577850767 Enrollment ID: I20210902001591 |
| Provider Name | Matthew J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427370972 PECOS PAC ID: 0941338149 Enrollment ID: I20210903001682 |
| Provider Name | Michael Kogan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699110502 PECOS PAC ID: 0345588844 Enrollment ID: I20210907000165 |
| Provider Name | Douglas B Gaufin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629571278 PECOS PAC ID: 6103222443 Enrollment ID: I20210910002764 |
| Provider Name | Lisa Erlinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972584944 PECOS PAC ID: 4183612773 Enrollment ID: I20210914002514 |
| Provider Name | Danielle Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598319246 PECOS PAC ID: 9436588951 Enrollment ID: I20211108002969 |
| Provider Name | Barbara Ramos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003388695 PECOS PAC ID: 7113266693 Enrollment ID: I20211119000737 |
| Provider Name | Cathy Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063434470 PECOS PAC ID: 6002702388 Enrollment ID: I20211222000807 |
| Provider Name | Petar Turcinovic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063404689 PECOS PAC ID: 5597771170 Enrollment ID: I20211223000796 |
| Provider Name | Gregory Pellizzon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932190345 PECOS PAC ID: 7719967850 Enrollment ID: I20220111002577 |
| Provider Name | Eladia Cosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639603657 PECOS PAC ID: 4688922792 Enrollment ID: I20220118000593 |
| Provider Name | Trey Galloway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558022616 PECOS PAC ID: 1456743616 Enrollment ID: I20220119003214 |
| Provider Name | Joan Bryant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508250937 PECOS PAC ID: 2668785676 Enrollment ID: I20220218000954 |
| Provider Name | Dorothy Rochelle Alaniz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962086876 PECOS PAC ID: 4789078353 Enrollment ID: I20220224000504 |
| Provider Name | Sarah Michelle Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508518184 PECOS PAC ID: 3577957166 Enrollment ID: I20220224001588 |
| Provider Name | David Provaznik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982099941 PECOS PAC ID: 5597070839 Enrollment ID: I20220228000113 |
| Provider Name | Jason R Ross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528300555 PECOS PAC ID: 0648405506 Enrollment ID: I20220307002117 |
| Provider Name | Sarah E Jenkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053900571 PECOS PAC ID: 7517374473 Enrollment ID: I20220309003224 |
| Provider Name | Jason Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457743205 PECOS PAC ID: 7012237944 Enrollment ID: I20220426001623 |
| Provider Name | Denise Giroux |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730671363 PECOS PAC ID: 2365875614 Enrollment ID: I20220427002492 |
| Provider Name | Aaron D Losey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326468216 PECOS PAC ID: 3678995123 Enrollment ID: I20220517000796 |
| Provider Name | Justin M Doty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932636727 PECOS PAC ID: 6103193768 Enrollment ID: I20220525001239 |
| Provider Name | Jewelian A Baig |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003376369 PECOS PAC ID: 9830577238 Enrollment ID: I20220525001689 |
| Provider Name | Jeremiah Duncan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912404195 PECOS PAC ID: 2668727942 Enrollment ID: I20220602001298 |
| Provider Name | Dayna Pridgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649689548 PECOS PAC ID: 4981929932 Enrollment ID: I20220606000112 |
| Provider Name | William Scott Wise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871077305 PECOS PAC ID: 8921344797 Enrollment ID: I20220709000122 |
| Provider Name | John Sung Joon Kang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720265556 PECOS PAC ID: 3779661467 Enrollment ID: I20220727002334 |
| Provider Name | Clifton Patrick Layman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353075 PECOS PAC ID: 9133495450 Enrollment ID: I20220730000258 |
| Provider Name | Olga Alexandra Reyes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386169977 PECOS PAC ID: 9537541610 Enrollment ID: I20220805002143 |
| Provider Name | Cloe Felicya Shelton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437298445 PECOS PAC ID: 7911176284 Enrollment ID: I20220815003511 |
| Provider Name | Richard Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992452460 PECOS PAC ID: 9638552706 Enrollment ID: I20220823001238 |
| Provider Name | Angela M Bostic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659017853 PECOS PAC ID: 2163806670 Enrollment ID: I20220901002095 |
| Provider Name | Amber Jeanette Quinones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275197451 PECOS PAC ID: 0042695025 Enrollment ID: I20220912001010 |
| Provider Name | Reginald L Fears |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912294661 PECOS PAC ID: 8224342365 Enrollment ID: I20220914003154 |
| Provider Name | Jason Isaac Lindsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154367878 PECOS PAC ID: 8820089733 Enrollment ID: I20220927000575 |
| Provider Name | Kami Marie Daily |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235727645 PECOS PAC ID: 3274919022 Enrollment ID: I20220930001488 |
| Provider Name | Elizabeth Colglazier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427085604 PECOS PAC ID: 9335143981 Enrollment ID: I20221006002156 |
| Provider Name | Ray Zarza Pasion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134680655 PECOS PAC ID: 3476889965 Enrollment ID: I20221019001276 |
| Provider Name | Ariana Barkley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346660560 PECOS PAC ID: 8820499528 Enrollment ID: I20221028001161 |
| Provider Name | Andrew C Christensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184078586 PECOS PAC ID: 8527352681 Enrollment ID: I20221101003430 |
| Provider Name | Daniel Lee Rowland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629175302 PECOS PAC ID: 1658333828 Enrollment ID: I20230103000106 |
| Provider Name | Jenibah Mcgregor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467186445 PECOS PAC ID: 3072984418 Enrollment ID: I20230124000308 |
| Provider Name | Timothy Matthew Robinson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093133514 PECOS PAC ID: 1355623794 Enrollment ID: I20230217001751 |
| Provider Name | Mohammed Ismail |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053774521 PECOS PAC ID: 1052605201 Enrollment ID: I20230321000052 |
| Provider Name | Kaitlin M Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669903191 PECOS PAC ID: 6002248564 Enrollment ID: I20230323001970 |
| Provider Name | Jacqueline Kraus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417994401 PECOS PAC ID: 0345149381 Enrollment ID: I20230331000211 |
| Provider Name | Sven Eben Rose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841257409 PECOS PAC ID: 0042261463 Enrollment ID: I20230410000163 |
| Provider Name | Michelle Lea Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245939602 PECOS PAC ID: 5991160582 Enrollment ID: I20230504000917 |
| Provider Name | Benjamin A Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205461522 PECOS PAC ID: 0446661466 Enrollment ID: I20230505001623 |
| Provider Name | Kavin Joseph Lombardi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083235253 PECOS PAC ID: 3173980349 Enrollment ID: I20230601003225 |
| Provider Name | Amy Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891384715 PECOS PAC ID: 1456753128 Enrollment ID: I20230620001804 |
| Provider Name | Jamie Nicole Robillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740972173 PECOS PAC ID: 9335508118 Enrollment ID: I20230711004195 |
| Provider Name | Drew Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104318799 PECOS PAC ID: 1557618642 Enrollment ID: I20230714001234 |
| Provider Name | Jason D Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770968471 PECOS PAC ID: 6305151630 Enrollment ID: I20230719000556 |
| Provider Name | Kamau Gitau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467792374 PECOS PAC ID: 0840430567 Enrollment ID: I20230719002839 |
| Provider Name | Victoria Forsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255831210 PECOS PAC ID: 9830452242 Enrollment ID: I20230724003339 |
| Provider Name | Jose Alicea |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144200106 PECOS PAC ID: 5496881476 Enrollment ID: I20230731004026 |
| Provider Name | Madison Pruss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265194641 PECOS PAC ID: 3072904283 Enrollment ID: I20230802003777 |
| Provider Name | Hailey Michelle Drefs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396451522 PECOS PAC ID: 3779945514 Enrollment ID: I20230810004052 |
| Provider Name | Abid Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255955225 PECOS PAC ID: 8921460312 Enrollment ID: I20230816004358 |
| Provider Name | Anish Deshmukh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750819231 PECOS PAC ID: 6204269061 Enrollment ID: I20230828004138 |
| Provider Name | Sheila Eshraghi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205254299 PECOS PAC ID: 8325447527 Enrollment ID: I20230829002594 |
| Provider Name | Andrea Ibarra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558054106 PECOS PAC ID: 6305291873 Enrollment ID: I20231018003364 |
| Provider Name | Muhammad Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245891001 PECOS PAC ID: 1759761513 Enrollment ID: I20231114001828 |
| Provider Name | Patrick J Mcdonnell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699836601 PECOS PAC ID: 6800828559 Enrollment ID: I20231115000079 |
| Provider Name | Jacqueline Estevez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881126274 PECOS PAC ID: 4486923778 Enrollment ID: I20231204003665 |
| Provider Name | Alexander Xavier Topete |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497372387 PECOS PAC ID: 6204285885 Enrollment ID: I20231207002278 |
| Provider Name | Ali Madani |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952374464 PECOS PAC ID: 5496640633 Enrollment ID: I20231214003585 |
| Provider Name | Andrew Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568046613 PECOS PAC ID: 3274937701 Enrollment ID: I20240116002240 |
| Provider Name | Hector Anibal Ponce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083485213 PECOS PAC ID: 5092159228 Enrollment ID: I20240215003304 |
| Provider Name | Roberto Blanco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326511395 PECOS PAC ID: 9739420670 Enrollment ID: I20240219003410 |
| Provider Name | Ryan Gee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417547670 PECOS PAC ID: 8123435666 Enrollment ID: I20240226003291 |
| Provider Name | Joy Marie Dunn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760702328 PECOS PAC ID: 0042441248 Enrollment ID: I20240228003629 |
| Provider Name | Lina M Ricketts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508527755 PECOS PAC ID: 3375937816 Enrollment ID: I20240308003782 |
| Provider Name | Imran Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306468830 PECOS PAC ID: 4385090240 Enrollment ID: I20240322000767 |
| Provider Name | Bora Ozguler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598785073 PECOS PAC ID: 4981601564 Enrollment ID: I20240401001563 |
| Provider Name | Lee Pfaff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023508884 PECOS PAC ID: 2062759681 Enrollment ID: I20240403002432 |
| Provider Name | Kristena Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861965212 PECOS PAC ID: 6103164371 Enrollment ID: I20240429002258 |
| Provider Name | Jed Alden Isidro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265015812 PECOS PAC ID: 5991100943 Enrollment ID: I20240503000508 |
| Provider Name | David Mercado-hernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407511330 PECOS PAC ID: 4688014731 Enrollment ID: I20240506004780 |
| Provider Name | Jerry Earnest |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891710331 PECOS PAC ID: 9931161007 Enrollment ID: I20240507003084 |
| Provider Name | Carlos P Sanchez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639655277 PECOS PAC ID: 3577815844 Enrollment ID: I20240513000923 |
| Provider Name | Laura Thatcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750953238 PECOS PAC ID: 7012312523 Enrollment ID: I20240515004237 |
| Provider Name | Philip Sebastian Maciukiewicz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619439809 PECOS PAC ID: 0547705758 Enrollment ID: I20240711004360 |
| Provider Name | Stephanie Lynn Delanda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699515643 PECOS PAC ID: 9133664121 Enrollment ID: I20240715001580 |
| Provider Name | William Neba |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144900234 PECOS PAC ID: 3274071055 Enrollment ID: I20240812001328 |
| Provider Name | Lucy Mulenzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750039350 PECOS PAC ID: 9436697182 Enrollment ID: I20240813003920 |
| Provider Name | Amy N Stratton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730315433 PECOS PAC ID: 7012155336 Enrollment ID: I20240816000218 |
| Provider Name | Marc A Rovito |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1689768319 PECOS PAC ID: 4284827221 Enrollment ID: I20240910002630 |
| Provider Name | Robert Oxford |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1437161395 PECOS PAC ID: 0648591792 Enrollment ID: I20240912003938 |
| Provider Name | Ann-elise Zarkower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548480981 PECOS PAC ID: 7416104799 Enrollment ID: I20240923003350 |
| Provider Name | Areeba Ahmed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528459484 PECOS PAC ID: 3173864691 Enrollment ID: I20240926002379 |
| Provider Name | Patricia Marie Weigle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255823522 PECOS PAC ID: 5597170811 Enrollment ID: I20240926002868 |
| Provider Name | Adela Marie Colmenero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801626734 PECOS PAC ID: 0042741720 Enrollment ID: I20241004002977 |
| Provider Name | Richard Blackburn |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1801834767 PECOS PAC ID: 5597755926 Enrollment ID: I20241025002093 |
| Provider Name | David Adam Jones |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255348512 PECOS PAC ID: 3971583352 Enrollment ID: I20241125002968 |
| Provider Name | Shirish A Mahajan |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609808856 PECOS PAC ID: 4183783715 Enrollment ID: I20241203002030 |
| Provider Name | Jessica Ruth Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659104487 PECOS PAC ID: 0446786164 Enrollment ID: I20241204004624 |
| Provider Name | Makeswaran Seenivasagam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447311873 PECOS PAC ID: 3678659653 Enrollment ID: I20241212001760 |
| Provider Name | Lisa Rubenstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114250990 PECOS PAC ID: 1557589975 Enrollment ID: I20250109004065 |
| Provider Name | David Jonathan Goldberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346272283 PECOS PAC ID: 4981789575 Enrollment ID: I20250115001736 |
| Provider Name | Giselle Irio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912585688 PECOS PAC ID: 1153850904 Enrollment ID: I20250123003815 |
| Provider Name | Elizabeth Ann Richmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780403378 PECOS PAC ID: 3476083569 Enrollment ID: I20250204003298 |
| Provider Name | Scott Haese |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396167573 PECOS PAC ID: 6800789298 Enrollment ID: I20250206001712 |
| Provider Name | Claudine Ingabire Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548760002 PECOS PAC ID: 4385174010 Enrollment ID: I20250211002768 |
| Provider Name | Veronica Vestal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1437593100 PECOS PAC ID: 1658799853 Enrollment ID: I20250220001405 |
| Provider Name | Elliot Ortiz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811729601 PECOS PAC ID: 9830610716 Enrollment ID: I20250307001218 |
| Provider Name | Alejandra Morato |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104658996 PECOS PAC ID: 9032630520 Enrollment ID: I20250313001149 |
| Provider Name | Chad Herman Barker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629336573 PECOS PAC ID: 0244477792 Enrollment ID: I20250410000676 |
| Provider Name | Matthew Dulles Bourne |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619437779 PECOS PAC ID: 8325587264 Enrollment ID: I20250415000743 |
| Provider Name | Kimia Khalatbari Kani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700028131 PECOS PAC ID: 5991856098 Enrollment ID: I20250415001218 |
| Provider Name | Sean C Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801108568 PECOS PAC ID: 8325216518 Enrollment ID: I20250415001737 |
| Provider Name | Juan Antonio Lopez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801915384 PECOS PAC ID: 9436147766 Enrollment ID: I20250415002275 |
| Provider Name | Sumeet Bahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598104929 PECOS PAC ID: 0941546949 Enrollment ID: I20250415002469 |
| Provider Name | Alfredo William Hurtado |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881635191 PECOS PAC ID: 5294702106 Enrollment ID: I20250415003087 |
| Provider Name | Oded Greenberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003892928 PECOS PAC ID: 0840341533 Enrollment ID: I20250416001921 |
| Provider Name | Muneer J Desai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376516021 PECOS PAC ID: 4688645591 Enrollment ID: I20250428003598 |
| Provider Name | Kyle D Hirschman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801175401 PECOS PAC ID: 2466686126 Enrollment ID: I20250429001815 |
| Provider Name | Christopher Sidden |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104872837 PECOS PAC ID: 0840298550 Enrollment ID: I20250430000277 |
| Provider Name | Cedric C W Strange |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174538730 PECOS PAC ID: 5193760569 Enrollment ID: I20250502001120 |
| Provider Name | Brian Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528621828 PECOS PAC ID: 0143765685 Enrollment ID: I20250505000796 |
| Provider Name | Shawn Timothy Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891040689 PECOS PAC ID: 6103103569 Enrollment ID: I20250505001435 |
| Provider Name | Daniel Alan Keesler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205464740 PECOS PAC ID: 5991233306 Enrollment ID: I20250506001051 |
| Provider Name | Hamza Iqbal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285299016 PECOS PAC ID: 3971043860 Enrollment ID: I20250506001809 |
| Provider Name | Ron Pearson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578901963 PECOS PAC ID: 3971747650 Enrollment ID: I20250507003415 |
| Provider Name | Brandon P Olivieri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699064196 PECOS PAC ID: 0042571317 Enrollment ID: I20250508001091 |
| Provider Name | Michael Murphy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568435626 PECOS PAC ID: 5092613448 Enrollment ID: I20250508001456 |
| Provider Name | Frank J Welte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568676948 PECOS PAC ID: 6800933847 Enrollment ID: I20250512001910 |
| Provider Name | Shannon L St Clair |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881030997 PECOS PAC ID: 3678714268 Enrollment ID: I20250519000396 |
| Provider Name | Karen Phillips |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801992813 PECOS PAC ID: 8729024161 Enrollment ID: I20250520001991 |
| Provider Name | Bryan Suchecki |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184686933 PECOS PAC ID: 7416119540 Enrollment ID: I20250603002630 |
| Provider Name | Yuyang Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538304035 PECOS PAC ID: 4880833615 Enrollment ID: I20250604002874 |
| Provider Name | David Casper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316566441 PECOS PAC ID: 6305269499 Enrollment ID: I20250610003044 |
Clinical Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1123 Vermont Ave, Alamogordo, NM 88310 Phone: 575-415-9270 Fax: 208-978-7050 | |
Healing Pathways Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 405 Zia Ave, Alamogordo, NM 88310 Phone: 575-415-4380 | |
Open Minds, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1909 Cuba Ave Ste 5, Alamogordo, NM 88310 Phone: 575-649-1981 | |
Williams Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 Michigan Ave, Alamogordo, NM 88310 Phone: 575-491-3419 | |
Healing Intentionally, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1909 Cuba Ave Ste 5, Alamogordo, NM 88310 Phone: 575-649-1981 | |
Thriving Minds Therapy Services-jc Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 906 Virginia Ave, Alamogordo, NM 88310 Phone: 575-214-9215 | |
Blue Sky Counseling Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1301 Oregon Ave, Alamogordo, NM 88310 Phone: 575-491-9802 |