| Pediatric Physician Services, Inc. | |
|
501 6th Ave S St Petersburg FL 33701-4634 | |
| (727) 898-7451 | |
| Not Available |
| Full Name | Pediatric Physician Services, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 501 6th Ave S, St Petersburg, Florida |
| Authorized Official Name and Position | Kristy Alicia Schulhof (PRESIDENT) |
| Authorized Official Contact | 7278987451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Physician Services, Inc. 601 5th St S St Petersburg FL 33701-4804 Ph: (727) 767-4429 | Pediatric Physician Services, Inc. 501 6th Ave S St Petersburg FL 33701-4634 Ph: (727) 898-7451 |
| NPI Number | 1770532798 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 07/01/2026 |
| Certification Date | 07/01/2026 |
| Medicare PECOS PAC ID | 7113989849 |
|---|---|
| Medicare Enrollment ID | O20041103001044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770532798 | NPI | - | NPPES |
| 21399 | Other | FL | BLUE CROSS BLUE SHIELD |
| 252285316 | Medicaid | FL | |
| 00222 | Other | FL | BLUE SHIELD OF FLORIDA |
| 252285300 | Medicaid | FL | |
| 252285306 | Medicaid | FL | |
| 252285317 | Medicaid | FL | |
| 252285318 | Medicaid | FL | |
| 252285319 | Medicaid | FL | |
| 252285301 | Medicaid | FL | |
| 252285321 | Medicaid | FL | |
| 252285307 | Medicaid | FL | |
| 252285308 | Medicaid | FL | |
| 252285309 | Medicaid | FL | |
| 252285303 | Medicaid | FL | |
| 252285311 | Medicaid | FL |
| Provider Name | Karen M Mischka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437106671 PECOS PAC ID: 1759367758 Enrollment ID: I20040629001106 |
| Provider Name | Maria R White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740209857 PECOS PAC ID: 5890766117 Enrollment ID: I20040802000966 |
| Provider Name | Melissa Lynn Crenshaw |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1689659641 PECOS PAC ID: 1557325453 Enrollment ID: I20041118001076 |
| Provider Name | Arabela C Stock |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1164463394 PECOS PAC ID: 4789661489 Enrollment ID: I20050519000525 |
| Provider Name | Jenny E Dolan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851323232 PECOS PAC ID: 5193757870 Enrollment ID: I20050901000743 |
| Provider Name | Vyas Kartha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174568877 PECOS PAC ID: 3072417419 Enrollment ID: I20050908000397 |
| Provider Name | Diana Victoria Marin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093701161 PECOS PAC ID: 0042276818 Enrollment ID: I20060120000130 |
| Provider Name | Marguerite M Crawford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922045954 PECOS PAC ID: 2466430715 Enrollment ID: I20060123000873 |
| Provider Name | Carmen C Alfaro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467421271 PECOS PAC ID: 7911915442 Enrollment ID: I20060324000612 |
| Provider Name | Wassam M Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215962154 PECOS PAC ID: 6305856642 Enrollment ID: I20060501000539 |
| Provider Name | Kristen E Nesser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992758924 PECOS PAC ID: 3678586476 Enrollment ID: I20060721000049 |
| Provider Name | Micheyle Goldman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255342283 PECOS PAC ID: 2769558253 Enrollment ID: I20080908000081 |
| Provider Name | Esteban E Lugo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588768808 PECOS PAC ID: 8729080221 Enrollment ID: I20080910000247 |
| Provider Name | Nick W Parilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649208430 PECOS PAC ID: 3476640657 Enrollment ID: I20080918000485 |
| Provider Name | Amish Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1568677334 PECOS PAC ID: 0648339630 Enrollment ID: I20081105000604 |
| Provider Name | Alfred Asante Korang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043257215 PECOS PAC ID: 7416963103 Enrollment ID: I20081129000035 |
| Provider Name | Cynthia D Nicholas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710142617 PECOS PAC ID: 4183786486 Enrollment ID: I20081220000119 |
| Provider Name | Anthony Kriseman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437131794 PECOS PAC ID: 3678460946 Enrollment ID: I20090225000579 |
| Provider Name | Candy M Rodriguez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306853015 PECOS PAC ID: 7315096179 Enrollment ID: I20090527000456 |
| Provider Name | Panida Sriaroon |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1891994208 PECOS PAC ID: 9537218284 Enrollment ID: I20090528000608 |
| Provider Name | Luis F Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1518994300 PECOS PAC ID: 2163572611 Enrollment ID: I20090604000306 |
| Provider Name | Jane Cook |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932206976 PECOS PAC ID: 2769481142 Enrollment ID: I20090727000577 |
| Provider Name | Raquel G Hernandez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861538803 PECOS PAC ID: 7012054745 Enrollment ID: I20091028000537 |
| Provider Name | Joy A Masseaux |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699880682 PECOS PAC ID: 8325148687 Enrollment ID: I20100521000273 |
| Provider Name | Jibin V Samuel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841432291 PECOS PAC ID: 4587789243 Enrollment ID: I20100917000775 |
| Provider Name | Thieu P. Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942400239 PECOS PAC ID: 4789772708 Enrollment ID: I20101019000979 |
| Provider Name | Kimberly E Fagen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194795609 PECOS PAC ID: 8426239138 Enrollment ID: I20110228000655 |
| Provider Name | Jamie A Decker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124262027 PECOS PAC ID: 4688601206 Enrollment ID: I20110329000724 |
| Provider Name | Javier Quintana |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780861286 PECOS PAC ID: 1759450943 Enrollment ID: I20110418000603 |
| Provider Name | William Schaaf |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003074352 PECOS PAC ID: 9032394648 Enrollment ID: I20110426000175 |
| Provider Name | Shelly M Mclaren |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679777577 PECOS PAC ID: 8325226608 Enrollment ID: I20110711000457 |
| Provider Name | Juan A Dumois |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1790733749 PECOS PAC ID: 1951578517 Enrollment ID: I20120123000284 |
| Provider Name | Suzanne M Jackman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1316135437 PECOS PAC ID: 5193971075 Enrollment ID: I20120808000599 |
| Provider Name | Allison M Fernandez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346481165 PECOS PAC ID: 2961671029 Enrollment ID: I20121119000160 |
| Provider Name | Mary C Brothers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083900898 PECOS PAC ID: 2567616873 Enrollment ID: I20130213000318 |
| Provider Name | Kyle Treen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558614057 PECOS PAC ID: 1951546845 Enrollment ID: I20130325000507 |
| Provider Name | Heather King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285972992 PECOS PAC ID: 3577708494 Enrollment ID: I20130326000173 |
| Provider Name | Christopher J Francis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154510287 PECOS PAC ID: 7113165218 Enrollment ID: I20130531000292 |
| Provider Name | Drew Alan Rideout |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740472398 PECOS PAC ID: 8426299835 Enrollment ID: I20130729000150 |
| Provider Name | Jennifer Neville Kucera |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922297720 PECOS PAC ID: 6305087610 Enrollment ID: I20130730000317 |
| Provider Name | Laisa M Santiago Ramos |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1730407107 PECOS PAC ID: 2466696281 Enrollment ID: I20130918000247 |
| Provider Name | Supamit Ukarapong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003081100 PECOS PAC ID: 1759554355 Enrollment ID: I20131122001413 |
| Provider Name | Usama A Hanhan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356418990 PECOS PAC ID: 6002042652 Enrollment ID: I20131204000572 |
| Provider Name | Katie L Eggert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164762787 PECOS PAC ID: 1759527054 Enrollment ID: I20140124001530 |
| Provider Name | Amanda L Dotten |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780006973 PECOS PAC ID: 0244469690 Enrollment ID: I20140204001458 |
| Provider Name | Fawn G Nieuwenhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427026509 PECOS PAC ID: 6002045192 Enrollment ID: I20140213000629 |
| Provider Name | Shahla K Escobar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407087331 PECOS PAC ID: 6103043385 Enrollment ID: I20140812001148 |
| Provider Name | Jamee M Walters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144540873 PECOS PAC ID: 6507000585 Enrollment ID: I20150209000425 |
| Provider Name | Kristina Marie Banks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548650997 PECOS PAC ID: 9638495864 Enrollment ID: I20150306001157 |
| Provider Name | Beatriz Ortega Fernandez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881957256 PECOS PAC ID: 4981919453 Enrollment ID: I20150812007648 |
| Provider Name | Jordan Sonnier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285015909 PECOS PAC ID: 6608183348 Enrollment ID: I20150914001802 |
| Provider Name | Peter A Taylor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184754384 PECOS PAC ID: 6406876010 Enrollment ID: I20151006002808 |
| Provider Name | Christopher W Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730393562 PECOS PAC ID: 1456501659 Enrollment ID: I20151203000866 |
| Provider Name | Jennifer M Brubaker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417314113 PECOS PAC ID: 8527364959 Enrollment ID: I20160311000434 |
| Provider Name | Kimberly Lashun Massey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659683803 PECOS PAC ID: 4284926759 Enrollment ID: I20160705000573 |
| Provider Name | Catherine A Major |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790736213 PECOS PAC ID: 1254626617 Enrollment ID: I20160824000839 |
| Provider Name | Heather M Alexander |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336539469 PECOS PAC ID: 4082931027 Enrollment ID: I20160915001010 |
| Provider Name | Elias N Matta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669731394 PECOS PAC ID: 5991940447 Enrollment ID: I20161020000955 |
| Provider Name | Luigi Viola |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972688067 PECOS PAC ID: 2769657444 Enrollment ID: I20161219001123 |
| Provider Name | Kelly C Driver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184981623 PECOS PAC ID: 0244511491 Enrollment ID: I20161229001156 |
| Provider Name | Katie Leigh Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205379427 PECOS PAC ID: 5991088650 Enrollment ID: I20170203002150 |
| Provider Name | Abigail Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558718478 PECOS PAC ID: 3779867031 Enrollment ID: I20170306000236 |
| Provider Name | Kelsey Elizabeth Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922450758 PECOS PAC ID: 8022392398 Enrollment ID: I20170306000362 |
| Provider Name | Mary N Chrisochos |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700103389 PECOS PAC ID: 3072754316 Enrollment ID: I20170307001543 |
| Provider Name | Melinda Lane Duren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225574965 PECOS PAC ID: 2961787957 Enrollment ID: I20170313001732 |
| Provider Name | Susan Ann Buffington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003263724 PECOS PAC ID: 0547545048 Enrollment ID: I20170324000746 |
| Provider Name | Dennis Md Hart |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225094360 PECOS PAC ID: 2264575075 Enrollment ID: I20170413002310 |
| Provider Name | Avner Meoded |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528479631 PECOS PAC ID: 5193001782 Enrollment ID: I20170413002398 |
| Provider Name | Stacie L Stapleton |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205854692 PECOS PAC ID: 3870599376 Enrollment ID: I20170413002505 |
| Provider Name | Claudette Gonzalez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912260985 PECOS PAC ID: 1052681442 Enrollment ID: I20170718000929 |
| Provider Name | Ralph Danielcarl Martello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447544952 PECOS PAC ID: 5193954915 Enrollment ID: I20170809000011 |
| Provider Name | Nhue Lap Do |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1760646293 PECOS PAC ID: 8921235771 Enrollment ID: I20170809000136 |
| Provider Name | Kevin Ray Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396846242 PECOS PAC ID: 2264409598 Enrollment ID: I20170809000614 |
| Provider Name | Gerald William Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487620621 PECOS PAC ID: 2466723499 Enrollment ID: I20170809000994 |
| Provider Name | Bridget Dawn Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699158725 PECOS PAC ID: 0840563763 Enrollment ID: I20170829000614 |
| Provider Name | Michelle Lynn Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114466539 PECOS PAC ID: 8224301155 Enrollment ID: I20170829001026 |
| Provider Name | Jacquelyn Faryn Crews |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275945305 PECOS PAC ID: 3870867591 Enrollment ID: I20170919003998 |
| Provider Name | Danielle C Mercurio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811217060 PECOS PAC ID: 2466683990 Enrollment ID: I20170928002075 |
| Provider Name | Peter J Sambatakos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144519034 PECOS PAC ID: 3072888189 Enrollment ID: I20170928003439 |
| Provider Name | Raquel Gonzalez |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1275755027 PECOS PAC ID: 4082779897 Enrollment ID: I20171004000281 |
| Provider Name | John Michael Morrison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730591868 PECOS PAC ID: 1456626175 Enrollment ID: I20171005003338 |
| Provider Name | Courtney B Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508387143 PECOS PAC ID: 1355617234 Enrollment ID: I20171019003198 |
| Provider Name | Donna Lynn Keyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558745448 PECOS PAC ID: 7911273610 Enrollment ID: I20171025000681 |
| Provider Name | Bethany L Wisotzkey |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467778027 PECOS PAC ID: 6800103540 Enrollment ID: I20171205002045 |
| Provider Name | Yanerys Colon-cortes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1023385507 PECOS PAC ID: 6901129006 Enrollment ID: I20171215002579 |
| Provider Name | John Wesley Elliott Iii |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821496324 PECOS PAC ID: 0547529414 Enrollment ID: I20180123000256 |
| Provider Name | Christopher M Inglese |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194794792 PECOS PAC ID: 4587566633 Enrollment ID: I20180123001356 |
| Provider Name | Rachel Elleen Pelaez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881106813 PECOS PAC ID: 8729347448 Enrollment ID: I20180125000840 |
| Provider Name | Frank Peter Carnevale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770683724 PECOS PAC ID: 6103831367 Enrollment ID: I20180131000029 |
| Provider Name | Kelly R Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841704988 PECOS PAC ID: 7719248038 Enrollment ID: I20180301002571 |
| Provider Name | Farhan Malik |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942569454 PECOS PAC ID: 7517228638 Enrollment ID: I20180305002369 |
| Provider Name | Ebony D Hunter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518131440 PECOS PAC ID: 6901057439 Enrollment ID: I20180427001642 |
| Provider Name | Jennifer Dania Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710201983 PECOS PAC ID: 4082745161 Enrollment ID: I20180502001241 |
| Provider Name | Carolyn Mary Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912174913 PECOS PAC ID: 7719241504 Enrollment ID: I20180502001662 |
| Provider Name | Megan Daley Sanborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770083073 PECOS PAC ID: 6507112026 Enrollment ID: I20180712002979 |
| Provider Name | Scott Christopher Watkins |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1720135676 PECOS PAC ID: 2860569415 Enrollment ID: I20180731003651 |
| Provider Name | Brandon Joseph Alexander |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730526351 PECOS PAC ID: 0042451395 Enrollment ID: I20180806002046 |
| Provider Name | Thomas Geller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962428813 PECOS PAC ID: 7810025707 Enrollment ID: I20181008002581 |
| Provider Name | Lynda M Beaupin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790960904 PECOS PAC ID: 3173706322 Enrollment ID: I20181010000072 |
| Provider Name | Lisa T Odendal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427560804 PECOS PAC ID: 1658623269 Enrollment ID: I20181010000236 |
| Provider Name | Theodore J Spinks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1114065646 PECOS PAC ID: 4587671946 Enrollment ID: I20190118001555 |
| Provider Name | William Talbot Adamson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326132671 PECOS PAC ID: 0840289666 Enrollment ID: I20190205001494 |
| Provider Name | Michelle S Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184704223 PECOS PAC ID: 8820132632 Enrollment ID: I20190417000860 |
| Provider Name | Grace A Freire |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043316227 PECOS PAC ID: 0840220323 Enrollment ID: I20190417001965 |
| Provider Name | Monesha Gupta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972521763 PECOS PAC ID: 4284750522 Enrollment ID: I20190429001600 |
| Provider Name | Joelle D Miller |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447230453 PECOS PAC ID: 9335144518 Enrollment ID: I20190429002058 |
| Provider Name | Scott Mckinley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033437991 PECOS PAC ID: 4183966872 Enrollment ID: I20190429002478 |
| Provider Name | Deanna Mae Green |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699824730 PECOS PAC ID: 4183893373 Enrollment ID: I20190430000996 |
| Provider Name | Benton Y Ng |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811933005 PECOS PAC ID: 5890950638 Enrollment ID: I20190430001908 |
| Provider Name | Charles J Smithers |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235176439 PECOS PAC ID: 3476605130 Enrollment ID: I20190501000886 |
| Provider Name | Laura J Reeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184129256 PECOS PAC ID: 8921340282 Enrollment ID: I20190507001278 |
| Provider Name | Carolyn Robinson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699903997 PECOS PAC ID: 8022351048 Enrollment ID: I20190515000399 |
| Provider Name | Ashish B Shah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760640114 PECOS PAC ID: 8729154018 Enrollment ID: I20190613000752 |
| Provider Name | Amanda M Bashir |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1518399617 PECOS PAC ID: 5698053726 Enrollment ID: I20190827002730 |
| Provider Name | Keith Thatch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053577742 PECOS PAC ID: 0042467110 Enrollment ID: I20200317002720 |
| Provider Name | Juana Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033756333 PECOS PAC ID: 0042641441 Enrollment ID: I20200520000163 |
| Provider Name | Lena Naffaa |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629132956 PECOS PAC ID: 7517054117 Enrollment ID: I20200727001262 |
| Provider Name | Shelley Nicholls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013424555 PECOS PAC ID: 0446677538 Enrollment ID: I20200903002557 |
| Provider Name | Kendall W Parker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972912137 PECOS PAC ID: 4688999873 Enrollment ID: I20201112000661 |
| Provider Name | Katie Danielle Forbes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326672551 PECOS PAC ID: 7416361225 Enrollment ID: I20210205000550 |
| Provider Name | Christopher J Talluto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700967023 PECOS PAC ID: 4486655560 Enrollment ID: I20210630003534 |
| Provider Name | Brandy M Hoyt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891290284 PECOS PAC ID: 7810399482 Enrollment ID: I20210706002542 |
| Provider Name | Jessica Allison Laks |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962096057 PECOS PAC ID: 0648672964 Enrollment ID: I20210709000210 |
| Provider Name | Alicia Lew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720575038 PECOS PAC ID: 5698178200 Enrollment ID: I20210720002500 |
| Provider Name | Bruce Landeck |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912114034 PECOS PAC ID: 9335208396 Enrollment ID: I20210722000911 |
| Provider Name | Dianne C Podis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912003609 PECOS PAC ID: 8325220189 Enrollment ID: I20210809001795 |
| Provider Name | George Jallo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1174570113 PECOS PAC ID: 8022099571 Enrollment ID: I20210810003762 |
| Provider Name | Asher Bennett Blum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639589484 PECOS PAC ID: 6507102993 Enrollment ID: I20210816003247 |
| Provider Name | Andrew Harold Smith |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851448658 PECOS PAC ID: 2062568074 Enrollment ID: I20210824001704 |
| Provider Name | James Thompson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275595910 PECOS PAC ID: 9032103965 Enrollment ID: I20210825002468 |
| Provider Name | Danial Ibrahim Mir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245658962 PECOS PAC ID: 6507084928 Enrollment ID: I20210911000145 |
| Provider Name | Tina Desai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447592506 PECOS PAC ID: 4789817933 Enrollment ID: I20211005000052 |
| Provider Name | James Chinarian |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154369221 PECOS PAC ID: 8426131095 Enrollment ID: I20211102002039 |
| Provider Name | Stanley J. Iyadurai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639364631 PECOS PAC ID: 8628133634 Enrollment ID: I20211110001768 |
| Provider Name | Jennifer B Dean |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1013119320 PECOS PAC ID: 8325134059 Enrollment ID: I20211113000209 |
| Provider Name | Richard Kanoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407893753 PECOS PAC ID: 4981621638 Enrollment ID: I20211115001016 |
| Provider Name | Christopher Keup |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861607665 PECOS PAC ID: 7517356165 Enrollment ID: I20211119001450 |
| Provider Name | Matthew Wayne Thomas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629395843 PECOS PAC ID: 2264822485 Enrollment ID: I20211202001413 |
| Provider Name | Douglas B Yim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1922079979 PECOS PAC ID: 9335249176 Enrollment ID: I20211203001550 |
| Provider Name | Monique Saxon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851785604 PECOS PAC ID: 5092022277 Enrollment ID: I20211203002312 |
| Provider Name | Zachary Joseph Coffman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508109364 PECOS PAC ID: 2860621596 Enrollment ID: I20211228002032 |
| Provider Name | Erica Schallert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063656312 PECOS PAC ID: 0244458883 Enrollment ID: I20220104000857 |
| Provider Name | Kelsey Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407519804 PECOS PAC ID: 3274925870 Enrollment ID: I20220111001166 |
| Provider Name | Michael David Puchalski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639258106 PECOS PAC ID: 3173561586 Enrollment ID: I20220118000600 |
| Provider Name | Lindsey Elaine Capone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366901019 PECOS PAC ID: 0840682068 Enrollment ID: I20220120002797 |
| Provider Name | Brooke Ariel Talbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033758917 PECOS PAC ID: 7315330933 Enrollment ID: I20220203000807 |
| Provider Name | Russell W Jennings |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215956701 PECOS PAC ID: 8527095181 Enrollment ID: I20220302000803 |
| Provider Name | Sarah Toggweiler Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730840901 PECOS PAC ID: 3173917267 Enrollment ID: I20220307002229 |
| Provider Name | Ali El Mokdad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396002911 PECOS PAC ID: 1052747904 Enrollment ID: I20220314002257 |
| Provider Name | Cindy Hernandez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1093057259 PECOS PAC ID: 9133478944 Enrollment ID: I20220316000495 |
| Provider Name | Asma Mushir Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538461728 PECOS PAC ID: 8224465398 Enrollment ID: I20220316003160 |
| Provider Name | Hester Shieh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033476064 PECOS PAC ID: 8325384944 Enrollment ID: I20220321002007 |
| Provider Name | Krysten Chin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245572965 PECOS PAC ID: 9436401494 Enrollment ID: I20220321002313 |
| Provider Name | Adele Roda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487217139 PECOS PAC ID: 1254662497 Enrollment ID: I20220331001833 |
| Provider Name | Reema Sudhir Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538429808 PECOS PAC ID: 2062714256 Enrollment ID: I20220502002166 |
| Provider Name | Luis Enrique Ortiz |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1982921086 PECOS PAC ID: 9638324031 Enrollment ID: I20220503000182 |
| Provider Name | Jennifer Root Mayer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1770534802 PECOS PAC ID: 8729475009 Enrollment ID: I20220505001369 |
| Provider Name | Jessica Mchugh Daniels |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932544681 PECOS PAC ID: 3173816006 Enrollment ID: I20220505002220 |
| Provider Name | Henry L Chang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962517219 PECOS PAC ID: 3173900446 Enrollment ID: I20220509000338 |
| Provider Name | Ignacio F Fernandez Nievas |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639363708 PECOS PAC ID: 2668514910 Enrollment ID: I20220509002465 |
| Provider Name | Angie Alegria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871027623 PECOS PAC ID: 2567840903 Enrollment ID: I20220526000091 |
| Provider Name | Colleen Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316608599 PECOS PAC ID: 5395123657 Enrollment ID: I20220528000003 |
| Provider Name | Manju Korattiyil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609230879 PECOS PAC ID: 2668883992 Enrollment ID: I20220601001727 |
| Provider Name | Wilfredo Chamizo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851340798 PECOS PAC ID: 3173903051 Enrollment ID: I20220708003700 |
| Provider Name | Michael D Collard |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1700203627 PECOS PAC ID: 8224371679 Enrollment ID: I20220710000115 |
| Provider Name | Benjamin R Oshrine |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467612382 PECOS PAC ID: 4880836428 Enrollment ID: I20220711000052 |
| Provider Name | Bimota Nambam |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588897094 PECOS PAC ID: 7719121086 Enrollment ID: I20220711000096 |
| Provider Name | Lauren E Goldberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912388984 PECOS PAC ID: 0547548422 Enrollment ID: I20220719001004 |
| Provider Name | Vinod Valentine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154740520 PECOS PAC ID: 9133546963 Enrollment ID: I20220720002909 |
| Provider Name | Ross Michael Ungerleider |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174538672 PECOS PAC ID: 0446258222 Enrollment ID: I20220720003875 |
| Provider Name | Sang H Park |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033378765 PECOS PAC ID: 4183874084 Enrollment ID: I20220722001345 |
| Provider Name | Gerson Luis Rodriguez-fazzi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497791651 PECOS PAC ID: 2567845308 Enrollment ID: I20220811002514 |
| Provider Name | Amanda Spicochi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407401631 PECOS PAC ID: 7517340185 Enrollment ID: I20220815000674 |
| Provider Name | Tori D Alkire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780319061 PECOS PAC ID: 7113301730 Enrollment ID: I20220831002225 |
| Provider Name | Fernando Jose Bula-rudas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1073952024 PECOS PAC ID: 8921394347 Enrollment ID: I20220912000443 |
| Provider Name | Jamie Graham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437564267 PECOS PAC ID: 3072739895 Enrollment ID: I20220927001542 |
| Provider Name | Liliana Gelvez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205972957 PECOS PAC ID: 6204892318 Enrollment ID: I20220928002152 |
| Provider Name | Molly K Childers |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1639594633 PECOS PAC ID: 7810268745 Enrollment ID: I20221010000536 |
| Provider Name | Bhumi Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740546217 PECOS PAC ID: 5698999845 Enrollment ID: I20221010002073 |
| Provider Name | Bill Foo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679951347 PECOS PAC ID: 9739494790 Enrollment ID: I20221011001086 |
| Provider Name | Syed Akbari |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1659636413 PECOS PAC ID: 4284862046 Enrollment ID: I20221011001276 |
| Provider Name | Lara Pappas |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1346498326 PECOS PAC ID: 8729454046 Enrollment ID: I20221011002654 |
| Provider Name | Sara Hartnett |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548689169 PECOS PAC ID: 9537535414 Enrollment ID: I20221018000902 |
| Provider Name | Brett Walter Russi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891290185 PECOS PAC ID: 7517335979 Enrollment ID: I20221116002255 |
| Provider Name | Patrick Dain |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053066605 PECOS PAC ID: 3971971714 Enrollment ID: I20221129000141 |
| Provider Name | Morgan Candler Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821552142 PECOS PAC ID: 2668840257 Enrollment ID: I20221202000613 |
| Provider Name | Frances Nina Maldonado |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356946412 PECOS PAC ID: 9436565835 Enrollment ID: I20221202002885 |
| Provider Name | Shivani M Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053521161 PECOS PAC ID: 7315062106 Enrollment ID: I20221205001331 |
| Provider Name | Elizabeth Ellen Hornbeck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568813764 PECOS PAC ID: 7214306794 Enrollment ID: I20221205001798 |
| Provider Name | Joyce Tawfik Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326207788 PECOS PAC ID: 8022240571 Enrollment ID: I20230218000430 |
| Provider Name | Johnny Nguyen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194024331 PECOS PAC ID: 8426422254 Enrollment ID: I20230320000015 |
| Provider Name | Paul Danielson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679555098 PECOS PAC ID: 7315023686 Enrollment ID: I20230320002812 |
| Provider Name | Jacinda Hays |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1558637793 PECOS PAC ID: 9032353057 Enrollment ID: I20230321000551 |
| Provider Name | Nicholas Anthony Jabre |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1336582147 PECOS PAC ID: 8820237795 Enrollment ID: I20230322000491 |
| Provider Name | Nicole M Chandler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831235670 PECOS PAC ID: 3375917727 Enrollment ID: I20230326000018 |
| Provider Name | Jonathan Metts |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1831325646 PECOS PAC ID: 7214227800 Enrollment ID: I20230327002357 |
| Provider Name | Krupesh Bhagavat Patel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053767541 PECOS PAC ID: 2365777695 Enrollment ID: I20230426000831 |
| Provider Name | Courtney Elyse Wein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659716686 PECOS PAC ID: 9739549700 Enrollment ID: I20230721002863 |
| Provider Name | Bhavana Jami |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437684867 PECOS PAC ID: 7517203458 Enrollment ID: I20230807000439 |
| Provider Name | Kristi Bogan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871811141 PECOS PAC ID: 7517233372 Enrollment ID: I20230809000298 |
| Provider Name | Stephen Rogers Kennedy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003010984 PECOS PAC ID: 5991167975 Enrollment ID: I20230809000697 |
| Provider Name | Robert A Dudas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316988686 PECOS PAC ID: 9335186592 Enrollment ID: I20230809001293 |
| Provider Name | Laura L Drach |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1255529384 PECOS PAC ID: 4385006220 Enrollment ID: I20230809003342 |
| Provider Name | Maha Rashid Al Ghafry |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1659710705 PECOS PAC ID: 8527306315 Enrollment ID: I20230811000010 |
| Provider Name | Alexander Youngjoon Kim |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1912319047 PECOS PAC ID: 9234480187 Enrollment ID: I20230811001030 |
| Provider Name | Paola B Dees |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538329347 PECOS PAC ID: 3678935954 Enrollment ID: I20230817004106 |
| Provider Name | Emily Cave Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336783307 PECOS PAC ID: 1759732514 Enrollment ID: I20240105003800 |
| Provider Name | Kimberly Renee Collins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780904060 PECOS PAC ID: 0446601975 Enrollment ID: I20240109004920 |
| Provider Name | Angel W Hernandez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457444531 PECOS PAC ID: 0749187516 Enrollment ID: I20240112004172 |
| Provider Name | Michael Hammer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508808759 PECOS PAC ID: 3274624192 Enrollment ID: I20240117002233 |
| Provider Name | Kristine K Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326290479 PECOS PAC ID: 1254783707 Enrollment ID: I20240119002222 |
| Provider Name | Allison Gina Fahy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1609192111 PECOS PAC ID: 3870741473 Enrollment ID: I20240123003879 |
| Provider Name | Christian Du Mont |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598299505 PECOS PAC ID: 7618231820 Enrollment ID: I20240123004438 |
| Provider Name | Allison Ford Messina |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124056999 PECOS PAC ID: 7315380326 Enrollment ID: I20240207000568 |
| Provider Name | Mohamed Athaur Rehman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437262169 PECOS PAC ID: 8224079769 Enrollment ID: I20240208004453 |
| Provider Name | Irmel A Ayala |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1902802184 PECOS PAC ID: 4688017288 Enrollment ID: I20240212000700 |
| Provider Name | Beatriz Teppa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588947725 PECOS PAC ID: 2264876549 Enrollment ID: I20240214001989 |
| Provider Name | Maher Abadeer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750624995 PECOS PAC ID: 2860712197 Enrollment ID: I20240219001546 |
| Provider Name | Diana Young |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346432812 PECOS PAC ID: 0345432282 Enrollment ID: I20240219003255 |
| Provider Name | Tisha Spence |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427348440 PECOS PAC ID: 7517226640 Enrollment ID: I20240227002211 |
| Provider Name | Amanda Weil Harrington |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174969323 PECOS PAC ID: 6901126481 Enrollment ID: I20240229000175 |
| Provider Name | Alissa Kristine Zaharis-molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508277922 PECOS PAC ID: 2062857741 Enrollment ID: I20240304003880 |
| Provider Name | Peter Scully |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720334493 PECOS PAC ID: 9931437993 Enrollment ID: I20240315000054 |
| Provider Name | Carlos Munoz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023112455 PECOS PAC ID: 7012068034 Enrollment ID: I20240319000590 |
| Provider Name | Nathan Dean |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1710102652 PECOS PAC ID: 0749372423 Enrollment ID: I20240322003003 |
| Provider Name | Saba Ahmad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104026699 PECOS PAC ID: 5193991388 Enrollment ID: I20240325001813 |
| Provider Name | Mary Elizabeth Wroblewski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437316858 PECOS PAC ID: 9436223658 Enrollment ID: I20240405001566 |
| Provider Name | Daniel Mauriello |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073769048 PECOS PAC ID: 1153476650 Enrollment ID: I20240405001654 |
| Provider Name | Thuy Ngo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275726416 PECOS PAC ID: 0648367813 Enrollment ID: I20240407000029 |
| Provider Name | Shaila Siraj |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841585924 PECOS PAC ID: 5395183362 Enrollment ID: I20240410000453 |
| Provider Name | Sarah Elizabeth Czack |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1821592981 PECOS PAC ID: 9931548732 Enrollment ID: I20240412001796 |
| Provider Name | Richard Elliott |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558393132 PECOS PAC ID: 8921095001 Enrollment ID: I20240416000432 |
| Provider Name | Mayuri Jindal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013200898 PECOS PAC ID: 0345460937 Enrollment ID: I20240417002948 |
| Provider Name | Lauren Friedman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548527591 PECOS PAC ID: 4880945971 Enrollment ID: I20240417003809 |
| Provider Name | Tracey Menszycki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427403161 PECOS PAC ID: 8921447343 Enrollment ID: I20240418001947 |
| Provider Name | Joseph Frank Perno |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790710614 PECOS PAC ID: 4688901333 Enrollment ID: I20240515000193 |
| Provider Name | Danielle Hirsch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356652812 PECOS PAC ID: 7719209675 Enrollment ID: I20240520000746 |
| Provider Name | Meghan Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982924312 PECOS PAC ID: 6305081381 Enrollment ID: I20240522003222 |
| Provider Name | Isabel Marie Hendrickson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114504883 PECOS PAC ID: 1052753530 Enrollment ID: I20240529003579 |
| Provider Name | Jennifer Amy Criscola |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255560363 PECOS PAC ID: 1658713169 Enrollment ID: I20240530000256 |
| Provider Name | Valerie Cruz Flores |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679821219 PECOS PAC ID: 3678879749 Enrollment ID: I20240603000660 |
| Provider Name | Theresa Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639337918 PECOS PAC ID: 8022170596 Enrollment ID: I20240606003287 |
| Provider Name | Kristy W Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003132036 PECOS PAC ID: 1850534462 Enrollment ID: I20240610000903 |
| Provider Name | Brandon Lynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699218487 PECOS PAC ID: 1355623232 Enrollment ID: I20240611001585 |
| Provider Name | Travis Walker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376704668 PECOS PAC ID: 0648449215 Enrollment ID: I20240613000951 |
| Provider Name | Jennifer Maniscalco |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700961422 PECOS PAC ID: 1951214816 Enrollment ID: I20240625003309 |
| Provider Name | Giovanni Cucchiaro |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992716500 PECOS PAC ID: 7911066477 Enrollment ID: I20240701003248 |
| Provider Name | Jessie Lena Hoang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174899165 PECOS PAC ID: 4688118326 Enrollment ID: I20240705000095 |
| Provider Name | Sally Azer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043743354 PECOS PAC ID: 7719316801 Enrollment ID: I20240731000734 |
| Provider Name | Gwendalyn Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568081990 PECOS PAC ID: 4183162753 Enrollment ID: I20240814000295 |
| Provider Name | Christine Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831573542 PECOS PAC ID: 8022557974 Enrollment ID: I20240823001438 |
| Provider Name | Rebeka Tramble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417542671 PECOS PAC ID: 8224577952 Enrollment ID: I20240827000374 |
| Provider Name | Natalia Dolin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013972991 PECOS PAC ID: 5496730673 Enrollment ID: I20240828005343 |
| Provider Name | Jane Park Sando |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205079407 PECOS PAC ID: 7214183862 Enrollment ID: I20240917000751 |
| Provider Name | Patricia Danielle Quigley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447296637 PECOS PAC ID: 9032260302 Enrollment ID: I20240925000019 |
| Provider Name | Jordan N Halsey |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1194145292 PECOS PAC ID: 9931636875 Enrollment ID: I20241217001757 |
| Provider Name | Stephen Rottgers |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1831357169 PECOS PAC ID: 6507081205 Enrollment ID: I20241231000604 |
| Provider Name | Anna Varughese |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871678656 PECOS PAC ID: 4284799586 Enrollment ID: I20241231003046 |
| Provider Name | Amy Davis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679133755 PECOS PAC ID: 0648635490 Enrollment ID: I20250102001376 |
| Provider Name | Karolain Garcia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962961946 PECOS PAC ID: 0840527776 Enrollment ID: I20250103000225 |
| Provider Name | Ashley L Siems |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174757926 PECOS PAC ID: 7113217704 Enrollment ID: I20250107001264 |
| Provider Name | Michael Anthony Bruno |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255869426 PECOS PAC ID: 7012445604 Enrollment ID: I20250109003337 |
| Provider Name | Hillary Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770135998 PECOS PAC ID: 9436687837 Enrollment ID: I20250114000052 |
| Provider Name | John Joseph Kotula |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225474158 PECOS PAC ID: 4183910094 Enrollment ID: I20250116002471 |
| Provider Name | Preston Boyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174058036 PECOS PAC ID: 2769733815 Enrollment ID: I20250116003064 |
| Provider Name | Leighton Forest Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205413762 PECOS PAC ID: 7911435086 Enrollment ID: I20250116004006 |
| Provider Name | Dianbo Zhang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1578703153 PECOS PAC ID: 9133397896 Enrollment ID: I20250121000508 |
| Provider Name | Walter Antonio Zegarra |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831583947 PECOS PAC ID: 5890224851 Enrollment ID: I20250121003471 |
| Provider Name | Lily Moore Landry |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1942664917 PECOS PAC ID: 5799070892 Enrollment ID: I20250121003673 |
| Provider Name | Marisol Betensky |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1710117023 PECOS PAC ID: 0941512040 Enrollment ID: I20250121003724 |
| Provider Name | Stephne Spenceley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073220935 PECOS PAC ID: 9739618653 Enrollment ID: I20250122002105 |
| Provider Name | Carrie Ann Gann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538651419 PECOS PAC ID: 3375072234 Enrollment ID: I20250122003656 |
| Provider Name | Kara Beliard |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003267931 PECOS PAC ID: 0042555252 Enrollment ID: I20250124000761 |
| Provider Name | Kelly Henchel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285714667 PECOS PAC ID: 9234318361 Enrollment ID: I20250128003559 |
| Provider Name | Susan Marie Otero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386288025 PECOS PAC ID: 9234668666 Enrollment ID: I20250129002540 |
| Provider Name | Kelly Yohana Cortes Reina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508684432 PECOS PAC ID: 8224567573 Enrollment ID: I20250130004023 |
| Provider Name | Ladonna K Bingham |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619949807 PECOS PAC ID: 6901821859 Enrollment ID: I20250131000906 |
| Provider Name | Taryn Hill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396087490 PECOS PAC ID: 9335380666 Enrollment ID: I20250131001777 |
| Provider Name | Lauri Ann Haffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285897314 PECOS PAC ID: 0840720090 Enrollment ID: I20250204000960 |
| Provider Name | Christine Anseeuw Georgeff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407200561 PECOS PAC ID: 0840720330 Enrollment ID: I20250213001088 |
| Provider Name | Joel Shulkin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922054030 PECOS PAC ID: 4486750015 Enrollment ID: I20250219002013 |
| Provider Name | Sara Melissa Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609029792 PECOS PAC ID: 6608397047 Enrollment ID: I20250303000556 |
| Provider Name | Lilliana Barillas-arias |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1982755211 PECOS PAC ID: 6507944048 Enrollment ID: I20250306001413 |
| Provider Name | Samantha Lucrezia |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639600661 PECOS PAC ID: 9133534837 Enrollment ID: I20250321003522 |
| Provider Name | Patricia J Blanco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730295999 PECOS PAC ID: 3779009030 Enrollment ID: I20250429003234 |
| Provider Name | Abbye Degan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043607096 PECOS PAC ID: 4385161413 Enrollment ID: I20250512002003 |
| Provider Name | Dipti Amin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033169461 PECOS PAC ID: 9133647936 Enrollment ID: I20250515002144 |
| Provider Name | Philip Patrick Mularoni |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1235210725 PECOS PAC ID: 4981123916 Enrollment ID: I20250522002183 |
| Provider Name | Karen M Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891949863 PECOS PAC ID: 1850441072 Enrollment ID: I20250530000086 |
| Provider Name | Kaitlin Elizabeth Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679356281 PECOS PAC ID: 9436668100 Enrollment ID: I20250603004485 |
| Provider Name | Ingrid Camelo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619163573 PECOS PAC ID: 6507903226 Enrollment ID: I20250611000158 |
| Provider Name | Denielle Jo White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255972857 PECOS PAC ID: 3577074970 Enrollment ID: I20250613000184 |
Rosana O'neill, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5628 36th Ave N, St Petersburg, FL 33710 Phone: 727-424-1578 | |
Anxiety Treatment Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N # 17648, St Petersburg, FL 33702 Phone: 239-376-1953 | |
Willow Bay Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6450 1st Ave N, St Petersburg, FL 33710 Phone: 419-345-3326 | |
Florida Advocacy Group, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N Ste 300, St Petersburg, FL 33702 Phone: 813-576-9914 Fax: 813-212-4418 | |
Apt Associates - A Consult Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 695 Central Ave, Ste 150f, St Petersburg, FL 33701 Phone: 727-490-2020 Fax: 727-490-2015 | |
Operation Par Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6720 54th Ave N, St Petersburg, FL 33709 Phone: 727-547-4508 Fax: 727-524-4345 | |
The Luminescent Mind, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7901 4th St N Ste 4000, St Petersburg, FL 33702 Phone: 786-266-0108 |