| Physician Practice Management | |
|
501 S Santa Fe Ave Suite 200 Salina KS 67401-4189 | |
| (785) 452-7269 | |
| (785) 452-6008 |
| Full Name | Physician Practice Management |
|---|---|
| Speciality | Surgery |
| Location | 501 S Santa Fe Ave, Salina, Kansas |
| Authorized Official Name and Position | Amy Wikoff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7854526152 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Practice Management 400 S Santa Fe Ave Srhc Revenue Cycle Mgmt Salina KS 67401-4144 Ph: (785) 452-7269 | Physician Practice Management 501 S Santa Fe Ave Suite 200 Salina KS 67401-4189 Ph: (785) 452-7269 |
| NPI Number | 1619952785 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 01/16/2019 |
| Medicare PECOS PAC ID | 0446168215 |
|---|---|
| Medicare Enrollment ID | O20040130000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619952785 | NPI | - | NPPES |
| 100105940C | Medicaid | KS |
| Provider Name | Maria L Cheney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437128998 PECOS PAC ID: 4183618804 Enrollment ID: I20040414000272 |
| Provider Name | Trent W Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972571750 PECOS PAC ID: 2466340880 Enrollment ID: I20040503001430 |
| Provider Name | Richard Gomendoza |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841255734 PECOS PAC ID: 8325025893 Enrollment ID: I20040701001475 |
| Provider Name | David Battin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1700881000 PECOS PAC ID: 2860466976 Enrollment ID: I20040824001028 |
| Provider Name | Richard D Rivero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861468480 PECOS PAC ID: 7911972625 Enrollment ID: I20040826001254 |
| Provider Name | Rebecca Jane Johnson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841366242 PECOS PAC ID: 4183699002 Enrollment ID: I20040902000566 |
| Provider Name | Crystal Ann Bertrand |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033371786 PECOS PAC ID: 6103895644 Enrollment ID: I20040930000702 |
| Provider Name | Robert S Freelove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013911858 PECOS PAC ID: 1850350455 Enrollment ID: I20041008000495 |
| Provider Name | Melissa Anne Crawford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801899612 PECOS PAC ID: 4183686793 Enrollment ID: I20041027000185 |
| Provider Name | Christopher Scott Owings |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992702831 PECOS PAC ID: 0749247005 Enrollment ID: I20041217000742 |
| Provider Name | Mark G Bell |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629043807 PECOS PAC ID: 1951357920 Enrollment ID: I20050323000949 |
| Provider Name | Gregory S Lindholm |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336156868 PECOS PAC ID: 2163479916 Enrollment ID: I20050404000611 |
| Provider Name | William T Unsderfer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942300173 PECOS PAC ID: 1254388085 Enrollment ID: I20050405000212 |
| Provider Name | William Short |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841300340 PECOS PAC ID: 0749237279 Enrollment ID: I20050406000563 |
| Provider Name | Michael L Weiser |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1750356028 PECOS PAC ID: 5890742241 Enrollment ID: I20050407000268 |
| Provider Name | Paul a Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720043045 PECOS PAC ID: 3375580798 Enrollment ID: I20050415000797 |
| Provider Name | Robert L Sourk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942272554 PECOS PAC ID: 5496794380 Enrollment ID: I20050429000478 |
| Provider Name | Kent B Berquist |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134184997 PECOS PAC ID: 6103867106 Enrollment ID: I20050519000964 |
| Provider Name | Larry E Burnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891750063 PECOS PAC ID: 3870401656 Enrollment ID: I20050523000639 |
| Provider Name | Russell E Greene |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588693832 PECOS PAC ID: 5092757682 Enrollment ID: I20050524000795 |
| Provider Name | Karil L Bellah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518921485 PECOS PAC ID: 4789620212 Enrollment ID: I20050706000403 |
| Provider Name | Angela M Bogart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639135486 PECOS PAC ID: 0547292666 Enrollment ID: I20050908001061 |
| Provider Name | Caryn R Huslig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336196914 PECOS PAC ID: 7012941156 Enrollment ID: I20050919000929 |
| Provider Name | Jason W Rundell-little |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215988282 PECOS PAC ID: 4789609264 Enrollment ID: I20051013000501 |
| Provider Name | Angela N Koerperich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629003405 PECOS PAC ID: 0042213076 Enrollment ID: I20060814000029 |
| Provider Name | Kenneth T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396851689 PECOS PAC ID: 8426055799 Enrollment ID: I20061030000172 |
| Provider Name | Jennifer Diane Pekarek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972577427 PECOS PAC ID: 5597664433 Enrollment ID: I20070206000210 |
| Provider Name | Marcia L Cleavenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073715322 PECOS PAC ID: 0244323301 Enrollment ID: I20070905000464 |
| Provider Name | Sean M Herrington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821096546 PECOS PAC ID: 4082501929 Enrollment ID: I20070911000249 |
| Provider Name | Kelly E Yoxall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417912643 PECOS PAC ID: 0042309445 Enrollment ID: I20080205000539 |
| Provider Name | Marshall Eidenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558352559 PECOS PAC ID: 9133107659 Enrollment ID: I20080520000090 |
| Provider Name | Ralph Bharati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851486294 PECOS PAC ID: 6507852795 Enrollment ID: I20080619000144 |
| Provider Name | Brandy N Ashley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1992943799 PECOS PAC ID: 1557412533 Enrollment ID: I20090702000428 |
| Provider Name | Jeffrey M Geitz |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1124246855 PECOS PAC ID: 4486706785 Enrollment ID: I20090717000160 |
| Provider Name | Christopher R Graber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760600415 PECOS PAC ID: 2668525817 Enrollment ID: I20090805000438 |
| Provider Name | Chadwin R Schroeder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851356026 PECOS PAC ID: 8224127626 Enrollment ID: I20100105000051 |
| Provider Name | Gary G Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306801626 PECOS PAC ID: 2466361514 Enrollment ID: I20100105000071 |
| Provider Name | Kevin D Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063477966 PECOS PAC ID: 9234228636 Enrollment ID: I20100115000700 |
| Provider Name | Alan K Wedel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659336873 PECOS PAC ID: 4284543331 Enrollment ID: I20100115000716 |
| Provider Name | Kyrie G Ritzdorf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073847034 PECOS PAC ID: 0840332417 Enrollment ID: I20100120000167 |
| Provider Name | Kyle D Elmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235194895 PECOS PAC ID: 9133218530 Enrollment ID: I20100215000182 |
| Provider Name | Sara L Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740245638 PECOS PAC ID: 0143319541 Enrollment ID: I20100215000217 |
| Provider Name | Jeffrey S Ehrlich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972568863 PECOS PAC ID: 1052400454 Enrollment ID: I20100215000229 |
| Provider Name | Jay S Robinow |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1598727190 PECOS PAC ID: 4688686041 Enrollment ID: I20100305000690 |
| Provider Name | John a Grant |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1093701278 PECOS PAC ID: 2365400686 Enrollment ID: I20100903000682 |
| Provider Name | Scott a Gayley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154357929 PECOS PAC ID: 6305038241 Enrollment ID: I20101011000129 |
| Provider Name | Lucas Brent Cosens |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972814457 PECOS PAC ID: 0244422236 Enrollment ID: I20101213000234 |
| Provider Name | Leslie Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508172552 PECOS PAC ID: 1456538669 Enrollment ID: I20110615000210 |
| Provider Name | Peeran D Sandhu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1003957788 PECOS PAC ID: 4183894074 Enrollment ID: I20110901000403 |
| Provider Name | Nicole M Betz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598048753 PECOS PAC ID: 6204003809 Enrollment ID: I20120123000677 |
| Provider Name | Andrew Humpert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568688273 PECOS PAC ID: 2365638939 Enrollment ID: I20120123000723 |
| Provider Name | Jeremiah S Ostmeyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215061783 PECOS PAC ID: 7911050125 Enrollment ID: I20120124000624 |
| Provider Name | Merle J Hodges |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164407094 PECOS PAC ID: 2365356037 Enrollment ID: I20120308000232 |
| Provider Name | Caleb J Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720216260 PECOS PAC ID: 7012172737 Enrollment ID: I20120703000229 |
| Provider Name | Dennis M Termulo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336321488 PECOS PAC ID: 4183776735 Enrollment ID: I20120711000451 |
| Provider Name | David M Dupy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164741484 PECOS PAC ID: 2961652888 Enrollment ID: I20121030000164 |
| Provider Name | Justin D Klaassen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811154230 PECOS PAC ID: 5597916320 Enrollment ID: I20121103000110 |
| Provider Name | Kathleen E Corona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316293566 PECOS PAC ID: 4880847748 Enrollment ID: I20130102000022 |
| Provider Name | Alison E Hiatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891045217 PECOS PAC ID: 9032362835 Enrollment ID: I20130103000153 |
| Provider Name | Julia Mae Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801168687 PECOS PAC ID: 3779736863 Enrollment ID: I20130124000240 |
| Provider Name | Aubrey J Fetherston |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396099057 PECOS PAC ID: 3375789795 Enrollment ID: I20130409000351 |
| Provider Name | Andrew J White |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1124287792 PECOS PAC ID: 3870733926 Enrollment ID: I20130712000495 |
| Provider Name | Scott M Boswell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801093224 PECOS PAC ID: 9931340189 Enrollment ID: I20130730000935 |
| Provider Name | Peter David Morris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245551803 PECOS PAC ID: 7810121183 Enrollment ID: I20130930000431 |
| Provider Name | Kyle L Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821420126 PECOS PAC ID: 1951530625 Enrollment ID: I20140130000176 |
| Provider Name | Keri a Kavouras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780006585 PECOS PAC ID: 2961633342 Enrollment ID: I20140327002269 |
| Provider Name | Patricia Lee Barker Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659632495 PECOS PAC ID: 5991952384 Enrollment ID: I20140403000611 |
| Provider Name | Katie M Mcwilliams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568753820 PECOS PAC ID: 2769628171 Enrollment ID: I20140422001374 |
| Provider Name | Zachary K Jepson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336433481 PECOS PAC ID: 9931324381 Enrollment ID: I20140627001192 |
| Provider Name | Barbara J Gack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114333002 PECOS PAC ID: 1557588506 Enrollment ID: I20140814001527 |
| Provider Name | Charles C Glendenning |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285603647 PECOS PAC ID: 6507831419 Enrollment ID: I20141007001575 |
| Provider Name | Kari Fear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790062842 PECOS PAC ID: 0446573695 Enrollment ID: I20141219001943 |
| Provider Name | Renee K Riedel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326437690 PECOS PAC ID: 5193040293 Enrollment ID: I20150212001469 |
| Provider Name | Brenda L Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114324886 PECOS PAC ID: 6305163015 Enrollment ID: I20150317002554 |
| Provider Name | Garrett W. Hooker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467716480 PECOS PAC ID: 7719128073 Enrollment ID: I20150721000466 |
| Provider Name | Alan M Downen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083052211 PECOS PAC ID: 2961645726 Enrollment ID: I20151007002272 |
| Provider Name | Tara L Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033558820 PECOS PAC ID: 4385885441 Enrollment ID: I20160121002576 |
| Provider Name | Monica a Woolsoncroft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336106350 PECOS PAC ID: 4981993656 Enrollment ID: I20160519000679 |
| Provider Name | Braeden D Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841636677 PECOS PAC ID: 5597064386 Enrollment ID: I20160616002171 |
| Provider Name | Stacy K Jones |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295028561 PECOS PAC ID: 0143467225 Enrollment ID: I20160623000824 |
| Provider Name | Jessica Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639524200 PECOS PAC ID: 0446542682 Enrollment ID: I20160708002033 |
| Provider Name | Justin J Hanke |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538458393 PECOS PAC ID: 7517194582 Enrollment ID: I20160722001067 |
| Provider Name | Britton D Zuccarelli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679869002 PECOS PAC ID: 5698060408 Enrollment ID: I20160818000366 |
| Provider Name | Kraig E Bertram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992026439 PECOS PAC ID: 9133414972 Enrollment ID: I20160818001183 |
| Provider Name | Matthew R Pyle |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1992116073 PECOS PAC ID: 3173749785 Enrollment ID: I20160823001798 |
| Provider Name | Rachael L Krob |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144511593 PECOS PAC ID: 5698068237 Enrollment ID: I20160930000169 |
| Provider Name | Melissa Lea Ingram |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1346690781 PECOS PAC ID: 3375515224 Enrollment ID: I20161004001832 |
| Provider Name | Ahmadreza Mirmiran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376980078 PECOS PAC ID: 0941588958 Enrollment ID: I20161026001242 |
| Provider Name | Kristen E Hymer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952619819 PECOS PAC ID: 6002194818 Enrollment ID: I20161031000264 |
| Provider Name | Vincent Bonilla Ruiz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437396322 PECOS PAC ID: 3870619992 Enrollment ID: I20170410001240 |
| Provider Name | Jesica R Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1700173754 PECOS PAC ID: 4486950805 Enrollment ID: I20170612000117 |
| Provider Name | Bradley Ray Irvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528486370 PECOS PAC ID: 8426278912 Enrollment ID: I20170622000556 |
| Provider Name | Rachel a Carney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669883179 PECOS PAC ID: 3971729633 Enrollment ID: I20170818000393 |
| Provider Name | Justin a Long |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447587027 PECOS PAC ID: 5395886956 Enrollment ID: I20170831002026 |
| Provider Name | Claudia Grace Canales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588067490 PECOS PAC ID: 8628343951 Enrollment ID: I20171012000165 |
| Provider Name | Gisela J Dewald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285157180 PECOS PAC ID: 0244596088 Enrollment ID: I20171109003067 |
| Provider Name | Ronald N Eller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851537153 PECOS PAC ID: 8123172392 Enrollment ID: I20171122000407 |
| Provider Name | Julianne M Schwerdtfager |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831517028 PECOS PAC ID: 1254637713 Enrollment ID: I20171214001455 |
| Provider Name | Julie Ann Hoffmann Janisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316900921 PECOS PAC ID: 3779520267 Enrollment ID: I20180123001052 |
| Provider Name | Molly a Mansur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902311152 PECOS PAC ID: 1153686951 Enrollment ID: I20180529000720 |
| Provider Name | Yazan a Abuodeh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265873905 PECOS PAC ID: 3870858111 Enrollment ID: I20180607001286 |
| Provider Name | Emily J Bounds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336536739 PECOS PAC ID: 9335454065 Enrollment ID: I20180705002259 |
| Provider Name | Natalie L Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205241171 PECOS PAC ID: 7618223454 Enrollment ID: I20180709001933 |
| Provider Name | Douglas R Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386056083 PECOS PAC ID: 7012202146 Enrollment ID: I20180813001158 |
| Provider Name | Gary G Olund |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275069163 PECOS PAC ID: 4789920588 Enrollment ID: I20190116000881 |
| Provider Name | Elias R. Quintos |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1306882550 PECOS PAC ID: 7618050774 Enrollment ID: I20190201001006 |
| Provider Name | Martin T Reilly |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780680520 PECOS PAC ID: 1557347101 Enrollment ID: I20190315000678 |
| Provider Name | Kelsey J Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265098354 PECOS PAC ID: 2961745419 Enrollment ID: I20190523002827 |
| Provider Name | Martha E Riese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306293402 PECOS PAC ID: 7719278696 Enrollment ID: I20190530001964 |
| Provider Name | Nathan M Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376990564 PECOS PAC ID: 6507157476 Enrollment ID: I20190621002746 |
| Provider Name | Jacob a Hessman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629431663 PECOS PAC ID: 6103113998 Enrollment ID: I20190701002413 |
| Provider Name | Travis J Rump |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1699181339 PECOS PAC ID: 3072864438 Enrollment ID: I20190702001565 |
| Provider Name | Amanda N Rhyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942659941 PECOS PAC ID: 8628363884 Enrollment ID: I20190711000753 |
| Provider Name | David a Hein |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134583941 PECOS PAC ID: 5395030225 Enrollment ID: I20190806001200 |
| Provider Name | Dusty L Swendson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952677601 PECOS PAC ID: 5597901900 Enrollment ID: I20190807002772 |
| Provider Name | Ashley R Mather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235691346 PECOS PAC ID: 9537498035 Enrollment ID: I20190909003005 |
| Provider Name | Caitlin a Thornton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245886670 PECOS PAC ID: 4385974765 Enrollment ID: I20190927000660 |
| Provider Name | Jessica M Curry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982262671 PECOS PAC ID: 7214361757 Enrollment ID: I20191216003079 |
| Provider Name | Jeffrey J Mccroskey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780882993 PECOS PAC ID: 7416386347 Enrollment ID: I20200329000063 |
| Provider Name | Cameron Petro-sakur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093248668 PECOS PAC ID: 8325478647 Enrollment ID: I20200428000833 |
| Provider Name | Jessica R Petro-sakuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295268860 PECOS PAC ID: 8527498856 Enrollment ID: I20200428001249 |
| Provider Name | Steven O Tenny |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689012940 PECOS PAC ID: 1153547369 Enrollment ID: I20200609001363 |
| Provider Name | Hong a Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154857902 PECOS PAC ID: 4082983010 Enrollment ID: I20200707002748 |
| Provider Name | Bridget R Byquist |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275063307 PECOS PAC ID: 0648540922 Enrollment ID: I20200821000095 |
| Provider Name | Sarah E Wetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366069858 PECOS PAC ID: 3173940905 Enrollment ID: I20200825003017 |
| Provider Name | Ciera N Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225656192 PECOS PAC ID: 2860819695 Enrollment ID: I20200825003155 |
| Provider Name | Stephanie N Marrs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962029835 PECOS PAC ID: 8729405113 Enrollment ID: I20200831002363 |
| Provider Name | Jettie D Leger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659983575 PECOS PAC ID: 0840619599 Enrollment ID: I20200929002306 |
| Provider Name | Michael G Beat |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1053341636 PECOS PAC ID: 2466481908 Enrollment ID: I20200930001872 |
| Provider Name | Jeffrey a Robinson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144513730 PECOS PAC ID: 4587883566 Enrollment ID: I20201112002593 |
| Provider Name | Michael G Ziegler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053872358 PECOS PAC ID: 5597099648 Enrollment ID: I20201229003120 |
| Provider Name | Courtney R Huggans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396367157 PECOS PAC ID: 5890100697 Enrollment ID: I20210208002352 |
| Provider Name | Jesse a Gray |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194172742 PECOS PAC ID: 9931493681 Enrollment ID: I20210503001356 |
| Provider Name | Erik Dale Bowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780171678 PECOS PAC ID: 2365797537 Enrollment ID: I20210513001838 |
| Provider Name | Geraint Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669969168 PECOS PAC ID: 7315293008 Enrollment ID: I20210601001639 |
| Provider Name | Anthony J Ivey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033728555 PECOS PAC ID: 7810391513 Enrollment ID: I20210803000694 |
| Provider Name | Shanda Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952973190 PECOS PAC ID: 7719385038 Enrollment ID: I20211018000221 |
| Provider Name | Yvonne Daugherty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780178541 PECOS PAC ID: 0840548434 Enrollment ID: I20211027000700 |
| Provider Name | David Perkowski |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1942226279 PECOS PAC ID: 8022061449 Enrollment ID: I20211104002607 |
| Provider Name | Ashly J Doering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275297764 PECOS PAC ID: 5597155804 Enrollment ID: I20211130003119 |
| Provider Name | Marie Haycook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497386098 PECOS PAC ID: 2264827229 Enrollment ID: I20220310000695 |
| Provider Name | Leah a Speaks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891224358 PECOS PAC ID: 6204198856 Enrollment ID: I20220531000769 |
| Provider Name | Quinton E Harrison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336882083 PECOS PAC ID: 7517345531 Enrollment ID: I20220603001262 |
| Provider Name | Francisco J De La Serna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871054700 PECOS PAC ID: 1658607809 Enrollment ID: I20220609002075 |
| Provider Name | Jacquelyn C Wagner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235793100 PECOS PAC ID: 2567797988 Enrollment ID: I20220719000748 |
| Provider Name | Karen K Swisher |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528176955 PECOS PAC ID: 2466454210 Enrollment ID: I20220806000555 |
| Provider Name | Dakota D. Dreher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144780701 PECOS PAC ID: 9032444872 Enrollment ID: I20220809001658 |
| Provider Name | Jessica K Wolters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750016937 PECOS PAC ID: 8022492990 Enrollment ID: I20220826002643 |
| Provider Name | Kevin W Klug |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124657838 PECOS PAC ID: 0345663449 Enrollment ID: I20221104000264 |
| Provider Name | Abigail Rose Hager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235720657 PECOS PAC ID: 7618345638 Enrollment ID: I20221123001540 |
| Provider Name | Lindsey Petras |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871232520 PECOS PAC ID: 3072998210 Enrollment ID: I20221214000916 |
| Provider Name | Breanna a De La Serna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861100679 PECOS PAC ID: 1850762725 Enrollment ID: I20230201001120 |
| Provider Name | Lori Jean Golbek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174220651 PECOS PAC ID: 2769856277 Enrollment ID: I20230324000652 |
| Provider Name | Katrina Siemiesz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659900553 PECOS PAC ID: 5799143426 Enrollment ID: I20230628000136 |
| Provider Name | Brandon R Reid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710548680 PECOS PAC ID: 9032532130 Enrollment ID: I20230727002072 |
| Provider Name | Emily Budden |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932662160 PECOS PAC ID: 9335501907 Enrollment ID: I20230814002289 |
| Provider Name | Andrew G Chan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902285844 PECOS PAC ID: 9739591462 Enrollment ID: I20230814003460 |
| Provider Name | Kendra L Christensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609552793 PECOS PAC ID: 7416319769 Enrollment ID: I20230817002972 |
| Provider Name | Derek Mason Wedel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619505872 PECOS PAC ID: 5496172132 Enrollment ID: I20230818000619 |
| Provider Name | Deana Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174213425 PECOS PAC ID: 2365806189 Enrollment ID: I20230913000697 |
| Provider Name | Summer Olsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043495708 PECOS PAC ID: 1951750116 Enrollment ID: I20231213001353 |
| Provider Name | Andrea Ring |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073751467 PECOS PAC ID: 5597114751 Enrollment ID: I20231213001383 |
| Provider Name | Carol Moddelmog |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588603328 PECOS PAC ID: 5799134979 Enrollment ID: I20231213002103 |
| Provider Name | Darren Ramoutar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578706172 PECOS PAC ID: 1456580356 Enrollment ID: I20231214000726 |
| Provider Name | David S Olsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780869446 PECOS PAC ID: 9537510599 Enrollment ID: I20240104000920 |
| Provider Name | Alexis Moest |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710611926 PECOS PAC ID: 3971946104 Enrollment ID: I20240205003254 |
| Provider Name | Andrea Gorrondona |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1225680010 PECOS PAC ID: 8224472295 Enrollment ID: I20240217000188 |
| Provider Name | Kaleigh Ramey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376311233 PECOS PAC ID: 0749627180 Enrollment ID: I20240321001691 |
| Provider Name | Joy Waldbauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477848646 PECOS PAC ID: 8426497363 Enrollment ID: I20240411003790 |
| Provider Name | Bjorn Thorarinsson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1932206141 PECOS PAC ID: 2567411531 Enrollment ID: I20240425001839 |
| Provider Name | Amanda Doubrava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487362117 PECOS PAC ID: 8426498759 Enrollment ID: I20240502003089 |
| Provider Name | Amir a Gahremanpour |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1255544839 PECOS PAC ID: 7012189897 Enrollment ID: I20240520000713 |
| Provider Name | Anna Nanigian Witt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770015042 PECOS PAC ID: 0042581092 Enrollment ID: I20240619002210 |
| Provider Name | Diana Zhong |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376924365 PECOS PAC ID: 2163721861 Enrollment ID: I20240620000237 |
| Provider Name | Julia K Cornett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679884738 PECOS PAC ID: 3779779251 Enrollment ID: I20240620000281 |
| Provider Name | Sabina M Zawadzka |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396109021 PECOS PAC ID: 8820382864 Enrollment ID: I20240620001062 |
| Provider Name | Jorge Cedano Rincon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437635489 PECOS PAC ID: 3870997687 Enrollment ID: I20240626004359 |
| Provider Name | Kathleen M Remy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215772520 PECOS PAC ID: 9739624719 Enrollment ID: I20240715001332 |
| Provider Name | Antonie Auguste |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1508063165 PECOS PAC ID: 0042469843 Enrollment ID: I20240718002449 |
| Provider Name | Julia Zefirova |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346472933 PECOS PAC ID: 0840455424 Enrollment ID: I20240718002776 |
| Provider Name | Booth Wainscoat |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699707141 PECOS PAC ID: 7012912165 Enrollment ID: I20240718002924 |
| Provider Name | Stacy Maneth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215779913 PECOS PAC ID: 3173069465 Enrollment ID: I20240723002205 |
| Provider Name | Kaleigh Ann Knox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629825419 PECOS PAC ID: 2961948922 Enrollment ID: I20240725003998 |
| Provider Name | Eli Becker |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1508858507 PECOS PAC ID: 7810956927 Enrollment ID: I20240806002616 |
| Provider Name | Mackenzi Choitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811668213 PECOS PAC ID: 4789074949 Enrollment ID: I20240809000121 |
| Provider Name | Fatuma Aisha Kromah |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134434152 PECOS PAC ID: 8022264258 Enrollment ID: I20240817000213 |
| Provider Name | Cassandra Chesney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922843739 PECOS PAC ID: 2466991963 Enrollment ID: I20240828003259 |
| Provider Name | Kerrie a Williams-codling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396591582 PECOS PAC ID: 2264971647 Enrollment ID: I20240829001227 |
| Provider Name | Cathryn Seirer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326895707 PECOS PAC ID: 4183165178 Enrollment ID: I20240918000143 |
| Provider Name | Stephen Dewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144802919 PECOS PAC ID: 2365983368 Enrollment ID: I20240918000516 |
| Provider Name | Nathan J Finch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144809641 PECOS PAC ID: 4981058781 Enrollment ID: I20240919003656 |
| Provider Name | Jessica Ring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639900806 PECOS PAC ID: 8022549039 Enrollment ID: I20241001004091 |
| Provider Name | Kaylee J Wiens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871321687 PECOS PAC ID: 6002347663 Enrollment ID: I20241007002125 |
| Provider Name | Zakaria Cole Tazkargy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194308643 PECOS PAC ID: 9436558210 Enrollment ID: I20241008000611 |
| Provider Name | Michael Lee Thorpe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497726285 PECOS PAC ID: 0345149704 Enrollment ID: I20241018003083 |
| Provider Name | Harris Tsamolias |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457939837 PECOS PAC ID: 3678971314 Enrollment ID: I20241023003660 |
| Provider Name | Kyle Scott Ardavanis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578020590 PECOS PAC ID: 2466887948 Enrollment ID: I20241023004628 |
| Provider Name | Rachel Christine Schmidt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265054886 PECOS PAC ID: 5698195139 Enrollment ID: I20241205000188 |
| Provider Name | Eric Tsung |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255758132 PECOS PAC ID: 6002138971 Enrollment ID: I20241220003074 |
| Provider Name | Kellie Middleton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356789192 PECOS PAC ID: 0941556831 Enrollment ID: I20250224002821 |
| Provider Name | Andrew Luxhoj |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801274535 PECOS PAC ID: 0547550717 Enrollment ID: I20250303000388 |
| Provider Name | Paige M Warneke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194552687 PECOS PAC ID: 5799209151 Enrollment ID: I20250407002369 |
| Provider Name | Shayef a Gabasha |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639596265 PECOS PAC ID: 1456570894 Enrollment ID: I20250407002468 |
| Provider Name | Kaitlin Lafreniere |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1194383984 PECOS PAC ID: 5193054633 Enrollment ID: I20250421000295 |
| Provider Name | Demay M Grunden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457907214 PECOS PAC ID: 9931618600 Enrollment ID: I20250603004308 |
| Provider Name | Pir a Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053931410 PECOS PAC ID: 4981021896 Enrollment ID: I20250616003336 |
| Provider Name | Megan E Welborn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194383331 PECOS PAC ID: 4284969635 Enrollment ID: I20250623001355 |
| Provider Name | Tonya German |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104710466 PECOS PAC ID: 6103338520 Enrollment ID: I20250623001562 |
| Provider Name | Andrew Hunt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1629606371 PECOS PAC ID: 8820501653 Enrollment ID: I20250703000582 |
| Provider Name | Mikaela a Anderes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104715168 PECOS PAC ID: 8022526730 Enrollment ID: I20250804003251 |
| Provider Name | Luke E Johnson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235797689 PECOS PAC ID: 5294061941 Enrollment ID: I20250815003695 |
| Provider Name | Randall Roe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811639099 PECOS PAC ID: 9830573708 Enrollment ID: I20250825001403 |
| Provider Name | Alexander Yoxall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093456352 PECOS PAC ID: 1658749346 Enrollment ID: I20250825001994 |
| Provider Name | James Garrett Leiker |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841874161 PECOS PAC ID: 6507260478 Enrollment ID: I20250917001306 |
| Provider Name | Sibiya Sabu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427862432 PECOS PAC ID: 8224532304 Enrollment ID: I20250920000695 |
| Provider Name | Sheri Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497647622 PECOS PAC ID: 5193229110 Enrollment ID: I20250922000809 |
| Provider Name | Olivia Kristine Weir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508741661 PECOS PAC ID: 0446757470 Enrollment ID: I20251007002845 |
| Provider Name | Andrea Gorrondona |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225680010 PECOS PAC ID: 8224472295 Enrollment ID: I20251113000331 |
| Provider Name | Ramesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083894604 PECOS PAC ID: 2365574837 Enrollment ID: I20260113004058 |
| Provider Name | Syed Agha |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164420741 PECOS PAC ID: 9436108024 Enrollment ID: I20260323003147 |
| Provider Name | Ahmed Halal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447495569 PECOS PAC ID: 8527184381 Enrollment ID: I20260416002924 |
| Provider Name | Lucy Chimezie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053275008 PECOS PAC ID: 0941778625 Enrollment ID: I20260512000406 |
| Provider Name | Mayank P Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609316140 PECOS PAC ID: 6608110671 Enrollment ID: I20260520002989 |
| Provider Name | Muhammad Saad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083090278 PECOS PAC ID: 9335497452 Enrollment ID: I20260522000105 |
| Provider Name | Romeo Vences-leonard |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801537931 PECOS PAC ID: 6608263082 Enrollment ID: I20260610001082 |
| Provider Name | Ulfur T Gudjonsson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1467656926 PECOS PAC ID: 3779678594 Enrollment ID: I20260610001235 |
| Provider Name | Henry C Quevedo Diaz |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1679708374 PECOS PAC ID: 8325337686 Enrollment ID: I20260611001861 |
| Provider Name | Juan Camilo Naranjo Escobar |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740850460 PECOS PAC ID: 8123590973 Enrollment ID: I20260612002427 |
Saint Francis Community Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 W Euclid Ave, Salina, KS 67401 Phone: 800-423-1342 |
Darlys E. Willer, Lscsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 E Iron Ave, Suite D, Salina, KS 67401 Phone: 785-827-2600 Fax: 785-309-0184 |
North Star Guidance, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 Iowa Ave, Salina, KS 67401 Phone: 785-404-3092 |
Three Rivers Family Therapy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 645 E Iron Ave, Suite B, Salina, KS 67401 Phone: 785-823-6333 Fax: 785-823-6381 |
Jess Simpson Counseling Services Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 104 W Ellsworth Ave, Salina, KS 67401 Phone: 785-787-9355 Fax: 785-670-8348 |
Emma Ward Therapy Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 N 7th St, Salina, KS 67401 Phone: 785-262-7003 |