| Pikeville Medical Center Inc. | |
|
911 Bypass Rd Bldg A Pikeville KY 41501-1689 | |
| (606) 430-3500 | |
| Not Available |
| Full Name | Pikeville Medical Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 911 Bypass Rd Bldg A, Pikeville, Kentucky |
| Authorized Official Name and Position | Michelle Hagy (CFO) |
| Authorized Official Contact | 6064303519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikeville Medical Center Inc. Po Box 432 Pikeville KY 41502-0432 Ph: (606) 430-3500 | Pikeville Medical Center Inc. 911 Bypass Rd Bldg A Pikeville KY 41501-1689 Ph: (606) 430-3500 |
| NPI Number | 1528195864 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Medicare PECOS PAC ID | 6709790157 |
|---|---|
| Medicare Enrollment ID | O20040304001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528195864 | NPI | - | NPPES |
| 7100025550 | Medicaid | KY | |
| 000000056963 | Other | KY | BCBS ANESTHESIA GROUP |
| 7100032480 | Medicaid | KY | |
| 000000056961 | Other | KY | BCBS PHYSICIAN GROUP |
| 3100076300 | Medicaid | KY | |
| 7100075930 | Medicaid | KY | |
| 7100294240 | Medicaid | KY | |
| 7100332320 | Medicaid | KY | |
| 65922361 | Medicaid | KY | |
| 7100025560 | Medicaid | KY |
| Provider Name | Bill H Harris |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1952313942 PECOS PAC ID: 9032023882 Enrollment ID: I20031117000148 |
| Provider Name | Michael G Antimisiaris |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881606499 PECOS PAC ID: 0244144046 Enrollment ID: I20031117000291 |
| Provider Name | John M Triplett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356306716 PECOS PAC ID: 2163328766 Enrollment ID: I20031212000019 |
| Provider Name | Shahab M Ehtesham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144283029 PECOS PAC ID: 9133025778 Enrollment ID: I20031212000281 |
| Provider Name | Chaker M Dahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003803412 PECOS PAC ID: 0840190823 Enrollment ID: I20040113000708 |
| Provider Name | Ramanarao V Mettu |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1679568281 PECOS PAC ID: 0547162653 Enrollment ID: I20040121000142 |
| Provider Name | Debra K Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811034861 PECOS PAC ID: 9537152061 Enrollment ID: I20040408000273 |
| Provider Name | Gary D Singer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275573974 PECOS PAC ID: 9638083462 Enrollment ID: I20040409000168 |
| Provider Name | Worawute Supaongprapa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205913951 PECOS PAC ID: 4385638386 Enrollment ID: I20040413000419 |
| Provider Name | Wayne Brian Colin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912937939 PECOS PAC ID: 9335134766 Enrollment ID: I20040416000082 |
| Provider Name | Mohinder P. S. Randhawa |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851326482 PECOS PAC ID: 5294720371 Enrollment ID: I20040417000612 |
| Provider Name | Diana Maria Hursh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578539771 PECOS PAC ID: 2365439791 Enrollment ID: I20040428000592 |
| Provider Name | Jeffery Martin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801109640 PECOS PAC ID: 7618965195 Enrollment ID: I20040504000358 |
| Provider Name | Keith B Hall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1932163177 PECOS PAC ID: 7416947049 Enrollment ID: I20040515000376 |
| Provider Name | Dennis L Havens |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558301853 PECOS PAC ID: 0446241202 Enrollment ID: I20040520000494 |
| Provider Name | Katrina Brown Briggs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457347791 PECOS PAC ID: 2668463191 Enrollment ID: I20040521001346 |
| Provider Name | Angela K Maggard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811981442 PECOS PAC ID: 8224014584 Enrollment ID: I20040628000259 |
| Provider Name | Vinay Puri |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275531345 PECOS PAC ID: 3274504667 Enrollment ID: I20040802000027 |
| Provider Name | Stefan G Kiessling |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699791038 PECOS PAC ID: 0446221485 Enrollment ID: I20040804000122 |
| Provider Name | Carla K Spare |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730247271 PECOS PAC ID: 8325011521 Enrollment ID: I20040816001474 |
| Provider Name | Rasiah A Narendrakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508829425 PECOS PAC ID: 1850365370 Enrollment ID: I20040820001077 |
| Provider Name | Bradley S. Collett |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386648988 PECOS PAC ID: 5395711303 Enrollment ID: I20040913000432 |
| Provider Name | Rodney Handshoe |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528070174 PECOS PAC ID: 4880667476 Enrollment ID: I20040914001081 |
| Provider Name | Dan G Sotingeanu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356364079 PECOS PAC ID: 0446229967 Enrollment ID: I20040930000503 |
| Provider Name | Philip S Koerper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154317725 PECOS PAC ID: 9436128766 Enrollment ID: I20041001000960 |
| Provider Name | Rangarajan Arunachalam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467562611 PECOS PAC ID: 9638139520 Enrollment ID: I20041110000343 |
| Provider Name | Mary Ratliff |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396785697 PECOS PAC ID: 8123077179 Enrollment ID: I20050117000211 |
| Provider Name | Grady J Stephens |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477624716 PECOS PAC ID: 8729037783 Enrollment ID: I20050117000262 |
| Provider Name | Jamshed F Kanga |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275559619 PECOS PAC ID: 2961451851 Enrollment ID: I20050118000830 |
| Provider Name | James Kendall Cecil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053354571 PECOS PAC ID: 0547210635 Enrollment ID: I20050128000576 |
| Provider Name | Muhammad Ahmad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1801888953 PECOS PAC ID: 1759331705 Enrollment ID: I20050131000283 |
| Provider Name | Trevor Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356345045 PECOS PAC ID: 9032162524 Enrollment ID: I20050224000449 |
| Provider Name | Joseph O Obebe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427167543 PECOS PAC ID: 2769371566 Enrollment ID: I20050301000703 |
| Provider Name | Norman Mayer |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972596179 PECOS PAC ID: 5799727566 Enrollment ID: I20050523001057 |
| Provider Name | Hilde Suad Jerius |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255437240 PECOS PAC ID: 1355320268 Enrollment ID: I20050603000026 |
| Provider Name | Ahsen Ali Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528001633 PECOS PAC ID: 9335185008 Enrollment ID: I20050707000026 |
| Provider Name | Annette Rebel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1366477358 PECOS PAC ID: 1951333442 Enrollment ID: I20050906000728 |
| Provider Name | Stephen Walters |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588605679 PECOS PAC ID: 0840222345 Enrollment ID: I20050906000752 |
| Provider Name | Jennifer E Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912994633 PECOS PAC ID: 5890729461 Enrollment ID: I20050922000871 |
| Provider Name | Abdulla A Attum |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1164473377 PECOS PAC ID: 4385635077 Enrollment ID: I20051121000764 |
| Provider Name | John M Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093744807 PECOS PAC ID: 0547282949 Enrollment ID: I20051229000213 |
| Provider Name | Trulena Jonette Benner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023041936 PECOS PAC ID: 5193749984 Enrollment ID: I20060119000505 |
| Provider Name | Ibrahim Valdes Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770531469 PECOS PAC ID: 5799709309 Enrollment ID: I20060123000530 |
| Provider Name | Kevin W Pugh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477596302 PECOS PAC ID: 8628087731 Enrollment ID: I20060419000022 |
| Provider Name | Timothy Paul Wright |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083667299 PECOS PAC ID: 4789696782 Enrollment ID: I20060612000011 |
| Provider Name | Anthony J Bottiggi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881659092 PECOS PAC ID: 7618989542 Enrollment ID: I20060615000061 |
| Provider Name | Michele Whitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295767929 PECOS PAC ID: 3779581251 Enrollment ID: I20061116000292 |
| Provider Name | Stephanie R Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831142280 PECOS PAC ID: 5991757106 Enrollment ID: I20061121000022 |
| Provider Name | Thomas K Ison |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548290042 PECOS PAC ID: 4587767991 Enrollment ID: I20070305000620 |
| Provider Name | Aurelia Radulescu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912994419 PECOS PAC ID: 5890757165 Enrollment ID: I20070402000337 |
| Provider Name | Christodulos Stavens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659457232 PECOS PAC ID: 2365332913 Enrollment ID: I20070412000608 |
| Provider Name | Brian J Batdorf |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952470213 PECOS PAC ID: 0749386589 Enrollment ID: I20070510000484 |
| Provider Name | Mark J Veronneau |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932208899 PECOS PAC ID: 5799882924 Enrollment ID: I20070522000504 |
| Provider Name | Stephanie D Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346325578 PECOS PAC ID: 0244338747 Enrollment ID: I20070607000063 |
| Provider Name | Brian Marcum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770680811 PECOS PAC ID: 8820193121 Enrollment ID: I20070613000734 |
| Provider Name | Osama N Aziz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285826792 PECOS PAC ID: 2264525344 Enrollment ID: I20070905000654 |
| Provider Name | David W Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619195864 PECOS PAC ID: 5496848327 Enrollment ID: I20070907000495 |
| Provider Name | Melissa D White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700890407 PECOS PAC ID: 7618873084 Enrollment ID: I20071025000213 |
| Provider Name | Linda E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417001850 PECOS PAC ID: 7214024389 Enrollment ID: I20071106000620 |
| Provider Name | Aaron W Crum |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427034057 PECOS PAC ID: 4880781988 Enrollment ID: I20071107000042 |
| Provider Name | Kent Ficklin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184626178 PECOS PAC ID: 4486742335 Enrollment ID: I20071112000079 |
| Provider Name | John M Swanner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932192804 PECOS PAC ID: 7214025923 Enrollment ID: I20071114000049 |
| Provider Name | Katherine L Stamper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952324808 PECOS PAC ID: 2668440272 Enrollment ID: I20071204000669 |
| Provider Name | Maleshea Y Hopkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164604831 PECOS PAC ID: 0446345755 Enrollment ID: I20080104000587 |
| Provider Name | Jennifer B Kingery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366625444 PECOS PAC ID: 7911088109 Enrollment ID: I20080114000447 |
| Provider Name | Oon Leedhanachoke |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578520482 PECOS PAC ID: 2860574266 Enrollment ID: I20080124000120 |
| Provider Name | Brett Eric Jarrell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952385882 PECOS PAC ID: 4082641600 Enrollment ID: I20080312000009 |
| Provider Name | Kenneth Gibbs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174506455 PECOS PAC ID: 7315926847 Enrollment ID: I20080317000009 |
| Provider Name | Vickie G Morgan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1780871707 PECOS PAC ID: 3072699867 Enrollment ID: I20080319000232 |
| Provider Name | Tiffany D Hensley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255517827 PECOS PAC ID: 0749366565 Enrollment ID: I20080319000412 |
| Provider Name | Anbu K Nadar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245223411 PECOS PAC ID: 2769568070 Enrollment ID: I20080327000230 |
| Provider Name | Dwayne A Grimes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952587529 PECOS PAC ID: 3274610696 Enrollment ID: I20080410000064 |
| Provider Name | Ghazala Q Roopani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528026408 PECOS PAC ID: 8729996806 Enrollment ID: I20080428000500 |
| Provider Name | Nikki M Tipton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710163381 PECOS PAC ID: 4082793245 Enrollment ID: I20080430000183 |
| Provider Name | Cliff Caudill |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841300712 PECOS PAC ID: 5193769776 Enrollment ID: I20080502000186 |
| Provider Name | Aftab S Chishti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619144474 PECOS PAC ID: 3971676578 Enrollment ID: I20080715000530 |
| Provider Name | Jamie D Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215109038 PECOS PAC ID: 5991879462 Enrollment ID: I20080731000448 |
| Provider Name | Alicia A Shirakbari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447357223 PECOS PAC ID: 5698765840 Enrollment ID: I20080811000790 |
| Provider Name | Alaa A Addasi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154531416 PECOS PAC ID: 4183791007 Enrollment ID: I20080918000426 |
| Provider Name | Carla F Rivera Y Pierola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841496692 PECOS PAC ID: 1557438280 Enrollment ID: I20080923000320 |
| Provider Name | Ayorinde Medaiyese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265485544 PECOS PAC ID: 2961431168 Enrollment ID: I20081007000152 |
| Provider Name | Brendon M Coughtry |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1669514840 PECOS PAC ID: 9931277472 Enrollment ID: I20081010000045 |
| Provider Name | Laura E Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326002676 PECOS PAC ID: 1951480953 Enrollment ID: I20081018000220 |
| Provider Name | Julie L Helfen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861649774 PECOS PAC ID: 4183782972 Enrollment ID: I20081023000143 |
| Provider Name | Laura P Ashby-jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023279510 PECOS PAC ID: 9032279476 Enrollment ID: I20081114000779 |
| Provider Name | Joe E Kingery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194923490 PECOS PAC ID: 6002977618 Enrollment ID: I20081201000534 |
| Provider Name | Jamie B Varney |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1679787493 PECOS PAC ID: 5890859730 Enrollment ID: I20090121000657 |
| Provider Name | Gina Diana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710073945 PECOS PAC ID: 9234294778 Enrollment ID: I20090217000015 |
| Provider Name | Jeannie M Childress |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326285784 PECOS PAC ID: 4486710761 Enrollment ID: I20090312000026 |
| Provider Name | Erich Lee Ernspiker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821285727 PECOS PAC ID: 6800947300 Enrollment ID: I20090623000565 |
| Provider Name | David Mark Posner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942200100 PECOS PAC ID: 7012817711 Enrollment ID: I20090728000006 |
| Provider Name | Sarah E Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891929824 PECOS PAC ID: 2264588862 Enrollment ID: I20090923000642 |
| Provider Name | Alexander T Krivchenia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851408447 PECOS PAC ID: 5092896050 Enrollment ID: I20090930000283 |
| Provider Name | Gregory S Eastham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154491850 PECOS PAC ID: 5294624599 Enrollment ID: I20091026000431 |
| Provider Name | Stephanie A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962632265 PECOS PAC ID: 9436298155 Enrollment ID: I20091209000147 |
| Provider Name | Samuel J King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174550867 PECOS PAC ID: 9032250998 Enrollment ID: I20100114000221 |
| Provider Name | Geertruida Kints |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639189848 PECOS PAC ID: 9032253158 Enrollment ID: I20100212000424 |
| Provider Name | Jeremy T Hall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801127949 PECOS PAC ID: 6406991116 Enrollment ID: I20100305000540 |
| Provider Name | Benjamin Luke Kiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417188285 PECOS PAC ID: 4789710930 Enrollment ID: I20100327000118 |
| Provider Name | Rafiq Rahman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598747099 PECOS PAC ID: 8123155223 Enrollment ID: I20100421000727 |
| Provider Name | Matthew K Shotwell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912975608 PECOS PAC ID: 4688607112 Enrollment ID: I20100503000212 |
| Provider Name | Paul Maynard |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568573152 PECOS PAC ID: 5092844258 Enrollment ID: I20100526000439 |
| Provider Name | Sujata R Gutti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831299346 PECOS PAC ID: 9537299912 Enrollment ID: I20100610001003 |
| Provider Name | Sai P Gutti |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1992805410 PECOS PAC ID: 3375673767 Enrollment ID: I20100610001044 |
| Provider Name | Fadi Al Akhrass |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245557222 PECOS PAC ID: 5092847996 Enrollment ID: I20100712000583 |
| Provider Name | William P Hoskins |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174713994 PECOS PAC ID: 8729111851 Enrollment ID: I20100727000157 |
| Provider Name | William B Helton |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1174786115 PECOS PAC ID: 5597898387 Enrollment ID: I20100730000293 |
| Provider Name | James Y Liau |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1962665661 PECOS PAC ID: 2961558713 Enrollment ID: I20100812000715 |
| Provider Name | William A Kendall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164530937 PECOS PAC ID: 0446330062 Enrollment ID: I20100824001002 |
| Provider Name | Dermot P Halpin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215910898 PECOS PAC ID: 6901797208 Enrollment ID: I20100826001146 |
| Provider Name | Naveed Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508946070 PECOS PAC ID: 8921193160 Enrollment ID: I20100827000110 |
| Provider Name | Laura N Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972815850 PECOS PAC ID: 2466576475 Enrollment ID: I20100827000427 |
| Provider Name | Milton C Calima |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760595243 PECOS PAC ID: 9234152836 Enrollment ID: I20100901000333 |
| Provider Name | Samuel J King |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235314998 PECOS PAC ID: 6709901598 Enrollment ID: I20100916001108 |
| Provider Name | Rebecca L Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629381306 PECOS PAC ID: 7315063526 Enrollment ID: I20100924001058 |
| Provider Name | William B Webb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154589968 PECOS PAC ID: 6103018965 Enrollment ID: I20101012000478 |
| Provider Name | Kay C Hazelett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689676348 PECOS PAC ID: 3577756030 Enrollment ID: I20101018000507 |
| Provider Name | Brandie L Dotson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528083813 PECOS PAC ID: 9638168396 Enrollment ID: I20101206000692 |
| Provider Name | Eliseo A Colon-carreras |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982606422 PECOS PAC ID: 6608831086 Enrollment ID: I20101209001046 |
| Provider Name | Charles P Wheeler |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154332922 PECOS PAC ID: 2163525189 Enrollment ID: I20110103000929 |
| Provider Name | Donnie C Akers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063426682 PECOS PAC ID: 3577600568 Enrollment ID: I20110114000784 |
| Provider Name | Mark Swofford |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1245238484 PECOS PAC ID: 3779578786 Enrollment ID: I20110212000083 |
| Provider Name | Eric L Herrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235435017 PECOS PAC ID: 7911188370 Enrollment ID: I20110218000435 |
| Provider Name | Sadie P Hutson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477585818 PECOS PAC ID: 9537185392 Enrollment ID: I20110315000569 |
| Provider Name | Alexis R Ravi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245468263 PECOS PAC ID: 1759564453 Enrollment ID: I20110317000461 |
| Provider Name | Holly H Gallion |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1356649784 PECOS PAC ID: 0749243244 Enrollment ID: I20110531000438 |
| Provider Name | Jennifer E Mullins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912975707 PECOS PAC ID: 7214900992 Enrollment ID: I20110601000124 |
| Provider Name | Devesh Sharma |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1730350356 PECOS PAC ID: 6305982018 Enrollment ID: I20110701000332 |
| Provider Name | Shadi F Obeidat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962616565 PECOS PAC ID: 0345418828 Enrollment ID: I20110728000240 |
| Provider Name | Rebecca J Spencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689725616 PECOS PAC ID: 8527054998 Enrollment ID: I20110815000312 |
| Provider Name | Sami Tammo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720270838 PECOS PAC ID: 1557530185 Enrollment ID: I20110816000218 |
| Provider Name | Baha E Qashou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184888406 PECOS PAC ID: 4587833132 Enrollment ID: I20110816000570 |
| Provider Name | Paul B Weinberger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578712006 PECOS PAC ID: 0648440974 Enrollment ID: I20110824000550 |
| Provider Name | Belal H Said |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831376961 PECOS PAC ID: 9335323393 Enrollment ID: I20110830000458 |
| Provider Name | Joseph R Owens |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508010505 PECOS PAC ID: 3375713217 Enrollment ID: I20110831000698 |
| Provider Name | Tom O Mcguire |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205812435 PECOS PAC ID: 7214105337 Enrollment ID: I20110901000456 |
| Provider Name | Terry D Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174739601 PECOS PAC ID: 8527238153 Enrollment ID: I20110908002089 |
| Provider Name | Alicia D Warnock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740441484 PECOS PAC ID: 4789855677 Enrollment ID: I20110926000737 |
| Provider Name | James Robert Hayes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073774097 PECOS PAC ID: 7012104169 Enrollment ID: I20111003000028 |
| Provider Name | Ziad Alnabki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629397393 PECOS PAC ID: 2365616208 Enrollment ID: I20111110000836 |
| Provider Name | Shellie A Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710140868 PECOS PAC ID: 5890969588 Enrollment ID: I20111115000169 |
| Provider Name | Edward G Stiles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649318221 PECOS PAC ID: 2961676564 Enrollment ID: I20111116000781 |
| Provider Name | William J Mazzella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528158227 PECOS PAC ID: 8022079623 Enrollment ID: I20111121000552 |
| Provider Name | Jim Y F Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457570756 PECOS PAC ID: 7719173582 Enrollment ID: I20111209000304 |
| Provider Name | Amy O Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003811985 PECOS PAC ID: 7315925658 Enrollment ID: I20120130000484 |
| Provider Name | Harty E Ashby |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1083736557 PECOS PAC ID: 3274729439 Enrollment ID: I20120202000874 |
| Provider Name | Ray Slone |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811269400 PECOS PAC ID: 2264691708 Enrollment ID: I20120302000136 |
| Provider Name | Mavis Lowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578836987 PECOS PAC ID: 2264693712 Enrollment ID: I20120411000146 |
| Provider Name | Raymond Lee Daniels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184855421 PECOS PAC ID: 0941462394 Enrollment ID: I20120501000071 |
| Provider Name | Denise D Kilburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790072981 PECOS PAC ID: 2365605474 Enrollment ID: I20120529000286 |
| Provider Name | Nisrine Bou Malhab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144401472 PECOS PAC ID: 9739344946 Enrollment ID: I20120712000678 |
| Provider Name | Tonya M May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114287976 PECOS PAC ID: 3971759275 Enrollment ID: I20120801000666 |
| Provider Name | Steven J Krohmer |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1598860736 PECOS PAC ID: 3375726599 Enrollment ID: I20120802000255 |
| Provider Name | David L Yerkes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043448657 PECOS PAC ID: 2466608567 Enrollment ID: I20120806000297 |
| Provider Name | Leigh Ann Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891086427 PECOS PAC ID: 7618123183 Enrollment ID: I20120816000819 |
| Provider Name | John C Watson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336373299 PECOS PAC ID: 0749437010 Enrollment ID: I20120822000421 |
| Provider Name | Gabriel B Jacobs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063647477 PECOS PAC ID: 6507013083 Enrollment ID: I20120906000368 |
| Provider Name | Andrew Sparkman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518196187 PECOS PAC ID: 9436307782 Enrollment ID: I20120912000385 |
| Provider Name | William J Frazier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164407854 PECOS PAC ID: 0749185395 Enrollment ID: I20121026000541 |
| Provider Name | Joshua H Hensley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508065004 PECOS PAC ID: 2062663289 Enrollment ID: I20121117000016 |
| Provider Name | John Thomas Riehl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558525733 PECOS PAC ID: 7315001112 Enrollment ID: I20121218000435 |
| Provider Name | Tina M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376894840 PECOS PAC ID: 6103079645 Enrollment ID: I20130110000636 |
| Provider Name | Gregory Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821023839 PECOS PAC ID: 5395847578 Enrollment ID: I20130123000474 |
| Provider Name | Tracy Lynn Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417085150 PECOS PAC ID: 1951576156 Enrollment ID: I20130205000119 |
| Provider Name | Jodelle L Yount |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982908265 PECOS PAC ID: 6901060136 Enrollment ID: I20130219000542 |
| Provider Name | Francis Hinsberg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275574105 PECOS PAC ID: 5698709202 Enrollment ID: I20130223000021 |
| Provider Name | Bethany S Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962740969 PECOS PAC ID: 3476708363 Enrollment ID: I20130226000219 |
| Provider Name | Tiffany A Salyers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346569738 PECOS PAC ID: 5193960466 Enrollment ID: I20130315000136 |
| Provider Name | Alysia L Caughron |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831430305 PECOS PAC ID: 1355587114 Enrollment ID: I20130423000425 |
| Provider Name | Michael S Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285975748 PECOS PAC ID: 4880830462 Enrollment ID: I20130426000649 |
| Provider Name | April D Lambert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649511080 PECOS PAC ID: 0345486890 Enrollment ID: I20130429000480 |
| Provider Name | Joshua Lee Hill |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093025504 PECOS PAC ID: 8123266806 Enrollment ID: I20130608000109 |
| Provider Name | Harigopal Sreerama Reddy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1144531641 PECOS PAC ID: 2769621150 Enrollment ID: I20130614000527 |
| Provider Name | Robin A Sanger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972546950 PECOS PAC ID: 8426003211 Enrollment ID: I20130711000141 |
| Provider Name | Aaron L Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083750681 PECOS PAC ID: 8022154434 Enrollment ID: I20130716000115 |
| Provider Name | William R. Peery |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821294588 PECOS PAC ID: 7719150481 Enrollment ID: I20130717000431 |
| Provider Name | April N Ratliff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154640548 PECOS PAC ID: 3779724067 Enrollment ID: I20130730000035 |
| Provider Name | Rami Tariq Sartawi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063679447 PECOS PAC ID: 2466693627 Enrollment ID: I20130730000973 |
| Provider Name | Philip Leipprandt |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528217890 PECOS PAC ID: 1052460003 Enrollment ID: I20130731000677 |
| Provider Name | Darlene D Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922448398 PECOS PAC ID: 3476795139 Enrollment ID: I20130808000248 |
| Provider Name | Randy William Legault |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396973012 PECOS PAC ID: 2163664830 Enrollment ID: I20130808000298 |
| Provider Name | Pallaki D Ravi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053631804 PECOS PAC ID: 3870735293 Enrollment ID: I20130815000083 |
| Provider Name | Speros G Livieratos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285829994 PECOS PAC ID: 3476725151 Enrollment ID: I20130826000236 |
| Provider Name | Michael J Asher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457792053 PECOS PAC ID: 1557504347 Enrollment ID: I20130826001102 |
| Provider Name | Kara B Huff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538471297 PECOS PAC ID: 2062655608 Enrollment ID: I20130828001057 |
| Provider Name | Scottie L Suttles |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598107476 PECOS PAC ID: 7416190905 Enrollment ID: I20130903000205 |
| Provider Name | Basel Edris |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1629381116 PECOS PAC ID: 9537393616 Enrollment ID: I20131002000611 |
| Provider Name | Shane Wallace |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235378605 PECOS PAC ID: 2668520750 Enrollment ID: I20131010001011 |
| Provider Name | William E Duvall |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114210739 PECOS PAC ID: 8123252947 Enrollment ID: I20131010001269 |
| Provider Name | Delfina M Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467886705 PECOS PAC ID: 1355575879 Enrollment ID: I20131015002186 |
| Provider Name | Kellie J Stivers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144451733 PECOS PAC ID: 7416182811 Enrollment ID: I20131018001872 |
| Provider Name | Bashar Z Ghosheh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1649481797 PECOS PAC ID: 7113005828 Enrollment ID: I20131120002046 |
| Provider Name | Kimberly Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164851598 PECOS PAC ID: 3971730748 Enrollment ID: I20131226001701 |
| Provider Name | Michael S Carnes |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1881695849 PECOS PAC ID: 7810932639 Enrollment ID: I20131230000432 |
| Provider Name | Cassidy Harman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760756944 PECOS PAC ID: 5294995262 Enrollment ID: I20131231001540 |
| Provider Name | Michelle R Scearse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013344928 PECOS PAC ID: 0345479259 Enrollment ID: I20140218000838 |
| Provider Name | Jennifer Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568884831 PECOS PAC ID: 5799915674 Enrollment ID: I20140221000546 |
| Provider Name | Jamie L Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104240639 PECOS PAC ID: 7719117076 Enrollment ID: I20140306000176 |
| Provider Name | Amanda B Crafton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225452568 PECOS PAC ID: 9234369596 Enrollment ID: I20140306000272 |
| Provider Name | Ruth Faye Lavigne |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467486571 PECOS PAC ID: 1557301397 Enrollment ID: I20140416001479 |
| Provider Name | Nicole R. Butler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154742930 PECOS PAC ID: 4284866682 Enrollment ID: I20140417002075 |
| Provider Name | Erin P Farrar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932526068 PECOS PAC ID: 6800029406 Enrollment ID: I20140506002005 |
| Provider Name | Muhannad Antoun |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619266319 PECOS PAC ID: 9739303645 Enrollment ID: I20140616002422 |
| Provider Name | Rizvon Chaudhary |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1255365466 PECOS PAC ID: 2365444106 Enrollment ID: I20140616002456 |
| Provider Name | Christina M Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053723890 PECOS PAC ID: 2961627435 Enrollment ID: I20140626000657 |
| Provider Name | Joshua D Belcher |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245466358 PECOS PAC ID: 2769622059 Enrollment ID: I20140628000123 |
| Provider Name | Christopher C Reynolds |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831381755 PECOS PAC ID: 9032382783 Enrollment ID: I20140702000262 |
| Provider Name | Sarah Elizabeth Shreffler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336553932 PECOS PAC ID: 5395960041 Enrollment ID: I20140714000459 |
| Provider Name | Christopher M Rowe |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275947632 PECOS PAC ID: 3779708458 Enrollment ID: I20140714001729 |
| Provider Name | Judson L Mehl |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1831323229 PECOS PAC ID: 3577465269 Enrollment ID: I20140814001613 |
| Provider Name | Syed Tayyab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780952994 PECOS PAC ID: 0345468815 Enrollment ID: I20140825001449 |
| Provider Name | Chad E Carroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598024754 PECOS PAC ID: 6406074889 Enrollment ID: I20140826002918 |
| Provider Name | Noorul H Khan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679729909 PECOS PAC ID: 2769521152 Enrollment ID: I20140904001596 |
| Provider Name | Catherine D. Huffman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295912574 PECOS PAC ID: 1153549134 Enrollment ID: I20140904002315 |
| Provider Name | Jennifer C Herrell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417212267 PECOS PAC ID: 2769613132 Enrollment ID: I20140909001036 |
| Provider Name | Antoinette Justice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245559632 PECOS PAC ID: 6305065699 Enrollment ID: I20140918001667 |
| Provider Name | Horacio Jorge Rodriguez-jimenez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427156421 PECOS PAC ID: 0749257475 Enrollment ID: I20140930002927 |
| Provider Name | Robert Ball |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1386751238 PECOS PAC ID: 0749448975 Enrollment ID: I20141111000745 |
| Provider Name | Gerasimos S Stavens |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255464236 PECOS PAC ID: 6608832753 Enrollment ID: I20141205001144 |
| Provider Name | Dimitrios Danikas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1346399235 PECOS PAC ID: 9335173301 Enrollment ID: I20141206000022 |
| Provider Name | Alex A Agostini-miranda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104815117 PECOS PAC ID: 3274519590 Enrollment ID: I20141206000375 |
| Provider Name | Lindsey Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922344407 PECOS PAC ID: 6002051596 Enrollment ID: I20141210001949 |
| Provider Name | Ayman Khafagi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992017719 PECOS PAC ID: 7012145428 Enrollment ID: I20150113001340 |
| Provider Name | Lesley Lynn Duffie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851650014 PECOS PAC ID: 4385960996 Enrollment ID: I20150225001868 |
| Provider Name | Benita A Amick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548658016 PECOS PAC ID: 6709102130 Enrollment ID: I20150303000820 |
| Provider Name | Lauren N Kitts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417345083 PECOS PAC ID: 8325364250 Enrollment ID: I20150311001679 |
| Provider Name | Angela O'quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962796466 PECOS PAC ID: 7113244765 Enrollment ID: I20150319002533 |
| Provider Name | Jennifer A Wright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861607459 PECOS PAC ID: 4284951500 Enrollment ID: I20150326000610 |
| Provider Name | Vanessa Meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649663659 PECOS PAC ID: 7517285133 Enrollment ID: I20150410002401 |
| Provider Name | Nimish G Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184901001 PECOS PAC ID: 6901124478 Enrollment ID: I20150413001439 |
| Provider Name | Carolyn Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881098754 PECOS PAC ID: 7214256700 Enrollment ID: I20150505001527 |
| Provider Name | Asim Elahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063837912 PECOS PAC ID: 9739491630 Enrollment ID: I20150707001369 |
| Provider Name | Kenneth R Hawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215316831 PECOS PAC ID: 3678886728 Enrollment ID: I20150717001374 |
| Provider Name | Jamie Aker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114307220 PECOS PAC ID: 2264746353 Enrollment ID: I20150803002209 |
| Provider Name | Pramesh Dhakal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982860581 PECOS PAC ID: 6608180708 Enrollment ID: I20150803002606 |
| Provider Name | Joshua R Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942689013 PECOS PAC ID: 5496069510 Enrollment ID: I20150804003214 |
| Provider Name | Deepak G Azad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083636930 PECOS PAC ID: 6305894056 Enrollment ID: I20150807014622 |
| Provider Name | Anthony Dempsey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1417120072 PECOS PAC ID: 2860671914 Enrollment ID: I20150807015265 |
| Provider Name | Sankar Chirumamilla |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124346705 PECOS PAC ID: 0941515464 Enrollment ID: I20150812009021 |
| Provider Name | Larry Zhao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700012689 PECOS PAC ID: 7416262621 Enrollment ID: I20150818003701 |
| Provider Name | Jahnave Gudaru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669736377 PECOS PAC ID: 7618282468 Enrollment ID: I20150824000209 |
| Provider Name | Nicholas Paul Schaub |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1265693667 PECOS PAC ID: 9335383421 Enrollment ID: I20150831000596 |
| Provider Name | Jeffrey Charles Hutchings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689703829 PECOS PAC ID: 8527132349 Enrollment ID: I20150831002596 |
| Provider Name | Hayley D Trimble |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295022960 PECOS PAC ID: 4486898111 Enrollment ID: I20150908002324 |
| Provider Name | Shalinee Jha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265761720 PECOS PAC ID: 6305096157 Enrollment ID: I20150916000509 |
| Provider Name | Christopher Charles Croot |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053318717 PECOS PAC ID: 8628970894 Enrollment ID: I20150918000472 |
| Provider Name | Tyler Graham Cabell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912373507 PECOS PAC ID: 5092022301 Enrollment ID: I20150918002617 |
| Provider Name | Melody L Addasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396120879 PECOS PAC ID: 9335456490 Enrollment ID: I20150922002160 |
| Provider Name | Dustin T Gayheart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063730372 PECOS PAC ID: 1456506765 Enrollment ID: I20150922003130 |
| Provider Name | Natashia Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760858799 PECOS PAC ID: 9436467834 Enrollment ID: I20151005002824 |
| Provider Name | Angela H Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124495635 PECOS PAC ID: 3870801020 Enrollment ID: I20151007002915 |
| Provider Name | Asim Kichloo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649669136 PECOS PAC ID: 7113236555 Enrollment ID: I20151026000771 |
| Provider Name | Shaun M Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821383944 PECOS PAC ID: 9436393865 Enrollment ID: I20151026000919 |
| Provider Name | Ashley L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134590854 PECOS PAC ID: 9335459080 Enrollment ID: I20151109000671 |
| Provider Name | William S Coulter |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1861654956 PECOS PAC ID: 0143447474 Enrollment ID: I20151123000983 |
| Provider Name | Arch Courtney Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093078198 PECOS PAC ID: 3274834478 Enrollment ID: I20151211002128 |
| Provider Name | Eilene Eugenio Kinzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013242106 PECOS PAC ID: 6103082656 Enrollment ID: I20151211002311 |
| Provider Name | Marcella R Sincell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619341666 PECOS PAC ID: 5890096978 Enrollment ID: I20151214002566 |
| Provider Name | Crystal D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457725756 PECOS PAC ID: 2769783786 Enrollment ID: I20151216002753 |
| Provider Name | Jerome Terres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942242128 PECOS PAC ID: 5496781619 Enrollment ID: I20151221001624 |
| Provider Name | Janey Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275885832 PECOS PAC ID: 1557664869 Enrollment ID: I20160120002036 |
| Provider Name | Ketki Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255629465 PECOS PAC ID: 6103148077 Enrollment ID: I20160125000173 |
| Provider Name | Munsif Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973147 PECOS PAC ID: 2668628371 Enrollment ID: I20160129002039 |
| Provider Name | Chinmay P Patel |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1164713095 PECOS PAC ID: 3678742285 Enrollment ID: I20160202001896 |
| Provider Name | Lindsey Pate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679930911 PECOS PAC ID: 3375848039 Enrollment ID: I20160218001012 |
| Provider Name | Summer N Asher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326406877 PECOS PAC ID: 3870898471 Enrollment ID: I20160218002573 |
| Provider Name | Christopher C Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366705543 PECOS PAC ID: 6800101056 Enrollment ID: I20160224000729 |
| Provider Name | Scott E Cantrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659406049 PECOS PAC ID: 5799081733 Enrollment ID: I20160317000096 |
| Provider Name | David M Rubin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992705891 PECOS PAC ID: 0547258634 Enrollment ID: I20160413001726 |
| Provider Name | Melissa H Ramsey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730187071 PECOS PAC ID: 2365519477 Enrollment ID: I20160510001262 |
| Provider Name | Sherri L Blair |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700246014 PECOS PAC ID: 7719969476 Enrollment ID: I20160517002639 |
| Provider Name | Matthew Sullivan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760846919 PECOS PAC ID: 2961792171 Enrollment ID: I20160531001998 |
| Provider Name | Robin Spurlock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497101802 PECOS PAC ID: 6103117221 Enrollment ID: I20160621001881 |
| Provider Name | Ziaullah Virk |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1740267533 PECOS PAC ID: 3476523861 Enrollment ID: I20160721001731 |
| Provider Name | Jason C Mann |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528217320 PECOS PAC ID: 8224190640 Enrollment ID: I20160722001912 |
| Provider Name | Mario Matos-cruz |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588868616 PECOS PAC ID: 9931011293 Enrollment ID: I20160802001775 |
| Provider Name | Staci R Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457701252 PECOS PAC ID: 4082908660 Enrollment ID: I20160804000274 |
| Provider Name | William R Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194175646 PECOS PAC ID: 9638083017 Enrollment ID: I20160805001814 |
| Provider Name | Osama Elsallabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588087068 PECOS PAC ID: 0749574069 Enrollment ID: I20160810000430 |
| Provider Name | John Blackburn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841511037 PECOS PAC ID: 8426370263 Enrollment ID: I20160811002599 |
| Provider Name | Ty Aaron Slatton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588989099 PECOS PAC ID: 9436443470 Enrollment ID: I20160812002279 |
| Provider Name | Michael A Mcclain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073871992 PECOS PAC ID: 2668791476 Enrollment ID: I20160812002300 |
| Provider Name | Rudy Jewan Judhan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528299765 PECOS PAC ID: 5193019164 Enrollment ID: I20160815000762 |
| Provider Name | Natalie S. Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629332002 PECOS PAC ID: 7810213386 Enrollment ID: I20160815001908 |
| Provider Name | Raj B Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669817656 PECOS PAC ID: 7517273303 Enrollment ID: I20160815002133 |
| Provider Name | Tiffany A Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063787059 PECOS PAC ID: 4789979626 Enrollment ID: I20160817001097 |
| Provider Name | Rami Km Hanna |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215132196 PECOS PAC ID: 9032264064 Enrollment ID: I20160824001194 |
| Provider Name | Sofie Pinney |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063844322 PECOS PAC ID: 8123313137 Enrollment ID: I20160829002950 |
| Provider Name | Kristin J Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427457803 PECOS PAC ID: 3274754734 Enrollment ID: I20160907000995 |
| Provider Name | Nazia Atique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669785515 PECOS PAC ID: 2668692369 Enrollment ID: I20160907002325 |
| Provider Name | Curtis J Koons |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588923239 PECOS PAC ID: 9032437702 Enrollment ID: I20160913002085 |
| Provider Name | Rebekah L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811440993 PECOS PAC ID: 2365738556 Enrollment ID: I20160914002924 |
| Provider Name | Leslie A Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023461167 PECOS PAC ID: 8022305390 Enrollment ID: I20160929002829 |
| Provider Name | Travis Charles Sizemore |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154760601 PECOS PAC ID: 9931333580 Enrollment ID: I20161024002080 |
| Provider Name | Luke C Murray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932543584 PECOS PAC ID: 3375851900 Enrollment ID: I20161024002417 |
| Provider Name | Yousof E Elgaried |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013294164 PECOS PAC ID: 7416197686 Enrollment ID: I20161104000988 |
| Provider Name | Dawn Clark Barber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073527586 PECOS PAC ID: 4183692312 Enrollment ID: I20161130000354 |
| Provider Name | Josephine Owoeye Ibironke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831145770 PECOS PAC ID: 5193624831 Enrollment ID: I20161201001849 |
| Provider Name | Elizabeth G Carter Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669924486 PECOS PAC ID: 6204116270 Enrollment ID: I20161208001495 |
| Provider Name | Roya Attar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558788026 PECOS PAC ID: 8820212186 Enrollment ID: I20161208002198 |
| Provider Name | Kendra L Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639621667 PECOS PAC ID: 8527348416 Enrollment ID: I20161212001341 |
| Provider Name | Shadi Abu Halimah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144415290 PECOS PAC ID: 1153595095 Enrollment ID: I20161214002065 |
| Provider Name | Betty S Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409457 PECOS PAC ID: 2365723350 Enrollment ID: I20170105002310 |
| Provider Name | Adam L Hickenbotham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063462778 PECOS PAC ID: 3577576115 Enrollment ID: I20170105002431 |
| Provider Name | Paul J Porres |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952563371 PECOS PAC ID: 4880719574 Enrollment ID: I20170111003644 |
| Provider Name | James Rogala |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053454835 PECOS PAC ID: 4183604515 Enrollment ID: I20170120001191 |
| Provider Name | Saqib Inayatullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235336934 PECOS PAC ID: 8224128350 Enrollment ID: I20170123002561 |
| Provider Name | Kristie M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598216574 PECOS PAC ID: 5597047720 Enrollment ID: I20170124002252 |
| Provider Name | Danny Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730622317 PECOS PAC ID: 1153604822 Enrollment ID: I20170203002222 |
| Provider Name | Wally Folad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326331893 PECOS PAC ID: 8022237841 Enrollment ID: I20170210002266 |
| Provider Name | Weiping Wang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164481842 PECOS PAC ID: 2769377225 Enrollment ID: I20170213000977 |
| Provider Name | Anil Duggal |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1578879300 PECOS PAC ID: 3678857497 Enrollment ID: I20170222002952 |
| Provider Name | Isaac J.t. Osborne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700809555 PECOS PAC ID: 0941298780 Enrollment ID: I20170301002081 |
| Provider Name | Charles Godo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790796316 PECOS PAC ID: 8224073150 Enrollment ID: I20170301002662 |
| Provider Name | Benjamin F Hollywood |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891233870 PECOS PAC ID: 8527342948 Enrollment ID: I20170303000765 |
| Provider Name | Allie M Hurst |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1548706047 PECOS PAC ID: 2860776028 Enrollment ID: I20170307001781 |
| Provider Name | William S Gruss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306982491 PECOS PAC ID: 5698852234 Enrollment ID: I20170310001886 |
| Provider Name | Khurram Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730446931 PECOS PAC ID: 8022327923 Enrollment ID: I20170322001321 |
| Provider Name | Kirk D Crouser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972501997 PECOS PAC ID: 1759328131 Enrollment ID: I20170327002378 |
| Provider Name | Daria Lisa Muzychka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356374433 PECOS PAC ID: 0749174134 Enrollment ID: I20170329002055 |
| Provider Name | Michelle Cantrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396284790 PECOS PAC ID: 7214212521 Enrollment ID: I20170329002101 |
| Provider Name | Joseph Olawole Ogunsulire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942555073 PECOS PAC ID: 5890095038 Enrollment ID: I20170331001059 |
| Provider Name | Veronica O Abegunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740500826 PECOS PAC ID: 5294960357 Enrollment ID: I20170405001287 |
| Provider Name | Samer Alnabhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164648101 PECOS PAC ID: 4981874377 Enrollment ID: I20170411002263 |
| Provider Name | Brandi Nicole Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508305715 PECOS PAC ID: 7214213917 Enrollment ID: I20170412000869 |
| Provider Name | Ketty Maurice |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053368043 PECOS PAC ID: 0446143382 Enrollment ID: I20170412001611 |
| Provider Name | Brittany L Neeley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508300179 PECOS PAC ID: 7012293657 Enrollment ID: I20170413000785 |
| Provider Name | Saeid Behroozi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952415846 PECOS PAC ID: 2365415114 Enrollment ID: I20170418002590 |
| Provider Name | Matthew G Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578004305 PECOS PAC ID: 0941586366 Enrollment ID: I20170418002834 |
| Provider Name | Misty Bendall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376717389 PECOS PAC ID: 2769481704 Enrollment ID: I20170418002845 |
| Provider Name | Motaz Baibars |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104121193 PECOS PAC ID: 7315105814 Enrollment ID: I20170425001054 |
| Provider Name | Nneamaka N Enwemnwa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801026448 PECOS PAC ID: 4587803283 Enrollment ID: I20170502000401 |
| Provider Name | Amy K Bolling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881738169 PECOS PAC ID: 1951409861 Enrollment ID: I20170503002495 |
| Provider Name | Natasha A Telesford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639593395 PECOS PAC ID: 1355562927 Enrollment ID: I20170510002956 |
| Provider Name | Hemantkumar Raval |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1225478670 PECOS PAC ID: 7113231754 Enrollment ID: I20170519000407 |
| Provider Name | Ariosto E Rosado |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255310041 PECOS PAC ID: 8325943061 Enrollment ID: I20170519001159 |
| Provider Name | Biagio V Vultaggio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396836706 PECOS PAC ID: 2264526185 Enrollment ID: I20170519001896 |
| Provider Name | Michael N Metry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124187695 PECOS PAC ID: 7113818410 Enrollment ID: I20170522002462 |
| Provider Name | Rachel Ash Bernal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851317093 PECOS PAC ID: 4880648393 Enrollment ID: I20170523002100 |
| Provider Name | Damon Alexander Forbes |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932335452 PECOS PAC ID: 6901035187 Enrollment ID: I20170601001708 |
| Provider Name | Siddharth A Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386703619 PECOS PAC ID: 0143313130 Enrollment ID: I20170613002699 |
| Provider Name | Garred R Cline |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295146710 PECOS PAC ID: 0749408151 Enrollment ID: I20170620000652 |
| Provider Name | Yousef Hattab |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1699053579 PECOS PAC ID: 9830338375 Enrollment ID: I20170627000793 |
| Provider Name | James C Crouch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215284062 PECOS PAC ID: 7517249022 Enrollment ID: I20170713001635 |
| Provider Name | Gregory A Shaw |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1154609766 PECOS PAC ID: 2264702851 Enrollment ID: I20170713002621 |
| Provider Name | Kristi L Tackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417367848 PECOS PAC ID: 6002186491 Enrollment ID: I20170718000743 |
| Provider Name | Luke A Edwards |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922361294 PECOS PAC ID: 9537391628 Enrollment ID: I20170725004264 |
| Provider Name | Garrett W Fought |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942734264 PECOS PAC ID: 9133490840 Enrollment ID: I20170728002716 |
| Provider Name | Kamel Gharaibeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669769246 PECOS PAC ID: 1658595483 Enrollment ID: I20170801002110 |
| Provider Name | Tamanna Nahar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174542575 PECOS PAC ID: 8921089426 Enrollment ID: I20170802003033 |
| Provider Name | Nancy S Clark |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1114986023 PECOS PAC ID: 5496831067 Enrollment ID: I20170808001754 |
| Provider Name | Jacob Witt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609306737 PECOS PAC ID: 6709158595 Enrollment ID: I20170814001483 |
| Provider Name | Paula R Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245755206 PECOS PAC ID: 7315210820 Enrollment ID: I20170905003145 |
| Provider Name | Samantha Caines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861918054 PECOS PAC ID: 9032482542 Enrollment ID: I20170905003202 |
| Provider Name | Mariano E Rivera |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528389939 PECOS PAC ID: 4385884477 Enrollment ID: I20170912001455 |
| Provider Name | Abdallah Kharnaf |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679861611 PECOS PAC ID: 2466681010 Enrollment ID: I20170915003242 |
| Provider Name | Rachel L Fitzgerald |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336599331 PECOS PAC ID: 1658662598 Enrollment ID: I20170919003724 |
| Provider Name | Hesham Taha |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1922067941 PECOS PAC ID: 8628094794 Enrollment ID: I20170921001401 |
| Provider Name | Jamessa C Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730607789 PECOS PAC ID: 5799059184 Enrollment ID: I20170925000355 |
| Provider Name | Corie L Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245753268 PECOS PAC ID: 7517239288 Enrollment ID: I20170925000757 |
| Provider Name | Faisal Shamshad |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225022320 PECOS PAC ID: 0345201463 Enrollment ID: I20171003003935 |
| Provider Name | Stephanie L Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790193092 PECOS PAC ID: 3870818107 Enrollment ID: I20171003006566 |
| Provider Name | Charles Hoffecker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376067843 PECOS PAC ID: 4789959073 Enrollment ID: I20171012002538 |
| Provider Name | Matthew Q Mccammon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750784799 PECOS PAC ID: 4284921073 Enrollment ID: I20171019002875 |
| Provider Name | John L Bradley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386624021 PECOS PAC ID: 5991987026 Enrollment ID: I20171020002890 |
| Provider Name | Henrik O Berdel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740501345 PECOS PAC ID: 1052607751 Enrollment ID: I20171026002810 |
| Provider Name | Quy Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871885194 PECOS PAC ID: 5698902567 Enrollment ID: I20171031003055 |
| Provider Name | Ashirf Al-ghanoudi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316289564 PECOS PAC ID: 9830401223 Enrollment ID: I20171101000931 |
| Provider Name | Betty D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821509233 PECOS PAC ID: 4981960200 Enrollment ID: I20171102000355 |
| Provider Name | Shasta Nicole Bowens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013443191 PECOS PAC ID: 7810253705 Enrollment ID: I20171109000312 |
| Provider Name | John A Schultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598276552 PECOS PAC ID: 3779840186 Enrollment ID: I20171120001508 |
| Provider Name | Naushad Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447553714 PECOS PAC ID: 6507035490 Enrollment ID: I20171121002123 |
| Provider Name | Olivia D Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740667468 PECOS PAC ID: 4486911351 Enrollment ID: I20171130002604 |
| Provider Name | Denny R Goss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235573478 PECOS PAC ID: 0648591487 Enrollment ID: I20171201000808 |
| Provider Name | German Giese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174810295 PECOS PAC ID: 5991920175 Enrollment ID: I20171201002149 |
| Provider Name | Jack N Newman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215915012 PECOS PAC ID: 0446212393 Enrollment ID: I20171212003073 |
| Provider Name | Mohamed H El Dinali |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134499858 PECOS PAC ID: 0244463693 Enrollment ID: I20171219002950 |
| Provider Name | Michelle Labrunda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902081318 PECOS PAC ID: 3072695741 Enrollment ID: I20171227001138 |
| Provider Name | Dannel Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346753415 PECOS PAC ID: 0345508933 Enrollment ID: I20180103003347 |
| Provider Name | Henry K Lui |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811939424 PECOS PAC ID: 7113823790 Enrollment ID: I20180109003503 |
| Provider Name | Nickolas R Collins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467834671 PECOS PAC ID: 1951695444 Enrollment ID: I20180119002441 |
| Provider Name | Jacquelene Renee Steele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134566441 PECOS PAC ID: 2163723990 Enrollment ID: I20180206002046 |
| Provider Name | Shylebra L Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710486162 PECOS PAC ID: 8426319500 Enrollment ID: I20180306002656 |
| Provider Name | Gina M Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639679459 PECOS PAC ID: 3274895685 Enrollment ID: I20180323001010 |
| Provider Name | Madhava T Pally |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821005422 PECOS PAC ID: 0345290649 Enrollment ID: I20180403000881 |
| Provider Name | Cynthia A Pence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124530878 PECOS PAC ID: 0941563829 Enrollment ID: I20180405001124 |
| Provider Name | Ashley L Nickerson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376785410 PECOS PAC ID: 9436440450 Enrollment ID: I20180416001284 |
| Provider Name | John T Deel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013116946 PECOS PAC ID: 5294822755 Enrollment ID: I20180420002320 |
| Provider Name | Todd Harris Nairn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457557001 PECOS PAC ID: 4688652985 Enrollment ID: I20180424003001 |
| Provider Name | Maurice Uchenna Udechukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609987528 PECOS PAC ID: 8123068863 Enrollment ID: I20180607002242 |
| Provider Name | Maali M Milhem |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003170416 PECOS PAC ID: 5395962906 Enrollment ID: I20180619002980 |
| Provider Name | Robert Shurtleff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992182869 PECOS PAC ID: 9032465356 Enrollment ID: I20180628002669 |
| Provider Name | Pradeepto Ghosh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851679690 PECOS PAC ID: 3476862269 Enrollment ID: I20180703000194 |
| Provider Name | Brookelynn E Hensley |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1225475981 PECOS PAC ID: 1850511361 Enrollment ID: I20180710001339 |
| Provider Name | Telena Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457846040 PECOS PAC ID: 3476809005 Enrollment ID: I20180711003293 |
| Provider Name | Brittany A Fairchild |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124474903 PECOS PAC ID: 4789931072 Enrollment ID: I20180718000376 |
| Provider Name | Kayla M Damron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437505328 PECOS PAC ID: 7719235985 Enrollment ID: I20180803000861 |
| Provider Name | Deepak J Pattanshetty |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790017614 PECOS PAC ID: 8628226453 Enrollment ID: I20180809005533 |
| Provider Name | Michael David Cranney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912303553 PECOS PAC ID: 4981910510 Enrollment ID: I20180820000782 |
| Provider Name | Syed Saif Zahir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649666900 PECOS PAC ID: 6406105782 Enrollment ID: I20180820002506 |
| Provider Name | Syed Haider Imam |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124373253 PECOS PAC ID: 3971852153 Enrollment ID: I20180821003129 |
| Provider Name | Nicholas Anthony Kusnezov |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396185161 PECOS PAC ID: 3476803248 Enrollment ID: I20180829002604 |
| Provider Name | Robert M Cline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811344211 PECOS PAC ID: 8628328069 Enrollment ID: I20180906001400 |
| Provider Name | Elizabeth Ashley Turley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720435118 PECOS PAC ID: 6406108398 Enrollment ID: I20181003002558 |
| Provider Name | Joseph Yates |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518348549 PECOS PAC ID: 8022301621 Enrollment ID: I20181010003845 |
| Provider Name | Brianna I N Lovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013492214 PECOS PAC ID: 3779836796 Enrollment ID: I20181022001202 |
| Provider Name | Aaronda Derossett Wells |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336143122 PECOS PAC ID: 8921266545 Enrollment ID: I20181106001646 |
| Provider Name | Caitlin V Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013484211 PECOS PAC ID: 5698029601 Enrollment ID: I20181109002332 |
| Provider Name | Katherine D Dronka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841643236 PECOS PAC ID: 1355686890 Enrollment ID: I20190102002429 |
| Provider Name | Mohamad Khair Khasawneh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467403006 PECOS PAC ID: 2163429432 Enrollment ID: I20190130002536 |
| Provider Name | Ryan A Preston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801360623 PECOS PAC ID: 6103164611 Enrollment ID: I20190207002224 |
| Provider Name | Jason R Jude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962966481 PECOS PAC ID: 9739428186 Enrollment ID: I20190228002279 |
| Provider Name | Robert A Shiroff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134157548 PECOS PAC ID: 3678511136 Enrollment ID: I20190319001088 |
| Provider Name | Adrienne Michelle Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588124556 PECOS PAC ID: 7416298500 Enrollment ID: I20190418001956 |
| Provider Name | Aaron D Stanley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215335542 PECOS PAC ID: 7214299080 Enrollment ID: I20190509001695 |
| Provider Name | William A Ison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144887951 PECOS PAC ID: 0941535686 Enrollment ID: I20190717001953 |
| Provider Name | Jennifer E Keathley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922667708 PECOS PAC ID: 7113252859 Enrollment ID: I20190717001973 |
| Provider Name | Caitlin P Griffin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386178424 PECOS PAC ID: 7315272903 Enrollment ID: I20190718002962 |
| Provider Name | Kevin T Farthing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629424429 PECOS PAC ID: 1850626441 Enrollment ID: I20190718003014 |
| Provider Name | Anfal Fahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386090975 PECOS PAC ID: 5193006658 Enrollment ID: I20190724002546 |
| Provider Name | Joshua Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598226045 PECOS PAC ID: 6800123043 Enrollment ID: I20190809001382 |
| Provider Name | Shyam R Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700184157 PECOS PAC ID: 7315168358 Enrollment ID: I20190830002198 |
| Provider Name | Ryan E Kern |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497232425 PECOS PAC ID: 7214285253 Enrollment ID: I20191008001384 |
| Provider Name | Samantha E. Myers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023504974 PECOS PAC ID: 6103173539 Enrollment ID: I20191009001457 |
| Provider Name | John E Reynolds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871931816 PECOS PAC ID: 9133419518 Enrollment ID: I20191030003671 |
| Provider Name | George Mamdouh Ghobrial |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1457593428 PECOS PAC ID: 6305078189 Enrollment ID: I20191220000939 |
| Provider Name | Gabriel A Vilchez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407274491 PECOS PAC ID: 6002168192 Enrollment ID: I20191220002393 |
| Provider Name | Christopher Dale Henley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477714822 PECOS PAC ID: 9830314145 Enrollment ID: I20191231002247 |
| Provider Name | George Welch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144258336 PECOS PAC ID: 0941245211 Enrollment ID: I20200127002218 |
| Provider Name | Julie Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750923397 PECOS PAC ID: 8022444561 Enrollment ID: I20200201000035 |
| Provider Name | Lawanna L Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083262349 PECOS PAC ID: 3678900099 Enrollment ID: I20200225001534 |
| Provider Name | Justin D Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528699881 PECOS PAC ID: 4082041959 Enrollment ID: I20200305002495 |
| Provider Name | Breanna L Farmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548893548 PECOS PAC ID: 3072942994 Enrollment ID: I20200327002968 |
| Provider Name | Patrick S Bryant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790130151 PECOS PAC ID: 1557619657 Enrollment ID: I20200410000619 |
| Provider Name | Michael R Crum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912352030 PECOS PAC ID: 0446540660 Enrollment ID: I20200417003178 |
| Provider Name | Malisa Josephine Moss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508120247 PECOS PAC ID: 2062722291 Enrollment ID: I20200605000472 |
| Provider Name | Hazim Bukamur |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861807489 PECOS PAC ID: 7517186869 Enrollment ID: I20200624003093 |
| Provider Name | Rachel E Mullins |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518341585 PECOS PAC ID: 4486076163 Enrollment ID: I20200625002083 |
| Provider Name | Rishi Raj |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770965683 PECOS PAC ID: 0749538692 Enrollment ID: I20200629001916 |
| Provider Name | Jeremy C Bevins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386254845 PECOS PAC ID: 5193142834 Enrollment ID: I20200826003526 |
| Provider Name | Oriana Fabiola Ramirez Alvarado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295257921 PECOS PAC ID: 8224455258 Enrollment ID: I20200904000527 |
| Provider Name | Elizabeth N Dupre |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225569148 PECOS PAC ID: 7416375191 Enrollment ID: I20200911001620 |
| Provider Name | Ibrahim M Shahoub |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629410691 PECOS PAC ID: 2860623998 Enrollment ID: I20200922003029 |
| Provider Name | Alexis B Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487252672 PECOS PAC ID: 1759791890 Enrollment ID: I20201102000538 |
| Provider Name | Amanda R Andreychuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134757305 PECOS PAC ID: 2860802733 Enrollment ID: I20201104000536 |
| Provider Name | Cassie Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164064101 PECOS PAC ID: 7719397546 Enrollment ID: I20201106001939 |
| Provider Name | Kelly Belcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164051306 PECOS PAC ID: 5597185058 Enrollment ID: I20201218000887 |
| Provider Name | Robb K Taylor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154810687 PECOS PAC ID: 5092128165 Enrollment ID: I20210108002208 |
| Provider Name | Joseph J Souza |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336145457 PECOS PAC ID: 4880608496 Enrollment ID: I20210115002014 |
| Provider Name | Yvonne M Barnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871931873 PECOS PAC ID: 1951530757 Enrollment ID: I20210119000737 |
| Provider Name | Rodica Georgiana Chele |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124253448 PECOS PAC ID: 9638221047 Enrollment ID: I20210120003044 |
| Provider Name | Raymon K Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346236452 PECOS PAC ID: 1951447325 Enrollment ID: I20210122000731 |
| Provider Name | Kenneth J Koval |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144256041 PECOS PAC ID: 9638079296 Enrollment ID: I20210122001162 |
| Provider Name | Omar S Abu-romeh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184805681 PECOS PAC ID: 5597892026 Enrollment ID: I20210201000379 |
| Provider Name | Hamza Hamdi A Tantoush |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669737862 PECOS PAC ID: 1052627841 Enrollment ID: I20210301002769 |
| Provider Name | Kathryn A Maynard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568054153 PECOS PAC ID: 6204242084 Enrollment ID: I20210302001544 |
| Provider Name | Alexander Hynes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235733700 PECOS PAC ID: 7810303898 Enrollment ID: I20210317002135 |
| Provider Name | Maureen Hrishenko |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1275529786 PECOS PAC ID: 4981669652 Enrollment ID: I20210330002058 |
| Provider Name | Ummerubab Syeda |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245694355 PECOS PAC ID: 8729352232 Enrollment ID: I20210524001368 |
| Provider Name | Hamid Nawaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932269503 PECOS PAC ID: 3173540861 Enrollment ID: I20210602001544 |
| Provider Name | Nicholas E Vogelsang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184939035 PECOS PAC ID: 8729227657 Enrollment ID: I20210615003034 |
| Provider Name | Savannah Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598359721 PECOS PAC ID: 0749681625 Enrollment ID: I20210629003177 |
| Provider Name | Lakshmi Kannan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598117368 PECOS PAC ID: 5799187233 Enrollment ID: I20210707001421 |
| Provider Name | Aasems Jacob |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447633284 PECOS PAC ID: 2466700810 Enrollment ID: I20210712003582 |
| Provider Name | Oleandro Cercio Roa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275021859 PECOS PAC ID: 0648672550 Enrollment ID: I20210715001010 |
| Provider Name | Ashley M Thompson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1285016865 PECOS PAC ID: 6204197163 Enrollment ID: I20210715003698 |
| Provider Name | Justin S Smith |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689061608 PECOS PAC ID: 6800102336 Enrollment ID: I20210721001344 |
| Provider Name | Frederick Stine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124555222 PECOS PAC ID: 1456621721 Enrollment ID: I20210721003788 |
| Provider Name | Aleksandr A Pevtsov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376071001 PECOS PAC ID: 8022438647 Enrollment ID: I20210726001626 |
| Provider Name | Keith F Watson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972540557 PECOS PAC ID: 4486827698 Enrollment ID: I20210730003245 |
| Provider Name | Lindsey Michelle Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134790520 PECOS PAC ID: 1153725874 Enrollment ID: I20210803001701 |
| Provider Name | Brandon T Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477086759 PECOS PAC ID: 8325390883 Enrollment ID: I20210817001260 |
| Provider Name | Vickie D Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558933218 PECOS PAC ID: 4284039280 Enrollment ID: I20210827002835 |
| Provider Name | Caroline Rose Neff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215342985 PECOS PAC ID: 5991012072 Enrollment ID: I20210831003811 |
| Provider Name | Nathan J Gonda |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912565243 PECOS PAC ID: 3476959230 Enrollment ID: I20210902003083 |
| Provider Name | Haitem M.g. Mezughi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447649157 PECOS PAC ID: 6103142211 Enrollment ID: I20210903002490 |
| Provider Name | Ashley N Prater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548895535 PECOS PAC ID: 5193122018 Enrollment ID: I20210920003178 |
| Provider Name | Mohammed S Naja |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073183463 PECOS PAC ID: 1153728795 Enrollment ID: I20210923001772 |
| Provider Name | Briteny L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700458411 PECOS PAC ID: 8123425550 Enrollment ID: I20210927003147 |
| Provider Name | Angel Y Ramos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912392986 PECOS PAC ID: 8820380413 Enrollment ID: I20211021002938 |
| Provider Name | Patsy L Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609548767 PECOS PAC ID: 8921496688 Enrollment ID: I20211028002633 |
| Provider Name | Euna Ann Roop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942774708 PECOS PAC ID: 0244629061 Enrollment ID: I20211117001842 |
| Provider Name | John Han |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396125985 PECOS PAC ID: 6608175880 Enrollment ID: I20211201001906 |
| Provider Name | Matthew Scott Griffith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093196180 PECOS PAC ID: 8224319447 Enrollment ID: I20220113000369 |
| Provider Name | Kasandra C Keeslar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568122463 PECOS PAC ID: 7113310921 Enrollment ID: I20220131000636 |
| Provider Name | Michael J Mullins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760971360 PECOS PAC ID: 2860744935 Enrollment ID: I20220210002355 |
| Provider Name | Tyler L Rader |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376150961 PECOS PAC ID: 8527452044 Enrollment ID: I20220228001017 |
| Provider Name | Victoria E Andarcia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063875078 PECOS PAC ID: 4486947645 Enrollment ID: I20220328002467 |
| Provider Name | Rodolfo Reyes |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023470259 PECOS PAC ID: 8325333149 Enrollment ID: I20220512002412 |
| Provider Name | Samuel Espinal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548754583 PECOS PAC ID: 8527399161 Enrollment ID: I20220601001159 |
| Provider Name | Samantha M Abshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174260343 PECOS PAC ID: 5395124051 Enrollment ID: I20220627001475 |
| Provider Name | Faizal Rajesh Nicholas Ramdial |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326492596 PECOS PAC ID: 9537548292 Enrollment ID: I20220627001604 |
| Provider Name | Cherah Jade Pryce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407382104 PECOS PAC ID: 9537431655 Enrollment ID: I20220630002795 |
| Provider Name | Peter J Armstrong |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942362942 PECOS PAC ID: 3678677218 Enrollment ID: I20220706002549 |
| Provider Name | Ramy T Husainy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770808156 PECOS PAC ID: 3577738392 Enrollment ID: I20220708000811 |
| Provider Name | Brandy Standifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932845153 PECOS PAC ID: 2466832134 Enrollment ID: I20220712002215 |
| Provider Name | Han Yuan Alice Chong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457454498 PECOS PAC ID: 8628160603 Enrollment ID: I20220713003744 |
| Provider Name | Chase Tm Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588169874 PECOS PAC ID: 3678954922 Enrollment ID: I20220718001438 |
| Provider Name | Elyn H Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1245512953 PECOS PAC ID: 5890176853 Enrollment ID: I20220721002892 |
| Provider Name | Kevin Itty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639604515 PECOS PAC ID: 5890064786 Enrollment ID: I20220721003164 |
| Provider Name | Andrea S Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174913487 PECOS PAC ID: 7517282809 Enrollment ID: I20220808001664 |
| Provider Name | Emuesiri C Ovwigho |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013579606 PECOS PAC ID: 1153703095 Enrollment ID: I20220809001699 |
| Provider Name | John M Receveur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023464872 PECOS PAC ID: 3274828090 Enrollment ID: I20220810001420 |
| Provider Name | Joseph John Zinkovich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285856757 PECOS PAC ID: 0547229049 Enrollment ID: I20220811001414 |
| Provider Name | David W Carter |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1093204083 PECOS PAC ID: 3072912732 Enrollment ID: I20220817001710 |
| Provider Name | Whitney S Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225763014 PECOS PAC ID: 4880077882 Enrollment ID: I20220823002816 |
| Provider Name | Mark Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932832649 PECOS PAC ID: 9830572858 Enrollment ID: I20220823003914 |
| Provider Name | Amanda Hangge |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306208525 PECOS PAC ID: 8820386758 Enrollment ID: I20220908002485 |
| Provider Name | Nicholas James Drayer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144611005 PECOS PAC ID: 3971890203 Enrollment ID: I20220914001213 |
| Provider Name | Mackenzie C Martin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306586698 PECOS PAC ID: 4587043922 Enrollment ID: I20220923000654 |
| Provider Name | Brittany Varney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952033060 PECOS PAC ID: 9537545652 Enrollment ID: I20220927002713 |
| Provider Name | Ravi Gurujal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467563957 PECOS PAC ID: 5890777361 Enrollment ID: I20221018000272 |
| Provider Name | Taylor Mansfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376903732 PECOS PAC ID: 2769862531 Enrollment ID: I20221107000425 |
| Provider Name | Naveen Balasundaram |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104054162 PECOS PAC ID: 1759640063 Enrollment ID: I20221121001804 |
| Provider Name | Tristen Granvell Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447972179 PECOS PAC ID: 1456729268 Enrollment ID: I20221129003112 |
| Provider Name | Alexander N Gabrovsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851850945 PECOS PAC ID: 4688903396 Enrollment ID: I20221219000469 |
| Provider Name | Michelle Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699480905 PECOS PAC ID: 9133591233 Enrollment ID: I20230220001127 |
| Provider Name | Alexandria K Fields |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891442489 PECOS PAC ID: 1759754633 Enrollment ID: I20230223000648 |
| Provider Name | Matthew Shotwell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841711413 PECOS PAC ID: 0244603967 Enrollment ID: I20230228002456 |
| Provider Name | Kelsey Trast |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982271409 PECOS PAC ID: 6709289671 Enrollment ID: I20230329001642 |
| Provider Name | Lila L Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043915283 PECOS PAC ID: 4082070271 Enrollment ID: I20230512001611 |
| Provider Name | Magdy Issa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1548754930 PECOS PAC ID: 1759795578 Enrollment ID: I20230517001659 |
| Provider Name | Anna M Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588350268 PECOS PAC ID: 3173989928 Enrollment ID: I20230519002284 |
| Provider Name | Anudeep Kommineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730703810 PECOS PAC ID: 1153742655 Enrollment ID: I20230608000630 |
| Provider Name | Quanecia J Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427534676 PECOS PAC ID: 0840608659 Enrollment ID: I20230622000851 |
| Provider Name | Mary K Booten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093408510 PECOS PAC ID: 4486013984 Enrollment ID: I20230630001791 |
| Provider Name | Rahul Dhawan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1710361233 PECOS PAC ID: 9931409547 Enrollment ID: I20230706001118 |
| Provider Name | Subash Nepal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740701580 PECOS PAC ID: 5799022281 Enrollment ID: I20230721001569 |
| Provider Name | Aaron K Whiteman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366007866 PECOS PAC ID: 8123489895 Enrollment ID: I20230727001075 |
| Provider Name | Joseph K Choo |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760468797 PECOS PAC ID: 8921098260 Enrollment ID: I20230728000870 |
| Provider Name | Chandrahas Patel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1770799660 PECOS PAC ID: 2769557479 Enrollment ID: I20230804001429 |
| Provider Name | Debra R Bailey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457331555 PECOS PAC ID: 5890156954 Enrollment ID: I20230804003086 |
| Provider Name | Phillip J Sowards |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093490450 PECOS PAC ID: 8820450059 Enrollment ID: I20230818002382 |
| Provider Name | Vibha P Amblihalli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326499773 PECOS PAC ID: 3173802055 Enrollment ID: I20230830001493 |
| Provider Name | Brandy Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598229551 PECOS PAC ID: 2860735842 Enrollment ID: I20230830001940 |
| Provider Name | Nikash Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255793444 PECOS PAC ID: 9830480656 Enrollment ID: I20230830002096 |
| Provider Name | Ashley M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295419760 PECOS PAC ID: 5799148029 Enrollment ID: I20230901003164 |
| Provider Name | Nataliya Bocharova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760010698 PECOS PAC ID: 2163843772 Enrollment ID: I20230905002997 |
| Provider Name | Sean Ly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093330151 PECOS PAC ID: 6800264441 Enrollment ID: I20230911002924 |
| Provider Name | Mackenzie Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477118057 PECOS PAC ID: 4880077213 Enrollment ID: I20231011003584 |
| Provider Name | Matthew Sexton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1013326149 PECOS PAC ID: 3870712060 Enrollment ID: I20231019000727 |
| Provider Name | Breanna Ramsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881478105 PECOS PAC ID: 8426405051 Enrollment ID: I20231103001238 |
| Provider Name | Leslie H Mchale |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396249231 PECOS PAC ID: 1254669450 Enrollment ID: I20231103003404 |
| Provider Name | Mohammed Al Ourani |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1245462290 PECOS PAC ID: 0446447197 Enrollment ID: I20231129000631 |
| Provider Name | Raja S Goli |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598719940 PECOS PAC ID: 2961492863 Enrollment ID: I20231129003457 |
| Provider Name | Kimberly A Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639886740 PECOS PAC ID: 0648625848 Enrollment ID: I20231213001943 |
| Provider Name | Faisal Khan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447805775 PECOS PAC ID: 1052649555 Enrollment ID: I20231218004097 |
| Provider Name | Marius Alexander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174147029 PECOS PAC ID: 0941625446 Enrollment ID: I20240112002993 |
| Provider Name | Roxanne Gavlinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649042003 PECOS PAC ID: 1759734619 Enrollment ID: I20240126001306 |
| Provider Name | Elizabeth Megan Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043966930 PECOS PAC ID: 8022451681 Enrollment ID: I20240210000119 |
| Provider Name | Pamela Vieira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235691650 PECOS PAC ID: 0345636627 Enrollment ID: I20240210000340 |
| Provider Name | Kyle J Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780180935 PECOS PAC ID: 6608124698 Enrollment ID: I20240306002107 |
| Provider Name | Kelli S Tibbs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285312348 PECOS PAC ID: 4486090461 Enrollment ID: I20240313000432 |
Pikeville Neurology Clinic & Diagnostic Center Psc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 515 N Bypass Rd, Suite 101, Pikeville, KY 41501 Phone: 606-437-4100 Fax: 606-432-6009 | |
Psychiatric Center Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1330 S Mayo Trl, Nova Complex Suite 301, Pikeville, KY 41501 Phone: 606-432-7233 Fax: 606-432-7255 | |
Meta Medical Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8857 Meta Hwy, Meta Medical Center, Pikeville, KY 41501 Phone: 606-631-1222 Fax: 606-631-1226 | |
Asap Plus Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Division St, Suite 202, Pikeville, KY 41501 Phone: 606-437-0097 | |
Carter And May, Qmhp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 178 2nd St Ste B, Pikeville, KY 41501 Phone: 606-432-1287 Fax: 606-509-2345 | |
Fazal And Associates Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Church St Ste 100, Pikeville, KY 41501 Phone: 606-791-6115 | |
Commonwealth Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 147 Main St, Suite 210, Pikeville, KY 41501 Phone: 859-338-8024 Fax: 606-432-3890 |