| Pioneer Medical Group, Pl | |
|
13067 N Telecom Pkwy Temple Terrace FL 33637-0926 | |
| (813) 779-6303 | |
| (888) 977-1998 |
| Full Name | Pioneer Medical Group, Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 13067 N Telecom Pkwy, Temple Terrace, Florida |
| Authorized Official Name and Position | Syed I Ali (OWNER) |
| Authorized Official Contact | 8137796303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Medical Group, Pl 13067 N Telecom Pkwy Temple Terrace FL 33637-0926 Ph: (813) 779-6303 | Pioneer Medical Group, Pl 13067 N Telecom Pkwy Temple Terrace FL 33637-0926 Ph: (813) 779-6303 |
| NPI Number | 1710315775 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 06/05/2020 |
| Certification Date | 06/05/2020 |
| Medicare PECOS PAC ID | 8224266655 |
|---|---|
| Medicare Enrollment ID | O20140110000843 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710315775 | NPI | - | NPPES |
| Provider Name | James L. Willis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154322915 PECOS PAC ID: 5597658914 Enrollment ID: I20040207000228 |
| Provider Name | Mohammad Munir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023080363 PECOS PAC ID: 9032105986 Enrollment ID: I20040424000136 |
| Provider Name | Horacio Jorge Rodriguez-jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427156421 PECOS PAC ID: 0749257475 Enrollment ID: I20040915000869 |
| Provider Name | Dany G El-hajjar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063401057 PECOS PAC ID: 2961465182 Enrollment ID: I20041109000617 |
| Provider Name | Dipti D Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558348862 PECOS PAC ID: 4385684588 Enrollment ID: I20050506000455 |
| Provider Name | May B Porciuncula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679649404 PECOS PAC ID: 6103857164 Enrollment ID: I20050830000143 |
| Provider Name | Narsing Rao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841368636 PECOS PAC ID: 9739111477 Enrollment ID: I20050902000200 |
| Provider Name | Stanimir Stantchev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255324091 PECOS PAC ID: 4981637485 Enrollment ID: I20050915000202 |
| Provider Name | Masood Hamid Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588687248 PECOS PAC ID: 3870526932 Enrollment ID: I20050920000143 |
| Provider Name | Sailesh Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437191244 PECOS PAC ID: 0446263453 Enrollment ID: I20060717000042 |
| Provider Name | Alamelu Murugappan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033219100 PECOS PAC ID: 7416988290 Enrollment ID: I20070205000029 |
| Provider Name | Kathy H Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588654685 PECOS PAC ID: 6406754829 Enrollment ID: I20070327000489 |
| Provider Name | Khizzar Shaukat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215972161 PECOS PAC ID: 6709787690 Enrollment ID: I20070505000107 |
| Provider Name | Syed Irfan Ali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801905898 PECOS PAC ID: 7810093622 Enrollment ID: I20070510000230 |
| Provider Name | Imran Q Samnani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801829098 PECOS PAC ID: 7810085040 Enrollment ID: I20071121000253 |
| Provider Name | Babu K Rankupalli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275607228 PECOS PAC ID: 3476642968 Enrollment ID: I20071207000110 |
| Provider Name | Abdul Nadeem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912993072 PECOS PAC ID: 1759471550 Enrollment ID: I20071217000717 |
| Provider Name | Syed W Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952325029 PECOS PAC ID: 2961409693 Enrollment ID: I20080227000567 |
| Provider Name | Mark L Glickfeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710909833 PECOS PAC ID: 6800895384 Enrollment ID: I20080627000233 |
| Provider Name | Geetha Kanajam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629099973 PECOS PAC ID: 9537146626 Enrollment ID: I20080708000017 |
| Provider Name | Shweta Ekka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720264575 PECOS PAC ID: 8022185248 Enrollment ID: I20080930000164 |
| Provider Name | Tanveer Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053576702 PECOS PAC ID: 6901966134 Enrollment ID: I20081118000719 |
| Provider Name | Ketheeswaran Kathiripillai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972549368 PECOS PAC ID: 9537249982 Enrollment ID: I20090128000372 |
| Provider Name | Matthew Acton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578732772 PECOS PAC ID: 0648337550 Enrollment ID: I20090320000187 |
| Provider Name | David A Decker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548344633 PECOS PAC ID: 8820149347 Enrollment ID: I20090623000750 |
| Provider Name | Lalit Kanaparthi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043222870 PECOS PAC ID: 1355347352 Enrollment ID: I20090701000317 |
| Provider Name | Bhavik M Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730310137 PECOS PAC ID: 4789723727 Enrollment ID: I20091203000535 |
| Provider Name | Milton Fitzgerald Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275695306 PECOS PAC ID: 3971547134 Enrollment ID: I20091211000175 |
| Provider Name | Francisco J Gomez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255397089 PECOS PAC ID: 3779502984 Enrollment ID: I20100206000009 |
| Provider Name | Rachel Komala Moodey |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124231774 PECOS PAC ID: 6800930785 Enrollment ID: I20100216000160 |
| Provider Name | Joanne V Davson-sterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861709610 PECOS PAC ID: 1850584814 Enrollment ID: I20101022000156 |
| Provider Name | Salman Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174709968 PECOS PAC ID: 7214083294 Enrollment ID: I20110520000261 |
| Provider Name | Ronniel Mercado |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013240035 PECOS PAC ID: 3274711189 Enrollment ID: I20110623000714 |
| Provider Name | Belinda B Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386891760 PECOS PAC ID: 6002085511 Enrollment ID: I20110817000538 |
| Provider Name | Ihtasham Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932374469 PECOS PAC ID: 5193887990 Enrollment ID: I20111116000942 |
| Provider Name | Satya Kurakula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164482410 PECOS PAC ID: 0941330880 Enrollment ID: I20120315000811 |
| Provider Name | Darnella C Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346593159 PECOS PAC ID: 9335390483 Enrollment ID: I20121119000331 |
| Provider Name | Verona I Girod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710224902 PECOS PAC ID: 9234384090 Enrollment ID: I20130227000406 |
| Provider Name | Beverly Griffis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457622102 PECOS PAC ID: 7911152756 Enrollment ID: I20130301000066 |
| Provider Name | Saif Nazar Abdullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255503033 PECOS PAC ID: 2264600923 Enrollment ID: I20130520000135 |
| Provider Name | Manohar K Chenchugalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508982273 PECOS PAC ID: 3274603626 Enrollment ID: I20130611000195 |
| Provider Name | Michael L Caselnova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689696833 PECOS PAC ID: 6103989009 Enrollment ID: I20130625000598 |
| Provider Name | Michele Elisabeth Brengs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457798068 PECOS PAC ID: 4486895752 Enrollment ID: I20130729000869 |
| Provider Name | Mihaela Satalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548581630 PECOS PAC ID: 8729220603 Enrollment ID: I20130805000877 |
| Provider Name | Adeel H Mikael |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114238581 PECOS PAC ID: 8527200203 Enrollment ID: I20130808000420 |
| Provider Name | Kalpesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093733867 PECOS PAC ID: 8224061726 Enrollment ID: I20131007000879 |
| Provider Name | Stephanie Nicole Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497186936 PECOS PAC ID: 0345477030 Enrollment ID: I20131231000276 |
| Provider Name | Mari S Tofani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710958541 PECOS PAC ID: 7012049836 Enrollment ID: I20140304001467 |
| Provider Name | Sabeeha F Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912916909 PECOS PAC ID: 6608870118 Enrollment ID: I20140507001565 |
| Provider Name | Zwadie C.k. March |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750638706 PECOS PAC ID: 2567685613 Enrollment ID: I20140519001697 |
| Provider Name | Mirza Hamza Parvez Mughal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811254410 PECOS PAC ID: 2163640723 Enrollment ID: I20140825000721 |
| Provider Name | Saima Rafiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851680805 PECOS PAC ID: 9234357476 Enrollment ID: I20140829000197 |
| Provider Name | Jeronimo Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316350697 PECOS PAC ID: 8123246311 Enrollment ID: I20140829001896 |
| Provider Name | Bina B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447564562 PECOS PAC ID: 0143464313 Enrollment ID: I20140924001548 |
| Provider Name | Samia S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831415017 PECOS PAC ID: 6002046778 Enrollment ID: I20141001001176 |
| Provider Name | Jad Ghandour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659684272 PECOS PAC ID: 4183850316 Enrollment ID: I20141119000697 |
| Provider Name | Rodrigo A Torres |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255625083 PECOS PAC ID: 4880917780 Enrollment ID: I20141230000566 |
| Provider Name | Patrick Mella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982915781 PECOS PAC ID: 7113240045 Enrollment ID: I20141230001547 |
| Provider Name | Paru Dilip Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376837112 PECOS PAC ID: 5597993774 Enrollment ID: I20150109000861 |
| Provider Name | Imran Humayun Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558500587 PECOS PAC ID: 5890947600 Enrollment ID: I20150126001852 |
| Provider Name | Memory Kashumba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740622182 PECOS PAC ID: 5294050761 Enrollment ID: I20150205000525 |
| Provider Name | Olamiju Olaleye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891113932 PECOS PAC ID: 2062630437 Enrollment ID: I20150213000580 |
| Provider Name | Jeffrey Arlin Rumbaugh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528093705 PECOS PAC ID: 2668452053 Enrollment ID: I20150507000836 |
| Provider Name | Jennifer Pricher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710370499 PECOS PAC ID: 9133448467 Enrollment ID: I20150507001153 |
| Provider Name | Renee M Jones-march |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598012627 PECOS PAC ID: 8628397742 Enrollment ID: I20150512000274 |
| Provider Name | Carlos F Ramos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407113582 PECOS PAC ID: 2860704558 Enrollment ID: I20150709000876 |
| Provider Name | Farhana Rahman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033484266 PECOS PAC ID: 8921313099 Enrollment ID: I20150818005977 |
| Provider Name | Giselle Ann Alfafara Racho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780940692 PECOS PAC ID: 7911213830 Enrollment ID: I20150908001853 |
| Provider Name | Sumeet Bhavsar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275884280 PECOS PAC ID: 7810204724 Enrollment ID: I20150909002158 |
| Provider Name | Jose Guillermo Revelo Paiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073877411 PECOS PAC ID: 6406164623 Enrollment ID: I20151007001783 |
| Provider Name | Bhavik K Vala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104075316 PECOS PAC ID: 6204024607 Enrollment ID: I20151112001942 |
| Provider Name | Sarkis Morales Vidal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811211899 PECOS PAC ID: 4587858592 Enrollment ID: I20151116001594 |
| Provider Name | Rhonel Lanique Citterbart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962797092 PECOS PAC ID: 7214106236 Enrollment ID: I20151118000794 |
| Provider Name | Melinda Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371051 PECOS PAC ID: 2365769627 Enrollment ID: I20160219001723 |
| Provider Name | Viviane L Goncalves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013386572 PECOS PAC ID: 0446558761 Enrollment ID: I20160419002201 |
| Provider Name | Haseeb Shahid Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760605190 PECOS PAC ID: 4385745298 Enrollment ID: I20160525001127 |
| Provider Name | Lindsey Dambly Sperry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700228921 PECOS PAC ID: 6507157369 Enrollment ID: I20160624002053 |
| Provider Name | Lucas B Meadors |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063840999 PECOS PAC ID: 2769774785 Enrollment ID: I20160712003204 |
| Provider Name | Ahmed R Abdelkarim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215171103 PECOS PAC ID: 8729217666 Enrollment ID: I20160718002420 |
| Provider Name | Ronoel Penalver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083054324 PECOS PAC ID: 3870726623 Enrollment ID: I20160809000690 |
| Provider Name | Emill Levasseur-sanchez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053745703 PECOS PAC ID: 5698060135 Enrollment ID: I20160823003097 |
| Provider Name | Joanna Kingsley Tavarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346661857 PECOS PAC ID: 7517252968 Enrollment ID: I20160824000466 |
| Provider Name | Aceela M Kaif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548527807 PECOS PAC ID: 6800182429 Enrollment ID: I20160908001126 |
| Provider Name | Khayam Shaukat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639117120 PECOS PAC ID: 1456246636 Enrollment ID: I20160914001286 |
| Provider Name | Mehul Suman Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346504123 PECOS PAC ID: 4587964135 Enrollment ID: I20161010001942 |
| Provider Name | Ines J Rodriguez-capote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255789194 PECOS PAC ID: 6002196615 Enrollment ID: I20161216000674 |
| Provider Name | Mazhar Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558653238 PECOS PAC ID: 4880826882 Enrollment ID: I20170111002993 |
| Provider Name | Ronald Salazar Manalo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992065049 PECOS PAC ID: 2961668785 Enrollment ID: I20170123000600 |
| Provider Name | Marium Tariq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033498068 PECOS PAC ID: 6608094735 Enrollment ID: I20170128000300 |
| Provider Name | Joanne Pierre-louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407225014 PECOS PAC ID: 4183906993 Enrollment ID: I20170130003094 |
| Provider Name | Hassan Jadid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104171925 PECOS PAC ID: 4789818501 Enrollment ID: I20170215001575 |
| Provider Name | Paul Eude Saint-fleur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528406725 PECOS PAC ID: 0244551448 Enrollment ID: I20170220001420 |
| Provider Name | Maria Lourdes P Madarang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184174559 PECOS PAC ID: 4688958341 Enrollment ID: I20170225000298 |
| Provider Name | Simone M Clement Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952853129 PECOS PAC ID: 2264709732 Enrollment ID: I20170605001773 |
| Provider Name | Myrna Go |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568997609 PECOS PAC ID: 1254609464 Enrollment ID: I20170612002586 |
| Provider Name | Augustas Kavaliauskas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851709737 PECOS PAC ID: 6709156219 Enrollment ID: I20170717001130 |
| Provider Name | Dominyka Bitinaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588072466 PECOS PAC ID: 2264702364 Enrollment ID: I20170724000261 |
| Provider Name | Adam D Beeble |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720473564 PECOS PAC ID: 5395037162 Enrollment ID: I20170728000459 |
| Provider Name | Ryan James Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003221292 PECOS PAC ID: 0345512273 Enrollment ID: I20170828000601 |
| Provider Name | Jesse W Ping |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609286079 PECOS PAC ID: 6002031275 Enrollment ID: I20170908000703 |
| Provider Name | Miguel Angel Davila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376958504 PECOS PAC ID: 9931472099 Enrollment ID: I20170912001319 |
| Provider Name | Khine Swe Zin Min |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114210226 PECOS PAC ID: 3375866718 Enrollment ID: I20170918001546 |
| Provider Name | Niraj Kumar Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558604371 PECOS PAC ID: 7214224666 Enrollment ID: I20170921003154 |
| Provider Name | Charles Christian Kohnken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306399027 PECOS PAC ID: 2961799192 Enrollment ID: I20170927000150 |
| Provider Name | Ryan Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417493867 PECOS PAC ID: 8921373168 Enrollment ID: I20171013001566 |
| Provider Name | Yasmine Mohamed Ibrahim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487069506 PECOS PAC ID: 8820213796 Enrollment ID: I20171023000284 |
| Provider Name | Frederic Faugue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316312051 PECOS PAC ID: 5294001897 Enrollment ID: I20171026001789 |
| Provider Name | Carmel Alamban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366808602 PECOS PAC ID: 9335444827 Enrollment ID: I20171121002996 |
| Provider Name | Amar A Dalsania |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497976732 PECOS PAC ID: 9234275314 Enrollment ID: I20171206003397 |
| Provider Name | Albert C Flowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558656264 PECOS PAC ID: 6204073711 Enrollment ID: I20171209000302 |
| Provider Name | Adolph Walter Flowers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053637447 PECOS PAC ID: 8022238781 Enrollment ID: I20171218000653 |
| Provider Name | Shandell Nicole Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912453580 PECOS PAC ID: 2466711940 Enrollment ID: I20180108001841 |
| Provider Name | Cecily Alexandra Dubaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699292292 PECOS PAC ID: 3779843099 Enrollment ID: I20180207000191 |
| Provider Name | Nicole Borst |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1659429173 PECOS PAC ID: 2860707940 Enrollment ID: I20180207002760 |
| Provider Name | Danielle Wildmon Hanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912450982 PECOS PAC ID: 1850652835 Enrollment ID: I20180308001118 |
| Provider Name | Dona Maria Bramwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770090938 PECOS PAC ID: 3678834652 Enrollment ID: I20180308001119 |
| Provider Name | Mary C Kawalya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497256861 PECOS PAC ID: 6002177094 Enrollment ID: I20180308001674 |
| Provider Name | Antony Abraham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104114263 PECOS PAC ID: 3577783026 Enrollment ID: I20180404001181 |
| Provider Name | Tina Otero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114439932 PECOS PAC ID: 5991068918 Enrollment ID: I20180404001320 |
| Provider Name | Angela Pachla Bryson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417482001 PECOS PAC ID: 4183988124 Enrollment ID: I20180430000017 |
| Provider Name | Cynthia Leo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124529193 PECOS PAC ID: 9032473343 Enrollment ID: I20180512000020 |
| Provider Name | Felecia Maria Sanchious |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326548686 PECOS PAC ID: 7113281338 Enrollment ID: I20180515002801 |
| Provider Name | Ana Rodriguez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417072257 PECOS PAC ID: 7618140898 Enrollment ID: I20180516001649 |
| Provider Name | Edline Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477906139 PECOS PAC ID: 3173878329 Enrollment ID: I20180612002812 |
| Provider Name | Tryphaena Manoharan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841679180 PECOS PAC ID: 2264789320 Enrollment ID: I20180719002796 |
| Provider Name | Nishit K Jailwala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508251315 PECOS PAC ID: 9739436437 Enrollment ID: I20180726002376 |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20180901000154 |
| Provider Name | Agnes Sharon Berlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982015012 PECOS PAC ID: 4981906161 Enrollment ID: I20180907000477 |
| Provider Name | Linh Phuong T Dinh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083068175 PECOS PAC ID: 6800146093 Enrollment ID: I20180910001864 |
| Provider Name | Stephanie Banafshe Willis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093198368 PECOS PAC ID: 4082965660 Enrollment ID: I20180920001086 |
| Provider Name | Gabriel Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598132698 PECOS PAC ID: 9335443381 Enrollment ID: I20180925000526 |
| Provider Name | Sarah Victoria Marisia Mallett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417335696 PECOS PAC ID: 5193025179 Enrollment ID: I20181001000511 |
| Provider Name | Aviraj Saund |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033598826 PECOS PAC ID: 1254684483 Enrollment ID: I20181105002209 |
| Provider Name | Samantha Joan Bethel-ellison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275950297 PECOS PAC ID: 6507135290 Enrollment ID: I20181119000751 |
| Provider Name | Abraham Tareq Yacoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790172567 PECOS PAC ID: 2961722376 Enrollment ID: I20190103000809 |
| Provider Name | Hilton A Alemar Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659765352 PECOS PAC ID: 3870839327 Enrollment ID: I20190104000988 |
| Provider Name | Jeremy J Olloqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346632270 PECOS PAC ID: 2860783289 Enrollment ID: I20190104002093 |
| Provider Name | Ersin Turkcan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508241407 PECOS PAC ID: 3678871761 Enrollment ID: I20190107003312 |
| Provider Name | Maria Antonieta Silva Marquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972979649 PECOS PAC ID: 3476862160 Enrollment ID: I20190118001346 |
| Provider Name | Melissa Ann Kruse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194296848 PECOS PAC ID: 3476891698 Enrollment ID: I20190214000373 |
| Provider Name | Karen Theresa Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225419161 PECOS PAC ID: 8820330608 Enrollment ID: I20190426000088 |
| Provider Name | Rosalinda Paje Tiongco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154392207 PECOS PAC ID: 6305188764 Enrollment ID: I20190506000045 |
| Provider Name | Irina Moullette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578927687 PECOS PAC ID: 4587997143 Enrollment ID: I20190613001171 |
| Provider Name | Tima Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992281414 PECOS PAC ID: 2466786439 Enrollment ID: I20190625001534 |
| Provider Name | Aimal Nikamal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205290020 PECOS PAC ID: 7012203920 Enrollment ID: I20190711001430 |
| Provider Name | Shawna R Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609436203 PECOS PAC ID: 6002142684 Enrollment ID: I20190722000376 |
| Provider Name | Mahrukh Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457648453 PECOS PAC ID: 3274860812 Enrollment ID: I20190806000909 |
| Provider Name | Rameez Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588011852 PECOS PAC ID: 4284928003 Enrollment ID: I20190827000904 |
| Provider Name | Kathy D Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609435239 PECOS PAC ID: 2062741598 Enrollment ID: I20190909004207 |
| Provider Name | Saramma Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245703826 PECOS PAC ID: 3274864202 Enrollment ID: I20191007000324 |
| Provider Name | Harmony Jean Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295293173 PECOS PAC ID: 9436481819 Enrollment ID: I20191105000710 |
| Provider Name | Anuradha Bhavsar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164871257 PECOS PAC ID: 0345533089 Enrollment ID: I20191112000247 |
| Provider Name | Amy Elizabeth Debella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366092348 PECOS PAC ID: 2466884812 Enrollment ID: I20191122002503 |
| Provider Name | Anniaday Chris Morris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215383526 PECOS PAC ID: 8527491174 Enrollment ID: I20191212000669 |
| Provider Name | Jan Lorraine C David |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922497155 PECOS PAC ID: 1557796075 Enrollment ID: I20200110000601 |
| Provider Name | Andrena Patrice Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134772528 PECOS PAC ID: 8628403813 Enrollment ID: I20200116000665 |
| Provider Name | Hibah Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982056800 PECOS PAC ID: 4981979374 Enrollment ID: I20200227001371 |
| Provider Name | Lindsey B Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194237651 PECOS PAC ID: 1052742186 Enrollment ID: I20200505002948 |
| Provider Name | Ashley Marie Compagni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447870993 PECOS PAC ID: 7214352178 Enrollment ID: I20200810001006 |
| Provider Name | Uma Mahesh Gudur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790215903 PECOS PAC ID: 8820400781 Enrollment ID: I20201217000603 |
| Provider Name | Courtney Anne Sink |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518501337 PECOS PAC ID: 6305259805 Enrollment ID: I20201230000275 |
| Provider Name | Andrea V Morgan Bedasse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982804233 PECOS PAC ID: 3072646199 Enrollment ID: I20210114000413 |
| Provider Name | Gabriela E Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225621030 PECOS PAC ID: 9638585227 Enrollment ID: I20210305000613 |
| Provider Name | Danielle J Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609477348 PECOS PAC ID: 9234546805 Enrollment ID: I20210326000314 |
| Provider Name | Jerry Lynn Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073158630 PECOS PAC ID: 4981005154 Enrollment ID: I20210624003013 |
| Provider Name | Roseline Cajuste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760009104 PECOS PAC ID: 0042612533 Enrollment ID: I20210706003517 |
| Provider Name | Mohamed Gharib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720575137 PECOS PAC ID: 7012319387 Enrollment ID: I20210708002389 |
| Provider Name | Carla Ortega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801392535 PECOS PAC ID: 0244568343 Enrollment ID: I20210809001909 |
| Provider Name | Oliver Fowler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538656095 PECOS PAC ID: 9638573751 Enrollment ID: I20210811000814 |
| Provider Name | Andrew Cappiello |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023512027 PECOS PAC ID: 7517294457 Enrollment ID: I20210818002003 |
| Provider Name | Craig Novack |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285121764 PECOS PAC ID: 0042615304 Enrollment ID: I20210827002155 |
| Provider Name | Annalisia Giddens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902479678 PECOS PAC ID: 3274939608 Enrollment ID: I20210909001842 |
| Provider Name | Arismendy E Perez Tavera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215441225 PECOS PAC ID: 9133526098 Enrollment ID: I20210921001067 |
| Provider Name | Ketsia Aurelien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598247314 PECOS PAC ID: 0446641443 Enrollment ID: I20211230001349 |
| Provider Name | Sara Mehrsefat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548793961 PECOS PAC ID: 4486072816 Enrollment ID: I20220112000862 |
| Provider Name | Tiffany Falcon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407529928 PECOS PAC ID: 3971996828 Enrollment ID: I20220217000693 |
| Provider Name | Sneha Sunil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346836855 PECOS PAC ID: 0840684023 Enrollment ID: I20220304000181 |
| Provider Name | Abirammy Sundaramoorthy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922310580 PECOS PAC ID: 7416183983 Enrollment ID: I20220429000959 |
| Provider Name | Gabriella M Muller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194285619 PECOS PAC ID: 3274860150 Enrollment ID: I20220715001084 |
| Provider Name | Syed Muzzammiluddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255983110 PECOS PAC ID: 5193133072 Enrollment ID: I20220718000427 |
| Provider Name | Jonathon Yoder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528520566 PECOS PAC ID: 9638550510 Enrollment ID: I20220725000310 |
| Provider Name | Anusha Ghaffar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407315641 PECOS PAC ID: 0244612075 Enrollment ID: I20220726003809 |
| Provider Name | Joseph J Poon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144882101 PECOS PAC ID: 8123358744 Enrollment ID: I20220801000007 |
| Provider Name | Cherri Anne Potts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093453466 PECOS PAC ID: 7113309634 Enrollment ID: I20220801000711 |
| Provider Name | Dhaval Upadhyay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386149169 PECOS PAC ID: 4486059755 Enrollment ID: I20220817004039 |
| Provider Name | Camille Lee Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639825300 PECOS PAC ID: 6709252893 Enrollment ID: I20221013003651 |
| Provider Name | Ahmed Ali Alhassani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376163733 PECOS PAC ID: 6103293220 Enrollment ID: I20221102002699 |
| Provider Name | Jorick Sison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760070726 PECOS PAC ID: 3173990298 Enrollment ID: I20221102002825 |
| Provider Name | Kelsey Reis Metzmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831845973 PECOS PAC ID: 0840661989 Enrollment ID: I20230127000496 |
| Provider Name | Gian Gonzalez Quiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689108086 PECOS PAC ID: 9739506239 Enrollment ID: I20230216000857 |
| Provider Name | Farah Lazarre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699264663 PECOS PAC ID: 0446501332 Enrollment ID: I20230223001420 |
| Provider Name | Hossein Tohidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053949073 PECOS PAC ID: 6608290135 Enrollment ID: I20230802002016 |
| Provider Name | Haadi Shuaib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952923351 PECOS PAC ID: 4284088147 Enrollment ID: I20230926002404 |
| Provider Name | Yanet Perez Sori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285361204 PECOS PAC ID: 3072969062 Enrollment ID: I20231027000181 |
| Provider Name | Myranda Hotchkiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720865835 PECOS PAC ID: 8628425113 Enrollment ID: I20231105000016 |
| Provider Name | Megan Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174205223 PECOS PAC ID: 6406204163 Enrollment ID: I20231120000764 |
| Provider Name | Aimie Hope Benko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740051044 PECOS PAC ID: 3173961588 Enrollment ID: I20240404001728 |
| Provider Name | Tin Thanh Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225664121 PECOS PAC ID: 2466890611 Enrollment ID: I20240405003088 |
| Provider Name | Yvenadine Cherazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336813286 PECOS PAC ID: 3971945544 Enrollment ID: I20240528003257 |
| Provider Name | Sarah Hashmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063906642 PECOS PAC ID: 8022407428 Enrollment ID: I20240710005007 |
| Provider Name | Rashna Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144602012 PECOS PAC ID: 6709125990 Enrollment ID: I20240718000102 |
| Provider Name | Elriane Miline Eugene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184468886 PECOS PAC ID: 5890231005 Enrollment ID: I20240724002449 |
| Provider Name | Kailah Costello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962169821 PECOS PAC ID: 0840730396 Enrollment ID: I20240911000290 |
| Provider Name | Ashraf Saleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376129882 PECOS PAC ID: 4880129501 Enrollment ID: I20241119000211 |
| Provider Name | Kresha Ynes Jamir Bulfango |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679309009 PECOS PAC ID: 8820523137 Enrollment ID: I20241122004255 |
| Provider Name | Rebecca Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376278788 PECOS PAC ID: 9133656119 Enrollment ID: I20250103000139 |
| Provider Name | Maham Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962082404 PECOS PAC ID: 1557899283 Enrollment ID: I20250109000650 |
| Provider Name | Karishia Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134833007 PECOS PAC ID: 6305375361 Enrollment ID: I20250121003211 |
| Provider Name | Shamant Tippor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679744809 PECOS PAC ID: 0244386407 Enrollment ID: I20250311000097 |
| Provider Name | Rajashree Voraganti Ramamurthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942457759 PECOS PAC ID: 7911176045 Enrollment ID: I20250317002692 |
Teresa Mcarthur Scher Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6967 E Fowler Ave, Temple Terrace, FL 33617 Phone: 813-767-1991 Fax: 813-985-1951 | |
Jim Levasseur Group, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12909 N 56th St, Suite 102, Temple Terrace, FL 33617 Phone: 813-980-2094 Fax: 813-980-2094 | |
Parkinsons &neurology Clinic Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 11700 N 58th St, Temple Terrace, FL 33617 Phone: 813-690-6144 Fax: 813-980-0303 | |
One Another Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12909 N 56th St Ste 102, Temple Terrace, FL 33617 Phone: 813-785-6477 Fax: 866-311-0780 | |
Excel Community Behavioral Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9780 N 56th St Ste B, Temple Terrace, FL 33617 Phone: 813-422-5502 Fax: 813-364-6474 | |
Moonriver Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6706 Dunes Ln, Temple Terrace, FL 33617 Phone: 724-840-5108 | |
Alpha Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12909 N 56th St Ste 202, Temple Terrace, FL 33617 Phone: 813-980-6641 |