| Providence Medical Group | |
|
101 W 8th Ave Mother Gamelin Center 3rd Floor Spokane WA 99204-2307 | |
| (509) 474-2072 | |
| Not Available |
| Full Name | Providence Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 W 8th Ave, Spokane, Washington |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical Group Po Box 31001-4114 Pasadena CA 91110-4114 | Providence Medical Group 101 W 8th Ave Mother Gamelin Center 3rd Floor Spokane WA 99204-2307 Ph: (509) 474-2072 |
| NPI Number | 1194099390 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 05/11/2026 |
| Certification Date | 05/11/2026 |
| Medicare PECOS PAC ID | 0345139929 |
|---|---|
| Medicare Enrollment ID | O20040311001453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194099390 | NPI | - | NPPES |
| Provider Name | William F Reed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437167566 PECOS PAC ID: 7719891951 Enrollment ID: I20031113000117 |
| Provider Name | Gregory P Macdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508890872 PECOS PAC ID: 7214841527 Enrollment ID: I20031119000314 |
| Provider Name | Susan D Frankovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174516702 PECOS PAC ID: 5698670651 Enrollment ID: I20031203000321 |
| Provider Name | Tomas Hernandez Mejia Tort |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306825021 PECOS PAC ID: 5193638823 Enrollment ID: I20031215000517 |
| Provider Name | Joseph D Phaneuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053413153 PECOS PAC ID: 9335041789 Enrollment ID: I20040126000063 |
| Provider Name | Keith a Morton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568564664 PECOS PAC ID: 3577465939 Enrollment ID: I20040126000085 |
| Provider Name | Sean D Hurley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477655579 PECOS PAC ID: 4587566948 Enrollment ID: I20040126000141 |
| Provider Name | Craig I Robertson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811980824 PECOS PAC ID: 2264328681 Enrollment ID: I20040224000330 |
| Provider Name | Douglas E West |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104884295 PECOS PAC ID: 0042101826 Enrollment ID: I20040322001343 |
| Provider Name | Michael C Kerkering |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881602910 PECOS PAC ID: 2860484185 Enrollment ID: I20040330000700 |
| Provider Name | Daniel T Yang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649372756 PECOS PAC ID: 4880686310 Enrollment ID: I20040402000271 |
| Provider Name | William R Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700825254 PECOS PAC ID: 2365435070 Enrollment ID: I20040407001130 |
| Provider Name | Michael M Mccarthy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1619061389 PECOS PAC ID: 4183619471 Enrollment ID: I20040416000612 |
| Provider Name | Alan T Pokorny |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376593475 PECOS PAC ID: 6507851854 Enrollment ID: I20040416001076 |
| Provider Name | Robert J Maurer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346222759 PECOS PAC ID: 7719972819 Enrollment ID: I20040419000163 |
| Provider Name | Radica Z Alicic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780667642 PECOS PAC ID: 0941299598 Enrollment ID: I20040508000435 |
| Provider Name | Richard Jensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699728022 PECOS PAC ID: 8628067287 Enrollment ID: I20040510000022 |
| Provider Name | Stephen Murray |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1427011394 PECOS PAC ID: 1456340801 Enrollment ID: I20040510001591 |
| Provider Name | Andrew T Howlett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639145618 PECOS PAC ID: 5294718540 Enrollment ID: I20040609000500 |
| Provider Name | Benjamin C Ling |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1710932579 PECOS PAC ID: 1052394251 Enrollment ID: I20040609000903 |
| Provider Name | Paul R Larsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720189749 PECOS PAC ID: 5597749358 Enrollment ID: I20040617001041 |
| Provider Name | Sima G Issen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932211083 PECOS PAC ID: 7810975760 Enrollment ID: I20040708000855 |
| Provider Name | Joseph T Michels |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326031584 PECOS PAC ID: 2264410968 Enrollment ID: I20040709000584 |
| Provider Name | John N Klim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962494831 PECOS PAC ID: 5991783623 Enrollment ID: I20040709000803 |
| Provider Name | Carol H Wysham |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1457344541 PECOS PAC ID: 4284612623 Enrollment ID: I20040712000665 |
| Provider Name | David R Fregeau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962494393 PECOS PAC ID: 6305824798 Enrollment ID: I20040712001015 |
| Provider Name | Rita M Snow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114984531 PECOS PAC ID: 8224017025 Enrollment ID: I20040715000882 |
| Provider Name | Megan M Bristow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255321618 PECOS PAC ID: 0143209957 Enrollment ID: I20040715000933 |
| Provider Name | Henry Mroch |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245324219 PECOS PAC ID: 7214916840 Enrollment ID: I20040716001139 |
| Provider Name | Richard Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477698918 PECOS PAC ID: 0941289433 Enrollment ID: I20040719000037 |
| Provider Name | Timothy W Powell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982697090 PECOS PAC ID: 5294714671 Enrollment ID: I20040719000742 |
| Provider Name | Carijean Queen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679566996 PECOS PAC ID: 3072592450 Enrollment ID: I20040719000768 |
| Provider Name | Susan Jensen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528150927 PECOS PAC ID: 9638159775 Enrollment ID: I20040721000330 |
| Provider Name | Philip C Delich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407858889 PECOS PAC ID: 8224018940 Enrollment ID: I20040722001372 |
| Provider Name | Amy J Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306848379 PECOS PAC ID: 9537149018 Enrollment ID: I20040723001158 |
| Provider Name | Debra R Gore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306984646 PECOS PAC ID: 7012987019 Enrollment ID: I20040728000207 |
| Provider Name | Heather M Brennan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043292808 PECOS PAC ID: 5597736918 Enrollment ID: I20040802000210 |
| Provider Name | Geoffry S Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578655866 PECOS PAC ID: 8426029646 Enrollment ID: I20040803000142 |
| Provider Name | Earl F Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063484962 PECOS PAC ID: 2062483217 Enrollment ID: I20040803000319 |
| Provider Name | Judy a Benson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922081884 PECOS PAC ID: 1951372986 Enrollment ID: I20040804000005 |
| Provider Name | Darryl K Potyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992780654 PECOS PAC ID: 0840261871 Enrollment ID: I20040804000025 |
| Provider Name | Judy G Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447235650 PECOS PAC ID: 4486625423 Enrollment ID: I20040804000091 |
| Provider Name | Laurie Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073583670 PECOS PAC ID: 2163493362 Enrollment ID: I20040804000431 |
| Provider Name | Jeremy D Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093767303 PECOS PAC ID: 4688645575 Enrollment ID: I20040804000525 |
| Provider Name | Julia S Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891767190 PECOS PAC ID: 5395717797 Enrollment ID: I20040806000869 |
| Provider Name | William Hartman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225140924 PECOS PAC ID: 4880666940 Enrollment ID: I20040809001408 |
| Provider Name | Kelley M Mathia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891783924 PECOS PAC ID: 3971575978 Enrollment ID: I20040811000009 |
| Provider Name | Griffith E Liang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1891737748 PECOS PAC ID: 7416920574 Enrollment ID: I20040817000466 |
| Provider Name | Jennifer a Troiano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073547378 PECOS PAC ID: 5890763502 Enrollment ID: I20040921000507 |
| Provider Name | Madeleine M Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558561829 PECOS PAC ID: 2062471543 Enrollment ID: I20041008001235 |
| Provider Name | Manuel Guillermo Iregui |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598758484 PECOS PAC ID: 3870554629 Enrollment ID: I20041025000553 |
| Provider Name | Timothy W Bax |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255303301 PECOS PAC ID: 4082697941 Enrollment ID: I20041028000247 |
| Provider Name | Damanjeet S Chugh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366492944 PECOS PAC ID: 8224092473 Enrollment ID: I20041117000261 |
| Provider Name | William S Mcbride |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568480416 PECOS PAC ID: 9234194754 Enrollment ID: I20041124000079 |
| Provider Name | Peter L Weitzman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801885660 PECOS PAC ID: 6901890250 Enrollment ID: I20041130000985 |
| Provider Name | David P Gruber |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1700824554 PECOS PAC ID: 5597666776 Enrollment ID: I20041229000847 |
| Provider Name | Michael R Leachman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538160460 PECOS PAC ID: 6406806942 Enrollment ID: I20050124000322 |
| Provider Name | Brandon N Ong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013968072 PECOS PAC ID: 2466405535 Enrollment ID: I20050301000473 |
| Provider Name | Richard Mattis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821040247 PECOS PAC ID: 7113964958 Enrollment ID: I20050413000155 |
| Provider Name | Melanie K Bergman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902892987 PECOS PAC ID: 9436199783 Enrollment ID: I20050505001249 |
| Provider Name | Kristin M Treece |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033264056 PECOS PAC ID: 1052348919 Enrollment ID: I20050721000858 |
| Provider Name | Timothy Dee Maughan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346282373 PECOS PAC ID: 7719916873 Enrollment ID: I20050809000437 |
| Provider Name | Corrine L Bresko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447247499 PECOS PAC ID: 1557390523 Enrollment ID: I20050810000263 |
| Provider Name | Ronald L Ortiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659473759 PECOS PAC ID: 1355371261 Enrollment ID: I20050819000168 |
| Provider Name | Cecilia M Lauder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487729315 PECOS PAC ID: 0941231740 Enrollment ID: I20050822000860 |
| Provider Name | Jennifer Robin Messinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538152418 PECOS PAC ID: 7113958034 Enrollment ID: I20050830000609 |
| Provider Name | Charles C Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316990666 PECOS PAC ID: 0446284467 Enrollment ID: I20050920000580 |
| Provider Name | Carl P Garabedian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083666127 PECOS PAC ID: 1850325820 Enrollment ID: I20050920000973 |
| Provider Name | Nelson Chow |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1427142470 PECOS PAC ID: 8022034776 Enrollment ID: I20051021000258 |
| Provider Name | Krishna M Malireddi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1780778746 PECOS PAC ID: 0143266247 Enrollment ID: I20051024000492 |
| Provider Name | Traci Ann Satterfield |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528056744 PECOS PAC ID: 8426074972 Enrollment ID: I20051024000534 |
| Provider Name | April S Hume |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326055831 PECOS PAC ID: 2567480775 Enrollment ID: I20051107000346 |
| Provider Name | Ednea a Simon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174604425 PECOS PAC ID: 9335160340 Enrollment ID: I20051216000671 |
| Provider Name | Clinton D Hubbard |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912997370 PECOS PAC ID: 7810919149 Enrollment ID: I20051229000431 |
| Provider Name | Janet Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467675892 PECOS PAC ID: 4880618636 Enrollment ID: I20060119000172 |
| Provider Name | Kathrine R Tuttle |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740399492 PECOS PAC ID: 6204840903 Enrollment ID: I20060202000109 |
| Provider Name | Elhami Hannan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093803884 PECOS PAC ID: 9638124100 Enrollment ID: I20060321000259 |
| Provider Name | Jonathan M Nickoloff |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891742664 PECOS PAC ID: 2163430638 Enrollment ID: I20060324000052 |
| Provider Name | Paul C Thorne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003840398 PECOS PAC ID: 3173533221 Enrollment ID: I20060503000556 |
| Provider Name | John F Floyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114913621 PECOS PAC ID: 0840201026 Enrollment ID: I20060601000300 |
| Provider Name | Adam H Juviler |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1396792073 PECOS PAC ID: 4880606623 Enrollment ID: I20060619000243 |
| Provider Name | Allen R Skidmore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053306100 PECOS PAC ID: 9638182751 Enrollment ID: I20060713000043 |
| Provider Name | Donald S Howard |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1376590778 PECOS PAC ID: 1658383732 Enrollment ID: I20060809000462 |
| Provider Name | Jamil Abou Harb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891712980 PECOS PAC ID: 5193721611 Enrollment ID: I20061005000581 |
| Provider Name | Megan a Hoefer |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306941109 PECOS PAC ID: 6608872122 Enrollment ID: I20061005000602 |
| Provider Name | Jess M Schultz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366461097 PECOS PAC ID: 4284631276 Enrollment ID: I20061106000200 |
| Provider Name | Joel D Randall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982793568 PECOS PAC ID: 2163404930 Enrollment ID: I20061128000500 |
| Provider Name | Ponrat Pakpreo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023050200 PECOS PAC ID: 6901827658 Enrollment ID: I20061211000485 |
| Provider Name | Derrick R Havin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467563304 PECOS PAC ID: 1557361920 Enrollment ID: I20070109000156 |
| Provider Name | Todd R Ewert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861471385 PECOS PAC ID: 1254232002 Enrollment ID: I20070213000128 |
| Provider Name | Kari L Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295841989 PECOS PAC ID: 2466477781 Enrollment ID: I20070213000465 |
| Provider Name | Christopher S Famy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043329840 PECOS PAC ID: 7113023672 Enrollment ID: I20070501000159 |
| Provider Name | Lisa L Randall |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558459685 PECOS PAC ID: 5890891162 Enrollment ID: I20070502000486 |
| Provider Name | Mehrdad Farahmand |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629066733 PECOS PAC ID: 8820194921 Enrollment ID: I20070507000466 |
| Provider Name | Jody M Hechtman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871518456 PECOS PAC ID: 7719914530 Enrollment ID: I20070508000034 |
| Provider Name | Vicki Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811928187 PECOS PAC ID: 8022115930 Enrollment ID: I20070529000317 |
| Provider Name | William S Stovall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992819049 PECOS PAC ID: 6204934185 Enrollment ID: I20070531000586 |
| Provider Name | Ramon G Canto |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386632487 PECOS PAC ID: 0345349833 Enrollment ID: I20070625000356 |
| Provider Name | Michael P Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346441730 PECOS PAC ID: 1951400167 Enrollment ID: I20070628000061 |
| Provider Name | Mihaela Cosma |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215915103 PECOS PAC ID: 9032175419 Enrollment ID: I20070629000167 |
| Provider Name | Michael J Reznicek |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760568760 PECOS PAC ID: 0749389849 Enrollment ID: I20070629000304 |
| Provider Name | Lisa D Stiller |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1982751319 PECOS PAC ID: 9830298967 Enrollment ID: I20070629000499 |
| Provider Name | Kathleen M Manion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376613422 PECOS PAC ID: 6305947599 Enrollment ID: I20070718000119 |
| Provider Name | Tanya Keeble |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619000569 PECOS PAC ID: 1153422605 Enrollment ID: I20070727000215 |
| Provider Name | Neda T Cyprova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467580985 PECOS PAC ID: 8426156571 Enrollment ID: I20070730000581 |
| Provider Name | Elizabeth Duran |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073663522 PECOS PAC ID: 2163513136 Enrollment ID: I20070806000163 |
| Provider Name | Alina I Peffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871796326 PECOS PAC ID: 2860583887 Enrollment ID: I20070809000334 |
| Provider Name | Jeremiah M Clinton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578575734 PECOS PAC ID: 4981795572 Enrollment ID: I20070810000756 |
| Provider Name | Carmen V Mcdermott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982713665 PECOS PAC ID: 9739271354 Enrollment ID: I20070827000649 |
| Provider Name | Christopher M Kishiyama |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477609147 PECOS PAC ID: 6800988361 Enrollment ID: I20070828001102 |
| Provider Name | Amy R Occhino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629081286 PECOS PAC ID: 4880786342 Enrollment ID: I20070828001110 |
| Provider Name | Elizabeth M Jansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013086693 PECOS PAC ID: 3274637442 Enrollment ID: I20070907000130 |
| Provider Name | Jason G Ruzicka |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346440930 PECOS PAC ID: 3274626270 Enrollment ID: I20070907000159 |
| Provider Name | Sheila D Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487859708 PECOS PAC ID: 7911090519 Enrollment ID: I20070912000164 |
| Provider Name | Edward D Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780672725 PECOS PAC ID: 5395830111 Enrollment ID: I20071009000077 |
| Provider Name | Ryan Nachreiner |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104874569 PECOS PAC ID: 5698662856 Enrollment ID: I20071126000358 |
| Provider Name | James W Watkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316134158 PECOS PAC ID: 6305936956 Enrollment ID: I20071219000522 |
| Provider Name | Kevin R Kellogg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003899493 PECOS PAC ID: 0446212104 Enrollment ID: I20080108000397 |
| Provider Name | Cynthia R Murphy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184826125 PECOS PAC ID: 2466533047 Enrollment ID: I20080122000242 |
| Provider Name | Melinda G Nix |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821275066 PECOS PAC ID: 2466536115 Enrollment ID: I20080220000189 |
| Provider Name | Kathryn E Sander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215118732 PECOS PAC ID: 7113001355 Enrollment ID: I20080226000636 |
| Provider Name | Deborah a Montowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093703100 PECOS PAC ID: 1951486018 Enrollment ID: I20080313000240 |
| Provider Name | Mary a Shepard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669485165 PECOS PAC ID: 8527143569 Enrollment ID: I20080314000200 |
| Provider Name | Christopher R Dale |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700922143 PECOS PAC ID: 8224135447 Enrollment ID: I20080416000402 |
| Provider Name | Michael B Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760663728 PECOS PAC ID: 4082794086 Enrollment ID: I20080512000766 |
| Provider Name | Cameron D Clement |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023038916 PECOS PAC ID: 5496824161 Enrollment ID: I20080521000214 |
| Provider Name | Mary Foutz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275708240 PECOS PAC ID: 2668542929 Enrollment ID: I20080529000738 |
| Provider Name | Jonathan Carlson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1922219500 PECOS PAC ID: 4284704842 Enrollment ID: I20080609000433 |
| Provider Name | Patrick J Shannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538157433 PECOS PAC ID: 9537246996 Enrollment ID: I20080618000490 |
| Provider Name | Kristi a Rice |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851321327 PECOS PAC ID: 6709957368 Enrollment ID: I20080625000542 |
| Provider Name | Daniel James Zwiesler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427001494 PECOS PAC ID: 5193738557 Enrollment ID: I20080708000455 |
| Provider Name | Sanjit K Dutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881610038 PECOS PAC ID: 1456325349 Enrollment ID: I20080721000793 |
| Provider Name | Julie a Ulloa Michaelis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346267036 PECOS PAC ID: 7618973728 Enrollment ID: I20080721000800 |
| Provider Name | Amy G Burns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518070341 PECOS PAC ID: 0840363644 Enrollment ID: I20080725000553 |
| Provider Name | Karina M Dierks |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184747388 PECOS PAC ID: 7113091976 Enrollment ID: I20080729000165 |
| Provider Name | Ajith Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609952381 PECOS PAC ID: 7719052521 Enrollment ID: I20080813000494 |
| Provider Name | Darragh S Omahony |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1730191727 PECOS PAC ID: 8820163694 Enrollment ID: I20080814000111 |
| Provider Name | Martha Dobbins Odegard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447361019 PECOS PAC ID: 2264508274 Enrollment ID: I20080827000321 |
| Provider Name | Deborah L Fertakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710015110 PECOS PAC ID: 0446326326 Enrollment ID: I20080829000309 |
| Provider Name | Sandra Friendshuh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467562413 PECOS PAC ID: 7214039676 Enrollment ID: I20080925000150 |
| Provider Name | Michele J Greenwood |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396912085 PECOS PAC ID: 5294893137 Enrollment ID: I20081022000409 |
| Provider Name | Betty a Gilchrist |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659547909 PECOS PAC ID: 2264590058 Enrollment ID: I20081023000156 |
| Provider Name | Pamela a Polensky Bonser |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689841371 PECOS PAC ID: 7719046895 Enrollment ID: I20081104000405 |
| Provider Name | Robert B Bazzano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447357132 PECOS PAC ID: 8022178086 Enrollment ID: I20081120000319 |
| Provider Name | Monica Marton Popovici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437326626 PECOS PAC ID: 4385705763 Enrollment ID: I20081203000653 |
| Provider Name | Robert S Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134378169 PECOS PAC ID: 8820150972 Enrollment ID: I20081223000641 |
| Provider Name | Gary G Gularte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174665913 PECOS PAC ID: 1456413301 Enrollment ID: I20081231000119 |
| Provider Name | Marylynn Bernard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457344152 PECOS PAC ID: 3971585647 Enrollment ID: I20090112000262 |
| Provider Name | Christina R Glavin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134267271 PECOS PAC ID: 8921199472 Enrollment ID: I20090205000619 |
| Provider Name | Leah a Gilbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184862641 PECOS PAC ID: 0244396281 Enrollment ID: I20090227000161 |
| Provider Name | Christopher Tullis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578600342 PECOS PAC ID: 3274699772 Enrollment ID: I20090309000366 |
| Provider Name | Randall Volk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538205794 PECOS PAC ID: 2163588666 Enrollment ID: I20090309000393 |
| Provider Name | John E Chapin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245246990 PECOS PAC ID: 1355423567 Enrollment ID: I20090323000394 |
| Provider Name | Michael J Doherty |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033299953 PECOS PAC ID: 5799833075 Enrollment ID: I20090423000797 |
| Provider Name | Lindsey a Dunham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093886061 PECOS PAC ID: 6800865031 Enrollment ID: I20090429000595 |
| Provider Name | Tamara Maria Brining |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962646273 PECOS PAC ID: 8325198872 Enrollment ID: I20090604000251 |
| Provider Name | Livia a Foley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740414325 PECOS PAC ID: 6901957257 Enrollment ID: I20090625000556 |
| Provider Name | Caron Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003951799 PECOS PAC ID: 2567423460 Enrollment ID: I20090708000354 |
| Provider Name | Karen M Wildman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861439770 PECOS PAC ID: 8729155445 Enrollment ID: I20090722000087 |
| Provider Name | Vijayakumar K Reddy |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932391547 PECOS PAC ID: 1557415601 Enrollment ID: I20090824000731 |
| Provider Name | Christina M Gerhardt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639225246 PECOS PAC ID: 3971659145 Enrollment ID: I20090914000538 |
| Provider Name | Katherine B Reed |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1396919569 PECOS PAC ID: 8729134598 Enrollment ID: I20090918000508 |
| Provider Name | Alena Izhokhina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588837439 PECOS PAC ID: 6507912011 Enrollment ID: I20090925000072 |
| Provider Name | Ruth E Cockley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992962740 PECOS PAC ID: 1153477492 Enrollment ID: I20090928000784 |
| Provider Name | William O Wheeler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134150758 PECOS PAC ID: 6406802107 Enrollment ID: I20091021000282 |
| Provider Name | Dirk S Sypherd |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1073593638 PECOS PAC ID: 8729176151 Enrollment ID: I20091111000691 |
| Provider Name | Bryan K Stamm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447246574 PECOS PAC ID: 8123017035 Enrollment ID: I20091201000681 |
| Provider Name | Nancy L Vitello Mikiska |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588734628 PECOS PAC ID: 9739229253 Enrollment ID: I20091214000793 |
| Provider Name | Elizabeth a Grosen |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1235125220 PECOS PAC ID: 7214824572 Enrollment ID: I20091230000557 |
| Provider Name | Okechukwu N Ojogho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972535128 PECOS PAC ID: 6103988878 Enrollment ID: I20100105000577 |
| Provider Name | Daniel J Dionne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386693307 PECOS PAC ID: 0941236616 Enrollment ID: I20100112000679 |
| Provider Name | Norman S Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700878667 PECOS PAC ID: 8921140773 Enrollment ID: I20100118000051 |
| Provider Name | Kathleen M Schatz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912100496 PECOS PAC ID: 5597807362 Enrollment ID: I20100118000192 |
| Provider Name | Nalini Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194809111 PECOS PAC ID: 6507908167 Enrollment ID: I20100120000014 |
| Provider Name | Robert a Fairfax |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063408052 PECOS PAC ID: 6800939729 Enrollment ID: I20100201000425 |
| Provider Name | Louisa V Lavy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366454175 PECOS PAC ID: 8729122783 Enrollment ID: I20100215000759 |
| Provider Name | Robin L Mitchell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295732212 PECOS PAC ID: 3971515594 Enrollment ID: I20100216000253 |
| Provider Name | Craig R Barrow |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265539944 PECOS PAC ID: 9537102363 Enrollment ID: I20100224000943 |
| Provider Name | Gregory T Carter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073531695 PECOS PAC ID: 0143355255 Enrollment ID: I20100315000719 |
| Provider Name | Vivian M Moise |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1801954722 PECOS PAC ID: 6406747260 Enrollment ID: I20100324000501 |
| Provider Name | Sandra L Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366404337 PECOS PAC ID: 1951437235 Enrollment ID: I20100325000497 |
| Provider Name | Michael J Cruz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083665145 PECOS PAC ID: 4789710799 Enrollment ID: I20100330000191 |
| Provider Name | Jeffrey D Bunn |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760432868 PECOS PAC ID: 6204962228 Enrollment ID: I20100330000236 |
| Provider Name | Michael J Olds |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1730130808 PECOS PAC ID: 6406769041 Enrollment ID: I20100330000381 |
| Provider Name | Kerry a Michaelis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932285715 PECOS PAC ID: 0840326880 Enrollment ID: I20100330000476 |
| Provider Name | David Shawn Malone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881644086 PECOS PAC ID: 4284760224 Enrollment ID: I20100330000485 |
| Provider Name | Robert B Kerr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386736007 PECOS PAC ID: 6800923020 Enrollment ID: I20100420000880 |
| Provider Name | Audrey R Brantz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477661239 PECOS PAC ID: 5395872923 Enrollment ID: I20100429001010 |
| Provider Name | Julie A. Campbell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609968817 PECOS PAC ID: 0042348112 Enrollment ID: I20100511000429 |
| Provider Name | William Thomas Page |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205875879 PECOS PAC ID: 5890846885 Enrollment ID: I20100511000436 |
| Provider Name | Angela D Trobaugh Latrario |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215924782 PECOS PAC ID: 9739219155 Enrollment ID: I20100611000206 |
| Provider Name | Robert W Mikiska |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659383842 PECOS PAC ID: 4789714940 Enrollment ID: I20100615000083 |
| Provider Name | Gary a Kelsberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790707362 PECOS PAC ID: 5890722367 Enrollment ID: I20100624000037 |
| Provider Name | Judy L Felgenhauer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386631059 PECOS PAC ID: 3274664727 Enrollment ID: I20100626000445 |
| Provider Name | April M Mckenna |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417945528 PECOS PAC ID: 9335226794 Enrollment ID: I20100702000311 |
| Provider Name | Vanessa C Julsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467616177 PECOS PAC ID: 0941346019 Enrollment ID: I20100818001276 |
| Provider Name | Trace J Julsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962663898 PECOS PAC ID: 7618024779 Enrollment ID: I20100820000673 |
| Provider Name | Tiffany L Jenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174506802 PECOS PAC ID: 2860516481 Enrollment ID: I20100902000502 |
| Provider Name | Craig M Smentek |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043324106 PECOS PAC ID: 5395830442 Enrollment ID: I20100914000276 |
| Provider Name | Dominique Kristina Grant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164587259 PECOS PAC ID: 2567587215 Enrollment ID: I20100917000526 |
| Provider Name | Jennifer J Battaglia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235117367 PECOS PAC ID: 1153329065 Enrollment ID: I20101015000562 |
| Provider Name | Joanna L Breems |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487857108 PECOS PAC ID: 7315130796 Enrollment ID: I20101018000888 |
| Provider Name | Jiten D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689895211 PECOS PAC ID: 8022201219 Enrollment ID: I20101020000653 |
| Provider Name | Wendy L Eastman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538335252 PECOS PAC ID: 6507059342 Enrollment ID: I20101025000789 |
| Provider Name | Sarabjit Kaur Atwal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881928414 PECOS PAC ID: 4880888072 Enrollment ID: I20101102000188 |
| Provider Name | Chelsey Jane Oneill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487978904 PECOS PAC ID: 6800080003 Enrollment ID: I20101102000308 |
| Provider Name | Kam Fun Pang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104020783 PECOS PAC ID: 0840389334 Enrollment ID: I20101102001472 |
| Provider Name | Stacey a Rietze |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144235003 PECOS PAC ID: 2567656671 Enrollment ID: I20101103000215 |
| Provider Name | Kimberly G Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851303465 PECOS PAC ID: 6800080789 Enrollment ID: I20101104000893 |
| Provider Name | Kristina H H Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184733636 PECOS PAC ID: 6103718747 Enrollment ID: I20101110000661 |
| Provider Name | Maria C Cassel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912018722 PECOS PAC ID: 0547218414 Enrollment ID: I20101208000172 |
| Provider Name | Ryan Forsyth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144538158 PECOS PAC ID: 9739376104 Enrollment ID: I20101210000461 |
| Provider Name | David B Ramey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578771853 PECOS PAC ID: 8527191485 Enrollment ID: I20101213000486 |
| Provider Name | Lindsay D Milks |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1518271659 PECOS PAC ID: 9739376856 Enrollment ID: I20101214001335 |
| Provider Name | Stefanos Intzes |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558426908 PECOS PAC ID: 0042408387 Enrollment ID: I20101230000488 |
| Provider Name | Henry L Arguinchona |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740228170 PECOS PAC ID: 3577592526 Enrollment ID: I20110105001094 |
| Provider Name | Joshua Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548361009 PECOS PAC ID: 5395844591 Enrollment ID: I20110107000627 |
| Provider Name | Stacy J Jarvis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447552773 PECOS PAC ID: 3577752005 Enrollment ID: I20110113000851 |
| Provider Name | Arman K Mohsenian |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326344672 PECOS PAC ID: 7416139761 Enrollment ID: I20110308000976 |
| Provider Name | Rebecca D Mallo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225295397 PECOS PAC ID: 8224211982 Enrollment ID: I20110318000114 |
| Provider Name | Jody L Sabatino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093765182 PECOS PAC ID: 6901089309 Enrollment ID: I20110322001046 |
| Provider Name | Colleen E Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245535632 PECOS PAC ID: 0648453803 Enrollment ID: I20110324000818 |
| Provider Name | Nitin V Sajnani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730285594 PECOS PAC ID: 3476608050 Enrollment ID: I20110328000892 |
| Provider Name | Dani L Fergen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164720488 PECOS PAC ID: 2466636089 Enrollment ID: I20110406000337 |
| Provider Name | Karl K Stranberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306139779 PECOS PAC ID: 4981882511 Enrollment ID: I20110629000352 |
| Provider Name | Anna Barber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427169093 PECOS PAC ID: 3173622149 Enrollment ID: I20110810000620 |
| Provider Name | Douglas Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477520005 PECOS PAC ID: 7911066907 Enrollment ID: I20110810000629 |
| Provider Name | Tyler J Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972764074 PECOS PAC ID: 3072782853 Enrollment ID: I20110811000807 |
| Provider Name | Jonathan F Kalisvaart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013196864 PECOS PAC ID: 1658540448 Enrollment ID: I20110811000893 |
| Provider Name | Leah M Basnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235246091 PECOS PAC ID: 8527237189 Enrollment ID: I20110816000632 |
| Provider Name | Bryan Sean Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376552976 PECOS PAC ID: 8820270564 Enrollment ID: I20110823000122 |
| Provider Name | Catalina Draghici |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255524930 PECOS PAC ID: 2961672704 Enrollment ID: I20110902000345 |
| Provider Name | Sarah Hammil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700063187 PECOS PAC ID: 9739257726 Enrollment ID: I20110902000625 |
| Provider Name | Elizabeth Locascio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679772362 PECOS PAC ID: 8729163068 Enrollment ID: I20111013000109 |
| Provider Name | Kristin Edgehouse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922200286 PECOS PAC ID: 8921139783 Enrollment ID: I20111020000778 |
| Provider Name | Monica M Zherebtsov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811284599 PECOS PAC ID: 8527231265 Enrollment ID: I20111025000837 |
| Provider Name | Debra J Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093095663 PECOS PAC ID: 1759554793 Enrollment ID: I20111108000049 |
| Provider Name | Brieanne Catherine Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699050575 PECOS PAC ID: 9931373941 Enrollment ID: I20111130000668 |
| Provider Name | Justin W Sassone |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396026555 PECOS PAC ID: 8022282052 Enrollment ID: I20111130000919 |
| Provider Name | Shea E Mcmanus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730135690 PECOS PAC ID: 4981782547 Enrollment ID: I20120105000388 |
| Provider Name | Katie L Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003190331 PECOS PAC ID: 2365618758 Enrollment ID: I20120106000286 |
| Provider Name | Joshua a Beers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376771584 PECOS PAC ID: 5991971277 Enrollment ID: I20120109000606 |
| Provider Name | Wichit Srikureja |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205857737 PECOS PAC ID: 7719957216 Enrollment ID: I20120113000608 |
| Provider Name | Christian J Gutsche |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225311624 PECOS PAC ID: 2365619269 Enrollment ID: I20120117000829 |
| Provider Name | Denise R Pounds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073752606 PECOS PAC ID: 5597932889 Enrollment ID: I20120127000564 |
| Provider Name | Aixa D Espinosa-morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851449938 PECOS PAC ID: 5092987651 Enrollment ID: I20120202000201 |
| Provider Name | James W Jordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417156993 PECOS PAC ID: 3870675002 Enrollment ID: I20120329000427 |
| Provider Name | Christina L Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891064143 PECOS PAC ID: 1052571700 Enrollment ID: I20120404000615 |
| Provider Name | Jonathan J Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790959971 PECOS PAC ID: 4385805076 Enrollment ID: I20120405000076 |
| Provider Name | Kristen Jules Hardy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215125646 PECOS PAC ID: 9436221462 Enrollment ID: I20120419000576 |
| Provider Name | Karee Lynn Ledeboer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831464015 PECOS PAC ID: 4789846296 Enrollment ID: I20120430000411 |
| Provider Name | William T Magee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235333188 PECOS PAC ID: 8729178769 Enrollment ID: I20120502000162 |
| Provider Name | Kavitha C Chaganur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174778401 PECOS PAC ID: 0648433516 Enrollment ID: I20120514000395 |
| Provider Name | April a Estelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386925949 PECOS PAC ID: 9739342585 Enrollment ID: I20120515000544 |
| Provider Name | Ingrid L Olaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437319373 PECOS PAC ID: 8426193814 Enrollment ID: I20120522000788 |
| Provider Name | Jolene E Aubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639442072 PECOS PAC ID: 3577728047 Enrollment ID: I20120706000580 |
| Provider Name | Lance R Varns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962583534 PECOS PAC ID: 2567618523 Enrollment ID: I20120807000206 |
| Provider Name | Kelly J Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073844403 PECOS PAC ID: 9830348861 Enrollment ID: I20121005000424 |
| Provider Name | Jennifer Shannon Niemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598054249 PECOS PAC ID: 1254581622 Enrollment ID: I20121019000291 |
| Provider Name | Saneer Basnett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508015173 PECOS PAC ID: 0941450209 Enrollment ID: I20121022000621 |
| Provider Name | Christopher M Behne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699905935 PECOS PAC ID: 6204086564 Enrollment ID: I20121022000639 |
| Provider Name | Mitchell Van Tippetts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093942799 PECOS PAC ID: 0547410813 Enrollment ID: I20121022000674 |
| Provider Name | Eashen M Liu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1891954475 PECOS PAC ID: 0446400717 Enrollment ID: I20121022000686 |
| Provider Name | Janelle M Clauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669631008 PECOS PAC ID: 5799819181 Enrollment ID: I20121024000632 |
| Provider Name | Hisam S Goueli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639382906 PECOS PAC ID: 3870644776 Enrollment ID: I20121030000555 |
| Provider Name | Colleen E Zimmerman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780812180 PECOS PAC ID: 7416108097 Enrollment ID: I20121107000371 |
| Provider Name | Casey R Doggett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730412669 PECOS PAC ID: 9335390921 Enrollment ID: I20121107000482 |
| Provider Name | Shamit D Tailor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104089432 PECOS PAC ID: 1153594585 Enrollment ID: I20121112000507 |
| Provider Name | Stephen Jebaraj Pakkianathan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124227566 PECOS PAC ID: 5597938829 Enrollment ID: I20121129000605 |
| Provider Name | Mandi M Bingham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871840405 PECOS PAC ID: 7315965779 Enrollment ID: I20121206000124 |
| Provider Name | Brad J Bachmeier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073682464 PECOS PAC ID: 0244482396 Enrollment ID: I20121218000446 |
| Provider Name | Adam M Sanborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366485633 PECOS PAC ID: 0547412504 Enrollment ID: I20121220000438 |
| Provider Name | Michael P Johnston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346485372 PECOS PAC ID: 2961655840 Enrollment ID: I20121228000082 |
| Provider Name | Catherine Tsai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356337935 PECOS PAC ID: 9638342249 Enrollment ID: I20130211000329 |
| Provider Name | Laurence a Houtchens |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972572303 PECOS PAC ID: 4486674868 Enrollment ID: I20130212000499 |
| Provider Name | Brett M Eckenrod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497066211 PECOS PAC ID: 7416101720 Enrollment ID: I20130213000264 |
| Provider Name | Chad Harbour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124230479 PECOS PAC ID: 3971655549 Enrollment ID: I20130411000526 |
| Provider Name | Ravi Sivasankara Menon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326160177 PECOS PAC ID: 2062572142 Enrollment ID: I20130605000091 |
| Provider Name | Benjamin Atkinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023256237 PECOS PAC ID: 4183802945 Enrollment ID: I20130620000086 |
| Provider Name | Christopher D Bell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396714531 PECOS PAC ID: 8729152590 Enrollment ID: I20130702000864 |
| Provider Name | Chong Cheever |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295063683 PECOS PAC ID: 2860533031 Enrollment ID: I20130722000248 |
| Provider Name | Aaron N Stayman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477711018 PECOS PAC ID: 9133360142 Enrollment ID: I20130801000848 |
| Provider Name | Gabor Mezei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841520731 PECOS PAC ID: 8325179914 Enrollment ID: I20130808000086 |
| Provider Name | Casey Lynn Carlson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538331921 PECOS PAC ID: 4284772641 Enrollment ID: I20130820001061 |
| Provider Name | Dinesh Ratti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104137306 PECOS PAC ID: 4183867294 Enrollment ID: I20130821000177 |
| Provider Name | Jennifer M Plymale |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265456008 PECOS PAC ID: 2466544424 Enrollment ID: I20130822000097 |
| Provider Name | Jeremy Michael Cope |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134431505 PECOS PAC ID: 2961645270 Enrollment ID: I20130905000014 |
| Provider Name | Juan C. Mejia |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588848428 PECOS PAC ID: 1951562032 Enrollment ID: I20130905000157 |
| Provider Name | Rebecca Raluca Teona Muntean |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1003071598 PECOS PAC ID: 9234372509 Enrollment ID: I20130905000794 |
| Provider Name | Nelio Guzman Aguayo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124266184 PECOS PAC ID: 5092959106 Enrollment ID: I20130911000330 |
| Provider Name | Kerstin a Uhder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558537621 PECOS PAC ID: 7911038138 Enrollment ID: I20130913000170 |
| Provider Name | Clara L Peck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659563526 PECOS PAC ID: 6002985264 Enrollment ID: I20130917000070 |
| Provider Name | Jasdeep Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831415538 PECOS PAC ID: 1355594425 Enrollment ID: I20130930000306 |
| Provider Name | Ruxandra M Costa |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588770093 PECOS PAC ID: 4284695024 Enrollment ID: I20131003000014 |
| Provider Name | Rebecca Knuth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659531390 PECOS PAC ID: 3476788837 Enrollment ID: I20131021001619 |
| Provider Name | Amy a Eddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508179482 PECOS PAC ID: 7618102088 Enrollment ID: I20131022000064 |
| Provider Name | Megan C Bisbee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760818629 PECOS PAC ID: 8224264551 Enrollment ID: I20131115000197 |
| Provider Name | Lindsay Whetzel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306119227 PECOS PAC ID: 1052547858 Enrollment ID: I20131127000943 |
| Provider Name | Courtney a Weyand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730517244 PECOS PAC ID: 5496982803 Enrollment ID: I20131210001681 |
| Provider Name | Katie Marie Kasunick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285063644 PECOS PAC ID: 9133356918 Enrollment ID: I20131227000113 |
| Provider Name | Matthew G Sutter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811321607 PECOS PAC ID: 9032346713 Enrollment ID: I20131231000045 |
| Provider Name | Sally Ann Delger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518393396 PECOS PAC ID: 2567690159 Enrollment ID: I20140103001041 |
| Provider Name | Scott R Pleines |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588893093 PECOS PAC ID: 2567690084 Enrollment ID: I20140108000749 |
| Provider Name | Kathalene M Cassels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497184196 PECOS PAC ID: 5496984205 Enrollment ID: I20140127000831 |
| Provider Name | Tamara L Simmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124187505 PECOS PAC ID: 4486883220 Enrollment ID: I20140127001510 |
| Provider Name | Brian L Simmerman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972661437 PECOS PAC ID: 4587893243 Enrollment ID: I20140129001996 |
| Provider Name | Rachael a Witham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487917548 PECOS PAC ID: 2163651720 Enrollment ID: I20140131001475 |
| Provider Name | Ann M Roberts |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154489722 PECOS PAC ID: 7911136379 Enrollment ID: I20140205000129 |
| Provider Name | Jonathan M Ziegler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1598192726 PECOS PAC ID: 0244469245 Enrollment ID: I20140218000423 |
| Provider Name | David L Holden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083056303 PECOS PAC ID: 1658500590 Enrollment ID: I20140218001829 |
| Provider Name | Elizabeth a Dunham |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1659578250 PECOS PAC ID: 2365675204 Enrollment ID: I20140430001842 |
| Provider Name | Lindsay Blair Urso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114345022 PECOS PAC ID: 1355574773 Enrollment ID: I20140508001480 |
| Provider Name | Joseph M Gaines |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417081019 PECOS PAC ID: 9931322104 Enrollment ID: I20140516000934 |
| Provider Name | Nishant Puri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922207471 PECOS PAC ID: 1951434836 Enrollment ID: I20140605001935 |
| Provider Name | Kang Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023304359 PECOS PAC ID: 1658595509 Enrollment ID: I20140616000433 |
| Provider Name | Alison Elizabeth Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710118369 PECOS PAC ID: 2466677737 Enrollment ID: I20140628000139 |
| Provider Name | Jo Persoon-gundy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467758581 PECOS PAC ID: 3971736570 Enrollment ID: I20140702000604 |
| Provider Name | Robert E Lichfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568725695 PECOS PAC ID: 5799900932 Enrollment ID: I20140702001443 |
| Provider Name | Elise C Willis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487953683 PECOS PAC ID: 6800011602 Enrollment ID: I20140711001158 |
| Provider Name | Kristine Theresa Coons |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013293422 PECOS PAC ID: 4688813728 Enrollment ID: I20140719000054 |
| Provider Name | Jake Harley Choiniere |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578882452 PECOS PAC ID: 4688890155 Enrollment ID: I20140721000051 |
| Provider Name | Laura a Bonneau |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1447414479 PECOS PAC ID: 6608019187 Enrollment ID: I20140731000200 |
| Provider Name | Joseph D Mickelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578769816 PECOS PAC ID: 8224284526 Enrollment ID: I20140811002731 |
| Provider Name | Angelica M Macias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700052735 PECOS PAC ID: 0244361400 Enrollment ID: I20140813002577 |
| Provider Name | William R Schmitt |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912155136 PECOS PAC ID: 8022155811 Enrollment ID: I20140815001232 |
| Provider Name | Joshua E Drumm |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720394521 PECOS PAC ID: 3072743772 Enrollment ID: I20141003001949 |
| Provider Name | Stacee E Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467438762 PECOS PAC ID: 1456459684 Enrollment ID: I20141104001227 |
| Provider Name | Hayley M Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851612733 PECOS PAC ID: 6204158413 Enrollment ID: I20141125000860 |
| Provider Name | Kirandeep Gill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902016306 PECOS PAC ID: 2961695804 Enrollment ID: I20141126000417 |
| Provider Name | Seth Kasunick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598065492 PECOS PAC ID: 2860714920 Enrollment ID: I20141201001858 |
| Provider Name | Jacob T Gott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881093904 PECOS PAC ID: 8921320664 Enrollment ID: I20141208000627 |
| Provider Name | Lesley N Bobek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922202787 PECOS PAC ID: 0244377802 Enrollment ID: I20141216000708 |
| Provider Name | Katrina H Schneider |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548663693 PECOS PAC ID: 2466775663 Enrollment ID: I20141218002579 |
| Provider Name | Catherine Annabel Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093145567 PECOS PAC ID: 8729202452 Enrollment ID: I20141223001633 |
| Provider Name | Maureen K Beardslee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801232301 PECOS PAC ID: 5991028607 Enrollment ID: I20150106000257 |
| Provider Name | Nicolle Benz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356322580 PECOS PAC ID: 1456322890 Enrollment ID: I20150117000241 |
| Provider Name | Kitti Kaiboriboon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912062035 PECOS PAC ID: 4284731027 Enrollment ID: I20150130000742 |
| Provider Name | Jordan Storhaug |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194088237 PECOS PAC ID: 3678897253 Enrollment ID: I20150130002352 |
| Provider Name | Rilla Westermeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710240817 PECOS PAC ID: 4082939558 Enrollment ID: I20150205000637 |
| Provider Name | Alma Isela Chavez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1508905522 PECOS PAC ID: 1850417957 Enrollment ID: I20150218000463 |
| Provider Name | Stephanie Gering |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568725661 PECOS PAC ID: 4082939806 Enrollment ID: I20150218001710 |
| Provider Name | Adnan Rizvi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1669482154 PECOS PAC ID: 2062416928 Enrollment ID: I20150325002509 |
| Provider Name | Jennifer Mays Suk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366536062 PECOS PAC ID: 7618294745 Enrollment ID: I20150327002636 |
| Provider Name | David Goshorn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1043464373 PECOS PAC ID: 3274771548 Enrollment ID: I20150422000709 |
| Provider Name | Daniel Simon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639471667 PECOS PAC ID: 7113108200 Enrollment ID: I20150427000653 |
| Provider Name | Stacy M Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649663063 PECOS PAC ID: 1658690375 Enrollment ID: I20150430002614 |
| Provider Name | Shannon Brodersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396938916 PECOS PAC ID: 0941529044 Enrollment ID: I20150511002284 |
| Provider Name | Ali Gaskari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1124259155 PECOS PAC ID: 3678893773 Enrollment ID: I20150513000432 |
| Provider Name | Ann K Seltman |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1912098641 PECOS PAC ID: 7416902630 Enrollment ID: I20150514002973 |
| Provider Name | Satya Venkata Subramanyam Malladi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790902088 PECOS PAC ID: 6406082015 Enrollment ID: I20150520001262 |
| Provider Name | Shelby R Rush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144290586 PECOS PAC ID: 5698665198 Enrollment ID: I20150601000423 |
| Provider Name | Luke Xiaoli Zhan |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043524481 PECOS PAC ID: 1052632882 Enrollment ID: I20150605000457 |
| Provider Name | Steven Tingey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558748285 PECOS PAC ID: 9032430756 Enrollment ID: I20150608000091 |
| Provider Name | Nathaniel Whitney |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730356346 PECOS PAC ID: 5597918649 Enrollment ID: I20150608001199 |
| Provider Name | Kunal Shah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285878868 PECOS PAC ID: 9638490188 Enrollment ID: I20150612001038 |
| Provider Name | Dana L Baumgartner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356732960 PECOS PAC ID: 5193036713 Enrollment ID: I20150623001106 |
| Provider Name | Daniel J Rodgers |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255719670 PECOS PAC ID: 8426360967 Enrollment ID: I20150711000113 |
| Provider Name | Kelly Grieves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013969401 PECOS PAC ID: 8921072273 Enrollment ID: I20150713000611 |
| Provider Name | Ashley Wilkinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821479049 PECOS PAC ID: 2860705373 Enrollment ID: I20150713002036 |
| Provider Name | Inah Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376707224 PECOS PAC ID: 4789850199 Enrollment ID: I20150713002782 |
| Provider Name | Marc Schillios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386730844 PECOS PAC ID: 4284947300 Enrollment ID: I20150720000554 |
| Provider Name | Vincint Sprung |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659689768 PECOS PAC ID: 8729275300 Enrollment ID: I20150721002017 |
| Provider Name | Lisa Koch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003811712 PECOS PAC ID: 8022321819 Enrollment ID: I20150722006221 |
| Provider Name | Lacie Bland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013271386 PECOS PAC ID: 9133433774 Enrollment ID: I20150727002832 |
| Provider Name | Sarah Hess |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588951248 PECOS PAC ID: 2062643638 Enrollment ID: I20150729009640 |
| Provider Name | Kelvin Hsu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518162072 PECOS PAC ID: 8628124815 Enrollment ID: I20150730010645 |
| Provider Name | Eric Flake |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477521318 PECOS PAC ID: 0749594091 Enrollment ID: I20150731014602 |
| Provider Name | Dara H Christante |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1013116003 PECOS PAC ID: 6901076124 Enrollment ID: I20150806011010 |
| Provider Name | Sarah Grisier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962884577 PECOS PAC ID: 0648585265 Enrollment ID: I20150811005793 |
| Provider Name | Tiffany Ludka-gaulke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518115393 PECOS PAC ID: 0547419913 Enrollment ID: I20150814013940 |
| Provider Name | Mark Ernest Gaulke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972709129 PECOS PAC ID: 8325235831 Enrollment ID: I20150825003426 |
| Provider Name | Anneke Van Sloten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285016139 PECOS PAC ID: 8224344403 Enrollment ID: I20150902002419 |
| Provider Name | Jonathan C Kopelovich |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1023218617 PECOS PAC ID: 6103066295 Enrollment ID: I20150903003010 |
| Provider Name | Danielle Wald Baker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093194649 PECOS PAC ID: 1456668607 Enrollment ID: I20150921000963 |
| Provider Name | Sara Christine Zimmer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295137578 PECOS PAC ID: 8224345475 Enrollment ID: I20150921001090 |
| Provider Name | Shana M Colt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760804785 PECOS PAC ID: 8921315011 Enrollment ID: I20150922003118 |
| Provider Name | Caitlin E Shino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427424381 PECOS PAC ID: 0547578387 Enrollment ID: I20150929000935 |
| Provider Name | Kristy Rose Van Hook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912373077 PECOS PAC ID: 5496063828 Enrollment ID: I20151003000031 |
| Provider Name | Douglas Hammerstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316998354 PECOS PAC ID: 8628028586 Enrollment ID: I20151005000295 |
| Provider Name | Kirstin Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386020287 PECOS PAC ID: 1052620549 Enrollment ID: I20151023001249 |
| Provider Name | Roxanna Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427156165 PECOS PAC ID: 9931131307 Enrollment ID: I20151103000807 |
| Provider Name | Jeremy Cline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922400910 PECOS PAC ID: 2567772411 Enrollment ID: I20151105002048 |
| Provider Name | Katherine Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881845931 PECOS PAC ID: 7719297514 Enrollment ID: I20151106001396 |
| Provider Name | Aileen Marie Hetrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427343169 PECOS PAC ID: 5698075810 Enrollment ID: I20151119002146 |
| Provider Name | Mallory M Beale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174969661 PECOS PAC ID: 1254632763 Enrollment ID: I20151228001870 |
| Provider Name | Timothy Brim |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881096774 PECOS PAC ID: 3678875838 Enrollment ID: I20160105000894 |
| Provider Name | Carrie E Peacock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912309295 PECOS PAC ID: 0749583821 Enrollment ID: I20160122002064 |
| Provider Name | Katrina Maren Schmell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437481769 PECOS PAC ID: 3971760901 Enrollment ID: I20160304001838 |
| Provider Name | Pushapdeep K Brar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699097279 PECOS PAC ID: 0244400109 Enrollment ID: I20160407000847 |
| Provider Name | Richard Carlson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396035994 PECOS PAC ID: 9537462049 Enrollment ID: I20160509001431 |
| Provider Name | Kelly Wurzel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174880454 PECOS PAC ID: 1850604992 Enrollment ID: I20160509002246 |
| Provider Name | Ian Barton May |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790129930 PECOS PAC ID: 1557660842 Enrollment ID: I20160509002318 |
| Provider Name | Nathaniel Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336310945 PECOS PAC ID: 3870897176 Enrollment ID: I20160512001047 |
| Provider Name | Nathaniel Lee Atkin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134358344 PECOS PAC ID: 4688828981 Enrollment ID: I20160520001449 |
| Provider Name | Jessica Craddock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154614469 PECOS PAC ID: 9739405101 Enrollment ID: I20160523002062 |
| Provider Name | Leah Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134472368 PECOS PAC ID: 1850681735 Enrollment ID: I20160606001106 |
| Provider Name | Ashton Ann Wegeleben |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609266121 PECOS PAC ID: 6103146576 Enrollment ID: I20160609001895 |
| Provider Name | John Wurzel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538426812 PECOS PAC ID: 6204155237 Enrollment ID: I20160616002600 |
| Provider Name | Phani Chandra Kantamneni |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518245497 PECOS PAC ID: 0547551400 Enrollment ID: I20160623001052 |
| Provider Name | John Scot Aita |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518956556 PECOS PAC ID: 9739311184 Enrollment ID: I20160629003085 |
| Provider Name | Benjamin Howie |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1154584969 PECOS PAC ID: 4284926502 Enrollment ID: I20160707000671 |
| Provider Name | David Brown |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952691354 PECOS PAC ID: 2860710647 Enrollment ID: I20160708002108 |
| Provider Name | Kara Elizabeth Mackenzie |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487944021 PECOS PAC ID: 3375769045 Enrollment ID: I20160713000652 |
| Provider Name | Vanessa J Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417240250 PECOS PAC ID: 8527286517 Enrollment ID: I20160713000871 |
| Provider Name | Kyle Benton Varner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174961734 PECOS PAC ID: 1254624349 Enrollment ID: I20160727001153 |
| Provider Name | Jayme K Gilliam |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194149443 PECOS PAC ID: 3375862329 Enrollment ID: I20160728001284 |
| Provider Name | Eric M Tyler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447518808 PECOS PAC ID: 8224277306 Enrollment ID: I20160803002111 |
| Provider Name | Kristin Jean Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942644182 PECOS PAC ID: 9931321767 Enrollment ID: I20160804000425 |
| Provider Name | Michael Barsotti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619930211 PECOS PAC ID: 8123294642 Enrollment ID: I20160805001467 |
| Provider Name | Jeremy Robert Nicolarsen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891946778 PECOS PAC ID: 3971746496 Enrollment ID: I20160808002023 |
| Provider Name | Sarah Hill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346428463 PECOS PAC ID: 0648446716 Enrollment ID: I20160809003018 |
| Provider Name | Meghann Stenersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245471028 PECOS PAC ID: 2860661154 Enrollment ID: I20160815002310 |
| Provider Name | Tarvinder Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225327091 PECOS PAC ID: 0840505251 Enrollment ID: I20160817001266 |
| Provider Name | Virginie Achim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1598085383 PECOS PAC ID: 2567789738 Enrollment ID: I20160825000388 |
| Provider Name | Heidi Huppert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821449570 PECOS PAC ID: 7911292040 Enrollment ID: I20160829000097 |
| Provider Name | Anisha Boetel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073871646 PECOS PAC ID: 4981905205 Enrollment ID: I20160906000931 |
| Provider Name | Kristin Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720439045 PECOS PAC ID: 9133415664 Enrollment ID: I20160909001749 |
| Provider Name | Josh Lute |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639549439 PECOS PAC ID: 9739489162 Enrollment ID: I20160919000749 |
| Provider Name | Lauren Patton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235420498 PECOS PAC ID: 6901193861 Enrollment ID: I20160921001901 |
| Provider Name | Terece Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336592203 PECOS PAC ID: 7618264359 Enrollment ID: I20160923001953 |
| Provider Name | Laura Spence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912141250 PECOS PAC ID: 3678739752 Enrollment ID: I20160926001320 |
| Provider Name | Mary Ann Arndt |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750458329 PECOS PAC ID: 0446313464 Enrollment ID: I20160926002168 |
| Provider Name | Caitlin Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124462478 PECOS PAC ID: 9133342017 Enrollment ID: I20160926002333 |
| Provider Name | Nathan Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720430796 PECOS PAC ID: 0547558355 Enrollment ID: I20161011002355 |
| Provider Name | Allison a Lambert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649439209 PECOS PAC ID: 4183875255 Enrollment ID: I20161013001694 |
| Provider Name | Shristi Kunwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497043319 PECOS PAC ID: 1355569435 Enrollment ID: I20161024001034 |
| Provider Name | Levi O Estes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790076305 PECOS PAC ID: 6901106004 Enrollment ID: I20161025002723 |
| Provider Name | Thomas Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265981450 PECOS PAC ID: 0749568582 Enrollment ID: I20161028000813 |
| Provider Name | Justen Chapman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720434343 PECOS PAC ID: 5092094169 Enrollment ID: I20161111001465 |
| Provider Name | Laura J Joreteg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184061269 PECOS PAC ID: 3870872849 Enrollment ID: I20161115000670 |
| Provider Name | Laura G Hooper |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962727297 PECOS PAC ID: 5799002077 Enrollment ID: I20161202001015 |
| Provider Name | Aaron King |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538454426 PECOS PAC ID: 7214230606 Enrollment ID: I20161205001055 |
| Provider Name | Tracey N Hopper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720472491 PECOS PAC ID: 8921380684 Enrollment ID: I20170113000412 |
| Provider Name | Elizabeth T Walz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609817261 PECOS PAC ID: 5597796375 Enrollment ID: I20170124000468 |
| Provider Name | John Ibarra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881606408 PECOS PAC ID: 2961407697 Enrollment ID: I20170222000552 |
| Provider Name | Kamala Renee Keller Brickey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396283602 PECOS PAC ID: 0143504027 Enrollment ID: I20170222000586 |
| Provider Name | Andrew D Rontal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063657328 PECOS PAC ID: 7911150065 Enrollment ID: I20170223002188 |
| Provider Name | Lisa R Yanase |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851384937 PECOS PAC ID: 1052343167 Enrollment ID: I20170223002540 |
| Provider Name | Hannah R Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912443128 PECOS PAC ID: 8628352721 Enrollment ID: I20170309002712 |
| Provider Name | Carlotta Cary |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811439722 PECOS PAC ID: 1254616006 Enrollment ID: I20170320000348 |
| Provider Name | Katherine Elizabeth Nall Birrer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003292368 PECOS PAC ID: 6002191145 Enrollment ID: I20170331002053 |
| Provider Name | Kirk Lee Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790126340 PECOS PAC ID: 3375829146 Enrollment ID: I20170410001241 |
| Provider Name | Rachel Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588102107 PECOS PAC ID: 0042596249 Enrollment ID: I20170424000147 |
| Provider Name | Bradley Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770957854 PECOS PAC ID: 4587965504 Enrollment ID: I20170424002091 |
| Provider Name | Lisa Catherine Shawen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972043784 PECOS PAC ID: 9931486032 Enrollment ID: I20170427000648 |
| Provider Name | Franchette T Pascual |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245491711 PECOS PAC ID: 6305094889 Enrollment ID: I20170504000698 |
| Provider Name | Chelsie L Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346550704 PECOS PAC ID: 9537473970 Enrollment ID: I20170517001420 |
| Provider Name | Dawn Dewitt Talbot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114467891 PECOS PAC ID: 3375811664 Enrollment ID: I20170608002743 |
| Provider Name | Frank Jackson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548604200 PECOS PAC ID: 1557583838 Enrollment ID: I20170615002619 |
| Provider Name | Deepika Gupta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457616443 PECOS PAC ID: 4587984273 Enrollment ID: I20170619000869 |
| Provider Name | Joseph F Tkacik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457693558 PECOS PAC ID: 7618110040 Enrollment ID: I20170622002117 |
| Provider Name | Cicely W White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407831167 PECOS PAC ID: 0941578595 Enrollment ID: I20170622002210 |
| Provider Name | Yi Mao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629327986 PECOS PAC ID: 0547538118 Enrollment ID: I20170622002818 |
| Provider Name | Nicole Breen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841605433 PECOS PAC ID: 3870862980 Enrollment ID: I20170705003392 |
| Provider Name | Caleb C Holtzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124438338 PECOS PAC ID: 0143599100 Enrollment ID: I20170706002177 |
| Provider Name | Joseph David Nickolas Freeburg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174898381 PECOS PAC ID: 7012224298 Enrollment ID: I20170706002670 |
| Provider Name | Amy Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417377284 PECOS PAC ID: 5597034421 Enrollment ID: I20170707001776 |
| Provider Name | Hela Kelsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740600550 PECOS PAC ID: 2062781917 Enrollment ID: I20170707002510 |
| Provider Name | Reilly Kuehn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720379050 PECOS PAC ID: 6709012768 Enrollment ID: I20170712004064 |
| Provider Name | Natasha Sparrow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326308339 PECOS PAC ID: 9931411600 Enrollment ID: I20170802001726 |
| Provider Name | Lacy Dawn Irwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558781211 PECOS PAC ID: 1951672229 Enrollment ID: I20170804000211 |
| Provider Name | Justin Eberly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558579946 PECOS PAC ID: 4789709932 Enrollment ID: I20170810000952 |
| Provider Name | Corey White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154610814 PECOS PAC ID: 2961723663 Enrollment ID: I20170811001881 |
| Provider Name | Kelly Glidewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821444704 PECOS PAC ID: 8325310592 Enrollment ID: I20170823000995 |
| Provider Name | David Hudon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366862369 PECOS PAC ID: 2668761206 Enrollment ID: I20170828004529 |
| Provider Name | David G Stoddard |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1629398706 PECOS PAC ID: 3870765043 Enrollment ID: I20170829000912 |
| Provider Name | Katheryn Hudon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821418815 PECOS PAC ID: 4183997703 Enrollment ID: I20170901002509 |
| Provider Name | Kai L Sharbono |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174801328 PECOS PAC ID: 5395036552 Enrollment ID: I20170912002781 |
| Provider Name | Jessemae Lynn Welsh |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1194950295 PECOS PAC ID: 6901196773 Enrollment ID: I20170913000968 |
| Provider Name | Christina Marcus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770815532 PECOS PAC ID: 0244422392 Enrollment ID: I20170922002279 |
| Provider Name | Sherry Marie Baker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427478692 PECOS PAC ID: 7214202308 Enrollment ID: I20170928002566 |
| Provider Name | Eric D Prince |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770843658 PECOS PAC ID: 2567752777 Enrollment ID: I20171002003734 |
| Provider Name | Ashley B Henderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508201807 PECOS PAC ID: 6002173374 Enrollment ID: I20171122001863 |
| Provider Name | Kathryn Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720084213 PECOS PAC ID: 1850357104 Enrollment ID: I20171128001783 |
| Provider Name | Chase M Kaufman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922517986 PECOS PAC ID: 1153689542 Enrollment ID: I20171212001636 |
| Provider Name | James Winegart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902324445 PECOS PAC ID: 8325306038 Enrollment ID: I20171228002229 |
| Provider Name | Joseph Robert Perry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134354244 PECOS PAC ID: 8426285917 Enrollment ID: I20180110002318 |
| Provider Name | David John Joosten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902884869 PECOS PAC ID: 2961761820 Enrollment ID: I20180122003289 |
| Provider Name | Christopher Swanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750802393 PECOS PAC ID: 0749540342 Enrollment ID: I20180130001509 |
| Provider Name | Brandi a Eppers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316328461 PECOS PAC ID: 4183924939 Enrollment ID: I20180131001883 |
| Provider Name | Matthew Shaw Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275952541 PECOS PAC ID: 0143580118 Enrollment ID: I20180213000417 |
| Provider Name | Sarah L. Dugan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629267067 PECOS PAC ID: 0143416883 Enrollment ID: I20180302001487 |
| Provider Name | Ryan Massoud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023495512 PECOS PAC ID: 1759646300 Enrollment ID: I20180531001454 |
| Provider Name | Kimberlyn B Wellman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669961355 PECOS PAC ID: 2365707825 Enrollment ID: I20180604001660 |
| Provider Name | Abdelrahman Beltagy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013250216 PECOS PAC ID: 0840592572 Enrollment ID: I20180615002091 |
| Provider Name | Rachael Gray Massoud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336536887 PECOS PAC ID: 1658626502 Enrollment ID: I20180616000003 |
| Provider Name | Erik Keith Loraas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265871578 PECOS PAC ID: 5395031793 Enrollment ID: I20180626002316 |
| Provider Name | Steven Klopsch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104213743 PECOS PAC ID: 4880940204 Enrollment ID: I20180627001725 |
| Provider Name | Kelsey Anne Brauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376057380 PECOS PAC ID: 2365798089 Enrollment ID: I20180710002592 |
| Provider Name | Sara M'lis Clark |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346484276 PECOS PAC ID: 4082937511 Enrollment ID: I20180717000281 |
| Provider Name | Stephanie Posten |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669869889 PECOS PAC ID: 1658687991 Enrollment ID: I20180718000645 |
| Provider Name | Alicia S Fuhrman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063832004 PECOS PAC ID: 0547484164 Enrollment ID: I20180723001321 |
| Provider Name | Katie Phung Huynh |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1720390412 PECOS PAC ID: 5698095958 Enrollment ID: I20180726000598 |
| Provider Name | Holly Eckhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275042491 PECOS PAC ID: 1355699067 Enrollment ID: I20180810002651 |
| Provider Name | Anna P Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245726363 PECOS PAC ID: 0042568701 Enrollment ID: I20180813001562 |
| Provider Name | Heidi Lynn Shovell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720468267 PECOS PAC ID: 7810246576 Enrollment ID: I20180814002952 |
| Provider Name | Jessica Anne Lundgren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922494301 PECOS PAC ID: 3779833504 Enrollment ID: I20180829000934 |
| Provider Name | Jacquelyn Nicol Victoroff |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093102287 PECOS PAC ID: 3072863372 Enrollment ID: I20180907000778 |
| Provider Name | Tasha Marenbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285926816 PECOS PAC ID: 1951579176 Enrollment ID: I20180920002924 |
| Provider Name | Rowena Torres Inocencio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548645088 PECOS PAC ID: 0143522631 Enrollment ID: I20180925001931 |
| Provider Name | Mayank Arora |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174703151 PECOS PAC ID: 1759576978 Enrollment ID: I20180928002501 |
| Provider Name | Carrie Leslie Corwin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649539487 PECOS PAC ID: 6608168489 Enrollment ID: I20181029001184 |
| Provider Name | Lisa Tisch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144753088 PECOS PAC ID: 5092083923 Enrollment ID: I20181112001508 |
| Provider Name | Michael D Goodman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528008620 PECOS PAC ID: 0941197867 Enrollment ID: I20181119002969 |
| Provider Name | Stephenie Matosich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548502586 PECOS PAC ID: 0840585261 Enrollment ID: I20181203000371 |
| Provider Name | Alexis E Zander |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306343728 PECOS PAC ID: 7416291794 Enrollment ID: I20181207001207 |
| Provider Name | Kerry P Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205313467 PECOS PAC ID: 2567707607 Enrollment ID: I20181218003841 |
| Provider Name | Angela Denise Beauchamp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275053514 PECOS PAC ID: 9133464951 Enrollment ID: I20181226001977 |
| Provider Name | Ennessa Ivy Gorkovchenko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124532502 PECOS PAC ID: 5193060689 Enrollment ID: I20190103001339 |
| Provider Name | Meghan L Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740766450 PECOS PAC ID: 5395081400 Enrollment ID: I20190110002078 |
| Provider Name | Daniel J Boyd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386162998 PECOS PAC ID: 1951647700 Enrollment ID: I20190115002804 |
| Provider Name | Michelle M Hagan |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922321520 PECOS PAC ID: 2860739984 Enrollment ID: I20190128003513 |
| Provider Name | Jolene Marie Woodley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710952122 PECOS PAC ID: 2961671383 Enrollment ID: I20190205000904 |
| Provider Name | Jordan D Giesler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750861951 PECOS PAC ID: 3375881261 Enrollment ID: I20190219003318 |
| Provider Name | Brianna E Hart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124353693 PECOS PAC ID: 6103077789 Enrollment ID: I20190320000656 |
| Provider Name | Theo Ray Orchard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649607102 PECOS PAC ID: 3476779315 Enrollment ID: I20190328001794 |
| Provider Name | Heidi Elizabeth Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124412937 PECOS PAC ID: 6507106549 Enrollment ID: I20190328003111 |
| Provider Name | Caitlin Anne Snider |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1669947818 PECOS PAC ID: 8820339823 Enrollment ID: I20190401000165 |
| Provider Name | Shira Albert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063817831 PECOS PAC ID: 4385985191 Enrollment ID: I20190404000646 |
| Provider Name | Lance M Melin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336667542 PECOS PAC ID: 1153662648 Enrollment ID: I20190410001748 |
| Provider Name | Riley Allen Mccorkle |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790254969 PECOS PAC ID: 5395086623 Enrollment ID: I20190413000164 |
| Provider Name | Alyssa Marie Mueller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740747195 PECOS PAC ID: 4789926684 Enrollment ID: I20190424002645 |
| Provider Name | Bridget Z Duffy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568591923 PECOS PAC ID: 0840341749 Enrollment ID: I20190513000671 |
| Provider Name | Jeffrey Patrick Dawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427539766 PECOS PAC ID: 5294078390 Enrollment ID: I20190513001197 |
| Provider Name | Darcia Lynn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336617414 PECOS PAC ID: 0042543381 Enrollment ID: I20190531001359 |
| Provider Name | Ashley Diana Lundgren |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1942695192 PECOS PAC ID: 6002149937 Enrollment ID: I20190610000666 |
| Provider Name | Rawel Singh Randhawa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689781361 PECOS PAC ID: 4789602715 Enrollment ID: I20190613000964 |
| Provider Name | Lakshmi Talasila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508248725 PECOS PAC ID: 0547564841 Enrollment ID: I20190613001543 |
| Provider Name | Michael Edward Haws |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336568484 PECOS PAC ID: 8123351582 Enrollment ID: I20190618000522 |
| Provider Name | Justin Michael Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649633041 PECOS PAC ID: 1557652914 Enrollment ID: I20190619002423 |
| Provider Name | Chayene Albuquerque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285976803 PECOS PAC ID: 5991948341 Enrollment ID: I20190702001377 |
| Provider Name | Melissa Marie Claflin-hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568025518 PECOS PAC ID: 5294060786 Enrollment ID: I20190703002196 |
| Provider Name | Sama Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992168561 PECOS PAC ID: 1658606538 Enrollment ID: I20190715002420 |
| Provider Name | Bryan Robert Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578828224 PECOS PAC ID: 5496064685 Enrollment ID: I20190717004140 |
| Provider Name | Christopher E Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346892858 PECOS PAC ID: 9234465576 Enrollment ID: I20190724003886 |
| Provider Name | Casey Christopher Denton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932563384 PECOS PAC ID: 7012294119 Enrollment ID: I20190725002865 |
| Provider Name | Kevin Costa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932555315 PECOS PAC ID: 8628365830 Enrollment ID: I20190726001564 |
| Provider Name | Lucas a Salg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841684289 PECOS PAC ID: 4981995917 Enrollment ID: I20190726002234 |
| Provider Name | Bennett Cole Gladden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336501022 PECOS PAC ID: 4880987783 Enrollment ID: I20190730003410 |
| Provider Name | Donald Merwin Ericson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1477796944 PECOS PAC ID: 9638318116 Enrollment ID: I20190813000000 |
| Provider Name | Luis Eduardo Rendon Cantu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427459759 PECOS PAC ID: 6800123753 Enrollment ID: I20190814004148 |
| Provider Name | Katherine Elizabeth Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114585346 PECOS PAC ID: 3173851722 Enrollment ID: I20190821001805 |
| Provider Name | Jane S Tschang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568881985 PECOS PAC ID: 0345578852 Enrollment ID: I20190821004759 |
| Provider Name | Daniel John Koster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558715946 PECOS PAC ID: 3072806173 Enrollment ID: I20190822002746 |
| Provider Name | Caitlin Marie Newton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356827133 PECOS PAC ID: 7517295900 Enrollment ID: I20190822003402 |
| Provider Name | Angela Joan Van Atta Slick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346635935 PECOS PAC ID: 5890008700 Enrollment ID: I20190823001484 |
| Provider Name | Peter Geren Edminster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093163453 PECOS PAC ID: 6901134220 Enrollment ID: I20190826000403 |
| Provider Name | Kaelin Kristin Whitcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215596465 PECOS PAC ID: 3870821945 Enrollment ID: I20190827004084 |
| Provider Name | Lisa Claire Matelich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366837510 PECOS PAC ID: 1759673965 Enrollment ID: I20190902000003 |
| Provider Name | James F Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962829093 PECOS PAC ID: 7012232655 Enrollment ID: I20190910002212 |
| Provider Name | Daniel Cole Sessions |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679691620 PECOS PAC ID: 4385826395 Enrollment ID: I20190911002287 |
| Provider Name | Meghan Romba |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215202361 PECOS PAC ID: 9133437528 Enrollment ID: I20190913002456 |
| Provider Name | Victoria Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760041271 PECOS PAC ID: 0345579389 Enrollment ID: I20190917000963 |
| Provider Name | Natalya S Wolter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952963449 PECOS PAC ID: 0648500322 Enrollment ID: I20190923002142 |
| Provider Name | Jennifer Pasko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548550874 PECOS PAC ID: 7315182185 Enrollment ID: I20190927003178 |
| Provider Name | Alexander Lee Telis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114260510 PECOS PAC ID: 9537394812 Enrollment ID: I20191008003725 |
| Provider Name | Hannah D. Jones |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811541527 PECOS PAC ID: 4880925692 Enrollment ID: I20191009001638 |
| Provider Name | Alexander James Doud |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1932593423 PECOS PAC ID: 2264749712 Enrollment ID: I20191014001567 |
| Provider Name | Lien Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023402914 PECOS PAC ID: 9830404417 Enrollment ID: I20191030002908 |
| Provider Name | Jennifer C Colvin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770997934 PECOS PAC ID: 9335448372 Enrollment ID: I20191031003129 |
| Provider Name | Olivia R Redline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760838544 PECOS PAC ID: 1658666052 Enrollment ID: I20191112002014 |
| Provider Name | Lauren a Earthman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285191346 PECOS PAC ID: 2668804618 Enrollment ID: I20191113003206 |
| Provider Name | Natalie Rose Brulotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912398199 PECOS PAC ID: 5092034256 Enrollment ID: I20191113003573 |
| Provider Name | Preethi Balakrishnan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1447578927 PECOS PAC ID: 7517195134 Enrollment ID: I20191114000092 |
| Provider Name | Jessica Lil Anderies |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760963698 PECOS PAC ID: 3779915525 Enrollment ID: I20191115001138 |
| Provider Name | Caitlin Alyssa Kokot |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215283809 PECOS PAC ID: 2668804246 Enrollment ID: I20191120001221 |
| Provider Name | Rhiannon a Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366090110 PECOS PAC ID: 8921431206 Enrollment ID: I20191126002584 |
| Provider Name | Shelby Mae Gordon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538702774 PECOS PAC ID: 4284067729 Enrollment ID: I20191213001443 |
| Provider Name | Carson Van Sanford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669869574 PECOS PAC ID: 9537471149 Enrollment ID: I20191216000256 |
| Provider Name | Georgina De La Garza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518316611 PECOS PAC ID: 7719245158 Enrollment ID: I20191223000071 |
| Provider Name | Erica En Jia Li |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285989137 PECOS PAC ID: 3870809395 Enrollment ID: I20191223001262 |
| Provider Name | Amil Rafiq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669785804 PECOS PAC ID: 4880812452 Enrollment ID: I20191226001504 |
| Provider Name | Lindsay E Saltsgiver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073155545 PECOS PAC ID: 9830523869 Enrollment ID: I20191230001485 |
| Provider Name | Sarah Christine Davison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235552308 PECOS PAC ID: 2365876190 Enrollment ID: I20200102001002 |
| Provider Name | Lisa M Soehren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760860647 PECOS PAC ID: 4789987892 Enrollment ID: I20200103001767 |
| Provider Name | Lonika Sood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063642981 PECOS PAC ID: 4183870389 Enrollment ID: I20200116001360 |
| Provider Name | Maggie Mary Bulger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518504711 PECOS PAC ID: 3577999176 Enrollment ID: I20200130000027 |
| Provider Name | George Lopez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578588752 PECOS PAC ID: 9638172034 Enrollment ID: I20200224000997 |
| Provider Name | Christopher Thomas Rainville |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609217611 PECOS PAC ID: 8527299908 Enrollment ID: I20200226000624 |
| Provider Name | Erin Holland-wolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194368134 PECOS PAC ID: 5597192443 Enrollment ID: I20200305001726 |
| Provider Name | Richard J Montandon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164650198 PECOS PAC ID: 0941426829 Enrollment ID: I20200317001072 |
| Provider Name | Amber N Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710237003 PECOS PAC ID: 0345678512 Enrollment ID: I20200323000239 |
| Provider Name | Colleen Marie Marty Coleman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720320062 PECOS PAC ID: 1759605983 Enrollment ID: I20200422002690 |
| Provider Name | Sumant Arora |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134535560 PECOS PAC ID: 3779897517 Enrollment ID: I20200424001096 |
| Provider Name | Nicholas Riordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629600648 PECOS PAC ID: 1052741360 Enrollment ID: I20200428000427 |
| Provider Name | Marcella Joy Day Staaben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174152060 PECOS PAC ID: 7113358193 Enrollment ID: I20200506002444 |
| Provider Name | Aradhna Seth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073933107 PECOS PAC ID: 0244501963 Enrollment ID: I20200527003355 |
| Provider Name | Karina Valhalla Mandragon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083197768 PECOS PAC ID: 8527489640 Enrollment ID: I20200528000633 |
| Provider Name | Carol L Hough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255996674 PECOS PAC ID: 7911235528 Enrollment ID: I20200531000027 |
| Provider Name | Yiping Li |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699032961 PECOS PAC ID: 2163655713 Enrollment ID: I20200601002118 |
| Provider Name | Nicholas E Calvo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972958593 PECOS PAC ID: 4183918279 Enrollment ID: I20200625001046 |
| Provider Name | Patricia Janelle Ferguson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497377238 PECOS PAC ID: 6204258981 Enrollment ID: I20200625002087 |
| Provider Name | Ryan W Farnsworth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457709727 PECOS PAC ID: 5496047201 Enrollment ID: I20200626001724 |
| Provider Name | Joshua Geeming Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992182885 PECOS PAC ID: 3971868696 Enrollment ID: I20200713003381 |
| Provider Name | Nicholas George Cowley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043742646 PECOS PAC ID: 9133543648 Enrollment ID: I20200716002752 |
| Provider Name | Helen Z Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053774000 PECOS PAC ID: 6103117619 Enrollment ID: I20200720000436 |
| Provider Name | Kelli Marie Geiger Mcentee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952755274 PECOS PAC ID: 6800210246 Enrollment ID: I20200720000489 |
| Provider Name | Jordyn Lanae Watts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548899156 PECOS PAC ID: 6305260563 Enrollment ID: I20200721001690 |
| Provider Name | Hanbing Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679927784 PECOS PAC ID: 3779907522 Enrollment ID: I20200727001289 |
| Provider Name | Kayla Marie Fix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710411947 PECOS PAC ID: 3870918410 Enrollment ID: I20200730000880 |
| Provider Name | Christopher a Meadows |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205280211 PECOS PAC ID: 2668752577 Enrollment ID: I20200804001266 |
| Provider Name | Devyn Irene Szwec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700230216 PECOS PAC ID: 3173816253 Enrollment ID: I20200804003676 |
| Provider Name | Samantha Kate Mathews-klebes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871977454 PECOS PAC ID: 4284982489 Enrollment ID: I20200805003078 |
| Provider Name | Meghan Chelise Tanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033641451 PECOS PAC ID: 7416373774 Enrollment ID: I20200817003359 |
| Provider Name | Kyle Y Ogami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801276571 PECOS PAC ID: 9638471626 Enrollment ID: I20200819003829 |
| Provider Name | Molly Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073044863 PECOS PAC ID: 7810311537 Enrollment ID: I20200824001452 |
| Provider Name | Janelle Hanni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902415029 PECOS PAC ID: 2365869096 Enrollment ID: I20200826003094 |
| Provider Name | Michael Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558757757 PECOS PAC ID: 9335424449 Enrollment ID: I20200827002834 |
| Provider Name | Derek Ting Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568889731 PECOS PAC ID: 5991068363 Enrollment ID: I20200903003199 |
| Provider Name | Jarod Patrick Mcateer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992947634 PECOS PAC ID: 5092035220 Enrollment ID: I20200914000448 |
| Provider Name | Ashleigh Solak Konter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871105221 PECOS PAC ID: 7214355742 Enrollment ID: I20200916000760 |
| Provider Name | Tonya M Holstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407177157 PECOS PAC ID: 6305013707 Enrollment ID: I20200917003166 |
| Provider Name | Margaret Ann Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184236671 PECOS PAC ID: 6901225226 Enrollment ID: I20201006000088 |
| Provider Name | Otto W Wickstrom |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487826939 PECOS PAC ID: 0648322073 Enrollment ID: I20201012000766 |
| Provider Name | Pin-yi Ko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356768691 PECOS PAC ID: 9436453834 Enrollment ID: I20201016001892 |
| Provider Name | Alcia Delaney Edwards-richards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689815573 PECOS PAC ID: 0941502439 Enrollment ID: I20201030000280 |
| Provider Name | Michael Kristopher Don Woodruff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871082990 PECOS PAC ID: 7012329287 Enrollment ID: I20201211000619 |
| Provider Name | Thomas Lowell Fernandes |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1205114162 PECOS PAC ID: 0345652343 Enrollment ID: I20201216001432 |
| Provider Name | Logan Andrew Villarreal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689164188 PECOS PAC ID: 3476965492 Enrollment ID: I20201216002174 |
| Provider Name | Justin Lange |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386022507 PECOS PAC ID: 9739491267 Enrollment ID: I20201231001252 |
| Provider Name | Jennifer Oliver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447580907 PECOS PAC ID: 3577786326 Enrollment ID: I20210106000901 |
| Provider Name | Andrew a Bloom |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891309555 PECOS PAC ID: 0840603692 Enrollment ID: I20210115000901 |
| Provider Name | Kyle P Robles |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821645979 PECOS PAC ID: 7911310784 Enrollment ID: I20210115001784 |
| Provider Name | Michelle Drobny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124432505 PECOS PAC ID: 4789979451 Enrollment ID: I20210122000428 |
| Provider Name | Scott J Tetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437529773 PECOS PAC ID: 3072927052 Enrollment ID: I20210203000607 |
| Provider Name | Jeremy Edward Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063919843 PECOS PAC ID: 0941614812 Enrollment ID: I20210204001446 |
| Provider Name | James Michael Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245828227 PECOS PAC ID: 1759796352 Enrollment ID: I20210211003386 |
| Provider Name | Gary a Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114951647 PECOS PAC ID: 7416998026 Enrollment ID: I20210217002169 |
| Provider Name | Yana Vladimirovna Vistorovskaya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245889419 PECOS PAC ID: 7214343169 Enrollment ID: I20210301002748 |
| Provider Name | Michael R Coe |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1295730802 PECOS PAC ID: 5890730014 Enrollment ID: I20210302001952 |
| Provider Name | Carrie Anne King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750425690 PECOS PAC ID: 4688080211 Enrollment ID: I20210305002136 |
| Provider Name | Nathaniel L Crumet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487970125 PECOS PAC ID: 8022251479 Enrollment ID: I20210309002706 |
| Provider Name | Alexandra M Schmidt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043575574 PECOS PAC ID: 4183032022 Enrollment ID: I20210414001946 |
| Provider Name | Allison Kendall Nichols |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245815398 PECOS PAC ID: 6800204504 Enrollment ID: I20210419001305 |
| Provider Name | Clare P Bear |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477982601 PECOS PAC ID: 4880002385 Enrollment ID: I20210422001143 |
| Provider Name | Casey M Hay |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053607523 PECOS PAC ID: 3678707320 Enrollment ID: I20210512001303 |
| Provider Name | Chelsea M Eastman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578964193 PECOS PAC ID: 1951624659 Enrollment ID: I20210513002444 |
| Provider Name | Shaina Marie Bass |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033792528 PECOS PAC ID: 3678982022 Enrollment ID: I20210514001398 |
| Provider Name | Mildred O Bay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679528178 PECOS PAC ID: 6608275797 Enrollment ID: I20210521001028 |
| Provider Name | Michael James Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053775767 PECOS PAC ID: 1052710746 Enrollment ID: I20210601000276 |
| Provider Name | Joshua Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659363190 PECOS PAC ID: 5092704791 Enrollment ID: I20210601001735 |
| Provider Name | Dean Paul Lorimer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669859823 PECOS PAC ID: 0345640207 Enrollment ID: I20210614003366 |
| Provider Name | Jose Gomez Bautista |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508354010 PECOS PAC ID: 4587064209 Enrollment ID: I20210616002430 |
| Provider Name | Sergei Ivanov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457732950 PECOS PAC ID: 6608148580 Enrollment ID: I20210622000804 |
| Provider Name | Jennifer M Emery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134552094 PECOS PAC ID: 8123396280 Enrollment ID: I20210625000172 |
| Provider Name | Travis Hughes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851889166 PECOS PAC ID: 4880095900 Enrollment ID: I20210628001380 |
| Provider Name | Benjamin M Carpenter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851724249 PECOS PAC ID: 7719250406 Enrollment ID: I20210628003010 |
| Provider Name | Eric Edward Desmarais |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174045967 PECOS PAC ID: 4981005840 Enrollment ID: I20210629002658 |
| Provider Name | Patrick L Kunkel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558850354 PECOS PAC ID: 2163823717 Enrollment ID: I20210702000926 |
| Provider Name | Zaid Diken |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134569148 PECOS PAC ID: 8123307295 Enrollment ID: I20210712000587 |
| Provider Name | Edwin Andre De Kock |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1134653348 PECOS PAC ID: 6002218179 Enrollment ID: I20210712003208 |
| Provider Name | Shannon Lee Riggs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942878053 PECOS PAC ID: 8224430004 Enrollment ID: I20210715003873 |
| Provider Name | Erika L Garbrecht |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164765632 PECOS PAC ID: 8729214028 Enrollment ID: I20210721001847 |
| Provider Name | Beth Ann Bremer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629645296 PECOS PAC ID: 7113320516 Enrollment ID: I20210722002183 |
| Provider Name | William Lou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710340161 PECOS PAC ID: 9830481241 Enrollment ID: I20210723003232 |
| Provider Name | James D Calamia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588158166 PECOS PAC ID: 1052643913 Enrollment ID: I20210726000859 |
| Provider Name | Brent Ashby Mcginty |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245645639 PECOS PAC ID: 6204053119 Enrollment ID: I20210727001458 |
| Provider Name | Giulia M Piano |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134726797 PECOS PAC ID: 8022428879 Enrollment ID: I20210802000546 |
| Provider Name | Richard James Deppisch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932609864 PECOS PAC ID: 6204170236 Enrollment ID: I20210803000464 |
| Provider Name | Phoebe Ruth Ortman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154991107 PECOS PAC ID: 9234533597 Enrollment ID: I20210809001526 |
| Provider Name | Craig R Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053994640 PECOS PAC ID: 8527462613 Enrollment ID: I20210811003692 |
| Provider Name | Carolanne Lyons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013413962 PECOS PAC ID: 8426452517 Enrollment ID: I20210811003745 |
| Provider Name | Stephanie Michelle Biggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447867098 PECOS PAC ID: 9335551597 Enrollment ID: I20210812001385 |
| Provider Name | Nancy C Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851943765 PECOS PAC ID: 1254735293 Enrollment ID: I20210812001535 |
| Provider Name | Kamran a Karim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821520461 PECOS PAC ID: 1557774775 Enrollment ID: I20210812002724 |
| Provider Name | Aaron R Canfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144674029 PECOS PAC ID: 9739583709 Enrollment ID: I20210812002873 |
| Provider Name | Yuliya Shayunussova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366829855 PECOS PAC ID: 5991050882 Enrollment ID: I20210818002152 |
| Provider Name | Sean Robert Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619516812 PECOS PAC ID: 3072940253 Enrollment ID: I20210819003091 |
| Provider Name | Tyson M Vandehey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962856641 PECOS PAC ID: 7315342953 Enrollment ID: I20210820000327 |
| Provider Name | Tiffany Fernandez-neel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497246128 PECOS PAC ID: 6204231772 Enrollment ID: I20210820002320 |
| Provider Name | Quinn Omoto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871957464 PECOS PAC ID: 8426382052 Enrollment ID: I20210820003043 |
| Provider Name | Caitlin Alyssa Klamper |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003347543 PECOS PAC ID: 9638574056 Enrollment ID: I20210824001663 |
| Provider Name | Megan Marie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528641016 PECOS PAC ID: 9335544600 Enrollment ID: I20210825000460 |
| Provider Name | Scott Bradley Bradeen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609228139 PECOS PAC ID: 0143567677 Enrollment ID: I20210826002344 |
| Provider Name | Brittney M Knudson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447657812 PECOS PAC ID: 4789925983 Enrollment ID: I20210901002882 |
| Provider Name | Launa Marie Lister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679857833 PECOS PAC ID: 8628245669 Enrollment ID: I20210910002625 |
| Provider Name | Steven J Healan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811275944 PECOS PAC ID: 2062725500 Enrollment ID: I20210922002614 |
| Provider Name | Zubair Saeed Zafar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1174930051 PECOS PAC ID: 7416227897 Enrollment ID: I20210927002093 |
| Provider Name | Nicole Marie Hardy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205110095 PECOS PAC ID: 1052609849 Enrollment ID: I20210929002633 |
| Provider Name | Molly Elizabeth Dahl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235559048 PECOS PAC ID: 0345581518 Enrollment ID: I20210930002827 |
| Provider Name | Nicholas Gerard Berger |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1518200666 PECOS PAC ID: 9032438510 Enrollment ID: I20211001000948 |
| Provider Name | Jeffrey S King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124289269 PECOS PAC ID: 8224436464 Enrollment ID: I20211001002339 |
| Provider Name | Brandon M Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558611822 PECOS PAC ID: 0941453872 Enrollment ID: I20211004001846 |
| Provider Name | Linh M Quan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063447068 PECOS PAC ID: 7113175738 Enrollment ID: I20211006001276 |
| Provider Name | Barbara Jacobs |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275981706 PECOS PAC ID: 5294029849 Enrollment ID: I20211013002778 |
| Provider Name | Kathryn W Jones |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871732537 PECOS PAC ID: 3971657552 Enrollment ID: I20211026003191 |
| Provider Name | Ann Alexander Abraham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376938514 PECOS PAC ID: 2466790399 Enrollment ID: I20211109001621 |
| Provider Name | John Martin Stogin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1235191297 PECOS PAC ID: 5799793410 Enrollment ID: I20211109002426 |
| Provider Name | Evita Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194125732 PECOS PAC ID: 6002187895 Enrollment ID: I20211112002171 |
| Provider Name | Annie Petit-homme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508528464 PECOS PAC ID: 3476942491 Enrollment ID: I20211112002343 |
| Provider Name | Jennifer L Gaston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205395548 PECOS PAC ID: 3779973896 Enrollment ID: I20211203002587 |
| Provider Name | Samina Muneeruddin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821299934 PECOS PAC ID: 2668641358 Enrollment ID: I20211208002367 |
| Provider Name | Neill Mears |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740694603 PECOS PAC ID: 6507166428 Enrollment ID: I20211215002664 |
| Provider Name | Robert P Waugh |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1003950569 PECOS PAC ID: 7113043183 Enrollment ID: I20211215002745 |
| Provider Name | Billie Jo Schwalbe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578220349 PECOS PAC ID: 5496146573 Enrollment ID: I20211228001167 |
| Provider Name | Andrew Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164803912 PECOS PAC ID: 3274836960 Enrollment ID: I20220107001455 |
| Provider Name | Jeffery Givens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003890732 PECOS PAC ID: 2961487962 Enrollment ID: I20220124000242 |
| Provider Name | Nicole Suzanne Armitage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225641855 PECOS PAC ID: 9133512262 Enrollment ID: I20220211001755 |
| Provider Name | Jennifer Willis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134540941 PECOS PAC ID: 6103059456 Enrollment ID: I20220307001786 |
| Provider Name | Sarah Rosamonde Hartzell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407049356 PECOS PAC ID: 5698869477 Enrollment ID: I20220309002354 |
| Provider Name | Daniel Bowen Baird |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073000303 PECOS PAC ID: 8426443243 Enrollment ID: I20220315000186 |
| Provider Name | Divyanshoo Kohli |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649569393 PECOS PAC ID: 2860706868 Enrollment ID: I20220315000615 |
| Provider Name | Krystal Ann Colwill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285206185 PECOS PAC ID: 1456746015 Enrollment ID: I20220316004135 |
| Provider Name | Michael Mandziara |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245632165 PECOS PAC ID: 0446470629 Enrollment ID: I20220401000313 |
| Provider Name | Katrina Joy Whipple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255088845 PECOS PAC ID: 8628465630 Enrollment ID: I20220421001280 |
| Provider Name | Hui Quan Katie Zhang |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871956912 PECOS PAC ID: 7416334768 Enrollment ID: I20220506002054 |
| Provider Name | Emily a Piekenbrock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891255386 PECOS PAC ID: 2466830757 Enrollment ID: I20220526002778 |
| Provider Name | Kaitlund R Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922662592 PECOS PAC ID: 9931588472 Enrollment ID: I20220614000951 |
| Provider Name | Taylor K Stewart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790245165 PECOS PAC ID: 2365821774 Enrollment ID: I20220615000912 |
| Provider Name | Brittany Ann Urso |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427545433 PECOS PAC ID: 0244561124 Enrollment ID: I20220624002362 |
| Provider Name | Amin Hossein Rabiei |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770011090 PECOS PAC ID: 5698007177 Enrollment ID: I20220711001732 |
| Provider Name | Carol Eileen Johansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881154847 PECOS PAC ID: 4789065053 Enrollment ID: I20220718002124 |
| Provider Name | Rebekah Collins-cronkright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912461286 PECOS PAC ID: 7810378650 Enrollment ID: I20220725003117 |
| Provider Name | Meghana Srinivas Kinariwala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871049809 PECOS PAC ID: 4284904293 Enrollment ID: I20220726003823 |
| Provider Name | Carrie E. Laborde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043367907 PECOS PAC ID: 9436305331 Enrollment ID: I20220804002917 |
| Provider Name | Erica J Lay |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1588196463 PECOS PAC ID: 4082004320 Enrollment ID: I20220809001696 |
| Provider Name | Braidon Forrest Freeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104812981 PECOS PAC ID: 5193772366 Enrollment ID: I20220810001679 |
| Provider Name | Karleigh Larson Beck |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891430427 PECOS PAC ID: 8628451309 Enrollment ID: I20220812000589 |
| Provider Name | Ariana Kamaliazad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982268777 PECOS PAC ID: 9739562422 Enrollment ID: I20220812001039 |
| Provider Name | Matthew Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417343773 PECOS PAC ID: 3476800111 Enrollment ID: I20220812002505 |
| Provider Name | Bryan Gregory Takisaki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518521178 PECOS PAC ID: 5698158145 Enrollment ID: I20220816000765 |
| Provider Name | Soo Young Kwon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497199210 PECOS PAC ID: 2365686474 Enrollment ID: I20220816003257 |
| Provider Name | Timothy Gay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316301229 PECOS PAC ID: 2961784897 Enrollment ID: I20220824001312 |
| Provider Name | Matthew L Coons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750946042 PECOS PAC ID: 3870977333 Enrollment ID: I20220901000012 |
| Provider Name | Stanley a Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700339892 PECOS PAC ID: 5092199570 Enrollment ID: I20220901000738 |
| Provider Name | Carolyn Black |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871984237 PECOS PAC ID: 8022355650 Enrollment ID: I20220906001883 |
| Provider Name | Melissa R Braid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568026961 PECOS PAC ID: 5890022446 Enrollment ID: I20220916002491 |
| Provider Name | Puneet Dhillon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710413539 PECOS PAC ID: 5496025389 Enrollment ID: I20220919003074 |
| Provider Name | Kayli R Gimarc |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1164942868 PECOS PAC ID: 9739459926 Enrollment ID: I20220922002195 |
| Provider Name | Clare Frances Frohlich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588331102 PECOS PAC ID: 9537544762 Enrollment ID: I20220923001139 |
| Provider Name | Justin Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861889354 PECOS PAC ID: 7810304565 Enrollment ID: I20221004000302 |
| Provider Name | Mara M Hazeltine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689134181 PECOS PAC ID: 0648656967 Enrollment ID: I20221010001863 |
| Provider Name | Tomoko Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679033245 PECOS PAC ID: 8820498736 Enrollment ID: I20221014000958 |
| Provider Name | Karina Alexi Bethje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952042210 PECOS PAC ID: 6002282092 Enrollment ID: I20221017000628 |
| Provider Name | Robert Dieter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194845586 PECOS PAC ID: 6406991629 Enrollment ID: I20221017003192 |
| Provider Name | Kevin Correll Keith |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851955892 PECOS PAC ID: 0042607327 Enrollment ID: I20221024001426 |
| Provider Name | Kyle J Edwards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417215351 PECOS PAC ID: 1254562127 Enrollment ID: I20221024001813 |
| Provider Name | Jamie Lummus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417401415 PECOS PAC ID: 7416369798 Enrollment ID: I20221104001674 |
| Provider Name | Shannon Leigh Dunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851953533 PECOS PAC ID: 9032586730 Enrollment ID: I20221109002946 |
| Provider Name | Mark Andrew Nyberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154091940 PECOS PAC ID: 9436527751 Enrollment ID: I20221117001916 |
| Provider Name | Courtney a Lyle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275670549 PECOS PAC ID: 3577727940 Enrollment ID: I20221122000721 |
| Provider Name | James Monroe Stryker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831820562 PECOS PAC ID: 9234508409 Enrollment ID: I20221209001140 |
| Provider Name | Jaimie Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912632746 PECOS PAC ID: 1153791223 Enrollment ID: I20230105002867 |
| Provider Name | Harshwant Grover |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639605454 PECOS PAC ID: 9638449564 Enrollment ID: I20230110002035 |
| Provider Name | Seyedmahdi Pahlavani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841789419 PECOS PAC ID: 3375893084 Enrollment ID: I20230217001538 |
| Provider Name | Joel a Glidewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609588466 PECOS PAC ID: 8820461601 Enrollment ID: I20230224002401 |
| Provider Name | Savannah Marie Patterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427685841 PECOS PAC ID: 6800260951 Enrollment ID: I20230313002568 |
| Provider Name | Emily H Shin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1831350768 PECOS PAC ID: 5193906998 Enrollment ID: I20230323001696 |
| Provider Name | Melony Burns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750047510 PECOS PAC ID: 2163897141 Enrollment ID: I20230404002354 |
| Provider Name | Trisha Leonard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174841571 PECOS PAC ID: 9234504291 Enrollment ID: I20230405002448 |
| Provider Name | April Jean Walter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164072567 PECOS PAC ID: 6608204417 Enrollment ID: I20230412002719 |
| Provider Name | Emily Rose Hieftje |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194441758 PECOS PAC ID: 6608241971 Enrollment ID: I20230419001492 |
| Provider Name | Mason Kahiau Vegas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962162784 PECOS PAC ID: 0345635215 Enrollment ID: I20230425001204 |
| Provider Name | Eric Matthew Custer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992401368 PECOS PAC ID: 2860857596 Enrollment ID: I20230502000278 |
| Provider Name | Ashutosh Mahajan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1932140183 PECOS PAC ID: 6507896776 Enrollment ID: I20230510002388 |
| Provider Name | David a Dalsimer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477530848 PECOS PAC ID: 6709780851 Enrollment ID: I20230602000975 |
| Provider Name | Cayce Nicole Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245859263 PECOS PAC ID: 1951768092 Enrollment ID: I20230606001550 |
| Provider Name | Eric a Wien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952806804 PECOS PAC ID: 5496144503 Enrollment ID: I20230606001670 |
| Provider Name | Claire O Brutocao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912566274 PECOS PAC ID: 8426385279 Enrollment ID: I20230608001034 |
| Provider Name | Samuel James Beck |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720402993 PECOS PAC ID: 7719271410 Enrollment ID: I20230619001301 |
| Provider Name | Jared S Maybee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184078065 PECOS PAC ID: 9234561242 Enrollment ID: I20230621001153 |
| Provider Name | Phillip Andrew Choi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801250121 PECOS PAC ID: 5496113565 Enrollment ID: I20230621003449 |
| Provider Name | Tasha K Marchand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275200123 PECOS PAC ID: 9436518917 Enrollment ID: I20230630000758 |
| Provider Name | Emily H Huschart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457732638 PECOS PAC ID: 5092116483 Enrollment ID: I20230630000981 |
| Provider Name | Roger Bentley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174817258 PECOS PAC ID: 6709186505 Enrollment ID: I20230703002871 |
| Provider Name | Katherine E Sloop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376171611 PECOS PAC ID: 4284093550 Enrollment ID: I20230705000694 |
| Provider Name | Daniel S Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639853914 PECOS PAC ID: 0345609673 Enrollment ID: I20230705003214 |
| Provider Name | Kelsi Cook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073906699 PECOS PAC ID: 8921465279 Enrollment ID: I20230706001346 |
| Provider Name | Richa Mahajan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730396656 PECOS PAC ID: 4385784859 Enrollment ID: I20230707000206 |
| Provider Name | Glen Aaron Hester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346925419 PECOS PAC ID: 5395104210 Enrollment ID: I20230710002173 |
| Provider Name | Mashette Syrkin-nikolau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811421779 PECOS PAC ID: 0244699197 Enrollment ID: I20230710003197 |
| Provider Name | Jennifer Glatt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982109500 PECOS PAC ID: 9335508126 Enrollment ID: I20230711004584 |
| Provider Name | Oksana Nimkevych |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053644567 PECOS PAC ID: 2163643545 Enrollment ID: I20230714002833 |
| Provider Name | Benjamin W Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982233219 PECOS PAC ID: 5193185171 Enrollment ID: I20230721003266 |
| Provider Name | Monita Poudyal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205805470 PECOS PAC ID: 9133139223 Enrollment ID: I20230726002305 |
| Provider Name | Brigette Christine Karagie Schuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538797857 PECOS PAC ID: 8325409022 Enrollment ID: I20230727002455 |
| Provider Name | Jessica Dear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467196238 PECOS PAC ID: 4981065356 Enrollment ID: I20230801003536 |
| Provider Name | Naaman Joseph Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487335964 PECOS PAC ID: 8820450273 Enrollment ID: I20230816002633 |
| Provider Name | Rachel Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447745286 PECOS PAC ID: 3779945977 Enrollment ID: I20230821002135 |
| Provider Name | Mellissa Sue Ivy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730815960 PECOS PAC ID: 0648649152 Enrollment ID: I20230825002529 |
| Provider Name | Dara Lynn Horn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629457593 PECOS PAC ID: 2567783020 Enrollment ID: I20230828001483 |
| Provider Name | Stephanie Tjho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952798670 PECOS PAC ID: 7517244874 Enrollment ID: I20230829001223 |
| Provider Name | Brandon M White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396988069 PECOS PAC ID: 9234592890 Enrollment ID: I20230829004369 |
| Provider Name | Stevanie Junae Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598441248 PECOS PAC ID: 0244694297 Enrollment ID: I20230911001032 |
| Provider Name | Karly Michelle Clark |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760014450 PECOS PAC ID: 4789048620 Enrollment ID: I20230912001008 |
| Provider Name | Carroll N Altsholer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275251183 PECOS PAC ID: 3476907361 Enrollment ID: I20230926003331 |
| Provider Name | Miranda Ann Gale |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356062434 PECOS PAC ID: 6709253164 Enrollment ID: I20231002002235 |
| Provider Name | Jennifer Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972282044 PECOS PAC ID: 1557716941 Enrollment ID: I20231004002072 |
| Provider Name | Jami Hoff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093027476 PECOS PAC ID: 3678928884 Enrollment ID: I20231009000767 |
| Provider Name | Shannon Leah Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083498919 PECOS PAC ID: 7719332857 Enrollment ID: I20231010003552 |
| Provider Name | Lincoln John Round |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730968561 PECOS PAC ID: 0244685394 Enrollment ID: I20231010003754 |
| Provider Name | Chelsea Taylor Bremer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184113052 PECOS PAC ID: 9739534504 Enrollment ID: I20231013002060 |
| Provider Name | Randi Lynn Hankins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679701783 PECOS PAC ID: 1456707728 Enrollment ID: I20231023001443 |
| Provider Name | Cicily Hummer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851910566 PECOS PAC ID: 7911353024 Enrollment ID: I20231026000249 |
| Provider Name | Clifford W Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184006389 PECOS PAC ID: 3476869033 Enrollment ID: I20231106002445 |
| Provider Name | Natasha Vanessa Demattos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922217678 PECOS PAC ID: 0840354411 Enrollment ID: I20231106002717 |
| Provider Name | Cassandra Marie Sauther |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154959534 PECOS PAC ID: 0446670277 Enrollment ID: I20231122003110 |
| Provider Name | Magdalena Garbacz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427612514 PECOS PAC ID: 6608104344 Enrollment ID: I20231206003572 |
| Provider Name | Chelsea Ann Matz |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396223855 PECOS PAC ID: 2860842630 Enrollment ID: I20231220002714 |
| Provider Name | Jennifer Cooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538791447 PECOS PAC ID: 9436587854 Enrollment ID: I20240103003245 |
| Provider Name | Pong Xiong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922654532 PECOS PAC ID: 8729430889 Enrollment ID: I20240115000966 |
| Provider Name | Peter Franz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790363778 PECOS PAC ID: 3870945835 Enrollment ID: I20240116002107 |
| Provider Name | Sydney Joan Lindgren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508176959 PECOS PAC ID: 3072965862 Enrollment ID: I20240117002395 |
| Provider Name | Kasey M Bailey-vanhook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346717238 PECOS PAC ID: 8729430186 Enrollment ID: I20240122001763 |
| Provider Name | Leanne Kathleen Troop-dasgupta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104698489 PECOS PAC ID: 0547612905 Enrollment ID: I20240122001771 |
| Provider Name | Lauren Johnson |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346636644 PECOS PAC ID: 0547530552 Enrollment ID: I20240122003546 |
| Provider Name | Robert Paul Blair |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497520274 PECOS PAC ID: 2668825829 Enrollment ID: I20240124003168 |
| Provider Name | Stephanie Metzger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609420942 PECOS PAC ID: 5092045591 Enrollment ID: I20240125000826 |
| Provider Name | Jocelyn Cayla Mccornack |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013594209 PECOS PAC ID: 0143673970 Enrollment ID: I20240129002522 |
| Provider Name | Lydia Fazzio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770986176 PECOS PAC ID: 0749503993 Enrollment ID: I20240209002193 |
| Provider Name | Elicia Grace Goodwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285408591 PECOS PAC ID: 6608219100 Enrollment ID: I20240212004187 |
| Provider Name | Justin Garrett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093940074 PECOS PAC ID: 9436391828 Enrollment ID: I20240218000134 |
| Provider Name | Sharaya L Hundeby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972372902 PECOS PAC ID: 2860836756 Enrollment ID: I20240219003934 |
| Provider Name | Lindsey K Frischmann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629364419 PECOS PAC ID: 4789970815 Enrollment ID: I20240220002532 |
| Provider Name | Sadie Wyatt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821716838 PECOS PAC ID: 8123463676 Enrollment ID: I20240223003652 |
| Provider Name | Tracy L Kaluzny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609853332 PECOS PAC ID: 4284079500 Enrollment ID: I20240227000967 |
| Provider Name | Mohammad a Alkheder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477176220 PECOS PAC ID: 9436570058 Enrollment ID: I20240307004235 |
| Provider Name | Brianne R Boren |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225757156 PECOS PAC ID: 5890131080 Enrollment ID: I20240311001260 |
| Provider Name | Tarah Lynn Boerner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750574315 PECOS PAC ID: 0840384814 Enrollment ID: I20240404000862 |
| Provider Name | Arianna a Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720849284 PECOS PAC ID: 6103264312 Enrollment ID: I20240408001810 |
| Provider Name | Cerise Rapp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497170005 PECOS PAC ID: 6800135682 Enrollment ID: I20240416003826 |
| Provider Name | Natasha Barauskas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407527914 PECOS PAC ID: 9830567023 Enrollment ID: I20240418002961 |
| Provider Name | Zachary W Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912765892 PECOS PAC ID: 5991144164 Enrollment ID: I20240419003624 |
| Provider Name | Charlotte Krystyn Stocking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851894000 PECOS PAC ID: 5991050874 Enrollment ID: I20240423000944 |
| Provider Name | Brian Peterson Reidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376047258 PECOS PAC ID: 6800141094 Enrollment ID: I20240507004577 |
| Provider Name | Samer Abdulkhalek |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205321262 PECOS PAC ID: 1052854999 Enrollment ID: I20240619001511 |
| Provider Name | Binod Wagle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538392659 PECOS PAC ID: 9032359369 Enrollment ID: I20240620003924 |
| Provider Name | Alex Conrad Crist |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104405604 PECOS PAC ID: 8123561610 Enrollment ID: I20240625003146 |
| Provider Name | Elliott James Van Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356922579 PECOS PAC ID: 4688075260 Enrollment ID: I20240712003947 |
| Provider Name | Robert Raymond Eagle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659958031 PECOS PAC ID: 5597200345 Enrollment ID: I20240716004381 |
| Provider Name | Ryan Sauther |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164050548 PECOS PAC ID: 7517387210 Enrollment ID: I20240717000000 |
| Provider Name | Deanna Glassman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770992315 PECOS PAC ID: 3476933847 Enrollment ID: I20240717001683 |
| Provider Name | Dharmini Manogna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1407341183 PECOS PAC ID: 8729327481 Enrollment ID: I20240722004061 |
| Provider Name | Michael Russell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003374265 PECOS PAC ID: 8729313747 Enrollment ID: I20240724004008 |
| Provider Name | Samuel Robert Josephsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184202541 PECOS PAC ID: 3971940719 Enrollment ID: I20240726002894 |
| Provider Name | Alixandra Silha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568049518 PECOS PAC ID: 2860938602 Enrollment ID: I20240729001925 |
| Provider Name | Sharon Uhder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346828118 PECOS PAC ID: 7618414442 Enrollment ID: I20240730000788 |
| Provider Name | Nathan Scott Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275116477 PECOS PAC ID: 7416349568 Enrollment ID: I20240801003286 |
| Provider Name | Adam Joseph Newell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407823602 PECOS PAC ID: 1052858503 Enrollment ID: I20240801004651 |
| Provider Name | Alexander Hutchinson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548798630 PECOS PAC ID: 7618396797 Enrollment ID: I20240802003628 |
| Provider Name | Chloe Quinnett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588390108 PECOS PAC ID: 3274070594 Enrollment ID: I20240805002878 |
| Provider Name | Brenden Cutter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316434178 PECOS PAC ID: 5092161653 Enrollment ID: I20240807000284 |
| Provider Name | Melanie Suzanne Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912585266 PECOS PAC ID: 8729439492 Enrollment ID: I20240809001629 |
| Provider Name | Roxanne a Fries |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689135683 PECOS PAC ID: 2668871559 Enrollment ID: I20240809003701 |
| Provider Name | David Hamilton Waples |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780261206 PECOS PAC ID: 1052859816 Enrollment ID: I20240812004138 |
| Provider Name | Katherine Teresa Ericsson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184358368 PECOS PAC ID: 2860875416 Enrollment ID: I20240814001290 |
| Provider Name | Laine Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568459816 PECOS PAC ID: 8729175955 Enrollment ID: I20240814003631 |
| Provider Name | Juliana Zajicek Stegenga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285329763 PECOS PAC ID: 2062950561 Enrollment ID: I20240815000936 |
| Provider Name | Stephanie L Rinne |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841723475 PECOS PAC ID: 0345577391 Enrollment ID: I20240815001828 |
| Provider Name | Emily Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881041432 PECOS PAC ID: 7911354212 Enrollment ID: I20240826002432 |
| Provider Name | Natalie Rose Cooper |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1104138247 PECOS PAC ID: 0345537221 Enrollment ID: I20240826003110 |
| Provider Name | Amanda Esper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831857176 PECOS PAC ID: 7012456676 Enrollment ID: I20240827002213 |
| Provider Name | Michael Fisher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679986137 PECOS PAC ID: 2466714290 Enrollment ID: I20240829000894 |
| Provider Name | Lindsay Mlynarek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598342206 PECOS PAC ID: 8325486483 Enrollment ID: I20240829002497 |
| Provider Name | Sebring Sands |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093415929 PECOS PAC ID: 4688039795 Enrollment ID: I20240830001335 |
| Provider Name | Ryan Neil Lucas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447837042 PECOS PAC ID: 4587015011 Enrollment ID: I20240906002040 |
| Provider Name | Benjamin Trevor Ferrel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821527524 PECOS PAC ID: 3476822339 Enrollment ID: I20240911001067 |
| Provider Name | Jessica D Brathwaite |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700444262 PECOS PAC ID: 4880927540 Enrollment ID: I20240919002953 |
| Provider Name | Daphne Ly |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710151626 PECOS PAC ID: 4385874007 Enrollment ID: I20240927001006 |
| Provider Name | Scott Szucs Carleton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417101882 PECOS PAC ID: 4688799968 Enrollment ID: I20240927001025 |
| Provider Name | Angeliki Arvanitis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851053052 PECOS PAC ID: 7618343526 Enrollment ID: I20241001002316 |
| Provider Name | Winston Chan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801855408 PECOS PAC ID: 3476681719 Enrollment ID: I20241003001761 |
| Provider Name | Molly Austin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174357412 PECOS PAC ID: 2365974508 Enrollment ID: I20241014001889 |
| Provider Name | Rachael Marie Spivey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477221323 PECOS PAC ID: 5294268769 Enrollment ID: I20241023002208 |
| Provider Name | Samantha Jo Tilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225857766 PECOS PAC ID: 9739613399 Enrollment ID: I20241105004060 |
| Provider Name | Joy Vaughan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780413484 PECOS PAC ID: 4284168717 Enrollment ID: I20241106003328 |
| Provider Name | Crystal Rose Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659191476 PECOS PAC ID: 1850826108 Enrollment ID: I20241122001564 |
| Provider Name | Alyson Nicol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134639305 PECOS PAC ID: 4183159452 Enrollment ID: I20241122002298 |
| Provider Name | Rachael Mccrady |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104652270 PECOS PAC ID: 1759818420 Enrollment ID: I20241218003847 |
| Provider Name | Brandi Skiles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154650752 PECOS PAC ID: 5395888408 Enrollment ID: I20250102003257 |
| Provider Name | Jessica a Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417765934 PECOS PAC ID: 6507395548 Enrollment ID: I20250121002593 |
| Provider Name | Chad Call |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902478688 PECOS PAC ID: 1951797307 Enrollment ID: I20250211000956 |
| Provider Name | Shawn Michael Skok |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861204174 PECOS PAC ID: 9133649346 Enrollment ID: I20250218003384 |
| Provider Name | Megan Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962176800 PECOS PAC ID: 8123422532 Enrollment ID: I20250219002082 |
| Provider Name | Bryce Clinger |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356847370 PECOS PAC ID: 7214285642 Enrollment ID: I20250311003223 |
| Provider Name | Joslyn Erika Goings |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073310512 PECOS PAC ID: 9830611938 Enrollment ID: I20250318003139 |
| Provider Name | Elijah Kuhlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265095723 PECOS PAC ID: 3375065360 Enrollment ID: I20250319002483 |
| Provider Name | Carlo Orozco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386091676 PECOS PAC ID: 6608152921 Enrollment ID: I20250320000973 |
| Provider Name | Alma Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104639483 PECOS PAC ID: 2567985070 Enrollment ID: I20250325003239 |
| Provider Name | Jaime Noel Mcginnis-cooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053121459 PECOS PAC ID: 3173047032 Enrollment ID: I20250411003213 |
| Provider Name | Nora Hilda Hernandez Garcilazo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1538721659 PECOS PAC ID: 7416474036 Enrollment ID: I20250507002223 |
| Provider Name | Ismail Fahad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518529320 PECOS PAC ID: 2567794639 Enrollment ID: I20250508002577 |
| Provider Name | Mackenzie Mcphee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609515873 PECOS PAC ID: 4082123468 Enrollment ID: I20250605002090 |
| Provider Name | Dinesh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992200083 PECOS PAC ID: 4183025521 Enrollment ID: I20250606001063 |
| Provider Name | Abigail Ruley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497569974 PECOS PAC ID: 4688186067 Enrollment ID: I20250623000766 |
| Provider Name | Kendal Vann-campbell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457929762 PECOS PAC ID: 2769996487 Enrollment ID: I20250707001171 |
| Provider Name | John Beale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144961012 PECOS PAC ID: 2567819865 Enrollment ID: I20250710000294 |
| Provider Name | Gurpreet Aujla |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1609309681 PECOS PAC ID: 2163807165 Enrollment ID: I20250711001001 |
| Provider Name | Jared Joseph Onley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407233596 PECOS PAC ID: 7719238120 Enrollment ID: I20250711001558 |
| Provider Name | Miranda Camille Stein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831831031 PECOS PAC ID: 7012395569 Enrollment ID: I20250711002303 |
| Provider Name | Anne Foster-wylie Keeling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285376319 PECOS PAC ID: 7012350374 Enrollment ID: I20250711002608 |
| Provider Name | Jeffrey Todd Kilcup |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013536515 PECOS PAC ID: 6204280761 Enrollment ID: I20250711003646 |
| Provider Name | Adam Mark Larsen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841751179 PECOS PAC ID: 5991188955 Enrollment ID: I20250714002294 |
| Provider Name | Christopher Trent Brewer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801417241 PECOS PAC ID: 6103240379 Enrollment ID: I20250714002897 |
| Provider Name | Kyle Wyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073254785 PECOS PAC ID: 2860834108 Enrollment ID: I20250714003209 |
| Provider Name | Jacob Straus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093343220 PECOS PAC ID: 3072950955 Enrollment ID: I20250714003890 |
| Provider Name | Gregory Doornink |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598343436 PECOS PAC ID: 3476068834 Enrollment ID: I20250715000876 |
| Provider Name | Kenneth Lee Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558003863 PECOS PAC ID: 2163864562 Enrollment ID: I20250715001080 |
| Provider Name | Eric Edward Babajanian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1972007433 PECOS PAC ID: 0648603969 Enrollment ID: I20250716002487 |
| Provider Name | Kevin Bauerle |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861757346 PECOS PAC ID: 8527289685 Enrollment ID: I20250716003244 |
| Provider Name | Taryn Meacham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871243394 PECOS PAC ID: 0143601328 Enrollment ID: I20250722000560 |
| Provider Name | Travis Fisher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679214381 PECOS PAC ID: 4789035890 Enrollment ID: I20250722002200 |
| Provider Name | Mauricio Romero Olvera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871871616 PECOS PAC ID: 4981948528 Enrollment ID: I20250724002281 |
| Provider Name | Miranda Nunez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053925321 PECOS PAC ID: 7416464334 Enrollment ID: I20250725003969 |
| Provider Name | Cameron Alexander Price |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1487281614 PECOS PAC ID: 7012454481 Enrollment ID: I20250728003199 |
| Provider Name | Jasmina Solankee |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053990366 PECOS PAC ID: 4385151091 Enrollment ID: I20250728003365 |
| Provider Name | Jamie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447708649 PECOS PAC ID: 0840588000 Enrollment ID: I20250729003545 |
| Provider Name | Adam Joseph Newborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295297521 PECOS PAC ID: 8628506110 Enrollment ID: I20250801002614 |
| Provider Name | Lisa Odom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598007668 PECOS PAC ID: 5890082804 Enrollment ID: I20250807000941 |
| Provider Name | Tessa Elizabeth Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003565177 PECOS PAC ID: 1153718846 Enrollment ID: I20250822002299 |
| Provider Name | Jennifer Wickens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891437216 PECOS PAC ID: 0345682738 Enrollment ID: I20250826005296 |
| Provider Name | Krishnachaitanya Reddy Pallamala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437638640 PECOS PAC ID: 1254684350 Enrollment ID: I20250827004999 |
| Provider Name | Jessica Roberts |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1477139913 PECOS PAC ID: 0143622910 Enrollment ID: I20250903002611 |
| Provider Name | Christy Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371463 PECOS PAC ID: 6204180516 Enrollment ID: I20250907000173 |
| Provider Name | Laura Darlene Dewald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003557901 PECOS PAC ID: 8426406414 Enrollment ID: I20250909001117 |
| Provider Name | Matthew Paul Laskovy |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1811480759 PECOS PAC ID: 9537414248 Enrollment ID: I20250909003768 |
| Provider Name | Ryu Yoshida |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1720348162 PECOS PAC ID: 3274835699 Enrollment ID: I20250912001307 |
| Provider Name | Yves Chery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285904805 PECOS PAC ID: 6507090107 Enrollment ID: I20250918001622 |
| Provider Name | Aimee Marie Stratton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588498315 PECOS PAC ID: 7315441540 Enrollment ID: I20250919000333 |
| Provider Name | Audrianna Demars |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639933989 PECOS PAC ID: 2860996980 Enrollment ID: I20250919003413 |
| Provider Name | Bar Devald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972066587 PECOS PAC ID: 3779978010 Enrollment ID: I20250924004456 |
| Provider Name | Priyanka Kumari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033858204 PECOS PAC ID: 5698271666 Enrollment ID: I20250930001961 |
| Provider Name | Lauren Pokomo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790135069 PECOS PAC ID: 2264727676 Enrollment ID: I20251003003742 |
| Provider Name | Neethu Pitta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417471608 PECOS PAC ID: 6406273838 Enrollment ID: I20251003003776 |
| Provider Name | Laura A.S. Denman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831694736 PECOS PAC ID: 7214319284 Enrollment ID: I20251006002741 |
| Provider Name | Marjorie Schoen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447990999 PECOS PAC ID: 0042657934 Enrollment ID: I20251015003264 |
| Provider Name | Tam T Bui |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003550674 PECOS PAC ID: 9133616634 Enrollment ID: I20251017000530 |
| Provider Name | Megan Gilbert |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871017335 PECOS PAC ID: 6406229574 Enrollment ID: I20251023003623 |
| Provider Name | Allison Kay Hammer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821960170 PECOS PAC ID: 4486142965 Enrollment ID: I20251024003927 |
| Provider Name | Kasie Michael |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730061151 PECOS PAC ID: 9638660152 Enrollment ID: I20251112003685 |
| Provider Name | Corinna Glatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396118238 PECOS PAC ID: 6204118805 Enrollment ID: I20251205002038 |
| Provider Name | Hayli Serene Greenen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386491546 PECOS PAC ID: 0749766921 Enrollment ID: I20260107002937 |
| Provider Name | Edward Yap |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1790048593 PECOS PAC ID: 7517253792 Enrollment ID: I20260108001775 |
| Provider Name | Kiana Grace Pielli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104789791 PECOS PAC ID: 4284110982 Enrollment ID: I20260113000971 |
| Provider Name | Marcel Gerardo Perez Reveron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174370332 PECOS PAC ID: 8921585266 Enrollment ID: I20260116003280 |
| Provider Name | Chantia Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841156577 PECOS PAC ID: 5496231326 Enrollment ID: I20260304003915 |
| Provider Name | Aidan C Cline |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295084242 PECOS PAC ID: 1355824947 Enrollment ID: I20260311004120 |
| Provider Name | Winnie Lau |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578822128 PECOS PAC ID: 6204171614 Enrollment ID: I20260324003511 |
| Provider Name | Kelly Marie Troyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730047036 PECOS PAC ID: 5092290478 Enrollment ID: I20260402003527 |
| Provider Name | Melissa Roloff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114653656 PECOS PAC ID: 1052886264 Enrollment ID: I20260406002054 |
| Provider Name | Sean Mckee |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1033775523 PECOS PAC ID: 2567803877 Enrollment ID: I20260507002730 |
| Provider Name | Reed Redding |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1447034061 PECOS PAC ID: 4880038207 Enrollment ID: I20260511002571 |
| Provider Name | Lisa Szczepanski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396788311 PECOS PAC ID: 4587689203 Enrollment ID: I20260601000197 |
| Provider Name | Michele Richard |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083055487 PECOS PAC ID: 3678870763 Enrollment ID: I20260602003065 |
| Provider Name | Krysten Nykole Craddock |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659849602 PECOS PAC ID: 4981175700 Enrollment ID: I20260602004453 |
| Provider Name | Thomas John Costello |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053123729 PECOS PAC ID: 1850864661 Enrollment ID: I20260623005013 |
Cynthea Cunninghamm Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 W 15th Ave, Spokane, WA 99203 Phone: 509-838-3221 |
Goodwin Health Cafe, PLLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5625 N Wall St Ste 100, Spokane, WA 99205 Phone: 509-415-3507 |
Mide Integrative Therapies Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1516 W Riverside Ave Ste 208, Spokane, WA 99201 Phone: 707-337-6721 |
New Perspectives Behavior, Pllp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 W Mission Ave Ste 245, Spokane, WA 99201 Phone: 509-590-0047 Fax: 509-590-1437 |
Arc Professional Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6821 N Country Homes Blvd Ste 201, Spokane, WA 99208 Phone: 509-558-7559 |
Lifebond PLLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 323 E 2nd Ave Ste 201, Spokane, WA 99202 Phone: 509-998-7115 |