| Privia Medical Group Gulf Coast, Pllc | |
|
7900 Fannin St Ste 4000 Houston TX 77054-2935 | |
| (713) 512-7500 | |
| Not Available |
| Full Name | Privia Medical Group Gulf Coast, Pllc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 7900 Fannin St Ste 4000, Houston, Texas |
| Authorized Official Name and Position | Barbara Jordan (AVP REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 7135127613 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Privia Medical Group Gulf Coast, Pllc 1200 Binz St Ste 1490 Houston TX 77004-6946 Ph: (713) 512-7613 | Privia Medical Group Gulf Coast, Pllc 7900 Fannin St Ste 4000 Houston TX 77054-2935 Ph: (713) 512-7500 |
| NPI Number | 1578969465 |
|---|---|
| Provider Enumeration Date | 11/05/2014 |
| Last Update Date | 03/17/2024 |
| Certification Date | 03/17/2024 |
| Medicare PECOS PAC ID | 4688999022 |
|---|---|
| Medicare Enrollment ID | O20150206000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578969465 | NPI | - | NPPES |
| Provider Name | William A Fridley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760456545 PECOS PAC ID: 3870405376 Enrollment ID: I20031104000209 |
| Provider Name | Gary Wayne Spangler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952395048 PECOS PAC ID: 3577466937 Enrollment ID: I20040202000089 |
| Provider Name | Richard A Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962421016 PECOS PAC ID: 1153214424 Enrollment ID: I20040203000098 |
| Provider Name | Tina L Goldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710051115 PECOS PAC ID: 1052203874 Enrollment ID: I20040326000835 |
| Provider Name | Rosalyn A Gayle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619969730 PECOS PAC ID: 2769474030 Enrollment ID: I20040330001002 |
| Provider Name | Karsten G Tucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396852240 PECOS PAC ID: 8426040817 Enrollment ID: I20040402001302 |
| Provider Name | Narendra S Punjabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295740751 PECOS PAC ID: 3072506385 Enrollment ID: I20040405000294 |
| Provider Name | Angelina Farella |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417068172 PECOS PAC ID: 4981697661 Enrollment ID: I20040407000941 |
| Provider Name | Jefy M Mathew |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1083602080 PECOS PAC ID: 3072507482 Enrollment ID: I20040409000038 |
| Provider Name | Edward Kuo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700992310 PECOS PAC ID: 7719973940 Enrollment ID: I20040422001589 |
| Provider Name | Ronald N Parris |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1043303886 PECOS PAC ID: 0446247100 Enrollment ID: I20040427000103 |
| Provider Name | Nomita J Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013070754 PECOS PAC ID: 7618965591 Enrollment ID: I20040501000238 |
| Provider Name | Shelly L Leeds Richter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861494171 PECOS PAC ID: 2365432416 Enrollment ID: I20040512001332 |
| Provider Name | Asma A Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093781353 PECOS PAC ID: 4789667080 Enrollment ID: I20040609000106 |
| Provider Name | Cheryl M Clark-brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619000239 PECOS PAC ID: 1557344801 Enrollment ID: I20040609000509 |
| Provider Name | Carlos Canales Ramos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841292117 PECOS PAC ID: 1951386648 Enrollment ID: I20040618000308 |
| Provider Name | Gary Albertson |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1225063951 PECOS PAC ID: 5799695292 Enrollment ID: I20040623000720 |
| Provider Name | Leonidas S Miranda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376673244 PECOS PAC ID: 7719959436 Enrollment ID: I20040811001296 |
| Provider Name | Cristina Boccalandro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508890427 PECOS PAC ID: 4688641186 Enrollment ID: I20040914000793 |
| Provider Name | Wael Asi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1578551537 PECOS PAC ID: 6901890318 Enrollment ID: I20041015000111 |
| Provider Name | Charles A Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093764318 PECOS PAC ID: 6507829215 Enrollment ID: I20041104000330 |
| Provider Name | David R Sprouse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487761326 PECOS PAC ID: 7810989209 Enrollment ID: I20041104000911 |
| Provider Name | Maya S Mayekar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184630600 PECOS PAC ID: 0446216568 Enrollment ID: I20041209000431 |
| Provider Name | Clifford W Yut |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245260967 PECOS PAC ID: 4587612106 Enrollment ID: I20050110000968 |
| Provider Name | John E Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114959301 PECOS PAC ID: 8224086848 Enrollment ID: I20050110000990 |
| Provider Name | Scott A Kahney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689604308 PECOS PAC ID: 9133177751 Enrollment ID: I20050110001002 |
| Provider Name | Rakesh R Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386629699 PECOS PAC ID: 8123077492 Enrollment ID: I20050113000997 |
| Provider Name | Tara L Bruce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326023946 PECOS PAC ID: 8224941836 Enrollment ID: I20050131000356 |
| Provider Name | Lori M Naglieri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528073699 PECOS PAC ID: 7810948619 Enrollment ID: I20050209000726 |
| Provider Name | Catherine C Corovessis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487688891 PECOS PAC ID: 2365497898 Enrollment ID: I20050321000099 |
| Provider Name | Rosa A Tang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891797460 PECOS PAC ID: 1456307248 Enrollment ID: I20050324000557 |
| Provider Name | Jessica A Aheron |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174657258 PECOS PAC ID: 7416903208 Enrollment ID: I20050324000586 |
| Provider Name | Jennifer S Gwozdz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598702037 PECOS PAC ID: 6002857752 Enrollment ID: I20050512000855 |
| Provider Name | Kimberly R Miller Miles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003818394 PECOS PAC ID: 9436121282 Enrollment ID: I20050621001083 |
| Provider Name | Paul Knight Piper |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760412035 PECOS PAC ID: 2466497094 Enrollment ID: I20050624000076 |
| Provider Name | Susan Helen Crouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366539058 PECOS PAC ID: 9931137833 Enrollment ID: I20050802000158 |
| Provider Name | Maryam H Baird |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063415255 PECOS PAC ID: 4183652969 Enrollment ID: I20050802000935 |
| Provider Name | Parul Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710988415 PECOS PAC ID: 2264461672 Enrollment ID: I20050805000647 |
| Provider Name | Fidelia I Ukah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740211531 PECOS PAC ID: 3971577578 Enrollment ID: I20050927000574 |
| Provider Name | Christopher Joseph Glenn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992786149 PECOS PAC ID: 2264450477 Enrollment ID: I20051107000375 |
| Provider Name | Nichole F Cole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659361129 PECOS PAC ID: 4284654872 Enrollment ID: I20051128000670 |
| Provider Name | Ather J Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700874716 PECOS PAC ID: 2365492733 Enrollment ID: I20060210000451 |
| Provider Name | Amina Sayeed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164422457 PECOS PAC ID: 2163437039 Enrollment ID: I20060214000412 |
| Provider Name | Brian J Glymph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932157542 PECOS PAC ID: 8426063074 Enrollment ID: I20060221000878 |
| Provider Name | Reena Antony Tharappel-jacob |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689649865 PECOS PAC ID: 4082621735 Enrollment ID: I20060321000534 |
| Provider Name | Ginger N Cathey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093768145 PECOS PAC ID: 9739162017 Enrollment ID: I20060711000171 |
| Provider Name | Jennifer T Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053330126 PECOS PAC ID: 5991701799 Enrollment ID: I20061019000218 |
| Provider Name | Steven G Pilkington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568470714 PECOS PAC ID: 8527064211 Enrollment ID: I20061020000338 |
| Provider Name | Salvador E Murra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962481838 PECOS PAC ID: 7719941764 Enrollment ID: I20061120000129 |
| Provider Name | Christopher D Prihoda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083620413 PECOS PAC ID: 0446259295 Enrollment ID: I20061205000726 |
| Provider Name | Mahesh K Shetty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578526323 PECOS PAC ID: 5294737268 Enrollment ID: I20070203000051 |
| Provider Name | Chau Dang-thi Nguyen-tran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568464840 PECOS PAC ID: 1153323894 Enrollment ID: I20070208000196 |
| Provider Name | Kristin Michele Steinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649201260 PECOS PAC ID: 0042296782 Enrollment ID: I20070222000328 |
| Provider Name | Carlos E Licon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972689644 PECOS PAC ID: 4981706843 Enrollment ID: I20070222000720 |
| Provider Name | Christopher V Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003825035 PECOS PAC ID: 7315049236 Enrollment ID: I20070223000453 |
| Provider Name | Noel C Boyd |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568465615 PECOS PAC ID: 9133222938 Enrollment ID: I20070328000610 |
| Provider Name | Amy C Plummer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871595140 PECOS PAC ID: 7911908587 Enrollment ID: I20070409000057 |
| Provider Name | Ronald M Pucillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548263106 PECOS PAC ID: 4385741651 Enrollment ID: I20070523000437 |
| Provider Name | Jalaja K Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679627467 PECOS PAC ID: 5193823516 Enrollment ID: I20070608000395 |
| Provider Name | Patricia A Allamon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740308923 PECOS PAC ID: 3476653726 Enrollment ID: I20070716000315 |
| Provider Name | Susan Vogel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316925027 PECOS PAC ID: 4486688058 Enrollment ID: I20070830000685 |
| Provider Name | Amy L Howe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699791327 PECOS PAC ID: 1456445642 Enrollment ID: I20070919000283 |
| Provider Name | John Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316139215 PECOS PAC ID: 4981798956 Enrollment ID: I20070921000003 |
| Provider Name | Maria Grace Berdayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871524348 PECOS PAC ID: 6901810654 Enrollment ID: I20070926000737 |
| Provider Name | Jerome T Washington |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861598971 PECOS PAC ID: 1951359421 Enrollment ID: I20070929000133 |
| Provider Name | Sarah Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548455132 PECOS PAC ID: 0446346886 Enrollment ID: I20071017000565 |
| Provider Name | Carrie Ball |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902099617 PECOS PAC ID: 0345339529 Enrollment ID: I20071211000665 |
| Provider Name | Daniel Duncan Dawson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790890259 PECOS PAC ID: 0547340689 Enrollment ID: I20080102000492 |
| Provider Name | Eric Bernstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508978487 PECOS PAC ID: 1052209178 Enrollment ID: I20080103000689 |
| Provider Name | Roderick Peter Diggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720099013 PECOS PAC ID: 5991887242 Enrollment ID: I20080125000551 |
| Provider Name | Cynthia A Jansky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689789158 PECOS PAC ID: 5092897900 Enrollment ID: I20080131000280 |
| Provider Name | Gregg M Hallbauer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922007343 PECOS PAC ID: 0749355691 Enrollment ID: I20080812000743 |
| Provider Name | Emily C. Bullock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396841383 PECOS PAC ID: 6901971043 Enrollment ID: I20080825000141 |
| Provider Name | Veena R Watwe |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1417120221 PECOS PAC ID: 2365519899 Enrollment ID: I20080924000532 |
| Provider Name | Matthew S Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568665313 PECOS PAC ID: 7315015567 Enrollment ID: I20081001000525 |
| Provider Name | Hilaire W Fisher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972770105 PECOS PAC ID: 6406924299 Enrollment ID: I20081007000266 |
| Provider Name | Julie A Bernell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184627341 PECOS PAC ID: 4183792625 Enrollment ID: I20081015000716 |
| Provider Name | William S Manuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992780118 PECOS PAC ID: 4688640956 Enrollment ID: I20081101000086 |
| Provider Name | Robert W Fayle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295782738 PECOS PAC ID: 6709947161 Enrollment ID: I20081204000388 |
| Provider Name | Kim M Schaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851445340 PECOS PAC ID: 6800957929 Enrollment ID: I20081209000055 |
| Provider Name | Sheri Lynn Albertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215146394 PECOS PAC ID: 4587640685 Enrollment ID: I20090115000684 |
| Provider Name | Akinyinka Abidem Ajelabi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1841227808 PECOS PAC ID: 8729044789 Enrollment ID: I20090210000749 |
| Provider Name | Patricia A Henry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699856146 PECOS PAC ID: 0143377127 Enrollment ID: I20090408000403 |
| Provider Name | Joseph O Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134311400 PECOS PAC ID: 6800945122 Enrollment ID: I20090515000489 |
| Provider Name | Louise T Mann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235384397 PECOS PAC ID: 7416006739 Enrollment ID: I20090515000520 |
| Provider Name | William A Rhoton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154597300 PECOS PAC ID: 2860544756 Enrollment ID: I20090724000047 |
| Provider Name | Kevin W Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033312426 PECOS PAC ID: 6002969805 Enrollment ID: I20090727000376 |
| Provider Name | Julie Vu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871729871 PECOS PAC ID: 4082767470 Enrollment ID: I20090803000315 |
| Provider Name | Connie R Barker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184628638 PECOS PAC ID: 5991851008 Enrollment ID: I20090915000249 |
| Provider Name | Roy C Mullins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1467518548 PECOS PAC ID: 2961558598 Enrollment ID: I20090922000777 |
| Provider Name | Shine John |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245407295 PECOS PAC ID: 5294809133 Enrollment ID: I20090924000051 |
| Provider Name | Shannon M Gregorek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790929099 PECOS PAC ID: 6800942137 Enrollment ID: I20090928000664 |
| Provider Name | Stephanie Smith-sham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467682328 PECOS PAC ID: 6103963467 Enrollment ID: I20091020000281 |
| Provider Name | Samatha K Kadiyala |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003002627 PECOS PAC ID: 6800954280 Enrollment ID: I20091027000539 |
| Provider Name | Nathan H Pekar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760479059 PECOS PAC ID: 3678610334 Enrollment ID: I20091028000835 |
| Provider Name | Sarita Prajapati |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346337490 PECOS PAC ID: 1759359565 Enrollment ID: I20091029000290 |
| Provider Name | Benjamin Adam Stahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104958230 PECOS PAC ID: 2769529296 Enrollment ID: I20091102000307 |
| Provider Name | Victor I Lugo Miro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104934017 PECOS PAC ID: 3971642513 Enrollment ID: I20091201000387 |
| Provider Name | Mark F Klaff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194887604 PECOS PAC ID: 3678612421 Enrollment ID: I20091208000299 |
| Provider Name | Mark Julius Florian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396768347 PECOS PAC ID: 2365332749 Enrollment ID: I20091221000662 |
| Provider Name | Connie L Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730165648 PECOS PAC ID: 7012051691 Enrollment ID: I20100219000652 |
| Provider Name | Ana Urukalo |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578520102 PECOS PAC ID: 9739214701 Enrollment ID: I20100316000386 |
| Provider Name | Moshin Bajwa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497743462 PECOS PAC ID: 2961460571 Enrollment ID: I20100319000304 |
| Provider Name | William Somerville Gilmer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558353417 PECOS PAC ID: 2860529518 Enrollment ID: I20100428000874 |
| Provider Name | Julian J Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841233798 PECOS PAC ID: 8628036464 Enrollment ID: I20100514000263 |
| Provider Name | Shawn R Agenbroad-elander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164655171 PECOS PAC ID: 8628107992 Enrollment ID: I20100525000369 |
| Provider Name | Jon M Rawson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124116694 PECOS PAC ID: 4789714353 Enrollment ID: I20100608000333 |
| Provider Name | Zeda Amaya |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417903428 PECOS PAC ID: 3375674815 Enrollment ID: I20100628000934 |
| Provider Name | Karl M Trippe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285615674 PECOS PAC ID: 0547239220 Enrollment ID: I20100630000510 |
| Provider Name | Paul W Decker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316033707 PECOS PAC ID: 7719018977 Enrollment ID: I20100701000693 |
| Provider Name | John Sang Hee Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427123900 PECOS PAC ID: 4880726090 Enrollment ID: I20100722000703 |
| Provider Name | John Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639286560 PECOS PAC ID: 8527107473 Enrollment ID: I20100727000090 |
| Provider Name | Jackelinne Villalobos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336195718 PECOS PAC ID: 2466351382 Enrollment ID: I20100729000815 |
| Provider Name | Irina Karban |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184676710 PECOS PAC ID: 3870626716 Enrollment ID: I20100729000833 |
| Provider Name | Shelley R Kohlleppel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922255496 PECOS PAC ID: 5395878656 Enrollment ID: I20100806000403 |
| Provider Name | Nashaat B Ibraheim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659594752 PECOS PAC ID: 5395879977 Enrollment ID: I20100818000482 |
| Provider Name | Igor Matthew Cherches |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942295522 PECOS PAC ID: 5799819108 Enrollment ID: I20100819001044 |
| Provider Name | Carmen Josefa Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811950140 PECOS PAC ID: 3274657234 Enrollment ID: I20100826001128 |
| Provider Name | Salvador R Recio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801851225 PECOS PAC ID: 8628192697 Enrollment ID: I20100826001147 |
| Provider Name | Virginia M Nisbet |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194719963 PECOS PAC ID: 9537121504 Enrollment ID: I20100830000944 |
| Provider Name | Jennifer S Kwak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427045145 PECOS PAC ID: 9739203225 Enrollment ID: I20100907000400 |
| Provider Name | Ivonne E Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609878941 PECOS PAC ID: 7315062049 Enrollment ID: I20100917000311 |
| Provider Name | Stephen M Cone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912900184 PECOS PAC ID: 1557266590 Enrollment ID: I20100917000435 |
| Provider Name | Peter M Lotze |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639171903 PECOS PAC ID: 3678699139 Enrollment ID: I20100922000478 |
| Provider Name | Alexander Nestor Stadnyk |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043280365 PECOS PAC ID: 5496948531 Enrollment ID: I20101020001545 |
| Provider Name | James Gullett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811990864 PECOS PAC ID: 3678766532 Enrollment ID: I20101023000084 |
| Provider Name | Jason Cooper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326041484 PECOS PAC ID: 3678766334 Enrollment ID: I20101026000881 |
| Provider Name | Dawn Dickson Black |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710980909 PECOS PAC ID: 3173717774 Enrollment ID: I20101027001225 |
| Provider Name | Gregory Shelton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497958458 PECOS PAC ID: 1052505658 Enrollment ID: I20101027001249 |
| Provider Name | Thimos G Paschalis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689733669 PECOS PAC ID: 0143414987 Enrollment ID: I20101105000085 |
| Provider Name | Dieu Quang Ngo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396724910 PECOS PAC ID: 8820015498 Enrollment ID: I20101118000524 |
| Provider Name | Mason W Mileur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417268251 PECOS PAC ID: 5799972014 Enrollment ID: I20101211000140 |
| Provider Name | Mitchell Finnie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245236231 PECOS PAC ID: 4880881192 Enrollment ID: I20101213001061 |
| Provider Name | Kevin D Fite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730372491 PECOS PAC ID: 3173702297 Enrollment ID: I20110121000362 |
| Provider Name | Alan L Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336164425 PECOS PAC ID: 8527094572 Enrollment ID: I20110121000513 |
| Provider Name | Oscar C Glickman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215241823 PECOS PAC ID: 2466633086 Enrollment ID: I20110301001037 |
| Provider Name | Juan Carlos Zubieta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346276987 PECOS PAC ID: 4981619244 Enrollment ID: I20110318000624 |
| Provider Name | Tina M Damron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679894695 PECOS PAC ID: 6507040896 Enrollment ID: I20110412000049 |
| Provider Name | Maninder S Guram |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689671307 PECOS PAC ID: 1456343524 Enrollment ID: I20110429000024 |
| Provider Name | Lauren A Phillips |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023226719 PECOS PAC ID: 9234316225 Enrollment ID: I20110531000123 |
| Provider Name | Preeya Raghu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558520015 PECOS PAC ID: 8628255650 Enrollment ID: I20110531000538 |
| Provider Name | Alice A Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912956491 PECOS PAC ID: 6204004427 Enrollment ID: I20110714000069 |
| Provider Name | Amarbir S Mattewal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346462660 PECOS PAC ID: 0244409548 Enrollment ID: I20110802000697 |
| Provider Name | Eric C South |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093940199 PECOS PAC ID: 6002085149 Enrollment ID: I20110808000306 |
| Provider Name | Eddie L Patton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720213770 PECOS PAC ID: 5799954616 Enrollment ID: I20110811000036 |
| Provider Name | Latisha T Rowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861657116 PECOS PAC ID: 8325219769 Enrollment ID: I20110915000538 |
| Provider Name | Vip Mangalick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437347697 PECOS PAC ID: 1456523695 Enrollment ID: I20111011000664 |
| Provider Name | Nolaska I Souliotis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1750531034 PECOS PAC ID: 6709075476 Enrollment ID: I20111031000307 |
| Provider Name | Ori S Ogebe-sheriff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588828735 PECOS PAC ID: 3971668047 Enrollment ID: I20111104000481 |
| Provider Name | Mandie Ann Toland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649554841 PECOS PAC ID: 2668647363 Enrollment ID: I20111207000870 |
| Provider Name | Neha S Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457335069 PECOS PAC ID: 8224059324 Enrollment ID: I20120321000132 |
| Provider Name | Jeffrey S Brown |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437152782 PECOS PAC ID: 1850551540 Enrollment ID: I20120404000970 |
| Provider Name | Gary L Gilcrease |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427090893 PECOS PAC ID: 9638112741 Enrollment ID: I20120423000737 |
| Provider Name | Camille B Goff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811953268 PECOS PAC ID: 0244486439 Enrollment ID: I20120802000702 |
| Provider Name | Kanishka Monis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699911404 PECOS PAC ID: 9335395243 Enrollment ID: I20120808000971 |
| Provider Name | Tiffany Lee Morgan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861639155 PECOS PAC ID: 5698922797 Enrollment ID: I20120824000304 |
| Provider Name | Brandi A Compton-joseph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467614321 PECOS PAC ID: 4284882515 Enrollment ID: I20120912000100 |
| Provider Name | Lisa P Otey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912093196 PECOS PAC ID: 4486802550 Enrollment ID: I20120914000084 |
| Provider Name | Melissa Renee Gabrielli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548528110 PECOS PAC ID: 8426206368 Enrollment ID: I20120918000396 |
| Provider Name | Lesly Dessieux |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336215490 PECOS PAC ID: 2466452933 Enrollment ID: I20120919000519 |
| Provider Name | Tamara L Small |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760618920 PECOS PAC ID: 6709034580 Enrollment ID: I20120920000214 |
| Provider Name | Emily A Beddingfield |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003161894 PECOS PAC ID: 2264682137 Enrollment ID: I20121031000096 |
| Provider Name | Jaclyn H Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760616163 PECOS PAC ID: 1254583438 Enrollment ID: I20121217000059 |
| Provider Name | Jeffery Terrance Alford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932175999 PECOS PAC ID: 3274794722 Enrollment ID: I20130222000368 |
| Provider Name | Dina White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922061548 PECOS PAC ID: 5092976548 Enrollment ID: I20130222000377 |
| Provider Name | Heather R Riebel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891999470 PECOS PAC ID: 1153566740 Enrollment ID: I20130403000059 |
| Provider Name | Hammad N Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063618874 PECOS PAC ID: 0446499941 Enrollment ID: I20130613000105 |
| Provider Name | Charity A Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609007418 PECOS PAC ID: 8123165701 Enrollment ID: I20130701000283 |
| Provider Name | Jamie King South |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245467026 PECOS PAC ID: 0840432084 Enrollment ID: I20130816000816 |
| Provider Name | Mallory E Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669811212 PECOS PAC ID: 1658514716 Enrollment ID: I20130821000802 |
| Provider Name | Mary K Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558595371 PECOS PAC ID: 0143463794 Enrollment ID: I20130829000142 |
| Provider Name | Joy Leblanc |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003811282 PECOS PAC ID: 2163665415 Enrollment ID: I20130905000511 |
| Provider Name | Bita Pour Jafari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326368473 PECOS PAC ID: 9234373648 Enrollment ID: I20130924000689 |
| Provider Name | Linda J Kapusniak |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1942438973 PECOS PAC ID: 8820222151 Enrollment ID: I20130927000639 |
| Provider Name | Aftab Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578625505 PECOS PAC ID: 0143454033 Enrollment ID: I20131009000080 |
| Provider Name | Amrew Al-ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710203815 PECOS PAC ID: 0244465722 Enrollment ID: I20131109000311 |
| Provider Name | Drew Ernest Polson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700084829 PECOS PAC ID: 4587856257 Enrollment ID: I20131206000668 |
| Provider Name | Pheba Pappachan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053757179 PECOS PAC ID: 3173750130 Enrollment ID: I20131218001511 |
| Provider Name | Jodi Michelle Brannen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548496722 PECOS PAC ID: 0840428348 Enrollment ID: I20140108000425 |
| Provider Name | Arthur Mandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508146531 PECOS PAC ID: 5092988501 Enrollment ID: I20140110000584 |
| Provider Name | Atilio A Abreu Serrano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407087323 PECOS PAC ID: 9739319633 Enrollment ID: I20140220000060 |
| Provider Name | Latanya Graylyn Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235479791 PECOS PAC ID: 8325279995 Enrollment ID: I20140324001859 |
| Provider Name | Bridgette J Parish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114158672 PECOS PAC ID: 7416188545 Enrollment ID: I20140402001631 |
| Provider Name | John W Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1023118502 PECOS PAC ID: 2668532953 Enrollment ID: I20140429001049 |
| Provider Name | Xinxin Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487087144 PECOS PAC ID: 2567698947 Enrollment ID: I20140609000559 |
| Provider Name | Rina Awan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1124226899 PECOS PAC ID: 1850433244 Enrollment ID: I20140711000967 |
| Provider Name | Hsiao-hui Ju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821339334 PECOS PAC ID: 7416173042 Enrollment ID: I20140717000265 |
| Provider Name | Inez King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285739003 PECOS PAC ID: 3173740842 Enrollment ID: I20140805000526 |
| Provider Name | Janelle Perrone |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982950424 PECOS PAC ID: 3678790045 Enrollment ID: I20140807001849 |
| Provider Name | Laura Ann Croom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730522178 PECOS PAC ID: 8123245503 Enrollment ID: I20140807002164 |
| Provider Name | Melissa M Piper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306252390 PECOS PAC ID: 0446478739 Enrollment ID: I20140828000913 |
| Provider Name | Lindsey Nicole Fogle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346530565 PECOS PAC ID: 5890932529 Enrollment ID: I20140829000606 |
| Provider Name | Noelle Susanne Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902190663 PECOS PAC ID: 3577782499 Enrollment ID: I20140908002238 |
| Provider Name | Nitin Mahajan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467561902 PECOS PAC ID: 5395743470 Enrollment ID: I20140909000213 |
| Provider Name | David C Gochnour |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609286913 PECOS PAC ID: 6608095625 Enrollment ID: I20140923002536 |
| Provider Name | Mona Romezi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568773737 PECOS PAC ID: 8729208335 Enrollment ID: I20141002001708 |
| Provider Name | Angel Rivera-soto |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255657375 PECOS PAC ID: 1850511940 Enrollment ID: I20141014000528 |
| Provider Name | Kristen R Roeder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518253723 PECOS PAC ID: 9335361526 Enrollment ID: I20141103001129 |
| Provider Name | Anna George |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1710991906 PECOS PAC ID: 2567559008 Enrollment ID: I20141111000165 |
| Provider Name | Thanh Ngo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164799094 PECOS PAC ID: 2668698440 Enrollment ID: I20141111001115 |
| Provider Name | Faraz Haghighi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063840528 PECOS PAC ID: 1153643671 Enrollment ID: I20141211000218 |
| Provider Name | Aliya S Hayes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194902130 PECOS PAC ID: 4789831298 Enrollment ID: I20141212001486 |
| Provider Name | Majid Atique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558639104 PECOS PAC ID: 1951624964 Enrollment ID: I20141224000682 |
| Provider Name | Debra J Moses |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639308398 PECOS PAC ID: 9537315460 Enrollment ID: I20150204000114 |
| Provider Name | Ravneet K Nagi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972784114 PECOS PAC ID: 4082790811 Enrollment ID: I20150211000174 |
| Provider Name | Raheel Bengali |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1376864512 PECOS PAC ID: 6406014877 Enrollment ID: I20150217000856 |
| Provider Name | Saad Md Mansoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912260464 PECOS PAC ID: 5092036509 Enrollment ID: I20150610000141 |
| Provider Name | Michael J Frazier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881958940 PECOS PAC ID: 1355662636 Enrollment ID: I20150611003042 |
| Provider Name | Rita S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518190867 PECOS PAC ID: 8224340187 Enrollment ID: I20150707000244 |
| Provider Name | Stephanie D Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184928921 PECOS PAC ID: 8224340815 Enrollment ID: I20150710000888 |
| Provider Name | Jody A Luke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184903239 PECOS PAC ID: 5698088961 Enrollment ID: I20150715000873 |
| Provider Name | Madiha A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497015689 PECOS PAC ID: 8628383999 Enrollment ID: I20150814014087 |
| Provider Name | Salah Fares |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780850974 PECOS PAC ID: 9032262712 Enrollment ID: I20151009001090 |
| Provider Name | Rodari Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437554953 PECOS PAC ID: 1254642655 Enrollment ID: I20151023001150 |
| Provider Name | Meredith B Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346502564 PECOS PAC ID: 0042511313 Enrollment ID: I20151211000488 |
| Provider Name | Katharine H Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497197651 PECOS PAC ID: 7113161571 Enrollment ID: I20160106000280 |
| Provider Name | Sarah Fedak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962879460 PECOS PAC ID: 8426351594 Enrollment ID: I20160122001892 |
| Provider Name | Ricardo Garcia |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023453743 PECOS PAC ID: 4082918651 Enrollment ID: I20160203000417 |
| Provider Name | Courtney R Hendrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366817686 PECOS PAC ID: 1153625371 Enrollment ID: I20160209001943 |
| Provider Name | Senait Adebo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538486444 PECOS PAC ID: 2163677881 Enrollment ID: I20160419002063 |
| Provider Name | Ashley Corinne Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457742389 PECOS PAC ID: 3274823414 Enrollment ID: I20160601000403 |
| Provider Name | Rashid Atique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386077378 PECOS PAC ID: 8123319068 Enrollment ID: I20160830001435 |
| Provider Name | Maria Theresa Uy Quiambao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619344660 PECOS PAC ID: 9335435163 Enrollment ID: I20160906000124 |
| Provider Name | Jocelyn Alexandra Leon Peters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013262666 PECOS PAC ID: 5597052597 Enrollment ID: I20160919002145 |
| Provider Name | Brandi Addison |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891115275 PECOS PAC ID: 6800183872 Enrollment ID: I20160920001716 |
| Provider Name | Jennifer Lynn Monical |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740734078 PECOS PAC ID: 4789962747 Enrollment ID: I20161025002772 |
| Provider Name | Megan Grace Forsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518317544 PECOS PAC ID: 2567742760 Enrollment ID: I20161205002008 |
| Provider Name | Ernest James Kahn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730475955 PECOS PAC ID: 5597981654 Enrollment ID: I20161222001418 |
| Provider Name | Tiffany Ellsworth Lee |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437691821 PECOS PAC ID: 6507147873 Enrollment ID: I20161228000316 |
| Provider Name | Yasmeen T Agha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164865762 PECOS PAC ID: 2961784087 Enrollment ID: I20170126000164 |
| Provider Name | Daisy M Granados |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235577784 PECOS PAC ID: 1557643590 Enrollment ID: I20170126001349 |
| Provider Name | Lydia Sims |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295722643 PECOS PAC ID: 2062589591 Enrollment ID: I20170209000920 |
| Provider Name | Rabia S Ahmed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417211335 PECOS PAC ID: 5799913042 Enrollment ID: I20170331000066 |
| Provider Name | Rachana G George |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407093602 PECOS PAC ID: 9335387869 Enrollment ID: I20170405000685 |
| Provider Name | Veronica Michelle Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902212434 PECOS PAC ID: 8820379449 Enrollment ID: I20170412000803 |
| Provider Name | Brigitte C Jomuad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982086872 PECOS PAC ID: 8325324676 Enrollment ID: I20170421000092 |
| Provider Name | Laura A Richards |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295141356 PECOS PAC ID: 8527376508 Enrollment ID: I20170502001828 |
| Provider Name | Amy Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376987057 PECOS PAC ID: 8628355385 Enrollment ID: I20170505000515 |
| Provider Name | Ruth Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780928671 PECOS PAC ID: 1759658016 Enrollment ID: I20170517001851 |
| Provider Name | Adriana Denys Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639580392 PECOS PAC ID: 1456621242 Enrollment ID: I20170727001424 |
| Provider Name | Brenda Hughes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1245406826 PECOS PAC ID: 3173894102 Enrollment ID: I20170809000693 |
| Provider Name | Humberto C Sasieta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1780972497 PECOS PAC ID: 4789800954 Enrollment ID: I20170810000077 |
| Provider Name | Ishan Adhikari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205129673 PECOS PAC ID: 5193015121 Enrollment ID: I20170814002145 |
| Provider Name | Halie Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023421401 PECOS PAC ID: 6901121284 Enrollment ID: I20170814002746 |
| Provider Name | Kristyn Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194249854 PECOS PAC ID: 6305118480 Enrollment ID: I20170824001096 |
| Provider Name | Sharon Ince |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245641786 PECOS PAC ID: 3173804093 Enrollment ID: I20170907002844 |
| Provider Name | Feng Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609281930 PECOS PAC ID: 6709171150 Enrollment ID: I20171010003751 |
| Provider Name | Kien Anh Anh Nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043501455 PECOS PAC ID: 7719243930 Enrollment ID: I20171103001761 |
| Provider Name | Mai T Vu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700049582 PECOS PAC ID: 9436416740 Enrollment ID: I20171121002809 |
| Provider Name | Diane Jennifer Rosaly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144730573 PECOS PAC ID: 8022376383 Enrollment ID: I20171215000235 |
| Provider Name | Mia Marche Painter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952608770 PECOS PAC ID: 1052670668 Enrollment ID: I20180104001647 |
| Provider Name | Taylor L Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538602370 PECOS PAC ID: 2365701935 Enrollment ID: I20180108000739 |
| Provider Name | Muhammad A Imran |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1568692820 PECOS PAC ID: 8921303892 Enrollment ID: I20180131000864 |
| Provider Name | Bochen Tong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689092611 PECOS PAC ID: 1153611348 Enrollment ID: I20180208001088 |
| Provider Name | Alejandro Mora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992123673 PECOS PAC ID: 3577784982 Enrollment ID: I20180215002548 |
| Provider Name | Erica Orozco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922511724 PECOS PAC ID: 2567723372 Enrollment ID: I20180219000710 |
| Provider Name | Tara Lea Okullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568964104 PECOS PAC ID: 8527320498 Enrollment ID: I20180313002431 |
| Provider Name | Stacey Rene Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801314281 PECOS PAC ID: 7810259389 Enrollment ID: I20180321000257 |
| Provider Name | Faraz Fiazuddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518352780 PECOS PAC ID: 3870883937 Enrollment ID: I20180515001313 |
| Provider Name | Uzair Mushtaq |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932595964 PECOS PAC ID: 1951600543 Enrollment ID: I20180523002125 |
| Provider Name | Benjamin Patrick Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730506031 PECOS PAC ID: 3971858960 Enrollment ID: I20180614002567 |
| Provider Name | Erika Crate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033606488 PECOS PAC ID: 8921353756 Enrollment ID: I20180620000783 |
| Provider Name | Grace Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932580743 PECOS PAC ID: 5294081378 Enrollment ID: I20180703000413 |
| Provider Name | Kelli N Dahlgren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821518200 PECOS PAC ID: 6608122460 Enrollment ID: I20180709002851 |
| Provider Name | Olaide Akinyinka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932637097 PECOS PAC ID: 6103172986 Enrollment ID: I20180710000137 |
| Provider Name | Patricia S Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801385281 PECOS PAC ID: 4880941319 Enrollment ID: I20180716001128 |
| Provider Name | Sherrell Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528554102 PECOS PAC ID: 8325396088 Enrollment ID: I20180813001908 |
| Provider Name | Heather E.k. Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598153868 PECOS PAC ID: 7719298132 Enrollment ID: I20181012000365 |
| Provider Name | Casey Corbin Mccloud |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053722249 PECOS PAC ID: 4789938481 Enrollment ID: I20181115002635 |
| Provider Name | Mercedes Antonia Giles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902283765 PECOS PAC ID: 8628313137 Enrollment ID: I20190102001179 |
| Provider Name | Denisse Menendez Sangha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437415031 PECOS PAC ID: 8820312937 Enrollment ID: I20190104002351 |
| Provider Name | Elaine Neely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578063053 PECOS PAC ID: 0749530665 Enrollment ID: I20190109001422 |
| Provider Name | Valerie M Butler |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558636407 PECOS PAC ID: 4385883974 Enrollment ID: I20190301001069 |
| Provider Name | Janice Ann Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922509231 PECOS PAC ID: 5092057547 Enrollment ID: I20190502000404 |
| Provider Name | Kristen Tidwell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053884742 PECOS PAC ID: 7315280179 Enrollment ID: I20190517000793 |
| Provider Name | Dawn Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548826092 PECOS PAC ID: 2264765015 Enrollment ID: I20190610001756 |
| Provider Name | Jennifer Diane Fitzgerald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730596362 PECOS PAC ID: 3375876055 Enrollment ID: I20190612000872 |
| Provider Name | Dane Stephen Pawlowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104278464 PECOS PAC ID: 4486947975 Enrollment ID: I20190613002862 |
| Provider Name | Christine Alicia Leonhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316412042 PECOS PAC ID: 2961739206 Enrollment ID: I20190809001100 |
| Provider Name | Matthew C Burnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083270458 PECOS PAC ID: 4183951338 Enrollment ID: I20190809001710 |
| Provider Name | Sandra Michelle Seidel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144875964 PECOS PAC ID: 3577892223 Enrollment ID: I20190906000046 |
| Provider Name | David Aaron Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255986204 PECOS PAC ID: 7810227097 Enrollment ID: I20191002000072 |
| Provider Name | Melissa B Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801455779 PECOS PAC ID: 4486985264 Enrollment ID: I20191009000488 |
| Provider Name | Lucia E Pacheco |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548640253 PECOS PAC ID: 1759660004 Enrollment ID: I20191021001334 |
| Provider Name | Will U Ibanga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679927990 PECOS PAC ID: 4082946900 Enrollment ID: I20191025002571 |
| Provider Name | Anhthu Thi Bui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164994570 PECOS PAC ID: 4981936481 Enrollment ID: I20191104000702 |
| Provider Name | Dina Winograd |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1639598048 PECOS PAC ID: 3072945286 Enrollment ID: I20191108001547 |
| Provider Name | Stephanie Marie Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770134751 PECOS PAC ID: 6406288927 Enrollment ID: I20191121000028 |
| Provider Name | Chelsea Ann Therrien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215391388 PECOS PAC ID: 5496187981 Enrollment ID: I20191121002856 |
| Provider Name | Namrata L Dass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568775930 PECOS PAC ID: 0840597100 Enrollment ID: I20200102001416 |
| Provider Name | Theresa L Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750619458 PECOS PAC ID: 5698100915 Enrollment ID: I20200115000736 |
| Provider Name | Jason A Spees |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033762828 PECOS PAC ID: 1052748712 Enrollment ID: I20200219001847 |
| Provider Name | Amy Huston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306077946 PECOS PAC ID: 6204129638 Enrollment ID: I20200316000467 |
| Provider Name | Craig J Philhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285085076 PECOS PAC ID: 5496038416 Enrollment ID: I20200428000816 |
| Provider Name | Thao Tam Dang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285282079 PECOS PAC ID: 7315378593 Enrollment ID: I20200504002922 |
| Provider Name | Shishir Kumar Khetan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861497372 PECOS PAC ID: 9335199017 Enrollment ID: I20200515000346 |
| Provider Name | Fernando Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669785770 PECOS PAC ID: 0941435986 Enrollment ID: I20200521001718 |
| Provider Name | Katie Mccrary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205457728 PECOS PAC ID: 6901227875 Enrollment ID: I20200601001721 |
| Provider Name | Katherine J Flaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619458221 PECOS PAC ID: 5698008316 Enrollment ID: I20200604002568 |
| Provider Name | Rebecca P Spofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972859858 PECOS PAC ID: 3577710490 Enrollment ID: I20200605002089 |
| Provider Name | Christina Schrack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861891566 PECOS PAC ID: 5092024711 Enrollment ID: I20200615001344 |
| Provider Name | Michele Elizondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023591369 PECOS PAC ID: 9234551136 Enrollment ID: I20200623001801 |
| Provider Name | Diego Moreno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245761782 PECOS PAC ID: 1951724509 Enrollment ID: I20200715002923 |
| Provider Name | Haonan Lin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720517014 PECOS PAC ID: 2264856731 Enrollment ID: I20200717000621 |
| Provider Name | Sameen Nooruddin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568825693 PECOS PAC ID: 2264724491 Enrollment ID: I20200811001131 |
| Provider Name | Erliz J Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730706953 PECOS PAC ID: 0042636946 Enrollment ID: I20200821000723 |
| Provider Name | Felicity Melodee Guajardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023470366 PECOS PAC ID: 0941639272 Enrollment ID: I20200824002639 |
| Provider Name | Tina Mccartan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114390416 PECOS PAC ID: 2961791132 Enrollment ID: I20200824003568 |
| Provider Name | Ginger Mitcham Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033652177 PECOS PAC ID: 7517385362 Enrollment ID: I20200911000005 |
| Provider Name | Talelia Spence House |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548623499 PECOS PAC ID: 2567880891 Enrollment ID: I20200917002164 |
| Provider Name | Shayla Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902413255 PECOS PAC ID: 5991125783 Enrollment ID: I20201016000347 |
| Provider Name | Jessica Marie Olivarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083258248 PECOS PAC ID: 4284054008 Enrollment ID: I20201016001692 |
| Provider Name | Abigail Oriaku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265807630 PECOS PAC ID: 9436458981 Enrollment ID: I20201112002999 |
| Provider Name | Sheila Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619332756 PECOS PAC ID: 3476857855 Enrollment ID: I20201119002348 |
| Provider Name | Nancy Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508850942 PECOS PAC ID: 4688085715 Enrollment ID: I20201123000116 |
| Provider Name | Morgan Brittany Londenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174137475 PECOS PAC ID: 1850703794 Enrollment ID: I20201217000051 |
| Provider Name | Elizabeth Leal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093311136 PECOS PAC ID: 8123430717 Enrollment ID: I20201228000311 |
| Provider Name | Dilnavaz Subawalla |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871640136 PECOS PAC ID: 1052418712 Enrollment ID: I20210208000317 |
| Provider Name | Jennifer Emalynne Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710577788 PECOS PAC ID: 8628483294 Enrollment ID: I20210211001402 |
| Provider Name | Kruti Patel-konasagar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932714722 PECOS PAC ID: 8820403223 Enrollment ID: I20210217001336 |
| Provider Name | Chun Yiu Chow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356971907 PECOS PAC ID: 9931515046 Enrollment ID: I20210315001177 |
| Provider Name | Lily Jiadrin Smolinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821511809 PECOS PAC ID: 1052684313 Enrollment ID: I20210330000041 |
| Provider Name | Yulienny Cabrera Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194312561 PECOS PAC ID: 4789092024 Enrollment ID: I20210426001905 |
| Provider Name | Folake Orehin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619582087 PECOS PAC ID: 3173922200 Enrollment ID: I20210524000113 |
| Provider Name | Carlos A Garcia-jasso |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962850024 PECOS PAC ID: 8022397397 Enrollment ID: I20210603000954 |
| Provider Name | May-thu Hung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760067714 PECOS PAC ID: 9032510599 Enrollment ID: I20210622002701 |
| Provider Name | Adenike A Adeleke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235757014 PECOS PAC ID: 7012321821 Enrollment ID: I20210625000026 |
| Provider Name | Afton M Dickerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497387393 PECOS PAC ID: 5193127124 Enrollment ID: I20210713001725 |
| Provider Name | Zunair Mushtaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689162570 PECOS PAC ID: 5294137956 Enrollment ID: I20210719000046 |
| Provider Name | Paula Amaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518589852 PECOS PAC ID: 4183027642 Enrollment ID: I20210722000465 |
| Provider Name | Emily Claire Mcintire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952987141 PECOS PAC ID: 0840693008 Enrollment ID: I20210726001643 |
| Provider Name | Mohamed Elhassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669797940 PECOS PAC ID: 1850525916 Enrollment ID: I20210726002926 |
| Provider Name | Anisha Farishta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518499623 PECOS PAC ID: 2163825027 Enrollment ID: I20210729002070 |
| Provider Name | Glory Onuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558988766 PECOS PAC ID: 2466855226 Enrollment ID: I20210730002220 |
| Provider Name | Mohiuddin Bilal Shamsi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588922686 PECOS PAC ID: 0042459828 Enrollment ID: I20210817001565 |
| Provider Name | Makenzie Hodge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912356700 PECOS PAC ID: 8022300805 Enrollment ID: I20210830000497 |
| Provider Name | Mary Frances Umble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356933071 PECOS PAC ID: 3870999717 Enrollment ID: I20210901002001 |
| Provider Name | Roger Devern Pruitt |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932104353 PECOS PAC ID: 0244636041 Enrollment ID: I20210902000557 |
| Provider Name | Lauren Harmeier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689340168 PECOS PAC ID: 3173920006 Enrollment ID: I20210921000097 |
| Provider Name | Kathryn Irene Newton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1083249650 PECOS PAC ID: 2567850886 Enrollment ID: I20211019001443 |
| Provider Name | Christopher Corrales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336630656 PECOS PAC ID: 5395134191 Enrollment ID: I20211117000992 |
| Provider Name | Kinsey A Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487318366 PECOS PAC ID: 5395135479 Enrollment ID: I20211203001190 |
| Provider Name | Kevin Zellner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780030981 PECOS PAC ID: 6305237272 Enrollment ID: I20220104000104 |
| Provider Name | Michelle Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053731406 PECOS PAC ID: 3173842341 Enrollment ID: I20220104000188 |
| Provider Name | Stefan R Huber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023633716 PECOS PAC ID: 8729472600 Enrollment ID: I20220221000332 |
| Provider Name | Brianna De Ruyter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861150666 PECOS PAC ID: 2163816851 Enrollment ID: I20220223000051 |
| Provider Name | Harley G Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902472418 PECOS PAC ID: 2062806102 Enrollment ID: I20220307000398 |
| Provider Name | Sarah Christine Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720747033 PECOS PAC ID: 6406241140 Enrollment ID: I20220317001474 |
| Provider Name | Heather Marie Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184388985 PECOS PAC ID: 4183011828 Enrollment ID: I20220427000667 |
| Provider Name | Elizabeth Anne Teehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164180501 PECOS PAC ID: 4183011836 Enrollment ID: I20220427000696 |
| Provider Name | Shelly Ann Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831847524 PECOS PAC ID: 5496142176 Enrollment ID: I20220427002307 |
| Provider Name | Melanie Lieblang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392952 PECOS PAC ID: 2365714995 Enrollment ID: I20220428001519 |
| Provider Name | Irma Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952840027 PECOS PAC ID: 3678951860 Enrollment ID: I20220531001183 |
| Provider Name | Ashley Salyer Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982364576 PECOS PAC ID: 9436537255 Enrollment ID: I20220607003314 |
| Provider Name | Gautam Khandelwal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962445569 PECOS PAC ID: 1153394234 Enrollment ID: I20220718002967 |
| Provider Name | Miriam Nayeli Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144983313 PECOS PAC ID: 4688055403 Enrollment ID: I20220725002409 |
| Provider Name | Yajaira Cervantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114660727 PECOS PAC ID: 6406237262 Enrollment ID: I20220726000183 |
| Provider Name | Carl W Mccord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104836022 PECOS PAC ID: 1254420995 Enrollment ID: I20220901000635 |
| Provider Name | Anna Marie Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528520012 PECOS PAC ID: 0547644072 Enrollment ID: I20220901002830 |
| Provider Name | Irvin Del Angel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376006999 PECOS PAC ID: 1254668429 Enrollment ID: I20220921000063 |
| Provider Name | Qumara Hill-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871906024 PECOS PAC ID: 5597987594 Enrollment ID: I20221014000181 |
| Provider Name | Asad A Chohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962907956 PECOS PAC ID: 5991172496 Enrollment ID: I20221111000971 |
| Provider Name | Judith Abigail Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467115501 PECOS PAC ID: 1557739422 Enrollment ID: I20221128000084 |
| Provider Name | Brittany Reel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518674571 PECOS PAC ID: 2668843673 Enrollment ID: I20230130000314 |
| Provider Name | Ana Benitez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285196923 PECOS PAC ID: 5294101275 Enrollment ID: I20230213001520 |
| Provider Name | Courtney Kay Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538817366 PECOS PAC ID: 8123490109 Enrollment ID: I20230221002358 |
| Provider Name | Shelley L Mchorse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982315925 PECOS PAC ID: 3173997152 Enrollment ID: I20230314001027 |
| Provider Name | Sara Meagan Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689256265 PECOS PAC ID: 1850765801 Enrollment ID: I20230315000595 |
| Provider Name | Kendall R Nobles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912441726 PECOS PAC ID: 8527432020 Enrollment ID: I20230324000377 |
| Provider Name | Elizabeth Ann Prather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023337516 PECOS PAC ID: 1254555642 Enrollment ID: I20230403000561 |
| Provider Name | Kelsey Janay Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598472953 PECOS PAC ID: 1456726157 Enrollment ID: I20230411002703 |
| Provider Name | Kerrie Rachael Savidge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275241267 PECOS PAC ID: 0840665568 Enrollment ID: I20230412000342 |
| Provider Name | Mariangel Goire Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841869443 PECOS PAC ID: 6709251333 Enrollment ID: I20230412001067 |
| Provider Name | Shaunteel Chalk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1578275632 PECOS PAC ID: 5294100707 Enrollment ID: I20230417000210 |
| Provider Name | Elina Shakya |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1265666846 PECOS PAC ID: 6901070820 Enrollment ID: I20230417001292 |
| Provider Name | Arpan Parikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760826218 PECOS PAC ID: 4284910142 Enrollment ID: I20230420002069 |
| Provider Name | Aaron Kolar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154958148 PECOS PAC ID: 9133544927 Enrollment ID: I20230504000635 |
| Provider Name | Thao Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467741298 PECOS PAC ID: 3072799618 Enrollment ID: I20230504002355 |
| Provider Name | Thomas J Toole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962081638 PECOS PAC ID: 6103281605 Enrollment ID: I20230506000295 |
| Provider Name | Jerrilyn Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285186890 PECOS PAC ID: 3678939741 Enrollment ID: I20230515003212 |
| Provider Name | Suleydi Xiomara Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750015699 PECOS PAC ID: 5193181014 Enrollment ID: I20230519000697 |
| Provider Name | Amarachi Ogadinma Njoku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386339737 PECOS PAC ID: 5092171751 Enrollment ID: I20230523000247 |
| Provider Name | Kendel Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629767710 PECOS PAC ID: 6204294432 Enrollment ID: I20230621001387 |
| Provider Name | Vallery S Ada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194430579 PECOS PAC ID: 9335290907 Enrollment ID: I20230627000511 |
| Provider Name | Jon E Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437842085 PECOS PAC ID: 2062871239 Enrollment ID: I20230706001261 |
| Provider Name | Hadeel Barrawi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366063927 PECOS PAC ID: 4789002783 Enrollment ID: I20230810003685 |
| Provider Name | Rachel Trice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558076398 PECOS PAC ID: 2264894930 Enrollment ID: I20230811001036 |
| Provider Name | Jessica Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861180499 PECOS PAC ID: 9638531254 Enrollment ID: I20230815000549 |
| Provider Name | Jonathan C Nilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659990760 PECOS PAC ID: 1658794532 Enrollment ID: I20230816004375 |
| Provider Name | David Waits Blackshear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982382198 PECOS PAC ID: 2567824808 Enrollment ID: I20230817002678 |
| Provider Name | Amir Sharafi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669091229 PECOS PAC ID: 6608238779 Enrollment ID: I20230822001702 |
| Provider Name | Ghislaine Tonye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679160949 PECOS PAC ID: 6800255894 Enrollment ID: I20230824001132 |
| Provider Name | Brittany Yee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639850555 PECOS PAC ID: 4789048976 Enrollment ID: I20230906002199 |
| Provider Name | Tess Chamakkala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326530668 PECOS PAC ID: 7113381211 Enrollment ID: I20230907002972 |
| Provider Name | Laura Jean Carstens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427488394 PECOS PAC ID: 3173987294 Enrollment ID: I20230907003743 |
| Provider Name | Victoria Ruth Reigelsperger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740723030 PECOS PAC ID: 8426339334 Enrollment ID: I20230919001981 |
| Provider Name | Alexis Nicole Moloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821706151 PECOS PAC ID: 9638537442 Enrollment ID: I20230924000001 |
| Provider Name | Christopher Brown |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912958935 PECOS PAC ID: 2264421874 Enrollment ID: I20230925000799 |
| Provider Name | Rosa Anaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124727805 PECOS PAC ID: 4880048784 Enrollment ID: I20230926004059 |
| Provider Name | Kayla Vliet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508425463 PECOS PAC ID: 3173852316 Enrollment ID: I20231016001166 |
| Provider Name | Sara L Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992422166 PECOS PAC ID: 4385091792 Enrollment ID: I20231107001332 |
| Provider Name | Gabriella Collier |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1518609775 PECOS PAC ID: 9234583832 Enrollment ID: I20231108002829 |
| Provider Name | Mazeline Cruz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164207510 PECOS PAC ID: 1951758713 Enrollment ID: I20231115003951 |
| Provider Name | Chris Toler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225008642 PECOS PAC ID: 4284648924 Enrollment ID: I20231202000075 |
| Provider Name | Morgan Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336788330 PECOS PAC ID: 0143651695 Enrollment ID: I20231202000355 |
| Provider Name | Mireya Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982283321 PECOS PAC ID: 4789033424 Enrollment ID: I20231207000530 |
| Provider Name | Kennedy M Sabelko |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326250796 PECOS PAC ID: 8820447832 Enrollment ID: I20231214003850 |
| Provider Name | Danielle Louise White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124800719 PECOS PAC ID: 7719337187 Enrollment ID: I20231227001768 |
| Provider Name | Ashley Nicole Rabalais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952174393 PECOS PAC ID: 9032569298 Enrollment ID: I20231229002121 |
| Provider Name | Cecilia Nicole Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386423903 PECOS PAC ID: 5395195580 Enrollment ID: I20231229003006 |
| Provider Name | Amy Elizabeth Craigen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124895214 PECOS PAC ID: 4880045558 Enrollment ID: I20240106000048 |
| Provider Name | Amelie Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629478193 PECOS PAC ID: 3577877232 Enrollment ID: I20240117000962 |
| Provider Name | Kamili Wade-reescano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598473068 PECOS PAC ID: 9830541531 Enrollment ID: I20240118001377 |
| Provider Name | Mario Coureaux Masso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346920683 PECOS PAC ID: 0042653057 Enrollment ID: I20240207000571 |
| Provider Name | Brian Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023730488 PECOS PAC ID: 7214387117 Enrollment ID: I20240222001968 |
| Provider Name | Sherry Elizabeth Walsh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679997092 PECOS PAC ID: 6002252996 Enrollment ID: I20240314000393 |
| Provider Name | Jennifer Hornsby Strimple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073392635 PECOS PAC ID: 0547609810 Enrollment ID: I20240418004211 |
| Provider Name | Kimberly Nora-beth Clinkenbeard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124744131 PECOS PAC ID: 4183063258 Enrollment ID: I20240423000352 |
| Provider Name | Hasan Al Janabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255530119 PECOS PAC ID: 8426228008 Enrollment ID: I20240502000978 |
| Provider Name | Nathan Kirsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841793676 PECOS PAC ID: 1052660230 Enrollment ID: I20240616000009 |
| Provider Name | Olufemi Olukoya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598322018 PECOS PAC ID: 8729521604 Enrollment ID: I20240620000250 |
| Provider Name | Bailey Johnson-rae |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043966674 PECOS PAC ID: 6406391903 Enrollment ID: I20240709002095 |
| Provider Name | Michael Allen Armstrong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205414968 PECOS PAC ID: 7214338052 Enrollment ID: I20240716004923 |
| Provider Name | Kristin Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154999621 PECOS PAC ID: 3173914561 Enrollment ID: I20240724001163 |
| Provider Name | Kimberly Andrews-reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427396936 PECOS PAC ID: 2264723410 Enrollment ID: I20240725002906 |
| Provider Name | Haley Troell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558943142 PECOS PAC ID: 6002352978 Enrollment ID: I20240726003661 |
| Provider Name | Crystal Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962259689 PECOS PAC ID: 7517400153 Enrollment ID: I20240729004218 |
| Provider Name | Oluremi Omotayo Okoronkwo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467912865 PECOS PAC ID: 4688900731 Enrollment ID: I20240730003640 |
| Provider Name | Mary Jane Hartman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609572056 PECOS PAC ID: 5496292005 Enrollment ID: I20240731004388 |
| Provider Name | Sara Jeanne Balderston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1962284406 PECOS PAC ID: 1557800539 Enrollment ID: I20240822003220 |
| Provider Name | Luke James Kotin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821671504 PECOS PAC ID: 1052711918 Enrollment ID: I20240902000538 |
| Provider Name | Yoelia Josefina Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467299180 PECOS PAC ID: 9032658117 Enrollment ID: I20240903004087 |
| Provider Name | Elizabeth Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417790700 PECOS PAC ID: 8224578349 Enrollment ID: I20240904001947 |
| Provider Name | Glory A Cassagnol |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376390591 PECOS PAC ID: 3779023791 Enrollment ID: I20240905001451 |
| Provider Name | Natalie J Cinotto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790475820 PECOS PAC ID: 5193265999 Enrollment ID: I20240907000082 |
| Provider Name | Alyssa L Ellerbrock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326629049 PECOS PAC ID: 8729487939 Enrollment ID: I20240910004837 |
| Provider Name | Cecilia Esther Puczek |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1679163026 PECOS PAC ID: 5193265338 Enrollment ID: I20240913002476 |
| Provider Name | Amber Marie Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053142240 PECOS PAC ID: 8921549106 Enrollment ID: I20240916003623 |
| Provider Name | Natasha Tushar Desai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861074247 PECOS PAC ID: 0840692802 Enrollment ID: I20240917000962 |
| Provider Name | Anesia Okezie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972971950 PECOS PAC ID: 2961943717 Enrollment ID: I20240919001937 |
| Provider Name | Lauren Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477383230 PECOS PAC ID: 2264973965 Enrollment ID: I20240921000548 |
| Provider Name | Desiree Banton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508698564 PECOS PAC ID: 6305377599 Enrollment ID: I20240928000090 |
| Provider Name | Mariam A Aboulela |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013546670 PECOS PAC ID: 8426471525 Enrollment ID: I20241004000758 |
| Provider Name | Jennifer Rae Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982249926 PECOS PAC ID: 6507397031 Enrollment ID: I20241008001329 |
| Provider Name | Angela Lincoln |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134837032 PECOS PAC ID: 4789059130 Enrollment ID: I20241018000674 |
| Provider Name | Justin Benavides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659191203 PECOS PAC ID: 0345774824 Enrollment ID: I20241106000965 |
| Provider Name | Rafaelle W Tkac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801378310 PECOS PAC ID: 6901330745 Enrollment ID: I20241115000789 |
| Provider Name | Mojda Sidiqi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013582253 PECOS PAC ID: 2062946759 Enrollment ID: I20241118002488 |
| Provider Name | Cristopher Lawrence Narciso Bugarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336990951 PECOS PAC ID: 7517492085 Enrollment ID: I20241120001978 |
| Provider Name | Megan Michelle Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790370716 PECOS PAC ID: 0143755942 Enrollment ID: I20241202003312 |
| Provider Name | Blanca G Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164807780 PECOS PAC ID: 3274800321 Enrollment ID: I20241204004026 |
| Provider Name | Valerie Richey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386495752 PECOS PAC ID: 6002343985 Enrollment ID: I20241217003812 |
| Provider Name | Jianwen Dong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174343594 PECOS PAC ID: 6608303771 Enrollment ID: I20241231003027 |
| Provider Name | Stephanie Montoya Boothe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932927902 PECOS PAC ID: 8628506185 Enrollment ID: I20250110002823 |
| Provider Name | Aaron Jouston De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134940224 PECOS PAC ID: 2264960780 Enrollment ID: I20250113000849 |
| Provider Name | Evbu-osasu Osawaru |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336514066 PECOS PAC ID: 6002344280 Enrollment ID: I20250115003964 |
| Provider Name | Erica Ardoin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346062437 PECOS PAC ID: 5092244848 Enrollment ID: I20250124000232 |
| Provider Name | Jonathan Lee Escobedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068882 PECOS PAC ID: 3678002144 Enrollment ID: I20250129000326 |
| Provider Name | Liza Martinez Lensico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033935689 PECOS PAC ID: 2860922838 Enrollment ID: I20250205002833 |
| Provider Name | Joann Jugarap |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174345060 PECOS PAC ID: 7618497652 Enrollment ID: I20250221000262 |
| Provider Name | Kitzel Rubicela Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093539942 PECOS PAC ID: 1052831963 Enrollment ID: I20250222000155 |
| Provider Name | Hector Miguel Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376357145 PECOS PAC ID: 9537680707 Enrollment ID: I20250304001724 |
Parker Place Property Owners Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10914 Bridlepark Cir, Houston, TX 77016 Phone: 281-449-3233 | |
Healthy Therapeutic Solutions. Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Commerce Park Dr Ste 219, Houston, TX 77036 Phone: 771-771-5151 Fax: 771-771-5156 | |
Pate Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 South Fwy, Ste F, Houston, TX 77021 Phone: 713-741-8516 Fax: 713-741-8517 | |
Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Uvalde, Houston, TX 77015 Phone: 713-455-7008 Fax: 713-455-4870 | |
West Belfort Family Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8449 W Belfort, 220, Houston, TX 77071 Phone: 281-974-1723 | |
Harizon Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7642 Crofton St, Houston, TX 77028 Phone: 832-318-3643 | |
Heartland Physicians Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2222 Maroneal St, 1716, Houston, TX 77030 Phone: 304-346-1969 |