| Professional Services of Holy Cross | |
|
1500 Forest Glen Rd Silver Spring MD 20910-1483 | |
| (301) 754-7000 | |
| (301) 498-3074 |
| Full Name | Professional Services of Holy Cross |
|---|---|
| Speciality | Clinic/Center |
| Location | 1500 Forest Glen Rd, Silver Spring, Maryland |
| Authorized Official Name and Position | Julie Keese (VP & CFO) |
| Authorized Official Contact | 3017547201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Services of Holy Cross Po Box 531863 Atlanta GA 30353-1863 | Professional Services of Holy Cross 1500 Forest Glen Rd Silver Spring MD 20910-1483 Ph: (301) 754-7000 |
| NPI Number | 1487692828 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Medicare PECOS PAC ID | 3779516992 |
|---|---|
| Medicare Enrollment ID | O20050916000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487692828 | NPI | - | NPPES |
| 409728904 | Medicaid | MD | |
| 409728902 | Medicaid | MD | |
| 410238000 | Medicaid | MD | |
| 409728900 | Medicaid | MD | |
| 409728910 | Medicaid | MD | |
| 409728912 | Medicaid | MD | |
| 409728911 | Medicaid | MD | |
| 040578900 | Medicaid | DC | |
| 409728901 | Medicaid | MD | |
| 409728906 | Medicaid | MD | |
| 409728907 | Medicaid | MD | |
| 071035600 | Medicaid | DC | |
| 409728905 | Medicaid | MD | |
| 409728913 | Medicaid | MD | |
| 409728908 | Medicaid | MD |
| Provider Name | Nooshin F Farr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831259423 PECOS PAC ID: 5698678001 Enrollment ID: I20040131000124 |
| Provider Name | Benjamin Stallings |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518985308 PECOS PAC ID: 3375440746 Enrollment ID: I20040220000414 |
| Provider Name | German Tampe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568480358 PECOS PAC ID: 9032004643 Enrollment ID: I20040220000742 |
| Provider Name | Sungkee Ahn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346211877 PECOS PAC ID: 5698661197 Enrollment ID: I20040223000839 |
| Provider Name | Kim M Callwood |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275505356 PECOS PAC ID: 8820984339 Enrollment ID: I20040223000881 |
| Provider Name | Bolivia Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073584413 PECOS PAC ID: 7618863150 Enrollment ID: I20040223001088 |
| Provider Name | Sherida L. Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912972787 PECOS PAC ID: 7012803299 Enrollment ID: I20040225000082 |
| Provider Name | Frank S Shin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912997115 PECOS PAC ID: 0840181004 Enrollment ID: I20040324001454 |
| Provider Name | Alozie Iheanacho Uneze |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447268404 PECOS PAC ID: 5597755439 Enrollment ID: I20040513001014 |
| Provider Name | Eric M Ashkin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457385205 PECOS PAC ID: 0446241889 Enrollment ID: I20040524000327 |
| Provider Name | Thomas Wesley Martin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316920689 PECOS PAC ID: 4486602463 Enrollment ID: I20050106000295 |
| Provider Name | Charles E Hunter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386777803 PECOS PAC ID: 4688627573 Enrollment ID: I20050303000304 |
| Provider Name | David Vanson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750354973 PECOS PAC ID: 9335186717 Enrollment ID: I20050422000705 |
| Provider Name | Sarah Zeb |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780698019 PECOS PAC ID: 6800873928 Enrollment ID: I20050427000209 |
| Provider Name | Samantha L Tuttamore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700927365 PECOS PAC ID: 2860438488 Enrollment ID: I20050706000240 |
| Provider Name | Jacob Zuares |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730173105 PECOS PAC ID: 7911933452 Enrollment ID: I20050715000137 |
| Provider Name | Roy Moss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912978172 PECOS PAC ID: 3173553864 Enrollment ID: I20050812000327 |
| Provider Name | Lee Edward Schwab |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700820313 PECOS PAC ID: 6204869431 Enrollment ID: I20050916000857 |
| Provider Name | George L Acevedo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063517027 PECOS PAC ID: 8628099272 Enrollment ID: I20051212000544 |
| Provider Name | Eric Stephen Cawthon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669488078 PECOS PAC ID: 8628090271 Enrollment ID: I20051222000454 |
| Provider Name | Tyna L Queen Persad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205866241 PECOS PAC ID: 9638185960 Enrollment ID: I20060223000775 |
| Provider Name | Gayle V Skinner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851336655 PECOS PAC ID: 1951317882 Enrollment ID: I20060301000321 |
| Provider Name | Joseph M Petrizzo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407899057 PECOS PAC ID: 6709896871 Enrollment ID: I20060503000743 |
| Provider Name | Dimitrios Papadouris |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417940818 PECOS PAC ID: 9537139902 Enrollment ID: I20060831000144 |
| Provider Name | Venktesh a Rangnath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659338002 PECOS PAC ID: 0143224295 Enrollment ID: I20060905000218 |
| Provider Name | Kristine T James |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679516439 PECOS PAC ID: 0749289106 Enrollment ID: I20061212000479 |
| Provider Name | Jaya Vijayan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699870881 PECOS PAC ID: 9537168786 Enrollment ID: I20061215000375 |
| Provider Name | Ann B Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912988502 PECOS PAC ID: 5496757262 Enrollment ID: I20070207000302 |
| Provider Name | Leslie Hilleary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124101837 PECOS PAC ID: 8123020492 Enrollment ID: I20070215000590 |
| Provider Name | George a Resta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720078215 PECOS PAC ID: 7810945896 Enrollment ID: I20070220000788 |
| Provider Name | Maria Elena M Espina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134242399 PECOS PAC ID: 5193826394 Enrollment ID: I20070718000267 |
| Provider Name | Jason M Welch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306969571 PECOS PAC ID: 8224940887 Enrollment ID: I20070718000363 |
| Provider Name | Adrienne Potts |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750408670 PECOS PAC ID: 8426142712 Enrollment ID: I20070918000067 |
| Provider Name | Yuri Prykupenko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003850900 PECOS PAC ID: 8123084985 Enrollment ID: I20071026000519 |
| Provider Name | Michael J Hall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396963781 PECOS PAC ID: 9931283918 Enrollment ID: I20080229000051 |
| Provider Name | Zhixin Wei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871625335 PECOS PAC ID: 3971687955 Enrollment ID: I20080229000094 |
| Provider Name | Nicole Dequattro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588636583 PECOS PAC ID: 2961588371 Enrollment ID: I20080326000312 |
| Provider Name | Ethiopia Teferra |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275587461 PECOS PAC ID: 9830270099 Enrollment ID: I20080416000230 |
| Provider Name | Vipaporn Seribury |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174791248 PECOS PAC ID: 5597835363 Enrollment ID: I20080605000291 |
| Provider Name | Chandra M Baker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538369731 PECOS PAC ID: 0042383390 Enrollment ID: I20080718000425 |
| Provider Name | Weihan Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982875449 PECOS PAC ID: 0648343517 Enrollment ID: I20080725000227 |
| Provider Name | Laurie Ann Abrams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184622615 PECOS PAC ID: 8820044480 Enrollment ID: I20080731000134 |
| Provider Name | Patricia S Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487639142 PECOS PAC ID: 5698717718 Enrollment ID: I20080829000028 |
| Provider Name | Bradley W Dick |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609866540 PECOS PAC ID: 2668362989 Enrollment ID: I20080910000485 |
| Provider Name | Corey E Golding |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417020967 PECOS PAC ID: 2567463987 Enrollment ID: I20080912000513 |
| Provider Name | Jessica Mikuliak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174668909 PECOS PAC ID: 2860569498 Enrollment ID: I20080924000401 |
| Provider Name | Sheila Rao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013962901 PECOS PAC ID: 7618953704 Enrollment ID: I20081024000420 |
| Provider Name | Cletus Ibe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730334152 PECOS PAC ID: 4688737976 Enrollment ID: I20090113000527 |
| Provider Name | Janis L Green |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689849226 PECOS PAC ID: 8224195177 Enrollment ID: I20090320000545 |
| Provider Name | Katherine B Chiocchio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629235098 PECOS PAC ID: 9436207446 Enrollment ID: I20090501000046 |
| Provider Name | Bernhard L Wiedermann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518911791 PECOS PAC ID: 5597816256 Enrollment ID: I20090619000505 |
| Provider Name | Linda J. Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730282245 PECOS PAC ID: 8123179561 Enrollment ID: I20090625000331 |
| Provider Name | Hawani Temesgen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245398148 PECOS PAC ID: 6002962685 Enrollment ID: I20090923000419 |
| Provider Name | Sharon D Harriston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346465465 PECOS PAC ID: 5395826770 Enrollment ID: I20091019000602 |
| Provider Name | Karen L Rosenfeld-dean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740514710 PECOS PAC ID: 5294718441 Enrollment ID: I20091208000098 |
| Provider Name | Imad S Mufarrij |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962514158 PECOS PAC ID: 3274638127 Enrollment ID: I20100315000091 |
| Provider Name | Mary H Sine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750372017 PECOS PAC ID: 3779611009 Enrollment ID: I20100507000067 |
| Provider Name | Darryn M. Band |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811978935 PECOS PAC ID: 2668500901 Enrollment ID: I20100507000212 |
| Provider Name | Jessica Berger Weiss |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730161522 PECOS PAC ID: 2264561570 Enrollment ID: I20100525000874 |
| Provider Name | Richard N Footer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689780108 PECOS PAC ID: 2264561232 Enrollment ID: I20100601000365 |
| Provider Name | Tamara E Coates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740261338 PECOS PAC ID: 0840329728 Enrollment ID: I20100602000832 |
| Provider Name | Safiya Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497971576 PECOS PAC ID: 3779614391 Enrollment ID: I20100625000747 |
| Provider Name | Mark Steves |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144210667 PECOS PAC ID: 9537291935 Enrollment ID: I20100721000287 |
| Provider Name | Zoka M Afsar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518025436 PECOS PAC ID: 4688727811 Enrollment ID: I20100729000797 |
| Provider Name | Attan Kasid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740362599 PECOS PAC ID: 6709078009 Enrollment ID: I20101005000840 |
| Provider Name | Eric Y Yun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790773612 PECOS PAC ID: 0840262184 Enrollment ID: I20101112000498 |
| Provider Name | Jacqueline Cadena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073562054 PECOS PAC ID: 5092902932 Enrollment ID: I20101206000070 |
| Provider Name | Roy Khoury |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316114812 PECOS PAC ID: 3476693722 Enrollment ID: I20101207001080 |
| Provider Name | Rikkita Russell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104060235 PECOS PAC ID: 1052458577 Enrollment ID: I20101216000850 |
| Provider Name | Susanne L Bathgate |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063485142 PECOS PAC ID: 9436347168 Enrollment ID: I20101222000763 |
| Provider Name | Sheila M Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467605295 PECOS PAC ID: 7012196322 Enrollment ID: I20110119000435 |
| Provider Name | Vienna Marvette Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477853604 PECOS PAC ID: 3072794635 Enrollment ID: I20110302000414 |
| Provider Name | Nneka N Motanya |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730482035 PECOS PAC ID: 5991980054 Enrollment ID: I20110505000117 |
| Provider Name | Sangeeta Simlote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326277278 PECOS PAC ID: 6305022369 Enrollment ID: I20110510000087 |
| Provider Name | Andrew B Block |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912931643 PECOS PAC ID: 9234120692 Enrollment ID: I20110617000615 |
| Provider Name | Roy M Brooks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780602979 PECOS PAC ID: 7517958978 Enrollment ID: I20110617000629 |
| Provider Name | Leslie B Masiky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730382979 PECOS PAC ID: 5991983017 Enrollment ID: I20110620000590 |
| Provider Name | Joseph Couvillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053517516 PECOS PAC ID: 0547438160 Enrollment ID: I20110726000047 |
| Provider Name | Ann Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588965784 PECOS PAC ID: 0345410874 Enrollment ID: I20110819000064 |
| Provider Name | Nancy T Behram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902895063 PECOS PAC ID: 2365615648 Enrollment ID: I20111102000068 |
| Provider Name | David a Wagar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356306187 PECOS PAC ID: 7113011610 Enrollment ID: I20111228000503 |
| Provider Name | Roopa Gupta |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194944496 PECOS PAC ID: 2365532660 Enrollment ID: I20120227000068 |
| Provider Name | Martha D Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053566406 PECOS PAC ID: 4284893215 Enrollment ID: I20120312000585 |
| Provider Name | Shelley L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598803991 PECOS PAC ID: 7517116031 Enrollment ID: I20121004000374 |
| Provider Name | Susan Kayleen Kutz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033428057 PECOS PAC ID: 7618148925 Enrollment ID: I20130116000130 |
| Provider Name | Asante Dickson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528131133 PECOS PAC ID: 3678678125 Enrollment ID: I20130715000515 |
| Provider Name | Alyssa Warner Mains |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255767638 PECOS PAC ID: 3173759008 Enrollment ID: I20131122000834 |
| Provider Name | Sami M Mufarrij |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083868764 PECOS PAC ID: 1355578634 Enrollment ID: I20131211001555 |
| Provider Name | Namat a Said |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730513383 PECOS PAC ID: 0648408351 Enrollment ID: I20131231001534 |
| Provider Name | Daniel Shiferaw |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184763591 PECOS PAC ID: 2163646381 Enrollment ID: I20140610000384 |
| Provider Name | David Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275513699 PECOS PAC ID: 4183840119 Enrollment ID: I20140728000808 |
| Provider Name | Courtney H Levenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699095364 PECOS PAC ID: 0941449615 Enrollment ID: I20140818000316 |
| Provider Name | Hartaj Kaur Powell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598942765 PECOS PAC ID: 7214156728 Enrollment ID: I20140916000972 |
| Provider Name | Rami Makhoul |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215127790 PECOS PAC ID: 4981824257 Enrollment ID: I20141008002319 |
| Provider Name | Bradford a Winans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346203817 PECOS PAC ID: 6002886488 Enrollment ID: I20141020001926 |
| Provider Name | Priya Vasdev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942221197 PECOS PAC ID: 5597730572 Enrollment ID: I20141028002003 |
| Provider Name | Elise Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881706083 PECOS PAC ID: 5991927899 Enrollment ID: I20141110000326 |
| Provider Name | Juliette a Prust |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538485362 PECOS PAC ID: 3375765381 Enrollment ID: I20141112000919 |
| Provider Name | Nina Rajaei |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306070370 PECOS PAC ID: 9133350630 Enrollment ID: I20141118000903 |
| Provider Name | Claire M Gallagher |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063451508 PECOS PAC ID: 7416261110 Enrollment ID: I20150807013966 |
| Provider Name | Loren M Wilkerson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477729648 PECOS PAC ID: 5799940441 Enrollment ID: I20150824002303 |
| Provider Name | Elizabeth a Sharpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376675306 PECOS PAC ID: 0648330225 Enrollment ID: I20150901000484 |
| Provider Name | Yaw N Owusu Poku |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487066726 PECOS PAC ID: 1254551773 Enrollment ID: I20150923002052 |
| Provider Name | Angelica a Nottage |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699160911 PECOS PAC ID: 6800104225 Enrollment ID: I20151006000418 |
| Provider Name | Ashley J Artis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255679460 PECOS PAC ID: 9638490618 Enrollment ID: I20151026000202 |
| Provider Name | Jonathan K Marx |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1619991726 PECOS PAC ID: 8628074796 Enrollment ID: I20151106001901 |
| Provider Name | Elham Ghayouri-azar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487998381 PECOS PAC ID: 6002117686 Enrollment ID: I20151228000691 |
| Provider Name | Deborah Y Clark |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730137209 PECOS PAC ID: 2769457407 Enrollment ID: I20160129000345 |
| Provider Name | Peaches a Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881050615 PECOS PAC ID: 7012211733 Enrollment ID: I20160201000901 |
| Provider Name | Ann Porter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578932844 PECOS PAC ID: 7517261415 Enrollment ID: I20160215000412 |
| Provider Name | Riny a Karras |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114132909 PECOS PAC ID: 5799953386 Enrollment ID: I20160323000233 |
| Provider Name | Jeanine Mackiewicz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851797567 PECOS PAC ID: 3274857602 Enrollment ID: I20160404001364 |
| Provider Name | Adam S Footer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891011680 PECOS PAC ID: 1759689045 Enrollment ID: I20160420001035 |
| Provider Name | Habtemariam M Ansera |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417117201 PECOS PAC ID: 7911298088 Enrollment ID: I20160621000047 |
| Provider Name | Maria Martha C Raymundo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598123754 PECOS PAC ID: 6406843200 Enrollment ID: I20160728000096 |
| Provider Name | Christopher Dac Nguyen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114997806 PECOS PAC ID: 8820312275 Enrollment ID: I20160912000243 |
| Provider Name | Paul Butros |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316142029 PECOS PAC ID: 8820253263 Enrollment ID: I20160919000076 |
| Provider Name | Daniel Scher |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770872665 PECOS PAC ID: 7214236652 Enrollment ID: I20160922000441 |
| Provider Name | Sameer Burmawala Ismailjee |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669403341 PECOS PAC ID: 9335142496 Enrollment ID: I20161021002032 |
| Provider Name | Rhonique Shields |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164507554 PECOS PAC ID: 7214219450 Enrollment ID: I20170123001941 |
| Provider Name | Mustafa Syed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255618757 PECOS PAC ID: 3870863210 Enrollment ID: I20170718002954 |
| Provider Name | Lucia Forbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285175208 PECOS PAC ID: 4284905894 Enrollment ID: I20170731003522 |
| Provider Name | Heather C Brillhart |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538502349 PECOS PAC ID: 5799081147 Enrollment ID: I20170817003257 |
| Provider Name | Alexis Tebyanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962886960 PECOS PAC ID: 1658647672 Enrollment ID: I20171019000097 |
| Provider Name | Meredith D Kapner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568806230 PECOS PAC ID: 6305142449 Enrollment ID: I20171215000771 |
| Provider Name | Dawn J Leonard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063490167 PECOS PAC ID: 9234153776 Enrollment ID: I20180209000097 |
| Provider Name | Callan Marie Fike |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184076994 PECOS PAC ID: 2961790761 Enrollment ID: I20180418000020 |
| Provider Name | Christina Bulley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043598899 PECOS PAC ID: 9436320322 Enrollment ID: I20180423000945 |
| Provider Name | Julia M Mutter |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851792428 PECOS PAC ID: 6305101205 Enrollment ID: I20180524000737 |
| Provider Name | David G Stewart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174925168 PECOS PAC ID: 6002131224 Enrollment ID: I20180611000909 |
| Provider Name | Quang Hong Nguyen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063778769 PECOS PAC ID: 4688929888 Enrollment ID: I20180612000530 |
| Provider Name | James a Urso |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1891734521 PECOS PAC ID: 9739081571 Enrollment ID: I20180724000736 |
| Provider Name | Marjorie Ellis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760960686 PECOS PAC ID: 8628327434 Enrollment ID: I20180827002853 |
| Provider Name | Esther Ozor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538665294 PECOS PAC ID: 7517216377 Enrollment ID: I20180828001548 |
| Provider Name | Audrea B Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114400942 PECOS PAC ID: 2062746043 Enrollment ID: I20190625002108 |
| Provider Name | Brian T Fogarty |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033182712 PECOS PAC ID: 2567644636 Enrollment ID: I20191010000430 |
| Provider Name | Allen Missoi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467682229 PECOS PAC ID: 6204051006 Enrollment ID: I20191016003453 |
| Provider Name | Donna Craig Smawley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992228522 PECOS PAC ID: 6709150048 Enrollment ID: I20191101001154 |
| Provider Name | Alexandra C Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1578112918 PECOS PAC ID: 9335572122 Enrollment ID: I20191210000209 |
| Provider Name | Gwendolyn a Harter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477199719 PECOS PAC ID: 6901239631 Enrollment ID: I20191210001913 |
| Provider Name | Mckenzie Blair Raum |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396391025 PECOS PAC ID: 8022446319 Enrollment ID: I20200320000031 |
| Provider Name | Maria Barbosa Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639596109 PECOS PAC ID: 9537590203 Enrollment ID: I20200513000453 |
| Provider Name | Shana Leigh Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093041477 PECOS PAC ID: 4385785468 Enrollment ID: I20200520002595 |
| Provider Name | Veena K. Rajpal |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548231061 PECOS PAC ID: 6901228246 Enrollment ID: I20200616000014 |
| Provider Name | Christine H Moscati |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144883240 PECOS PAC ID: 8224464706 Enrollment ID: I20200723002078 |
| Provider Name | Uchenna S Nwosu |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1588921829 PECOS PAC ID: 3072730316 Enrollment ID: I20200814001125 |
| Provider Name | Tameri a Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225572142 PECOS PAC ID: 0547595894 Enrollment ID: I20201014001929 |
| Provider Name | Martine Elyse Bottalico |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144847369 PECOS PAC ID: 1254751779 Enrollment ID: I20201021001433 |
| Provider Name | Tigist T Tilahun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154803294 PECOS PAC ID: 2860803863 Enrollment ID: I20201124000339 |
| Provider Name | Sosy Tatarian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184236234 PECOS PAC ID: 9931511102 Enrollment ID: I20201211000560 |
| Provider Name | Gabriel Deleon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437634094 PECOS PAC ID: 0244576999 Enrollment ID: I20210119000224 |
| Provider Name | Shara a Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750968608 PECOS PAC ID: 8123437654 Enrollment ID: I20210512002480 |
| Provider Name | Steven Joseph Ralston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003870015 PECOS PAC ID: 5991733115 Enrollment ID: I20210525003386 |
| Provider Name | Chelsea Onksen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477072304 PECOS PAC ID: 5698033058 Enrollment ID: I20210804001131 |
| Provider Name | Ashleigh C Bouchelion |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427585140 PECOS PAC ID: 8527338235 Enrollment ID: I20210812003500 |
| Provider Name | Alice M Chapman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386185510 PECOS PAC ID: 6800161761 Enrollment ID: I20210819001717 |
| Provider Name | Hillary Rosenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740345362 PECOS PAC ID: 0345463550 Enrollment ID: I20210830000678 |
| Provider Name | Leon M Simms |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093107997 PECOS PAC ID: 2860704137 Enrollment ID: I20211102002643 |
| Provider Name | Cassandra Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275194573 PECOS PAC ID: 3779812649 Enrollment ID: I20211119000143 |
| Provider Name | Asha R Barrett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922531888 PECOS PAC ID: 7012313174 Enrollment ID: I20220202002985 |
| Provider Name | Leal Hsiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982804241 PECOS PAC ID: 0840340550 Enrollment ID: I20220224000344 |
| Provider Name | Jordia Batchelor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649925207 PECOS PAC ID: 5193111748 Enrollment ID: I20220407000043 |
| Provider Name | Cassandra Terry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417305236 PECOS PAC ID: 4688953441 Enrollment ID: I20220414002096 |
| Provider Name | Markia Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760135925 PECOS PAC ID: 1759778608 Enrollment ID: I20220425001644 |
| Provider Name | Allison Mcintyre |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588332803 PECOS PAC ID: 1355738154 Enrollment ID: I20220426001516 |
| Provider Name | Ernest Njonkem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447898143 PECOS PAC ID: 6608295340 Enrollment ID: I20220630000016 |
| Provider Name | Jill Grempler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407360365 PECOS PAC ID: 8921336207 Enrollment ID: I20220729000048 |
| Provider Name | Tyler Scott Kameh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023775277 PECOS PAC ID: 1658754544 Enrollment ID: I20220810000057 |
| Provider Name | Lylian Anje Mukoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669979746 PECOS PAC ID: 8224411327 Enrollment ID: I20220823002454 |
| Provider Name | Danielle Chalfin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679215354 PECOS PAC ID: 7911381124 Enrollment ID: I20220907000370 |
| Provider Name | Meghana G Rao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972876662 PECOS PAC ID: 7214207448 Enrollment ID: I20221010001408 |
| Provider Name | Diana Shustarovich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124558408 PECOS PAC ID: 2860763711 Enrollment ID: I20221110000006 |
| Provider Name | Heather Y Kuen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629523675 PECOS PAC ID: 1951680123 Enrollment ID: I20230127000555 |
| Provider Name | Shayla Sharmin Haque |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235853797 PECOS PAC ID: 9537532437 Enrollment ID: I20230223001789 |
| Provider Name | Najah El Bash |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508246224 PECOS PAC ID: 2264785633 Enrollment ID: I20230314001070 |
| Provider Name | Annie Hur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740899178 PECOS PAC ID: 1052786878 Enrollment ID: I20230410001686 |
| Provider Name | Moriohunmubo Grace Omonayin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891202289 PECOS PAC ID: 5496110769 Enrollment ID: I20230421000044 |
| Provider Name | Tiffany Passie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043918113 PECOS PAC ID: 5092170076 Enrollment ID: I20230426001126 |
| Provider Name | Florence Parry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457057978 PECOS PAC ID: 1850757774 Enrollment ID: I20230519000548 |
| Provider Name | Vishal Kadakia |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124462213 PECOS PAC ID: 0941507362 Enrollment ID: I20230531000226 |
| Provider Name | Jian Zhang |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1528316601 PECOS PAC ID: 3779872247 Enrollment ID: I20230616000013 |
| Provider Name | Craig Andrew Shapiro |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558528448 PECOS PAC ID: 8123347465 Enrollment ID: I20230627001487 |
| Provider Name | Alex Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023091972 PECOS PAC ID: 6709839491 Enrollment ID: I20230629000855 |
| Provider Name | Carl a Recine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013979780 PECOS PAC ID: 1254245723 Enrollment ID: I20230708000393 |
| Provider Name | Elena Wechsler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487681375 PECOS PAC ID: 8022020296 Enrollment ID: I20230710000615 |
| Provider Name | Jason Hodges |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306828744 PECOS PAC ID: 9234033390 Enrollment ID: I20230710000693 |
| Provider Name | Matthew Barchie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952518235 PECOS PAC ID: 5799924551 Enrollment ID: I20230711000769 |
| Provider Name | Michael G Myers |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558322180 PECOS PAC ID: 2860797784 Enrollment ID: I20230711001098 |
| Provider Name | Kevin Kroeger |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154372423 PECOS PAC ID: 2264413459 Enrollment ID: I20230711002059 |
| Provider Name | Catherine Keegan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861656977 PECOS PAC ID: 3072777507 Enrollment ID: I20230712000059 |
| Provider Name | Jeffrey Bisker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235183435 PECOS PAC ID: 8224936539 Enrollment ID: I20230714000612 |
| Provider Name | Bilal Saleh |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1871790998 PECOS PAC ID: 6608022876 Enrollment ID: I20230801000288 |
| Provider Name | Johnny Alexander |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649439043 PECOS PAC ID: 9234201906 Enrollment ID: I20230803002631 |
| Provider Name | Christopher Aaron Bedford |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255692935 PECOS PAC ID: 7113291394 Enrollment ID: I20230804003049 |
| Provider Name | Marshall Phillips Mallory |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083620447 PECOS PAC ID: 4789636267 Enrollment ID: I20230807001628 |
| Provider Name | Salvatore Labruzzo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659578896 PECOS PAC ID: 8325324205 Enrollment ID: I20230807003770 |
| Provider Name | Stacey Black |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1336291038 PECOS PAC ID: 3678798196 Enrollment ID: I20230807004006 |
| Provider Name | Bhavin Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1124445085 PECOS PAC ID: 3577807551 Enrollment ID: I20230808000393 |
| Provider Name | Iain Fan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487760351 PECOS PAC ID: 8325083108 Enrollment ID: I20230809002617 |
| Provider Name | Carrie Harvey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265429013 PECOS PAC ID: 7012903636 Enrollment ID: I20230809003803 |
| Provider Name | Ligia Moschen Nascente Chanock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457980690 PECOS PAC ID: 6901268796 Enrollment ID: I20230810001625 |
| Provider Name | Bassam Zahlan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346289220 PECOS PAC ID: 9739169921 Enrollment ID: I20230814004158 |
| Provider Name | Keith Spellman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003056433 PECOS PAC ID: 4486704137 Enrollment ID: I20230815001195 |
| Provider Name | Hassan Semaan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144209420 PECOS PAC ID: 9830081744 Enrollment ID: I20230815001498 |
| Provider Name | Richard Rieck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497741714 PECOS PAC ID: 1850395765 Enrollment ID: I20230815003709 |
| Provider Name | Steven W Feick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1922075530 PECOS PAC ID: 5395646285 Enrollment ID: I20230816001084 |
| Provider Name | Hakeem Afuwape |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326292806 PECOS PAC ID: 7810112380 Enrollment ID: I20230816003853 |
| Provider Name | Ernest Camponovo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588661904 PECOS PAC ID: 1254239056 Enrollment ID: I20230818000008 |
| Provider Name | Bradley Peters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659374262 PECOS PAC ID: 2567368939 Enrollment ID: I20230823002295 |
| Provider Name | Stanley Higgins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649271131 PECOS PAC ID: 5496658205 Enrollment ID: I20230828000123 |
| Provider Name | Justin Ly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770560542 PECOS PAC ID: 2264467190 Enrollment ID: I20230828000159 |
| Provider Name | Roger Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801001466 PECOS PAC ID: 4587764394 Enrollment ID: I20230829002839 |
| Provider Name | Minh Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841477049 PECOS PAC ID: 9436314424 Enrollment ID: I20230908003569 |
| Provider Name | Thomas Earl Keane |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184879710 PECOS PAC ID: 1254472830 Enrollment ID: I20230920002050 |
| Provider Name | Anna Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427031095 PECOS PAC ID: 8921084294 Enrollment ID: I20230925003811 |
| Provider Name | Frederick J Laufer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831196922 PECOS PAC ID: 6507779162 Enrollment ID: I20230927002431 |
| Provider Name | Thomas Pope |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871541714 PECOS PAC ID: 9537137476 Enrollment ID: I20231009003007 |
| Provider Name | Jeffrey Barnes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770640393 PECOS PAC ID: 7517182124 Enrollment ID: I20231010000243 |
| Provider Name | Sean Keenan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932190436 PECOS PAC ID: 0345334330 Enrollment ID: I20231011001532 |
| Provider Name | Reid Douglas Breckwoldt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295737583 PECOS PAC ID: 2163546011 Enrollment ID: I20231014000446 |
| Provider Name | Judith Corey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437150323 PECOS PAC ID: 1951609031 Enrollment ID: I20231016000597 |
| Provider Name | David B. Blonder |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841466430 PECOS PAC ID: 8729235049 Enrollment ID: I20231016002015 |
| Provider Name | Hafiz Amin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992334841 PECOS PAC ID: 0244651701 Enrollment ID: I20231018000610 |
| Provider Name | Jared Martillotti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437385341 PECOS PAC ID: 3274759089 Enrollment ID: I20231022000057 |
| Provider Name | Richard Black |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093798720 PECOS PAC ID: 4486553773 Enrollment ID: I20231024002196 |
| Provider Name | Dominic Smith |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578982757 PECOS PAC ID: 7719253103 Enrollment ID: I20231025003126 |
| Provider Name | Gary Thomas Podgorski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598751810 PECOS PAC ID: 9234238825 Enrollment ID: I20231104000282 |
| Provider Name | Jolly Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144705104 PECOS PAC ID: 2860849346 Enrollment ID: I20231104000510 |
| Provider Name | Anthony Terreri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457332447 PECOS PAC ID: 8123182912 Enrollment ID: I20231104000607 |
| Provider Name | Daniella Odero |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174234116 PECOS PAC ID: 4183097561 Enrollment ID: I20231211000199 |
| Provider Name | Gurpreet Sabar |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1780864306 PECOS PAC ID: 0143457549 Enrollment ID: I20231221001778 |
| Provider Name | Moncerrat Orue-roche |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306578588 PECOS PAC ID: 5395125280 Enrollment ID: I20240124001022 |
| Provider Name | Imran Siddiqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750743787 PECOS PAC ID: 5496114878 Enrollment ID: I20240201001939 |
| Provider Name | Anita Enadeghe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184297764 PECOS PAC ID: 8628411808 Enrollment ID: I20240205001367 |
| Provider Name | Bita Safai |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891107074 PECOS PAC ID: 5092158808 Enrollment ID: I20240208003031 |
| Provider Name | Diane J Clonmell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134480130 PECOS PAC ID: 4183061666 Enrollment ID: I20240319003756 |
| Provider Name | Gontran S Archer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568144400 PECOS PAC ID: 5193162691 Enrollment ID: I20240320000224 |
| Provider Name | Michael Eitelman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922557297 PECOS PAC ID: 9638453293 Enrollment ID: I20240513003716 |
| Provider Name | Daniel Jason Curl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831832815 PECOS PAC ID: 6507208378 Enrollment ID: I20240524000398 |
| Provider Name | Derek Taeyoung Kim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225533045 PECOS PAC ID: 1153763826 Enrollment ID: I20240527000047 |
| Provider Name | Christopher Giorgio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841986015 PECOS PAC ID: 8224572763 Enrollment ID: I20240626000771 |
| Provider Name | Richard James Samsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053177451 PECOS PAC ID: 5294279030 Enrollment ID: I20240703001438 |
| Provider Name | Sharnell Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508639402 PECOS PAC ID: 5890232029 Enrollment ID: I20240805003455 |
| Provider Name | Meghan E Siegfried |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174301816 PECOS PAC ID: 5496192684 Enrollment ID: I20240813000448 |
| Provider Name | Amy Tien |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437987294 PECOS PAC ID: 9830637115 Enrollment ID: I20240817000457 |
| Provider Name | Alicia Marie Valentino |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1518702265 PECOS PAC ID: 0840738134 Enrollment ID: I20240819000050 |
| Provider Name | Deborah Marlene Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477101384 PECOS PAC ID: 8921530452 Enrollment ID: I20241022001551 |
| Provider Name | Mashael Mahmud |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033954284 PECOS PAC ID: 2961935408 Enrollment ID: I20241023001228 |
| Provider Name | Nicole Ann Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003654971 PECOS PAC ID: 0244764140 Enrollment ID: I20241114003355 |
| Provider Name | Ning Lu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437416336 PECOS PAC ID: 2961767157 Enrollment ID: I20241118004296 |
| Provider Name | Bayan Al Sulaihat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265202188 PECOS PAC ID: 1355877648 Enrollment ID: I20241210003145 |
| Provider Name | Sophia L Giavotto |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821814914 PECOS PAC ID: 9234666223 Enrollment ID: I20250103000518 |
| Provider Name | Maunik Patel |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1063830933 PECOS PAC ID: 5799215513 Enrollment ID: I20250210001630 |
| Provider Name | Roberto Benjamin Kutcher-diaz |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1699139337 PECOS PAC ID: 5092717819 Enrollment ID: I20250217000063 |
| Provider Name | Michael Nguyen |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1962614016 PECOS PAC ID: 5799957536 Enrollment ID: I20250221001520 |
| Provider Name | Latasha Branch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598259327 PECOS PAC ID: 6406378280 Enrollment ID: I20250321000258 |
| Provider Name | James Sluss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245261783 PECOS PAC ID: 2163405283 Enrollment ID: I20250515003498 |
| Provider Name | Ifreke Udodong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487180972 PECOS PAC ID: 0042738700 Enrollment ID: I20250516000048 |
| Provider Name | Haley Elizabeth Bliss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639829914 PECOS PAC ID: 8729590971 Enrollment ID: I20250624000886 |
| Provider Name | Matthew R Johnston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477203933 PECOS PAC ID: 2860907441 Enrollment ID: I20250714001116 |
| Provider Name | Tamanna Karim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467185637 PECOS PAC ID: 1850750589 Enrollment ID: I20250822001618 |
| Provider Name | Adora Chinelo Ilochonwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063162436 PECOS PAC ID: 4688174758 Enrollment ID: I20250822002808 |
| Provider Name | Robert G Kamholtz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114956109 PECOS PAC ID: 2062475726 Enrollment ID: I20250828000189 |
| Provider Name | David Ward |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780745216 PECOS PAC ID: 3577551472 Enrollment ID: I20251002004405 |
| Provider Name | Brendan M Miner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1588616338 PECOS PAC ID: 0749253052 Enrollment ID: I20251023002684 |
| Provider Name | Mohammad-kasim H Fassia |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154940278 PECOS PAC ID: 7719481415 Enrollment ID: I20251024000045 |
| Provider Name | Sarah M Gray |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508210311 PECOS PAC ID: 8921402702 Enrollment ID: I20251030000975 |
| Provider Name | Srinivasan Narayanan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225565229 PECOS PAC ID: 4082988670 Enrollment ID: I20251031000801 |
| Provider Name | Imelda Feludu |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144758483 PECOS PAC ID: 4587158431 Enrollment ID: I20251209002549 |
| Provider Name | Katherine a Hennings |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336412709 PECOS PAC ID: 2062906928 Enrollment ID: I20251209002953 |
| Provider Name | Lucretia R Pizzano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003194952 PECOS PAC ID: 9234623000 Enrollment ID: I20251209003473 |
| Provider Name | Christy Gandhi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366935231 PECOS PAC ID: 8729406871 Enrollment ID: I20260102000975 |
| Provider Name | Shriddha Nayak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912340068 PECOS PAC ID: 3971877101 Enrollment ID: I20260107003098 |
| Provider Name | Stephen M Cohen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689076127 PECOS PAC ID: 0143706135 Enrollment ID: I20260109000127 |
| Provider Name | Natalie Tu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548110620 PECOS PAC ID: 4486135480 Enrollment ID: I20260227000849 |
| Provider Name | Maresha Latasha Carrie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861192510 PECOS PAC ID: 7113384439 Enrollment ID: I20260415000146 |
| Provider Name | Alexandra M Wood |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598260473 PECOS PAC ID: 9335578210 Enrollment ID: I20260416004003 |
| Provider Name | Sunny Qi Huang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477045029 PECOS PAC ID: 3274861653 Enrollment ID: I20260424000145 |
| Provider Name | Angela Maio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093706145 PECOS PAC ID: 4385667799 Enrollment ID: I20260429002995 |
| Provider Name | Natalia Anna Kot |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801473327 PECOS PAC ID: 5294277836 Enrollment ID: I20260513003584 |
| Provider Name | Jennifer Carson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760321087 PECOS PAC ID: 8820567217 Enrollment ID: I20260514003344 |
| Provider Name | Leia Hyunyoung Son |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669342317 PECOS PAC ID: 5294202172 Enrollment ID: I20260605002335 |
| Provider Name | Eric S Grimm |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578517447 PECOS PAC ID: 2860398740 Enrollment ID: I20260612002801 |
Luna Counseling Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8720 Georgia Ave Ste 205, Silver Spring, MD 20910 Phone: 301-679-6033 Fax: 888-552-0363 |
Heartforza Mental Wellness & Consulting, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11320 King George Dr, Silver Spring, MD 20902 Phone: 571-356-9626 |
Medstar Medical Group II LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3305 N Leisure World Blvd, Silver Spring, MD 20906 Phone: 301-598-1590 |
Pinnacle Healthcare Services LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13244 Musicmaster Dr, Silver Spring, MD 20904 Phone: 340-370-8705 |
Stepping Stone Treatment Program Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9652 Mt. Pisgah Road, Silver Spring, MD 20903 Phone: 301-445-4250 |
Threshold Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1398 Lamberton Dr, Silver Spring, MD 20902 Phone: 301-754-1102 Fax: 301-754-1690 |