| Providence Health & Services- Washington | |
|
3200 Providence Dr Anchorage AK 99508-4615 | |
| (907) 212-6002 | |
| (907) 212-8340 |
| Full Name | Providence Health & Services- Washington |
|---|---|
| Speciality | Internal Medicine |
| Location | 3200 Providence Dr, Anchorage, Alaska |
| Authorized Official Name and Position | Donald W Anderson (ASSISTANT SECRETARY OF ENROLLMENTS) |
| Authorized Official Contact | 4253589786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Health & Services- Washington Po Box 31001-4162 Pasadena CA 91110-4162 Ph: () - | Providence Health & Services- Washington 3200 Providence Dr Anchorage AK 99508-4615 Ph: (907) 212-6002 |
| NPI Number | 1093956278 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 08/18/2025 |
| Certification Date | 08/18/2025 |
| Medicare PECOS PAC ID | 1557408176 |
|---|---|
| Medicare Enrollment ID | O20091029000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093956278 | NPI | - | NPPES |
| 1020543 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | (* (Not Available)) | Primary |
| Provider Name | Bennett J Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568523157 PECOS PAC ID: 8628066479 Enrollment ID: I20040504000414 |
| Provider Name | Gregory D Gerboth |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407838170 PECOS PAC ID: 7214927516 Enrollment ID: I20040518000760 |
| Provider Name | Robert L Mcalister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003911058 PECOS PAC ID: 1759366503 Enrollment ID: I20040624000090 |
| Provider Name | Sheryl A Lentfer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295745974 PECOS PAC ID: 2264484823 Enrollment ID: I20050211000670 |
| Provider Name | William M Buttner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003893132 PECOS PAC ID: 8527020882 Enrollment ID: I20050225000563 |
| Provider Name | Elizabeth Martinez Augustin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487772810 PECOS PAC ID: 8123071370 Enrollment ID: I20050228000619 |
| Provider Name | Ronald L Healy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144329145 PECOS PAC ID: 5193762128 Enrollment ID: I20050823001158 |
| Provider Name | Janel R Kam-magruder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417968629 PECOS PAC ID: 5193740306 Enrollment ID: I20051006000803 |
| Provider Name | Jean M Snyder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518979426 PECOS PAC ID: 8123043973 Enrollment ID: I20051011000404 |
| Provider Name | Dion M Roberts |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992707723 PECOS PAC ID: 9032137278 Enrollment ID: I20051107000649 |
| Provider Name | Matthew A Lindemann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376530170 PECOS PAC ID: 4789608027 Enrollment ID: I20060125000510 |
| Provider Name | Julie L Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427060078 PECOS PAC ID: 0143238956 Enrollment ID: I20060404000801 |
| Provider Name | Paul A Peterson |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1053336354 PECOS PAC ID: 8123927936 Enrollment ID: I20060726000295 |
| Provider Name | Jonathan P Casurella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609959410 PECOS PAC ID: 9032127220 Enrollment ID: I20061103000307 |
| Provider Name | Triin T Minton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588747380 PECOS PAC ID: 9133127087 Enrollment ID: I20061201000279 |
| Provider Name | Daron J Dykema |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720094220 PECOS PAC ID: 2365535333 Enrollment ID: I20070906000751 |
| Provider Name | Tonya L Caylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932304367 PECOS PAC ID: 9830287713 Enrollment ID: I20071109000294 |
| Provider Name | Stephanie Wrightsman Birch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558551259 PECOS PAC ID: 9234210790 Enrollment ID: I20080123000061 |
| Provider Name | Lisa Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770775827 PECOS PAC ID: 0941394233 Enrollment ID: I20080123000103 |
| Provider Name | Marin C Granholm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063633055 PECOS PAC ID: 0941382188 Enrollment ID: I20080128000435 |
| Provider Name | Byron E Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558444349 PECOS PAC ID: 7517045420 Enrollment ID: I20080417000370 |
| Provider Name | Lawrence J Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205890092 PECOS PAC ID: 7719921527 Enrollment ID: I20080714000692 |
| Provider Name | Robert A Lada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982667101 PECOS PAC ID: 4385606177 Enrollment ID: I20081016000433 |
| Provider Name | Christopher S Cornelius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104923184 PECOS PAC ID: 1759436488 Enrollment ID: I20090902000320 |
| Provider Name | Justin Carricaburu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194847186 PECOS PAC ID: 5991987380 Enrollment ID: I20110307000247 |
| Provider Name | Rebecca J Bingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093724270 PECOS PAC ID: 7416139530 Enrollment ID: I20110310000901 |
| Provider Name | Thomas S Nighswander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821080888 PECOS PAC ID: 7012199136 Enrollment ID: I20110310000957 |
| Provider Name | Marianne Johnstone-petty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871896894 PECOS PAC ID: 2567644453 Enrollment ID: I20110314001040 |
| Provider Name | John Schwartz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225040157 PECOS PAC ID: 0941485262 Enrollment ID: I20110502000789 |
| Provider Name | Kimberly Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922234343 PECOS PAC ID: 0345395778 Enrollment ID: I20111028000644 |
| Provider Name | Erica Coady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366759003 PECOS PAC ID: 3678769387 Enrollment ID: I20120118000648 |
| Provider Name | Szilvia Salamon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437319522 PECOS PAC ID: 8426181058 Enrollment ID: I20120305000635 |
| Provider Name | Nancy M Greenwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932223047 PECOS PAC ID: 3870509169 Enrollment ID: I20120430000568 |
| Provider Name | Heather Githens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104188093 PECOS PAC ID: 3577713197 Enrollment ID: I20121017000151 |
| Provider Name | Juliana K Shields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356578306 PECOS PAC ID: 0941450134 Enrollment ID: I20121024000521 |
| Provider Name | Allene Marie Littell Whitney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508949439 PECOS PAC ID: 5193753184 Enrollment ID: I20121219000544 |
| Provider Name | Linda M Pope |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992880686 PECOS PAC ID: 4587850607 Enrollment ID: I20121228000182 |
| Provider Name | Bette J Fenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447283767 PECOS PAC ID: 6901041961 Enrollment ID: I20130321000337 |
| Provider Name | Sarah L Dewane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093963183 PECOS PAC ID: 7517191802 Enrollment ID: I20130927000132 |
| Provider Name | Kwanghee Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851621064 PECOS PAC ID: 7719166073 Enrollment ID: I20131112001401 |
| Provider Name | Sandra M Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235570979 PECOS PAC ID: 8123256161 Enrollment ID: I20140120000732 |
| Provider Name | Tamara A Huntington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700984275 PECOS PAC ID: 4486793825 Enrollment ID: I20140318000970 |
| Provider Name | Amy Lynn Kolarova |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922204817 PECOS PAC ID: 4385827534 Enrollment ID: I20140717002507 |
| Provider Name | Cynthia Lynne Mcginty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174821383 PECOS PAC ID: 0042496713 Enrollment ID: I20140718000521 |
| Provider Name | Susan K Ryznar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144221557 PECOS PAC ID: 8123077112 Enrollment ID: I20141029001005 |
| Provider Name | Will A Bemben |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891082699 PECOS PAC ID: 7113170028 Enrollment ID: I20141030002049 |
| Provider Name | Karen L Wilson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578543740 PECOS PAC ID: 2567693609 Enrollment ID: I20141201001696 |
| Provider Name | Ursula A Mcveigh |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1063420503 PECOS PAC ID: 0345386868 Enrollment ID: I20150107001043 |
| Provider Name | Barbara Piromalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770706848 PECOS PAC ID: 7315139508 Enrollment ID: I20150223001635 |
| Provider Name | Johan M Lundebye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336300383 PECOS PAC ID: 3476729526 Enrollment ID: I20150313002208 |
| Provider Name | Virginia Parret |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245589886 PECOS PAC ID: 4082932181 Enrollment ID: I20150422001244 |
| Provider Name | Andrea Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063775427 PECOS PAC ID: 0042464497 Enrollment ID: I20151006001352 |
| Provider Name | Mackenzie C Slater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730409418 PECOS PAC ID: 1254594815 Enrollment ID: I20151208001935 |
| Provider Name | Julianne Minarik |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720172471 PECOS PAC ID: 5294036349 Enrollment ID: I20151215002753 |
| Provider Name | Cody M Augdahl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801150974 PECOS PAC ID: 3971756438 Enrollment ID: I20151216002600 |
| Provider Name | Donna Roxanne Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649414137 PECOS PAC ID: 4082860655 Enrollment ID: I20151229001918 |
| Provider Name | Ann Reed |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982719530 PECOS PAC ID: 0446556559 Enrollment ID: I20160315001738 |
| Provider Name | Rebecca Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225498967 PECOS PAC ID: 6800193376 Enrollment ID: I20160328002252 |
| Provider Name | Kelley Smart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639419161 PECOS PAC ID: 4385934256 Enrollment ID: I20160606000506 |
| Provider Name | Karyn Overturf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518272913 PECOS PAC ID: 8921398454 Enrollment ID: I20160610001925 |
| Provider Name | Katherine Paulick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679925325 PECOS PAC ID: 3779877881 Enrollment ID: I20160812001017 |
| Provider Name | Jane Larouche |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861794547 PECOS PAC ID: 1254651003 Enrollment ID: I20160817000695 |
| Provider Name | Sarah Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528384146 PECOS PAC ID: 1153555842 Enrollment ID: I20161222000485 |
| Provider Name | Diana V Seropian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093251639 PECOS PAC ID: 3274816129 Enrollment ID: I20170220001492 |
| Provider Name | Becky Pletzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487192464 PECOS PAC ID: 1951685932 Enrollment ID: I20170313001010 |
| Provider Name | Roderic Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952362170 PECOS PAC ID: 0244509560 Enrollment ID: I20170629002808 |
| Provider Name | Rachel Kerford Lescher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043480643 PECOS PAC ID: 7517138480 Enrollment ID: I20170706001025 |
| Provider Name | Sarah A T Holsopple |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942542030 PECOS PAC ID: 9234420209 Enrollment ID: I20170707002465 |
| Provider Name | Corina F Hopkins-vacca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073929758 PECOS PAC ID: 6608091749 Enrollment ID: I20170721001590 |
| Provider Name | Megan M Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972923654 PECOS PAC ID: 2860617867 Enrollment ID: I20170721002161 |
| Provider Name | David B Penn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477968485 PECOS PAC ID: 9234354382 Enrollment ID: I20170728002203 |
| Provider Name | Erica Ann Delsman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750657177 PECOS PAC ID: 7618265133 Enrollment ID: I20170731003601 |
| Provider Name | Carolyn E Roloff |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780003376 PECOS PAC ID: 7517188493 Enrollment ID: I20170828004312 |
| Provider Name | Siv Fasci |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588693717 PECOS PAC ID: 7517952062 Enrollment ID: I20170918003552 |
| Provider Name | Denise W Lewis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821154022 PECOS PAC ID: 8628344330 Enrollment ID: I20171025001259 |
| Provider Name | James Thomas Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013903665 PECOS PAC ID: 8527132778 Enrollment ID: I20180420001430 |
| Provider Name | Monica A Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144616368 PECOS PAC ID: 7113230558 Enrollment ID: I20180814001484 |
| Provider Name | Rebecca Rae Weicht |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295091239 PECOS PAC ID: 7214167006 Enrollment ID: I20180814004342 |
| Provider Name | Eric Dreibelbeis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518371210 PECOS PAC ID: 2264650878 Enrollment ID: I20180821004177 |
| Provider Name | Candice M Schlafmann |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1235511296 PECOS PAC ID: 5799098505 Enrollment ID: I20180824002917 |
| Provider Name | Traci Sickich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144707373 PECOS PAC ID: 2668723933 Enrollment ID: I20180925004064 |
| Provider Name | Kaitlin Jean Rosales |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508237025 PECOS PAC ID: 5799085767 Enrollment ID: I20181015001951 |
| Provider Name | M Jacqueline Tarsitano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669853347 PECOS PAC ID: 5092068353 Enrollment ID: I20181102001504 |
| Provider Name | Nicholas A Van Lith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720466949 PECOS PAC ID: 5294049243 Enrollment ID: I20190125002169 |
| Provider Name | Isabel Vesely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326525155 PECOS PAC ID: 1254671217 Enrollment ID: I20190329000693 |
| Provider Name | Jo-ann A Llaneza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275598484 PECOS PAC ID: 1153662101 Enrollment ID: I20190401002166 |
| Provider Name | Paula Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609326016 PECOS PAC ID: 8729360201 Enrollment ID: I20190507003256 |
| Provider Name | Olivia Britton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1033576665 PECOS PAC ID: 1951605153 Enrollment ID: I20190516002703 |
| Provider Name | Lillian A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790163012 PECOS PAC ID: 8123331279 Enrollment ID: I20190614001151 |
| Provider Name | Katelyn R Good |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1912311259 PECOS PAC ID: 7012131758 Enrollment ID: I20190928000090 |
| Provider Name | Matthew Mark Huckabee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477934636 PECOS PAC ID: 6507113503 Enrollment ID: I20191028002134 |
| Provider Name | George A Ford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750525713 PECOS PAC ID: 2466607098 Enrollment ID: I20200102000053 |
| Provider Name | Zachary M Buck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871023135 PECOS PAC ID: 3577832302 Enrollment ID: I20200625003258 |
| Provider Name | Elizabeth L Ohlsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093249427 PECOS PAC ID: 8527337757 Enrollment ID: I20200701003465 |
| Provider Name | Erik K Hauswald |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760919377 PECOS PAC ID: 3577832708 Enrollment ID: I20200715000988 |
| Provider Name | Stephanie S Fortt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053844019 PECOS PAC ID: 0648695221 Enrollment ID: I20200729002844 |
| Provider Name | Priya Keane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023502606 PECOS PAC ID: 7113342288 Enrollment ID: I20200806000996 |
| Provider Name | Robert A Wilkens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639788896 PECOS PAC ID: 4385060755 Enrollment ID: I20200817000044 |
| Provider Name | Jessica M Bauman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720698129 PECOS PAC ID: 3476970146 Enrollment ID: I20200826000895 |
| Provider Name | Kimberly Stahlnecker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871034090 PECOS PAC ID: 6305263989 Enrollment ID: I20200827001353 |
| Provider Name | Patricia Siza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619168028 PECOS PAC ID: 4385913516 Enrollment ID: I20200904000538 |
| Provider Name | Alyssa Rizzuto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598291155 PECOS PAC ID: 7416226642 Enrollment ID: I20200908003140 |
| Provider Name | Ryan Wallace |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548695075 PECOS PAC ID: 2769703552 Enrollment ID: I20200917000602 |
| Provider Name | Irisa Devine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437384583 PECOS PAC ID: 6002032935 Enrollment ID: I20200921000510 |
| Provider Name | Chelsea R Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669906095 PECOS PAC ID: 5799054623 Enrollment ID: I20200921001364 |
| Provider Name | Ryan Mcclaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710411517 PECOS PAC ID: 2264701366 Enrollment ID: I20200929001450 |
| Provider Name | Michael Malandra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972829356 PECOS PAC ID: 7416195839 Enrollment ID: I20200930001741 |
| Provider Name | Sheila J Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811320765 PECOS PAC ID: 9234408451 Enrollment ID: I20201001002227 |
| Provider Name | Caleb Terpstra |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386870012 PECOS PAC ID: 2961822861 Enrollment ID: I20201014003291 |
| Provider Name | Mackenzie E Reminger-carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225441900 PECOS PAC ID: 5698044824 Enrollment ID: I20201020000620 |
| Provider Name | Sarah J Virnig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487180774 PECOS PAC ID: 3476822610 Enrollment ID: I20201123001432 |
| Provider Name | Heather Anne Bell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477160240 PECOS PAC ID: 6406267327 Enrollment ID: I20201125002390 |
| Provider Name | Honglu Liu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336743772 PECOS PAC ID: 2860803590 Enrollment ID: I20201201001285 |
| Provider Name | Laurie Minarich |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104950708 PECOS PAC ID: 0941450928 Enrollment ID: I20201223000368 |
| Provider Name | Stephen Wong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922419993 PECOS PAC ID: 6901233998 Enrollment ID: I20210118000535 |
| Provider Name | Sarah Katherine Baxter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720405285 PECOS PAC ID: 6608195813 Enrollment ID: I20210119002453 |
| Provider Name | Taro Satake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033598875 PECOS PAC ID: 7810246311 Enrollment ID: I20210326001718 |
| Provider Name | Erin Parnell Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265023485 PECOS PAC ID: 1759780125 Enrollment ID: I20210604002047 |
| Provider Name | Jered Jacob Weinstock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952750572 PECOS PAC ID: 3375943467 Enrollment ID: I20210610002497 |
| Provider Name | Seth Bricklin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992859003 PECOS PAC ID: 2466491535 Enrollment ID: I20210712001851 |
| Provider Name | Elizabeth S Pietralczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548466014 PECOS PAC ID: 3971799941 Enrollment ID: I20210719002878 |
| Provider Name | Racheal Ann Hart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093027229 PECOS PAC ID: 6608270434 Enrollment ID: I20210802001403 |
| Provider Name | Christina Rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255621165 PECOS PAC ID: 7416189139 Enrollment ID: I20210820001739 |
| Provider Name | Susan M Halbach |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1225148539 PECOS PAC ID: 1052507878 Enrollment ID: I20210825000088 |
| Provider Name | Jennifer Armentrout |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780945485 PECOS PAC ID: 9335545359 Enrollment ID: I20210831000532 |
| Provider Name | Brianna L Goz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326718982 PECOS PAC ID: 8628475407 Enrollment ID: I20210921002199 |
| Provider Name | Michelle Haimowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275775496 PECOS PAC ID: 0345425443 Enrollment ID: I20211013001333 |
| Provider Name | Ceridwyn Creswell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720543010 PECOS PAC ID: 5294123964 Enrollment ID: I20211028003223 |
| Provider Name | Patrice Stevenson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1093767170 PECOS PAC ID: 6406848035 Enrollment ID: I20211215001977 |
| Provider Name | Marietta V Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295886794 PECOS PAC ID: 2567853658 Enrollment ID: I20211228001265 |
| Provider Name | Stacy R Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538593470 PECOS PAC ID: 0143454066 Enrollment ID: I20220203002334 |
| Provider Name | Rebekah Telfer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437627825 PECOS PAC ID: 2567709892 Enrollment ID: I20220214001166 |
| Provider Name | Laura K Sifferman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962477398 PECOS PAC ID: 4587683883 Enrollment ID: I20220408001175 |
| Provider Name | Elisa Lopez Martinez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508381450 PECOS PAC ID: 9931595394 Enrollment ID: I20220412000451 |
| Provider Name | Candice Renee Faria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184094930 PECOS PAC ID: 0840592770 Enrollment ID: I20220517002504 |
| Provider Name | Yukiko Kobayashi Goodell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598378705 PECOS PAC ID: 8921486762 Enrollment ID: I20220607000565 |
| Provider Name | Joseph C Kolba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386207389 PECOS PAC ID: 6507192978 Enrollment ID: I20220620001560 |
| Provider Name | Matthew Dawson |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003159021 PECOS PAC ID: 9638475122 Enrollment ID: I20220621003074 |
| Provider Name | Amber Leigh Ellis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083756357 PECOS PAC ID: 7517348360 Enrollment ID: I20220726000088 |
| Provider Name | Dana Damron |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093826828 PECOS PAC ID: 8921015363 Enrollment ID: I20220727004040 |
| Provider Name | Nathan Armerding |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104260496 PECOS PAC ID: 6002195849 Enrollment ID: I20220728001687 |
| Provider Name | Kabita Nanda |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780818518 PECOS PAC ID: 9537213061 Enrollment ID: I20220805000403 |
| Provider Name | Morgan Ann Brissette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932250487 PECOS PAC ID: 6901953249 Enrollment ID: I20220808001505 |
| Provider Name | Wezzie Damalis Munthali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487386462 PECOS PAC ID: 0143603662 Enrollment ID: I20220816003666 |
| Provider Name | Hayley F Neptune |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1114652740 PECOS PAC ID: 9931582475 Enrollment ID: I20220817000881 |
| Provider Name | Raymond Villalobos |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376580597 PECOS PAC ID: 2365481694 Enrollment ID: I20220830003322 |
| Provider Name | Gregory E Lebleu |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033288006 PECOS PAC ID: 7911082649 Enrollment ID: I20230105002515 |
| Provider Name | Lily M George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245903962 PECOS PAC ID: 6608274782 Enrollment ID: I20230203000424 |
| Provider Name | Emily Ryan-michailidis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073045274 PECOS PAC ID: 4587904164 Enrollment ID: I20230213002032 |
| Provider Name | Ellen Brown |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1710109699 PECOS PAC ID: 4587683784 Enrollment ID: I20230215002395 |
| Provider Name | Carrie Lynne Gray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568731511 PECOS PAC ID: 6507239563 Enrollment ID: I20230222002595 |
| Provider Name | Umran Senyer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477937688 PECOS PAC ID: 9032515150 Enrollment ID: I20230301002128 |
| Provider Name | Richard Parker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477698918 PECOS PAC ID: 0941289433 Enrollment ID: I20230418002448 |
| Provider Name | Megan Dempster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972858256 PECOS PAC ID: 3072767839 Enrollment ID: I20230420000746 |
| Provider Name | Emily Atton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588182745 PECOS PAC ID: 4183089758 Enrollment ID: I20230503003529 |
| Provider Name | Michelle Barton Laufer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124269790 PECOS PAC ID: 6103282702 Enrollment ID: I20230524003158 |
| Provider Name | Maria Regina Reyes |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437235181 PECOS PAC ID: 2961398912 Enrollment ID: I20230627000225 |
| Provider Name | Paul Nutter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629020847 PECOS PAC ID: 4880686419 Enrollment ID: I20230721001591 |
| Provider Name | Seth Workentine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164043014 PECOS PAC ID: 1456776954 Enrollment ID: I20230726001633 |
| Provider Name | Chrystal Bermudez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841440583 PECOS PAC ID: 1557535432 Enrollment ID: I20230727002914 |
| Provider Name | Maegan E Lange |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811518897 PECOS PAC ID: 7113340183 Enrollment ID: I20230801003805 |
| Provider Name | Luanna L Beauchamp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740224286 PECOS PAC ID: 0749211720 Enrollment ID: I20230808000343 |
| Provider Name | David Mendez |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1194188359 PECOS PAC ID: 2769774470 Enrollment ID: I20230816002942 |
| Provider Name | Genevieve Jacobs |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912369992 PECOS PAC ID: 0042582553 Enrollment ID: I20230825001942 |
| Provider Name | Sarah Liebe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407581184 PECOS PAC ID: 6709249238 Enrollment ID: I20230830002850 |
| Provider Name | Rosina Serene Perkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588841522 PECOS PAC ID: 1850467069 Enrollment ID: I20230912000358 |
| Provider Name | Brienna Horine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417490913 PECOS PAC ID: 6002198033 Enrollment ID: I20230919002216 |
| Provider Name | Mary Sarrantonio |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396736476 PECOS PAC ID: 5395149819 Enrollment ID: I20231003001853 |
| Provider Name | Reeve Geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447915798 PECOS PAC ID: 9537552955 Enrollment ID: I20231017001470 |
| Provider Name | Anthony Markuson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326538331 PECOS PAC ID: 7517215072 Enrollment ID: I20231020000143 |
| Provider Name | Erin Balay-dustrude |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649796756 PECOS PAC ID: 1759711302 Enrollment ID: I20231218001574 |
| Provider Name | David Schaeffer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578679494 PECOS PAC ID: 2264575190 Enrollment ID: I20240118004342 |
| Provider Name | Cyndi S Mendoza |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467063545 PECOS PAC ID: 9234575770 Enrollment ID: I20240307000568 |
| Provider Name | Valerie Brooke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841599305 PECOS PAC ID: 6305166687 Enrollment ID: I20240329002608 |
| Provider Name | Abigail Klager |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1023496346 PECOS PAC ID: 8628381514 Enrollment ID: I20240429002167 |
| Provider Name | Lindsey Migliore |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629430475 PECOS PAC ID: 2567885627 Enrollment ID: I20240502003436 |
| Provider Name | Betty K Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942889613 PECOS PAC ID: 3870995335 Enrollment ID: I20240516001943 |
| Provider Name | Mckenzie Stock |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225681786 PECOS PAC ID: 7214479088 Enrollment ID: I20240607001798 |
| Provider Name | Reshma Naidoo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316266885 PECOS PAC ID: 3173773553 Enrollment ID: I20240614000539 |
| Provider Name | Amy L Corder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619272895 PECOS PAC ID: 9638350895 Enrollment ID: I20240703003792 |
| Provider Name | Jonathan Bower |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437765609 PECOS PAC ID: 4284002635 Enrollment ID: I20240705000710 |
| Provider Name | Amber M Stubbs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821838210 PECOS PAC ID: 3577008689 Enrollment ID: I20240712003505 |
| Provider Name | Yosuke Miyashita |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609986421 PECOS PAC ID: 7719031285 Enrollment ID: I20240726001109 |
| Provider Name | Kali M Staman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598344244 PECOS PAC ID: 6002217692 Enrollment ID: I20240726001342 |
| Provider Name | Joy Ballard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073259859 PECOS PAC ID: 9931647344 Enrollment ID: I20240816001150 |
| Provider Name | Olivia Kennedy Janson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366216269 PECOS PAC ID: 5799224200 Enrollment ID: I20240828003913 |
| Provider Name | Eric Leslie |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1578947271 PECOS PAC ID: 5395135263 Enrollment ID: I20240909004199 |
| Provider Name | Ria Pingol Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376390799 PECOS PAC ID: 1355881780 Enrollment ID: I20240911003318 |
| Provider Name | Alyssa Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952920704 PECOS PAC ID: 3678014495 Enrollment ID: I20240920000417 |
| Provider Name | Sara Kelly |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013563683 PECOS PAC ID: 8729529102 Enrollment ID: I20240925003188 |
| Provider Name | Molly Dietrich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427661636 PECOS PAC ID: 9335680610 Enrollment ID: I20240926002221 |
| Provider Name | Esteban L. Bonfante |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497957575 PECOS PAC ID: 4981795440 Enrollment ID: I20241007003813 |
| Provider Name | Adrian Lena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366020828 PECOS PAC ID: 5496154486 Enrollment ID: I20241015004009 |
| Provider Name | Erin G Underbrink Newins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053950329 PECOS PAC ID: 5193257988 Enrollment ID: I20241017003362 |
| Provider Name | Raymond S Tamse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972327757 PECOS PAC ID: 7618402215 Enrollment ID: I20241119003653 |
| Provider Name | Katiera Rivera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508158767 PECOS PAC ID: 4284867003 Enrollment ID: I20241121002775 |
| Provider Name | Bhagwan Moorjani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1598842833 PECOS PAC ID: 5294887287 Enrollment ID: I20241211000026 |
| Provider Name | Henry Hasson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144305442 PECOS PAC ID: 8022114362 Enrollment ID: I20241213001101 |
| Provider Name | Daniel Tolson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851358030 PECOS PAC ID: 5193955847 Enrollment ID: I20250102002660 |
| Provider Name | Douglas Barber |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477520005 PECOS PAC ID: 7911066907 Enrollment ID: I20250117001347 |
| Provider Name | Crystal Mardin Flores |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1467987719 PECOS PAC ID: 8628507662 Enrollment ID: I20250121002347 |
| Provider Name | Nathaniel Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336310945 PECOS PAC ID: 3870897176 Enrollment ID: I20250122001859 |
| Provider Name | Gabor Mezei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841520731 PECOS PAC ID: 8325179914 Enrollment ID: I20250128004025 |
| Provider Name | Phillip Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457731424 PECOS PAC ID: 0840567228 Enrollment ID: I20250513002915 |
| Provider Name | Antoinette Grace Sullivan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427889021 PECOS PAC ID: 4789102195 Enrollment ID: I20250520000672 |
| Provider Name | Jason Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992020937 PECOS PAC ID: 7719120617 Enrollment ID: I20250602000640 |
Compass Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1236 G St, Anchorage, AK 99501 Phone: 907-317-7136 | |
Buckingham Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2401 E 42nd Ave Ste 306, Anchorage, AK 99508 Phone: 907-744-1882 | |
Jillanne Garrity Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8721 Kathleen Dr, Anchorage, AK 99502 Phone: 907-312-4448 | |
Sealing Cove Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 N St Ste 102, Anchorage, AK 99501 Phone: 907-312-5564 | |
Frontier Health Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4241 B Street, Suite 305, Anchorage, AK 99503 Phone: 907-222-6688 Fax: 800-556-6916 | |
Building Blocks Academy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3327 Fairbanks St, Anchorage, AK 99503 Phone: 907-331-8598 | |
Volunteers Of America Alaska, Russian Jack Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4300 E 20th Ave, Anchorage, AK 99508 Phone: 907-279-9640 |