| Saint Alphonsus Physician Services | |
|
1055 N Curtis Rd Boise ID 83706 | |
| (208) 367-4148 | |
| (208) 322-9560 |
| Full Name | Saint Alphonsus Physician Services |
|---|---|
| Speciality | Psychologist |
| Location | 1055 N Curtis Rd, Boise, Idaho |
| Authorized Official Name and Position | Brian Checketts (CFO) |
| Authorized Official Contact | 2083677347 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Alphonsus Physician Services 1055 N Curtis Rd Boise ID 83706-1309 Ph: (208) 367-4148 | Saint Alphonsus Physician Services 1055 N Curtis Rd Boise ID 83706 Ph: (208) 367-4148 |
| NPI Number | 1649357716 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Medicare PECOS PAC ID | 3476462359 |
|---|---|
| Medicare Enrollment ID | O20040204001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649357716 | NPI | - | NPPES |
| 002266100 | Medicaid | ID | |
| 002267500 | Medicaid | ID | |
| 805068500 | Medicaid | ID |
| Provider Name | Bruce Andersen |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1063420792 PECOS PAC ID: 3678485760 Enrollment ID: I20031105000773 |
| Provider Name | Walter L Seale |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1720033459 PECOS PAC ID: 5890693048 Enrollment ID: I20031223000868 |
| Provider Name | Jack C Chaffin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1104867662 PECOS PAC ID: 8325932577 Enrollment ID: I20040210000424 |
| Provider Name | Robert L Petersen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043229685 PECOS PAC ID: 2365336492 Enrollment ID: I20040210001003 |
| Provider Name | Louis A Roser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497715866 PECOS PAC ID: 8729070404 Enrollment ID: I20040416001232 |
| Provider Name | George R Lyons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386630465 PECOS PAC ID: 6901891886 Enrollment ID: I20040419001544 |
| Provider Name | Matthew R Macha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730190836 PECOS PAC ID: 2567459787 Enrollment ID: I20040429000378 |
| Provider Name | Arthur C Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063402097 PECOS PAC ID: 3678563434 Enrollment ID: I20040513001228 |
| Provider Name | Angeline S Devitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659324358 PECOS PAC ID: 1951391457 Enrollment ID: I20040517000378 |
| Provider Name | Michael Roach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528004389 PECOS PAC ID: 3072503416 Enrollment ID: I20040517000731 |
| Provider Name | Samantha J Portenier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356385132 PECOS PAC ID: 1254321615 Enrollment ID: I20040517000875 |
| Provider Name | Matthew S Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508809914 PECOS PAC ID: 7315928496 Enrollment ID: I20040525001417 |
| Provider Name | Lisa M Hunt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225066103 PECOS PAC ID: 0244211159 Enrollment ID: I20040526001499 |
| Provider Name | Fred W Fender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558300491 PECOS PAC ID: 2466434659 Enrollment ID: I20040602000725 |
| Provider Name | Stan A Eisele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306886767 PECOS PAC ID: 2668457946 Enrollment ID: I20040621001692 |
| Provider Name | John Edward Guicheteau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902840473 PECOS PAC ID: 5698750990 Enrollment ID: I20040621001855 |
| Provider Name | Jonathan L Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497703169 PECOS PAC ID: 1658358098 Enrollment ID: I20040702000417 |
| Provider Name | Lawrence J Sladich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477598258 PECOS PAC ID: 7719964279 Enrollment ID: I20040707000048 |
| Provider Name | Cary V Jackson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1932169042 PECOS PAC ID: 7517874100 Enrollment ID: I20040715000999 |
| Provider Name | Vic Kadyan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417950205 PECOS PAC ID: 1850370313 Enrollment ID: I20040717000299 |
| Provider Name | Steven C Von Flue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871553248 PECOS PAC ID: 0345210969 Enrollment ID: I20040729001084 |
| Provider Name | Margaret L Widener |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1063454437 PECOS PAC ID: 0345213849 Enrollment ID: I20040813000465 |
| Provider Name | Julia K Bouchard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861436081 PECOS PAC ID: 8123091626 Enrollment ID: I20040813000488 |
| Provider Name | Patrick E Farrell |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1740238849 PECOS PAC ID: 8527032861 Enrollment ID: I20040823001328 |
| Provider Name | Suzanne Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346286044 PECOS PAC ID: 2365411238 Enrollment ID: I20040928000333 |
| Provider Name | Christina M Knutson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649212119 PECOS PAC ID: 7911966197 Enrollment ID: I20041004001016 |
| Provider Name | Ninon M Germain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588705560 PECOS PAC ID: 7214996131 Enrollment ID: I20041006001251 |
| Provider Name | Norman J East |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1518005701 PECOS PAC ID: 2769442169 Enrollment ID: I20041012000867 |
| Provider Name | Kathleen M Scanlan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972545465 PECOS PAC ID: 9739148222 Enrollment ID: I20041014000902 |
| Provider Name | Mark G Parent |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558301515 PECOS PAC ID: 6709846462 Enrollment ID: I20041016000168 |
| Provider Name | Andrew S Pierson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992760664 PECOS PAC ID: 3476520321 Enrollment ID: I20041020001125 |
| Provider Name | William K. Domarad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831108455 PECOS PAC ID: 0941262760 Enrollment ID: I20041103000123 |
| Provider Name | Scott D Lossmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720032725 PECOS PAC ID: 7911960653 Enrollment ID: I20041104000530 |
| Provider Name | Robert Kenneth Perko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043261803 PECOS PAC ID: 9133184286 Enrollment ID: I20041130000903 |
| Provider Name | Naya N Antink |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811942816 PECOS PAC ID: 6608832878 Enrollment ID: I20041209000088 |
| Provider Name | Laura E Root |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023171428 PECOS PAC ID: 9537126941 Enrollment ID: I20041217000227 |
| Provider Name | Sheila Giffen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013957802 PECOS PAC ID: 7012966922 Enrollment ID: I20050119000182 |
| Provider Name | Peter G Roan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326037342 PECOS PAC ID: 3072597962 Enrollment ID: I20050128000228 |
| Provider Name | Roberto Negron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932139961 PECOS PAC ID: 1850342494 Enrollment ID: I20050201000748 |
| Provider Name | Jennifer B Hale |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1831143338 PECOS PAC ID: 8123079506 Enrollment ID: I20050202000838 |
| Provider Name | David A Kent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215965199 PECOS PAC ID: 1850379439 Enrollment ID: I20050204000236 |
| Provider Name | Charles C Novak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770511743 PECOS PAC ID: 0042261174 Enrollment ID: I20050207000568 |
| Provider Name | Samuel M Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649216805 PECOS PAC ID: 8123070448 Enrollment ID: I20050215000785 |
| Provider Name | Donnell L Bradford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770522054 PECOS PAC ID: 4688615917 Enrollment ID: I20050517001010 |
| Provider Name | Robert F Calhoun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376697946 PECOS PAC ID: 2668408139 Enrollment ID: I20050715000430 |
| Provider Name | Teresa A Weeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346259454 PECOS PAC ID: 9739115213 Enrollment ID: I20050715000567 |
| Provider Name | Angella Zieba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730131905 PECOS PAC ID: 9830126416 Enrollment ID: I20050726000264 |
| Provider Name | Lisa Marie Kern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588618219 PECOS PAC ID: 8426086687 Enrollment ID: I20050728001131 |
| Provider Name | Stacy J Lamers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003867094 PECOS PAC ID: 5890764013 Enrollment ID: I20050803000722 |
| Provider Name | Steven L Writer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811942543 PECOS PAC ID: 9032140843 Enrollment ID: I20050822000955 |
| Provider Name | Katherine E Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225066707 PECOS PAC ID: 1456377910 Enrollment ID: I20051024000599 |
| Provider Name | Randall H Hutchings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609818228 PECOS PAC ID: 1052338159 Enrollment ID: I20051027001216 |
| Provider Name | Graham Wetherley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821030586 PECOS PAC ID: 4082698972 Enrollment ID: I20051101000405 |
| Provider Name | Richard Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285698571 PECOS PAC ID: 8123064755 Enrollment ID: I20051115000758 |
| Provider Name | Raymond P Hooft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114974326 PECOS PAC ID: 0345268041 Enrollment ID: I20051117000149 |
| Provider Name | Benjamin N Bish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770514051 PECOS PAC ID: 8325067424 Enrollment ID: I20051117000790 |
| Provider Name | Edward J Kim |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1396785531 PECOS PAC ID: 6709808181 Enrollment ID: I20051229000044 |
| Provider Name | Virginia P Haviland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235148131 PECOS PAC ID: 3173546017 Enrollment ID: I20060106000324 |
| Provider Name | Eric C Gilbreath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548290711 PECOS PAC ID: 9931123460 Enrollment ID: I20060123000872 |
| Provider Name | Nancy N Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609808328 PECOS PAC ID: 1850305855 Enrollment ID: I20060130000324 |
| Provider Name | Pamela K Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932124864 PECOS PAC ID: 1456365329 Enrollment ID: I20060130000904 |
| Provider Name | Susan M Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932160447 PECOS PAC ID: 9335153014 Enrollment ID: I20060201000919 |
| Provider Name | Esther Sears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932137684 PECOS PAC ID: 0244252468 Enrollment ID: I20060315000449 |
| Provider Name | Nancy C Kois |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356397491 PECOS PAC ID: 0446262083 Enrollment ID: I20060622000076 |
| Provider Name | Rick A Yavruian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831131085 PECOS PAC ID: 8729083852 Enrollment ID: I20060925000332 |
| Provider Name | Philippe A Masser |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1104878446 PECOS PAC ID: 6608874177 Enrollment ID: I20061116000211 |
| Provider Name | Jason M Quinn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710978036 PECOS PAC ID: 9638129349 Enrollment ID: I20061130000390 |
| Provider Name | James Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730275876 PECOS PAC ID: 8628986452 Enrollment ID: I20061205000135 |
| Provider Name | Michelle H Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437231354 PECOS PAC ID: 0446168272 Enrollment ID: I20061205000169 |
| Provider Name | Gabriel M Garber |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588632830 PECOS PAC ID: 4688632953 Enrollment ID: I20070221000566 |
| Provider Name | Tanya S Krafft |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356370563 PECOS PAC ID: 5496763781 Enrollment ID: I20070221000581 |
| Provider Name | Emily D Ruprecht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518059534 PECOS PAC ID: 4587767165 Enrollment ID: I20070320000411 |
| Provider Name | Dan J Hendrickson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467525949 PECOS PAC ID: 9335121961 Enrollment ID: I20070416000166 |
| Provider Name | A Miranda |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669565669 PECOS PAC ID: 3870526429 Enrollment ID: I20070531000399 |
| Provider Name | Tosha Jo Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639214216 PECOS PAC ID: 5092816827 Enrollment ID: I20070724000572 |
| Provider Name | Shane A Andrew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356308316 PECOS PAC ID: 6507961836 Enrollment ID: I20070730000338 |
| Provider Name | Gary Andrew Dildy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083765226 PECOS PAC ID: 1759304157 Enrollment ID: I20070803000195 |
| Provider Name | Melanie Vanderpol |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003017799 PECOS PAC ID: 5294826103 Enrollment ID: I20070807000594 |
| Provider Name | Stuart Austin Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053351361 PECOS PAC ID: 0244233146 Enrollment ID: I20070828000794 |
| Provider Name | Mary A Janowiak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669506531 PECOS PAC ID: 5698868917 Enrollment ID: I20070831000647 |
| Provider Name | Anne P Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194767178 PECOS PAC ID: 4880787563 Enrollment ID: I20070911000905 |
| Provider Name | William Laitinen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598792863 PECOS PAC ID: 7113010786 Enrollment ID: I20070912000728 |
| Provider Name | Todd R Palmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568595270 PECOS PAC ID: 5799870457 Enrollment ID: I20070926001162 |
| Provider Name | Susan C Kim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265478531 PECOS PAC ID: 4880789981 Enrollment ID: I20071004000485 |
| Provider Name | Patricia A Caplinger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588605364 PECOS PAC ID: 6002901931 Enrollment ID: I20071005000764 |
| Provider Name | James M Herrold |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235166885 PECOS PAC ID: 6002903184 Enrollment ID: I20071106000756 |
| Provider Name | Ajit S Deol |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508898099 PECOS PAC ID: 3173503737 Enrollment ID: I20071114000357 |
| Provider Name | Scott A Shappard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649275587 PECOS PAC ID: 9830288612 Enrollment ID: I20071130000631 |
| Provider Name | Holly D Swensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386672012 PECOS PAC ID: 1355430893 Enrollment ID: I20071205000458 |
| Provider Name | Kae E Leinberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811197874 PECOS PAC ID: 0941383780 Enrollment ID: I20080216000035 |
| Provider Name | Mary E River |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205882743 PECOS PAC ID: 2264517069 Enrollment ID: I20080304000307 |
| Provider Name | Diana Menchaca |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184787764 PECOS PAC ID: 5092891333 Enrollment ID: I20080326000666 |
| Provider Name | Shauna T Williams |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1821150285 PECOS PAC ID: 4385720507 Enrollment ID: I20080327000451 |
| Provider Name | William Howard Hazle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629039763 PECOS PAC ID: 7113004219 Enrollment ID: I20080414000064 |
| Provider Name | John J Kiehl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902940570 PECOS PAC ID: 7911085170 Enrollment ID: I20080429000333 |
| Provider Name | Shana L Tubach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205879483 PECOS PAC ID: 4082792247 Enrollment ID: I20080429000345 |
| Provider Name | Carrie A Humphrey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699721837 PECOS PAC ID: 4385722560 Enrollment ID: I20080429000511 |
| Provider Name | Laura A Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477597573 PECOS PAC ID: 5890873079 Enrollment ID: I20080429000540 |
| Provider Name | Brandon G Isaacs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801833645 PECOS PAC ID: 4284617036 Enrollment ID: I20080514000513 |
| Provider Name | Cynda Le Tomlinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891703070 PECOS PAC ID: 9638119969 Enrollment ID: I20080619000546 |
| Provider Name | Ryan D Heyborne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659573889 PECOS PAC ID: 0345312088 Enrollment ID: I20080711000509 |
| Provider Name | Daniel S Knorpp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538214184 PECOS PAC ID: 5890896658 Enrollment ID: I20080717000223 |
| Provider Name | Mark Burriesci |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831397835 PECOS PAC ID: 8921171737 Enrollment ID: I20080725000602 |
| Provider Name | Dennis R Mcgee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679584577 PECOS PAC ID: 1850474461 Enrollment ID: I20080731000360 |
| Provider Name | Katherine A Mathews |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841296902 PECOS PAC ID: 5092880781 Enrollment ID: I20080814000326 |
| Provider Name | Amanda M Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477719433 PECOS PAC ID: 0042386864 Enrollment ID: I20080902000535 |
| Provider Name | Christian G Zimmerman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1407874068 PECOS PAC ID: 0345139176 Enrollment ID: I20080905000598 |
| Provider Name | Natasha Miller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144299678 PECOS PAC ID: 7618043167 Enrollment ID: I20080905000617 |
| Provider Name | Joseph J Crowley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679611834 PECOS PAC ID: 0143290114 Enrollment ID: I20081119000285 |
| Provider Name | Gregory T Trapp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851407944 PECOS PAC ID: 7416983077 Enrollment ID: I20081211000481 |
| Provider Name | David G Babbel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861434961 PECOS PAC ID: 1951391275 Enrollment ID: I20081231000208 |
| Provider Name | Michael A Codina |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871540708 PECOS PAC ID: 2062492226 Enrollment ID: I20090106000611 |
| Provider Name | Jared T Rye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457596413 PECOS PAC ID: 6406919646 Enrollment ID: I20090114000070 |
| Provider Name | Linda A Whitener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104853738 PECOS PAC ID: 0042273047 Enrollment ID: I20090223000631 |
| Provider Name | Michael Coughlin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023010824 PECOS PAC ID: 2668451733 Enrollment ID: I20090508000359 |
| Provider Name | Mark Alan Jepson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306089271 PECOS PAC ID: 4880743467 Enrollment ID: I20090601000591 |
| Provider Name | Martin A Mangan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972709103 PECOS PAC ID: 6709937758 Enrollment ID: I20090702000185 |
| Provider Name | Juliana L Digiosia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144335332 PECOS PAC ID: 1153473962 Enrollment ID: I20090708000642 |
| Provider Name | Keri J Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407001852 PECOS PAC ID: 7618029513 Enrollment ID: I20090722000802 |
| Provider Name | Christopher C Wyatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649487430 PECOS PAC ID: 7416009345 Enrollment ID: I20090723000328 |
| Provider Name | Jon R Kattenhorn |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881648251 PECOS PAC ID: 0840266797 Enrollment ID: I20090728000869 |
| Provider Name | Joann M Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801842257 PECOS PAC ID: 2466465596 Enrollment ID: I20090808000120 |
| Provider Name | Sarah M Hollopeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144243619 PECOS PAC ID: 6103829122 Enrollment ID: I20090822000151 |
| Provider Name | Christopher B Hirose |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437111267 PECOS PAC ID: 7012988926 Enrollment ID: I20090824000645 |
| Provider Name | Karl N Watts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578591053 PECOS PAC ID: 1052382520 Enrollment ID: I20090902000737 |
| Provider Name | Marcel A Goldberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801837141 PECOS PAC ID: 8729026810 Enrollment ID: I20090910000647 |
| Provider Name | Catherine A Prinzing |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1932331626 PECOS PAC ID: 7810043080 Enrollment ID: I20090914000616 |
| Provider Name | Christie A Julian |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801072129 PECOS PAC ID: 3779639851 Enrollment ID: I20090914000789 |
| Provider Name | Lisa M Nelson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194840397 PECOS PAC ID: 2668545773 Enrollment ID: I20091013000504 |
| Provider Name | Elizabeth Prier |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306983689 PECOS PAC ID: 1951449354 Enrollment ID: I20091104000649 |
| Provider Name | Kathleen R Sutherland |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1326186115 PECOS PAC ID: 8820170574 Enrollment ID: I20091231000410 |
| Provider Name | David N Sim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114106952 PECOS PAC ID: 0648311977 Enrollment ID: I20100108000864 |
| Provider Name | William G Bergquist |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730227927 PECOS PAC ID: 5193807840 Enrollment ID: I20100114000837 |
| Provider Name | Shelly S Conley-durkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588862304 PECOS PAC ID: 6002958766 Enrollment ID: I20100119000791 |
| Provider Name | Paula G Carvalho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255432910 PECOS PAC ID: 3375687163 Enrollment ID: I20100217000319 |
| Provider Name | Tildon C Robinson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457340481 PECOS PAC ID: 3779689930 Enrollment ID: I20100304000801 |
| Provider Name | Jennifer L Nordquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437489895 PECOS PAC ID: 1557406394 Enrollment ID: I20100304000888 |
| Provider Name | Beth R Malasky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730285719 PECOS PAC ID: 2062306897 Enrollment ID: I20100313000053 |
| Provider Name | Natalia Khochay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255653796 PECOS PAC ID: 2860527371 Enrollment ID: I20100322000762 |
| Provider Name | Michael R Mcmartin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1174526974 PECOS PAC ID: 5395723977 Enrollment ID: I20100329000217 |
| Provider Name | Donald J Beasley |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1770573750 PECOS PAC ID: 8628176260 Enrollment ID: I20100414000401 |
| Provider Name | Miers C Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942291521 PECOS PAC ID: 3971609132 Enrollment ID: I20100414000406 |
| Provider Name | Antonio R Velardi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558435107 PECOS PAC ID: 7810946183 Enrollment ID: I20100415000621 |
| Provider Name | Tisha K Fujii |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720092596 PECOS PAC ID: 4880675339 Enrollment ID: I20100521000063 |
| Provider Name | Joel Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013956705 PECOS PAC ID: 1759361678 Enrollment ID: I20100522000043 |
| Provider Name | Debbie L Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437109873 PECOS PAC ID: 2860522760 Enrollment ID: I20100618000574 |
| Provider Name | Roger T Biss |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952385726 PECOS PAC ID: 7719932201 Enrollment ID: I20100621000328 |
| Provider Name | Christopher M Alessi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1598726960 PECOS PAC ID: 8224040217 Enrollment ID: I20100630000647 |
| Provider Name | Jackie J Whitesell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346367984 PECOS PAC ID: 4587718176 Enrollment ID: I20100714000994 |
| Provider Name | Kerry P Pulver |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376596247 PECOS PAC ID: 8426180936 Enrollment ID: I20100720000240 |
| Provider Name | Justin M Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659484509 PECOS PAC ID: 4385777564 Enrollment ID: I20100809001058 |
| Provider Name | Alex Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1417081399 PECOS PAC ID: 0345332433 Enrollment ID: I20100813000831 |
| Provider Name | Rebecca L Mccaffrey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215193263 PECOS PAC ID: 2668506577 Enrollment ID: I20100813000858 |
| Provider Name | Brigitta S Lavergne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164596557 PECOS PAC ID: 1759316151 Enrollment ID: I20100814000146 |
| Provider Name | Clarence W Blea |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558312199 PECOS PAC ID: 9537293956 Enrollment ID: I20100819000989 |
| Provider Name | Karl J Schultheiss |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1265478325 PECOS PAC ID: 5799819157 Enrollment ID: I20100820000302 |
| Provider Name | Martha Ann Cline |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043249964 PECOS PAC ID: 8729172598 Enrollment ID: I20100823000392 |
| Provider Name | Robert Friedman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457337446 PECOS PAC ID: 3375638364 Enrollment ID: I20100825000685 |
| Provider Name | Michael O Sant |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861478752 PECOS PAC ID: 4385656446 Enrollment ID: I20100825001070 |
| Provider Name | Clay H Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053348441 PECOS PAC ID: 5991888463 Enrollment ID: I20100907000789 |
| Provider Name | Jennifer L Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700927902 PECOS PAC ID: 6406816982 Enrollment ID: I20100908000766 |
| Provider Name | Stephen William Asher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871523373 PECOS PAC ID: 5092809863 Enrollment ID: I20100913000735 |
| Provider Name | Allen C Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801825724 PECOS PAC ID: 7810081684 Enrollment ID: I20100920000783 |
| Provider Name | Laurie J Ashby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730169178 PECOS PAC ID: 9234321506 Enrollment ID: I20101005000368 |
| Provider Name | Michael J Shevlin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407075328 PECOS PAC ID: 7911199740 Enrollment ID: I20101012000190 |
| Provider Name | Deanna M Johannsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841524550 PECOS PAC ID: 9234324740 Enrollment ID: I20101111001401 |
| Provider Name | Stephen Donald Jones |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124004510 PECOS PAC ID: 1052507514 Enrollment ID: I20101123000242 |
| Provider Name | Hansel Ashby |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548213457 PECOS PAC ID: 4587749569 Enrollment ID: I20101201000643 |
| Provider Name | Vaun J Archibald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417937517 PECOS PAC ID: 8921295189 Enrollment ID: I20101214000586 |
| Provider Name | Jason M Ellison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740231455 PECOS PAC ID: 5496943565 Enrollment ID: I20101216000645 |
| Provider Name | Becky M Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417938473 PECOS PAC ID: 8729277835 Enrollment ID: I20110105000453 |
| Provider Name | Phillip J Redd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134296106 PECOS PAC ID: 3779772181 Enrollment ID: I20110114000646 |
| Provider Name | Jennifer E Biggerstaff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861690745 PECOS PAC ID: 5193904225 Enrollment ID: I20110121000481 |
| Provider Name | Kristine M Reinhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639490006 PECOS PAC ID: 5092994145 Enrollment ID: I20110121000726 |
| Provider Name | Rory R Ramsey |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174634737 PECOS PAC ID: 4789602640 Enrollment ID: I20110222000518 |
| Provider Name | Jane K Spencer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1962709550 PECOS PAC ID: 3375725765 Enrollment ID: I20110307000226 |
| Provider Name | Teresa Morgan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1225336118 PECOS PAC ID: 8921280686 Enrollment ID: I20110316000999 |
| Provider Name | Sarah D Palmer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1619274727 PECOS PAC ID: 9032392394 Enrollment ID: I20110323000727 |
| Provider Name | Daniel Brennan Vine |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841219375 PECOS PAC ID: 3072414598 Enrollment ID: I20110328000691 |
| Provider Name | Heather E Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144246950 PECOS PAC ID: 2668656166 Enrollment ID: I20110407000300 |
| Provider Name | Jenifer L Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164673968 PECOS PAC ID: 7810181880 Enrollment ID: I20110421000396 |
| Provider Name | Stefani A Westerberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417256736 PECOS PAC ID: 2860677150 Enrollment ID: I20110502000386 |
| Provider Name | Jennifer A Southard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023216538 PECOS PAC ID: 4385812429 Enrollment ID: I20110716000009 |
| Provider Name | Joseph P Brooks |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1457323693 PECOS PAC ID: 5193878056 Enrollment ID: I20110728000407 |
| Provider Name | Steven G Moser |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831396449 PECOS PAC ID: 2860660214 Enrollment ID: I20110729000499 |
| Provider Name | Melina Fernandez Brandt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366605180 PECOS PAC ID: 8325104078 Enrollment ID: I20110816000509 |
| Provider Name | Mary P Jeffress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326003377 PECOS PAC ID: 1759551963 Enrollment ID: I20110825000635 |
| Provider Name | Anil S Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356350664 PECOS PAC ID: 5294793584 Enrollment ID: I20110829000503 |
| Provider Name | John Foote |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154310597 PECOS PAC ID: 0941269070 Enrollment ID: I20110922000218 |
| Provider Name | Angelo S Ferraro |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740236405 PECOS PAC ID: 0345239877 Enrollment ID: I20110927000180 |
| Provider Name | Robert B Buxton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073778098 PECOS PAC ID: 3779625512 Enrollment ID: I20111003000432 |
| Provider Name | Helen A Napier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801867817 PECOS PAC ID: 2769665215 Enrollment ID: I20111004000734 |
| Provider Name | Alan D Langerak |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1902853294 PECOS PAC ID: 4688682982 Enrollment ID: I20111005000061 |
| Provider Name | Merle L Keller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265609929 PECOS PAC ID: 7810040706 Enrollment ID: I20111013000459 |
| Provider Name | Jeri K Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285940965 PECOS PAC ID: 4587859418 Enrollment ID: I20111116000596 |
| Provider Name | Jeremey S Cureton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053698167 PECOS PAC ID: 0840465332 Enrollment ID: I20111212000676 |
| Provider Name | Daniela Grigore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295998862 PECOS PAC ID: 8628244928 Enrollment ID: I20120109000861 |
| Provider Name | Ted E Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770618712 PECOS PAC ID: 6901065804 Enrollment ID: I20120313000578 |
| Provider Name | Camille A Lacroix |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609888007 PECOS PAC ID: 4789845017 Enrollment ID: I20120413000347 |
| Provider Name | Gerard P Connor |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1669470274 PECOS PAC ID: 5294756540 Enrollment ID: I20120604000017 |
| Provider Name | Linda Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427099852 PECOS PAC ID: 9638173941 Enrollment ID: I20120605000389 |
| Provider Name | Randall L Rudeen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396763793 PECOS PAC ID: 6709040900 Enrollment ID: I20120620000372 |
| Provider Name | Kylee M Domby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124398458 PECOS PAC ID: 9335304435 Enrollment ID: I20120622000038 |
| Provider Name | Delray Maughan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649253188 PECOS PAC ID: 8123100138 Enrollment ID: I20120622000069 |
| Provider Name | Chelsea E Dedlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205103686 PECOS PAC ID: 3678729928 Enrollment ID: I20120802000163 |
| Provider Name | Kimberly Judd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619018470 PECOS PAC ID: 5092961482 Enrollment ID: I20120820000544 |
| Provider Name | Shashi Ajmani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740255504 PECOS PAC ID: 6103901970 Enrollment ID: I20120822000717 |
| Provider Name | Frances M Rogien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487936829 PECOS PAC ID: 5092962894 Enrollment ID: I20120830000222 |
| Provider Name | Coire C Weathers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437319662 PECOS PAC ID: 4385891993 Enrollment ID: I20120904000092 |
| Provider Name | Mark B Cheney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659504314 PECOS PAC ID: 0648427138 Enrollment ID: I20120906000548 |
| Provider Name | Lindsey M Foy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083817795 PECOS PAC ID: 8820246390 Enrollment ID: I20120907000603 |
| Provider Name | Megan C Mccarren |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1841490950 PECOS PAC ID: 1759550718 Enrollment ID: I20121005000667 |
| Provider Name | Mary S Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174871420 PECOS PAC ID: 4183874589 Enrollment ID: I20121019000606 |
| Provider Name | Kandiss L Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558620781 PECOS PAC ID: 4385894310 Enrollment ID: I20121026000692 |
| Provider Name | Michael E Graff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689603219 PECOS PAC ID: 8820084916 Enrollment ID: I20121030000484 |
| Provider Name | Robyn M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790034312 PECOS PAC ID: 6305097460 Enrollment ID: I20121119000512 |
| Provider Name | Heidi E Shields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053406488 PECOS PAC ID: 3274627989 Enrollment ID: I20121120000498 |
| Provider Name | Peggie A Bensch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164468187 PECOS PAC ID: 5890683783 Enrollment ID: I20121127000430 |
| Provider Name | D'nicole Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508133679 PECOS PAC ID: 1355593245 Enrollment ID: I20121128000102 |
| Provider Name | Rieneke D White |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1851649933 PECOS PAC ID: 8325290216 Enrollment ID: I20121128000136 |
| Provider Name | Cindy K Horrocks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992059125 PECOS PAC ID: 0840443743 Enrollment ID: I20121228000357 |
| Provider Name | Christy E Bayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760796296 PECOS PAC ID: 8123271871 Enrollment ID: I20130109000407 |
| Provider Name | Marjorie C Rich |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1558664755 PECOS PAC ID: 1557514833 Enrollment ID: I20130117000335 |
| Provider Name | Jessica L Butterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730432352 PECOS PAC ID: 1355594557 Enrollment ID: I20130122000547 |
| Provider Name | Joshua E Durham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013194208 PECOS PAC ID: 5799858437 Enrollment ID: I20130204000202 |
| Provider Name | Nathan Elliot Green |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568540714 PECOS PAC ID: 5698790442 Enrollment ID: I20130307000354 |
| Provider Name | Alfred E Lounsbury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699731760 PECOS PAC ID: 3779496690 Enrollment ID: I20130321000508 |
| Provider Name | Melissa A Polk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770879942 PECOS PAC ID: 6406093772 Enrollment ID: I20130503000236 |
| Provider Name | Josef Stehlik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558458992 PECOS PAC ID: 9335182179 Enrollment ID: I20130522000328 |
| Provider Name | Sara B Thomson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356316509 PECOS PAC ID: 8527206788 Enrollment ID: I20130529000505 |
| Provider Name | Michael F Reidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609950500 PECOS PAC ID: 1557363223 Enrollment ID: I20130611000510 |
| Provider Name | Alison Shearer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396898482 PECOS PAC ID: 5991944043 Enrollment ID: I20130620000444 |
| Provider Name | Lynn M Dammarell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073959193 PECOS PAC ID: 1759520869 Enrollment ID: I20130621000377 |
| Provider Name | Christina G Biller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689830820 PECOS PAC ID: 5496994279 Enrollment ID: I20130627000300 |
| Provider Name | Rebecca L Legg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386611325 PECOS PAC ID: 4284529629 Enrollment ID: I20130628000059 |
| Provider Name | Forrest R Fredline |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245493840 PECOS PAC ID: 5092955054 Enrollment ID: I20130716000203 |
| Provider Name | Wes Jonathan Arlein |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770529240 PECOS PAC ID: 6901798214 Enrollment ID: I20130718000446 |
| Provider Name | Britani R Hill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275718595 PECOS PAC ID: 9638357304 Enrollment ID: I20130723000934 |
| Provider Name | Lukas T Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659519593 PECOS PAC ID: 7810138393 Enrollment ID: I20130725000468 |
| Provider Name | Kristi Clukey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699723072 PECOS PAC ID: 8022020692 Enrollment ID: I20130827000303 |
| Provider Name | Michael J Hoilien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881739076 PECOS PAC ID: 0840433595 Enrollment ID: I20130827000951 |
| Provider Name | Joanmarie Pellegrini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265402242 PECOS PAC ID: 2668404898 Enrollment ID: I20130828000147 |
| Provider Name | Lesleigh A Box |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720064785 PECOS PAC ID: 1850320219 Enrollment ID: I20130904000629 |
| Provider Name | Randi Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841516218 PECOS PAC ID: 9032352364 Enrollment ID: I20130905000305 |
| Provider Name | Kathryn R Schneider |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457589640 PECOS PAC ID: 7618121468 Enrollment ID: I20130912000206 |
| Provider Name | Martha Clinton Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417268574 PECOS PAC ID: 7214174184 Enrollment ID: I20130912000401 |
| Provider Name | Thadeus B Koontz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609010156 PECOS PAC ID: 3072757012 Enrollment ID: I20130913000262 |
| Provider Name | Mark O Moore |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821261918 PECOS PAC ID: 0143464651 Enrollment ID: I20130924000575 |
| Provider Name | Sarah R Staller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336450402 PECOS PAC ID: 9537306402 Enrollment ID: I20130925000951 |
| Provider Name | Lindsay R Barclay Sales |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720248040 PECOS PAC ID: 3870727167 Enrollment ID: I20130927000149 |
| Provider Name | Tammie L Sherner |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1992130421 PECOS PAC ID: 6305070954 Enrollment ID: I20131014001786 |
| Provider Name | Chelsea M Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255773909 PECOS PAC ID: 6002041720 Enrollment ID: I20131104001567 |
| Provider Name | Abhilash K Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366519084 PECOS PAC ID: 4789644824 Enrollment ID: I20131105000805 |
| Provider Name | Ralene F Wiberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912956806 PECOS PAC ID: 8820224207 Enrollment ID: I20131112002164 |
| Provider Name | Jason S Southwick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538412382 PECOS PAC ID: 7315173747 Enrollment ID: I20131113001499 |
| Provider Name | Andrew H Spencer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467647537 PECOS PAC ID: 6800948084 Enrollment ID: I20131120001410 |
| Provider Name | Katherine M Gesteland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124155007 PECOS PAC ID: 2961575113 Enrollment ID: I20131125001407 |
| Provider Name | William T Edwards |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679745590 PECOS PAC ID: 6608041041 Enrollment ID: I20131220001325 |
| Provider Name | Amanda D King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790053338 PECOS PAC ID: 1052549581 Enrollment ID: I20140108001361 |
| Provider Name | Amy English-burt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1568407765 PECOS PAC ID: 5092943035 Enrollment ID: I20140120000568 |
| Provider Name | Guillermo M Guzman Trevino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881828010 PECOS PAC ID: 0345386330 Enrollment ID: I20140121001636 |
| Provider Name | Travis Reed Moulton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760744403 PECOS PAC ID: 9638308091 Enrollment ID: I20140218001104 |
| Provider Name | Jennifer J King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235214586 PECOS PAC ID: 5698667020 Enrollment ID: I20140228000270 |
| Provider Name | Jocelyn L Mccullough |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1306274006 PECOS PAC ID: 1557591666 Enrollment ID: I20140310002237 |
| Provider Name | Shirley E Van Zandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700076312 PECOS PAC ID: 0446473748 Enrollment ID: I20140513001602 |
| Provider Name | Zachary M Arthurs |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1912974023 PECOS PAC ID: 0244384261 Enrollment ID: I20140516000225 |
| Provider Name | Katherine L Devlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366620825 PECOS PAC ID: 3274617618 Enrollment ID: I20140521002387 |
| Provider Name | Robert A Swensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1225354244 PECOS PAC ID: 5395968739 Enrollment ID: I20140603001534 |
| Provider Name | Robert G Ingram |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427074384 PECOS PAC ID: 5294711602 Enrollment ID: I20140611002220 |
| Provider Name | Jill Howey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750598843 PECOS PAC ID: 8921131905 Enrollment ID: I20140623002823 |
| Provider Name | Jeremy J Stockett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578859146 PECOS PAC ID: 7214152602 Enrollment ID: I20140626001802 |
| Provider Name | Ilevba Osarenkhoe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992978910 PECOS PAC ID: 0345315115 Enrollment ID: I20140626002424 |
| Provider Name | Sara Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285057976 PECOS PAC ID: 0840415261 Enrollment ID: I20140627000062 |
| Provider Name | Erik N Meyers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598828378 PECOS PAC ID: 5496970691 Enrollment ID: I20140702000172 |
| Provider Name | Derrel V Walker |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013208495 PECOS PAC ID: 8628293776 Enrollment ID: I20140702002108 |
| Provider Name | Victoria C Wilding |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1982835385 PECOS PAC ID: 0345480893 Enrollment ID: I20140804000933 |
| Provider Name | Erik S Linn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487949475 PECOS PAC ID: 3173740628 Enrollment ID: I20140807001071 |
| Provider Name | Amos Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154733244 PECOS PAC ID: 7618194002 Enrollment ID: I20140807002417 |
| Provider Name | Joshua D Holweger |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417102930 PECOS PAC ID: 0840430799 Enrollment ID: I20140809000095 |
| Provider Name | Michael J Wheaton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871588632 PECOS PAC ID: 0244457349 Enrollment ID: I20140813002953 |
| Provider Name | Bradley G Bishop |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316258510 PECOS PAC ID: 6204079924 Enrollment ID: I20140825001980 |
| Provider Name | Jacob B Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104113562 PECOS PAC ID: 1850519273 Enrollment ID: I20140827001029 |
| Provider Name | Harold G Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356320915 PECOS PAC ID: 7416928064 Enrollment ID: I20140905001361 |
| Provider Name | Olawale O Olaniyi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881973899 PECOS PAC ID: 6406075688 Enrollment ID: I20140922000000 |
| Provider Name | Michelle L Strong |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285766121 PECOS PAC ID: 6608946025 Enrollment ID: I20140923000331 |
| Provider Name | Linsey Etherington |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1336309434 PECOS PAC ID: 4486886462 Enrollment ID: I20140923000692 |
| Provider Name | Branson J Collins |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1588096804 PECOS PAC ID: 1759501745 Enrollment ID: I20140924002640 |
| Provider Name | Katy Connley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679980551 PECOS PAC ID: 8921224619 Enrollment ID: I20140929002787 |
| Provider Name | Eliza Salazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225359961 PECOS PAC ID: 0446495980 Enrollment ID: I20141027000342 |
| Provider Name | Christopher Sickel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790186799 PECOS PAC ID: 4284856766 Enrollment ID: I20141118001279 |
| Provider Name | Karen Porth |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033179288 PECOS PAC ID: 9032152244 Enrollment ID: I20141121000010 |
| Provider Name | Carla D Dirmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851624282 PECOS PAC ID: 2961549456 Enrollment ID: I20141203002169 |
| Provider Name | James Piktel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487883021 PECOS PAC ID: 1456674761 Enrollment ID: I20141217001785 |
| Provider Name | Margot Vloka |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1174517775 PECOS PAC ID: 6608881743 Enrollment ID: I20150109000779 |
| Provider Name | Heather M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518214154 PECOS PAC ID: 4688999170 Enrollment ID: I20150203002529 |
| Provider Name | Amanda E Keel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063491231 PECOS PAC ID: 4385673904 Enrollment ID: I20150209000576 |
| Provider Name | Frances M Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427322601 PECOS PAC ID: 0244555936 Enrollment ID: I20150223000611 |
| Provider Name | Jeffrey L Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811964570 PECOS PAC ID: 1254322332 Enrollment ID: I20150319000338 |
| Provider Name | Kristin S Gomes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891184115 PECOS PAC ID: 8527385186 Enrollment ID: I20150320000005 |
| Provider Name | Peter Stevan Jerome |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396740668 PECOS PAC ID: 7315915733 Enrollment ID: I20150323000618 |
| Provider Name | Jill K Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689065377 PECOS PAC ID: 5395062756 Enrollment ID: I20150323002420 |
| Provider Name | Ginger A Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174895353 PECOS PAC ID: 2365760600 Enrollment ID: I20150416000550 |
| Provider Name | Andria L Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639335888 PECOS PAC ID: 9931336583 Enrollment ID: I20150612000266 |
| Provider Name | April D Storms |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952462632 PECOS PAC ID: 3971814120 Enrollment ID: I20150616000003 |
| Provider Name | Michael E Rich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972759124 PECOS PAC ID: 4082938188 Enrollment ID: I20150701000621 |
| Provider Name | Harrison Davis Blanton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689932659 PECOS PAC ID: 6204078421 Enrollment ID: I20150703000055 |
| Provider Name | Wesley W Flint |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659691210 PECOS PAC ID: 9638481609 Enrollment ID: I20150703000059 |
| Provider Name | Darin Jurgensmeier |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1952537060 PECOS PAC ID: 2961623319 Enrollment ID: I20150703000062 |
| Provider Name | Steven B Daines |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326289364 PECOS PAC ID: 1456663426 Enrollment ID: I20150703000066 |
| Provider Name | Katherine L Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427314475 PECOS PAC ID: 6204148968 Enrollment ID: I20150709000006 |
| Provider Name | Ranan G Spolar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093121337 PECOS PAC ID: 9537472329 Enrollment ID: I20150722006362 |
| Provider Name | Clara Riji Anil |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043578818 PECOS PAC ID: 7810214533 Enrollment ID: I20150730014196 |
| Provider Name | Shae H Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669588315 PECOS PAC ID: 2163444811 Enrollment ID: I20150731017109 |
| Provider Name | Jessica Ziebarth |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1467747618 PECOS PAC ID: 6507170420 Enrollment ID: I20150805007091 |
| Provider Name | Kevin John Whitehead |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255421848 PECOS PAC ID: 9032004502 Enrollment ID: I20150805007186 |
| Provider Name | Roger Tracy Wyatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326305004 PECOS PAC ID: 6800101213 Enrollment ID: I20150813011976 |
| Provider Name | Carl B Kapadia |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164682720 PECOS PAC ID: 6709015936 Enrollment ID: I20150813012388 |
| Provider Name | Amanda L Dozier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548644099 PECOS PAC ID: 5395050611 Enrollment ID: I20150817000590 |
| Provider Name | Van Ngoc Hoang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215293139 PECOS PAC ID: 9133445091 Enrollment ID: I20150820012076 |
| Provider Name | Jee Hur |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053555326 PECOS PAC ID: 5890944656 Enrollment ID: I20150826001554 |
| Provider Name | Jeanette R Carpenter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467628263 PECOS PAC ID: 8022163450 Enrollment ID: I20150901001802 |
| Provider Name | Benedict J Taylor |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831355957 PECOS PAC ID: 0840485090 Enrollment ID: I20150909002663 |
| Provider Name | Amber Taylor |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902154149 PECOS PAC ID: 5496062010 Enrollment ID: I20150915001624 |
| Provider Name | John M Pilcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982071940 PECOS PAC ID: 6406163799 Enrollment ID: I20150918001507 |
| Provider Name | Pamela M Hooper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689973588 PECOS PAC ID: 5799092730 Enrollment ID: I20150923001996 |
| Provider Name | Robert Leon Clark |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508850181 PECOS PAC ID: 1759381171 Enrollment ID: I20150928001506 |
| Provider Name | Lisa Ann Medvetz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467451823 PECOS PAC ID: 1850339318 Enrollment ID: I20151008000012 |
| Provider Name | Meghan Michelle Hughes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780941286 PECOS PAC ID: 8628393675 Enrollment ID: I20151014000199 |
| Provider Name | Jennifer Holt Edwards |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144465402 PECOS PAC ID: 7416125646 Enrollment ID: I20151112001575 |
| Provider Name | Cezanne E Sindt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780941732 PECOS PAC ID: 4385944180 Enrollment ID: I20151201000883 |
| Provider Name | Naveed A Fazlani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710909866 PECOS PAC ID: 3476456542 Enrollment ID: I20160114001690 |
| Provider Name | Amy L Brauner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306245956 PECOS PAC ID: 5395067797 Enrollment ID: I20160120000568 |
| Provider Name | Jennifer Kienlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255706461 PECOS PAC ID: 2365746997 Enrollment ID: I20160202001795 |
| Provider Name | Mario Brus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790786515 PECOS PAC ID: 9638221567 Enrollment ID: I20160211001573 |
| Provider Name | Daniel K Arrington |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396065165 PECOS PAC ID: 6103070107 Enrollment ID: I20160302002511 |
| Provider Name | Paul W Fleenor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144209248 PECOS PAC ID: 9032262084 Enrollment ID: I20160308002749 |
| Provider Name | Joon S Yun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952387680 PECOS PAC ID: 9830337344 Enrollment ID: I20160316002159 |
| Provider Name | David J Wynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164859989 PECOS PAC ID: 7214234582 Enrollment ID: I20160331001269 |
| Provider Name | Meghan A Mcinerney |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235338955 PECOS PAC ID: 8628261831 Enrollment ID: I20160401001937 |
| Provider Name | David P Zamorano |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427090505 PECOS PAC ID: 0143290031 Enrollment ID: I20160404002205 |
| Provider Name | Erika V Aragona |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1316236466 PECOS PAC ID: 1951532282 Enrollment ID: I20160419000390 |
| Provider Name | John R Condie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417104548 PECOS PAC ID: 1355519265 Enrollment ID: I20160505001155 |
| Provider Name | Emily R Squyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467618223 PECOS PAC ID: 1658515507 Enrollment ID: I20160609002306 |
| Provider Name | Parker R Fillmore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417155086 PECOS PAC ID: 4183845183 Enrollment ID: I20160616001466 |
| Provider Name | Mitchell A Mendenhall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881033256 PECOS PAC ID: 5496997942 Enrollment ID: I20160620001525 |
| Provider Name | Nathan Z Hicks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144667817 PECOS PAC ID: 1355668252 Enrollment ID: I20160624001002 |
| Provider Name | Brenton D Baldwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649610528 PECOS PAC ID: 9739405606 Enrollment ID: I20160630001904 |
| Provider Name | Justin L Parkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730529553 PECOS PAC ID: 6800112749 Enrollment ID: I20160707000975 |
| Provider Name | David A Klima |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184899858 PECOS PAC ID: 8527350669 Enrollment ID: I20160708002127 |
| Provider Name | Eve M Preus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154680072 PECOS PAC ID: 6002048899 Enrollment ID: I20160721000187 |
| Provider Name | Ondrej Choutka |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1265651566 PECOS PAC ID: 4688843824 Enrollment ID: I20160722000926 |
| Provider Name | Adam R Schwind |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831539220 PECOS PAC ID: 5597081448 Enrollment ID: I20160725001004 |
| Provider Name | Derek E Kunz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1760740708 PECOS PAC ID: 0446575591 Enrollment ID: I20160725002188 |
| Provider Name | William M Curtin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093749418 PECOS PAC ID: 9830106509 Enrollment ID: I20160804000336 |
| Provider Name | Jennifer R Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417300419 PECOS PAC ID: 6103110457 Enrollment ID: I20160809001456 |
| Provider Name | Ryan D Bibler |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417181207 PECOS PAC ID: 5092947614 Enrollment ID: I20160809002020 |
| Provider Name | Shahla Walizada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205272986 PECOS PAC ID: 7315231693 Enrollment ID: I20160809002452 |
| Provider Name | Kara M Kuntz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1891057246 PECOS PAC ID: 0345470282 Enrollment ID: I20160809002853 |
| Provider Name | Alexandra N Meier |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1619234622 PECOS PAC ID: 0446575856 Enrollment ID: I20160810001022 |
| Provider Name | Jade Kathleen Bartoletti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679990394 PECOS PAC ID: 0244525160 Enrollment ID: I20160817000369 |
| Provider Name | Samantha P Meshack Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922240498 PECOS PAC ID: 0749459329 Enrollment ID: I20160817002175 |
| Provider Name | Bobby Chawla |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1598956963 PECOS PAC ID: 3072785633 Enrollment ID: I20160817002380 |
| Provider Name | Jennifer S Stock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689750614 PECOS PAC ID: 7416993373 Enrollment ID: I20160830002255 |
| Provider Name | Carolyn G Mcfarlane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679802987 PECOS PAC ID: 4082848700 Enrollment ID: I20160929001673 |
| Provider Name | Sherri Siegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447707120 PECOS PAC ID: 6901194307 Enrollment ID: I20161018002983 |
| Provider Name | Ryan Y Tsuda |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528289113 PECOS PAC ID: 2961305669 Enrollment ID: I20161020000898 |
| Provider Name | Kindra S Miiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659787273 PECOS PAC ID: 5597981969 Enrollment ID: I20161025000767 |
| Provider Name | Saeed Payvar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134339104 PECOS PAC ID: 2466601281 Enrollment ID: I20161114001691 |
| Provider Name | Jennifer A Hofstra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003079120 PECOS PAC ID: 9335272475 Enrollment ID: I20161122000675 |
| Provider Name | Allyson A Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114479862 PECOS PAC ID: 7416236922 Enrollment ID: I20161123001869 |
| Provider Name | Samantha J Benfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508308396 PECOS PAC ID: 2163702960 Enrollment ID: I20161214000845 |
| Provider Name | Rebekah Fayette |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043690175 PECOS PAC ID: 6406162841 Enrollment ID: I20161215002288 |
| Provider Name | Omar E Wever-pinzon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205926250 PECOS PAC ID: 6002902905 Enrollment ID: I20161227001736 |
| Provider Name | Kimberly A Telfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124562491 PECOS PAC ID: 5890076962 Enrollment ID: I20170103001741 |
| Provider Name | Erika L Willetts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1235507310 PECOS PAC ID: 8224346457 Enrollment ID: I20170106001358 |
| Provider Name | Ilyas K Colombowala |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730194150 PECOS PAC ID: 0042363160 Enrollment ID: I20170209000258 |
| Provider Name | Tara L Erbele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427081744 PECOS PAC ID: 4486700648 Enrollment ID: I20170223000103 |
| Provider Name | Peter C Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073053518 PECOS PAC ID: 4284919317 Enrollment ID: I20170331001627 |
| Provider Name | Matthew R Lindley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205914694 PECOS PAC ID: 8527344639 Enrollment ID: I20170404000184 |
| Provider Name | Elizabeth H Cablik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306387329 PECOS PAC ID: 4880970938 Enrollment ID: I20170404002236 |
| Provider Name | Matthew R Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376622985 PECOS PAC ID: 6204908023 Enrollment ID: I20170405002209 |
| Provider Name | Elizabeth A Rutten-turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508268616 PECOS PAC ID: 4789960709 Enrollment ID: I20170405002303 |
| Provider Name | Tyler G Jue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033641154 PECOS PAC ID: 9537445374 Enrollment ID: I20170411001127 |
| Provider Name | Nancy N Keegan-ovando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215279153 PECOS PAC ID: 4385961929 Enrollment ID: I20170417001190 |
| Provider Name | Shasta M Slavkovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932640968 PECOS PAC ID: 3779860184 Enrollment ID: I20170511001153 |
| Provider Name | Vanessa M Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396040028 PECOS PAC ID: 0446491880 Enrollment ID: I20170512000387 |
| Provider Name | Sig-linda Jacobson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033291323 PECOS PAC ID: 5698869980 Enrollment ID: I20170522002259 |
| Provider Name | Cameron J Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730594185 PECOS PAC ID: 4284850215 Enrollment ID: I20170524001125 |
| Provider Name | Sara J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881129146 PECOS PAC ID: 2961779764 Enrollment ID: I20170526002013 |
| Provider Name | John Arthur Jarrell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1588877641 PECOS PAC ID: 3971749599 Enrollment ID: I20170605002595 |
| Provider Name | Paula Durst |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932547338 PECOS PAC ID: 0749424042 Enrollment ID: I20170613000578 |
| Provider Name | Katie C Best |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699096032 PECOS PAC ID: 4183992241 Enrollment ID: I20170613002087 |
| Provider Name | Jared B Thompson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841604089 PECOS PAC ID: 6800013210 Enrollment ID: I20170620002494 |
| Provider Name | Kristen E Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790105518 PECOS PAC ID: 3779805932 Enrollment ID: I20170626002902 |
| Provider Name | Jessica D Eilert |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427477090 PECOS PAC ID: 4880963354 Enrollment ID: I20170627002446 |
| Provider Name | Jessica Riordan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790028405 PECOS PAC ID: 3375784879 Enrollment ID: I20170628003204 |
| Provider Name | Ryan L Pettit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487092292 PECOS PAC ID: 8224257241 Enrollment ID: I20170630002023 |
| Provider Name | Stephanie Larie Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669901245 PECOS PAC ID: 2860761707 Enrollment ID: I20170707002172 |
| Provider Name | Laura E Fink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487094108 PECOS PAC ID: 0143463026 Enrollment ID: I20170713000835 |
| Provider Name | Meaghen Friel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407274210 PECOS PAC ID: 7517285422 Enrollment ID: I20170719000021 |
| Provider Name | Nina Kellie Lateefee Abul-husn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538421094 PECOS PAC ID: 9133366990 Enrollment ID: I20170725003982 |
| Provider Name | Jessica M Braksiek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558808501 PECOS PAC ID: 5294019337 Enrollment ID: I20170727001006 |
| Provider Name | Katherine L Mcdonough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649589664 PECOS PAC ID: 8628388238 Enrollment ID: I20170803001946 |
| Provider Name | Lisa M Parrillo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659663482 PECOS PAC ID: 8820394281 Enrollment ID: I20170807002060 |
| Provider Name | Chelsea L Carlson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396156675 PECOS PAC ID: 7719203652 Enrollment ID: I20170831003251 |
| Provider Name | Jeffrey Christian Walker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609167063 PECOS PAC ID: 3870743347 Enrollment ID: I20170914002144 |
| Provider Name | Ann Elizabeth Knierim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346402757 PECOS PAC ID: 5092956326 Enrollment ID: I20170914003303 |
| Provider Name | Matthew T Genther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548784606 PECOS PAC ID: 1153695119 Enrollment ID: I20170914003608 |
| Provider Name | Cara N Sullivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912347303 PECOS PAC ID: 0941526800 Enrollment ID: I20170916000632 |
| Provider Name | Jill A Konrad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396261129 PECOS PAC ID: 1052686086 Enrollment ID: I20171002001479 |
| Provider Name | Carolyn A Punt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497296768 PECOS PAC ID: 7214202837 Enrollment ID: I20171009000826 |
| Provider Name | Keith Douglas Balderston |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871525337 PECOS PAC ID: 0143398982 Enrollment ID: I20171020001624 |
| Provider Name | Leila D Ford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285997064 PECOS PAC ID: 2668618158 Enrollment ID: I20171026002422 |
| Provider Name | Jordan D Nugent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902224645 PECOS PAC ID: 3274853189 Enrollment ID: I20171128003019 |
| Provider Name | Tess Weidner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861861841 PECOS PAC ID: 6709143639 Enrollment ID: I20171201001425 |
| Provider Name | Lauren D Bales |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1366435687 PECOS PAC ID: 6608873450 Enrollment ID: I20171218003328 |
| Provider Name | Kurt E Kracaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285723460 PECOS PAC ID: 1557545407 Enrollment ID: I20171227000694 |
| Provider Name | Sulabha Chaganaboyana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659668218 PECOS PAC ID: 8628216330 Enrollment ID: I20171227000740 |
| Provider Name | Amber Loya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518488931 PECOS PAC ID: 6103190459 Enrollment ID: I20180115000249 |
| Provider Name | Michael J Twomey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073924239 PECOS PAC ID: 6608192562 Enrollment ID: I20180201002682 |
| Provider Name | Kevin W Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174633085 PECOS PAC ID: 4688669286 Enrollment ID: I20180202002329 |
| Provider Name | David A Wald |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1205859535 PECOS PAC ID: 7315939972 Enrollment ID: I20180212001995 |
| Provider Name | Wendy L Misner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356857106 PECOS PAC ID: 3577824390 Enrollment ID: I20180219001184 |
| Provider Name | Alison Schick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629037866 PECOS PAC ID: 7719085596 Enrollment ID: I20180227000094 |
| Provider Name | Tarasue Maness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386191500 PECOS PAC ID: 5799067328 Enrollment ID: I20180228002318 |
| Provider Name | Carey L Winkler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669434395 PECOS PAC ID: 1658363031 Enrollment ID: I20180306001710 |
| Provider Name | Stephen Byrd |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710908330 PECOS PAC ID: 1153502620 Enrollment ID: I20180321002718 |
| Provider Name | Kellie R Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992206742 PECOS PAC ID: 7214290261 Enrollment ID: I20180404002306 |
| Provider Name | Dixie J Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659876399 PECOS PAC ID: 8729342225 Enrollment ID: I20180509002341 |
| Provider Name | Michelle L Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062857 PECOS PAC ID: 2961709621 Enrollment ID: I20180525001166 |
| Provider Name | Jeffrey J Heslop |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1144544644 PECOS PAC ID: 0244541522 Enrollment ID: I20180531002304 |
| Provider Name | Debbie Yen-dao Dang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1427324326 PECOS PAC ID: 0547551129 Enrollment ID: I20180614002199 |
| Provider Name | Jenny J Jin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235493206 PECOS PAC ID: 7416102132 Enrollment ID: I20180619000825 |
| Provider Name | Justin Devinaspre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144738717 PECOS PAC ID: 0244585057 Enrollment ID: I20180620000077 |
| Provider Name | Mary T Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477042802 PECOS PAC ID: 4284980608 Enrollment ID: I20180627001570 |
| Provider Name | Eli J Harris |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1235472531 PECOS PAC ID: 5294954095 Enrollment ID: I20180628000600 |
| Provider Name | Jeffery A Reese |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588084453 PECOS PAC ID: 0042529703 Enrollment ID: I20180706000531 |
| Provider Name | Graham William Donald |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043527286 PECOS PAC ID: 4082886106 Enrollment ID: I20180713002755 |
| Provider Name | Annis W Vargas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023404811 PECOS PAC ID: 2365722717 Enrollment ID: I20180719003913 |
| Provider Name | Sheev I Dattani |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1760903363 PECOS PAC ID: 6002189693 Enrollment ID: I20180725003808 |
| Provider Name | Jesse Dylan Chlebeck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073879185 PECOS PAC ID: 4587965934 Enrollment ID: I20180725003971 |
| Provider Name | Travis John Clyde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457700262 PECOS PAC ID: 7214229095 Enrollment ID: I20180727002448 |
| Provider Name | John H Seok |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770578973 PECOS PAC ID: 8022275478 Enrollment ID: I20180731002899 |
| Provider Name | Christopher A Reising |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285699165 PECOS PAC ID: 4688625874 Enrollment ID: I20180806003441 |
| Provider Name | Shaye L Lewis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649664558 PECOS PAC ID: 2860703063 Enrollment ID: I20180810000823 |
| Provider Name | Nathan Kellis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942688627 PECOS PAC ID: 7810200169 Enrollment ID: I20180817003205 |
| Provider Name | Kathryn Sisterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942485891 PECOS PAC ID: 5698807162 Enrollment ID: I20180926002452 |
| Provider Name | Daniel Allan Bridger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710121926 PECOS PAC ID: 2466695531 Enrollment ID: I20180928000964 |
| Provider Name | Andrew D Michaels |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1588618250 PECOS PAC ID: 9234132317 Enrollment ID: I20181008001304 |
| Provider Name | Joshua Chong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326431198 PECOS PAC ID: 2163721762 Enrollment ID: I20181029001100 |
| Provider Name | Caleb Patee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780078857 PECOS PAC ID: 5193001790 Enrollment ID: I20181029001777 |
| Provider Name | Vicente Undurraga Perl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083931067 PECOS PAC ID: 1951548940 Enrollment ID: I20181106002627 |
| Provider Name | Alvin P Perry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427316942 PECOS PAC ID: 1254577711 Enrollment ID: I20181113002154 |
| Provider Name | Inger Persson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356496574 PECOS PAC ID: 3870847726 Enrollment ID: I20181113002468 |
| Provider Name | Carl Ciplinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003397076 PECOS PAC ID: 6305190968 Enrollment ID: I20181116002345 |
| Provider Name | David D. Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669652533 PECOS PAC ID: 9537230685 Enrollment ID: I20181121001785 |
| Provider Name | William T Stephenson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1093787541 PECOS PAC ID: 6406911148 Enrollment ID: I20181204002491 |
| Provider Name | Jessica Maddox |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801281175 PECOS PAC ID: 3870866239 Enrollment ID: I20181205000718 |
| Provider Name | Michael Karl Shepler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356836639 PECOS PAC ID: 0446594071 Enrollment ID: I20181207000877 |
| Provider Name | Donraphael Wynn |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396188751 PECOS PAC ID: 1951627124 Enrollment ID: I20181213001134 |
| Provider Name | Daniel L Meltzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275681256 PECOS PAC ID: 6800920836 Enrollment ID: I20181213002797 |
| Provider Name | Charles W Coffey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689016412 PECOS PAC ID: 3274767348 Enrollment ID: I20181218003125 |
| Provider Name | Bryan D Sohl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578621900 PECOS PAC ID: 1557388022 Enrollment ID: I20181221001107 |
| Provider Name | Tiffany Millett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457820334 PECOS PAC ID: 9335486455 Enrollment ID: I20190128003433 |
| Provider Name | Bentley Thomason |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699112482 PECOS PAC ID: 7618258526 Enrollment ID: I20190201001697 |
| Provider Name | Megan F Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285109942 PECOS PAC ID: 3476891102 Enrollment ID: I20190205001508 |
| Provider Name | Linda K Walker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053467852 PECOS PAC ID: 7315978095 Enrollment ID: I20190205001543 |
| Provider Name | Katherine Q Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760951537 PECOS PAC ID: 2062750748 Enrollment ID: I20190205003623 |
| Provider Name | Kristyn L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982174199 PECOS PAC ID: 8325386980 Enrollment ID: I20190206003361 |
| Provider Name | Gary Gross |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1760434252 PECOS PAC ID: 2860594330 Enrollment ID: I20190208000325 |
| Provider Name | Erin Bohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983153 PECOS PAC ID: 3870831233 Enrollment ID: I20190208002153 |
| Provider Name | Molly Mccormick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003296724 PECOS PAC ID: 5193031235 Enrollment ID: I20190211000455 |
| Provider Name | Rachel Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659844066 PECOS PAC ID: 1355689209 Enrollment ID: I20190219001284 |
| Provider Name | Erin C Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093155525 PECOS PAC ID: 6507090248 Enrollment ID: I20190221001986 |
| Provider Name | Rajasekhar Katuru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336437680 PECOS PAC ID: 6507170206 Enrollment ID: I20190306002646 |
| Provider Name | Erin Michaelis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639578628 PECOS PAC ID: 8628391422 Enrollment ID: I20190311002383 |
| Provider Name | Eric Stuart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1447244819 PECOS PAC ID: 5294707659 Enrollment ID: I20190315002548 |
| Provider Name | Kirk Emil Paolinelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235637240 PECOS PAC ID: 6204197098 Enrollment ID: I20190329001072 |
| Provider Name | Nadezhda Kravchuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033686076 PECOS PAC ID: 5698016988 Enrollment ID: I20190415002189 |
| Provider Name | Danielle Bores |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053877555 PECOS PAC ID: 9537402797 Enrollment ID: I20190510001386 |
| Provider Name | Jessica L Duvall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477843928 PECOS PAC ID: 0941425029 Enrollment ID: I20190516003004 |
| Provider Name | Ellis John Salloum |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871540088 PECOS PAC ID: 4486616810 Enrollment ID: I20190520001952 |
| Provider Name | Jessica A Evert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003015124 PECOS PAC ID: 5496823338 Enrollment ID: I20190521002797 |
| Provider Name | Gianina Cazan-london |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407834351 PECOS PAC ID: 7214074392 Enrollment ID: I20190620003511 |
| Provider Name | James E Chalk |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770762098 PECOS PAC ID: 2769508225 Enrollment ID: I20190628001594 |
| Provider Name | Nicholas T Gorden |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1568805810 PECOS PAC ID: 4385888643 Enrollment ID: I20190702000516 |
| Provider Name | Josef Bartels |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912355462 PECOS PAC ID: 3274826029 Enrollment ID: I20190711003439 |
| Provider Name | Ian Z Qureshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871934547 PECOS PAC ID: 4183903990 Enrollment ID: I20190719000513 |
| Provider Name | Cheryl Fish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083185235 PECOS PAC ID: 2466793179 Enrollment ID: I20190719002496 |
| Provider Name | Nicholas R Homer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447612262 PECOS PAC ID: 7719261577 Enrollment ID: I20190726001805 |
| Provider Name | Anthony V Aspesi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902210560 PECOS PAC ID: 4587889811 Enrollment ID: I20190805002669 |
| Provider Name | Christopher A Michaeles |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225060684 PECOS PAC ID: 0244229839 Enrollment ID: I20190806003984 |
| Provider Name | Purushothaman Muthusamy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033473285 PECOS PAC ID: 8426287871 Enrollment ID: I20190806004069 |
| Provider Name | Dennis Dunning |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508847765 PECOS PAC ID: 3779688452 Enrollment ID: I20190808000438 |
| Provider Name | Umberto Gaetano Fontana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033111315 PECOS PAC ID: 0749326601 Enrollment ID: I20190812003890 |
| Provider Name | Alexandra M Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588124838 PECOS PAC ID: 1355678442 Enrollment ID: I20190813000603 |
| Provider Name | Jose M Celedon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326520719 PECOS PAC ID: 9436487899 Enrollment ID: I20190822001970 |
| Provider Name | Jenifer S Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467762856 PECOS PAC ID: 2163750423 Enrollment ID: I20190823001909 |
| Provider Name | Colin A Lyness |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093126229 PECOS PAC ID: 5496062267 Enrollment ID: I20190826001994 |
| Provider Name | Logan M Byrne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992183826 PECOS PAC ID: 2264779313 Enrollment ID: I20190828004000 |
| Provider Name | Devon Nixon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730525551 PECOS PAC ID: 2961631338 Enrollment ID: I20190904000752 |
| Provider Name | Jeffrey Weese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689226177 PECOS PAC ID: 6204165723 Enrollment ID: I20190909003897 |
| Provider Name | Nicholas W Hodgman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164439725 PECOS PAC ID: 1153472006 Enrollment ID: I20190912001093 |
| Provider Name | Karissa D Keenan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316333107 PECOS PAC ID: 5698054153 Enrollment ID: I20191001003513 |
| Provider Name | Danielle L Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790131472 PECOS PAC ID: 4789979907 Enrollment ID: I20191015002277 |
| Provider Name | Siddharth Agarwal |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407078496 PECOS PAC ID: 2466604160 Enrollment ID: I20191022000576 |
| Provider Name | Shane N Mccauley |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1083603229 PECOS PAC ID: 6103158183 Enrollment ID: I20191023003438 |
| Provider Name | George Edward Havelka |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1215187695 PECOS PAC ID: 6103147665 Enrollment ID: I20191028000696 |
| Provider Name | Emily C Corrigan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316081722 PECOS PAC ID: 0345414074 Enrollment ID: I20191029003691 |
| Provider Name | Victoria R Byrne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124476205 PECOS PAC ID: 0749543239 Enrollment ID: I20191031001109 |
| Provider Name | Sergey Kashubin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912569351 PECOS PAC ID: 1658703913 Enrollment ID: I20191107002213 |
| Provider Name | Justin Fowler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386835585 PECOS PAC ID: 3971746058 Enrollment ID: I20191114003338 |
| Provider Name | Melissa A Roop |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720436678 PECOS PAC ID: 6002109832 Enrollment ID: I20191115000825 |
| Provider Name | Victor Bartling |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1174598684 PECOS PAC ID: 4082519061 Enrollment ID: I20191115001301 |
| Provider Name | Alysha K Schlack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144886516 PECOS PAC ID: 0840622437 Enrollment ID: I20191120001738 |
| Provider Name | Tezo Karedan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679887376 PECOS PAC ID: 9032424247 Enrollment ID: I20191127002059 |
| Provider Name | Dawn R Doepke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447612098 PECOS PAC ID: 9638502834 Enrollment ID: I20191202001096 |
| Provider Name | Kimberlee S Saxton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528218351 PECOS PAC ID: 8628401726 Enrollment ID: I20191203002924 |
| Provider Name | Kristie Kaes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003278524 PECOS PAC ID: 9133552086 Enrollment ID: I20191206000210 |
| Provider Name | Wendi Holmes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770857021 PECOS PAC ID: 5597085951 Enrollment ID: I20191219000967 |
| Provider Name | Renee Zubin Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518508506 PECOS PAC ID: 6406289289 Enrollment ID: I20191220002311 |
| Provider Name | Debra L Burleigh-gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124333927 PECOS PAC ID: 2961678255 Enrollment ID: I20191223001901 |
| Provider Name | Megan Lenkersdorfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477197036 PECOS PAC ID: 7315371770 Enrollment ID: I20191231000646 |
| Provider Name | Denise Peruski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043730278 PECOS PAC ID: 6305117656 Enrollment ID: I20200106001290 |
| Provider Name | Jeanette Hazel Marie Reiners |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609418722 PECOS PAC ID: 8022443381 Enrollment ID: I20200122002258 |
| Provider Name | James Rielly |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1386638005 PECOS PAC ID: 3577564228 Enrollment ID: I20200211000773 |
| Provider Name | Bruce R. Ball |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124131818 PECOS PAC ID: 5092930610 Enrollment ID: I20200212001304 |
| Provider Name | Cassandra R Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760025142 PECOS PAC ID: 2668809484 Enrollment ID: I20200228002065 |
| Provider Name | James A French |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760587935 PECOS PAC ID: 7315167244 Enrollment ID: I20200316000204 |
| Provider Name | Danielle Lauren Hynds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932748522 PECOS PAC ID: 5890123145 Enrollment ID: I20200319001467 |
| Provider Name | Jeffrey M Low |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407884141 PECOS PAC ID: 1658540299 Enrollment ID: I20200401003528 |
| Provider Name | Maria Palmquist |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942369285 PECOS PAC ID: 6002992047 Enrollment ID: I20200406000546 |
| Provider Name | Billy Galligar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689053118 PECOS PAC ID: 8527374719 Enrollment ID: I20200407003419 |
| Provider Name | Daniel C Prior |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942568118 PECOS PAC ID: 7618225756 Enrollment ID: I20200410001694 |
| Provider Name | Saeed U Awan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457691685 PECOS PAC ID: 6002039021 Enrollment ID: I20200417000527 |
| Provider Name | Zachary A Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932557782 PECOS PAC ID: 6507159340 Enrollment ID: I20200420001331 |
| Provider Name | Edmund Yang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629165741 PECOS PAC ID: 0840347878 Enrollment ID: I20200421003244 |
| Provider Name | Kyle D Kamp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336547264 PECOS PAC ID: 4981035946 Enrollment ID: I20200507002726 |
| Provider Name | Daniel B Simmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386903359 PECOS PAC ID: 2961620752 Enrollment ID: I20200508000681 |
| Provider Name | Wesley D Pidcock |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1013335157 PECOS PAC ID: 8820340672 Enrollment ID: I20200508001598 |
| Provider Name | Crystal A Larson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982990453 PECOS PAC ID: 2062669955 Enrollment ID: I20200511001707 |
| Provider Name | Mark Nassir |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1649377169 PECOS PAC ID: 8325469869 Enrollment ID: I20200609000930 |
| Provider Name | Darcy R Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629699251 PECOS PAC ID: 5597186932 Enrollment ID: I20200610002802 |
| Provider Name | Jessica Councell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1982230710 PECOS PAC ID: 9133541303 Enrollment ID: I20200616001613 |
| Provider Name | Emily D Clay |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659909935 PECOS PAC ID: 7719308196 Enrollment ID: I20200617001666 |
| Provider Name | Elizabeth V Saarel |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1780763250 PECOS PAC ID: 5698673184 Enrollment ID: I20200618001294 |
| Provider Name | Christine Eden |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1609208610 PECOS PAC ID: 9032465257 Enrollment ID: I20200622002701 |
| Provider Name | Brennan Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609222355 PECOS PAC ID: 2668766247 Enrollment ID: I20200625002278 |
| Provider Name | Joseph Aloysius Walsh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063674505 PECOS PAC ID: 0749406619 Enrollment ID: I20200629001026 |
| Provider Name | Benjamin M Stewart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174934327 PECOS PAC ID: 4385951656 Enrollment ID: I20200629002226 |
| Provider Name | Timothy Harward |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1982605986 PECOS PAC ID: 2062325715 Enrollment ID: I20200629003751 |
| Provider Name | Megan Brands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760003438 PECOS PAC ID: 1951724764 Enrollment ID: I20200713002787 |
| Provider Name | Caitlin Elizabeth Kinahan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1376938076 PECOS PAC ID: 9830400100 Enrollment ID: I20200716001377 |
| Provider Name | Lauren Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528593381 PECOS PAC ID: 1951671668 Enrollment ID: I20200716003130 |
| Provider Name | Richard Angelico |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447243753 PECOS PAC ID: 5294785820 Enrollment ID: I20200716003607 |
| Provider Name | Aaron Dunham |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1033504147 PECOS PAC ID: 9638470461 Enrollment ID: I20200720002273 |
| Provider Name | Zahra Mathura |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053575860 PECOS PAC ID: 4183867286 Enrollment ID: I20200724001968 |
| Provider Name | Morgan K Richards |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184948739 PECOS PAC ID: 1557680345 Enrollment ID: I20200810003342 |
| Provider Name | Katherine W Gonzalez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700179850 PECOS PAC ID: 5193027548 Enrollment ID: I20200811000959 |
| Provider Name | Anna Armendariz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235765652 PECOS PAC ID: 7416373089 Enrollment ID: I20200812003713 |
| Provider Name | James Donald Mcgregor |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1093165912 PECOS PAC ID: 7719270479 Enrollment ID: I20200817003439 |
| Provider Name | Ian P Hotchkiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174063036 PECOS PAC ID: 6507136595 Enrollment ID: I20200831002022 |
| Provider Name | John E Lattin |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1477949261 PECOS PAC ID: 0547577090 Enrollment ID: I20200903001827 |
| Provider Name | Kyle R. Yorgason |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629223110 PECOS PAC ID: 2466634829 Enrollment ID: I20200903003017 |
| Provider Name | Patrick Coleman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326045428 PECOS PAC ID: 7810891447 Enrollment ID: I20200909002726 |
| Provider Name | Alysse Michele Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255957403 PECOS PAC ID: 2769800424 Enrollment ID: I20200911000882 |
| Provider Name | Bente Y Hoegsberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760427041 PECOS PAC ID: 9133266935 Enrollment ID: I20200921003081 |
| Provider Name | Elke Marie Swakhammer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437525995 PECOS PAC ID: 7618247206 Enrollment ID: I20200922001836 |
| Provider Name | Leila Khaddour |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1750797486 PECOS PAC ID: 7214152032 Enrollment ID: I20200923002434 |
| Provider Name | Wesley C Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841603941 PECOS PAC ID: 3173819380 Enrollment ID: I20201008003326 |
| Provider Name | Madison Beatty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457887507 PECOS PAC ID: 3476893637 Enrollment ID: I20201009002554 |
| Provider Name | Andrew Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588036396 PECOS PAC ID: 0143640011 Enrollment ID: I20201014001560 |
| Provider Name | Michael Benedict Schneider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457399560 PECOS PAC ID: 0143294926 Enrollment ID: I20201019002827 |
| Provider Name | Ryan Townsend |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285077701 PECOS PAC ID: 6709102866 Enrollment ID: I20201021001135 |
| Provider Name | Adam J Schatz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1316331705 PECOS PAC ID: 1759626682 Enrollment ID: I20201031000041 |
| Provider Name | Garrett Ka Keung Lam |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033172713 PECOS PAC ID: 5597959684 Enrollment ID: I20201105002421 |
| Provider Name | Lucinda Myers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538304605 PECOS PAC ID: 8022265305 Enrollment ID: I20201116001518 |
| Provider Name | Carmen Salyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811522949 PECOS PAC ID: 1759792856 Enrollment ID: I20201120001667 |
| Provider Name | Aixa D Espinosa-morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851449938 PECOS PAC ID: 5092987651 Enrollment ID: I20201208002702 |
| Provider Name | Suzanne Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346286044 PECOS PAC ID: 2365411238 Enrollment ID: I20201218000704 |
| Provider Name | Fernando Riveron |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568493427 PECOS PAC ID: 6103909148 Enrollment ID: I20201218002287 |
| Provider Name | William Vetter |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992775480 PECOS PAC ID: 2365578671 Enrollment ID: I20201221001448 |
| Provider Name | Jacob Kammer |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1194761460 PECOS PAC ID: 2668432634 Enrollment ID: I20201222002133 |
| Provider Name | Rashna Ginwalla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093962284 PECOS PAC ID: 9638294416 Enrollment ID: I20201231001826 |
| Provider Name | Drew Stanley Miiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093316721 PECOS PAC ID: 7416360813 Enrollment ID: I20210104000330 |
| Provider Name | Leana Guerin |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1750591483 PECOS PAC ID: 8729111612 Enrollment ID: I20210104000353 |
| Provider Name | Katina Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588288336 PECOS PAC ID: 7618380940 Enrollment ID: I20210106001109 |
| Provider Name | Aaron D Campbell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841444759 PECOS PAC ID: 4880882448 Enrollment ID: I20210106002112 |
| Provider Name | Robert Farivar |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1588866354 PECOS PAC ID: 1951472083 Enrollment ID: I20210111002455 |
| Provider Name | Kara Dobsa |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1437612751 PECOS PAC ID: 8426385709 Enrollment ID: I20210126001283 |
| Provider Name | Dominique Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487054730 PECOS PAC ID: 6800017534 Enrollment ID: I20210205002219 |
| Provider Name | Kathryn Laura Cnossen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003403338 PECOS PAC ID: 0648685412 Enrollment ID: I20210209002569 |
| Provider Name | Auston Whitmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649885534 PECOS PAC ID: 1557776333 Enrollment ID: I20210210000001 |
| Provider Name | Nathan Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396953196 PECOS PAC ID: 7911053525 Enrollment ID: I20210222003038 |
| Provider Name | Jordan Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336345263 PECOS PAC ID: 0941430961 Enrollment ID: I20210223001416 |
| Provider Name | Chrysanthe Kepas Eastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427650266 PECOS PAC ID: 8628484920 Enrollment ID: I20210322002696 |
| Provider Name | Jonelle Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770175614 PECOS PAC ID: 1052728235 Enrollment ID: I20210406001395 |
| Provider Name | Janelle Nicole Nostrandt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306421490 PECOS PAC ID: 6800204694 Enrollment ID: I20210415001443 |
| Provider Name | Camille Berriochoa |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992148332 PECOS PAC ID: 2567764400 Enrollment ID: I20210420002052 |
| Provider Name | Kathryn Hughes |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1902828213 PECOS PAC ID: 0042479834 Enrollment ID: I20210420002213 |
| Provider Name | Garhett J Ulmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619562295 PECOS PAC ID: 0840609061 Enrollment ID: I20210429000875 |
| Provider Name | Ashley Bennett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326252545 PECOS PAC ID: 8921296690 Enrollment ID: I20210506003133 |
| Provider Name | Diana Neff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699120113 PECOS PAC ID: 3678838547 Enrollment ID: I20210528001594 |
| Provider Name | Adam Grimaldi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730422296 PECOS PAC ID: 4284933979 Enrollment ID: I20210604002554 |
| Provider Name | Mark Shapiro |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164405270 PECOS PAC ID: 5395701395 Enrollment ID: I20210609001357 |
| Provider Name | Erin C Grosslight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518330281 PECOS PAC ID: 4981974672 Enrollment ID: I20210609002036 |
| Provider Name | Jenni Kay Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285226084 PECOS PAC ID: 2264832310 Enrollment ID: I20210611001427 |
| Provider Name | Brian Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124474960 PECOS PAC ID: 1052711884 Enrollment ID: I20210615002502 |
| Provider Name | Anne Riffle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043212079 PECOS PAC ID: 8921096355 Enrollment ID: I20210621002605 |
| Provider Name | Erik Valenti |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407276223 PECOS PAC ID: 0244539393 Enrollment ID: I20210623003723 |
| Provider Name | Vanessa Irene Mccrory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801008305 PECOS PAC ID: 2062813850 Enrollment ID: I20210630003472 |
| Provider Name | Dana Karlsberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588828891 PECOS PAC ID: 5496893166 Enrollment ID: I20210702000000 |
| Provider Name | Jared Joffer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912394719 PECOS PAC ID: 8527379601 Enrollment ID: I20210706001877 |
| Provider Name | Taylor Lara |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063808806 PECOS PAC ID: 2567770027 Enrollment ID: I20210721001099 |
| Provider Name | Leah Gleaves Stockton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477813780 PECOS PAC ID: 1557652625 Enrollment ID: I20210723002905 |
| Provider Name | Stephanie Morgan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336763705 PECOS PAC ID: 1951704170 Enrollment ID: I20210726003558 |
| Provider Name | Anthony Dinallo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205193760 PECOS PAC ID: 9436494929 Enrollment ID: I20210726003752 |
| Provider Name | John Goforth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912432550 PECOS PAC ID: 2163790627 Enrollment ID: I20210727002017 |
| Provider Name | Mason Heywood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902391857 PECOS PAC ID: 6608115035 Enrollment ID: I20210804004310 |
| Provider Name | Brandon Denney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811383524 PECOS PAC ID: 1951705110 Enrollment ID: I20210810002180 |
| Provider Name | Sonia C Hasbun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578940441 PECOS PAC ID: 4981953734 Enrollment ID: I20210812002736 |
| Provider Name | Reza Khodaverdian |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700050689 PECOS PAC ID: 1658427307 Enrollment ID: I20210813000001 |
| Provider Name | Samantha Ann Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356921423 PECOS PAC ID: 2567866478 Enrollment ID: I20210813001089 |
| Provider Name | Rhonda Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629327234 PECOS PAC ID: 9032360615 Enrollment ID: I20210817002166 |
| Provider Name | Bruce J Hirschfeld |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1770670226 PECOS PAC ID: 4789864745 Enrollment ID: I20210826001400 |
| Provider Name | Shawna Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871197533 PECOS PAC ID: 5698170751 Enrollment ID: I20210827000841 |
| Provider Name | Alexander Espinoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164620522 PECOS PAC ID: 7911976931 Enrollment ID: I20210827002767 |
| Provider Name | Erin Reilly |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1528455896 PECOS PAC ID: 3274853262 Enrollment ID: I20210830001863 |
| Provider Name | Timothy Borup |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801380118 PECOS PAC ID: 3577807809 Enrollment ID: I20210830002683 |
| Provider Name | Evan Schlager |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982051686 PECOS PAC ID: 9436443611 Enrollment ID: I20210831003529 |
| Provider Name | Jose Gude |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063432292 PECOS PAC ID: 5092719336 Enrollment ID: I20210909001608 |
| Provider Name | Alyson Nielsen |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689349433 PECOS PAC ID: 2163828419 Enrollment ID: I20210910002983 |
| Provider Name | Jackie Schalk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841868239 PECOS PAC ID: 1759787021 Enrollment ID: I20210913000334 |
| Provider Name | Graham Hall |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1730317090 PECOS PAC ID: 6204147010 Enrollment ID: I20210913000960 |
| Provider Name | Jerrell Sims |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689101768 PECOS PAC ID: 2769752138 Enrollment ID: I20210915003382 |
| Provider Name | Garret S Zallen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518972025 PECOS PAC ID: 8426020165 Enrollment ID: I20211012003572 |
| Provider Name | Leah Beech |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679244156 PECOS PAC ID: 6507254661 Enrollment ID: I20211022001956 |
| Provider Name | Daniel Mueller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760917454 PECOS PAC ID: 3476823279 Enrollment ID: I20211101000713 |
| Provider Name | Natalie Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649941071 PECOS PAC ID: 7810385481 Enrollment ID: I20211101001971 |
| Provider Name | Jason Williams |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1609225762 PECOS PAC ID: 9234417205 Enrollment ID: I20211102002425 |
| Provider Name | Siamak Karimian |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225091812 PECOS PAC ID: 7719933258 Enrollment ID: I20211104000884 |
| Provider Name | Majla Husic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083379119 PECOS PAC ID: 1951790906 Enrollment ID: I20211111002575 |
| Provider Name | Brian J Coates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578769683 PECOS PAC ID: 3274789417 Enrollment ID: I20211129002456 |
| Provider Name | Megan E Foeller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1568728939 PECOS PAC ID: 7618297797 Enrollment ID: I20211130003268 |
| Provider Name | Jonathan Sachs |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447605423 PECOS PAC ID: 6103168331 Enrollment ID: I20220111002597 |
| Provider Name | Joanne Do Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821539248 PECOS PAC ID: 2668891839 Enrollment ID: I20220114000665 |
| Provider Name | Steven Donald Hanks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033160072 PECOS PAC ID: 3173574423 Enrollment ID: I20220119002992 |
| Provider Name | Maureen Newman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1003006768 PECOS PAC ID: 9032168018 Enrollment ID: I20220125002165 |
| Provider Name | Jay A Johannigman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548257405 PECOS PAC ID: 7719953165 Enrollment ID: I20220125002431 |
| Provider Name | Jose Raul Soto |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497756449 PECOS PAC ID: 0446287031 Enrollment ID: I20220131001061 |
| Provider Name | Dallas Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1447259767 PECOS PAC ID: 4082789920 Enrollment ID: I20220208001565 |
| Provider Name | Kiley Alyse Zeitler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528710613 PECOS PAC ID: 5890188734 Enrollment ID: I20220217000186 |
| Provider Name | Angela Rae Larkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871249474 PECOS PAC ID: 0345636452 Enrollment ID: I20220329001766 |
| Provider Name | Luchette Esteves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184390791 PECOS PAC ID: 7113313867 Enrollment ID: I20220405001605 |
| Provider Name | Willow Detzer Brasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548913064 PECOS PAC ID: 4183010515 Enrollment ID: I20220411002004 |
| Provider Name | Cassie Nicole Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104573112 PECOS PAC ID: 7911394127 Enrollment ID: I20220418001162 |
| Provider Name | Nicholas Absalom |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770744112 PECOS PAC ID: 5395900633 Enrollment ID: I20220422000960 |
| Provider Name | Michelle Tomme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467073379 PECOS PAC ID: 4486043551 Enrollment ID: I20220427000897 |
| Provider Name | Johnson Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326798232 PECOS PAC ID: 2668869157 Enrollment ID: I20220502001998 |
| Provider Name | Jennifer Marie Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578823639 PECOS PAC ID: 3678960077 Enrollment ID: I20220504001515 |
| Provider Name | Tamika M Burrus |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447457353 PECOS PAC ID: 0941380570 Enrollment ID: I20220510001718 |
| Provider Name | Brandon J Leroy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194364273 PECOS PAC ID: 1355779679 Enrollment ID: I20220518001990 |
| Provider Name | Jasmine Marie Streight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538819982 PECOS PAC ID: 9537546130 Enrollment ID: I20220520001435 |
| Provider Name | Jacob Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659834000 PECOS PAC ID: 3274860051 Enrollment ID: I20220524002963 |
| Provider Name | Bridget Cholewa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790273506 PECOS PAC ID: 9931463825 Enrollment ID: I20220525000712 |
| Provider Name | Thomas Hanff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578867370 PECOS PAC ID: 0244548873 Enrollment ID: I20220525002214 |
| Provider Name | Lauren D Midthun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629365176 PECOS PAC ID: 9234494519 Enrollment ID: I20220525002546 |
| Provider Name | Jordan Resnick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255864682 PECOS PAC ID: 5092132308 Enrollment ID: I20220616002538 |
| Provider Name | Patrick Liebel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356723944 PECOS PAC ID: 9537457544 Enrollment ID: I20220618000220 |
| Provider Name | Michelle Lanigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720723786 PECOS PAC ID: 2961881180 Enrollment ID: I20220618000242 |
| Provider Name | Susan Hendren |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629593165 PECOS PAC ID: 2466712864 Enrollment ID: I20220628001296 |
| Provider Name | Rosie Jasper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942399068 PECOS PAC ID: 9830295922 Enrollment ID: I20220705002189 |
| Provider Name | Anne Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235799743 PECOS PAC ID: 4688092638 Enrollment ID: I20220801000482 |
| Provider Name | Derek Kohlhase |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407410830 PECOS PAC ID: 5193052645 Enrollment ID: I20220803002492 |
| Provider Name | Sarah Beck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629310370 PECOS PAC ID: 1850698812 Enrollment ID: I20220805001825 |
| Provider Name | Patricia Billingsley Dushku |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932604543 PECOS PAC ID: 5991188500 Enrollment ID: I20220815002413 |
| Provider Name | Spencer Craven |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992169452 PECOS PAC ID: 1153616230 Enrollment ID: I20220816000783 |
| Provider Name | Christopher Desutter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104473883 PECOS PAC ID: 0547590549 Enrollment ID: I20220826000987 |
| Provider Name | Carson Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407410889 PECOS PAC ID: 5799012969 Enrollment ID: I20220830000868 |
| Provider Name | Kyirsty J Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740679356 PECOS PAC ID: 6103230123 Enrollment ID: I20220830002184 |
| Provider Name | Hannah Jacopian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386378586 PECOS PAC ID: 6204211303 Enrollment ID: I20220909001228 |
| Provider Name | Matthew Abraham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588927891 PECOS PAC ID: 7315189842 Enrollment ID: I20220913002996 |
| Provider Name | Kimberly Kleaveland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043569437 PECOS PAC ID: 0244481661 Enrollment ID: I20220915000990 |
| Provider Name | Kristine Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598927931 PECOS PAC ID: 1557535952 Enrollment ID: I20220919001991 |
| Provider Name | Cedric Eduardo Munoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538556337 PECOS PAC ID: 7719286343 Enrollment ID: I20220926001814 |
| Provider Name | April Grant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1104111707 PECOS PAC ID: 5890943591 Enrollment ID: I20220928000275 |
| Provider Name | Dakota Sechena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790412294 PECOS PAC ID: 6406232313 Enrollment ID: I20220929003496 |
| Provider Name | David Tannehill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750591053 PECOS PAC ID: 4486714623 Enrollment ID: I20221004002964 |
| Provider Name | Wendy Phreud Edmond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013458561 PECOS PAC ID: 8224398110 Enrollment ID: I20221006002414 |
| Provider Name | Eric Scott Overton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225448327 PECOS PAC ID: 5092074773 Enrollment ID: I20221007001940 |
| Provider Name | Ronald Weiss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871548990 PECOS PAC ID: 9830176007 Enrollment ID: I20221010002924 |
| Provider Name | Nathan Airhart |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1851611008 PECOS PAC ID: 2466705934 Enrollment ID: I20221013002477 |
| Provider Name | Sophia Airhart |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1427379825 PECOS PAC ID: 7810299369 Enrollment ID: I20221016000014 |
| Provider Name | Catharine A Wilfong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205561248 PECOS PAC ID: 8820464712 Enrollment ID: I20221018001174 |
| Provider Name | Jonathan Vaux |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194137968 PECOS PAC ID: 0749515609 Enrollment ID: I20221028002222 |
| Provider Name | Camille Mellijor-figg |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477995454 PECOS PAC ID: 7416221916 Enrollment ID: I20221118000952 |
| Provider Name | Keren C Genstler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396190153 PECOS PAC ID: 1557696861 Enrollment ID: I20221128002736 |
| Provider Name | Daniel Broderick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487141990 PECOS PAC ID: 6103175344 Enrollment ID: I20221129000192 |
| Provider Name | Beba Kajdic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417675869 PECOS PAC ID: 6608244330 Enrollment ID: I20221130000619 |
| Provider Name | Amalia Geller |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1932399243 PECOS PAC ID: 0749368678 Enrollment ID: I20221205003249 |
| Provider Name | Megan Nan Hamilton Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992428577 PECOS PAC ID: 7719356914 Enrollment ID: I20221209002528 |
| Provider Name | Majda Tabakovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316675416 PECOS PAC ID: 6002285889 Enrollment ID: I20221219000595 |
| Provider Name | Craig Stagg |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1568670842 PECOS PAC ID: 1153229349 Enrollment ID: I20221220000260 |
| Provider Name | Tracy Lyon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548686751 PECOS PAC ID: 6002031820 Enrollment ID: I20221228002808 |
| Provider Name | Yujean Han |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1154611010 PECOS PAC ID: 9537390877 Enrollment ID: I20221228002910 |
| Provider Name | Jaime Nicacio |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1245314608 PECOS PAC ID: 0648357954 Enrollment ID: I20230103000526 |
| Provider Name | Joanna Darakjy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184349458 PECOS PAC ID: 3274903570 Enrollment ID: I20230103000645 |
| Provider Name | Carsten Ritter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982869343 PECOS PAC ID: 2961674296 Enrollment ID: I20230116000927 |
| Provider Name | Ravindra Nallamothu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265764781 PECOS PAC ID: 4789877796 Enrollment ID: I20230117001154 |
| Provider Name | Samantha A Booth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609585199 PECOS PAC ID: 5597924563 Enrollment ID: I20230117001546 |
| Provider Name | Elizabeth Dayton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598799421 PECOS PAC ID: 7719017896 Enrollment ID: I20230206000205 |
| Provider Name | Anthony Ferrante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811421662 PECOS PAC ID: 9739583261 Enrollment ID: I20230209002205 |
| Provider Name | Herbert Kwon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205873668 PECOS PAC ID: 5193979748 Enrollment ID: I20230301002710 |
| Provider Name | Brigette Marie Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225792021 PECOS PAC ID: 6901270552 Enrollment ID: I20230321002584 |
| Provider Name | Brian Adams |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144492943 PECOS PAC ID: 7315251253 Enrollment ID: I20230323001380 |
| Provider Name | Teresa Cuthbertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619168424 PECOS PAC ID: 0941485478 Enrollment ID: I20230323002051 |
| Provider Name | Irshan A Rajput |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144458944 PECOS PAC ID: 4981847647 Enrollment ID: I20230403000140 |
| Provider Name | Heather Rose Tresidder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184323917 PECOS PAC ID: 5799150355 Enrollment ID: I20230412002476 |
| Provider Name | Lacey Harrington |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174987176 PECOS PAC ID: 1254668965 Enrollment ID: I20230427002219 |
| Provider Name | Geoffrey Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205334539 PECOS PAC ID: 2668838053 Enrollment ID: I20230509001680 |
| Provider Name | Daniela Maria Schneider-aguilera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689370157 PECOS PAC ID: 3274999529 Enrollment ID: I20230511003466 |
| Provider Name | Tylie Danielle Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740981943 PECOS PAC ID: 5092171231 Enrollment ID: I20230515001240 |
| Provider Name | Luis Rosario |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1811201361 PECOS PAC ID: 5799925715 Enrollment ID: I20230519001874 |
| Provider Name | Nurudeen Ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417655713 PECOS PAC ID: 6204293988 Enrollment ID: I20230612002192 |
| Provider Name | Kara Denby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285053892 PECOS PAC ID: 7315240983 Enrollment ID: I20230613001467 |
| Provider Name | Rachel Koch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629497037 PECOS PAC ID: 6406159904 Enrollment ID: I20230626001200 |
| Provider Name | Briana Osbon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073970208 PECOS PAC ID: 9032577788 Enrollment ID: I20230628000638 |
| Provider Name | Danielle Marie Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053007831 PECOS PAC ID: 4385002062 Enrollment ID: I20230628001947 |
| Provider Name | Tasneem Fatema Hasan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801393566 PECOS PAC ID: 9739423823 Enrollment ID: I20230629002539 |
| Provider Name | Rachael Steiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861995185 PECOS PAC ID: 1456693530 Enrollment ID: I20230630000528 |
| Provider Name | Sean Stringham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588292734 PECOS PAC ID: 0345663829 Enrollment ID: I20230706001195 |
| Provider Name | Louis Eubank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639604275 PECOS PAC ID: 0547525818 Enrollment ID: I20230713000222 |
| Provider Name | David Zarkou |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1659659001 PECOS PAC ID: 8729205018 Enrollment ID: I20230713003331 |
| Provider Name | Jason Lee Harmon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083177935 PECOS PAC ID: 1951761550 Enrollment ID: I20230713004209 |
| Provider Name | Jayson Lavie |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689087009 PECOS PAC ID: 5991924227 Enrollment ID: I20230717003381 |
| Provider Name | Quentin Doperalski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780096032 PECOS PAC ID: 4082934120 Enrollment ID: I20230718002838 |
| Provider Name | Deanna Rachel Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982398038 PECOS PAC ID: 0547620825 Enrollment ID: I20230718003053 |
| Provider Name | Gregory Gosey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639516255 PECOS PAC ID: 5991929093 Enrollment ID: I20230720002644 |
| Provider Name | Avinash Patil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720291024 PECOS PAC ID: 5496885915 Enrollment ID: I20230720003701 |
| Provider Name | Russell Hamilton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952785362 PECOS PAC ID: 7416264379 Enrollment ID: I20230724001764 |
| Provider Name | Evan Joyce |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801250808 PECOS PAC ID: 8022374552 Enrollment ID: I20230801003311 |
| Provider Name | Courtney Green |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053653980 PECOS PAC ID: 3375836570 Enrollment ID: I20230802003072 |
| Provider Name | Carlton H Oler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902513914 PECOS PAC ID: 5092176248 Enrollment ID: I20230803002461 |
| Provider Name | Daniel Bechtold |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124548730 PECOS PAC ID: 1254711807 Enrollment ID: I20230810001386 |
| Provider Name | Ana Siler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255671350 PECOS PAC ID: 1850534017 Enrollment ID: I20230814003189 |
| Provider Name | Louis Zhang |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952843757 PECOS PAC ID: 8527342922 Enrollment ID: I20230816002891 |
| Provider Name | Brea Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710230974 PECOS PAC ID: 1456595487 Enrollment ID: I20230816003576 |
| Provider Name | Hugo Cesar Araujo Lino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760914345 PECOS PAC ID: 5597127712 Enrollment ID: I20230818002571 |
| Provider Name | Nayyar Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154411635 PECOS PAC ID: 6507845641 Enrollment ID: I20230831003570 |
| Provider Name | Chrystie Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669843652 PECOS PAC ID: 3173901600 Enrollment ID: I20230908002536 |
| Provider Name | Sarah Lombardo |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972862894 PECOS PAC ID: 5597997205 Enrollment ID: I20230908002919 |
| Provider Name | Corydon Siffring |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1891728887 PECOS PAC ID: 7517964398 Enrollment ID: I20230913000591 |
| Provider Name | Alanna Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053884783 PECOS PAC ID: 5597008078 Enrollment ID: I20230920003369 |
| Provider Name | Christopher Hults |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760477533 PECOS PAC ID: 2961649538 Enrollment ID: I20231006002232 |
| Provider Name | Aaron Hoblet |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982768560 PECOS PAC ID: 8820252075 Enrollment ID: I20231009000472 |
| Provider Name | Elizabeth Anne Anderson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1497438543 PECOS PAC ID: 9234584491 Enrollment ID: I20231009002777 |
| Provider Name | Leonardo Brasiliense |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689052664 PECOS PAC ID: 5799037487 Enrollment ID: I20231011003302 |
| Provider Name | Joan Kramer |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1407804032 PECOS PAC ID: 1254343700 Enrollment ID: I20231012003961 |
| Provider Name | Adam Gerber |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1780029231 PECOS PAC ID: 7517194806 Enrollment ID: I20231023003713 |
| Provider Name | Vadim Leyenson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427052851 PECOS PAC ID: 7214830298 Enrollment ID: I20231026003589 |
| Provider Name | Jenna Humphrey Hogan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275899379 PECOS PAC ID: 0749663136 Enrollment ID: I20231026004117 |
| Provider Name | Janessa Waterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346933405 PECOS PAC ID: 5698121424 Enrollment ID: I20231030003020 |
| Provider Name | Autumn Rose Rauchwerk |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1235918285 PECOS PAC ID: 6901252592 Enrollment ID: I20231102003106 |
| Provider Name | David Abel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609858224 PECOS PAC ID: 2163556770 Enrollment ID: I20231108001983 |
| Provider Name | Jeffrey Boyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841296696 PECOS PAC ID: 1254323967 Enrollment ID: I20231108003194 |
| Provider Name | Marshall Snow |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891112389 PECOS PAC ID: 1951635143 Enrollment ID: I20231109001415 |
| Provider Name | Carol L Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518011287 PECOS PAC ID: 4284759176 Enrollment ID: I20231115000431 |
| Provider Name | Linda Gasser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871805390 PECOS PAC ID: 3870857709 Enrollment ID: I20231116000226 |
| Provider Name | Christine Elwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346860996 PECOS PAC ID: 8527415223 Enrollment ID: I20231116001732 |
| Provider Name | Tiffeny Stees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609466952 PECOS PAC ID: 2365890019 Enrollment ID: I20231120000551 |
| Provider Name | Kenneth Madsen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164412862 PECOS PAC ID: 2769402403 Enrollment ID: I20231120002255 |
| Provider Name | Mehrdad Asadifar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508816810 PECOS PAC ID: 6901074749 Enrollment ID: I20231122002705 |
| Provider Name | Christopher Chen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1851603674 PECOS PAC ID: 6608017744 Enrollment ID: I20231128002525 |
| Provider Name | Amir Gendy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124361019 PECOS PAC ID: 4880913763 Enrollment ID: I20231201002088 |
| Provider Name | Max Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417423708 PECOS PAC ID: 9537517362 Enrollment ID: I20231204003205 |
| Provider Name | Jaime L Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821249905 PECOS PAC ID: 9537216676 Enrollment ID: I20231207004127 |
| Provider Name | Elias Samaha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134535693 PECOS PAC ID: 2365763208 Enrollment ID: I20231212003764 |
| Provider Name | Leah Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730692989 PECOS PAC ID: 9032540141 Enrollment ID: I20231215003345 |
| Provider Name | Ekaterina Alex Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093580581 PECOS PAC ID: 6709235617 Enrollment ID: I20231218000204 |
| Provider Name | Jordan Simpson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114346749 PECOS PAC ID: 8426377805 Enrollment ID: I20231218000367 |
| Provider Name | Matthew Mackowsky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104276542 PECOS PAC ID: 2769850031 Enrollment ID: I20231220001986 |
| Provider Name | Deanne Degreaffenreidte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124350830 PECOS PAC ID: 0042348062 Enrollment ID: I20231220002397 |
| Provider Name | Teresa Melina Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588444665 PECOS PAC ID: 7618327263 Enrollment ID: I20231222002185 |
| Provider Name | Scott Gilmore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457705642 PECOS PAC ID: 8628360062 Enrollment ID: I20231228000603 |
| Provider Name | Muhammad Beg |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1508077298 PECOS PAC ID: 3870630197 Enrollment ID: I20240102002876 |
| Provider Name | Robin Winchester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518301290 PECOS PAC ID: 1052762077 Enrollment ID: I20240103004530 |
| Provider Name | Hilal Fanasch |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295857720 PECOS PAC ID: 4981690831 Enrollment ID: I20240104001605 |
| Provider Name | Penelope D Barnes |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518042340 PECOS PAC ID: 9830107374 Enrollment ID: I20240106000188 |
| Provider Name | Kevin T Stephan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942228259 PECOS PAC ID: 3375532153 Enrollment ID: I20240118001840 |
| Provider Name | Sulagshan Mahendrarajah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043508070 PECOS PAC ID: 1951541051 Enrollment ID: I20240118003618 |
| Provider Name | Jennifer Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417022559 PECOS PAC ID: 0143599852 Enrollment ID: I20240119002763 |
| Provider Name | Katherine Homer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790167757 PECOS PAC ID: 0547579716 Enrollment ID: I20240122001944 |
| Provider Name | William Christopher Egolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083296461 PECOS PAC ID: 6709239965 Enrollment ID: I20240124003344 |
| Provider Name | Karen Caputo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205160611 PECOS PAC ID: 4486793726 Enrollment ID: I20240128000025 |
| Provider Name | David Tompkins |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679596696 PECOS PAC ID: 0840356200 Enrollment ID: I20240129004625 |
| Provider Name | Thomas Debauche |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437248044 PECOS PAC ID: 0345395612 Enrollment ID: I20240130002772 |
| Provider Name | Alexander Malloy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174886824 PECOS PAC ID: 2668805680 Enrollment ID: I20240206001403 |
| Provider Name | Mary Crow |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164425211 PECOS PAC ID: 8022021757 Enrollment ID: I20240208003188 |
| Provider Name | Casey Margaret Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235754128 PECOS PAC ID: 3870936586 Enrollment ID: I20240209002002 |
| Provider Name | Bethany Kendall Maze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053180976 PECOS PAC ID: 0749623312 Enrollment ID: I20240210000572 |
| Provider Name | James Allen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730175290 PECOS PAC ID: 9436061025 Enrollment ID: I20240222003215 |
| Provider Name | Eli Quinn Harris |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861928699 PECOS PAC ID: 7517204498 Enrollment ID: I20240223001414 |
| Provider Name | Alyssa Allsop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487222022 PECOS PAC ID: 8820433378 Enrollment ID: I20240223003736 |
Boise Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7227 W Potomac Dr, Boise, ID 83704 Phone: 208-314-1770 | |
St. Alphonsus Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Allumbaugh St, Boise, ID 83704 Phone: 208-367-3069 Fax: 208-367-3002 | |
Living Well, Inc, Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6003 W Overland Rd, Suite 101, Boise, ID 83709 Phone: 208-322-2412 Fax: 208-345-2077 | |
Continual Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 N 33rd St, Boise, ID 83703 Phone: 208-340-6270 | |
Arrowleaf Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 413 N Allumbaugh St Ste 101, Boise, ID 83704 Phone: 208-954-5594 Fax: 208-954-5598 | |
Sara Hill, Lcsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1414 W Franklin St, Boise, ID 83702 Phone: 208-336-4999 | |
Lea Bowman Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2714 N Tamarack Dr, Boise, ID 83703 Phone: 208-576-7411 |