| 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 | Marcie Harper (CFO) |
| Authorized Official Contact | 2083677192 |
| 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 | 09/11/2026 |
| Certification Date | 09/11/2026 |
| Medicare PECOS PAC ID | 3476462359 |
|---|---|
| Medicare Enrollment ID | O20040204001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649357716 | NPI | - | NPPES |
| 805068500 | Medicaid | ID | |
| 002266100 | Medicaid | ID | |
| 002267500 | Medicaid | ID |
| Provider Name | Bryan G Hart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518977826 PECOS PAC ID: 4880508571 Enrollment ID: I20031117000800 |
| Provider Name | Walter Louis 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 | 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 | Michael S Womack |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912950338 PECOS PAC ID: 3870584022 Enrollment ID: I20040518001337 |
| 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 | Stan a Eisele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306886767 PECOS PAC ID: 2668457946 Enrollment ID: I20040621001692 |
| Provider Name | Jonathan L Bowman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497703169 PECOS PAC ID: 1658358098 Enrollment ID: I20040702000417 |
| 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 | Sis E Ostolasa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013952761 PECOS PAC ID: 0345219614 Enrollment ID: I20041002000182 |
| Provider Name | Christina M Knutson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649212119 PECOS PAC ID: 7911966197 Enrollment ID: I20041004001016 |
| Provider Name | David Christensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922041961 PECOS PAC ID: 1052370913 Enrollment ID: I20041006000816 |
| 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 | 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 | Sheila Giffen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013957802 PECOS PAC ID: 7012966922 Enrollment ID: I20050119000182 |
| Provider Name | Erin L Proctor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811987076 PECOS PAC ID: 5193775104 Enrollment ID: I20050127000540 |
| Provider Name | Charles C Novak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770511743 PECOS PAC ID: 0042261174 Enrollment ID: I20050207000568 |
| Provider Name | Daniel J Wegner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275584997 PECOS PAC ID: 5193770436 Enrollment ID: I20050325000498 |
| Provider Name | Kenneth Gramyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598778136 PECOS PAC ID: 9436105905 Enrollment ID: I20050328000842 |
| Provider Name | Rebecca J Goodspeed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750327797 PECOS PAC ID: 9931144201 Enrollment ID: I20050627001114 |
| Provider Name | Robert F Calhoun |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376697946 PECOS PAC ID: 2668408139 Enrollment ID: I20050715000430 |
| Provider Name | Angella Zieba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730131905 PECOS PAC ID: 9830126416 Enrollment ID: I20050726000264 |
| Provider Name | Steven L Writer |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811942543 PECOS PAC ID: 9032140843 Enrollment ID: I20050822000955 |
| Provider Name | Yelena V Shuey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124029939 PECOS PAC ID: 9032134093 Enrollment ID: I20051008000115 |
| Provider Name | Katherine E Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225066707 PECOS PAC ID: 1456377910 Enrollment ID: I20051024000599 |
| Provider Name | Richard Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285698571 PECOS PAC ID: 8123064755 Enrollment ID: I20051115000758 |
| 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 | Susan M Mcmullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932160447 PECOS PAC ID: 9335153014 Enrollment ID: I20060201000919 |
| Provider Name | Susan E Paytash |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912073370 PECOS PAC ID: 6507874203 Enrollment ID: I20060322000217 |
| Provider Name | Nancy C Kois |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1356397491 PECOS PAC ID: 0446262083 Enrollment ID: I20060622000076 |
| 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 | Laura Lynne Asaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003916636 PECOS PAC ID: 1951302371 Enrollment ID: I20070126000353 |
| 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 | A Miranda |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669565669 PECOS PAC ID: 3870526429 Enrollment ID: I20070531000399 |
| Provider Name | Alex P Casebolt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346283363 PECOS PAC ID: 6103924980 Enrollment ID: I20070601000056 |
| Provider Name | Richard M Lee |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588692933 PECOS PAC ID: 5092814707 Enrollment ID: I20070621000103 |
| Provider Name | Molly C Piccono |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881739274 PECOS PAC ID: 3072613124 Enrollment ID: I20070703000290 |
| Provider Name | Shane a Andrew |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356308316 PECOS PAC ID: 6507961836 Enrollment ID: I20070730000338 |
| Provider Name | Melanie Vanderpol |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003017799 PECOS PAC ID: 5294826103 Enrollment ID: I20070807000594 |
| Provider Name | Laura Senderowicz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134151707 PECOS PAC ID: 2668563206 Enrollment ID: I20070810000312 |
| Provider Name | Michael B Aldous |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386616431 PECOS PAC ID: 1658375142 Enrollment ID: I20070814000426 |
| Provider Name | Stuart Austin Black |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053351361 PECOS PAC ID: 0244233146 Enrollment ID: I20070828000794 |
| Provider Name | David J Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194862417 PECOS PAC ID: 0840251740 Enrollment ID: I20070905000047 |
| 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 | David P Hightower |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1720089527 PECOS PAC ID: 5294791737 Enrollment ID: I20070928000179 |
| Provider Name | Roy a Sternes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437166550 PECOS PAC ID: 9931297744 Enrollment ID: I20071112000659 |
| 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 | Calvin M Harrold |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598705311 PECOS PAC ID: 0941384135 Enrollment ID: I20080227000028 |
| Provider Name | Mary River |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1205882743 PECOS PAC ID: 2264517069 Enrollment ID: I20080304000307 |
| Provider Name | Carl W Steinmann |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992994776 PECOS PAC ID: 2264517127 Enrollment ID: I20080317000581 |
| 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 | 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 | Brandon G Isaacs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801833645 PECOS PAC ID: 4284617036 Enrollment ID: I20080514000513 |
| Provider Name | Ryan D Heyborne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659573889 PECOS PAC ID: 0345312088 Enrollment ID: I20080711000509 |
| Provider Name | Alanna C Moore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982864278 PECOS PAC ID: 2264505999 Enrollment ID: I20080714000516 |
| 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 | 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 | John C Freeman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437279031 PECOS PAC ID: 3577639699 Enrollment ID: I20080913000052 |
| Provider Name | Heather S. Hammerstedt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275621104 PECOS PAC ID: 5496855405 Enrollment ID: I20081008000770 |
| 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 | Arlene C Hartley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194792473 PECOS PAC ID: 9830252048 Enrollment ID: I20090114000703 |
| Provider Name | Nicole F Pyle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821009788 PECOS PAC ID: 4082779590 Enrollment ID: I20090217000641 |
| Provider Name | Kathryn a Josefow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386616720 PECOS PAC ID: 5890771703 Enrollment ID: I20090218000554 |
| Provider Name | Kathleen Anneke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083837942 PECOS PAC ID: 0143379107 Enrollment ID: I20090521000281 |
| Provider Name | Juliana L Digiosia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144335332 PECOS PAC ID: 1153473962 Enrollment ID: I20090708000642 |
| Provider Name | Christopher C Wyatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649487430 PECOS PAC ID: 7416009345 Enrollment ID: I20090723000328 |
| 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 | Robin D Sebastian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568559029 PECOS PAC ID: 9537214242 Enrollment ID: I20090902000150 |
| 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 | 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 | Paula G Carvalho |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255432910 PECOS PAC ID: 3375687163 Enrollment ID: I20100217000319 |
| Provider Name | Jennifer L Nordquist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437489895 PECOS PAC ID: 1557406394 Enrollment ID: I20100304000888 |
| Provider Name | Richard Aguilar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932198967 PECOS PAC ID: 6901902162 Enrollment ID: I20100315000905 |
| Provider Name | William Vetter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992775480 PECOS PAC ID: 2365578671 Enrollment ID: I20100325000790 |
| 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 | Joel Swanson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013956705 PECOS PAC ID: 1759361678 Enrollment ID: I20100522000043 |
| Provider Name | Bethany L Taylor-spillett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487843322 PECOS PAC ID: 0547358905 Enrollment ID: I20100603000498 |
| Provider Name | Jeffrey V Ball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598790560 PECOS PAC ID: 1759411929 Enrollment ID: I20100615000120 |
| Provider Name | Ryan J Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114053014 PECOS PAC ID: 7113000282 Enrollment ID: I20100701000171 |
| Provider Name | Marian M Marsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770733560 PECOS PAC ID: 8527120054 Enrollment ID: I20100714000839 |
| Provider Name | Jackie J Whitesell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346367984 PECOS PAC ID: 4587718176 Enrollment ID: I20100714000994 |
| Provider Name | Rourke M Yeakley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790723286 PECOS PAC ID: 4688632342 Enrollment ID: I20100715001023 |
| Provider Name | Kerry P Pulver |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1376596247 PECOS PAC ID: 8426180936 Enrollment ID: I20100720000240 |
| 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 | Michael O Sant |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861478752 PECOS PAC ID: 4385656446 Enrollment ID: I20100825001070 |
| Provider Name | Jennifer L Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700927902 PECOS PAC ID: 6406816982 Enrollment ID: I20100908000766 |
| Provider Name | Allen C Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801825724 PECOS PAC ID: 7810081684 Enrollment ID: I20100920000783 |
| Provider Name | Andrea Axtell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922298678 PECOS PAC ID: 2860687191 Enrollment ID: I20101112000382 |
| 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 | Colette D Weber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922042464 PECOS PAC ID: 2769447648 Enrollment ID: I20110114000912 |
| 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 | Jennifer Lee Carlsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235434010 PECOS PAC ID: 8022290709 Enrollment ID: I20110317000104 |
| 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 | Heather 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 | Matt T Moore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598939613 PECOS PAC ID: 4981619145 Enrollment ID: I20110502000334 |
| Provider Name | Stefani a Westerberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417256736 PECOS PAC ID: 2860677150 Enrollment ID: I20110502000386 |
| Provider Name | Michael David Hardesty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912035999 PECOS PAC ID: 0446389829 Enrollment ID: I20110526000715 |
| Provider Name | Jennifer a Southard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023216538 PECOS PAC ID: 4385812429 Enrollment ID: I20110716000009 |
| Provider Name | Helen a Lawler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336184803 PECOS PAC ID: 3779670799 Enrollment ID: I20110718000044 |
| 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 | Anil S Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1356350664 PECOS PAC ID: 5294793584 Enrollment ID: I20110829000503 |
| Provider Name | Meghan Galloway |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1679726434 PECOS PAC ID: 6800958737 Enrollment ID: I20110907000993 |
| Provider Name | Rhoda E Heaton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700164092 PECOS PAC ID: 5991975526 Enrollment ID: I20110908002084 |
| Provider Name | Dale W Mcgar |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457328478 PECOS PAC ID: 4789662388 Enrollment ID: I20110921000357 |
| Provider Name | John Foote |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154310597 PECOS PAC ID: 0941269070 Enrollment ID: I20110922000218 |
| 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 | Merle L Keller |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265609929 PECOS PAC ID: 7810040706 Enrollment ID: I20111013000459 |
| Provider Name | Erik K Hanson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124307665 PECOS PAC ID: 2365614377 Enrollment ID: I20111018000368 |
| Provider Name | Malatesha Gangappa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982842019 PECOS PAC ID: 0941473755 Enrollment ID: I20111022000034 |
| Provider Name | Julie Gendler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932146388 PECOS PAC ID: 2961576657 Enrollment ID: I20111110000446 |
| Provider Name | Jeri K Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285940965 PECOS PAC ID: 4587859418 Enrollment ID: I20111116000596 |
| Provider Name | Erin S Carver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902877624 PECOS PAC ID: 9436144243 Enrollment ID: I20111130000821 |
| Provider Name | Kristina M Huffaker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508142613 PECOS PAC ID: 1951576891 Enrollment ID: I20111205000701 |
| 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 | Victor M Ishida |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194894113 PECOS PAC ID: 3173781655 Enrollment ID: I20120301000396 |
| Provider Name | Robert S Thacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124309224 PECOS PAC ID: 7517126659 Enrollment ID: I20120309000325 |
| Provider Name | Thomas Earl Goodwin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649208851 PECOS PAC ID: 5799865192 Enrollment ID: I20120313000401 |
| Provider Name | Gerard P Connor |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1669470274 PECOS PAC ID: 5294756540 Enrollment ID: I20120604000017 |
| Provider Name | Kylee M Domby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124398458 PECOS PAC ID: 9335304435 Enrollment ID: I20120622000038 |
| Provider Name | Charles J Anstrand |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427162874 PECOS PAC ID: 8628173887 Enrollment ID: I20120709000182 |
| Provider Name | Kimberly Judd |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619018470 PECOS PAC ID: 5092961482 Enrollment ID: I20120820000544 |
| Provider Name | Preston S Omer |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831304526 PECOS PAC ID: 6103073598 Enrollment ID: I20120820000644 |
| Provider Name | Shashi Ajmani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740255504 PECOS PAC ID: 6103901970 Enrollment ID: I20120822000717 |
| 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 | Erin M Renak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588826846 PECOS PAC ID: 9931357258 Enrollment ID: I20120911000792 |
| Provider Name | Megan C Mccarren |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1841490950 PECOS PAC ID: 1759550718 Enrollment ID: I20121005000667 |
| Provider Name | Melinda L Jorgensen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053556258 PECOS PAC ID: 5991955239 Enrollment ID: I20121023000775 |
| Provider Name | Michael E Graff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689603219 PECOS PAC ID: 8820084916 Enrollment ID: I20121030000484 |
| Provider Name | David M Kasamis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285986612 PECOS PAC ID: 5597916759 Enrollment ID: I20121115000588 |
| 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 | D'nicole Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508133679 PECOS PAC ID: 1355593245 Enrollment ID: I20121128000102 |
| 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 | Rachel Elizabeth Nutting |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437403441 PECOS PAC ID: 3870730054 Enrollment ID: I20130507000337 |
| Provider Name | Sara B Thomson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356316509 PECOS PAC ID: 8527206788 Enrollment ID: I20130529000505 |
| 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 | James F Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740557420 PECOS PAC ID: 8820264880 Enrollment ID: I20130715000127 |
| Provider Name | Brian Lachapelle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891707618 PECOS PAC ID: 0749389328 Enrollment ID: I20130715000405 |
| Provider Name | Forrest R Fredline |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245493840 PECOS PAC ID: 5092955054 Enrollment ID: I20130716000203 |
| 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 Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659519593 PECOS PAC ID: 7810138393 Enrollment ID: I20130725000468 |
| Provider Name | Robert W Chalmers |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114973708 PECOS PAC ID: 0941287817 Enrollment ID: I20130909000615 |
| Provider Name | Martha Clinton Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417268574 PECOS PAC ID: 7214174184 Enrollment ID: I20130912000401 |
| 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 Rachel Sales |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1720248040 PECOS PAC ID: 3870727167 Enrollment ID: I20130927000149 |
| Provider Name | Patrick D Vargas Villazon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821229279 PECOS PAC ID: 6709010903 Enrollment ID: I20131001000242 |
| Provider Name | Chelsea M Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255773909 PECOS PAC ID: 6002041720 Enrollment ID: I20131104001567 |
| Provider Name | Shawn Allen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265577811 PECOS PAC ID: 1456586189 Enrollment ID: I20131104001628 |
| Provider Name | Abhilash K Desai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366519084 PECOS PAC ID: 4789644824 Enrollment ID: I20131105000805 |
| Provider Name | Polina a Kokoulina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013342468 PECOS PAC ID: 4183859606 Enrollment ID: I20131108000316 |
| Provider Name | Jason S Southwick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538412382 PECOS PAC ID: 7315173747 Enrollment ID: I20131113001499 |
| Provider Name | A Teresa Gabiola Shelton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134401326 PECOS PAC ID: 6204094014 Enrollment ID: I20131118001798 |
| Provider Name | Eric R Culbertson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134358104 PECOS PAC ID: 0446305098 Enrollment ID: I20131125001357 |
| Provider Name | Joseph S Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710315577 PECOS PAC ID: 8022244821 Enrollment ID: I20131127001043 |
| 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 | Guillermo M Guzman Trevino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881828010 PECOS PAC ID: 0345386330 Enrollment ID: I20140121001636 |
| Provider Name | Dominick Valentine |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568891638 PECOS PAC ID: 1557591278 Enrollment ID: I20140225001613 |
| Provider Name | Jennifer J King |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235214586 PECOS PAC ID: 5698667020 Enrollment ID: I20140228000270 |
| 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 | Amanda R Sweetland |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619112216 PECOS PAC ID: 4789807660 Enrollment ID: I20140521002280 |
| Provider Name | Jakeb K Searle |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801142146 PECOS PAC ID: 7012164783 Enrollment ID: I20140521002335 |
| 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 | Tracey C Reeve |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174789994 PECOS PAC ID: 8628132974 Enrollment ID: I20140612000066 |
| 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 | 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 | 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 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 | Linsey Etherington |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1336309434 PECOS PAC ID: 4486886462 Enrollment ID: I20140923000692 |
| Provider Name | Louie Ward Beech |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598192676 PECOS PAC ID: 8426372525 Enrollment ID: I20150120002473 |
| Provider Name | Bradley J Morris |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346647526 PECOS PAC ID: 5597080192 Enrollment ID: I20150202000807 |
| Provider Name | Amber a Hackenberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326357070 PECOS PAC ID: 9638368152 Enrollment ID: I20150325000703 |
| Provider Name | Jie Yan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265820229 PECOS PAC ID: 5496073264 Enrollment ID: I20150408001255 |
| Provider Name | Ginger a Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174895353 PECOS PAC ID: 2365760600 Enrollment ID: I20150416000550 |
| 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 | Darin Jurgensmeier |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1952537060 PECOS PAC ID: 2961623319 Enrollment ID: I20150703000062 |
| 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 | 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 | 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 | Brianne Ayers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407225212 PECOS PAC ID: 1759699382 Enrollment ID: I20151001001486 |
| Provider Name | Madeline L King |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912375460 PECOS PAC ID: 6406165539 Enrollment ID: I20151012001842 |
| Provider Name | Ashley L Popadics |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811364177 PECOS PAC ID: 9436469210 Enrollment ID: I20151106000602 |
| Provider Name | David C Nelson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245607662 PECOS PAC ID: 8426368259 Enrollment ID: I20151106002222 |
| Provider Name | Jamie J Page |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740650316 PECOS PAC ID: 4688984198 Enrollment ID: I20151113000501 |
| Provider Name | Anna L Hoskins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194127472 PECOS PAC ID: 2961702634 Enrollment ID: I20151202000846 |
| Provider Name | Jennifer Kienlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255706461 PECOS PAC ID: 2365746997 Enrollment ID: I20160202001795 |
| Provider Name | Stacy L Fish |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598063851 PECOS PAC ID: 1456655893 Enrollment ID: I20160205000883 |
| Provider Name | Eric Moss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013317296 PECOS PAC ID: 0547481897 Enrollment ID: I20160229002935 |
| Provider Name | Daniel K Arrington |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396065165 PECOS PAC ID: 6103070107 Enrollment ID: I20160302002511 |
| Provider Name | Rachel M Garver |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447500210 PECOS PAC ID: 5193963262 Enrollment ID: I20160317000527 |
| Provider Name | Megan Marie Lane |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326380544 PECOS PAC ID: 3870731607 Enrollment ID: I20160318002091 |
| Provider Name | Danae E Perkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821458241 PECOS PAC ID: 6204133523 Enrollment ID: I20160330002715 |
| Provider Name | Houng K Chea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285971747 PECOS PAC ID: 2466686936 Enrollment ID: I20160404002327 |
| Provider Name | Brett R Bemis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528429172 PECOS PAC ID: 8325347511 Enrollment ID: I20160421001710 |
| Provider Name | Trenton J Hart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114231693 PECOS PAC ID: 0446444186 Enrollment ID: I20160509001259 |
| Provider Name | Emily R Squyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467618223 PECOS PAC ID: 1658515507 Enrollment ID: I20160609002306 |
| 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 | Caleb Sires |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811361124 PECOS PAC ID: 4688966948 Enrollment ID: I20160706001628 |
| Provider Name | Melissa M Agoudemos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518175579 PECOS PAC ID: 1456547447 Enrollment ID: I20160718002095 |
| 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 | 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 | 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 | Amber M Kirtley Perez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194278754 PECOS PAC ID: 0042506610 Enrollment ID: I20160907002572 |
| Provider Name | Erin M Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619230844 PECOS PAC ID: 6800016189 Enrollment ID: I20160922001014 |
| 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 | Kindra S Miiller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659787273 PECOS PAC ID: 5597981969 Enrollment ID: I20161025000767 |
| Provider Name | Monica L Vernon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386192102 PECOS PAC ID: 6608154653 Enrollment ID: I20161026002764 |
| Provider Name | Stephanie R Hayes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427503721 PECOS PAC ID: 2163700725 Enrollment ID: I20161102000646 |
| Provider Name | Alexandra W Clapp |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174070098 PECOS PAC ID: 4183903560 Enrollment ID: I20161108002358 |
| Provider Name | Lori Pirnie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164979894 PECOS PAC ID: 4880973155 Enrollment ID: I20161110000046 |
| Provider Name | Olivia R Mangeac |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407303340 PECOS PAC ID: 4981983657 Enrollment ID: I20161121001385 |
| Provider Name | Jennifer a Hofstra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003079120 PECOS PAC ID: 9335272475 Enrollment ID: I20161122000675 |
| Provider Name | Carin M Bohan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710438874 PECOS PAC ID: 0941580286 Enrollment ID: I20161202002011 |
| Provider Name | Robert C Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285763862 PECOS PAC ID: 9234238304 Enrollment ID: I20161206001783 |
| Provider Name | Jessica E Olsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891247284 PECOS PAC ID: 2769762871 Enrollment ID: I20161207001224 |
| Provider Name | Samantha Lange |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346792033 PECOS PAC ID: 9436439304 Enrollment ID: I20161212000490 |
| Provider Name | Samantha a Paterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215479019 PECOS PAC ID: 8224318928 Enrollment ID: I20161215002107 |
| Provider Name | Rebekah G Fayette |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043690175 PECOS PAC ID: 6406162841 Enrollment ID: I20161215002288 |
| Provider Name | Kim a Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073982245 PECOS PAC ID: 7012299738 Enrollment ID: I20170118001252 |
| Provider Name | Elizabeth Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801074232 PECOS PAC ID: 2769568989 Enrollment ID: I20170120000858 |
| Provider Name | Katrina M Merrell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326590498 PECOS PAC ID: 2264715515 Enrollment ID: I20170210000666 |
| Provider Name | Andrew P Swenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710362710 PECOS PAC ID: 3577847664 Enrollment ID: I20170309002072 |
| Provider Name | Megan M Rutte |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881084994 PECOS PAC ID: 8921326042 Enrollment ID: I20170313002418 |
| 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 | Nancy N Keegan-ovando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215279153 PECOS PAC ID: 4385961929 Enrollment ID: I20170417001190 |
| Provider Name | Matthew D Phillips |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326586413 PECOS PAC ID: 8527345511 Enrollment ID: I20170428001469 |
| 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 | Cameron J Allen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730594185 PECOS PAC ID: 4284850215 Enrollment ID: I20170524001125 |
| Provider Name | Kathy Watkins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659322261 PECOS PAC ID: 6002183738 Enrollment ID: I20170530001652 |
| Provider Name | Jose Gomez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629505458 PECOS PAC ID: 9537437967 Enrollment ID: I20170607002926 |
| 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 | Laura E Fink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487094108 PECOS PAC ID: 0143463026 Enrollment ID: I20170713000835 |
| Provider Name | Lisa M Parrillo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1659663482 PECOS PAC ID: 8820394281 Enrollment ID: I20170807002060 |
| Provider Name | Amber Bock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770822074 PECOS PAC ID: 0042455230 Enrollment ID: I20170831001615 |
| 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 | Lena Pascual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134657042 PECOS PAC ID: 1355617275 Enrollment ID: I20171020001928 |
| Provider Name | Megan Marie Martinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295281541 PECOS PAC ID: 2769758416 Enrollment ID: I20171024002427 |
| Provider Name | Zacharia M Njoroge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174035638 PECOS PAC ID: 8820354558 Enrollment ID: I20171113001057 |
| Provider Name | Jason E Kolb |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992215545 PECOS PAC ID: 4486910031 Enrollment ID: I20171114003303 |
| Provider Name | Alan E Crandall |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770002974 PECOS PAC ID: 6103182563 Enrollment ID: I20171117001987 |
| Provider Name | Stephanie R Ritari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730157447 PECOS PAC ID: 4981627908 Enrollment ID: I20171121001076 |
| Provider Name | Erin K Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255867552 PECOS PAC ID: 9032476320 Enrollment ID: I20171121002016 |
| Provider Name | Jordan D Nugent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902224645 PECOS PAC ID: 3274853189 Enrollment ID: I20171128003019 |
| Provider Name | Jessica L Szwec |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891206777 PECOS PAC ID: 1153688015 Enrollment ID: I20171130001924 |
| 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 | Kurt E Kracaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285723460 PECOS PAC ID: 1557545407 Enrollment ID: I20171227000694 |
| Provider Name | Chad D Talford |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639680051 PECOS PAC ID: 5193084614 Enrollment ID: I20180109000319 |
| Provider Name | Michael J Twomey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073924239 PECOS PAC ID: 6608192562 Enrollment ID: I20180201002682 |
| 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 | Jessica Lynn Kroll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861798548 PECOS PAC ID: 3173819679 Enrollment ID: I20180321002168 |
| 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 | Jami L Hoke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629354121 PECOS PAC ID: 8426205337 Enrollment ID: I20180511001964 |
| 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 | Jenny J Jin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235493206 PECOS PAC ID: 7416102132 Enrollment ID: I20180619000825 |
| Provider Name | Artur Narkiewicz Jodko |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104188879 PECOS PAC ID: 3678846011 Enrollment ID: I20180621002250 |
| Provider Name | Jonathan Subaitani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821529918 PECOS PAC ID: 1355618091 Enrollment ID: I20180622001709 |
| 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 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 | 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 | Tracye J Lawyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003170325 PECOS PAC ID: 5496071169 Enrollment ID: I20180727001720 |
| Provider Name | Travis John Clyde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457700262 PECOS PAC ID: 7214229095 Enrollment ID: I20180727002448 |
| Provider Name | Anne Blanchette |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851473961 PECOS PAC ID: 3274540976 Enrollment ID: I20180801002045 |
| Provider Name | Christopher a Reising |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285699165 PECOS PAC ID: 4688625874 Enrollment ID: I20180806003441 |
| Provider Name | James Devan Hartigan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477045177 PECOS PAC ID: 9133478712 Enrollment ID: I20180814004224 |
| Provider Name | Nathan Kellis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942688627 PECOS PAC ID: 7810200169 Enrollment ID: I20180817003205 |
| Provider Name | Jay D Burrup |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144504556 PECOS PAC ID: 9133396922 Enrollment ID: I20180927000443 |
| Provider Name | Daniel Allan Bridger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710121926 PECOS PAC ID: 2466695531 Enrollment ID: I20180928000964 |
| Provider Name | Jedediah Hunter May |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255624441 PECOS PAC ID: 4688802879 Enrollment ID: I20181003000641 |
| 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 | Alvin P Perry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427316942 PECOS PAC ID: 1254577711 Enrollment ID: I20181113002154 |
| Provider Name | Carl Ciplinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003397076 PECOS PAC ID: 6305190968 Enrollment ID: I20181116002345 |
| 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 | Addie S Barnes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447534821 PECOS PAC ID: 1658546890 Enrollment ID: I20181221001540 |
| Provider Name | Travis R Henman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871060681 PECOS PAC ID: 2769728385 Enrollment ID: I20190117003108 |
| Provider Name | Isabella M Satterthwait |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437625662 PECOS PAC ID: 6305183310 Enrollment ID: I20190129003769 |
| Provider Name | Trevor Crapo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285105544 PECOS PAC ID: 7911245642 Enrollment ID: I20190205001522 |
| 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 | Erin Bohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063983153 PECOS PAC ID: 3870831233 Enrollment ID: I20190208002153 |
| Provider Name | Elizabeth B Judy-fudge |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083123277 PECOS PAC ID: 6507123130 Enrollment ID: I20190215002782 |
| Provider Name | Savanah a Hawkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629551296 PECOS PAC ID: 7416295381 Enrollment ID: I20190219002431 |
| Provider Name | Brianna Ashley Cracolice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639640402 PECOS PAC ID: 3173862661 Enrollment ID: I20190227002443 |
| Provider Name | Tina M Bossolono-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891264545 PECOS PAC ID: 9638418031 Enrollment ID: I20190301001302 |
| 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 | Matthew E Cornia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548705585 PECOS PAC ID: 1153604863 Enrollment ID: I20190510001826 |
| Provider Name | Jessica a Evert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003015124 PECOS PAC ID: 5496823338 Enrollment ID: I20190521002797 |
| Provider Name | Jessica Spring Snuffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609334127 PECOS PAC ID: 8921331802 Enrollment ID: I20190607001133 |
| Provider Name | Ian Z Qureshi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1871934547 PECOS PAC ID: 4183903990 Enrollment ID: I20190719000513 |
| Provider Name | Nicholas R Homer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447612262 PECOS PAC ID: 7719261577 Enrollment ID: I20190726001805 |
| Provider Name | Alexandra M Nielsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588124838 PECOS PAC ID: 1355678442 Enrollment ID: I20190813000603 |
| Provider Name | Colin a Lyness |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093126229 PECOS PAC ID: 5496062267 Enrollment ID: I20190826001994 |
| 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 | Laura E Tedrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528453552 PECOS PAC ID: 7517271984 Enrollment ID: I20190913001723 |
| Provider Name | Karissa D Keenan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316333107 PECOS PAC ID: 5698054153 Enrollment ID: I20191001003513 |
| Provider Name | Nathan Marsden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952754343 PECOS PAC ID: 7416244637 Enrollment ID: I20191008002721 |
| Provider Name | Jacob Kent Christensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407237043 PECOS PAC ID: 4587973268 Enrollment ID: I20191018000276 |
| Provider Name | Shane N Mccauley |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1083603229 PECOS PAC ID: 6103158183 Enrollment ID: I20191023003438 |
| 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 | Justin Fowler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386835585 PECOS PAC ID: 3971746058 Enrollment ID: I20191114003338 |
| Provider Name | Alysha K Schlack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144886516 PECOS PAC ID: 0840622437 Enrollment ID: I20191120001738 |
| 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 | Sandra Messmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891273652 PECOS PAC ID: 7810241643 Enrollment ID: I20191204001538 |
| Provider Name | Micah Tobin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013568468 PECOS PAC ID: 9931532991 Enrollment ID: I20191204002710 |
| Provider Name | Renee Zubin Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518508506 PECOS PAC ID: 6406289289 Enrollment ID: I20191220002311 |
| Provider Name | Adam Racowsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184127797 PECOS PAC ID: 5496004285 Enrollment ID: I20191223000517 |
| 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 | Nicholas David Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093281016 PECOS PAC ID: 3577803576 Enrollment ID: I20191226000065 |
| Provider Name | Stacy I Summa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295722478 PECOS PAC ID: 7517853146 Enrollment ID: I20191226001531 |
| 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 | Sabrina L Dlouhy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457751802 PECOS PAC ID: 1850513102 Enrollment ID: I20200115000283 |
| Provider Name | Eric Konkel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184189839 PECOS PAC ID: 0042645236 Enrollment ID: I20200204002719 |
| Provider Name | Rachelle C. Friesen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629622758 PECOS PAC ID: 5890121032 Enrollment ID: I20200205002951 |
| Provider Name | Kari Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134127640 PECOS PAC ID: 6002845153 Enrollment ID: I20200212002253 |
| Provider Name | Cassandra R Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760025142 PECOS PAC ID: 2668809484 Enrollment ID: I20200228002065 |
| 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 | Zachary a Weiss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932557782 PECOS PAC ID: 6507159340 Enrollment ID: I20200420001331 |
| Provider Name | Ronald William Strohmeyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154805729 PECOS PAC ID: 6800134602 Enrollment ID: I20200428001933 |
| 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 | Aaron Newton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1538507520 PECOS PAC ID: 2860749504 Enrollment ID: I20200610002653 |
| 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 | 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 | Adam Lee Reno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841731155 PECOS PAC ID: 9335413046 Enrollment ID: I20200709003290 |
| Provider Name | Megan Brands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760003438 PECOS PAC ID: 1951724764 Enrollment ID: I20200713002787 |
| Provider Name | Lauren Franklin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528593381 PECOS PAC ID: 1951671668 Enrollment ID: I20200716003130 |
| Provider Name | Aaron Dunham |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1033504147 PECOS PAC ID: 9638470461 Enrollment ID: I20200720002273 |
| Provider Name | Melissa Arnold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700105921 PECOS PAC ID: 1658515234 Enrollment ID: I20200721004210 |
| Provider Name | Zahra Mathura |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053575860 PECOS PAC ID: 4183867286 Enrollment ID: I20200724001968 |
| Provider Name | Brittany Guthrie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003288648 PECOS PAC ID: 6305136680 Enrollment ID: I20200803002506 |
| Provider Name | Aprilyn N Carl |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588090948 PECOS PAC ID: 0042447518 Enrollment ID: I20200804003328 |
| 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 | 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 | Erin M Felt |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972128395 PECOS PAC ID: 0941629562 Enrollment ID: I20201001001038 |
| 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 | 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 | 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 | Fernando a Riveron |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568493427 PECOS PAC ID: 6103909148 Enrollment ID: I20201218002287 |
| Provider Name | Alok Desh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780979823 PECOS PAC ID: 7618193194 Enrollment ID: I20201221001706 |
| 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 | 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 | Devin K Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699361568 PECOS PAC ID: 5799199352 Enrollment ID: I20210122001713 |
| Provider Name | Whitney L Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144728718 PECOS PAC ID: 9830451012 Enrollment ID: I20210125003025 |
| Provider Name | Dominique Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487054730 PECOS PAC ID: 6800017534 Enrollment ID: I20210205002219 |
| Provider Name | Brittney Linne Greco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396394292 PECOS PAC ID: 4587079991 Enrollment ID: I20210217001746 |
| Provider Name | Nathan Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396953196 PECOS PAC ID: 7911053525 Enrollment ID: I20210222003038 |
| Provider Name | Ji Young an |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205435757 PECOS PAC ID: 5092121798 Enrollment ID: I20210303003226 |
| 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 | Spenser Winberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376192559 PECOS PAC ID: 0345657540 Enrollment ID: I20210406002297 |
| 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 Garrity 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 | Samuel D Thomas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497285688 PECOS PAC ID: 5395002216 Enrollment ID: I20210518000577 |
| Provider Name | Michael a Mccormick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922423532 PECOS PAC ID: 2769601210 Enrollment ID: I20210602000606 |
| Provider Name | Adam Grimaldi |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730422296 PECOS PAC ID: 4284933979 Enrollment ID: I20210604002554 |
| 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 Soren Valenti |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1407276223 PECOS PAC ID: 0244539393 Enrollment ID: I20210623003723 |
| Provider Name | Vanessa Irene Bizimana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801008305 PECOS PAC ID: 2062813850 Enrollment ID: I20210630003472 |
| Provider Name | Carly Yvette Lamure |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093391161 PECOS PAC ID: 2365843984 Enrollment ID: I20210701003896 |
| 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 | Nathaniel Orland Staley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316392137 PECOS PAC ID: 1153724604 Enrollment ID: I20210721004149 |
| Provider Name | Leah Gleaves Stockton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1477813780 PECOS PAC ID: 1557652625 Enrollment ID: I20210723002905 |
| 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 | Kendra Coonse |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699181214 PECOS PAC ID: 4385860428 Enrollment ID: I20210804000311 |
| Provider Name | Brandon Denney |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811383524 PECOS PAC ID: 1951705110 Enrollment ID: I20210810002180 |
| Provider Name | Samantha Ann Parnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356921423 PECOS PAC ID: 2567866478 Enrollment ID: I20210813001089 |
| Provider Name | Krista Hobbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235656208 PECOS PAC ID: 1355607466 Enrollment ID: I20210820002213 |
| 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 - Internal Medicine |
| Provider Identifiers | NPI Number: 1063432292 PECOS PAC ID: 5092719336 Enrollment ID: I20210909001608 |
| 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 | Daniel Kenneth Pond |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568139202 PECOS PAC ID: 4082011382 Enrollment ID: I20210929003345 |
| Provider Name | Jason H. Mcbride |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013685692 PECOS PAC ID: 2860890829 Enrollment ID: I20211006001773 |
| Provider Name | Graci Meier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477224749 PECOS PAC ID: 6800294372 Enrollment ID: I20211013003384 |
| Provider Name | Sara M Nehring |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1609037993 PECOS PAC ID: 8820268790 Enrollment ID: I20211018001225 |
| Provider Name | Mitchell Andrew Bliss |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760144687 PECOS PAC ID: 9133517428 Enrollment ID: I20211019000291 |
| 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 | Jason Williams |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1609225762 PECOS PAC ID: 9234417205 Enrollment ID: I20211102002425 |
| Provider Name | James Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194021014 PECOS PAC ID: 1557546348 Enrollment ID: I20211104001356 |
| Provider Name | Majla Husic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083379119 PECOS PAC ID: 1951790906 Enrollment ID: I20211111002575 |
| Provider Name | Stephen M Jensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821351800 PECOS PAC ID: 9739492083 Enrollment ID: I20211112001684 |
| Provider Name | Brian J Coates |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578769683 PECOS PAC ID: 3274789417 Enrollment ID: I20211129002456 |
| Provider Name | Tricia Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649936576 PECOS PAC ID: 7719377092 Enrollment ID: I20211130001524 |
| Provider Name | Joanne DO Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821539248 PECOS PAC ID: 2668891839 Enrollment ID: I20220114000665 |
| Provider Name | Maureen Newman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1003006768 PECOS PAC ID: 9032168018 Enrollment ID: I20220125002165 |
| Provider Name | Amy M Aldrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285840298 PECOS PAC ID: 8628145000 Enrollment ID: I20220127001935 |
| Provider Name | Ann Enderle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588336028 PECOS PAC ID: 9234522046 Enrollment ID: I20220131000552 |
| Provider Name | Lacy Rose Wagner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508537507 PECOS PAC ID: 0345633103 Enrollment ID: I20220131002484 |
| Provider Name | Kiley Alyse Zeitler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528710613 PECOS PAC ID: 5890188734 Enrollment ID: I20220217000186 |
| Provider Name | Cameron Gregory Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174284871 PECOS PAC ID: 7719371566 Enrollment ID: I20220222000943 |
| Provider Name | Taras Kindrat |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326205980 PECOS PAC ID: 0345311411 Enrollment ID: I20220228001011 |
| Provider Name | Nikola Ann Cafarelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194488742 PECOS PAC ID: 8123413929 Enrollment ID: I20220314001671 |
| Provider Name | Angela Rae Larkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871249474 PECOS PAC ID: 0345636452 Enrollment ID: I20220329001766 |
| Provider Name | Ryan Kurt Pfleger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427709641 PECOS PAC ID: 5092101949 Enrollment ID: I20220401002101 |
| Provider Name | Willow Detzer Brasher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548913064 PECOS PAC ID: 4183010515 Enrollment ID: I20220411002004 |
| Provider Name | Jennifer N Ristow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477208791 PECOS PAC ID: 2062808298 Enrollment ID: I20220414002525 |
| Provider Name | Cassie Nicole Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104573112 PECOS PAC ID: 7911394127 Enrollment ID: I20220418001162 |
| Provider Name | Johnson K 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 | 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 | Christine M Garrett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902177199 PECOS PAC ID: 3476799305 Enrollment ID: I20220529000024 |
| Provider Name | Amanda Rose Bledsoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558027532 PECOS PAC ID: 2062890874 Enrollment ID: I20220607002989 |
| 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 | Melissa L Young |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386767333 PECOS PAC ID: 5799165288 Enrollment ID: I20220629003618 |
| Provider Name | Rosie Jasper |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942399068 PECOS PAC ID: 9830295922 Enrollment ID: I20220705002189 |
| Provider Name | Summanther Kaviratne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154555811 PECOS PAC ID: 9537387915 Enrollment ID: I20220706001950 |
| Provider Name | Melisa a Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841921392 PECOS PAC ID: 6103206099 Enrollment ID: I20220709000238 |
| Provider Name | Vitaliy Nebyshinets |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366846636 PECOS PAC ID: 0244557775 Enrollment ID: I20220720001950 |
| Provider Name | Edward Mark Hatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982107736 PECOS PAC ID: 3577827914 Enrollment ID: I20220725000176 |
| Provider Name | Steven Davis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932456845 PECOS PAC ID: 9335520121 Enrollment ID: I20220726001273 |
| 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 | Katarzyna M Rathman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144707209 PECOS PAC ID: 3870834138 Enrollment ID: I20220805000329 |
| Provider Name | Bryan Richard Lowe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245960467 PECOS PAC ID: 4981087780 Enrollment ID: I20220811000881 |
| 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 | Kyirsty J Bower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740679356 PECOS PAC ID: 6103230123 Enrollment ID: I20220830002184 |
| Provider Name | Julia Norton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891279154 PECOS PAC ID: 0547502791 Enrollment ID: I20220906000962 |
| Provider Name | Hannah Jacopian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386378586 PECOS PAC ID: 6204211303 Enrollment ID: I20220909001228 |
| Provider Name | Justin Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619362480 PECOS PAC ID: 2769793462 Enrollment ID: I20220909002140 |
| Provider Name | Matthew Paul Abraham |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588927891 PECOS PAC ID: 7315189842 Enrollment ID: I20220913002996 |
| 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 | Joanna Catherine Dziewa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699409540 PECOS PAC ID: 9638555287 Enrollment ID: I20221005000126 |
| Provider Name | Ronald Weiss |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871548990 PECOS PAC ID: 9830176007 Enrollment ID: I20221010002924 |
| 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 | Emily C Jones |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992306344 PECOS PAC ID: 2163837576 Enrollment ID: I20221019002763 |
| Provider Name | Jonathan Vaux |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1194137968 PECOS PAC ID: 0749515609 Enrollment ID: I20221028002222 |
| Provider Name | Shannon Finnegan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508338187 PECOS PAC ID: 9931442175 Enrollment ID: I20221101003096 |
| Provider Name | Kelly Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295465284 PECOS PAC ID: 5294102851 Enrollment ID: I20221110002094 |
| Provider Name | Camille S Mellijor-figg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477995454 PECOS PAC ID: 7416221916 Enrollment ID: I20221118000952 |
| Provider Name | Keren 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 | Kelsey Sandoval |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407314552 PECOS PAC ID: 4981934445 Enrollment ID: I20221207002910 |
| 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 | 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 | Lauren Mathes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053914200 PECOS PAC ID: 8628481678 Enrollment ID: I20230111000579 |
| Provider Name | Ravindra N 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 | Anthony Ferrante |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811421662 PECOS PAC ID: 9739583261 Enrollment ID: I20230209002205 |
| Provider Name | Jennifer Lisa Anthony |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1760156152 PECOS PAC ID: 2264805167 Enrollment ID: I20230223001350 |
| Provider Name | Mark Thomas Pyburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871206789 PECOS PAC ID: 4385017524 Enrollment ID: I20230308002434 |
| 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 | 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 | Kelsy Reid Hacker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447966213 PECOS PAC ID: 9739544867 Enrollment ID: I20230425001762 |
| 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 | Scott Ryan Rose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528762820 PECOS PAC ID: 4880050871 Enrollment ID: I20230517001843 |
| Provider Name | Robert Shanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861029159 PECOS PAC ID: 3870923568 Enrollment ID: I20230605002323 |
| 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 | Danielle Marie Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053007831 PECOS PAC ID: 4385002062 Enrollment ID: I20230628001947 |
| Provider Name | Tasneem Hasan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801393566 PECOS PAC ID: 9739423823 Enrollment ID: I20230629002539 |
| Provider Name | Hasan Faheem Dani |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1902337066 PECOS PAC ID: 6608144860 Enrollment ID: I20230629003123 |
| 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 | Avery Magdalena Schick |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114648615 PECOS PAC ID: 6901265842 Enrollment ID: I20230710002687 |
| 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 | Wade Willis Muncey |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619408838 PECOS PAC ID: 4183002785 Enrollment ID: I20230714001435 |
| Provider Name | Jayson J 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 | Avinash S 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 | Braden Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104454123 PECOS PAC ID: 0345601993 Enrollment ID: I20230731001334 |
| Provider Name | Evan Joyce |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801250808 PECOS PAC ID: 8022374552 Enrollment ID: I20230801003311 |
| Provider Name | Gretchen Vetter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063795789 PECOS PAC ID: 4688036502 Enrollment ID: I20230809002674 |
| 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 | Hugo Cesar Araujo Lino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760914345 PECOS PAC ID: 5597127712 Enrollment ID: I20230818002571 |
| Provider Name | Cody E Wissenbach |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841468410 PECOS PAC ID: 7416026380 Enrollment ID: I20230818003122 |
| Provider Name | Casey M Spirk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518472109 PECOS PAC ID: 7315201837 Enrollment ID: I20230822001085 |
| Provider Name | Chrystie Marie Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669843652 PECOS PAC ID: 3173901600 Enrollment ID: I20230908002536 |
| Provider Name | Kim Mcgrath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619599347 PECOS PAC ID: 4385067883 Enrollment ID: I20230918001519 |
| Provider Name | Alanna Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053884783 PECOS PAC ID: 5597008078 Enrollment ID: I20230920003369 |
| Provider Name | Samantha Renee Eteve |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295363687 PECOS PAC ID: 7012330673 Enrollment ID: I20230926000444 |
| Provider Name | Susan Elena Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427462142 PECOS PAC ID: 8628422581 Enrollment ID: I20230926002075 |
| Provider Name | Stephanie S Ortensi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619656584 PECOS PAC ID: 6901250646 Enrollment ID: I20230928001339 |
| Provider Name | Karen Yunuen Vest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245934959 PECOS PAC ID: 3375997083 Enrollment ID: I20230929000531 |
| Provider Name | Marlin Mills |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164481156 PECOS PAC ID: 8325232630 Enrollment ID: I20231003001232 |
| Provider Name | Sarah Cheree Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033895065 PECOS PAC ID: 1557716883 Enrollment ID: I20231006000606 |
| 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 | Shannon Burke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043943442 PECOS PAC ID: 3577918549 Enrollment ID: I20231011001112 |
| Provider Name | Leonardo Brasiliense |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689052664 PECOS PAC ID: 5799037487 Enrollment ID: I20231011003302 |
| Provider Name | Karli Dee Charlton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861175929 PECOS PAC ID: 1658726294 Enrollment ID: I20231017001204 |
| Provider Name | Merissa Stoops |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982122578 PECOS PAC ID: 3678812328 Enrollment ID: I20231023000640 |
| 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 | Erin Katherine Wonenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689360240 PECOS PAC ID: 1052768470 Enrollment ID: I20231107002098 |
| 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 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 | Christine Danielle Hansen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104558568 PECOS PAC ID: 4284082447 Enrollment ID: I20231128002840 |
| Provider Name | Amir S Gendy |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1124361019 PECOS PAC ID: 4880913763 Enrollment ID: I20231201002088 |
| Provider Name | Donald Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548594542 PECOS PAC ID: 4385786326 Enrollment ID: I20231207002625 |
| 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 | 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 | David Hak |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942290341 PECOS PAC ID: 0547272619 Enrollment ID: I20240109004912 |
| Provider Name | Stephanie Wyler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801525191 PECOS PAC ID: 7719339423 Enrollment ID: I20240118001833 |
| Provider Name | Kevin Stephan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1942228259 PECOS PAC ID: 3375532153 Enrollment ID: I20240118001840 |
| Provider Name | Katherine Homer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790167757 PECOS PAC ID: 0547579716 Enrollment ID: I20240122001944 |
| Provider Name | Melissa Rose West |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215660477 PECOS PAC ID: 3577916790 Enrollment ID: I20240124001940 |
| 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 a 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 | Martha Mooney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902872203 PECOS PAC ID: 2466405188 Enrollment ID: I20240201002944 |
| Provider Name | Alexander D 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 | Bethany Kendall Maze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053180976 PECOS PAC ID: 0749623312 Enrollment ID: I20240210000572 |
| Provider Name | James E Allen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730175290 PECOS PAC ID: 9436061025 Enrollment ID: I20240222003215 |
| Provider Name | Alyssa B Allsop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487222022 PECOS PAC ID: 8820433378 Enrollment ID: I20240223003736 |
| Provider Name | Mary Meacham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265207534 PECOS PAC ID: 4688011364 Enrollment ID: I20240318003374 |
| Provider Name | Joseph Zachariah |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649293895 PECOS PAC ID: 9133137227 Enrollment ID: I20240322002178 |
| Provider Name | Chantal Brooke Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891577284 PECOS PAC ID: 8921445974 Enrollment ID: I20240326001793 |
| Provider Name | Vikram Palkar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1376947135 PECOS PAC ID: 8022381722 Enrollment ID: I20240401002958 |
| Provider Name | Amina Goodwin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669618302 PECOS PAC ID: 3678715174 Enrollment ID: I20240401003005 |
| Provider Name | Darla J. Buffa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982301644 PECOS PAC ID: 3971941212 Enrollment ID: I20240404002999 |
| Provider Name | Jeremy Conklin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700830882 PECOS PAC ID: 7517109614 Enrollment ID: I20240405001523 |
| Provider Name | Katherine Passafiume |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841890993 PECOS PAC ID: 0648683714 Enrollment ID: I20240409001492 |
| Provider Name | Jordan Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487278453 PECOS PAC ID: 5698142479 Enrollment ID: I20240409001940 |
| Provider Name | Nina Nwoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689261679 PECOS PAC ID: 7416363445 Enrollment ID: I20240410002887 |
| Provider Name | Gary E Benedetti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598746604 PECOS PAC ID: 0941218887 Enrollment ID: I20240411000986 |
| Provider Name | Bryan Mathieson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205022555 PECOS PAC ID: 3476620238 Enrollment ID: I20240412000731 |
| Provider Name | Matthew Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548651094 PECOS PAC ID: 7719388420 Enrollment ID: I20240423004449 |
| Provider Name | Sarah Shewayish |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689936437 PECOS PAC ID: 8123340205 Enrollment ID: I20240430002660 |
| Provider Name | Karson Kalian |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699262527 PECOS PAC ID: 2062764475 Enrollment ID: I20240501002003 |
| Provider Name | Julie Huau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962975219 PECOS PAC ID: 2769881267 Enrollment ID: I20240501002200 |
| Provider Name | Julie L. Wynne |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336115401 PECOS PAC ID: 6406812858 Enrollment ID: I20240502001793 |
| Provider Name | Bruce Whitaker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1790923969 PECOS PAC ID: 0446437131 Enrollment ID: I20240502002367 |
| Provider Name | Martine Nicole Troy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114371895 PECOS PAC ID: 8729378765 Enrollment ID: I20240503003429 |
| Provider Name | Sarah Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487889796 PECOS PAC ID: 6204053416 Enrollment ID: I20240511000420 |
| Provider Name | Kevin J Pugh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043204704 PECOS PAC ID: 4284607250 Enrollment ID: I20240514001092 |
| Provider Name | Jared Scheurich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144089004 PECOS PAC ID: 3779925524 Enrollment ID: I20240523003977 |
| Provider Name | Caleb James Mentzer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285920223 PECOS PAC ID: 8628217023 Enrollment ID: I20240528002468 |
| Provider Name | Therese Duane |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427131598 PECOS PAC ID: 0244369833 Enrollment ID: I20240528002970 |
| Provider Name | Justin Blaty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548766835 PECOS PAC ID: 8022355460 Enrollment ID: I20240529002775 |
| Provider Name | Kenneth Squires |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649706326 PECOS PAC ID: 0446529242 Enrollment ID: I20240530001672 |
| Provider Name | Laura Ann O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982459467 PECOS PAC ID: 0042752131 Enrollment ID: I20240604003347 |
| Provider Name | Xavier Al-mateen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033738505 PECOS PAC ID: 1557784907 Enrollment ID: I20240605003948 |
| Provider Name | Stephanie E Freeman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497732135 PECOS PAC ID: 8729989918 Enrollment ID: I20240605004214 |
| Provider Name | Cole Daniel Szymkiewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972368595 PECOS PAC ID: 1850833732 Enrollment ID: I20240606002622 |
| Provider Name | Philip Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154997104 PECOS PAC ID: 8729487152 Enrollment ID: I20240607001553 |
| Provider Name | Kahdi Udobi |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1205935624 PECOS PAC ID: 8921131897 Enrollment ID: I20240609000180 |
| Provider Name | Alexandra Anna Bartlow |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841924990 PECOS PAC ID: 0840732459 Enrollment ID: I20240611003057 |
| Provider Name | Andrew Thomas Nilsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538747712 PECOS PAC ID: 6305388851 Enrollment ID: I20240612000588 |
| Provider Name | Jessica M Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164140281 PECOS PAC ID: 4789126186 Enrollment ID: I20240612002560 |
| Provider Name | Kelly Block |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740786631 PECOS PAC ID: 4688061187 Enrollment ID: I20240613001733 |
| Provider Name | Petar Igic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053365494 PECOS PAC ID: 9638182801 Enrollment ID: I20240614001257 |
| Provider Name | Nicole Gaylene St Germain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295588374 PECOS PAC ID: 3971046277 Enrollment ID: I20240614001691 |
| Provider Name | Jane Bigelow |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043715782 PECOS PAC ID: 5092258897 Enrollment ID: I20240621000912 |
| Provider Name | William Kogler |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1629572839 PECOS PAC ID: 2365984713 Enrollment ID: I20240625002009 |
| Provider Name | Taylor Wolfe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194302976 PECOS PAC ID: 8628487428 Enrollment ID: I20240625004079 |
| Provider Name | Felix Vladimir |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1962472993 PECOS PAC ID: 6406823483 Enrollment ID: I20240626000798 |
| Provider Name | Choosak D Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588998447 PECOS PAC ID: 6204971617 Enrollment ID: I20240627001573 |
| Provider Name | Krystine Spiess |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962701524 PECOS PAC ID: 2860616786 Enrollment ID: I20240701003303 |
| Provider Name | Taylor Roberts |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952018764 PECOS PAC ID: 4789128661 Enrollment ID: I20240702003620 |
| Provider Name | Gurpreet S Smagh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174867410 PECOS PAC ID: 5395999163 Enrollment ID: I20240705001551 |
| Provider Name | Daniel Frank Rivera |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164912507 PECOS PAC ID: 4082952957 Enrollment ID: I20240705002821 |
| Provider Name | Brandyn Reinhart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457907180 PECOS PAC ID: 7618309170 Enrollment ID: I20240708003826 |
| Provider Name | Mason Brandon Rankin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295518447 PECOS PAC ID: 0345785788 Enrollment ID: I20240710002991 |
| Provider Name | Rosa Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104688274 PECOS PAC ID: 5496290546 Enrollment ID: I20240712001476 |
| Provider Name | Loren Black |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972008373 PECOS PAC ID: 4981954773 Enrollment ID: I20240716002020 |
| Provider Name | Emily Dickerson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669871398 PECOS PAC ID: 6608278650 Enrollment ID: I20240717002816 |
| Provider Name | Nicole M Randel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710555974 PECOS PAC ID: 6305247024 Enrollment ID: I20240718003876 |
| Provider Name | Joseph H Helm |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184067837 PECOS PAC ID: 5698094043 Enrollment ID: I20240718004939 |
| Provider Name | Bryce J. Parkinson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1013477652 PECOS PAC ID: 4688110950 Enrollment ID: I20240723001470 |
| Provider Name | Srikanth Seethala |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982803292 PECOS PAC ID: 1850425109 Enrollment ID: I20240730003808 |
| Provider Name | Brady Stewart |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508387028 PECOS PAC ID: 9830460732 Enrollment ID: I20240802001458 |
| Provider Name | Jesse Mcchane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083297287 PECOS PAC ID: 1759783780 Enrollment ID: I20240806001024 |
| Provider Name | Edward Davila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972545143 PECOS PAC ID: 7517970973 Enrollment ID: I20240806004184 |
| Provider Name | Ryley Mcpeters |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730543646 PECOS PAC ID: 1658670922 Enrollment ID: I20240812002100 |
| Provider Name | Megan Ann Schwehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073196283 PECOS PAC ID: 8325440357 Enrollment ID: I20240814000814 |
| Provider Name | Scott Gregory Bird |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1992200331 PECOS PAC ID: 0244633246 Enrollment ID: I20240820000494 |
| Provider Name | Gail Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831587740 PECOS PAC ID: 6204148943 Enrollment ID: I20240820004478 |
| Provider Name | Ali Kimyaghalam |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1922455146 PECOS PAC ID: 4587033998 Enrollment ID: I20240823002349 |
| Provider Name | Courtney Scott Isaacs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083294227 PECOS PAC ID: 8820468937 Enrollment ID: I20240905003665 |
| Provider Name | Scott John |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821382839 PECOS PAC ID: 7719123207 Enrollment ID: I20240909003942 |
| Provider Name | Ethan Taub |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1295002285 PECOS PAC ID: 5597905455 Enrollment ID: I20240910001370 |
| Provider Name | Graceful Iris Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114759578 PECOS PAC ID: 5698215267 Enrollment ID: I20240910001907 |
| Provider Name | David W Silvestre |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619315967 PECOS PAC ID: 1456665769 Enrollment ID: I20240911000646 |
| Provider Name | Jeremiah Nielson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699891374 PECOS PAC ID: 9436314010 Enrollment ID: I20240911004777 |
| Provider Name | Robert Jordan Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588494959 PECOS PAC ID: 7810437134 Enrollment ID: I20240912002138 |
| Provider Name | Joseph Graham |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1578638383 PECOS PAC ID: 1052367901 Enrollment ID: I20240912002152 |
| Provider Name | Hannah Elsevier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063875862 PECOS PAC ID: 4789920745 Enrollment ID: I20240913002943 |
| Provider Name | Rilee Mickelsen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770346835 PECOS PAC ID: 6204274905 Enrollment ID: I20240913002964 |
| Provider Name | Murtuza Habeeb |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1881897205 PECOS PAC ID: 0345370664 Enrollment ID: I20240918000860 |
| Provider Name | George Samaan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255794756 PECOS PAC ID: 9234400128 Enrollment ID: I20240926004015 |
| Provider Name | Giovanna Cantor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144777350 PECOS PAC ID: 6204104599 Enrollment ID: I20240927001790 |
| Provider Name | Michelle Christopher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033523196 PECOS PAC ID: 3779702394 Enrollment ID: I20240930002795 |
| Provider Name | Nicolas Emmanuel Echon Reyes |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1760114425 PECOS PAC ID: 2769913490 Enrollment ID: I20241004000715 |
| Provider Name | Kunal Sarkar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407800162 PECOS PAC ID: 7810900487 Enrollment ID: I20241016002934 |
| Provider Name | Henrik Manassarians |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1598798795 PECOS PAC ID: 4486658911 Enrollment ID: I20241016004214 |
| Provider Name | Kelsey Lynne Rogers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1417785932 PECOS PAC ID: 3870025554 Enrollment ID: I20241018003030 |
| Provider Name | Taylor Brown |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881191088 PECOS PAC ID: 1456698885 Enrollment ID: I20241024002170 |
| Provider Name | Britainy Kingsmore |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902537830 PECOS PAC ID: 4284167560 Enrollment ID: I20241024002968 |
| Provider Name | Chance Mccall Turner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366170847 PECOS PAC ID: 6305379603 Enrollment ID: I20241024003913 |
| Provider Name | Janel Wright |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942527908 PECOS PAC ID: 1153543202 Enrollment ID: I20241104001523 |
| Provider Name | David Krason |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1932166675 PECOS PAC ID: 5395739015 Enrollment ID: I20241105001486 |
| Provider Name | Jamie Pacheco |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427450352 PECOS PAC ID: 9931422045 Enrollment ID: I20241106001564 |
| Provider Name | Mary Hollowell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699409748 PECOS PAC ID: 9830623248 Enrollment ID: I20241107002404 |
| Provider Name | Sugat Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518947233 PECOS PAC ID: 7810996451 Enrollment ID: I20241120001887 |
| Provider Name | Allison Harriott |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1023247871 PECOS PAC ID: 6709028616 Enrollment ID: I20241121004201 |
| Provider Name | Benjamin Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871322750 PECOS PAC ID: 1456886605 Enrollment ID: I20241125001067 |
| Provider Name | Andrew Dysart |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821674995 PECOS PAC ID: 1557761418 Enrollment ID: I20241127001914 |
| Provider Name | Eric J Wattenburg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194791640 PECOS PAC ID: 1658426663 Enrollment ID: I20241202003039 |
| Provider Name | Scott Sorge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093211765 PECOS PAC ID: 8921487570 Enrollment ID: I20241203002944 |
| Provider Name | Thomas Kasprowicz |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1144664491 PECOS PAC ID: 1951541762 Enrollment ID: I20241206002941 |
| Provider Name | Samantha Anne Mccain |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477286201 PECOS PAC ID: 3072049311 Enrollment ID: I20241210000712 |
| Provider Name | Elizabeth Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851698781 PECOS PAC ID: 6507393105 Enrollment ID: I20241220000807 |
| Provider Name | Xiuqing Ru |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1679508790 PECOS PAC ID: 7012976731 Enrollment ID: I20241227003051 |
| Provider Name | Jose Antonio Coronado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720802218 PECOS PAC ID: 6002343001 Enrollment ID: I20250102000907 |
| Provider Name | Patrick J Lindsay |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1851949598 PECOS PAC ID: 7810229150 Enrollment ID: I20250113003148 |
| Provider Name | Alison Brann |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1801328687 PECOS PAC ID: 3870967284 Enrollment ID: I20250116003315 |
| Provider Name | Antonette Lynn Harvill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073897849 PECOS PAC ID: 0143485615 Enrollment ID: I20250123002043 |
| Provider Name | Eric T Choi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306863865 PECOS PAC ID: 3971632431 Enrollment ID: I20250128004523 |
| Provider Name | Luis Alcaraz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508593765 PECOS PAC ID: 1850820150 Enrollment ID: I20250131001639 |
| Provider Name | Daniel Christopher Ketterer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134393796 PECOS PAC ID: 5193955771 Enrollment ID: I20250205002321 |
| Provider Name | Allen Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508817214 PECOS PAC ID: 4981794229 Enrollment ID: I20250205002573 |
| Provider Name | Daniella Cristina Molinari |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1477238699 PECOS PAC ID: 0547790289 Enrollment ID: I20250210002745 |
| Provider Name | Amanda L Lavallee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720148091 PECOS PAC ID: 1557554151 Enrollment ID: I20250210003344 |
| Provider Name | Danielle Dombrowski |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285997338 PECOS PAC ID: 8123450814 Enrollment ID: I20250213000986 |
| Provider Name | Ramona Mccullough Mullinax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447694930 PECOS PAC ID: 2062650864 Enrollment ID: I20250224000776 |
| Provider Name | Paul Sarkaria |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902463300 PECOS PAC ID: 7315392362 Enrollment ID: I20250225003489 |
| Provider Name | Stephanie Jan Bowles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093027377 PECOS PAC ID: 5597285148 Enrollment ID: I20250226000697 |
| Provider Name | Richard Biggs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376611202 PECOS PAC ID: 8022257484 Enrollment ID: I20250226001805 |
| Provider Name | Michael Ben Silva |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205029998 PECOS PAC ID: 0446233027 Enrollment ID: I20250228001843 |
| Provider Name | Michelle Lynn Vanhoof |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316585888 PECOS PAC ID: 7012326853 Enrollment ID: I20250303002726 |
| Provider Name | Ivan Martinez Avalos |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1114411865 PECOS PAC ID: 8921448614 Enrollment ID: I20250318003630 |
| Provider Name | Victoria Strengari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356111249 PECOS PAC ID: 5890217814 Enrollment ID: I20250319003624 |
| Provider Name | Marc Papantonio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770847469 PECOS PAC ID: 1456873256 Enrollment ID: I20250321001080 |
| Provider Name | Mckynna Dugger |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588392724 PECOS PAC ID: 9638691280 Enrollment ID: I20250324002039 |
| Provider Name | Alessandra Longoria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093529406 PECOS PAC ID: 0345762902 Enrollment ID: I20250324002305 |
| Provider Name | Michael Nizzi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700802055 PECOS PAC ID: 5193701944 Enrollment ID: I20250331002357 |
| Provider Name | Tavniah Leigh Betts |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144588898 PECOS PAC ID: 7618490574 Enrollment ID: I20250401001972 |
| Provider Name | Jonathan Scoville |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1427412444 PECOS PAC ID: 6204192750 Enrollment ID: I20250422002533 |
| Provider Name | Dustin Siler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881062370 PECOS PAC ID: 0941519169 Enrollment ID: I20250424001828 |
| Provider Name | John Fletcher Kodatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083354039 PECOS PAC ID: 9234590076 Enrollment ID: I20250424003205 |
| Provider Name | Victoria O'brien |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275023855 PECOS PAC ID: 9032655956 Enrollment ID: I20250428002276 |
| Provider Name | Angel Legare |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649770678 PECOS PAC ID: 8729330956 Enrollment ID: I20250429003008 |
| Provider Name | Stephen Cooper |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1730706185 PECOS PAC ID: 2163847294 Enrollment ID: I20250520001872 |
| Provider Name | Hannah Marie Christensen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952862294 PECOS PAC ID: 0547593592 Enrollment ID: I20250521001845 |
| Provider Name | Boris Zelle |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316140536 PECOS PAC ID: 2365614997 Enrollment ID: I20250529002461 |
| Provider Name | Kristin N Schecter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982013876 PECOS PAC ID: 3173810603 Enrollment ID: I20250604002407 |
| Provider Name | Tammy Olague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831569326 PECOS PAC ID: 2668773458 Enrollment ID: I20250605002416 |
| Provider Name | Andrew Tietjen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427859164 PECOS PAC ID: 1456861830 Enrollment ID: I20250606000001 |
| Provider Name | Suzanne Guthrie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750600466 PECOS PAC ID: 4981864428 Enrollment ID: I20250611000938 |
| Provider Name | Jocelyn Sarkaria |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245793058 PECOS PAC ID: 9931578382 Enrollment ID: I20250616001671 |
| Provider Name | Robert Minns |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902433105 PECOS PAC ID: 5092230235 Enrollment ID: I20250618003262 |
| Provider Name | Zachary Roward |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326575499 PECOS PAC ID: 3870970510 Enrollment ID: I20250620003204 |
| Provider Name | Kaysea L Studioso-hatch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841932597 PECOS PAC ID: 1355720111 Enrollment ID: I20250623001935 |
| Provider Name | Kenneth Klein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215321153 PECOS PAC ID: 8921370883 Enrollment ID: I20250624002501 |
| Provider Name | Gordon Frank Cvach |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336423995 PECOS PAC ID: 7012279391 Enrollment ID: I20250625000816 |
| Provider Name | Mckinzey Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912731076 PECOS PAC ID: 8729514187 Enrollment ID: I20250625002738 |
| Provider Name | Robert Gondek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194510701 PECOS PAC ID: 1456878008 Enrollment ID: I20250701004740 |
| Provider Name | Trent Delong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588246268 PECOS PAC ID: 9133522048 Enrollment ID: I20250709003774 |
| Provider Name | Dustin Dehart |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861055253 PECOS PAC ID: 4981125747 Enrollment ID: I20250712000405 |
| Provider Name | Anthony Michael Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801451984 PECOS PAC ID: 9234466889 Enrollment ID: I20250713000014 |
| Provider Name | Brandon Robert Bautista |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043956857 PECOS PAC ID: 1153836895 Enrollment ID: I20250713000046 |
| Provider Name | Matthew Benjamin Lancaster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255072138 PECOS PAC ID: 3577943216 Enrollment ID: I20250714000000 |
| Provider Name | Kaleb Ward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841936838 PECOS PAC ID: 0042691594 Enrollment ID: I20250715001682 |
| Provider Name | Maria Carbonell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629714654 PECOS PAC ID: 1951780923 Enrollment ID: I20250722000535 |
| Provider Name | Michael S Firstenberg |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1912961749 PECOS PAC ID: 3870517733 Enrollment ID: I20250722001381 |
| Provider Name | Christopher Lyons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497493779 PECOS PAC ID: 0547643033 Enrollment ID: I20250722001909 |
| Provider Name | Mark Parry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780260331 PECOS PAC ID: 2860891017 Enrollment ID: I20250722001998 |
| Provider Name | Kimiknu Mentore |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184128480 PECOS PAC ID: 3678008471 Enrollment ID: I20250724002783 |
| Provider Name | Lyndsey Turbow |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1417444787 PECOS PAC ID: 6800141243 Enrollment ID: I20250724004308 |
| Provider Name | Kaitlyn Altuzarra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417619651 PECOS PAC ID: 3577070051 Enrollment ID: I20250729003323 |
| Provider Name | Tiffany Ginger Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326841255 PECOS PAC ID: 8820505134 Enrollment ID: I20250730001571 |
| Provider Name | Fasiha Klair |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619464153 PECOS PAC ID: 6800145970 Enrollment ID: I20250730004288 |
| Provider Name | Steven Knott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093315236 PECOS PAC ID: 8325452493 Enrollment ID: I20250805003194 |
| Provider Name | Emily Lin Syed |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881488385 PECOS PAC ID: 1951809581 Enrollment ID: I20250812003129 |
| Provider Name | Elly Marie Watson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134013956 PECOS PAC ID: 7911405592 Enrollment ID: I20250812004478 |
| Provider Name | Kaydon Lloyd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013339373 PECOS PAC ID: 9234369992 Enrollment ID: I20250815004322 |
| Provider Name | Kelli Tillquist |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619539947 PECOS PAC ID: 9436659885 Enrollment ID: I20250821001408 |
| Provider Name | Gloria Joy Chavier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639925985 PECOS PAC ID: 4385144674 Enrollment ID: I20250821003038 |
| Provider Name | Ismail O Jimada |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164848602 PECOS PAC ID: 9931464088 Enrollment ID: I20250821003603 |
| Provider Name | Nicholas Gamboa |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1043716913 PECOS PAC ID: 6204269293 Enrollment ID: I20250822002827 |
| Provider Name | Tiffany Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780002980 PECOS PAC ID: 4486887098 Enrollment ID: I20250822003207 |
| Provider Name | Katharina Marie Mitchell |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720613888 PECOS PAC ID: 7113428871 Enrollment ID: I20250903000855 |
| Provider Name | John W Mercer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205988540 PECOS PAC ID: 5193610897 Enrollment ID: I20250915003656 |
| Provider Name | Brennen Georgia Magagna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780474015 PECOS PAC ID: 4082118682 Enrollment ID: I20250917002192 |
| Provider Name | Linda Haney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093842031 PECOS PAC ID: 0749462331 Enrollment ID: I20250917002719 |
| Provider Name | Mariah Ollive |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467134866 PECOS PAC ID: 7214385780 Enrollment ID: I20250917004227 |
| Provider Name | Herbert S Coussons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427007624 PECOS PAC ID: 4284699117 Enrollment ID: I20250918004237 |
| Provider Name | Taylor Victoria Starr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720727506 PECOS PAC ID: 9133623416 Enrollment ID: I20250918004337 |
| Provider Name | Ryan Theodore Caldwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598464315 PECOS PAC ID: 6406351402 Enrollment ID: I20250922003196 |
| Provider Name | Forrest Yeakley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841787611 PECOS PAC ID: 7911305842 Enrollment ID: I20250924001492 |
| Provider Name | Jignesh Suresh Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417182346 PECOS PAC ID: 5890011779 Enrollment ID: I20251002004267 |
| Provider Name | Patricia Avancena |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1235691478 PECOS PAC ID: 5890022651 Enrollment ID: I20251007003533 |
| Provider Name | Lealand Torgerson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841874377 PECOS PAC ID: 5597164954 Enrollment ID: I20251007004126 |
| Provider Name | Melissa Anne Mcfadden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538854138 PECOS PAC ID: 6608373543 Enrollment ID: I20251008000905 |
| Provider Name | Stephen Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700392966 PECOS PAC ID: 4789947441 Enrollment ID: I20251009003223 |
| Provider Name | Jaideep Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730171729 PECOS PAC ID: 2365424454 Enrollment ID: I20251009003283 |
| Provider Name | Nicole Elizabeth Douthit |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235814054 PECOS PAC ID: 8022505189 Enrollment ID: I20251014001449 |
| Provider Name | Daniel Shin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568112597 PECOS PAC ID: 6800275470 Enrollment ID: I20251016003160 |
| Provider Name | Connie L Zastrow |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578547543 PECOS PAC ID: 0244423499 Enrollment ID: I20251020001160 |
| Provider Name | David Chang |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1487678769 PECOS PAC ID: 9133168941 Enrollment ID: I20251022000583 |
| Provider Name | Dakota Hensley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588346308 PECOS PAC ID: 3375032717 Enrollment ID: I20251027004223 |
| Provider Name | Raul Campos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295434355 PECOS PAC ID: 6406345123 Enrollment ID: I20251031001015 |
| Provider Name | Tammy Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750361200 PECOS PAC ID: 4385736206 Enrollment ID: I20251031003039 |
| Provider Name | Rebecca Torrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033001326 PECOS PAC ID: 2365932878 Enrollment ID: I20251104001571 |
| Provider Name | Carie a Wegert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679369854 PECOS PAC ID: 3678063054 Enrollment ID: I20251104004514 |
| Provider Name | Diane Mnt Tobin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295879377 PECOS PAC ID: 8921335449 Enrollment ID: I20251113002597 |
| Provider Name | Emily Border |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659801207 PECOS PAC ID: 3577959808 Enrollment ID: I20251117000915 |
| Provider Name | Shannon DO Jenkins |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023083680 PECOS PAC ID: 6204820905 Enrollment ID: I20251117001534 |
| Provider Name | Danielle De Campo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750735239 PECOS PAC ID: 4082906375 Enrollment ID: I20251117003135 |
| Provider Name | Mikayla Miller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336821891 PECOS PAC ID: 8426549304 Enrollment ID: I20251118005124 |
| Provider Name | Venkatarama Reddy Gaddam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1710976733 PECOS PAC ID: 2567448491 Enrollment ID: I20251120002171 |
| Provider Name | Opal Michelle Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497546303 PECOS PAC ID: 1658864939 Enrollment ID: I20251204002565 |
| Provider Name | Sarah Decker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568864163 PECOS PAC ID: 3870713407 Enrollment ID: I20251204003236 |
| Provider Name | Mary Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174086862 PECOS PAC ID: 2769975994 Enrollment ID: I20251204004881 |
| Provider Name | Lewis Eastlick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013034925 PECOS PAC ID: 5294904405 Enrollment ID: I20251207000147 |
| Provider Name | Kelsey Hamilton Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427307115 PECOS PAC ID: 4789829953 Enrollment ID: I20251208002215 |
| Provider Name | Tachira Tavarez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952741613 PECOS PAC ID: 7113225327 Enrollment ID: I20251218003270 |
| Provider Name | Lata Santa Ines |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871621136 PECOS PAC ID: 6305940586 Enrollment ID: I20251219001338 |
| Provider Name | Michaela S Mcmahon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508640855 PECOS PAC ID: 7416442793 Enrollment ID: I20251223004762 |
| Provider Name | Kiley Hewett |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265966022 PECOS PAC ID: 6002163987 Enrollment ID: I20251224002008 |
| Provider Name | Nancy Alice Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760014443 PECOS PAC ID: 4486140621 Enrollment ID: I20251226001128 |
| Provider Name | Jonathan Schultz |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962897801 PECOS PAC ID: 8224341755 Enrollment ID: I20251229003908 |
| Provider Name | Donna R Graf-blow |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1013998277 PECOS PAC ID: 6305032277 Enrollment ID: I20251231000356 |
| Provider Name | Desire Michelle Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164318549 PECOS PAC ID: 2668968215 Enrollment ID: I20260102001547 |
| Provider Name | Ashley Rochelle Lanham |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003433350 PECOS PAC ID: 4688160187 Enrollment ID: I20260105002964 |
| Provider Name | Robert Cook |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437220878 PECOS PAC ID: 4587697628 Enrollment ID: I20260109003179 |
| Provider Name | Robert Cheatham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518995026 PECOS PAC ID: 1456355809 Enrollment ID: I20260112002079 |
| Provider Name | Danielle Dorothy Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639050131 PECOS PAC ID: 2961989702 Enrollment ID: I20260122002741 |
| Provider Name | Gregory Gersten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487688214 PECOS PAC ID: 2668379066 Enrollment ID: I20260127002908 |
| Provider Name | Michael Farley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548802416 PECOS PAC ID: 9133522279 Enrollment ID: I20260127003401 |
| Provider Name | Ryan Greene |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1518171107 PECOS PAC ID: 2062676778 Enrollment ID: I20260205000799 |
| Provider Name | Divya Kumari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669881702 PECOS PAC ID: 9739413097 Enrollment ID: I20260206003660 |
| Provider Name | Morgan Ransom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477201135 PECOS PAC ID: 5698254571 Enrollment ID: I20260210004443 |
| Provider Name | Amelia Cron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750085023 PECOS PAC ID: 0042791980 Enrollment ID: I20260227002490 |
| Provider Name | Lindsay DO Hermecz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144753203 PECOS PAC ID: 0749604155 Enrollment ID: I20260309001749 |
| Provider Name | Luke a Carlson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1972704807 PECOS PAC ID: 3375618382 Enrollment ID: I20260313003968 |
| Provider Name | Violeta Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518488204 PECOS PAC ID: 5395002414 Enrollment ID: I20260317001600 |
| Provider Name | Erika Brady |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992656334 PECOS PAC ID: 4587148176 Enrollment ID: I20260320003935 |
| Provider Name | Orlando Micheli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255595518 PECOS PAC ID: 0446437172 Enrollment ID: I20260325003798 |
| Provider Name | Andrea Corinne Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346101276 PECOS PAC ID: 7719462886 Enrollment ID: I20260327000776 |
| Provider Name | Raphael Komakech |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770223562 PECOS PAC ID: 4587165626 Enrollment ID: I20260330000050 |
| Provider Name | Christopher Jones |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1841610326 PECOS PAC ID: 2668894288 Enrollment ID: I20260331000345 |
| Provider Name | Sarah Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649846718 PECOS PAC ID: 8729481486 Enrollment ID: I20260331004519 |
| Provider Name | Amanda Ruggles |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790743144 PECOS PAC ID: 4789784091 Enrollment ID: I20260410003798 |
| Provider Name | Daniel Kinikini |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1043264070 PECOS PAC ID: 4385601665 Enrollment ID: I20260414000818 |
| Provider Name | Nathan Wnuk |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1558700716 PECOS PAC ID: 5597984260 Enrollment ID: I20260414001866 |
| Provider Name | Britney Durrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689448557 PECOS PAC ID: 9830665819 Enrollment ID: I20260416003754 |
| Provider Name | Mayra Moran |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1023993607 PECOS PAC ID: 0042709487 Enrollment ID: I20260420002404 |
| Provider Name | Ryoko Kausler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881460350 PECOS PAC ID: 8426524109 Enrollment ID: I20260420002517 |
| Provider Name | Eric Moldestad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104018951 PECOS PAC ID: 2062582174 Enrollment ID: I20260421003329 |
| Provider Name | Hailey Sellek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578143459 PECOS PAC ID: 5890132336 Enrollment ID: I20260427001846 |
| Provider Name | Kenaz Bakdash |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1881122273 PECOS PAC ID: 4587932579 Enrollment ID: I20260504006974 |
| Provider Name | Jessica Tiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508623497 PECOS PAC ID: 4183066343 Enrollment ID: I20260505002761 |
| Provider Name | Ashley Leggett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659725794 PECOS PAC ID: 4385937796 Enrollment ID: I20260512002864 |
| Provider Name | Ndidiamaka Obadan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1225385248 PECOS PAC ID: 4981912847 Enrollment ID: I20260513002768 |
| Provider Name | Omar Syed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578209482 PECOS PAC ID: 0648659631 Enrollment ID: I20260514001018 |
| Provider Name | Matthew Hatch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457988099 PECOS PAC ID: 2769806702 Enrollment ID: I20260515001859 |
| Provider Name | Okechukwu Anochie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346772894 PECOS PAC ID: 0345659587 Enrollment ID: I20260518003130 |
| Provider Name | Neda Shefa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457980708 PECOS PAC ID: 8325485972 Enrollment ID: I20260519003660 |
| Provider Name | Jennavere Renae Ball |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194508101 PECOS PAC ID: 9436628427 Enrollment ID: I20260519003875 |
| Provider Name | Steve Chungsheng Hong |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1154536530 PECOS PAC ID: 0042336224 Enrollment ID: I20260520004107 |
| Provider Name | Dong Soon Choi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194303545 PECOS PAC ID: 7810432184 Enrollment ID: I20260521004297 |
| Provider Name | Varun Yelamanchili |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396165080 PECOS PAC ID: 4688965866 Enrollment ID: I20260523000449 |
| Provider Name | Nicholas King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861438996 PECOS PAC ID: 0244243376 Enrollment ID: I20260603004072 |
| Provider Name | Brandon Repko |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1164649448 PECOS PAC ID: 9234262239 Enrollment ID: I20260604002294 |
| Provider Name | Daniel Njingeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609184506 PECOS PAC ID: 3173762853 Enrollment ID: I20260619001667 |
| Provider Name | Ariosto Rosado |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1255310041 PECOS PAC ID: 8325943061 Enrollment ID: I20260623003206 |
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 |
Phyllis Mckinley Viviani, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 S Latah St Ste 106, Boise, ID 83705 Phone: 208-918-2810 |
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 |
Saint Alphonsus Rehabilitation Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706 Phone: 208-367-3315 |
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: 950 W Bannock St # Ss, Boise, ID 83702 Phone: 208-602-7007 |