| Sarah Bush Lincoln Health Center | |
|
1000 Health Center Dr Mattoon IL 61938-9253 | |
| (217) 258-2525 | |
| Not Available |
| Full Name | Sarah Bush Lincoln Health Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1000 Health Center Dr, Mattoon, Illinois |
| Authorized Official Name and Position | Sean Fischer (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2172582525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Bush Lincoln Health Center Po Box 372 Mattoon IL 61938-0372 Ph: () - | Sarah Bush Lincoln Health Center 1000 Health Center Dr Mattoon IL 61938-9253 Ph: (217) 258-2525 |
| NPI Number | 1669564662 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 04/18/2025 |
| Certification Date | 04/18/2025 |
| Medicare PECOS PAC ID | 5092614867 |
|---|---|
| Medicare Enrollment ID | O20031231000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669564662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 0003392 (Illinois) | Primary |
| Provider Name | Kristina D Adams-smith |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972622512 PECOS PAC ID: 9133024987 Enrollment ID: I20031204000525 |
| Provider Name | Doris A Bowers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275525990 PECOS PAC ID: 9537063615 Enrollment ID: I20031216000766 |
| Provider Name | Franki Y Crist |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356359566 PECOS PAC ID: 1658270426 Enrollment ID: I20031231000471 |
| Provider Name | Alexis Ayonote |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013023449 PECOS PAC ID: 4981503943 Enrollment ID: I20040108000258 |
| Provider Name | Jeffrey A Goldstein |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689756900 PECOS PAC ID: 9739088675 Enrollment ID: I20040108000676 |
| Provider Name | Don Manarang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205833860 PECOS PAC ID: 1951294057 Enrollment ID: I20040203000964 |
| Provider Name | Robert H Butts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245323898 PECOS PAC ID: 4183517774 Enrollment ID: I20040206000281 |
| Provider Name | Salman Q Sheikh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1396753083 PECOS PAC ID: 5193610129 Enrollment ID: I20040218000950 |
| Provider Name | Stuart L Rotramel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891708137 PECOS PAC ID: 8820983562 Enrollment ID: I20040220000173 |
| Provider Name | Victoria L Kalivoda-popela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063408631 PECOS PAC ID: 7315833837 Enrollment ID: I20040223000981 |
| Provider Name | Sathya Subbiah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033128764 PECOS PAC ID: 0941197396 Enrollment ID: I20040302000107 |
| Provider Name | Nasaraiah Nallamothu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427130426 PECOS PAC ID: 8022905017 Enrollment ID: I20040303000926 |
| Provider Name | Batlagundu S Lakshminarayanan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326060278 PECOS PAC ID: 0749178820 Enrollment ID: I20040309001305 |
| Provider Name | Robert Bruha |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1043340367 PECOS PAC ID: 3577454776 Enrollment ID: I20040324001091 |
| Provider Name | Zaki H Chowdhury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366456022 PECOS PAC ID: 1456345669 Enrollment ID: I20040412000753 |
| Provider Name | Michael Richard Lamonto |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427164144 PECOS PAC ID: 4688669898 Enrollment ID: I20040417000031 |
| Provider Name | Thomas Zabiega |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386755916 PECOS PAC ID: 7719973601 Enrollment ID: I20040424000405 |
| Provider Name | Holly A Novak |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952483968 PECOS PAC ID: 3678561529 Enrollment ID: I20040501000031 |
| Provider Name | Mark D Emenecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285740571 PECOS PAC ID: 9739177569 Enrollment ID: I20040503000243 |
| Provider Name | Venkat R Minnaganti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407812746 PECOS PAC ID: 9234129008 Enrollment ID: I20040513001275 |
| Provider Name | Anju Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952335671 PECOS PAC ID: 4789674458 Enrollment ID: I20040514000475 |
| Provider Name | Gregory J Mishkel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629150768 PECOS PAC ID: 2062402597 Enrollment ID: I20040515000446 |
| Provider Name | Nehemiah T Tan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578520995 PECOS PAC ID: 0446241228 Enrollment ID: I20040520000681 |
| Provider Name | Arnold V Agapito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467421677 PECOS PAC ID: 4981689684 Enrollment ID: I20040618000379 |
| Provider Name | Patrick F Keogh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154412898 PECOS PAC ID: 9638158959 Enrollment ID: I20040719001073 |
| Provider Name | Shane M Cline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366558769 PECOS PAC ID: 0547232985 Enrollment ID: I20040806001122 |
| Provider Name | James Morosco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467498923 PECOS PAC ID: 0941198428 Enrollment ID: I20040810000007 |
| Provider Name | Robert J Michaelson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043326804 PECOS PAC ID: 5890767917 Enrollment ID: I20040810000442 |
| Provider Name | Ismail A Bobat |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750310553 PECOS PAC ID: 7416942552 Enrollment ID: I20040817001035 |
| Provider Name | Allan J Schwartz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013946433 PECOS PAC ID: 6709850308 Enrollment ID: I20040820000190 |
| Provider Name | Bart A Wetzel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1821068875 PECOS PAC ID: 9032182407 Enrollment ID: I20040821000057 |
| Provider Name | Shannon L Watley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205821121 PECOS PAC ID: 7315912763 Enrollment ID: I20040830000244 |
| Provider Name | Michael Jeffrey Barkoviak |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609867142 PECOS PAC ID: 4486620325 Enrollment ID: I20040902000666 |
| Provider Name | Abraham G Kocheril |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639194541 PECOS PAC ID: 5092782938 Enrollment ID: I20040910001264 |
| Provider Name | Andrew A West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447247051 PECOS PAC ID: 2961470398 Enrollment ID: I20040922001088 |
| Provider Name | Matthew P Datzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043254386 PECOS PAC ID: 0244209401 Enrollment ID: I20040927000003 |
| Provider Name | Xiaolin Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326036260 PECOS PAC ID: 9638148570 Enrollment ID: I20040928000928 |
| Provider Name | Erik K Kooba |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477503167 PECOS PAC ID: 3173582541 Enrollment ID: I20041013001293 |
| Provider Name | Seong R Cho |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1811082886 PECOS PAC ID: 1850353061 Enrollment ID: I20041030000237 |
| Provider Name | Louis E Schwing |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467565069 PECOS PAC ID: 3779545793 Enrollment ID: I20041102000532 |
| Provider Name | Robert G Good |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639122922 PECOS PAC ID: 6204898125 Enrollment ID: I20041102000637 |
| Provider Name | Sharon L Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235232851 PECOS PAC ID: 8729040647 Enrollment ID: I20041102000655 |
| Provider Name | Rick L Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033225826 PECOS PAC ID: 5092777805 Enrollment ID: I20041103000044 |
| Provider Name | James B Sola |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306821616 PECOS PAC ID: 3274596721 Enrollment ID: I20041105000903 |
| Provider Name | David C Mooth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255357778 PECOS PAC ID: 4284697657 Enrollment ID: I20041105001111 |
| Provider Name | Krishna J Rocha Singh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508948530 PECOS PAC ID: 5092778241 Enrollment ID: I20041109000039 |
| Provider Name | Julie M Franklin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043367055 PECOS PAC ID: 0648233841 Enrollment ID: I20041109000482 |
| Provider Name | Sami Atassi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1801830534 PECOS PAC ID: 0042276669 Enrollment ID: I20041207000100 |
| Provider Name | Andrei Sharapov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851332902 PECOS PAC ID: 8820056872 Enrollment ID: I20041222000545 |
| Provider Name | Nicole M Wochner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538275227 PECOS PAC ID: 5698724383 Enrollment ID: I20050120000195 |
| Provider Name | Erbert Caceres |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508976788 PECOS PAC ID: 3274582754 Enrollment ID: I20050121000825 |
| Provider Name | Deborah L Buckingham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134215098 PECOS PAC ID: 6406808146 Enrollment ID: I20050210000787 |
| Provider Name | Kimberley Sue Burgess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932120466 PECOS PAC ID: 5092767681 Enrollment ID: I20050211000090 |
| Provider Name | Yagnesh J Dave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295815645 PECOS PAC ID: 7810940400 Enrollment ID: I20050223000525 |
| Provider Name | Rachel T Lape |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265438576 PECOS PAC ID: 5597718775 Enrollment ID: I20050228000857 |
| Provider Name | David W Stoltz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578674420 PECOS PAC ID: 5799731766 Enrollment ID: I20050323000927 |
| Provider Name | Jeremy Stevens |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306843446 PECOS PAC ID: 8527022920 Enrollment ID: I20050323001020 |
| Provider Name | Beth A Mccoy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487623021 PECOS PAC ID: 0345297479 Enrollment ID: I20050331001140 |
| Provider Name | Jeffrey Jenson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740211390 PECOS PAC ID: 1658348420 Enrollment ID: I20050411000929 |
| Provider Name | Andrew S Goggin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336123165 PECOS PAC ID: 0648219782 Enrollment ID: I20050428000541 |
| Provider Name | Louis B Mendella |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912947854 PECOS PAC ID: 0143261362 Enrollment ID: I20050518000733 |
| Provider Name | Jeremy Topin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992875090 PECOS PAC ID: 4587606785 Enrollment ID: I20050527000268 |
| Provider Name | Loritz M Chavez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801816517 PECOS PAC ID: 6204862642 Enrollment ID: I20050715001033 |
| Provider Name | Mansura S Ghani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639253701 PECOS PAC ID: 3375570757 Enrollment ID: I20050719000179 |
| Provider Name | Nayna H Navik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760494801 PECOS PAC ID: 0345277588 Enrollment ID: I20050720000265 |
| Provider Name | Melvin A Fleming |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134235823 PECOS PAC ID: 4981631975 Enrollment ID: I20050721000197 |
| Provider Name | Mark S Steen |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306929906 PECOS PAC ID: 8426086984 Enrollment ID: I20050727000506 |
| Provider Name | Robert V Trask |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366525966 PECOS PAC ID: 0547172124 Enrollment ID: I20050727000625 |
| Provider Name | Robert C Woodruff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659454262 PECOS PAC ID: 0749192318 Enrollment ID: I20050727000768 |
| Provider Name | Anthony R. Horinek |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1609907195 PECOS PAC ID: 3678504339 Enrollment ID: I20050823000688 |
| Provider Name | Samer B. Sader |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831220318 PECOS PAC ID: 4183656051 Enrollment ID: I20050831000760 |
| Provider Name | Derek O Stout |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548376213 PECOS PAC ID: 1658269097 Enrollment ID: I20050906000529 |
| Provider Name | Greg J Deters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497861702 PECOS PAC ID: 7517990641 Enrollment ID: I20050919000033 |
| Provider Name | Richard E Katholi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245312529 PECOS PAC ID: 1355376658 Enrollment ID: I20051005000234 |
| Provider Name | Madhu R Dukkipati |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1063436715 PECOS PAC ID: 1658398037 Enrollment ID: I20051025000628 |
| Provider Name | Gabor Matos |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1639251747 PECOS PAC ID: 2860419934 Enrollment ID: I20051027000970 |
| Provider Name | Emilio M Nardone |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1538195920 PECOS PAC ID: 9537188636 Enrollment ID: I20051118000127 |
| Provider Name | John P. Opilka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497715056 PECOS PAC ID: 5698674984 Enrollment ID: I20051121000215 |
| Provider Name | Kendra J Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548352248 PECOS PAC ID: 4486673324 Enrollment ID: I20051121000302 |
| Provider Name | Stuart Craig King |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1790764462 PECOS PAC ID: 1052330818 Enrollment ID: I20051122000359 |
| Provider Name | Thomas Cahill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023128113 PECOS PAC ID: 0143241703 Enrollment ID: I20051209000672 |
| Provider Name | Sean P Flynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407816044 PECOS PAC ID: 9234114943 Enrollment ID: I20051219000543 |
| Provider Name | Robert Lawrence Hatchett |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336210624 PECOS PAC ID: 3678479508 Enrollment ID: I20051227000080 |
| Provider Name | Antonios Papadopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467562116 PECOS PAC ID: 0547282865 Enrollment ID: I20051229000425 |
| Provider Name | Sandip P Buch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558572461 PECOS PAC ID: 8426072901 Enrollment ID: I20060124000186 |
| Provider Name | Jose Crisanto Delrosario |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952409864 PECOS PAC ID: 3779507041 Enrollment ID: I20060125000721 |
| Provider Name | Rupal Parmar |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1003846247 PECOS PAC ID: 6608881586 Enrollment ID: I20060214000370 |
| Provider Name | Courtney Leddell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962508523 PECOS PAC ID: 3173539715 Enrollment ID: I20060306000614 |
| Provider Name | Lindell L Richards |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144278144 PECOS PAC ID: 0345259974 Enrollment ID: I20060411000090 |
| Provider Name | Michele L Kinder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063582765 PECOS PAC ID: 1850300716 Enrollment ID: I20060420000461 |
| Provider Name | Anthony Floyd Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851358774 PECOS PAC ID: 8325058712 Enrollment ID: I20060502000472 |
| Provider Name | Michael Uzer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295733475 PECOS PAC ID: 8123038155 Enrollment ID: I20060504000396 |
| Provider Name | Michael D Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790763571 PECOS PAC ID: 7214911049 Enrollment ID: I20060505000029 |
| Provider Name | David Paul Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053302240 PECOS PAC ID: 9032136726 Enrollment ID: I20060508000142 |
| Provider Name | James J Flaig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1922018332 PECOS PAC ID: 4587667605 Enrollment ID: I20060810000255 |
| Provider Name | Ty E Hasselman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861438434 PECOS PAC ID: 3274537071 Enrollment ID: I20060911000214 |
| Provider Name | Theodore R Addai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912985185 PECOS PAC ID: 7810991338 Enrollment ID: I20060914000039 |
| Provider Name | Jacqueline R Clayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821019969 PECOS PAC ID: 1254336977 Enrollment ID: I20061002000035 |
| Provider Name | David C Narunatvanich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790896439 PECOS PAC ID: 5799781746 Enrollment ID: I20061013000398 |
| Provider Name | Douglas L Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467462671 PECOS PAC ID: 7911904933 Enrollment ID: I20061103000212 |
| Provider Name | Bonnie J Coburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720165103 PECOS PAC ID: 1951309558 Enrollment ID: I20061114000644 |
| Provider Name | Naomi C Chelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609840834 PECOS PAC ID: 7517966732 Enrollment ID: I20061215000108 |
| Provider Name | Stephen A Coulson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841292778 PECOS PAC ID: 9032111505 Enrollment ID: I20070213000213 |
| Provider Name | Eric Paul Helfer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518064062 PECOS PAC ID: 0446352306 Enrollment ID: I20070222000716 |
| Provider Name | Karla Marie Atchley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427047497 PECOS PAC ID: 0749382539 Enrollment ID: I20070226000280 |
| Provider Name | Ibrahim Mansour |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1619076619 PECOS PAC ID: 0547365397 Enrollment ID: I20070424000048 |
| Provider Name | Murtuza H Bahrainwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871590679 PECOS PAC ID: 8628032695 Enrollment ID: I20070613000043 |
| Provider Name | David F Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194836486 PECOS PAC ID: 0244339265 Enrollment ID: I20070615000352 |
| Provider Name | Constantine Dean Katsamakis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407906100 PECOS PAC ID: 8527167881 Enrollment ID: I20070627000318 |
| Provider Name | John E Williamson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629017108 PECOS PAC ID: 7719950658 Enrollment ID: I20070713000171 |
| Provider Name | Alexander J Alonso |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124152707 PECOS PAC ID: 7911008149 Enrollment ID: I20070718000462 |
| Provider Name | Lonni R Weis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134139488 PECOS PAC ID: 4587765714 Enrollment ID: I20070718000515 |
| Provider Name | Lori L Niemerg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619987963 PECOS PAC ID: 1456452697 Enrollment ID: I20070718000563 |
| Provider Name | Bradley A Wilson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528046141 PECOS PAC ID: 6507896099 Enrollment ID: I20070719000399 |
| Provider Name | Sandra L Ettema |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1760577902 PECOS PAC ID: 5193826071 Enrollment ID: I20070723000056 |
| Provider Name | Michael M Raso |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053518092 PECOS PAC ID: 8628179447 Enrollment ID: I20070724000479 |
| Provider Name | Kingsley Uchenna Onyemere |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790798015 PECOS PAC ID: 5799784849 Enrollment ID: I20070727000510 |
| Provider Name | Rajesh Alla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154462224 PECOS PAC ID: 9537052915 Enrollment ID: I20070727000744 |
| Provider Name | Mark Kiplagat Rotich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659393601 PECOS PAC ID: 3971694100 Enrollment ID: I20070802000294 |
| Provider Name | Azeem S Pasha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619915147 PECOS PAC ID: 5294828224 Enrollment ID: I20070907000417 |
| Provider Name | Gregory J Beiermann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386838506 PECOS PAC ID: 9133212954 Enrollment ID: I20070910000459 |
| Provider Name | Shane R Fancher |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1427055433 PECOS PAC ID: 8022045616 Enrollment ID: I20070921000797 |
| Provider Name | Parthasarathy Srinivasan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134199359 PECOS PAC ID: 1759476732 Enrollment ID: I20071005000276 |
| Provider Name | Sonia Springer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790713121 PECOS PAC ID: 5890796072 Enrollment ID: I20071015000220 |
| Provider Name | Robert Thain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285737213 PECOS PAC ID: 6204854813 Enrollment ID: I20071019000074 |
| Provider Name | Kristi S Esker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578750709 PECOS PAC ID: 8426146481 Enrollment ID: I20071109000055 |
| Provider Name | John Longano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295711067 PECOS PAC ID: 0345244570 Enrollment ID: I20080611000019 |
| Provider Name | Joshua W Garrett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508993387 PECOS PAC ID: 4587747480 Enrollment ID: I20080712000154 |
| Provider Name | Jason H Trager |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063535417 PECOS PAC ID: 2567535842 Enrollment ID: I20080718000689 |
| Provider Name | Vibhu Dhawan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033315965 PECOS PAC ID: 6901979111 Enrollment ID: I20080722000262 |
| Provider Name | Brian D Miller |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1972685014 PECOS PAC ID: 8921172313 Enrollment ID: I20080802000047 |
| Provider Name | Travis Figanbaum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881603165 PECOS PAC ID: 8921002932 Enrollment ID: I20080820000656 |
| Provider Name | Scott E Meyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306017751 PECOS PAC ID: 5991870966 Enrollment ID: I20080826000789 |
| Provider Name | Joseph A Blaser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316064157 PECOS PAC ID: 6103993084 Enrollment ID: I20080918000115 |
| Provider Name | Erin M Hein |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053567875 PECOS PAC ID: 7719054493 Enrollment ID: I20080922000534 |
| Provider Name | Brian W Dossett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366490815 PECOS PAC ID: 4284794850 Enrollment ID: I20081201000144 |
| Provider Name | Eliza J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972754000 PECOS PAC ID: 1456415082 Enrollment ID: I20090127000418 |
| Provider Name | Patricia M Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750541983 PECOS PAC ID: 5890850853 Enrollment ID: I20090209000295 |
| Provider Name | Lori A Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881789949 PECOS PAC ID: 8820153620 Enrollment ID: I20090211000223 |
| Provider Name | Mark P Gaudio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053514414 PECOS PAC ID: 6103982483 Enrollment ID: I20090312000034 |
| Provider Name | Dennis A Silver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780726273 PECOS PAC ID: 9234295528 Enrollment ID: I20090312000101 |
| Provider Name | Donald M Sandercock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891776068 PECOS PAC ID: 1759399892 Enrollment ID: I20090326000230 |
| Provider Name | Ivan T Snowden |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720194483 PECOS PAC ID: 2365599156 Enrollment ID: I20090506000015 |
| Provider Name | Leeann Petak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912159740 PECOS PAC ID: 3072662758 Enrollment ID: I20090529000229 |
| Provider Name | Michael A Blain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801076146 PECOS PAC ID: 6709938020 Enrollment ID: I20090717000387 |
| Provider Name | Matthew D Jones |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528221058 PECOS PAC ID: 8527110535 Enrollment ID: I20090721000800 |
| Provider Name | Lucas L Catt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912174970 PECOS PAC ID: 3072666502 Enrollment ID: I20090731000395 |
| Provider Name | Ioannis Karkatzounis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639335235 PECOS PAC ID: 9032263835 Enrollment ID: I20090813000167 |
| Provider Name | James Robert Lundy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245287085 PECOS PAC ID: 8820034697 Enrollment ID: I20090813000687 |
| Provider Name | John J Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215193651 PECOS PAC ID: 1951455617 Enrollment ID: I20090813000799 |
| Provider Name | Bernard B Lim |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1548235856 PECOS PAC ID: 8224062278 Enrollment ID: I20090819000615 |
| Provider Name | Tara L Crews |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063642395 PECOS PAC ID: 9032263223 Enrollment ID: I20090824000031 |
| Provider Name | Amelia M Heise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770713000 PECOS PAC ID: 0244386423 Enrollment ID: I20090914000661 |
| Provider Name | Matthew J Dorner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528176880 PECOS PAC ID: 1355350489 Enrollment ID: I20090917000488 |
| Provider Name | Priti M Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740483627 PECOS PAC ID: 1951447267 Enrollment ID: I20090930000022 |
| Provider Name | Stephen T Steiner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023102951 PECOS PAC ID: 7315083557 Enrollment ID: I20091001000499 |
| Provider Name | Ameha A Hagos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073763991 PECOS PAC ID: 2264588151 Enrollment ID: I20091027000726 |
| Provider Name | Dwight F Pentzien |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073629887 PECOS PAC ID: 1153462585 Enrollment ID: I20100107000630 |
| Provider Name | Julian M Vassay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003922782 PECOS PAC ID: 4688715014 Enrollment ID: I20100107000642 |
| Provider Name | Daniel L Bommelje |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245346691 PECOS PAC ID: 1355482662 Enrollment ID: I20100108000680 |
| Provider Name | Mohamed M El-ansary |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1861508145 PECOS PAC ID: 7911049002 Enrollment ID: I20100128000120 |
| Provider Name | Ragai M Mitry |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1558477349 PECOS PAC ID: 5991848947 Enrollment ID: I20100130000073 |
| Provider Name | Robert K Reuter |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831205657 PECOS PAC ID: 2769526672 Enrollment ID: I20100216000511 |
| Provider Name | David A Winograd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144337767 PECOS PAC ID: 5395889216 Enrollment ID: I20100216000519 |
| Provider Name | Curtis R Green |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386750685 PECOS PAC ID: 6103960026 Enrollment ID: I20100216000532 |
| Provider Name | Michael S Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1215043971 PECOS PAC ID: 2567506488 Enrollment ID: I20100216000537 |
| Provider Name | John C Lauer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528174463 PECOS PAC ID: 7911960315 Enrollment ID: I20100216000886 |
| Provider Name | James R Hildebrandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386750008 PECOS PAC ID: 5799829313 Enrollment ID: I20100220000291 |
| Provider Name | Margaret Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396900593 PECOS PAC ID: 0446385157 Enrollment ID: I20100319000800 |
| Provider Name | Kiran V Joag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013023258 PECOS PAC ID: 8527148618 Enrollment ID: I20100320000255 |
| Provider Name | Patrick A Hartman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861508160 PECOS PAC ID: 7911032552 Enrollment ID: I20100320000266 |
| Provider Name | Joseph L Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023124484 PECOS PAC ID: 3274551684 Enrollment ID: I20100324001105 |
| Provider Name | Lori A Luther |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366558215 PECOS PAC ID: 9436286911 Enrollment ID: I20100415000431 |
| Provider Name | John M Caltry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700992179 PECOS PAC ID: 3971630450 Enrollment ID: I20100415000448 |
| Provider Name | Richard D Funneman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396726121 PECOS PAC ID: 6103829353 Enrollment ID: I20100416000445 |
| Provider Name | David F Didomenico |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1740297803 PECOS PAC ID: 0143213512 Enrollment ID: I20100428000090 |
| Provider Name | Marshall E Ashby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154437671 PECOS PAC ID: 9335277649 Enrollment ID: I20100506000937 |
| Provider Name | Kellie S Jones Monahan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467568345 PECOS PAC ID: 5991833691 Enrollment ID: I20100517000127 |
| Provider Name | John D Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023086295 PECOS PAC ID: 0840329389 Enrollment ID: I20100521000564 |
| Provider Name | Timothy J. Gray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215984752 PECOS PAC ID: 1759411507 Enrollment ID: I20100604001010 |
| Provider Name | Frank S Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1083661995 PECOS PAC ID: 2264562016 Enrollment ID: I20100604001078 |
| Provider Name | Danish Thameem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821035106 PECOS PAC ID: 1759413669 Enrollment ID: I20100713000065 |
| Provider Name | Peter M Bonutti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629021571 PECOS PAC ID: 9638147952 Enrollment ID: I20100714000373 |
| Provider Name | Leslie A Taggart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942531090 PECOS PAC ID: 5092847806 Enrollment ID: I20100714000563 |
| Provider Name | Fabienne R Herman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588801278 PECOS PAC ID: 1355474263 Enrollment ID: I20100729000162 |
| Provider Name | Allyson Kimbley Gough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336196609 PECOS PAC ID: 5092848911 Enrollment ID: I20100729000306 |
| Provider Name | Ishrat U Kazmi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982624789 PECOS PAC ID: 6507990785 Enrollment ID: I20100811000016 |
| Provider Name | Aziz Ahmed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790976918 PECOS PAC ID: 0941382238 Enrollment ID: I20100817001479 |
| Provider Name | Kevin D Malone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154331411 PECOS PAC ID: 3375546492 Enrollment ID: I20100818000654 |
| Provider Name | Douglas Kabbes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558386961 PECOS PAC ID: 9739085481 Enrollment ID: I20100916001304 |
| Provider Name | Terra D Cottrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871805275 PECOS PAC ID: 8426174749 Enrollment ID: I20100923001400 |
| Provider Name | Luis J Caceres |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942381496 PECOS PAC ID: 0840316097 Enrollment ID: I20100925000144 |
| Provider Name | Noelle R Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902912314 PECOS PAC ID: 3971795006 Enrollment ID: I20101007001162 |
| Provider Name | Kimberly S Whitaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972724979 PECOS PAC ID: 1658413711 Enrollment ID: I20101011000416 |
| Provider Name | Michael M Bond |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386623353 PECOS PAC ID: 3072597657 Enrollment ID: I20101012000085 |
| Provider Name | Paul Dietrich Oltman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942208087 PECOS PAC ID: 5991998536 Enrollment ID: I20101015000234 |
| Provider Name | Laura Lynn Raftery |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1992862551 PECOS PAC ID: 6103019542 Enrollment ID: I20101019000254 |
| Provider Name | Nash H Naam |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1346234754 PECOS PAC ID: 5799670261 Enrollment ID: I20101023000289 |
| Provider Name | Abdur Shakir |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1669583431 PECOS PAC ID: 3678578481 Enrollment ID: I20101026001468 |
| Provider Name | Amy J Leifheit |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376707687 PECOS PAC ID: 1759575467 Enrollment ID: I20101027000118 |
| Provider Name | Nicole Y Ottens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750531638 PECOS PAC ID: 4385792266 Enrollment ID: I20101027000300 |
| Provider Name | Patrick K Stewart |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1427039197 PECOS PAC ID: 1658472899 Enrollment ID: I20101028001372 |
| Provider Name | Herbert M Zerth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336305051 PECOS PAC ID: 3476747247 Enrollment ID: I20101105000364 |
| Provider Name | Manisha C Shah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306154984 PECOS PAC ID: 6103011374 Enrollment ID: I20101112000979 |
| Provider Name | Roberto Pacheco Coronado |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1194982892 PECOS PAC ID: 1759414659 Enrollment ID: I20101130000718 |
| Provider Name | Gordon W. James |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1124158431 PECOS PAC ID: 5991607640 Enrollment ID: I20101208000934 |
| Provider Name | Timothy A Pflederer |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1154451573 PECOS PAC ID: 9234030586 Enrollment ID: I20101208001035 |
| Provider Name | Justin R Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861653149 PECOS PAC ID: 6002005253 Enrollment ID: I20110104001011 |
| Provider Name | R Deva Nathan |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1700987708 PECOS PAC ID: 0648227348 Enrollment ID: I20110119001262 |
| Provider Name | Joni D Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932300548 PECOS PAC ID: 6406035906 Enrollment ID: I20110131000511 |
| Provider Name | Diana L Oakley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033431580 PECOS PAC ID: 4981885548 Enrollment ID: I20110302000416 |
| Provider Name | Michelle Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902101355 PECOS PAC ID: 1052595501 Enrollment ID: I20110407000907 |
| Provider Name | Elizabeth Kraus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831495845 PECOS PAC ID: 2769666833 Enrollment ID: I20110414000160 |
| Provider Name | Lori L Cudone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1003037169 PECOS PAC ID: 3375721483 Enrollment ID: I20110620000438 |
| Provider Name | Isha Tyagi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487816161 PECOS PAC ID: 7214106491 Enrollment ID: I20110803000895 |
| Provider Name | Kuppuswamy Jagarlamudi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1194995357 PECOS PAC ID: 4284803370 Enrollment ID: I20110805000499 |
| Provider Name | Janice A Vandeveer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861654675 PECOS PAC ID: 6002086337 Enrollment ID: I20110824000560 |
| Provider Name | Babatunde Alao |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477714053 PECOS PAC ID: 1052581394 Enrollment ID: I20110824000613 |
| Provider Name | Ashwin Narasimhan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548241912 PECOS PAC ID: 8426088659 Enrollment ID: I20110908001818 |
| Provider Name | Jodi M Morrisey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487948303 PECOS PAC ID: 3577734987 Enrollment ID: I20110915000196 |
| Provider Name | Lisa M Sasso |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1790941581 PECOS PAC ID: 9830382084 Enrollment ID: I20110927000647 |
| Provider Name | Reneelynn M Dixon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356541189 PECOS PAC ID: 4284807744 Enrollment ID: I20111027000673 |
| Provider Name | Michael W Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578855953 PECOS PAC ID: 2365615556 Enrollment ID: I20111103000596 |
| Provider Name | Charles R Heron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942283585 PECOS PAC ID: 6204836703 Enrollment ID: I20111118000517 |
| Provider Name | Mai U Wilhour |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912285024 PECOS PAC ID: 2567637218 Enrollment ID: I20111208000612 |
| Provider Name | Jeanne Marie Kairouz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003846908 PECOS PAC ID: 3274523204 Enrollment ID: I20111208000631 |
| Provider Name | Mohamed Alfaris |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417148891 PECOS PAC ID: 8729146873 Enrollment ID: I20120203000691 |
| Provider Name | Amit B Jamnadas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104072305 PECOS PAC ID: 4880852508 Enrollment ID: I20120225000138 |
| Provider Name | James M Kohlmann |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588663272 PECOS PAC ID: 9133387707 Enrollment ID: I20120229000040 |
| Provider Name | Jennifer Hagen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881819639 PECOS PAC ID: 4587824933 Enrollment ID: I20120322000452 |
| Provider Name | Mimi N Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295000974 PECOS PAC ID: 2365603529 Enrollment ID: I20120416000026 |
| Provider Name | Tami L Domescik Rink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356613590 PECOS PAC ID: 4789847591 Enrollment ID: I20120515000147 |
| Provider Name | Jagan Mohan R Bokka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124274063 PECOS PAC ID: 4688838675 Enrollment ID: I20120601000326 |
| Provider Name | Nastane Le Bec |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518123843 PECOS PAC ID: 0042475915 Enrollment ID: I20120626000642 |
| Provider Name | Jennifer L Huelsbusch |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1508030339 PECOS PAC ID: 1759546377 Enrollment ID: I20120705000637 |
| Provider Name | Daniel Novella |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366670846 PECOS PAC ID: 0547426447 Enrollment ID: I20120720000535 |
| Provider Name | Delwin S Merchant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023279643 PECOS PAC ID: 3173789567 Enrollment ID: I20120731000156 |
| Provider Name | Kathleen A Hecksel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366647679 PECOS PAC ID: 5294869558 Enrollment ID: I20120806000808 |
| Provider Name | Suresh Alla |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134339203 PECOS PAC ID: 3274426655 Enrollment ID: I20120808000514 |
| Provider Name | Marc D Knepp |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568686277 PECOS PAC ID: 0446421960 Enrollment ID: I20120828000835 |
| Provider Name | Glenn A Skow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396987053 PECOS PAC ID: 8224285135 Enrollment ID: I20120829000085 |
| Provider Name | Kumarpal C Shrishrimal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1023217551 PECOS PAC ID: 7416049853 Enrollment ID: I20120919000832 |
| Provider Name | Sherri J. Dobner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508973629 PECOS PAC ID: 2466427976 Enrollment ID: I20121107000154 |
| Provider Name | Chad Ronholm |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1306027909 PECOS PAC ID: 3678739307 Enrollment ID: I20121130000147 |
| Provider Name | Mussarat J Bukhari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225266422 PECOS PAC ID: 6901058460 Enrollment ID: I20121206000602 |
| Provider Name | Steven A Nolan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326345943 PECOS PAC ID: 3173709276 Enrollment ID: I20121207000291 |
| Provider Name | Laurie E Mooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609125186 PECOS PAC ID: 3577715051 Enrollment ID: I20121207000317 |
| Provider Name | Ryan R Pine |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255599452 PECOS PAC ID: 9133371453 Enrollment ID: I20121213000450 |
| Provider Name | Robert Mushelovich Osipov |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659493922 PECOS PAC ID: 5991983876 Enrollment ID: I20121219000235 |
| Provider Name | Sergio M Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326276486 PECOS PAC ID: 4082867502 Enrollment ID: I20130114000188 |
| Provider Name | Adree B Venatta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871722751 PECOS PAC ID: 5991958142 Enrollment ID: I20130121000208 |
| Provider Name | Ashish Moonat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063670362 PECOS PAC ID: 6901051168 Enrollment ID: I20130220000096 |
| Provider Name | Danny W Beal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184769887 PECOS PAC ID: 3072693902 Enrollment ID: I20130227000167 |
| Provider Name | Manjula V Burri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619172228 PECOS PAC ID: 1658311873 Enrollment ID: I20130302000020 |
| Provider Name | Brandon Ryan Allen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790039816 PECOS PAC ID: 4486899044 Enrollment ID: I20130402000220 |
| Provider Name | Kartik Mani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1689869885 PECOS PAC ID: 6901987445 Enrollment ID: I20130410000220 |
| Provider Name | Cory J Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841518057 PECOS PAC ID: 8820121080 Enrollment ID: I20130502000370 |
| Provider Name | Jennifer M Bauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295726065 PECOS PAC ID: 0042295883 Enrollment ID: I20130516000508 |
| Provider Name | Fahhad Farukhi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376749341 PECOS PAC ID: 4082803176 Enrollment ID: I20130523000406 |
| Provider Name | Sudha Cherukuri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629126222 PECOS PAC ID: 8527126051 Enrollment ID: I20130621000453 |
| Provider Name | Joan V Alvarado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033430624 PECOS PAC ID: 8820238967 Enrollment ID: I20130712000298 |
| Provider Name | Ann M Schoen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043551856 PECOS PAC ID: 5193966869 Enrollment ID: I20130723000042 |
| Provider Name | Robert Biggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699094995 PECOS PAC ID: 9133306285 Enrollment ID: I20130802000874 |
| Provider Name | Cecilia A Albaro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497879290 PECOS PAC ID: 4284876004 Enrollment ID: I20130807000662 |
| Provider Name | Kelly D Donoho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407299704 PECOS PAC ID: 6103069026 Enrollment ID: I20130826000166 |
| Provider Name | Navneesh Sharma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922319805 PECOS PAC ID: 6709010176 Enrollment ID: I20131022000452 |
| Provider Name | Edgar L Torres |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043538150 PECOS PAC ID: 3274658190 Enrollment ID: I20131025000182 |
| Provider Name | Ashley K Tennill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629405907 PECOS PAC ID: 7416183884 Enrollment ID: I20131114000236 |
| Provider Name | Lori A Nottmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700215928 PECOS PAC ID: 9638305246 Enrollment ID: I20131203001308 |
| Provider Name | Fatima Alao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700047917 PECOS PAC ID: 9335376680 Enrollment ID: I20131212001533 |
| Provider Name | Palmella N Haws |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912954538 PECOS PAC ID: 5092615229 Enrollment ID: I20140103000554 |
| Provider Name | Dina Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184052516 PECOS PAC ID: 9830327162 Enrollment ID: I20140114000584 |
| Provider Name | Mohammed A Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396953485 PECOS PAC ID: 8123259561 Enrollment ID: I20140327000922 |
| Provider Name | Jill K Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710302914 PECOS PAC ID: 6406089572 Enrollment ID: I20140428000014 |
| Provider Name | Mary Spencer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598189110 PECOS PAC ID: 9739312745 Enrollment ID: I20140428001623 |
| Provider Name | Adrian Nowitzke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720404759 PECOS PAC ID: 2668695487 Enrollment ID: I20140523002047 |
| Provider Name | Heather Lynn Forys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902218308 PECOS PAC ID: 3274757463 Enrollment ID: I20140609001588 |
| Provider Name | Veronica N Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043637051 PECOS PAC ID: 6002030087 Enrollment ID: I20140612002012 |
| Provider Name | Bharathi Raju |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720078843 PECOS PAC ID: 5294751632 Enrollment ID: I20140620001794 |
| Provider Name | Richard U Baldwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174561963 PECOS PAC ID: 3577465723 Enrollment ID: I20140623002010 |
| Provider Name | Ashraf Al-dadah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457526576 PECOS PAC ID: 0143445650 Enrollment ID: I20140625001201 |
| Provider Name | Avinash M Murthy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1528228624 PECOS PAC ID: 9335364181 Enrollment ID: I20140710001715 |
| Provider Name | Johnathon Prentice Yost |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902060114 PECOS PAC ID: 5890933923 Enrollment ID: I20140718001496 |
| Provider Name | Michael T Broman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1538354600 PECOS PAC ID: 8628295144 Enrollment ID: I20140807000077 |
| Provider Name | Adel A Abood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134415391 PECOS PAC ID: 6507084175 Enrollment ID: I20140822000920 |
| Provider Name | Didi E Omiyi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467618561 PECOS PAC ID: 4082833538 Enrollment ID: I20140915001535 |
| Provider Name | Arli M Bumatayo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639439177 PECOS PAC ID: 6305065830 Enrollment ID: I20140916001780 |
| Provider Name | Omar Al-heeti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1083903645 PECOS PAC ID: 0244450245 Enrollment ID: I20140925000186 |
| Provider Name | Brian Zapanta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710204300 PECOS PAC ID: 9234359506 Enrollment ID: I20141008002368 |
| Provider Name | Vikramjit S Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639227374 PECOS PAC ID: 0345343729 Enrollment ID: I20141106000101 |
| Provider Name | Vivek K Manchanda |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1083729941 PECOS PAC ID: 6002998069 Enrollment ID: I20150108002163 |
| Provider Name | Angelia C Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700281342 PECOS PAC ID: 7810212958 Enrollment ID: I20150211001739 |
| Provider Name | Edward W Gradman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366830432 PECOS PAC ID: 6406171248 Enrollment ID: I20150219000264 |
| Provider Name | Allison T Alumbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396148458 PECOS PAC ID: 2466777115 Enrollment ID: I20150220001948 |
| Provider Name | Julie A Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508124751 PECOS PAC ID: 6901122027 Enrollment ID: I20150309002419 |
| Provider Name | Aaron Frederic Zirk |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1386917268 PECOS PAC ID: 9436475290 Enrollment ID: I20150313001459 |
| Provider Name | Deidre A Langston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710307681 PECOS PAC ID: 5092032441 Enrollment ID: I20150323002056 |
| Provider Name | Melissa K Paholke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295124766 PECOS PAC ID: 7315264652 Enrollment ID: I20150325000329 |
| Provider Name | Stacy L Ordner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568850113 PECOS PAC ID: 8921325226 Enrollment ID: I20150325002561 |
| Provider Name | Mohammed R Jendi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528319639 PECOS PAC ID: 7517105273 Enrollment ID: I20150403000264 |
| Provider Name | Amanda Stroud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104218247 PECOS PAC ID: 2668790221 Enrollment ID: I20150410000019 |
| Provider Name | Penelope Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033508478 PECOS PAC ID: 8325367527 Enrollment ID: I20150511001745 |
| Provider Name | Behrang H Dehkordi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861786873 PECOS PAC ID: 8820318694 Enrollment ID: I20150519000255 |
| Provider Name | Jana N Heltsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629458799 PECOS PAC ID: 6709198997 Enrollment ID: I20150630002539 |
| Provider Name | Dominic C Perrino |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003253972 PECOS PAC ID: 7416261516 Enrollment ID: I20150803002616 |
| Provider Name | Joshua A Novak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841589165 PECOS PAC ID: 0749504926 Enrollment ID: I20150803002745 |
| Provider Name | George Issac Plamoottil |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447510805 PECOS PAC ID: 3779897749 Enrollment ID: I20150804005468 |
| Provider Name | Ali Hassan Ali Warda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124333539 PECOS PAC ID: 6305150277 Enrollment ID: I20150805008742 |
| Provider Name | Erica D Perrino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033556998 PECOS PAC ID: 8921313198 Enrollment ID: I20150817002381 |
| Provider Name | Parameshwaraiah Dakshinesh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376775072 PECOS PAC ID: 9133434996 Enrollment ID: I20150824000319 |
| Provider Name | Jeffrey Schultz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174589774 PECOS PAC ID: 6204818560 Enrollment ID: I20150915001560 |
| Provider Name | Jaclyn N Jansen |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1861869687 PECOS PAC ID: 6709194145 Enrollment ID: I20151005000189 |
| Provider Name | James Dyer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1124125513 PECOS PAC ID: 5991994576 Enrollment ID: I20151028000542 |
| Provider Name | Sorel Lira |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639445331 PECOS PAC ID: 9133429343 Enrollment ID: I20151119001684 |
| Provider Name | Iftekhar A Awan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114912268 PECOS PAC ID: 2860473980 Enrollment ID: I20151217002342 |
| Provider Name | Hannah J. Dukeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326415845 PECOS PAC ID: 8820390271 Enrollment ID: I20151231001649 |
| Provider Name | Muhammad Waqar Khattak |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669648309 PECOS PAC ID: 9739254418 Enrollment ID: I20160115000133 |
| Provider Name | Isioma O Keazor-cunnings |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558618967 PECOS PAC ID: 5496903650 Enrollment ID: I20160122001175 |
| Provider Name | Courtney Brooke Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407211568 PECOS PAC ID: 8628372257 Enrollment ID: I20160202001818 |
| Provider Name | Russell Leon Mcelveen |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1275714735 PECOS PAC ID: 1951540343 Enrollment ID: I20160513000521 |
| Provider Name | Kimberly A Niebrugge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518281757 PECOS PAC ID: 7113056896 Enrollment ID: I20160607002442 |
| Provider Name | Ravinder Pal S Bhatti |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659669240 PECOS PAC ID: 2163713538 Enrollment ID: I20160616001493 |
| Provider Name | Michael A Hoks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003256686 PECOS PAC ID: 6103122866 Enrollment ID: I20160627000582 |
| Provider Name | Ahmad Zabad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780021774 PECOS PAC ID: 9638460306 Enrollment ID: I20160628000951 |
| Provider Name | Samuel F Rabor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336480078 PECOS PAC ID: 3072805852 Enrollment ID: I20160714002558 |
| Provider Name | Jaymon B Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386084044 PECOS PAC ID: 1557682317 Enrollment ID: I20160801000888 |
| Provider Name | Soujanya Bogarapu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992970271 PECOS PAC ID: 0648402107 Enrollment ID: I20160802002035 |
| Provider Name | Angela M Brumleve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447600259 PECOS PAC ID: 6901190610 Enrollment ID: I20160803001246 |
| Provider Name | Preeti Patel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336580273 PECOS PAC ID: 4385950484 Enrollment ID: I20160824002482 |
| Provider Name | Zubair Mohammed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487635686 PECOS PAC ID: 9335199306 Enrollment ID: I20160901002525 |
| Provider Name | Usman A Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437227543 PECOS PAC ID: 8921033713 Enrollment ID: I20161019001050 |
| Provider Name | Haseeba Shahzad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770849812 PECOS PAC ID: 3971819434 Enrollment ID: I20161205001961 |
| Provider Name | Dionne C Okafor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1043576903 PECOS PAC ID: 8729303714 Enrollment ID: I20161213001536 |
| Provider Name | Belal H Said |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831376961 PECOS PAC ID: 9335323393 Enrollment ID: I20161213001685 |
| Provider Name | Daniel Eggeman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336568450 PECOS PAC ID: 5799085544 Enrollment ID: I20161216000171 |
| Provider Name | Robert C Atchley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063860187 PECOS PAC ID: 2062793623 Enrollment ID: I20161220001229 |
| Provider Name | Loring A Barr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073055885 PECOS PAC ID: 0941582803 Enrollment ID: I20170130000529 |
| Provider Name | Kaushik J Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861486987 PECOS PAC ID: 6901802867 Enrollment ID: I20170206000053 |
| Provider Name | Veronica O Abegunde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740500826 PECOS PAC ID: 5294960357 Enrollment ID: I20170213000242 |
| Provider Name | Christopher P Rhyne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093129835 PECOS PAC ID: 4789903634 Enrollment ID: I20170303001818 |
| Provider Name | Carlos Sierra-rodriguez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700865268 PECOS PAC ID: 7618944588 Enrollment ID: I20170316001222 |
| Provider Name | Rebecca L Tate |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588104194 PECOS PAC ID: 4688959455 Enrollment ID: I20170316002202 |
| Provider Name | Allyson J Anderson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063952000 PECOS PAC ID: 7810272697 Enrollment ID: I20170316002400 |
| Provider Name | Jennifer Jean Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932648318 PECOS PAC ID: 5698050219 Enrollment ID: I20170322002228 |
| Provider Name | Jennifer Grobengieser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447781224 PECOS PAC ID: 8022394600 Enrollment ID: I20170413001868 |
| Provider Name | Mishawna K Bohner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285189274 PECOS PAC ID: 3375829823 Enrollment ID: I20170417001584 |
| Provider Name | Rashi Md Varma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245423953 PECOS PAC ID: 6204094527 Enrollment ID: I20170424000053 |
| Provider Name | Jenna M Ruholl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851847313 PECOS PAC ID: 6406133461 Enrollment ID: I20170501001966 |
| Provider Name | Kendra L Zerrusen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134660590 PECOS PAC ID: 6406123470 Enrollment ID: I20170522002952 |
| Provider Name | Alexander Willem Vanamerongen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1770561417 PECOS PAC ID: 3577648435 Enrollment ID: I20170601002020 |
| Provider Name | Stacia Dennison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164626826 PECOS PAC ID: 7810264298 Enrollment ID: I20170607000378 |
| Provider Name | Jamil R Yasin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528404407 PECOS PAC ID: 6406071372 Enrollment ID: I20170607002751 |
| Provider Name | Jason D Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760922397 PECOS PAC ID: 6507135696 Enrollment ID: I20170705002476 |
| Provider Name | Nora Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245773852 PECOS PAC ID: 0042580326 Enrollment ID: I20170719001558 |
| Provider Name | Amy Mclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487197034 PECOS PAC ID: 9335419662 Enrollment ID: I20170719003651 |
| Provider Name | Lisa Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760843379 PECOS PAC ID: 1254601149 Enrollment ID: I20170726001156 |
| Provider Name | Heather Heicher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952753576 PECOS PAC ID: 3678844362 Enrollment ID: I20170728001946 |
| Provider Name | Eric S Toone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366857906 PECOS PAC ID: 2264736149 Enrollment ID: I20170808003456 |
| Provider Name | David E Houser |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629344064 PECOS PAC ID: 2365714169 Enrollment ID: I20170814001823 |
| Provider Name | Eric Brewer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710249610 PECOS PAC ID: 6305118217 Enrollment ID: I20170826000413 |
| Provider Name | Syed Imam |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1235455619 PECOS PAC ID: 5991952947 Enrollment ID: I20170831003359 |
| Provider Name | Randi Berg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578008769 PECOS PAC ID: 8022381508 Enrollment ID: I20170905002227 |
| Provider Name | Michelle Schultz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1366593220 PECOS PAC ID: 1153694641 Enrollment ID: I20170905002495 |
| Provider Name | Derek Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467902809 PECOS PAC ID: 0042584781 Enrollment ID: I20170920000167 |
| Provider Name | Jean Sandercock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861943011 PECOS PAC ID: 9830464643 Enrollment ID: I20171004002211 |
| Provider Name | Kimberly Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962581512 PECOS PAC ID: 8820363559 Enrollment ID: I20171005003759 |
| Provider Name | William H Boyce |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295865590 PECOS PAC ID: 2567492325 Enrollment ID: I20171016000090 |
| Provider Name | Joseph M Ajdinovich |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144531666 PECOS PAC ID: 5496043192 Enrollment ID: I20171016000541 |
| Provider Name | Duncan Y Dinkha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003802091 PECOS PAC ID: 5698661726 Enrollment ID: I20171025001552 |
| Provider Name | Manas Upadhyaya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518212216 PECOS PAC ID: 9537480389 Enrollment ID: I20171115001004 |
| Provider Name | Robert H Sorensen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447215702 PECOS PAC ID: 9032121793 Enrollment ID: I20180327001337 |
| Provider Name | Kayla R Deters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376051292 PECOS PAC ID: 9436413457 Enrollment ID: I20180427001445 |
| Provider Name | Mohammad Al-akchar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730561903 PECOS PAC ID: 4284980467 Enrollment ID: I20180629002224 |
| Provider Name | Brent M Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407146657 PECOS PAC ID: 6800036534 Enrollment ID: I20180703001961 |
| Provider Name | Bridget K Estes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265929160 PECOS PAC ID: 1052667839 Enrollment ID: I20180710000362 |
| Provider Name | John Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437666294 PECOS PAC ID: 4486901980 Enrollment ID: I20180714000155 |
| Provider Name | Andy Tuki Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558789255 PECOS PAC ID: 6901127315 Enrollment ID: I20180802002013 |
| Provider Name | Annmarie S Mcdonagh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093881153 PECOS PAC ID: 0749206506 Enrollment ID: I20180814002931 |
| Provider Name | Ali Ayaz Idrees |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194143313 PECOS PAC ID: 3779892856 Enrollment ID: I20180815002673 |
| Provider Name | Jill N Higgs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689169971 PECOS PAC ID: 2264782994 Enrollment ID: I20180830000949 |
| Provider Name | Nabeel Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154702116 PECOS PAC ID: 5496068371 Enrollment ID: I20180911000036 |
| Provider Name | Naeem Iqbal Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902287956 PECOS PAC ID: 8921311465 Enrollment ID: I20180920000467 |
| Provider Name | Doan Lam Thi Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134539794 PECOS PAC ID: 2567713894 Enrollment ID: I20180925002633 |
| Provider Name | Taylee M Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386127660 PECOS PAC ID: 6901150978 Enrollment ID: I20181109000687 |
| Provider Name | Sanjay K Garg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679594055 PECOS PAC ID: 8022093004 Enrollment ID: I20181109002128 |
| Provider Name | Heather E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255814935 PECOS PAC ID: 5193079127 Enrollment ID: I20181110000300 |
| Provider Name | Seema C Garg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356369235 PECOS PAC ID: 5890779094 Enrollment ID: I20181112000974 |
| Provider Name | Kaitlin Marie Denson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982187357 PECOS PAC ID: 3476807330 Enrollment ID: I20181112001513 |
| Provider Name | Andrew D. Kirkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659855872 PECOS PAC ID: 5799039665 Enrollment ID: I20181112001797 |
| Provider Name | Richard D Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053793174 PECOS PAC ID: 0143512798 Enrollment ID: I20181115000892 |
| Provider Name | Desha C Wear |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326027525 PECOS PAC ID: 8527098078 Enrollment ID: I20181203001028 |
| Provider Name | Marisa Friscia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568657328 PECOS PAC ID: 4981742228 Enrollment ID: I20190116000112 |
| Provider Name | Adam Moon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316435548 PECOS PAC ID: 6709123466 Enrollment ID: I20190204001449 |
| Provider Name | Connor Ross Deal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376989277 PECOS PAC ID: 4688965031 Enrollment ID: I20190305000424 |
| Provider Name | Jennifer Pieper |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477010874 PECOS PAC ID: 5294076873 Enrollment ID: I20190409000094 |
| Provider Name | Abby Lynne Wright |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124346663 PECOS PAC ID: 8123369303 Enrollment ID: I20190417000095 |
| Provider Name | Monica N Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538627252 PECOS PAC ID: 5698017093 Enrollment ID: I20190506001217 |
| Provider Name | Jennifer R Sledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154984979 PECOS PAC ID: 2466794797 Enrollment ID: I20190507000033 |
| Provider Name | Ashley E Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124586565 PECOS PAC ID: 8820331036 Enrollment ID: I20190509001896 |
| Provider Name | Ashley M Berneking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437615044 PECOS PAC ID: 3779824362 Enrollment ID: I20190515002269 |
| Provider Name | Yannick A Kadia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962857185 PECOS PAC ID: 0749577617 Enrollment ID: I20190529001197 |
| Provider Name | Lyndi R Myers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407316730 PECOS PAC ID: 2163755497 Enrollment ID: I20190531000781 |
| Provider Name | Ijeoma F. Onyeyirim |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891359865 PECOS PAC ID: 9335472091 Enrollment ID: I20190612000075 |
| Provider Name | Jennifer Shunk |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164549192 PECOS PAC ID: 3072847128 Enrollment ID: I20190625000320 |
| Provider Name | Christopher Kenneth Johnson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1407086283 PECOS PAC ID: 1456588763 Enrollment ID: I20190626001135 |
| Provider Name | Bijoy Kar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407207699 PECOS PAC ID: 5193050599 Enrollment ID: I20190708001215 |
| Provider Name | Timothy L Hainds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871551309 PECOS PAC ID: 3072608942 Enrollment ID: I20190710003394 |
| Provider Name | Oksana Koeppen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609430438 PECOS PAC ID: 6709112113 Enrollment ID: I20190723002678 |
| Provider Name | Marisa Overton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1053430884 PECOS PAC ID: 4981930294 Enrollment ID: I20190724002929 |
| Provider Name | Kathryn Lynn Koester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720631443 PECOS PAC ID: 2163759523 Enrollment ID: I20190807002069 |
| Provider Name | Usama Bukhari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568818128 PECOS PAC ID: 8527352459 Enrollment ID: I20190820002240 |
| Provider Name | Todd V Bierman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285054031 PECOS PAC ID: 9739407917 Enrollment ID: I20190923001136 |
| Provider Name | Ahmad Al Qamar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235592924 PECOS PAC ID: 3375975105 Enrollment ID: I20191118001064 |
| Provider Name | Kristen M Walk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285276162 PECOS PAC ID: 7810321726 Enrollment ID: I20200102000095 |
| Provider Name | Katie J Nevergall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417591330 PECOS PAC ID: 0244667855 Enrollment ID: I20200220001512 |
| Provider Name | Matthew E Weems |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588200364 PECOS PAC ID: 7315374923 Enrollment ID: I20200220001603 |
| Provider Name | Brian Tyson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740664499 PECOS PAC ID: 1658663844 Enrollment ID: I20200225001052 |
| Provider Name | Amanda S Martz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295368207 PECOS PAC ID: 6002244696 Enrollment ID: I20200313000517 |
| Provider Name | Jia N Dong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801420559 PECOS PAC ID: 7214365667 Enrollment ID: I20200317002401 |
| Provider Name | Nicholas W Halford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093349912 PECOS PAC ID: 1355779620 Enrollment ID: I20200319002316 |
| Provider Name | Kimberly S Sikorski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649805623 PECOS PAC ID: 2769812072 Enrollment ID: I20200428000488 |
| Provider Name | Kiersten M Emberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891329280 PECOS PAC ID: 3971933292 Enrollment ID: I20200428000809 |
| Provider Name | Megan J Steffen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851923973 PECOS PAC ID: 8224459524 Enrollment ID: I20200521002116 |
| Provider Name | Andrew J Mcdevitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487287793 PECOS PAC ID: 5092136770 Enrollment ID: I20200604002137 |
| Provider Name | Arti Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982969960 PECOS PAC ID: 6507150513 Enrollment ID: I20200608002610 |
| Provider Name | Sharif Nasr |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568845360 PECOS PAC ID: 4284937368 Enrollment ID: I20200616003058 |
| Provider Name | Chandra Kanth Chaturvedula |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1215311683 PECOS PAC ID: 8729379193 Enrollment ID: I20200708001819 |
| Provider Name | Dionte K Wiggins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316392889 PECOS PAC ID: 0941594394 Enrollment ID: I20200721004141 |
| Provider Name | Brittany Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598373052 PECOS PAC ID: 3274959002 Enrollment ID: I20200811002847 |
| Provider Name | Scott Allsup |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508480153 PECOS PAC ID: 8325465156 Enrollment ID: I20200825003096 |
| Provider Name | Kashif Mufti |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1821290750 PECOS PAC ID: 6305990771 Enrollment ID: I20200903002966 |
| Provider Name | Lamya S Mubayed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447686415 PECOS PAC ID: 2860619459 Enrollment ID: I20200928002839 |
| Provider Name | Shelbi N Birch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811530868 PECOS PAC ID: 8325468481 Enrollment ID: I20201012002330 |
| Provider Name | Alejandro Zamudio |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457713901 PECOS PAC ID: 8426487414 Enrollment ID: I20201102002066 |
| Provider Name | Bemnet Hailu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174985469 PECOS PAC ID: 5496048167 Enrollment ID: I20201104001722 |
| Provider Name | Patrick Kohlitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962720482 PECOS PAC ID: 5395988620 Enrollment ID: I20201123000816 |
| Provider Name | Sulaiman Sultan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730521014 PECOS PAC ID: 4880816677 Enrollment ID: I20201130000865 |
| Provider Name | Kevin D Osterink |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740878057 PECOS PAC ID: 9234543752 Enrollment ID: I20210125001884 |
| Provider Name | Dolores Josephine Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457954398 PECOS PAC ID: 5294149456 Enrollment ID: I20210128003151 |
| Provider Name | Jacob H Wolf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801445077 PECOS PAC ID: 5092149377 Enrollment ID: I20210208000774 |
| Provider Name | Ahmed A Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780017749 PECOS PAC ID: 9133424096 Enrollment ID: I20210302003145 |
| Provider Name | Lori Ann Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083203202 PECOS PAC ID: 8426464868 Enrollment ID: I20210309001708 |
| Provider Name | Obada Shamaa |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1275980658 PECOS PAC ID: 5799075438 Enrollment ID: I20210323000901 |
| Provider Name | Jennifer J Tinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982134557 PECOS PAC ID: 1658780697 Enrollment ID: I20210504002187 |
| Provider Name | Lewis T Mann |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1730530148 PECOS PAC ID: 7315230026 Enrollment ID: I20210506001236 |
| Provider Name | Behzad Elahi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932549698 PECOS PAC ID: 5991073678 Enrollment ID: I20210616002559 |
| Provider Name | Kristina Nicole Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790333540 PECOS PAC ID: 0244631489 Enrollment ID: I20210625001389 |
| Provider Name | Ashley Smith Nunez |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083107122 PECOS PAC ID: 3274880026 Enrollment ID: I20210713000576 |
| Provider Name | Tyler Jacob Mcdonald |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619562584 PECOS PAC ID: 1951703602 Enrollment ID: I20210716002702 |
| Provider Name | Ihab Syed Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740636497 PECOS PAC ID: 3476847542 Enrollment ID: I20210719002045 |
| Provider Name | James S Polek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720519754 PECOS PAC ID: 6709138266 Enrollment ID: I20210722003548 |
| Provider Name | Jennifer L Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902471444 PECOS PAC ID: 6002210606 Enrollment ID: I20210804000935 |
| Provider Name | Shahram Maroof |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699156737 PECOS PAC ID: 8820390669 Enrollment ID: I20210804001490 |
| Provider Name | Rachel Trumpy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598254229 PECOS PAC ID: 4385909753 Enrollment ID: I20210814000320 |
| Provider Name | Timothy R Hemp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083119317 PECOS PAC ID: 5698025930 Enrollment ID: I20210817002317 |
| Provider Name | Katie M O'halloran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104427293 PECOS PAC ID: 3375948557 Enrollment ID: I20210826000815 |
| Provider Name | Allan Hamilton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1922462910 PECOS PAC ID: 3678979788 Enrollment ID: I20210914003228 |
| Provider Name | David S Chang |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1225378912 PECOS PAC ID: 3476781824 Enrollment ID: I20211008001837 |
| Provider Name | Eric K Hale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134119969 PECOS PAC ID: 4587613583 Enrollment ID: I20211011001908 |
| Provider Name | Igor Bron |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1912993155 PECOS PAC ID: 7113900929 Enrollment ID: I20211227000236 |
| Provider Name | Monica Cholewinski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710408026 PECOS PAC ID: 7012318769 Enrollment ID: I20220106000709 |
| Provider Name | Mathew Kalapurayil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295182459 PECOS PAC ID: 6800210188 Enrollment ID: I20220107001095 |
| Provider Name | Brett Allen Kinder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285308171 PECOS PAC ID: 6800288739 Enrollment ID: I20220126001106 |
| Provider Name | Nicole Lorraine Whalin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548891880 PECOS PAC ID: 7113310608 Enrollment ID: I20220204001259 |
| Provider Name | Lindsay M Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619565918 PECOS PAC ID: 8921494709 Enrollment ID: I20220404001253 |
| Provider Name | Kristyn Margaret Rosenkoetter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003189333 PECOS PAC ID: 6305232141 Enrollment ID: I20220405000590 |
| Provider Name | Morgan Elizabeth Helbig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013676709 PECOS PAC ID: 5890181150 Enrollment ID: I20220413002114 |
| Provider Name | Watik Maghroudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891350633 PECOS PAC ID: 6507109550 Enrollment ID: I20220504001376 |
| Provider Name | Ana Werner Watts |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205062833 PECOS PAC ID: 9830347970 Enrollment ID: I20220520001893 |
| Provider Name | Hannah Burich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225787070 PECOS PAC ID: 6800274036 Enrollment ID: I20220531002595 |
| Provider Name | Toni Lampe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538806229 PECOS PAC ID: 9638557614 Enrollment ID: I20220602002664 |
| Provider Name | Michael Mengarelli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568022507 PECOS PAC ID: 5698001287 Enrollment ID: I20220707001977 |
| Provider Name | Hamid Yaqoob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700238383 PECOS PAC ID: 6608257761 Enrollment ID: I20220720002407 |
| Provider Name | Alexis S Levitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659018299 PECOS PAC ID: 8729461108 Enrollment ID: I20220817002909 |
| Provider Name | Sadie Lynn Turner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457004129 PECOS PAC ID: 9133502305 Enrollment ID: I20220822000532 |
| Provider Name | Nhan Truong Nguyen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922744796 PECOS PAC ID: 1052794013 Enrollment ID: I20220824001486 |
| Provider Name | Mitra D Poorak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881072940 PECOS PAC ID: 0547557159 Enrollment ID: I20220901000568 |
| Provider Name | Saad Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063868818 PECOS PAC ID: 2365787876 Enrollment ID: I20220908003641 |
| Provider Name | Chelsea Caye Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356078646 PECOS PAC ID: 2860877347 Enrollment ID: I20220920001299 |
| Provider Name | Abby Elizabeth Welsh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801358502 PECOS PAC ID: 0143554469 Enrollment ID: I20220928003482 |
| Provider Name | Ashton B Ballinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538666441 PECOS PAC ID: 0345599692 Enrollment ID: I20220929003839 |
| Provider Name | Kimberly Lynn Pruemer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760113138 PECOS PAC ID: 1254717721 Enrollment ID: I20221006001787 |
| Provider Name | Jenna M Vogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710621289 PECOS PAC ID: 6800272261 Enrollment ID: I20221007002686 |
| Provider Name | Pradeep K Narotam |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1821109786 PECOS PAC ID: 7214039981 Enrollment ID: I20221115001345 |
| Provider Name | Ethan Mark Huckabee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043705395 PECOS PAC ID: 7810244217 Enrollment ID: I20221201003062 |
| Provider Name | Sandra D Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972225944 PECOS PAC ID: 2860862695 Enrollment ID: I20230112000116 |
| Provider Name | Rachel E Yetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962092783 PECOS PAC ID: 5395147078 Enrollment ID: I20230130002000 |
| Provider Name | Oluyinka Olufawo-sofoluwe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851946321 PECOS PAC ID: 2769856293 Enrollment ID: I20230323000400 |
| Provider Name | Debbie Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922712579 PECOS PAC ID: 3678947124 Enrollment ID: I20230323001413 |
| Provider Name | Mallory Michelle Light |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093385072 PECOS PAC ID: 1355713082 Enrollment ID: I20230417002883 |
| Provider Name | Tamara Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154953099 PECOS PAC ID: 4082041025 Enrollment ID: I20230418000287 |
| Provider Name | Sydney L Shackelford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194422816 PECOS PAC ID: 2365807492 Enrollment ID: I20230425001830 |
| Provider Name | Allison Anne Cogar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952394710 PECOS PAC ID: 4789806761 Enrollment ID: I20230504002046 |
| Provider Name | Rachel B West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104511070 PECOS PAC ID: 4284090713 Enrollment ID: I20230525000869 |
| Provider Name | Lauren Horve |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457062218 PECOS PAC ID: 5597122945 Enrollment ID: I20230531001062 |
| Provider Name | Jugal R Thaker |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1891291522 PECOS PAC ID: 4688924459 Enrollment ID: I20230615001935 |
| Provider Name | Mukund Gande |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104311810 PECOS PAC ID: 9537417407 Enrollment ID: I20230711002927 |
| Provider Name | Sri Mahathi Priyanka Kalipatnapu |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558898817 PECOS PAC ID: 4284908914 Enrollment ID: I20230720000583 |
| Provider Name | Abhilash Makkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750603270 PECOS PAC ID: 1254463961 Enrollment ID: I20230905001975 |
| Provider Name | Nicole Gorris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1346926003 PECOS PAC ID: 6709230345 Enrollment ID: I20230929002254 |
| Provider Name | Katelyn Klosterman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003312422 PECOS PAC ID: 7517214877 Enrollment ID: I20231003001288 |
| Provider Name | Alison S Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356023212 PECOS PAC ID: 6709231723 Enrollment ID: I20231011003395 |
| Provider Name | Erika Aitken |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568159127 PECOS PAC ID: 2860847894 Enrollment ID: I20231011003522 |
| Provider Name | Domenica Camaci-douleh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528756673 PECOS PAC ID: 3779939228 Enrollment ID: I20231019002899 |
| Provider Name | Jaclyn Luciano |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609546498 PECOS PAC ID: 5799178406 Enrollment ID: I20231023001024 |
| Provider Name | Caroline Bierman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376326116 PECOS PAC ID: 3274989454 Enrollment ID: I20231024002421 |
| Provider Name | Teresa Rokosz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215606611 PECOS PAC ID: 8527414762 Enrollment ID: I20231025001064 |
| Provider Name | Cody J Meyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811770654 PECOS PAC ID: 7719333889 Enrollment ID: I20231025002402 |
| Provider Name | Danielle Morr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376233478 PECOS PAC ID: 7315393436 Enrollment ID: I20231026000548 |
| Provider Name | Kathleen A Guinnee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467235051 PECOS PAC ID: 7618323759 Enrollment ID: I20231026001410 |
| Provider Name | Clinton Andrew Bays |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740840966 PECOS PAC ID: 5092161984 Enrollment ID: I20231030000913 |
| Provider Name | Kaci Helfrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295418218 PECOS PAC ID: 7113373911 Enrollment ID: I20231031001992 |
| Provider Name | Kara Jolly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659831071 PECOS PAC ID: 6002233020 Enrollment ID: I20231102002635 |
| Provider Name | Mohammed Hussaini |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740667310 PECOS PAC ID: 9931498474 Enrollment ID: I20231103000933 |
| Provider Name | Kelley L Grewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568144459 PECOS PAC ID: 7416304860 Enrollment ID: I20231107003000 |
| Provider Name | Neely Taylor Rose Harris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962029579 PECOS PAC ID: 0042667388 Enrollment ID: I20231108002779 |
| Provider Name | Katherine Mette |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740850635 PECOS PAC ID: 8921470667 Enrollment ID: I20231116003005 |
| Provider Name | Megan Bosley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902426497 PECOS PAC ID: 0244658714 Enrollment ID: I20231207001984 |
| Provider Name | Mackenzie Buzzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689359267 PECOS PAC ID: 4587018353 Enrollment ID: I20231207002370 |
| Provider Name | Terra Conat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154103380 PECOS PAC ID: 4486003605 Enrollment ID: I20231213003720 |
| Provider Name | Danielle Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841684107 PECOS PAC ID: 1456669910 Enrollment ID: I20231228003761 |
| Provider Name | Larry Joe Welsh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215659487 PECOS PAC ID: 9537512777 Enrollment ID: I20240124002556 |
| Provider Name | Chelsea K Allen-labaume |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649935222 PECOS PAC ID: 5698168235 Enrollment ID: I20240124002937 |
| Provider Name | Bernadette Mangialardi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841736816 PECOS PAC ID: 1951754464 Enrollment ID: I20240131004803 |
| Provider Name | Daniel Robert Bernard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366032914 PECOS PAC ID: 4385081942 Enrollment ID: I20240319002794 |
| Provider Name | Adam Held |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104488865 PECOS PAC ID: 8426385139 Enrollment ID: I20240404002367 |
| Provider Name | Samiha Thapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831953397 PECOS PAC ID: 6507204849 Enrollment ID: I20240404003050 |
| Provider Name | Kaisi Dye |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881383230 PECOS PAC ID: 0143668244 Enrollment ID: I20240409002773 |
| Provider Name | Danielle Mayhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174380091 PECOS PAC ID: 9931548773 Enrollment ID: I20240412003144 |
| Provider Name | Lindsey Danielle Rahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780434175 PECOS PAC ID: 0749621936 Enrollment ID: I20240520001108 |
| Provider Name | Jason A Glenn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861791386 PECOS PAC ID: 9032438551 Enrollment ID: I20240605002672 |
| Provider Name | Brooke D Lema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619644861 PECOS PAC ID: 8527453711 Enrollment ID: I20240702004050 |
| Provider Name | Jeffrey Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871921551 PECOS PAC ID: 4688957988 Enrollment ID: I20240705000277 |
| Provider Name | Lynn Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891544623 PECOS PAC ID: 9133663800 Enrollment ID: I20240705000924 |
| Provider Name | Michaela Frey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689410748 PECOS PAC ID: 1456897669 Enrollment ID: I20240724002341 |
| Provider Name | Laura H Hardiek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699511766 PECOS PAC ID: 7911446315 Enrollment ID: I20240829001953 |
| Provider Name | Laura Scott |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1821655838 PECOS PAC ID: 1850785205 Enrollment ID: I20240903000967 |
| Provider Name | Terakeith Lertsburapa |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1033360706 PECOS PAC ID: 8224491170 Enrollment ID: I20240909001509 |
| Provider Name | Mohammad Malik |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578094272 PECOS PAC ID: 3173872272 Enrollment ID: I20240912000901 |
| Provider Name | Maamoun Zane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669831509 PECOS PAC ID: 0749691384 Enrollment ID: I20240916000940 |
| Provider Name | Gursher Rathore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437730587 PECOS PAC ID: 6103227095 Enrollment ID: I20240917002222 |
| Provider Name | Kenneth Troxclair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902466436 PECOS PAC ID: 0840686960 Enrollment ID: I20240919001843 |
| Provider Name | Andrea M Sias |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851010383 PECOS PAC ID: 9739610718 Enrollment ID: I20241001002779 |
| Provider Name | Nicole Renee Hammond |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598256265 PECOS PAC ID: 1850643222 Enrollment ID: I20241004001377 |
| Provider Name | Muhammad Yasir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164943882 PECOS PAC ID: 0547534281 Enrollment ID: I20241007003521 |
| Provider Name | Eun E Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770078586 PECOS PAC ID: 6709248214 Enrollment ID: I20241011002138 |
| Provider Name | Cody J Reeley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396400057 PECOS PAC ID: 5890227961 Enrollment ID: I20241014003294 |
| Provider Name | Harmanjit Singh Biring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114501343 PECOS PAC ID: 4385176452 Enrollment ID: I20241014003576 |
| Provider Name | Venkata Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033630785 PECOS PAC ID: 2961941455 Enrollment ID: I20241016003312 |
| Provider Name | Julie Ann Little Grove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720139553 PECOS PAC ID: 0941734974 Enrollment ID: I20241113000734 |
| Provider Name | Julia Fiuk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124467097 PECOS PAC ID: 7810291697 Enrollment ID: I20241121001012 |
| Provider Name | Gareth T Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831910751 PECOS PAC ID: 4183159031 Enrollment ID: I20241202000953 |
| Provider Name | Gurnoor Rathore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104311406 PECOS PAC ID: 1850645193 Enrollment ID: I20241219003204 |
| Provider Name | Cassie Green |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659090157 PECOS PAC ID: 6608303144 Enrollment ID: I20241223002608 |
| Provider Name | Mustafa Abdul-hussein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972759173 PECOS PAC ID: 2466620380 Enrollment ID: I20241224001351 |
| Provider Name | Mark R Wolfe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265729933 PECOS PAC ID: 9830347103 Enrollment ID: I20250108001148 |
| Provider Name | Robin Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013723998 PECOS PAC ID: 3870022841 Enrollment ID: I20250121003631 |
| Provider Name | Taylor M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710794540 PECOS PAC ID: 6305376161 Enrollment ID: I20250207002886 |
| Provider Name | Aamir S Ansari |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265013080 PECOS PAC ID: 1658777628 Enrollment ID: I20250224001397 |
| Provider Name | Natalie Blaire Niemerg |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679379739 PECOS PAC ID: 7719408889 Enrollment ID: I20250305001546 |
Southern Illinois Healthcare Foundation, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 911 Remington Rd Ste B, Mattoon, IL 61938 Phone: 217-234-3091 Fax: 217-234-3094 | |
Mdt Holistic Healing And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2317 Western Ave, Mattoon, IL 61938 Phone: 217-348-5377 | |
Coles County Mental Health Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Richmond Ave E, Mattoon, IL 61938 Phone: 217-238-5700 | |
Sarah Bush Lincoln Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-4042 | |
Sarah Bush Lincoln Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2389 | |
Sarah Bush Lincoln Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Health Center Dr, Suite 101, Mattoon, IL 61938 Phone: 217-238-4866 Fax: 217-238-4868 | |
Honeycomb Healing Arts, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3230 Lake Rd, Mattoon, IL 61938 Phone: 217-358-0697 |