| Slh Physicians Llc | |
|
3635 Vista Ave Saint Louis MO 63110-2539 | |
| (314) 577-8000 | |
| (314) 577-8003 |
| Full Name | Slh Physicians Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 3635 Vista Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Timothy Adams (SVP, REGIONAL OPERATIONS TENET) |
| Authorized Official Contact | 4698932563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Slh Physicians Llc 3635 Vista Ave Saint Louis MO 63110-2539 Ph: (314) 577-8000 | Slh Physicians Llc 3635 Vista Ave Saint Louis MO 63110-2539 Ph: (314) 577-8000 |
| NPI Number | 1881668051 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 07/28/2016 |
| Medicare PECOS PAC ID | 9830132653 |
|---|---|
| Medicare Enrollment ID | O20050602000941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881668051 | NPI | - | NPPES |
| DE0426 | Other | MO | RR MEDICARE |
| 507180404 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Steven A Lorber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255323101 PECOS PAC ID: 2769380831 Enrollment ID: I20031229000125 |
| Provider Name | Cindy C Bitter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083647556 PECOS PAC ID: 9931097136 Enrollment ID: I20040309000773 |
| Provider Name | Laurie E Byrne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811082530 PECOS PAC ID: 1355239567 Enrollment ID: I20040309000862 |
| Provider Name | Craig E Krausz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760578702 PECOS PAC ID: 1658269873 Enrollment ID: I20040309000913 |
| Provider Name | Katrina R Wade |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750478491 PECOS PAC ID: 9537057666 Enrollment ID: I20040309001006 |
| Provider Name | Donna Lynn Mcghee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033116587 PECOS PAC ID: 4981594215 Enrollment ID: I20040329000681 |
| Provider Name | Tammy L Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245250331 PECOS PAC ID: 5496723934 Enrollment ID: I20040922000356 |
| Provider Name | Mark A Mason |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134167091 PECOS PAC ID: 0547156010 Enrollment ID: I20041124000060 |
| Provider Name | Alexander G Garza |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518927938 PECOS PAC ID: 4183681349 Enrollment ID: I20041220000449 |
| Provider Name | Krista L Lentine |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1033223961 PECOS PAC ID: 7416906490 Enrollment ID: I20050117000456 |
| Provider Name | Donald J Kennedy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1063526978 PECOS PAC ID: 9739139536 Enrollment ID: I20050129000027 |
| Provider Name | Sharon E Frey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1356359228 PECOS PAC ID: 5092765891 Enrollment ID: I20050129000031 |
| Provider Name | Alex S Befeler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881602753 PECOS PAC ID: 0345290144 Enrollment ID: I20050129000052 |
| Provider Name | Carl M Kraemer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477649325 PECOS PAC ID: 8325099146 Enrollment ID: I20050209000097 |
| Provider Name | Bahar Bastani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326059957 PECOS PAC ID: 0446207278 Enrollment ID: I20050405000206 |
| Provider Name | Steven D Elster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952358772 PECOS PAC ID: 9931142791 Enrollment ID: I20050603000033 |
| Provider Name | Deborah K Connon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871680520 PECOS PAC ID: 9830132695 Enrollment ID: I20050603000043 |
| Provider Name | Kamal Gursahani |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396760849 PECOS PAC ID: 7719923838 Enrollment ID: I20050629000507 |
| Provider Name | Linda G Bick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699717728 PECOS PAC ID: 8527004555 Enrollment ID: I20050630000079 |
| Provider Name | Vijai V Chauhan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982612677 PECOS PAC ID: 2062458094 Enrollment ID: I20050630000090 |
| Provider Name | Philip B Vaidyan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669445508 PECOS PAC ID: 0648204628 Enrollment ID: I20050920000285 |
| Provider Name | Minxiang Gu |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1154323376 PECOS PAC ID: 1355313701 Enrollment ID: I20051213000174 |
| Provider Name | Carl E Freter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760594071 PECOS PAC ID: 7315930716 Enrollment ID: I20061128000115 |
| Provider Name | Alan R Felthous |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164410502 PECOS PAC ID: 4587769443 Enrollment ID: I20070420000496 |
| Provider Name | Robert G Flood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841268786 PECOS PAC ID: 7113918228 Enrollment ID: I20080103000081 |
| Provider Name | Sagun D Goyal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1316032741 PECOS PAC ID: 0840361861 Enrollment ID: I20080619000214 |
| Provider Name | Richard J. Rieth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497916035 PECOS PAC ID: 3476616632 Enrollment ID: I20090114000188 |
| Provider Name | Leticia B Ugarte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306049515 PECOS PAC ID: 8921151044 Enrollment ID: I20090806000298 |
| Provider Name | Jaime L Kynion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972734523 PECOS PAC ID: 3577619683 Enrollment ID: I20090915000310 |
| Provider Name | Roshani J Desai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457554834 PECOS PAC ID: 1052457520 Enrollment ID: I20091014000357 |
| Provider Name | William M Redden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518159714 PECOS PAC ID: 8921145236 Enrollment ID: I20091019000501 |
| Provider Name | Ross A Heller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083614333 PECOS PAC ID: 0547250573 Enrollment ID: I20091211000048 |
| Provider Name | George T Grossberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033135991 PECOS PAC ID: 6507827953 Enrollment ID: I20100304000643 |
| Provider Name | Mirela D Marcu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639194442 PECOS PAC ID: 1850282757 Enrollment ID: I20100304000865 |
| Provider Name | Marcella M Petzchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255393716 PECOS PAC ID: 5890830533 Enrollment ID: I20100304000923 |
| Provider Name | Sunil M Prasad |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1033298468 PECOS PAC ID: 6800978537 Enrollment ID: I20100604000801 |
| Provider Name | Matthew R Treaster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447456215 PECOS PAC ID: 3072643568 Enrollment ID: I20100609000877 |
| Provider Name | Mark Joseph Fesler |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1235204066 PECOS PAC ID: 3375645880 Enrollment ID: I20100812000917 |
| Provider Name | Felicia D Isbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477872513 PECOS PAC ID: 2769516640 Enrollment ID: I20100813000542 |
| Provider Name | Brianne M Newman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295952455 PECOS PAC ID: 9638203557 Enrollment ID: I20100813001003 |
| Provider Name | Fred R Buckhold |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417147588 PECOS PAC ID: 6406980176 Enrollment ID: I20100817000617 |
| Provider Name | Henry B Randall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1801817226 PECOS PAC ID: 5698803112 Enrollment ID: I20100818000703 |
| Provider Name | Benjamin Leacock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639375140 PECOS PAC ID: 1951453463 Enrollment ID: I20100914000536 |
| Provider Name | Christine F Rimkus |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1861707341 PECOS PAC ID: 6204029051 Enrollment ID: I20101025000834 |
| Provider Name | Lawrence Kuhn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063522464 PECOS PAC ID: 3971798406 Enrollment ID: I20101110000886 |
| Provider Name | Ann M Lehrer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982907325 PECOS PAC ID: 4587848478 Enrollment ID: I20110419000184 |
| Provider Name | Shari L Helbig |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1689967721 PECOS PAC ID: 8527236132 Enrollment ID: I20110727000021 |
| Provider Name | Matthew J Buhr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447533989 PECOS PAC ID: 5890962203 Enrollment ID: I20120125000178 |
| Provider Name | Emily Ann Fite |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134358153 PECOS PAC ID: 4880842699 Enrollment ID: I20120920000437 |
| Provider Name | Adam K Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790049948 PECOS PAC ID: 4183875396 Enrollment ID: I20121116000528 |
| Provider Name | Timothy R Havens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881905917 PECOS PAC ID: 4688814510 Enrollment ID: I20130717000248 |
| Provider Name | Julia C Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649534827 PECOS PAC ID: 4183868227 Enrollment ID: I20130911000734 |
| Provider Name | Catalina Belean |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205270626 PECOS PAC ID: 1052555828 Enrollment ID: I20130917000438 |
| Provider Name | Rushaniya A Khairova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013243476 PECOS PAC ID: 0648404103 Enrollment ID: I20131016001142 |
| Provider Name | Fadee H Abu Al Rub |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1790992675 PECOS PAC ID: 9335283605 Enrollment ID: I20140307001141 |
| Provider Name | Gayatriben Sameer Gadani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205069085 PECOS PAC ID: 6800029950 Enrollment ID: I20140425001589 |
| Provider Name | Mustafa Dm Nazzal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952558926 PECOS PAC ID: 8123246386 Enrollment ID: I20140829001034 |
| Provider Name | Kenechukwu A Chukwuanu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619264819 PECOS PAC ID: 7911220298 Enrollment ID: I20141217000909 |
| Provider Name | Erica Kaufman West |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619075785 PECOS PAC ID: 1951496314 Enrollment ID: I20150331001327 |
| Provider Name | Rupinder Sodhi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518195049 PECOS PAC ID: 6608937180 Enrollment ID: I20150415001219 |
| Provider Name | Rishi S. Mhapsekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619131505 PECOS PAC ID: 3779712377 Enrollment ID: I20150507002510 |
| Provider Name | Aleksandar M Babic |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548236961 PECOS PAC ID: 0345247573 Enrollment ID: I20150518001708 |
| Provider Name | Edward Lothar Fieg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609862523 PECOS PAC ID: 0143480459 Enrollment ID: I20150521000097 |
| Provider Name | Kyle Edward Karches |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649533845 PECOS PAC ID: 7113150947 Enrollment ID: I20150630002264 |
| Provider Name | Mhd N Rajeh |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528452240 PECOS PAC ID: 1951614858 Enrollment ID: I20150721002891 |
| Provider Name | Jennifer Ab Cash |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629332481 PECOS PAC ID: 8123332707 Enrollment ID: I20150728004032 |
| Provider Name | Chintalapati Varma |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083665574 PECOS PAC ID: 6901877711 Enrollment ID: I20150805007305 |
| Provider Name | Semeon I Krits |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336403500 PECOS PAC ID: 0345554259 Enrollment ID: I20150806009911 |
| Provider Name | Daniel A Normansell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225392426 PECOS PAC ID: 0941525760 Enrollment ID: I20150813009359 |
| Provider Name | Diana Busjra Brown |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487033114 PECOS PAC ID: 1759690894 Enrollment ID: I20151012001962 |
| Provider Name | William J Newman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326063660 PECOS PAC ID: 9133243538 Enrollment ID: I20151027002005 |
| Provider Name | Laura Kobayashi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841675188 PECOS PAC ID: 4385944701 Enrollment ID: I20151207002798 |
| Provider Name | Rosemary Ouseph |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740261783 PECOS PAC ID: 4587688601 Enrollment ID: I20160106001609 |
| Provider Name | Megan Orme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972975183 PECOS PAC ID: 9830493097 Enrollment ID: I20160209000337 |
| Provider Name | Daniel A Trost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568849263 PECOS PAC ID: 5799081394 Enrollment ID: I20160308001714 |
| Provider Name | Conor Mccartney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003158221 PECOS PAC ID: 9537461082 Enrollment ID: I20160517001703 |
| Provider Name | Scott L Birdwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922448000 PECOS PAC ID: 4587967047 Enrollment ID: I20160531001330 |
| Provider Name | Renee L Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457707705 PECOS PAC ID: 1052601887 Enrollment ID: I20160606002723 |
| Provider Name | Lisa Marie Buss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679929244 PECOS PAC ID: 6507151479 Enrollment ID: I20160817001945 |
| Provider Name | Allison Lavine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639530538 PECOS PAC ID: 5597050773 Enrollment ID: I20160826001513 |
| Provider Name | Evgeniy Kulik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336503598 PECOS PAC ID: 8426344250 Enrollment ID: I20160906000123 |
| Provider Name | Kambiz Etesami |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629374020 PECOS PAC ID: 3577850791 Enrollment ID: I20160930002154 |
| Provider Name | Erin K Samuels |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427210814 PECOS PAC ID: 7113169988 Enrollment ID: I20161228001272 |
| Provider Name | Abigail Nieters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275866600 PECOS PAC ID: 3375833361 Enrollment ID: I20170206000634 |
| Provider Name | Laura J Michler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447795695 PECOS PAC ID: 8628351905 Enrollment ID: I20170210001982 |
| Provider Name | Mohammed Eyad Alsabbagh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083917090 PECOS PAC ID: 9739312570 Enrollment ID: I20170425002034 |
| Provider Name | Elizabeth Ann Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033659859 PECOS PAC ID: 1355628074 Enrollment ID: I20170508000726 |
| Provider Name | Kelly S Kunkle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538607742 PECOS PAC ID: 2163790858 Enrollment ID: I20170621002797 |
| Provider Name | Maki Katagiri Cronin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558899377 PECOS PAC ID: 0547530594 Enrollment ID: I20170724002873 |
| Provider Name | Tina H Chen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316384886 PECOS PAC ID: 1557680907 Enrollment ID: I20170928000646 |
| Provider Name | Bijan Naghibi Harat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548788524 PECOS PAC ID: 9638444771 Enrollment ID: I20170929000504 |
| Provider Name | Kelly Elizabeth Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760935944 PECOS PAC ID: 7810262037 Enrollment ID: I20171013000611 |
| Provider Name | Adam Koertner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831108083 PECOS PAC ID: 3779667555 Enrollment ID: I20171018001000 |
| Provider Name | Doug Robert Longo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003276866 PECOS PAC ID: 2668769316 Enrollment ID: I20171107001438 |
| Provider Name | Jo A Benn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174816797 PECOS PAC ID: 3173794005 Enrollment ID: I20171109002569 |
| Provider Name | Janet M Ludwig |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578637153 PECOS PAC ID: 0244526705 Enrollment ID: I20171120002514 |
| Provider Name | Joan F Osterloh |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1053426809 PECOS PAC ID: 8820355209 Enrollment ID: I20171121001066 |
| Provider Name | Francesca J Sciortino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851656821 PECOS PAC ID: 6901164839 Enrollment ID: I20171221002166 |
| Provider Name | Helene Yuklin Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578811378 PECOS PAC ID: 1658678222 Enrollment ID: I20171228000625 |
| Provider Name | Kirsten Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528464484 PECOS PAC ID: 0749579860 Enrollment ID: I20180104002294 |
| Provider Name | Macaela D Verett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508372608 PECOS PAC ID: 8820357718 Enrollment ID: I20180123001168 |
| Provider Name | Minh-tri Nguyen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679940076 PECOS PAC ID: 8921318742 Enrollment ID: I20180202000064 |
| Provider Name | Sara M Ludvik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760985246 PECOS PAC ID: 2668735796 Enrollment ID: I20180424001132 |
| Provider Name | Jalandria Gurley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528314424 PECOS PAC ID: 9335398882 Enrollment ID: I20180424001533 |
| Provider Name | Jessica Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477051191 PECOS PAC ID: 9335494897 Enrollment ID: I20180625001776 |
| Provider Name | Laura Kleemanklein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124521885 PECOS PAC ID: 7618224239 Enrollment ID: I20180726003551 |
| Provider Name | Kamran Qureshi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417119926 PECOS PAC ID: 6800044967 Enrollment ID: I20180823001866 |
| Provider Name | Hany Elbeshbeshy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376637744 PECOS PAC ID: 9133179708 Enrollment ID: I20180823003423 |
| Provider Name | Maria Giubardo Rolwes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225543226 PECOS PAC ID: 1557611696 Enrollment ID: I20180911000909 |
| Provider Name | Kaitlin M Damron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548752991 PECOS PAC ID: 7214288570 Enrollment ID: I20180925003936 |
| Provider Name | Alexis Nicole Guenette |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184979700 PECOS PAC ID: 2567778657 Enrollment ID: I20181016000256 |
| Provider Name | Samantha E Kamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083148787 PECOS PAC ID: 7416225230 Enrollment ID: I20181018001522 |
| Provider Name | Jessica Ann Newby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336626738 PECOS PAC ID: 5092059238 Enrollment ID: I20181129001000 |
| Provider Name | Abhishek Chilkulwar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1588068597 PECOS PAC ID: 1759665193 Enrollment ID: I20181227001925 |
| Provider Name | Azra Kulasic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417422361 PECOS PAC ID: 5597003459 Enrollment ID: I20190219002025 |
| Provider Name | Grace C Keeven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891270567 PECOS PAC ID: 9335480805 Enrollment ID: I20190410000879 |
| Provider Name | John K Hearn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912211343 PECOS PAC ID: 3870722515 Enrollment ID: I20190430001626 |
| Provider Name | Amelia Bivens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366907180 PECOS PAC ID: 6709129141 Enrollment ID: I20190528001528 |
| Provider Name | Meghan A Schutt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376010181 PECOS PAC ID: 5294078507 Enrollment ID: I20190529002353 |
| Provider Name | Teresa V Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306302534 PECOS PAC ID: 2264765437 Enrollment ID: I20190604001637 |
| Provider Name | Paul V Kunnath |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912351412 PECOS PAC ID: 6901193150 Enrollment ID: I20190711002131 |
| Provider Name | Kathy A Galvez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972671147 PECOS PAC ID: 2961507652 Enrollment ID: I20190715000586 |
| Provider Name | Zarir M Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770937492 PECOS PAC ID: 1456689587 Enrollment ID: I20190827001938 |
| Provider Name | Morgan A Nangle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336701416 PECOS PAC ID: 8628306560 Enrollment ID: I20190829003692 |
| Provider Name | Aman Ullah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407207624 PECOS PAC ID: 6103103890 Enrollment ID: I20190926003341 |
| Provider Name | Lydia L Archuleta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205282639 PECOS PAC ID: 5193019685 Enrollment ID: I20191018000803 |
| Provider Name | Amy R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689223869 PECOS PAC ID: 0648606566 Enrollment ID: I20200212000902 |
| Provider Name | Shalu Lama |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982243861 PECOS PAC ID: 6204263544 Enrollment ID: I20200225003016 |
| Provider Name | Caitlyn Blessman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124664800 PECOS PAC ID: 5092142364 Enrollment ID: I20200226000999 |
| Provider Name | Nerchi Love Nermal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427193762 PECOS PAC ID: 4486740883 Enrollment ID: I20200320000895 |
| Provider Name | Jennifer Hendrix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770119976 PECOS PAC ID: 9335577659 Enrollment ID: I20200320001111 |
| Provider Name | Daniel Vanvalkinburgh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1083077333 PECOS PAC ID: 1951690460 Enrollment ID: I20200324000735 |
| Provider Name | Angela Struemph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679107734 PECOS PAC ID: 9234568197 Enrollment ID: I20200330000312 |
| Provider Name | Heather Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841824455 PECOS PAC ID: 0143659003 Enrollment ID: I20200330000316 |
| Provider Name | Katie R Lantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205474483 PECOS PAC ID: 4183053044 Enrollment ID: I20200330000624 |
| Provider Name | Andrew Demars |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1326467440 PECOS PAC ID: 4587094719 Enrollment ID: I20200430001403 |
| Provider Name | Stephanie N Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114492691 PECOS PAC ID: 9436403318 Enrollment ID: I20200615002120 |
| Provider Name | Francis G Wade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790226991 PECOS PAC ID: 4981973955 Enrollment ID: I20200618002903 |
| Provider Name | Jarrod D Hemmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053768234 PECOS PAC ID: 3678834009 Enrollment ID: I20200730003072 |
| Provider Name | Nutressa A Monroe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932628807 PECOS PAC ID: 6608291521 Enrollment ID: I20200810000131 |
| Provider Name | Amy M Gastman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245869437 PECOS PAC ID: 3870918790 Enrollment ID: I20200810000148 |
| Provider Name | Benedicta Esi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861033615 PECOS PAC ID: 9133545718 Enrollment ID: I20200813000131 |
| Provider Name | Breezy S Stanley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932711389 PECOS PAC ID: 5890112148 Enrollment ID: I20200901001134 |
| Provider Name | Emily Rodgers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134570401 PECOS PAC ID: 0749577559 Enrollment ID: I20200915003720 |
| Provider Name | Bridget K Mccoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083956320 PECOS PAC ID: 7416222062 Enrollment ID: I20200925001753 |
| Provider Name | Nathalie Boulos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548714397 PECOS PAC ID: 4880981620 Enrollment ID: I20200930001825 |
| Provider Name | Vidyaratna A Fleetwood |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649534231 PECOS PAC ID: 8123325271 Enrollment ID: I20201007001583 |
| Provider Name | Elizabeth Anne Snodgrass-stringer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588207310 PECOS PAC ID: 5395178149 Enrollment ID: I20201015003367 |
| Provider Name | Cole Burkhartsmeier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265962609 PECOS PAC ID: 6709206402 Enrollment ID: I20201019002792 |
| Provider Name | Gilbert J Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922660042 PECOS PAC ID: 1153741590 Enrollment ID: I20201023000621 |
| Provider Name | Saif-ur-rahman Paracha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508217936 PECOS PAC ID: 2860780418 Enrollment ID: I20201029001169 |
| Provider Name | Emily Marie Tschopp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780248005 PECOS PAC ID: 7012327257 Enrollment ID: I20201029001563 |
| Provider Name | Trisha Ann Janis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235756842 PECOS PAC ID: 1456762947 Enrollment ID: I20201207000432 |
| Provider Name | Lauren Katherine Gahimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750919478 PECOS PAC ID: 0547673139 Enrollment ID: I20201228000935 |
| Provider Name | William Cooper |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669561452 PECOS PAC ID: 9931118775 Enrollment ID: I20201229002470 |
| Provider Name | Desiree C Baumgartner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811370273 PECOS PAC ID: 8729392709 Enrollment ID: I20201230000890 |
| Provider Name | Julia Marie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376133637 PECOS PAC ID: 2264846773 Enrollment ID: I20210125001303 |
| Provider Name | Matthew J Hyde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568054096 PECOS PAC ID: 4688080518 Enrollment ID: I20210301002186 |
| Provider Name | Zachary Wade Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184221160 PECOS PAC ID: 7517374010 Enrollment ID: I20210330001148 |
| Provider Name | Natalie Mae Kohlmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154916948 PECOS PAC ID: 8123435542 Enrollment ID: I20210401000634 |
| Provider Name | Yasar K Caliskan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1750944625 PECOS PAC ID: 9830422500 Enrollment ID: I20210406001911 |
| Provider Name | Rajiv L Yogendran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972093540 PECOS PAC ID: 7911253083 Enrollment ID: I20210518002010 |
| Provider Name | Jordan Hendrickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477057271 PECOS PAC ID: 4880949973 Enrollment ID: I20210518003001 |
| Provider Name | Devin R Cash |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740774835 PECOS PAC ID: 5597194597 Enrollment ID: I20210723002386 |
| Provider Name | Khadeeja Ashai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831693548 PECOS PAC ID: 6901152248 Enrollment ID: I20210908001007 |
| Provider Name | Kate Rachel Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609540384 PECOS PAC ID: 4082011440 Enrollment ID: I20210928000774 |
| Provider Name | Carolyn D Guido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992262331 PECOS PAC ID: 4587062369 Enrollment ID: I20211008000372 |
| Provider Name | Megan J Land |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053981423 PECOS PAC ID: 1658775390 Enrollment ID: I20211025000786 |
| Provider Name | Uchenna Agbim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649505124 PECOS PAC ID: 9335303023 Enrollment ID: I20211025001555 |
| Provider Name | Mandy E Bettenhausen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295254266 PECOS PAC ID: 5294123212 Enrollment ID: I20211025002057 |
| Provider Name | Erick Messias |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881641066 PECOS PAC ID: 6002829504 Enrollment ID: I20211026001836 |
| Provider Name | Rachel Nicole Tinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851053987 PECOS PAC ID: 8022406537 Enrollment ID: I20211102000821 |
| Provider Name | Faye Monahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053074997 PECOS PAC ID: 4183013162 Enrollment ID: I20211112000655 |
| Provider Name | Noam Grysman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619498557 PECOS PAC ID: 4183014046 Enrollment ID: I20211208000934 |
| Provider Name | Donna Person |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740754126 PECOS PAC ID: 4880088335 Enrollment ID: I20220225000855 |
| Provider Name | Rachelle Renee Kirschner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689321754 PECOS PAC ID: 3072900661 Enrollment ID: I20220429000523 |
| Provider Name | Yuliya T Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699422683 PECOS PAC ID: 2860879954 Enrollment ID: I20220511000198 |
| Provider Name | Branden Schweiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265179592 PECOS PAC ID: 0042699449 Enrollment ID: I20220615000718 |
| Provider Name | Jenelle K Bair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366020950 PECOS PAC ID: 1759760028 Enrollment ID: I20220616000179 |
| Provider Name | Saida A Kent |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922568740 PECOS PAC ID: 1355675505 Enrollment ID: I20220618000285 |
| Provider Name | Ranju Kunwor |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427438886 PECOS PAC ID: 2961765672 Enrollment ID: I20220711000744 |
| Provider Name | Awais Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437612330 PECOS PAC ID: 7517294424 Enrollment ID: I20220725001006 |
| Provider Name | Yan Chu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538629241 PECOS PAC ID: 0244565091 Enrollment ID: I20220728001884 |
| Provider Name | Lingjin Zheng |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306331483 PECOS PAC ID: 6507190477 Enrollment ID: I20220818003282 |
| Provider Name | Amanda B Hilmer |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1306941828 PECOS PAC ID: 9638105620 Enrollment ID: I20220823002903 |
| Provider Name | Scott Akridge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356845408 PECOS PAC ID: 4082969167 Enrollment ID: I20220824001967 |
| Provider Name | Mackenzie A S Steck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619436441 PECOS PAC ID: 9739413980 Enrollment ID: I20220915001421 |
| Provider Name | Aditya K Suresh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366902090 PECOS PAC ID: 3779818513 Enrollment ID: I20221007002510 |
| Provider Name | Zachary Ballek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437878071 PECOS PAC ID: 5890171284 Enrollment ID: I20221010000493 |
| Provider Name | Lynnette Nichole Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831623487 PECOS PAC ID: 5294064879 Enrollment ID: I20221013003215 |
| Provider Name | Maria Ravkatovna Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417670449 PECOS PAC ID: 8224400882 Enrollment ID: I20230207002787 |
| Provider Name | Matthew Mollman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134500853 PECOS PAC ID: 6507147097 Enrollment ID: I20230209001466 |
| Provider Name | Ashley Mierkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699438697 PECOS PAC ID: 4981096211 Enrollment ID: I20230218000223 |
| Provider Name | Sara Ahumada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992174536 PECOS PAC ID: 0547526501 Enrollment ID: I20230327000332 |
| Provider Name | Stella Kulkin Heine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922714575 PECOS PAC ID: 3476927674 Enrollment ID: I20230329001016 |
| Provider Name | Rebecca Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679233662 PECOS PAC ID: 3678966082 Enrollment ID: I20230414001576 |
| Provider Name | Joshua J Fernelius |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861020497 PECOS PAC ID: 6709202898 Enrollment ID: I20230608003295 |
| Provider Name | Rohun R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518595842 PECOS PAC ID: 1456776814 Enrollment ID: I20230611000069 |
| Provider Name | Garry Francis Morel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841766037 PECOS PAC ID: 9537556931 Enrollment ID: I20230627001206 |
| Provider Name | Kellen J Smutz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1851920730 PECOS PAC ID: 2466879044 Enrollment ID: I20230705003037 |
| Provider Name | Christian L Hendrix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124647318 PECOS PAC ID: 5991122749 Enrollment ID: I20230712000854 |
| Provider Name | Mehr Amer Majeed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790304657 PECOS PAC ID: 8224498035 Enrollment ID: I20230712000997 |
| Provider Name | Hafiz Muhammad Fazeel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346862935 PECOS PAC ID: 6608236435 Enrollment ID: I20230712001867 |
| Provider Name | Iqra Arshad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790397578 PECOS PAC ID: 0840651907 Enrollment ID: I20230804002826 |
| Provider Name | Taylor J Bastin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205464492 PECOS PAC ID: 0345664843 Enrollment ID: I20230804003047 |
| Provider Name | Olivia Gabrielle Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205526720 PECOS PAC ID: 7416319231 Enrollment ID: I20230810003365 |
| Provider Name | Avi Gandhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992324214 PECOS PAC ID: 0648632984 Enrollment ID: I20230817002173 |
| Provider Name | Sunna S Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770042608 PECOS PAC ID: 7416282264 Enrollment ID: I20230825000504 |
| Provider Name | Shara Costa Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295351765 PECOS PAC ID: 1355757154 Enrollment ID: I20230831003552 |
| Provider Name | Stefani Motkar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568817385 PECOS PAC ID: 8527357276 Enrollment ID: I20230915001664 |
| Provider Name | Collin G Russell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730686189 PECOS PAC ID: 9638596844 Enrollment ID: I20230921001232 |
| Provider Name | Benjamin E Fox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649697574 PECOS PAC ID: 4385863448 Enrollment ID: I20230921002782 |
| Provider Name | Chad A Stanley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609405455 PECOS PAC ID: 8224452552 Enrollment ID: I20231005002111 |
| Provider Name | Taylor Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649849266 PECOS PAC ID: 1658778535 Enrollment ID: I20231012000533 |
| Provider Name | Mallory Rinderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740710441 PECOS PAC ID: 4082988399 Enrollment ID: I20231023002902 |
The Relationship Center Of St. Louis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7292 Manchester Rd, Saint Louis, MO 63143 Phone: 314-659-8330 Fax: 314-659-8330 | |
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