| Somc Medical Care Foundation, Inc. | |
|
1805 27th St Portsmouth OH 45662-2640 | |
| (740) 356-8681 | |
| (740) 356-1256 |
| Full Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1805 27th St, Portsmouth, Ohio |
| Authorized Official Name and Position | Rebecca L Fite (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 7403568008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Somc Medical Care Foundation, Inc. 1735 27th St Waller Building, Suite B06 Portsmouth OH 45662-2677 Ph: (740) 356-8008 | Somc Medical Care Foundation, Inc. 1805 27th St Portsmouth OH 45662-2640 Ph: (740) 356-8681 |
| NPI Number | 1457467227 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 9436061645 |
|---|---|
| Medicare Enrollment ID | O20031125000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457467227 | NPI | - | NPPES |
| 0916512 | Medicaid | OH | |
| 65921835 | Medicaid | KY |
| Provider Name | Robert E Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154491249 PECOS PAC ID: 5890607006 Enrollment ID: I20031106000097 |
| Provider Name | Matthew G Hutchins |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114926813 PECOS PAC ID: 0648183715 Enrollment ID: I20031106000295 |
| Provider Name | James Otworth |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487615209 PECOS PAC ID: 2466359344 Enrollment ID: I20031218000026 |
| Provider Name | Daniel P Marck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750466082 PECOS PAC ID: 4789582172 Enrollment ID: I20031223000035 |
| Provider Name | Scott Logan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154321867 PECOS PAC ID: 1355249319 Enrollment ID: I20040106000024 |
| Provider Name | Karen S Hergenreder |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265484083 PECOS PAC ID: 2668372517 Enrollment ID: I20040108001219 |
| Provider Name | Diana C Hyden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093813529 PECOS PAC ID: 7416858147 Enrollment ID: I20040116000016 |
| Provider Name | Rayann S Huntsman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629039441 PECOS PAC ID: 3274436159 Enrollment ID: I20040128001033 |
| Provider Name | Barbara M Mastriana |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639146525 PECOS PAC ID: 3173419587 Enrollment ID: I20040224000256 |
| Provider Name | Nathan H Kander |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073518940 PECOS PAC ID: 6204738057 Enrollment ID: I20040303000551 |
| Provider Name | Vernon D Reynolds |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174600852 PECOS PAC ID: 6406744655 Enrollment ID: I20040309000436 |
| Provider Name | Rena Zimmerman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1851350318 PECOS PAC ID: 9537058417 Enrollment ID: I20040311000183 |
| Provider Name | G Garth Grant |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114910486 PECOS PAC ID: 2466351234 Enrollment ID: I20040326000248 |
| Provider Name | Kathryn Opal Lusenhop |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1487611216 PECOS PAC ID: 2668465386 Enrollment ID: I20040407000538 |
| Provider Name | Joy A Bennett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285649970 PECOS PAC ID: 9830090281 Enrollment ID: I20040503001626 |
| Provider Name | James J Sardo |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1992750145 PECOS PAC ID: 4880676675 Enrollment ID: I20040607000033 |
| Provider Name | Louis Salib |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023003480 PECOS PAC ID: 1153304423 Enrollment ID: I20040608001225 |
| Provider Name | Cynthia G Hamm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487760237 PECOS PAC ID: 8022092410 Enrollment ID: I20040615000030 |
| Provider Name | Lori A Guinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730266214 PECOS PAC ID: 9931172152 Enrollment ID: I20040817000066 |
| Provider Name | Kimberly Sue Umhoefer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225140007 PECOS PAC ID: 7618943341 Enrollment ID: I20040907000016 |
| Provider Name | Jim R Armstrong |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972505899 PECOS PAC ID: 4688642572 Enrollment ID: I20040920000051 |
| Provider Name | Peter K Bauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548261761 PECOS PAC ID: 3476521717 Enrollment ID: I20040923000642 |
| Provider Name | Bryan H Fuller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104898592 PECOS PAC ID: 2264400233 Enrollment ID: I20041014000158 |
| Provider Name | Steven William Mccornack |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669459772 PECOS PAC ID: 6204885718 Enrollment ID: I20050121000257 |
| Provider Name | Toni E Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912083007 PECOS PAC ID: 7113978057 Enrollment ID: I20050208000571 |
| Provider Name | Gregory Karasik |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144299884 PECOS PAC ID: 1153373634 Enrollment ID: I20050211000848 |
| Provider Name | Roland E Benton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891774675 PECOS PAC ID: 5890789192 Enrollment ID: I20050504000330 |
| Provider Name | Nadeem N Malik |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306822275 PECOS PAC ID: 8224071675 Enrollment ID: I20050607000122 |
| Provider Name | Mary Ann T Gardner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861422206 PECOS PAC ID: 3870536857 Enrollment ID: I20050610000023 |
| Provider Name | Michael E Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629170600 PECOS PAC ID: 2466496690 Enrollment ID: I20050617000381 |
| Provider Name | Nanci L Burton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780623314 PECOS PAC ID: 8123091956 Enrollment ID: I20050822000019 |
| Provider Name | Tiffany L Harris |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639176753 PECOS PAC ID: 4981635760 Enrollment ID: I20050823000006 |
| Provider Name | Vincent H Randaisi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114915279 PECOS PAC ID: 6608807003 Enrollment ID: I20050829001089 |
| Provider Name | Deidre Redd |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1306995865 PECOS PAC ID: 1658397658 Enrollment ID: I20051019000555 |
| Provider Name | Debra Skerlec-caylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639168917 PECOS PAC ID: 9739105693 Enrollment ID: I20051019001132 |
| Provider Name | Philip E Willis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457331670 PECOS PAC ID: 7012812985 Enrollment ID: I20051108000677 |
| Provider Name | Raymond Gathiuni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609927763 PECOS PAC ID: 0547288417 Enrollment ID: I20051109000469 |
| Provider Name | Joseph R Leith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598719890 PECOS PAC ID: 6305856279 Enrollment ID: I20060424000162 |
| Provider Name | Mary C Vaughn-greathouse |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942240643 PECOS PAC ID: 7719980952 Enrollment ID: I20060809000083 |
| Provider Name | Tammam H Abdul-aziz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457343816 PECOS PAC ID: 3173526001 Enrollment ID: I20060816000054 |
| Provider Name | Augusto C Juguilon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043269434 PECOS PAC ID: 0244235240 Enrollment ID: I20060926000374 |
| Provider Name | Charanjit Singh Bahniwal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225028020 PECOS PAC ID: 1658376397 Enrollment ID: I20061002000186 |
| Provider Name | James T Wolfe |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1174502934 PECOS PAC ID: 5991700668 Enrollment ID: I20061002000528 |
| Provider Name | Timothy C Mcglone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861443004 PECOS PAC ID: 9436156593 Enrollment ID: I20061102000216 |
| Provider Name | Arthur J Ramey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932299161 PECOS PAC ID: 9739187246 Enrollment ID: I20061116000543 |
| Provider Name | David W Tesar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205913746 PECOS PAC ID: 9133127566 Enrollment ID: I20061120000336 |
| Provider Name | Robin Lee Franklin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659444511 PECOS PAC ID: 8325047228 Enrollment ID: I20061204000010 |
| Provider Name | William Titman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285726745 PECOS PAC ID: 2567463433 Enrollment ID: I20070119000005 |
| Provider Name | Christy L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255409108 PECOS PAC ID: 3678574126 Enrollment ID: I20070125000319 |
| Provider Name | Stella Ling |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1871695700 PECOS PAC ID: 0941269997 Enrollment ID: I20070129000319 |
| Provider Name | Darren Chad Adams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770549024 PECOS PAC ID: 0244232130 Enrollment ID: I20070206000274 |
| Provider Name | Erika H Poehm |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669448551 PECOS PAC ID: 6305881939 Enrollment ID: I20070215000303 |
| Provider Name | Kevin Francis Forsthoefel |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1982605010 PECOS PAC ID: 1850333931 Enrollment ID: I20070312000377 |
| Provider Name | Kimberly A Queener |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750308110 PECOS PAC ID: 3678671534 Enrollment ID: I20070531000366 |
| Provider Name | Nancy Jeanne Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154343747 PECOS PAC ID: 2769403807 Enrollment ID: I20070613000824 |
| Provider Name | David E Riley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568481976 PECOS PAC ID: 2769581735 Enrollment ID: I20070618000030 |
| Provider Name | Vincent M Scarpinato |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275614026 PECOS PAC ID: 9830105907 Enrollment ID: I20070621000408 |
| Provider Name | Matthew S Schwamburger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457552119 PECOS PAC ID: 9133210727 Enrollment ID: I20070810000701 |
| Provider Name | Blessing Otoabasi Godwin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538245618 PECOS PAC ID: 7719080456 Enrollment ID: I20070813000168 |
| Provider Name | Darby W Wehrley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306935226 PECOS PAC ID: 8921190034 Enrollment ID: I20070822000049 |
| Provider Name | Christine C Christensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871595405 PECOS PAC ID: 3870546823 Enrollment ID: I20070906000120 |
| Provider Name | Justin Greenlee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467655647 PECOS PAC ID: 1658464466 Enrollment ID: I20070911000157 |
| Provider Name | Boonlieng Wongchaowart |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255431748 PECOS PAC ID: 3971698168 Enrollment ID: I20071003000260 |
| Provider Name | Jitendra Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346224995 PECOS PAC ID: 7810999778 Enrollment ID: I20071203000427 |
| Provider Name | Nan Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396816625 PECOS PAC ID: 3577653708 Enrollment ID: I20071212000196 |
| Provider Name | Kevin T Harris |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841474517 PECOS PAC ID: 6608957287 Enrollment ID: I20080122000272 |
| Provider Name | Angela Y Rackley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619178621 PECOS PAC ID: 3375626898 Enrollment ID: I20080207000051 |
| Provider Name | Mark T Wagner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346373446 PECOS PAC ID: 7416031034 Enrollment ID: I20080221000036 |
| Provider Name | John C Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730175019 PECOS PAC ID: 9537065859 Enrollment ID: I20080228000237 |
| Provider Name | Nnamdi Azie |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1851366892 PECOS PAC ID: 2264483049 Enrollment ID: I20080307000108 |
| Provider Name | Eugene Vitvitsky |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578507299 PECOS PAC ID: 1153212063 Enrollment ID: I20080428000666 |
| Provider Name | Jay E Risheh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1386690485 PECOS PAC ID: 3870663529 Enrollment ID: I20080606000249 |
| Provider Name | Luis F Benitez Lopez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154368892 PECOS PAC ID: 0244300903 Enrollment ID: I20080606000378 |
| Provider Name | Mohamed Fouad Soumakieh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1487696720 PECOS PAC ID: 0345285326 Enrollment ID: I20080808000028 |
| Provider Name | Travis L Chabo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1124178942 PECOS PAC ID: 2163528910 Enrollment ID: I20080813000046 |
| Provider Name | Kurt Palazzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649298258 PECOS PAC ID: 4284700915 Enrollment ID: I20080904000164 |
| Provider Name | Meilani Hasmin Mapa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063600872 PECOS PAC ID: 3678655149 Enrollment ID: I20081008000058 |
| Provider Name | Elie M Saab |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447218169 PECOS PAC ID: 0547163123 Enrollment ID: I20081123000002 |
| Provider Name | Rockford James Meadows |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346454154 PECOS PAC ID: 6800957762 Enrollment ID: I20090220000035 |
| Provider Name | Loretta A Settonni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023011137 PECOS PAC ID: 7214824762 Enrollment ID: I20090318000143 |
| Provider Name | Kristie J Thacker |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1780820597 PECOS PAC ID: 0143387639 Enrollment ID: I20090327000343 |
| Provider Name | Yan Chen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659455160 PECOS PAC ID: 7911006721 Enrollment ID: I20090406000217 |
| Provider Name | Kenneth R Greer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336265602 PECOS PAC ID: 5597740548 Enrollment ID: I20090422000093 |
| Provider Name | Matthew Onyekelu |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316189764 PECOS PAC ID: 9335232560 Enrollment ID: I20090504000007 |
| Provider Name | Amy E Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275770315 PECOS PAC ID: 0941358840 Enrollment ID: I20090504000191 |
| Provider Name | Shay L Price |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013113836 PECOS PAC ID: 0345321741 Enrollment ID: I20090601000543 |
| Provider Name | Masood Siddiqui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1902034663 PECOS PAC ID: 8022161371 Enrollment ID: I20090807000482 |
| Provider Name | Roger Matthew Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477724235 PECOS PAC ID: 4880749423 Enrollment ID: I20090902000460 |
| Provider Name | Muhammad Taimoor Gill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033323381 PECOS PAC ID: 4082714563 Enrollment ID: I20090911000220 |
| Provider Name | Jeffrey E Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942299565 PECOS PAC ID: 6002908977 Enrollment ID: I20090918000038 |
| Provider Name | Marion R Hochstetler |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1336346808 PECOS PAC ID: 7315093127 Enrollment ID: I20090921000224 |
| Provider Name | Phillip D Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871742338 PECOS PAC ID: 9234276726 Enrollment ID: I20091103000194 |
| Provider Name | Angela M Shupert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821043449 PECOS PAC ID: 3577597137 Enrollment ID: I20091217000369 |
| Provider Name | John Shupert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932148160 PECOS PAC ID: 0941195622 Enrollment ID: I20091229000476 |
| Provider Name | Anil Jagetia |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023019486 PECOS PAC ID: 6204908809 Enrollment ID: I20100119000189 |
| Provider Name | Gretchen Rhea Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962667691 PECOS PAC ID: 3577622521 Enrollment ID: I20100415000351 |
| Provider Name | Chandreshkumar S Shah |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437154234 PECOS PAC ID: 1052398633 Enrollment ID: I20100602000044 |
| Provider Name | Angel R Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093042087 PECOS PAC ID: 3577693035 Enrollment ID: I20100609000542 |
| Provider Name | Mark T Tawil |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1285620179 PECOS PAC ID: 4486786738 Enrollment ID: I20100722000006 |
| Provider Name | Edward Chen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104868272 PECOS PAC ID: 9638202419 Enrollment ID: I20100730000100 |
| Provider Name | George William Shahade |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1588777825 PECOS PAC ID: 3870581887 Enrollment ID: I20100813000278 |
| Provider Name | Richard Randall Jacobs |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1447457171 PECOS PAC ID: 6305738550 Enrollment ID: I20100913001178 |
| Provider Name | Duane Marchyn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104846906 PECOS PAC ID: 5890728554 Enrollment ID: I20101026000085 |
| Provider Name | Brennon E Giles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194034553 PECOS PAC ID: 4688868599 Enrollment ID: I20101104000039 |
| Provider Name | Meshelle A Lynch |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144520198 PECOS PAC ID: 3779779558 Enrollment ID: I20101118000874 |
| Provider Name | Yinong Liu |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1457357758 PECOS PAC ID: 4981662178 Enrollment ID: I20110225000401 |
| Provider Name | Kaitlyn H Jakubec |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184920712 PECOS PAC ID: 8921289604 Enrollment ID: I20110301000492 |
| Provider Name | Jared Carson Bentley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114238805 PECOS PAC ID: 5698957124 Enrollment ID: I20110307000667 |
| Provider Name | Bobbie C Sutton |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093807083 PECOS PAC ID: 7810186343 Enrollment ID: I20110311000317 |
| Provider Name | Justin D Nolen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366743569 PECOS PAC ID: 8022291301 Enrollment ID: I20110323001003 |
| Provider Name | Nathan E Rider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669782413 PECOS PAC ID: 1456535368 Enrollment ID: I20110418000213 |
| Provider Name | Margaret A Guest |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1700830148 PECOS PAC ID: 6002869526 Enrollment ID: I20110606000495 |
| Provider Name | Cynthia Bayer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407818164 PECOS PAC ID: 6204809296 Enrollment ID: I20110613000129 |
| Provider Name | Nathan D Bennington |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972777589 PECOS PAC ID: 2668641820 Enrollment ID: I20110805000062 |
| Provider Name | Jenifer R Combs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932493871 PECOS PAC ID: 1557532181 Enrollment ID: I20110912000453 |
| Provider Name | Jessica N Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386893832 PECOS PAC ID: 1355512633 Enrollment ID: I20110916000189 |
| Provider Name | Kuldeep Vaghela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255544037 PECOS PAC ID: 5092857367 Enrollment ID: I20111209000435 |
| Provider Name | Ahmed Arshad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154461531 PECOS PAC ID: 1759579634 Enrollment ID: I20111212000353 |
| Provider Name | Marsha S Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528003548 PECOS PAC ID: 1355312927 Enrollment ID: I20111220000283 |
| Provider Name | Franchaska D Grimes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629354188 PECOS PAC ID: 4284892134 Enrollment ID: I20120223000047 |
| Provider Name | Kari L Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285917096 PECOS PAC ID: 8527227867 Enrollment ID: I20120306001003 |
| Provider Name | Ron J Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962601229 PECOS PAC ID: 7416117700 Enrollment ID: I20120323000197 |
| Provider Name | Steven L Woolley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1831189935 PECOS PAC ID: 4082895321 Enrollment ID: I20120718000152 |
| Provider Name | Johnny R Bernard |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1972510493 PECOS PAC ID: 6204005010 Enrollment ID: I20120718000476 |
| Provider Name | Robert B Roach |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295725398 PECOS PAC ID: 7416140082 Enrollment ID: I20120801000270 |
| Provider Name | Cara D Taylor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588910723 PECOS PAC ID: 5799932000 Enrollment ID: I20120821000910 |
| Provider Name | Catherine A Price |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144576364 PECOS PAC ID: 4183871957 Enrollment ID: I20120829000853 |
| Provider Name | Molly R Stine |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497004709 PECOS PAC ID: 7012165947 Enrollment ID: I20120918000327 |
| Provider Name | Cheryl K Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558610964 PECOS PAC ID: 7618125386 Enrollment ID: I20120921000439 |
| Provider Name | Jesse P Houghton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457529125 PECOS PAC ID: 8123105707 Enrollment ID: I20121011000792 |
| Provider Name | Emma Khan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386861508 PECOS PAC ID: 3375669393 Enrollment ID: I20130110000632 |
| Provider Name | Ellen Stolyar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1497989016 PECOS PAC ID: 6901945294 Enrollment ID: I20130423000366 |
| Provider Name | Adam Wilson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033167028 PECOS PAC ID: 0648418541 Enrollment ID: I20130605000409 |
| Provider Name | Joseph D Augustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053759456 PECOS PAC ID: 3072753045 Enrollment ID: I20130716000365 |
| Provider Name | David Joseph Gooden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1679725105 PECOS PAC ID: 0042450926 Enrollment ID: I20130717000804 |
| Provider Name | Chad D Lore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407296536 PECOS PAC ID: 3072755685 Enrollment ID: I20130812000299 |
| Provider Name | Tabitha J Stefanov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1629410048 PECOS PAC ID: 7911149166 Enrollment ID: I20130816000841 |
| Provider Name | Farryn R Bussa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457792152 PECOS PAC ID: 1052554425 Enrollment ID: I20130904000463 |
| Provider Name | Amy L Kilburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225461643 PECOS PAC ID: 3577707546 Enrollment ID: I20130912000296 |
| Provider Name | Amy Lynn Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770898538 PECOS PAC ID: 6507059888 Enrollment ID: I20130920000535 |
| Provider Name | Paul D Rase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245665090 PECOS PAC ID: 4486551124 Enrollment ID: I20131017000987 |
| Provider Name | Cindy D Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871832485 PECOS PAC ID: 0648409276 Enrollment ID: I20140131000524 |
| Provider Name | Julie Lynne Carr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508990540 PECOS PAC ID: 5799915732 Enrollment ID: I20140313000529 |
| Provider Name | David K Byers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114022712 PECOS PAC ID: 5496938037 Enrollment ID: I20140319001333 |
| Provider Name | Muhammad Rahman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487748406 PECOS PAC ID: 6709781289 Enrollment ID: I20140424001956 |
| Provider Name | Ludivina T Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376968453 PECOS PAC ID: 9032342027 Enrollment ID: I20140428001141 |
| Provider Name | Michael T Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902223423 PECOS PAC ID: 5698908499 Enrollment ID: I20140501001535 |
| Provider Name | Amy J Flinders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124469416 PECOS PAC ID: 2668695503 Enrollment ID: I20140522001462 |
| Provider Name | Young-mi Pruden |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1477783371 PECOS PAC ID: 6901029313 Enrollment ID: I20140603000477 |
| Provider Name | Patrick Mcdonough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558697599 PECOS PAC ID: 2365680212 Enrollment ID: I20140604002377 |
| Provider Name | Bakkiam Subbiah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033197629 PECOS PAC ID: 8325038482 Enrollment ID: I20140708001014 |
| Provider Name | Ryan F Sandlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114246063 PECOS PAC ID: 4284851916 Enrollment ID: I20140804001504 |
| Provider Name | Ted J Stidham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134428402 PECOS PAC ID: 0648497289 Enrollment ID: I20140805003130 |
| Provider Name | Jessica S Suber |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1033379375 PECOS PAC ID: 7911124730 Enrollment ID: I20140818002325 |
| Provider Name | Tyler Evans |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538494513 PECOS PAC ID: 8921247206 Enrollment ID: I20140820002685 |
| Provider Name | Ilham Ahmad Smidi |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053729509 PECOS PAC ID: 1355560293 Enrollment ID: I20140908002743 |
| Provider Name | Tarun R Nagrani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427203652 PECOS PAC ID: 4688893357 Enrollment ID: I20140910002160 |
| Provider Name | Mikell N Rase |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487944542 PECOS PAC ID: 9133348303 Enrollment ID: I20140920000361 |
| Provider Name | Javaid A Malik |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1114985520 PECOS PAC ID: 0244120459 Enrollment ID: I20140930001768 |
| Provider Name | Tiffany A Kiley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386053544 PECOS PAC ID: 2961623632 Enrollment ID: I20141021002899 |
| Provider Name | Ryan D Nichols |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215378872 PECOS PAC ID: 1557582129 Enrollment ID: I20141023001273 |
| Provider Name | Keri A Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558779173 PECOS PAC ID: 8527289867 Enrollment ID: I20141029002476 |
| Provider Name | Kemmely H Hochstetler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992993638 PECOS PAC ID: 9133299209 Enrollment ID: I20141030002089 |
| Provider Name | Jason Trotter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679715551 PECOS PAC ID: 8820276124 Enrollment ID: I20141117000014 |
| Provider Name | Angela D Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235388968 PECOS PAC ID: 7315169786 Enrollment ID: I20141119001993 |
| Provider Name | Kristal S Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629271424 PECOS PAC ID: 5294057170 Enrollment ID: I20141203001832 |
| Provider Name | John R Radford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508884503 PECOS PAC ID: 0840512539 Enrollment ID: I20141208002423 |
| Provider Name | Samuel Albert Morgos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144364076 PECOS PAC ID: 5294764817 Enrollment ID: I20141215002067 |
| Provider Name | Jason Swords |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518364546 PECOS PAC ID: 7911220157 Enrollment ID: I20141219001533 |
| Provider Name | Brandon Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730584525 PECOS PAC ID: 4981927514 Enrollment ID: I20150106001214 |
| Provider Name | Valerie Decamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922413764 PECOS PAC ID: 8426373010 Enrollment ID: I20150202000369 |
| Provider Name | Cynthia D Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326441916 PECOS PAC ID: 0042535197 Enrollment ID: I20150211002053 |
| Provider Name | Annette R Smith |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1336171297 PECOS PAC ID: 1951393040 Enrollment ID: I20150218000682 |
| Provider Name | Dana N Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174913479 PECOS PAC ID: 8022334069 Enrollment ID: I20150310000790 |
| Provider Name | Udaya Shreesha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1093762213 PECOS PAC ID: 6204866163 Enrollment ID: I20150326002086 |
| Provider Name | Robert David Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114944683 PECOS PAC ID: 7810990827 Enrollment ID: I20150423002027 |
| Provider Name | Irina A Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245586866 PECOS PAC ID: 5496903767 Enrollment ID: I20150424001381 |
| Provider Name | Vickie L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376630384 PECOS PAC ID: 2264533017 Enrollment ID: I20150528000792 |
| Provider Name | Fred J Kahan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780616623 PECOS PAC ID: 3779477948 Enrollment ID: I20150530000078 |
| Provider Name | Diana E Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265837249 PECOS PAC ID: 9537480082 Enrollment ID: I20150609001233 |
| Provider Name | Kayla R Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689054314 PECOS PAC ID: 9931411790 Enrollment ID: I20150708000198 |
| Provider Name | Mohit Datta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720217102 PECOS PAC ID: 2961657176 Enrollment ID: I20150720003098 |
| Provider Name | Erika Isaacs |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457733750 PECOS PAC ID: 3577877091 Enrollment ID: I20150728005656 |
| Provider Name | Brandy Jo Branham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043697972 PECOS PAC ID: 7113231382 Enrollment ID: I20150731015742 |
| Provider Name | Allison Hamilton Bentley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902199268 PECOS PAC ID: 4587802012 Enrollment ID: I20150811003771 |
| Provider Name | Manaf Zaizafoun |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174787972 PECOS PAC ID: 2365516481 Enrollment ID: I20150812008390 |
| Provider Name | Jason Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932584869 PECOS PAC ID: 6709191158 Enrollment ID: I20150814013023 |
| Provider Name | Adham S Jammoul |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316247364 PECOS PAC ID: 3971818204 Enrollment ID: I20150817000784 |
| Provider Name | Cadee A Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063842490 PECOS PAC ID: 5799091898 Enrollment ID: I20150903002880 |
| Provider Name | Diana Maria Hursh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578539771 PECOS PAC ID: 2365439791 Enrollment ID: I20150908001598 |
| Provider Name | Kristie L Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962895524 PECOS PAC ID: 1759609191 Enrollment ID: I20150916001944 |
| Provider Name | Melissa M Beck |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1366811937 PECOS PAC ID: 8224347380 Enrollment ID: I20151013000204 |
| Provider Name | Rebecca R Kalb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265803878 PECOS PAC ID: 9931418274 Enrollment ID: I20151027002530 |
| Provider Name | Kimberly M Williams |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174996003 PECOS PAC ID: 3375843469 Enrollment ID: I20151120001806 |
| Provider Name | Kayla L Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366814428 PECOS PAC ID: 8628379047 Enrollment ID: I20151209000261 |
| Provider Name | Audrey Hull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679959126 PECOS PAC ID: 6608177100 Enrollment ID: I20151228001531 |
| Provider Name | Ashley E Wilkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497120539 PECOS PAC ID: 4688976095 Enrollment ID: I20151231000649 |
| Provider Name | James E Tate |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760474977 PECOS PAC ID: 7810942869 Enrollment ID: I20160104002471 |
| Provider Name | Eric C Rost |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407839103 PECOS PAC ID: 3779562632 Enrollment ID: I20160113002244 |
| Provider Name | Troy A Prather |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467441022 PECOS PAC ID: 7719912294 Enrollment ID: I20160203002704 |
| Provider Name | Stehanie J Cummings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285094664 PECOS PAC ID: 9739486739 Enrollment ID: I20160317002175 |
| Provider Name | Patrick K Amartey |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346211190 PECOS PAC ID: 7416941042 Enrollment ID: I20160411001798 |
| Provider Name | Michael L Purdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033573910 PECOS PAC ID: 3971802844 Enrollment ID: I20160427000704 |
| Provider Name | Nicholas Toppins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681487 PECOS PAC ID: 4385933639 Enrollment ID: I20160510001731 |
| Provider Name | James R Pacholka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255395646 PECOS PAC ID: 5294890190 Enrollment ID: I20160518002271 |
| Provider Name | John Collins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003830399 PECOS PAC ID: 4789640681 Enrollment ID: I20160525000603 |
| Provider Name | Jeremiah T Martin |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1235310707 PECOS PAC ID: 6002072394 Enrollment ID: I20160526001808 |
| Provider Name | Arrika J Mains |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194081109 PECOS PAC ID: 1456641117 Enrollment ID: I20160608001401 |
| Provider Name | Sherry L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801236815 PECOS PAC ID: 6901048586 Enrollment ID: I20160706001040 |
| Provider Name | Ziad Alsokary |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972772184 PECOS PAC ID: 7810076403 Enrollment ID: I20160823003224 |
| Provider Name | Mario Christianto |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457611337 PECOS PAC ID: 5294968160 Enrollment ID: I20160915002721 |
| Provider Name | Dustin Johnson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033439492 PECOS PAC ID: 7012104763 Enrollment ID: I20160928000467 |
| Provider Name | April Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801342548 PECOS PAC ID: 1254629199 Enrollment ID: I20161010002030 |
| Provider Name | Alexander J Barrow |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982051983 PECOS PAC ID: 8527346444 Enrollment ID: I20161027002581 |
| Provider Name | J Humberto H Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457432635 PECOS PAC ID: 5395633051 Enrollment ID: I20161101000467 |
| Provider Name | Novera Inam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215975354 PECOS PAC ID: 1557431996 Enrollment ID: I20161116002786 |
| Provider Name | Sree Latha Krishna Jadapalle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578820452 PECOS PAC ID: 3870873581 Enrollment ID: I20161214001390 |
| Provider Name | Kristin Nickles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588115828 PECOS PAC ID: 6800177254 Enrollment ID: I20161227001391 |
| Provider Name | Jay M Hamze |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356321442 PECOS PAC ID: 2163466095 Enrollment ID: I20161230001339 |
| Provider Name | George A Stephen |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1518064997 PECOS PAC ID: 7214991124 Enrollment ID: I20170112002959 |
| Provider Name | Gurkiran Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194967216 PECOS PAC ID: 9931425915 Enrollment ID: I20170209001602 |
| Provider Name | Daniel L Milam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265553655 PECOS PAC ID: 1951485077 Enrollment ID: I20170301000599 |
| Provider Name | Steven William Guyton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1154344307 PECOS PAC ID: 4587767819 Enrollment ID: I20170313001669 |
| Provider Name | Lloyd David Hubler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215986419 PECOS PAC ID: 3173414570 Enrollment ID: I20170313002350 |
| Provider Name | Holly C Hannon |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1801990197 PECOS PAC ID: 3072610765 Enrollment ID: I20170404001279 |
| Provider Name | Eric Steckler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972503514 PECOS PAC ID: 5698933794 Enrollment ID: I20170503001445 |
| Provider Name | Alton Dunlap |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1154723153 PECOS PAC ID: 9335464346 Enrollment ID: I20170628001821 |
| Provider Name | Michael Markow |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194091892 PECOS PAC ID: 1052607983 Enrollment ID: I20170710001372 |
| Provider Name | Joseph W Herrmann |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1740504885 PECOS PAC ID: 9931416906 Enrollment ID: I20170725001787 |
| Provider Name | Linda Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548783889 PECOS PAC ID: 7618248964 Enrollment ID: I20170803003217 |
| Provider Name | Caylee L Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629508981 PECOS PAC ID: 7911278197 Enrollment ID: I20170807000992 |
| Provider Name | Sarica Lillie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326568528 PECOS PAC ID: 3072884956 Enrollment ID: I20170810003694 |
| Provider Name | Andrew Dittenhofer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1174811764 PECOS PAC ID: 4688946106 Enrollment ID: I20170817004037 |
| Provider Name | Christopher G Belton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710920590 PECOS PAC ID: 7618974056 Enrollment ID: I20170914003323 |
| Provider Name | Nanda K Methuku |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1952596405 PECOS PAC ID: 7810062916 Enrollment ID: I20171004001185 |
| Provider Name | Amanda J Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639692759 PECOS PAC ID: 1254606916 Enrollment ID: I20171005000606 |
| Provider Name | Andrew Shaheen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871002030 PECOS PAC ID: 9739454968 Enrollment ID: I20171013001099 |
| Provider Name | David B Huang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1154325652 PECOS PAC ID: 4183519093 Enrollment ID: I20180103002114 |
| Provider Name | Andrew M Sopchak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164494969 PECOS PAC ID: 5991994634 Enrollment ID: I20180205001058 |
| Provider Name | Larika D Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093213613 PECOS PAC ID: 5395005250 Enrollment ID: I20180214001442 |
| Provider Name | Natalie R Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831588573 PECOS PAC ID: 8628367299 Enrollment ID: I20180216001606 |
| Provider Name | Thomas S Haas |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1821177973 PECOS PAC ID: 8820074222 Enrollment ID: I20180228002361 |
| Provider Name | Jade Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861901829 PECOS PAC ID: 7315208246 Enrollment ID: I20180309001051 |
| Provider Name | Justin Robert Stegman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467962886 PECOS PAC ID: 8426310046 Enrollment ID: I20180320000990 |
| Provider Name | D 'wan Carpenter |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1447518386 PECOS PAC ID: 7911210927 Enrollment ID: I20180326000374 |
| Provider Name | Ikbal Alkhafaji |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851418164 PECOS PAC ID: 9335402296 Enrollment ID: I20180406001450 |
| Provider Name | James Andrew Eads |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659434710 PECOS PAC ID: 6103873963 Enrollment ID: I20180604001497 |
| Provider Name | Clara E Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922599711 PECOS PAC ID: 1557616877 Enrollment ID: I20180608001750 |
| Provider Name | Briana D Otworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265932008 PECOS PAC ID: 6103173463 Enrollment ID: I20180718002801 |
| Provider Name | Ray A Ervin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851893 PECOS PAC ID: 0446519003 Enrollment ID: I20180827001938 |
| Provider Name | Denise M Duffy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194219949 PECOS PAC ID: 8921358409 Enrollment ID: I20180904001888 |
| Provider Name | Elaine Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912965864 PECOS PAC ID: 4789622358 Enrollment ID: I20180924002064 |
| Provider Name | James Milton Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700974177 PECOS PAC ID: 2466415872 Enrollment ID: I20180927001788 |
| Provider Name | Yousef K Kaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194012112 PECOS PAC ID: 8224258744 Enrollment ID: I20181026000389 |
| Provider Name | Gary L Eddy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508825324 PECOS PAC ID: 1951384544 Enrollment ID: I20190109003297 |
| Provider Name | Laura F Sova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780917898 PECOS PAC ID: 0547415473 Enrollment ID: I20190114002224 |
| Provider Name | Joseph A Wapenski |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1487654281 PECOS PAC ID: 1153229463 Enrollment ID: I20190214001619 |
| Provider Name | Sanjiv M Kaul |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588659247 PECOS PAC ID: 0345383139 Enrollment ID: I20190221001897 |
| Provider Name | Brittany Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114491461 PECOS PAC ID: 7517206782 Enrollment ID: I20190306000089 |
| Provider Name | Traci Swingler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548725773 PECOS PAC ID: 7517207350 Enrollment ID: I20190314001075 |
| Provider Name | Sara E Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417413279 PECOS PAC ID: 2769722537 Enrollment ID: I20190314002104 |
| Provider Name | Philip A Witek |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1639584402 PECOS PAC ID: 8426311127 Enrollment ID: I20190318000728 |
| Provider Name | Cheryl A Dahlstroem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619480027 PECOS PAC ID: 9436418928 Enrollment ID: I20190320003344 |
| Provider Name | Adam Evans |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1053748822 PECOS PAC ID: 0446573943 Enrollment ID: I20190520002612 |
| Provider Name | Sona K Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083667695 PECOS PAC ID: 6507878477 Enrollment ID: I20190522001051 |
| Provider Name | Tara R. Applegate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447611652 PECOS PAC ID: 8820397391 Enrollment ID: I20190524002345 |
| Provider Name | Jami Michelle Lyon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083057178 PECOS PAC ID: 8325398704 Enrollment ID: I20190529002580 |
| Provider Name | Wilson Christian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932528296 PECOS PAC ID: 8022241157 Enrollment ID: I20190606000626 |
| Provider Name | Misty L Hawk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720543457 PECOS PAC ID: 1658604541 Enrollment ID: I20190607001596 |
| Provider Name | Yara D Nazzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477845584 PECOS PAC ID: 3173832995 Enrollment ID: I20190717003018 |
| Provider Name | David T Newman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1114589413 PECOS PAC ID: 9335476878 Enrollment ID: I20190807001112 |
| Provider Name | Dolores Contreras-urby |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356390744 PECOS PAC ID: 3577695022 Enrollment ID: I20190824000479 |
| Provider Name | Matthew Watson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720320658 PECOS PAC ID: 5890929020 Enrollment ID: I20190826003399 |
| Provider Name | Elizabeth A Bentley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740421130 PECOS PAC ID: 1355629536 Enrollment ID: I20190827002629 |
| Provider Name | Stacia Boyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528613346 PECOS PAC ID: 6800124918 Enrollment ID: I20190828001486 |
| Provider Name | John G Rutter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891709549 PECOS PAC ID: 9638171515 Enrollment ID: I20190905002700 |
| Provider Name | Adam Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245888734 PECOS PAC ID: 5496085631 Enrollment ID: I20191001001961 |
| Provider Name | Natosha L Staggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629535190 PECOS PAC ID: 7911238258 Enrollment ID: I20191017000515 |
| Provider Name | Cindi Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205313574 PECOS PAC ID: 1052218799 Enrollment ID: I20191023002280 |
| Provider Name | Jackie Pierson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447808936 PECOS PAC ID: 4486986973 Enrollment ID: I20191104000099 |
| Provider Name | Wahid Rashidzada |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346416021 PECOS PAC ID: 0749334738 Enrollment ID: I20191212001617 |
| Provider Name | Stella A Ugboma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073574919 PECOS PAC ID: 6204735921 Enrollment ID: I20191218002236 |
| Provider Name | Brea D Boggs-cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437793692 PECOS PAC ID: 2961836754 Enrollment ID: I20200103000545 |
| Provider Name | Richard Jackson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932427218 PECOS PAC ID: 4880810282 Enrollment ID: I20200115002974 |
| Provider Name | Christopher C Wiler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699248575 PECOS PAC ID: 6608113634 Enrollment ID: I20200118000051 |
| Provider Name | Caleb Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528416427 PECOS PAC ID: 7416382148 Enrollment ID: I20200127001187 |
| Provider Name | Cynthia Napier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023454907 PECOS PAC ID: 6800038449 Enrollment ID: I20200221001054 |
| Provider Name | Matthew R Sloan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861674087 PECOS PAC ID: 7810074135 Enrollment ID: I20200422002921 |
| Provider Name | Daniel C Sufficool |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1083098669 PECOS PAC ID: 1456774629 Enrollment ID: I20200706003041 |
| Provider Name | Charles R Roberts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386262251 PECOS PAC ID: 1355766916 Enrollment ID: I20200730001587 |
| Provider Name | Vanessa L Wanjeri |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033564521 PECOS PAC ID: 1456777374 Enrollment ID: I20200821001284 |
| Provider Name | Deanna J Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083225031 PECOS PAC ID: 5698192227 Enrollment ID: I20200827003147 |
| Provider Name | Alisha M Wyscarver |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578094413 PECOS PAC ID: 6002187861 Enrollment ID: I20201013003091 |
| Provider Name | Holly L Travis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871195305 PECOS PAC ID: 6305258625 Enrollment ID: I20201210000875 |
| Provider Name | Courtney Elaine Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497351993 PECOS PAC ID: 5294148417 Enrollment ID: I20210107002446 |
| Provider Name | Kendall L Stewart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215014550 PECOS PAC ID: 8921902503 Enrollment ID: I20210301002737 |
| Provider Name | Shad T Ruby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700476900 PECOS PAC ID: 0244254175 Enrollment ID: I20210304001294 |
| Provider Name | Kayla M Tackett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013502798 PECOS PAC ID: 3072920545 Enrollment ID: I20210329002550 |
| Provider Name | Derek A Lawhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952932642 PECOS PAC ID: 2567871684 Enrollment ID: I20210430002096 |
| Provider Name | Luke T Porginski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417547506 PECOS PAC ID: 5799194692 Enrollment ID: I20210505002083 |
| Provider Name | Scott Edward Kauffman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437146842 PECOS PAC ID: 0345272241 Enrollment ID: I20210507000826 |
| Provider Name | Kelsey Louise Potter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619597010 PECOS PAC ID: 1456750702 Enrollment ID: I20210519000820 |
| Provider Name | William C Ferguson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841866415 PECOS PAC ID: 1951702422 Enrollment ID: I20210622003082 |
| Provider Name | Francis Joseph Moorhead |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1255445664 PECOS PAC ID: 3173411659 Enrollment ID: I20210624003543 |
| Provider Name | Phu S Le |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073046371 PECOS PAC ID: 0244577625 Enrollment ID: I20210714002625 |
| Provider Name | Jenny R White |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063866606 PECOS PAC ID: 0941606107 Enrollment ID: I20210914000548 |
| Provider Name | Timothy J Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932722659 PECOS PAC ID: 6103249362 Enrollment ID: I20211112000539 |
| Provider Name | Samantha Lore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851057350 PECOS PAC ID: 6002206331 Enrollment ID: I20211201000481 |
| Provider Name | Rebecca Jo Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821518655 PECOS PAC ID: 6002230422 Enrollment ID: I20220125001989 |
| Provider Name | Pamela P Clegg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1922091859 PECOS PAC ID: 4789787490 Enrollment ID: I20220218000012 |
| Provider Name | Ashley L Risner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831840990 PECOS PAC ID: 6709270515 Enrollment ID: I20220221001777 |
| Provider Name | Madison L Wiseman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477206522 PECOS PAC ID: 7315331121 Enrollment ID: I20220221001919 |
| Provider Name | Khanh T Vu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538425947 PECOS PAC ID: 3678797875 Enrollment ID: I20220309001628 |
| Provider Name | Tatiana Vasylievna Barsukova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1093974057 PECOS PAC ID: 5496935710 Enrollment ID: I20220310000627 |
| Provider Name | Carole Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770160194 PECOS PAC ID: 5799181475 Enrollment ID: I20220318000104 |
| Provider Name | Denise Francois |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720048598 PECOS PAC ID: 2466501036 Enrollment ID: I20220504002426 |
| Provider Name | Blake Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912674151 PECOS PAC ID: 1355720806 Enrollment ID: I20220614001509 |
| Provider Name | Lawrence Ingber |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841326782 PECOS PAC ID: 3779682687 Enrollment ID: I20220620001033 |
| Provider Name | Paul Crutchfield |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1710982103 PECOS PAC ID: 3577460088 Enrollment ID: I20220621001811 |
| Provider Name | April Dawn Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326337494 PECOS PAC ID: 1557764156 Enrollment ID: I20220630000256 |
| Provider Name | Charles Stephen Woolums |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699772665 PECOS PAC ID: 4183638323 Enrollment ID: I20220721001117 |
| Provider Name | Jason B Crabtree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063173771 PECOS PAC ID: 0547641615 Enrollment ID: I20220722002182 |
| Provider Name | Bahig Shehata |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932167624 PECOS PAC ID: 7113051830 Enrollment ID: I20220816003034 |
| Provider Name | Joseph L Sailors |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861461311 PECOS PAC ID: 5597828848 Enrollment ID: I20220830000517 |
| Provider Name | Lorine M Lagatta |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588722201 PECOS PAC ID: 4284987942 Enrollment ID: I20220908000647 |
| Provider Name | Paul Richard Ramey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598320129 PECOS PAC ID: 9436485778 Enrollment ID: I20221006000341 |
| Provider Name | Jeffrey July |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558004994 PECOS PAC ID: 2466828538 Enrollment ID: I20221013002931 |
| Provider Name | Tori Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700508769 PECOS PAC ID: 3274909155 Enrollment ID: I20221018000888 |
| Provider Name | Jordyn N Thiel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568997211 PECOS PAC ID: 8123495470 Enrollment ID: I20221031000914 |
| Provider Name | Jasmine P Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437874278 PECOS PAC ID: 8820465636 Enrollment ID: I20221108002779 |
| Provider Name | John M Sheldon |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1467415646 PECOS PAC ID: 8527017904 Enrollment ID: I20221108003592 |
| Provider Name | Andrew O'halloran |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1740713775 PECOS PAC ID: 4082982137 Enrollment ID: I20221123000319 |
| Provider Name | Courtney Marie Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649995994 PECOS PAC ID: 8224406111 Enrollment ID: I20221128000676 |
| Provider Name | Ashley N Crace-speas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902544414 PECOS PAC ID: 9335518133 Enrollment ID: I20221219001139 |
| Provider Name | Harlan I Rumjahn |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1063570232 PECOS PAC ID: 7911377007 Enrollment ID: I20230106000330 |
| Provider Name | Bradley J Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417669391 PECOS PAC ID: 0648641084 Enrollment ID: I20230124000555 |
| Provider Name | Essam Kazmouz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1851551162 PECOS PAC ID: 1456411099 Enrollment ID: I20230131002537 |
| Provider Name | Umera Paracha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558717850 PECOS PAC ID: 2163810680 Enrollment ID: I20230209001611 |
| Provider Name | Brian J Robertson-dick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1033452453 PECOS PAC ID: 9133419021 Enrollment ID: I20230217000570 |
| Provider Name | Matthew A Penix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487352076 PECOS PAC ID: 5496128563 Enrollment ID: I20230310001905 |
| Provider Name | Lene R Oglesby |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518075647 PECOS PAC ID: 8022119312 Enrollment ID: I20230313001776 |
| Provider Name | Kenneth G Fortress |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1487650180 PECOS PAC ID: 3173705753 Enrollment ID: I20230405002515 |
| Provider Name | Anirudh Gupta |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306259668 PECOS PAC ID: 8628484946 Enrollment ID: I20230503003112 |
| Provider Name | Heidi J Eizman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225799091 PECOS PAC ID: 9436516689 Enrollment ID: I20230605000673 |
| Provider Name | Larry Zhao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1700012689 PECOS PAC ID: 7416262621 Enrollment ID: I20230620000457 |
| Provider Name | Elizabeth Mathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003206046 PECOS PAC ID: 5395062251 Enrollment ID: I20230711001883 |
| Provider Name | Timothy Jacob Burton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053919779 PECOS PAC ID: 5799196465 Enrollment ID: I20230731000840 |
| Provider Name | Hans H Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1750885687 PECOS PAC ID: 1254681448 Enrollment ID: I20230811002245 |
| Provider Name | Kriti Kalra Sehgal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1184065336 PECOS PAC ID: 4880822204 Enrollment ID: I20230919000992 |
| Provider Name | Amy L Mason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497367593 PECOS PAC ID: 5193139384 Enrollment ID: I20230922000915 |
| Provider Name | Yaoxian Ding |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427033943 PECOS PAC ID: 5698706489 Enrollment ID: I20231005000298 |
| Provider Name | Kimberly R Kelley Harper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265413272 PECOS PAC ID: 8921900366 Enrollment ID: I20231016003200 |
| Provider Name | Katherine D Redmond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669038956 PECOS PAC ID: 9436504958 Enrollment ID: I20231018001083 |
| Provider Name | Laura Molina |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215577309 PECOS PAC ID: 1759717515 Enrollment ID: I20240126001959 |
| Provider Name | James Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598161184 PECOS PAC ID: 5496070773 Enrollment ID: I20240215003928 |
| Provider Name | Nevine Hanna |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205170982 PECOS PAC ID: 9537471495 Enrollment ID: I20240301002695 |
Spectrumcare, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 Gallia St, Portsmouth, OH 45662 Phone: 740-981-3176 | |
Port45 Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1907 11th St, Portsmouth, OH 45662 Phone: 740-529-7356 | |
Scioto Family And Behavioral Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4502 Gallia St, Portsmouth, OH 45662 Phone: 740-529-7020 Fax: 740-529-7085 | |
Path Integrated Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 Gallia St, Portsmouth, OH 45662 Phone: 740-529-2125 Fax: 740-529-2126 | |
Shawnee Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 Washington St, Portsmouth, OH 45662 Phone: 740-354-7702 Fax: 740-353-1662 | |
Piece By Piece Learning Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 Harding Ave, Portsmouth, OH 45662 Phone: 740-250-4077 | |
Southern Ohio Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-353-1105 |