| St. Elizabeth Physicians Behavioral Health | |
|
1360 Dolwick Drive Erlanger KY 41018-3127 | |
| (859) 344-5555 | |
| (859) 344-5552 |
| Full Name | St. Elizabeth Physicians Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1360 Dolwick Drive, Erlanger, Kentucky |
| Authorized Official Name and Position | Maria Rankin (AVP- REVENUE CYCLE) |
| Authorized Official Contact | 8593445555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Elizabeth Physicians Behavioral Health 1360 Dolwick Drive Erlanger KY 41018-3127 Ph: (859) 344-5555 | St. Elizabeth Physicians Behavioral Health 1360 Dolwick Drive Erlanger KY 41018-3127 Ph: (859) 344-5555 |
| NPI Number | 1508287640 |
|---|---|
| Provider Enumeration Date | 12/16/2013 |
| Last Update Date | 07/01/2020 |
| Certification Date | 07/01/2020 |
| Medicare PECOS PAC ID | 2163326240 |
|---|---|
| Medicare Enrollment ID | O20040403000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508287640 | NPI | - | NPPES |
| Provider Name | Steven Lawrence Langdon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760451058 PECOS PAC ID: 6002715604 Enrollment ID: I20040902000093 |
| Provider Name | Stephan Kraeling |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1366411308 PECOS PAC ID: 1951361104 Enrollment ID: I20041013000279 |
| Provider Name | Eugene Groysman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902897648 PECOS PAC ID: 0042265282 Enrollment ID: I20050321000573 |
| Provider Name | Leslie H Glick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558339606 PECOS PAC ID: 3375581366 Enrollment ID: I20050420000757 |
| Provider Name | Carol Ann Montjoy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962470146 PECOS PAC ID: 4082652789 Enrollment ID: I20050422000494 |
| Provider Name | Amy M Hummel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821291758 PECOS PAC ID: 1850336603 Enrollment ID: I20050622001243 |
| Provider Name | Michael K Dragan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053370791 PECOS PAC ID: 2062319379 Enrollment ID: I20050624000853 |
| Provider Name | Charles R Claydon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003884156 PECOS PAC ID: 9133164445 Enrollment ID: I20050627000638 |
| Provider Name | Mark Richard Mcandrew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1740281674 PECOS PAC ID: 6204850530 Enrollment ID: I20060125000440 |
| Provider Name | Michael Edward Mcandrew |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730180530 PECOS PAC ID: 3375567613 Enrollment ID: I20060125000466 |
| Provider Name | Ira Younger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194898692 PECOS PAC ID: 9234143777 Enrollment ID: I20060203000321 |
| Provider Name | Lisa J Arrasmith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437159936 PECOS PAC ID: 8820038664 Enrollment ID: I20060706000388 |
| Provider Name | Jennifer A Sampang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396745899 PECOS PAC ID: 2567430572 Enrollment ID: I20061205000365 |
| Provider Name | Aleah P Gibson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780792903 PECOS PAC ID: 8921000928 Enrollment ID: I20070205000094 |
| Provider Name | Radu Zidarescu |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1073582094 PECOS PAC ID: 2961504188 Enrollment ID: I20070219000507 |
| Provider Name | Alvaro A Ryes |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841256070 PECOS PAC ID: 4981501723 Enrollment ID: I20070316000359 |
| Provider Name | Anthony W Alvarez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407856057 PECOS PAC ID: 5395840250 Enrollment ID: I20070420000449 |
| Provider Name | Neal J Moser |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295727618 PECOS PAC ID: 6103866686 Enrollment ID: I20070622000315 |
| Provider Name | Laura J Tibbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356310379 PECOS PAC ID: 0840389953 Enrollment ID: I20071127000648 |
| Provider Name | Jack Francis Freidel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487622551 PECOS PAC ID: 4284723826 Enrollment ID: I20071204000532 |
| Provider Name | Ronald Cheek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356458095 PECOS PAC ID: 1557333127 Enrollment ID: I20080218000628 |
| Provider Name | Raymond Keith Jarman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598720674 PECOS PAC ID: 8820147135 Enrollment ID: I20090515000367 |
| Provider Name | William C Willmott |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1447286455 PECOS PAC ID: 7012965726 Enrollment ID: I20090610000671 |
| Provider Name | Alma M Maric |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932289097 PECOS PAC ID: 3072663764 Enrollment ID: I20090618000573 |
| Provider Name | Jimmy D Swanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346363819 PECOS PAC ID: 6204982101 Enrollment ID: I20090917000647 |
| Provider Name | Thom Andrew Bunnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093754640 PECOS PAC ID: 5698708386 Enrollment ID: I20100405000474 |
| Provider Name | Daniel James Barkdoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154349744 PECOS PAC ID: 9537295068 Enrollment ID: I20100410000011 |
| Provider Name | Randall P Leduc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912053067 PECOS PAC ID: 7214060995 Enrollment ID: I20100802000494 |
| Provider Name | David W Dobbs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770501355 PECOS PAC ID: 2062541733 Enrollment ID: I20101122001322 |
| Provider Name | Carol M Lovins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275568107 PECOS PAC ID: 5799814463 Enrollment ID: I20101123000910 |
| Provider Name | Ashok Penmetsa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669471322 PECOS PAC ID: 9234122714 Enrollment ID: I20110408000227 |
| Provider Name | Anne C Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891832911 PECOS PAC ID: 2668646290 Enrollment ID: I20111117000156 |
| Provider Name | Veronica R Jensen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477750727 PECOS PAC ID: 1254591795 Enrollment ID: I20120321000248 |
| Provider Name | Darryl Dwaine Dias |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679576771 PECOS PAC ID: 0345231254 Enrollment ID: I20120530000102 |
| Provider Name | Jerome B Schutzman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1275536302 PECOS PAC ID: 8527168913 Enrollment ID: I20120601000063 |
| Provider Name | Mark K Jordan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922002252 PECOS PAC ID: 6800870957 Enrollment ID: I20120606000583 |
| Provider Name | Ai Ngoc Tran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316149412 PECOS PAC ID: 2365635844 Enrollment ID: I20121207000013 |
| Provider Name | James F Bardgett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972508869 PECOS PAC ID: 0042200065 Enrollment ID: I20130313000552 |
| Provider Name | Mazen Elyan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1104978048 PECOS PAC ID: 3173621620 Enrollment ID: I20131021001763 |
| Provider Name | Mary Anna Jansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972890481 PECOS PAC ID: 8628204807 Enrollment ID: I20131118000395 |
| Provider Name | Kimberly S Badinghaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801160601 PECOS PAC ID: 8628237575 Enrollment ID: I20140205001350 |
| Provider Name | Amy J. Works |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932492188 PECOS PAC ID: 8921238254 Enrollment ID: I20140305001406 |
| Provider Name | Alexis D Armour |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1174850598 PECOS PAC ID: 9335276997 Enrollment ID: I20140320002129 |
| Provider Name | Amanda Michelle Parker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1558775007 PECOS PAC ID: 5597989046 Enrollment ID: I20140624001434 |
| Provider Name | Christopher Walcott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386931137 PECOS PAC ID: 8527207786 Enrollment ID: I20140729001252 |
| Provider Name | Karrie L Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801167960 PECOS PAC ID: 4486872942 Enrollment ID: I20140825001282 |
| Provider Name | John E Loudermilk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780996918 PECOS PAC ID: 1658514450 Enrollment ID: I20141231000357 |
| Provider Name | Kelly M Kemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699003798 PECOS PAC ID: 3678616422 Enrollment ID: I20150413001207 |
| Provider Name | Anca Galesanu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639450596 PECOS PAC ID: 1951524628 Enrollment ID: I20150612000933 |
| Provider Name | Jalean Louise Heikenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093084774 PECOS PAC ID: 6507188661 Enrollment ID: I20150701002660 |
| Provider Name | Cameron Hamby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962881912 PECOS PAC ID: 5890007504 Enrollment ID: I20150709001434 |
| Provider Name | James Hahn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982993697 PECOS PAC ID: 1658684295 Enrollment ID: I20150724011674 |
| Provider Name | Stephen Schutzman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1407121601 PECOS PAC ID: 7416180203 Enrollment ID: I20150917001855 |
| Provider Name | Robert Otte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295798791 PECOS PAC ID: 1254238561 Enrollment ID: I20151019001000 |
| Provider Name | Arlene Shih |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710986104 PECOS PAC ID: 5395790414 Enrollment ID: I20160823000069 |
| Provider Name | Sheri Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497204846 PECOS PAC ID: 1254629777 Enrollment ID: I20161014001612 |
| Provider Name | Angela White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659829240 PECOS PAC ID: 4486942828 Enrollment ID: I20161018000915 |
| Provider Name | Suzanne Craig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730541525 PECOS PAC ID: 8729387246 Enrollment ID: I20161129000179 |
| Provider Name | Ashley M. Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578003596 PECOS PAC ID: 0941584379 Enrollment ID: I20170303000982 |
| Provider Name | Emily Schmaltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710420609 PECOS PAC ID: 5991081812 Enrollment ID: I20170407000964 |
| Provider Name | Carey Bertsch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1619119559 PECOS PAC ID: 8325203060 Enrollment ID: I20170508000830 |
| Provider Name | Steven Samuel Weber |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427300615 PECOS PAC ID: 5799054094 Enrollment ID: I20170629001860 |
| Provider Name | Kimberly Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952839961 PECOS PAC ID: 1153688569 Enrollment ID: I20171120001392 |
| Provider Name | Steve Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134538382 PECOS PAC ID: 5193082170 Enrollment ID: I20171129001661 |
| Provider Name | Heather Schuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689911422 PECOS PAC ID: 3173760568 Enrollment ID: I20180523002994 |
| Provider Name | Darren P Di Iulio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609075720 PECOS PAC ID: 5193819092 Enrollment ID: I20180530001889 |
| Provider Name | Lori A Catanzaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356545354 PECOS PAC ID: 7214069137 Enrollment ID: I20180601000161 |
| Provider Name | Afshan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942682471 PECOS PAC ID: 8325303720 Enrollment ID: I20180606002238 |
| Provider Name | Rosa B. Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033431135 PECOS PAC ID: 5799810842 Enrollment ID: I20180823003494 |
| Provider Name | Margie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932542974 PECOS PAC ID: 6800037748 Enrollment ID: I20180828003917 |
| Provider Name | Jonathan Kern Grainger |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861718157 PECOS PAC ID: 8921246307 Enrollment ID: I20180829001937 |
| Provider Name | Stephanie Dalton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043579766 PECOS PAC ID: 7012201379 Enrollment ID: I20180905003328 |
| Provider Name | Ty Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205037470 PECOS PAC ID: 3678653466 Enrollment ID: I20181003001868 |
| Provider Name | Christina Brockman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407834864 PECOS PAC ID: 5395798383 Enrollment ID: I20181017002901 |
| Provider Name | Suzanne Mary Kreger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124488713 PECOS PAC ID: 6507158391 Enrollment ID: I20181018001110 |
| Provider Name | Raymond K Pate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659692234 PECOS PAC ID: 1557518271 Enrollment ID: I20181018001111 |
| Provider Name | Rafid J Kakel |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1982961660 PECOS PAC ID: 2466691928 Enrollment ID: I20181018001279 |
| Provider Name | Oscar O Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952415788 PECOS PAC ID: 4880795301 Enrollment ID: I20181018001300 |
| Provider Name | Kathryn Moore Keathley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649642406 PECOS PAC ID: 7012227838 Enrollment ID: I20181018001331 |
| Provider Name | Jonathan Ray Varney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538262423 PECOS PAC ID: 3870689128 Enrollment ID: I20181018001393 |
| Provider Name | Matthew James Karas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932561719 PECOS PAC ID: 1355649179 Enrollment ID: I20181113000726 |
| Provider Name | Alyssa Kreider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750877023 PECOS PAC ID: 9931451176 Enrollment ID: I20181116001292 |
| Provider Name | Lance Martin Hoffman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1760758478 PECOS PAC ID: 0941448625 Enrollment ID: I20181210000157 |
| Provider Name | Wael E Eid |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013936517 PECOS PAC ID: 0446292395 Enrollment ID: I20181219003145 |
| Provider Name | Patricia Freidel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417282138 PECOS PAC ID: 7810145380 Enrollment ID: I20190226001063 |
| Provider Name | Rani L. Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497252878 PECOS PAC ID: 3678837697 Enrollment ID: I20190410002782 |
| Provider Name | Rachel Wagner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275066953 PECOS PAC ID: 1557648672 Enrollment ID: I20190411002185 |
| Provider Name | Amy N Reusch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861854648 PECOS PAC ID: 9537468079 Enrollment ID: I20190506001197 |
| Provider Name | Timothy Joseph Burroughs |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1245557735 PECOS PAC ID: 9830337997 Enrollment ID: I20190613002996 |
| Provider Name | Ryan Patrick Woods |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568616274 PECOS PAC ID: 0749477271 Enrollment ID: I20190727000384 |
| Provider Name | Melissa Mefford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629431499 PECOS PAC ID: 3577894716 Enrollment ID: I20191018001918 |
| Provider Name | Danielle Doll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568811560 PECOS PAC ID: 6204121213 Enrollment ID: I20200515000404 |
| Provider Name | Susanne Bodine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538417399 PECOS PAC ID: 1052561602 Enrollment ID: I20200608002357 |
| Provider Name | Amy Clark |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679001317 PECOS PAC ID: 9133495856 Enrollment ID: I20200710001563 |
| Provider Name | Heather Whitaker Chouteau |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093240111 PECOS PAC ID: 7911274519 Enrollment ID: I20200818003050 |
| Provider Name | Shreya Nayak |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144614025 PECOS PAC ID: 5395079255 Enrollment ID: I20200819002740 |
| Provider Name | Basil Abu-el-haija |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1881825594 PECOS PAC ID: 9537383229 Enrollment ID: I20210108001981 |
| Provider Name | Melissa Mauser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962744292 PECOS PAC ID: 3678810231 Enrollment ID: I20210211001603 |
| Provider Name | Balaji Kalyanaraman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053573659 PECOS PAC ID: 2163662644 Enrollment ID: I20210329000899 |
| Provider Name | Darek Sanford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932442175 PECOS PAC ID: 8628219946 Enrollment ID: I20210503000729 |
| Provider Name | Abiodun Olayinka Ishola |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1629360961 PECOS PAC ID: 9436390192 Enrollment ID: I20210503000768 |
| Provider Name | Saadeddine Dughman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265642193 PECOS PAC ID: 5496902678 Enrollment ID: I20210503000823 |
| Provider Name | Yancey R. Holmes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932177235 PECOS PAC ID: 6002805710 Enrollment ID: I20210503000830 |
| Provider Name | Katharine H Dalton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194189597 PECOS PAC ID: 1759680044 Enrollment ID: I20210510001071 |
| Provider Name | Robert Toltzis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265480677 PECOS PAC ID: 9335173491 Enrollment ID: I20210524001077 |
| Provider Name | Katie Gruen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568903458 PECOS PAC ID: 1355616863 Enrollment ID: I20210604000736 |
| Provider Name | Sonia R Chopra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1598927345 PECOS PAC ID: 2961658984 Enrollment ID: I20210607001194 |
| Provider Name | Kevin P Fitzgerald |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942329370 PECOS PAC ID: 5395814149 Enrollment ID: I20210607001251 |
| Provider Name | Robert J Strickmeyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184621179 PECOS PAC ID: 7012998941 Enrollment ID: I20210618001038 |
| Provider Name | Noah Allen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992095038 PECOS PAC ID: 4587804307 Enrollment ID: I20210618002082 |
| Provider Name | Caroline Elmer-lyon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003182270 PECOS PAC ID: 1254624158 Enrollment ID: I20210702002223 |
| Provider Name | Steve Chausse |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083008346 PECOS PAC ID: 1850683848 Enrollment ID: I20210712003859 |
| Provider Name | Bradley Schulte |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1508229543 PECOS PAC ID: 0446654792 Enrollment ID: I20210809001055 |
| Provider Name | Latonya Brown-puryear |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1790767515 PECOS PAC ID: 3779502786 Enrollment ID: I20210811002046 |
| Provider Name | Lauren Roth |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1164657730 PECOS PAC ID: 5991961088 Enrollment ID: I20210909001813 |
| Provider Name | Steven Campbell |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861768988 PECOS PAC ID: 8123269461 Enrollment ID: I20210920001900 |
| Provider Name | Susan Holden Oakley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982894721 PECOS PAC ID: 8628292265 Enrollment ID: I20210920002005 |
| Provider Name | Grant Hamilton Breazeale |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922119122 PECOS PAC ID: 6204838105 Enrollment ID: I20210921000295 |
| Provider Name | Alhasan Haitham Sedeeq |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972910834 PECOS PAC ID: 7113228909 Enrollment ID: I20210923001712 |
| Provider Name | Daniel Zalkind |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538315700 PECOS PAC ID: 6305080573 Enrollment ID: I20210930000377 |
| Provider Name | Damodhar Suresh |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356348346 PECOS PAC ID: 6406743822 Enrollment ID: I20211008000202 |
| Provider Name | Abraham Tacang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1336403914 PECOS PAC ID: 2567766488 Enrollment ID: I20211019002510 |
| Provider Name | Jacqueline Hammons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326545559 PECOS PAC ID: 5294153995 Enrollment ID: I20211026000129 |
| Provider Name | Kevin Connelly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740204809 PECOS PAC ID: 2567468721 Enrollment ID: I20211026002557 |
| Provider Name | Kevin Goetz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508821737 PECOS PAC ID: 4183635618 Enrollment ID: I20211112000751 |
| Provider Name | Chanti Flanagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386846053 PECOS PAC ID: 5991896367 Enrollment ID: I20211112001590 |
| Provider Name | Isaiah Fry |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144658162 PECOS PAC ID: 2668761792 Enrollment ID: I20211119002005 |
| Provider Name | Brandon Cowan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003212630 PECOS PAC ID: 7113207101 Enrollment ID: I20211124000989 |
| Provider Name | Kevin Martin |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1801888219 PECOS PAC ID: 5698673077 Enrollment ID: I20211129000613 |
| Provider Name | Ephese Moise |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912298076 PECOS PAC ID: 6709041460 Enrollment ID: I20211201003166 |
| Provider Name | Laura Trice |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1154340453 PECOS PAC ID: 1153226865 Enrollment ID: I20211217001079 |
| Provider Name | Ned Mehlman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093712283 PECOS PAC ID: 2466349873 Enrollment ID: I20211222001733 |
| Provider Name | Nikki Bonhaus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194187641 PECOS PAC ID: 6305138686 Enrollment ID: I20220104000920 |
| Provider Name | Lauren Shiaoling Pan Harper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952765547 PECOS PAC ID: 4183915911 Enrollment ID: I20220216001737 |
| Provider Name | Milissa Terrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508285859 PECOS PAC ID: 3870988751 Enrollment ID: I20220310001771 |
| Provider Name | Natalie Melnyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790141950 PECOS PAC ID: 0840578019 Enrollment ID: I20220317000942 |
| Provider Name | Heather Columber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265836563 PECOS PAC ID: 8123347275 Enrollment ID: I20220324000735 |
| Provider Name | Jennifer Lynn White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104167360 PECOS PAC ID: 3274852827 Enrollment ID: I20220324000977 |
| Provider Name | Manford Wright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003920042 PECOS PAC ID: 8921038472 Enrollment ID: I20220330000148 |
| Provider Name | Ashok Pratap Jarkani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427171081 PECOS PAC ID: 7911098587 Enrollment ID: I20220414001333 |
| Provider Name | Kimberly Ann Cooper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386050524 PECOS PAC ID: 0749552180 Enrollment ID: I20220520001080 |
| Provider Name | Suzanne Elizabeth Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457967978 PECOS PAC ID: 7113337254 Enrollment ID: I20220524002926 |
| Provider Name | Jennifer Rae Paisley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689990558 PECOS PAC ID: 3870715675 Enrollment ID: I20220601002547 |
| Provider Name | Elizabeth P Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902558950 PECOS PAC ID: 3173919479 Enrollment ID: I20220616001511 |
| Provider Name | Arvin Asim Demetria Ejaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659533008 PECOS PAC ID: 9234369729 Enrollment ID: I20220622001687 |
| Provider Name | Brenda Sis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215583935 PECOS PAC ID: 6608095559 Enrollment ID: I20220624000677 |
| Provider Name | Douglas Howard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225471790 PECOS PAC ID: 2466721519 Enrollment ID: I20220705001510 |
| Provider Name | Dhanunjay Sarma Boyalakuntla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134785603 PECOS PAC ID: 2365772654 Enrollment ID: I20220708001092 |
| Provider Name | Harjodh Singh Dhillon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114587581 PECOS PAC ID: 6800276775 Enrollment ID: I20220708003350 |
| Provider Name | Sheila R. Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477297380 PECOS PAC ID: 1951782978 Enrollment ID: I20220721001192 |
| Provider Name | Adrian A Acosta |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609436070 PECOS PAC ID: 5496136285 Enrollment ID: I20220726001432 |
| Provider Name | Kodie Lee Stone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154981520 PECOS PAC ID: 5496137093 Enrollment ID: I20220728003130 |
| Provider Name | Cruff Renard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609154137 PECOS PAC ID: 8022255637 Enrollment ID: I20220802003409 |
| Provider Name | Anegundi Nagendra |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1174688683 PECOS PAC ID: 1658467816 Enrollment ID: I20220803000168 |
| Provider Name | William Travis Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750899142 PECOS PAC ID: 0648533281 Enrollment ID: I20220906000185 |
| Provider Name | Erica Renee Pivato |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427443480 PECOS PAC ID: 1951601434 Enrollment ID: I20220907002155 |
| Provider Name | Benjamin Evans Peterson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922341015 PECOS PAC ID: 9335497924 Enrollment ID: I20220908002264 |
| Provider Name | David H Kim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1366485716 PECOS PAC ID: 5890780720 Enrollment ID: I20220908003053 |
| Provider Name | Anusha Shanbhag |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205219516 PECOS PAC ID: 0648586974 Enrollment ID: I20220910000493 |
| Provider Name | Brianne N. Runyan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386171908 PECOS PAC ID: 4082090840 Enrollment ID: I20220930001618 |
| Provider Name | Edward Henry Caldwell |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1164757951 PECOS PAC ID: 1850539842 Enrollment ID: I20221018002477 |
| Provider Name | Akash Vasireddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1770891590 PECOS PAC ID: 0941508634 Enrollment ID: I20221021000346 |
| Provider Name | John Webb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891762563 PECOS PAC ID: 6800083189 Enrollment ID: I20221026001110 |
| Provider Name | James Muth |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750586483 PECOS PAC ID: 9436212131 Enrollment ID: I20221114000412 |
| Provider Name | Katelyn Dolbec |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518310697 PECOS PAC ID: 9638443724 Enrollment ID: I20221116001701 |
| Provider Name | Jacques Feres Alexis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467854521 PECOS PAC ID: 8921321084 Enrollment ID: I20221212000651 |
| Provider Name | Gregory Leo Salzman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821095456 PECOS PAC ID: 8729121272 Enrollment ID: I20230113002021 |
| Provider Name | Joshua Taylor Napier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881124782 PECOS PAC ID: 1153672431 Enrollment ID: I20230118001155 |
| Provider Name | Sharon Walsh-hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174249924 PECOS PAC ID: 3678944717 Enrollment ID: I20230127000469 |
| Provider Name | David Michael Banks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114980521 PECOS PAC ID: 4880591197 Enrollment ID: I20230222000345 |
| Provider Name | Meredith Himmler Donnelly |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790961753 PECOS PAC ID: 7416021670 Enrollment ID: I20230302000194 |
| Provider Name | Monica Ashcraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306362496 PECOS PAC ID: 5991078107 Enrollment ID: I20230418002323 |
| Provider Name | Richard Jamie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104343235 PECOS PAC ID: 1850664988 Enrollment ID: I20230420002967 |
| Provider Name | Stephanie Liette |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780171637 PECOS PAC ID: 2961818018 Enrollment ID: I20230421002438 |
| Provider Name | Mackenzie Lyn Bacovin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073243754 PECOS PAC ID: 0840655627 Enrollment ID: I20230501000554 |
| Provider Name | Johnson Preetham Britto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1659513216 PECOS PAC ID: 3173834751 Enrollment ID: I20230509000625 |
| Provider Name | Kayla Schuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275183170 PECOS PAC ID: 4183956717 Enrollment ID: I20230516000171 |
| Provider Name | Brendan Collins |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720442411 PECOS PAC ID: 7618257759 Enrollment ID: I20230718001588 |
| Provider Name | Calyn Crawford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326508243 PECOS PAC ID: 0547596769 Enrollment ID: I20230728000490 |
| Provider Name | Teresa Lynne Koeller |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1457399917 PECOS PAC ID: 3173577012 Enrollment ID: I20230801004138 |
| Provider Name | Rebecca L Jilek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740610807 PECOS PAC ID: 8729035290 Enrollment ID: I20230807003073 |
| Provider Name | Jason Richard Ballengee |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1164957114 PECOS PAC ID: 5799057089 Enrollment ID: I20230815000195 |
| Provider Name | Adam Alvarez Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508481540 PECOS PAC ID: 6709248321 Enrollment ID: I20230815003971 |
| Provider Name | Jayne Marie Bodenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487925194 PECOS PAC ID: 1850559733 Enrollment ID: I20230823004101 |
| Provider Name | Grace A Lubbe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174274633 PECOS PAC ID: 9133514375 Enrollment ID: I20230825002781 |
| Provider Name | Jared Carson Yeggy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811516602 PECOS PAC ID: 9032518832 Enrollment ID: I20230901001166 |
| Provider Name | Barbara Marie Okafor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104302900 PECOS PAC ID: 9830552199 Enrollment ID: I20230905000472 |
| Provider Name | Jessica A. Bokelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760817142 PECOS PAC ID: 6507167962 Enrollment ID: I20230918003860 |
| Provider Name | Brandy Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417471103 PECOS PAC ID: 8426323122 Enrollment ID: I20230921000895 |
| Provider Name | Alexander H Hou |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396820809 PECOS PAC ID: 1355381385 Enrollment ID: I20230922003733 |
| Provider Name | Phalgoon A Shah |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821409319 PECOS PAC ID: 6507137312 Enrollment ID: I20231004003247 |
| Provider Name | Travis R Huffman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982135703 PECOS PAC ID: 4880944289 Enrollment ID: I20231013000931 |
| Provider Name | Hani Murad |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1982610069 PECOS PAC ID: 4880730357 Enrollment ID: I20231013003059 |
| Provider Name | Taylor Clayton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295239754 PECOS PAC ID: 1456752245 Enrollment ID: I20231020000213 |
| Provider Name | Olga Alexandrovna Melzer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740414283 PECOS PAC ID: 8820230220 Enrollment ID: I20231020002053 |
| Provider Name | Rupa Kumari Sharma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386887198 PECOS PAC ID: 0244531762 Enrollment ID: I20231030003104 |
| Provider Name | Jacob Christopher Bessler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801329131 PECOS PAC ID: 3173899176 Enrollment ID: I20231117000391 |
| Provider Name | Pratik Hemant Bhade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679076491 PECOS PAC ID: 4183078629 Enrollment ID: I20231204001029 |
| Provider Name | Patricia Guzman Rojas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164874160 PECOS PAC ID: 1456776806 Enrollment ID: I20231220003301 |
| Provider Name | Catherine A Steinkamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073399614 PECOS PAC ID: 6305293424 Enrollment ID: I20231226000477 |
| Provider Name | Andrew F Arthur |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1013970755 PECOS PAC ID: 3678924933 Enrollment ID: I20240111000209 |
| Provider Name | Donald T Hudak |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396709234 PECOS PAC ID: 1557337730 Enrollment ID: I20240124003437 |
| Provider Name | Emily Marie Fogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982262788 PECOS PAC ID: 4789912700 Enrollment ID: I20240125000350 |
| Provider Name | Jeffrey Craven |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184883951 PECOS PAC ID: 5890086201 Enrollment ID: I20240126002803 |
| Provider Name | Jeffrey Reichard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326045329 PECOS PAC ID: 3274570916 Enrollment ID: I20240205003422 |
| Provider Name | Keith Andrew Rosing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053722371 PECOS PAC ID: 5092017335 Enrollment ID: I20240207003466 |
| Provider Name | Vivekananda Adike |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689961278 PECOS PAC ID: 1254550908 Enrollment ID: I20240208000172 |
| Provider Name | Caron Harner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801106984 PECOS PAC ID: 0840458303 Enrollment ID: I20240209003490 |
| Provider Name | Ashley R Meadows |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700539418 PECOS PAC ID: 9133514847 Enrollment ID: I20240228002792 |
| Provider Name | Roger E Teller |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992747372 PECOS PAC ID: 5698874808 Enrollment ID: I20240306004151 |
| Provider Name | Kimberly A K Carhuatanta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003445958 PECOS PAC ID: 7517388226 Enrollment ID: I20240312001709 |
Goulet Counseling Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 495 Erlanger Rd, Suite 204, Erlanger, KY 41018 Phone: 859-342-6444 | |
Creative Therapeutic Connections Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3309 Dixie Hwy, Erlanger, KY 41018 Phone: 859-609-3893 | |
Bruce Snider Md Psc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 510 Graves Ave Ste 210, Erlanger, KY 41018 Phone: 859-341-5014 Fax: 859-341-5136 | |
Inner Pathways Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Erlanger Road, Erlanger, KY 41018 Phone: 859-342-6552 Fax: 859-342-6554 | |
Solutions In Living, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 510 Graves Ave Ste 206, Erlanger, KY 41018 Phone: 859-750-7804 Fax: 859-813-4389 | |
Suzanne M. James, Psy.d., Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 495 Erlanger Rd, Suite 204, Erlanger, KY 41018 Phone: 859-342-6444 Fax: 859-342-0999 | |
Connor And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Erlanger Rd, Erlanger, KY 41018 Phone: 859-341-5782 Fax: 859-341-5783 |