| St John Physicians Inc | |
|
1923 S Utica Ave Davis Tower 200 Tulsa OK 74104-6520 | |
| (918) 744-2345 | |
| Not Available |
| Full Name | St John Physicians Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1923 S Utica Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | William Weeks (VICE PRESIDENT) |
| Authorized Official Contact | 9184037055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St John Physicians Inc 1923 S Utica Ave Davis Tower 200 Tulsa OK 74104-6520 Ph: () - | St John Physicians Inc 1923 S Utica Ave Davis Tower 200 Tulsa OK 74104-6520 Ph: (918) 744-2345 |
| NPI Number | 1336194406 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 12/29/2016 |
| Medicare PECOS PAC ID | 2567366495 |
|---|---|
| Medicare Enrollment ID | O20031121000867 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336194406 | NPI | - | NPPES |
| Provider Name | Mark A Myers |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629075007 PECOS PAC ID: 9436056058 Enrollment ID: I20031215000320 |
| Provider Name | Shawn E Minor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366438715 PECOS PAC ID: 2668373374 Enrollment ID: I20040115001131 |
| Provider Name | Russell L Workman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831157973 PECOS PAC ID: 0244131522 Enrollment ID: I20040119000789 |
| Provider Name | Jeffrey S Alderman |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1356311757 PECOS PAC ID: 2860393972 Enrollment ID: I20040120000646 |
| Provider Name | James E Crutcher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740253129 PECOS PAC ID: 1254232259 Enrollment ID: I20040122000127 |
| Provider Name | Mary H Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174581193 PECOS PAC ID: 5496657298 Enrollment ID: I20040122000819 |
| Provider Name | Marvin Jin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679512974 PECOS PAC ID: 4082516414 Enrollment ID: I20040124000333 |
| Provider Name | Brennon Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073582821 PECOS PAC ID: 8426950866 Enrollment ID: I20040124000423 |
| Provider Name | Frank Demarco |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982672432 PECOS PAC ID: 3274426135 Enrollment ID: I20040204000730 |
| Provider Name | William Craig Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891759213 PECOS PAC ID: 1355235383 Enrollment ID: I20040211000420 |
| Provider Name | Desiree Ortiz-cruz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447355201 PECOS PAC ID: 4385538743 Enrollment ID: I20040216000501 |
| Provider Name | Guy Wayne Sneed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710975164 PECOS PAC ID: 5294621421 Enrollment ID: I20040225000396 |
| Provider Name | Charles C Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003887936 PECOS PAC ID: 7618864000 Enrollment ID: I20040301001037 |
| Provider Name | Loc K Ngo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215994751 PECOS PAC ID: 3375431851 Enrollment ID: I20040306000222 |
| Provider Name | Christopher J Lepak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952392185 PECOS PAC ID: 4789574484 Enrollment ID: I20040317000520 |
| Provider Name | Michael L Peaster |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1437137288 PECOS PAC ID: 3577557065 Enrollment ID: I20040408000791 |
| Provider Name | Steven A Smith |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1629057690 PECOS PAC ID: 6901899921 Enrollment ID: I20040415000348 |
| Provider Name | Marcella Strickland |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1174516447 PECOS PAC ID: 7214923762 Enrollment ID: I20040421001258 |
| Provider Name | Bruce Allen Barton |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194793505 PECOS PAC ID: 9931190196 Enrollment ID: I20040518001376 |
| Provider Name | Suzanne R Olive |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1679532170 PECOS PAC ID: 0345231320 Enrollment ID: I20040519000717 |
| Provider Name | Vishal Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295705663 PECOS PAC ID: 1254224785 Enrollment ID: I20040603001078 |
| Provider Name | Robert G Stone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598735649 PECOS PAC ID: 3173506409 Enrollment ID: I20040609000326 |
| Provider Name | David V Eakin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598726143 PECOS PAC ID: 9234114653 Enrollment ID: I20040621001113 |
| Provider Name | William M Woods |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831296219 PECOS PAC ID: 0648258327 Enrollment ID: I20040709000415 |
| Provider Name | Ashley Brooks Trombley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1467499319 PECOS PAC ID: 1951389451 Enrollment ID: I20040712000239 |
| Provider Name | Sameer A Oza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770691107 PECOS PAC ID: 7214916238 Enrollment ID: I20040714001138 |
| Provider Name | Mark A Milton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922023951 PECOS PAC ID: 3870572811 Enrollment ID: I20040714001281 |
| Provider Name | David Vance O Hara |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114981305 PECOS PAC ID: 7719966308 Enrollment ID: I20040716000857 |
| Provider Name | Chad A Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053341453 PECOS PAC ID: 6507856457 Enrollment ID: I20040716000894 |
| Provider Name | George Bruce Carrico |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871583625 PECOS PAC ID: 1658341201 Enrollment ID: I20040729001306 |
| Provider Name | Shawna K Mccalip |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326052697 PECOS PAC ID: 5698745164 Enrollment ID: I20040730000659 |
| Provider Name | Gerald F Pribil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376535294 PECOS PAC ID: 3678555372 Enrollment ID: I20040803001387 |
| Provider Name | Kristin L Wills |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710921929 PECOS PAC ID: 8325019185 Enrollment ID: I20040804001066 |
| Provider Name | Andrew C Mills |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497754261 PECOS PAC ID: 5698749323 Enrollment ID: I20040819001290 |
| Provider Name | Rodney Clingan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669433421 PECOS PAC ID: 2062486939 Enrollment ID: I20040825000970 |
| Provider Name | Karl E Markert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245217868 PECOS PAC ID: 2466427711 Enrollment ID: I20040831000015 |
| Provider Name | Melinda Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396737888 PECOS PAC ID: 6305757444 Enrollment ID: I20040831001174 |
| Provider Name | Graham D Chadd |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1588612220 PECOS PAC ID: 6204804164 Enrollment ID: I20040920000559 |
| Provider Name | Charles M Ogle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831198894 PECOS PAC ID: 4284547084 Enrollment ID: I20040922000082 |
| Provider Name | Mark Robertson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1962457697 PECOS PAC ID: 6305815952 Enrollment ID: I20040930000415 |
| Provider Name | Charles D Holland |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1144241704 PECOS PAC ID: 7214906866 Enrollment ID: I20040930000459 |
| Provider Name | Shon D Kendall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063402865 PECOS PAC ID: 1254395627 Enrollment ID: I20041116000176 |
| Provider Name | Samuel D Brown |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1356340087 PECOS PAC ID: 7315903614 Enrollment ID: I20041208000747 |
| Provider Name | Sheri Reinhard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306838248 PECOS PAC ID: 0941266126 Enrollment ID: I20041209000116 |
| Provider Name | Michael L Bumpus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932108792 PECOS PAC ID: 1850358680 Enrollment ID: I20041214000335 |
| Provider Name | James Priest |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780676619 PECOS PAC ID: 1759348428 Enrollment ID: I20041214000764 |
| Provider Name | William L Fesler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730171679 PECOS PAC ID: 8628035326 Enrollment ID: I20041214000996 |
| Provider Name | Thomas W Britt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497860654 PECOS PAC ID: 3072570266 Enrollment ID: I20041220000628 |
| Provider Name | William C Sanford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053494658 PECOS PAC ID: 7719937226 Enrollment ID: I20050124000038 |
| Provider Name | Christopher D Jenkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023089331 PECOS PAC ID: 4385697408 Enrollment ID: I20050301000184 |
| Provider Name | William E Wilkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023085503 PECOS PAC ID: 7517869225 Enrollment ID: I20050331001020 |
| Provider Name | James R Phillips |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942262290 PECOS PAC ID: 7113972753 Enrollment ID: I20050423000037 |
| Provider Name | Brooke A Belf-kohler |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1457490807 PECOS PAC ID: 5799730248 Enrollment ID: I20050519000266 |
| Provider Name | Simeon Jaggernauth |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1083667737 PECOS PAC ID: 7214996735 Enrollment ID: I20050601000664 |
| Provider Name | Frank L Frederick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588621247 PECOS PAC ID: 3476593567 Enrollment ID: I20050602001165 |
| Provider Name | Roger J Cotner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194705772 PECOS PAC ID: 1557308921 Enrollment ID: I20050607000803 |
| Provider Name | Jamal N Hyder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467413146 PECOS PAC ID: 7618910837 Enrollment ID: I20050608000213 |
| Provider Name | Joseph M Moore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104853142 PECOS PAC ID: 3678512266 Enrollment ID: I20050623000314 |
| Provider Name | Indira M Murr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508823048 PECOS PAC ID: 3779537196 Enrollment ID: I20050730000220 |
| Provider Name | John R Smithson |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669465811 PECOS PAC ID: 2961311741 Enrollment ID: I20050822001045 |
| Provider Name | Christopher Alan Lane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225063647 PECOS PAC ID: 8729023171 Enrollment ID: I20050822001136 |
| Provider Name | Darren Alan Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285603720 PECOS PAC ID: 2163468893 Enrollment ID: I20050824000192 |
| Provider Name | Jana L Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629063102 PECOS PAC ID: 2668417593 Enrollment ID: I20050824000300 |
| Provider Name | Stephen T Calvert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902875420 PECOS PAC ID: 9234175969 Enrollment ID: I20050830000817 |
| Provider Name | Gerald Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093779993 PECOS PAC ID: 9638105901 Enrollment ID: I20050831000510 |
| Provider Name | Bruce Baugher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174582605 PECOS PAC ID: 7214964568 Enrollment ID: I20051004000129 |
| Provider Name | Michael L Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447240031 PECOS PAC ID: 1557399151 Enrollment ID: I20051007000043 |
| Provider Name | Ronald E Woosley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790746493 PECOS PAC ID: 9234155342 Enrollment ID: I20051018001061 |
| Provider Name | Michael J Fogli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407827579 PECOS PAC ID: 0648253567 Enrollment ID: I20051024000150 |
| Provider Name | Lawrence Brotherton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144218322 PECOS PAC ID: 5294773685 Enrollment ID: I20051031000267 |
| Provider Name | Sidney Lawler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578524260 PECOS PAC ID: 7719911882 Enrollment ID: I20051114000862 |
| Provider Name | Joel Christopher Nunley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598708281 PECOS PAC ID: 6709819873 Enrollment ID: I20051213000350 |
| Provider Name | John Leslie Westhoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447222484 PECOS PAC ID: 9234150723 Enrollment ID: I20051230000008 |
| Provider Name | Thomas Kalapura |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1740258995 PECOS PAC ID: 7517980402 Enrollment ID: I20060105000883 |
| Provider Name | Robert C Haas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235161142 PECOS PAC ID: 1052209723 Enrollment ID: I20060214000083 |
| Provider Name | Matthew D Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760473995 PECOS PAC ID: 1153337092 Enrollment ID: I20060301000416 |
| Provider Name | Joe D Huddleston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447241641 PECOS PAC ID: 9133135098 Enrollment ID: I20060301000603 |
| Provider Name | Christopher L Place |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407827553 PECOS PAC ID: 7719993054 Enrollment ID: I20060306000395 |
| Provider Name | Craig Allen Kennedy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356332555 PECOS PAC ID: 0941219687 Enrollment ID: I20060407000445 |
| Provider Name | Thelma L Peery |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871543330 PECOS PAC ID: 7517943582 Enrollment ID: I20060418000002 |
| Provider Name | Rita S Westenhaver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639141724 PECOS PAC ID: 8123071586 Enrollment ID: I20060504000488 |
| Provider Name | Scott K Lucas |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1407843485 PECOS PAC ID: 8729090634 Enrollment ID: I20060614000211 |
| Provider Name | Kristy Sundene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124084470 PECOS PAC ID: 9537171921 Enrollment ID: I20060705000035 |
| Provider Name | John R Hendrix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750327581 PECOS PAC ID: 6800808296 Enrollment ID: I20060705000051 |
| Provider Name | William C Clark |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962455725 PECOS PAC ID: 4082621255 Enrollment ID: I20060712000261 |
| Provider Name | Gaurav Kumar |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1598796369 PECOS PAC ID: 5597778415 Enrollment ID: I20060727000039 |
| Provider Name | Jeffrey A Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356386528 PECOS PAC ID: 2668406935 Enrollment ID: I20060817000644 |
| Provider Name | Richard D Ranne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609829431 PECOS PAC ID: 0749283224 Enrollment ID: I20060830000154 |
| Provider Name | Barry R Eisen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881671261 PECOS PAC ID: 9133107055 Enrollment ID: I20060901000141 |
| Provider Name | Robert C Blankenship |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023043577 PECOS PAC ID: 9537163415 Enrollment ID: I20060907000258 |
| Provider Name | Thomas F Rapacki |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1467494047 PECOS PAC ID: 8628027406 Enrollment ID: I20060907000264 |
| Provider Name | Matthew L West |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508884313 PECOS PAC ID: 0749285716 Enrollment ID: I20060926000049 |
| Provider Name | Robert Cole Garrett |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1740215292 PECOS PAC ID: 9436154101 Enrollment ID: I20061019000116 |
| Provider Name | Francis Edward Peluso |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689661530 PECOS PAC ID: 7012985369 Enrollment ID: I20061129000227 |
| Provider Name | Robert G Niebergall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912975012 PECOS PAC ID: 4183623721 Enrollment ID: I20061209000030 |
| Provider Name | Martiann A Bohl-witchey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386652097 PECOS PAC ID: 9830198209 Enrollment ID: I20061212000485 |
| Provider Name | James V Rooks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841269792 PECOS PAC ID: 7012918915 Enrollment ID: I20070119000199 |
| Provider Name | Laurie W Flynn |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1316053994 PECOS PAC ID: 9335141555 Enrollment ID: I20070131000731 |
| Provider Name | Eric Woolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043231749 PECOS PAC ID: 5092713008 Enrollment ID: I20070212000693 |
| Provider Name | Mary Ann Miranda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972536597 PECOS PAC ID: 3870597222 Enrollment ID: I20070213000611 |
| Provider Name | Afsar Emery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255391009 PECOS PAC ID: 0840392866 Enrollment ID: I20070222000211 |
| Provider Name | Scott E Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396755708 PECOS PAC ID: 0547257826 Enrollment ID: I20070409000538 |
| Provider Name | Kathleen B Steelberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386786911 PECOS PAC ID: 0840395729 Enrollment ID: I20070421000047 |
| Provider Name | Vallory J Tramonte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790826485 PECOS PAC ID: 5991801540 Enrollment ID: I20070428000071 |
| Provider Name | Lloyd T Anderson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790823458 PECOS PAC ID: 9234235565 Enrollment ID: I20070503000288 |
| Provider Name | Andrea M Whittington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952442816 PECOS PAC ID: 3678670023 Enrollment ID: I20070518000179 |
| Provider Name | Jeffrey L Black |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700957990 PECOS PAC ID: 3678670700 Enrollment ID: I20070523000705 |
| Provider Name | Charles David Murr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750327060 PECOS PAC ID: 0446296164 Enrollment ID: I20070524000403 |
| Provider Name | Mitchell W Duininck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023088440 PECOS PAC ID: 8022115120 Enrollment ID: I20070524000571 |
| Provider Name | Teresa L Burnett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932136751 PECOS PAC ID: 9335247220 Enrollment ID: I20070530000386 |
| Provider Name | Charles D Knife Chief |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760405740 PECOS PAC ID: 9638134240 Enrollment ID: I20070710000412 |
| Provider Name | Anna Wanahita |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073650537 PECOS PAC ID: 7214037860 Enrollment ID: I20070711000514 |
| Provider Name | James T Phoenix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649311309 PECOS PAC ID: 1557462546 Enrollment ID: I20070720000234 |
| Provider Name | Joshua T Calvert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992814909 PECOS PAC ID: 2163402538 Enrollment ID: I20070720000397 |
| Provider Name | Christopher T Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396806535 PECOS PAC ID: 2365543386 Enrollment ID: I20070720000531 |
| Provider Name | Angela J Finney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326004011 PECOS PAC ID: 1658381132 Enrollment ID: I20070720000607 |
| Provider Name | Richard D Kacere |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942396338 PECOS PAC ID: 1254338221 Enrollment ID: I20070724000116 |
| Provider Name | Jay L Bryngelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487638094 PECOS PAC ID: 6901907427 Enrollment ID: I20070726000822 |
| Provider Name | Robert E Mitchell |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1164563631 PECOS PAC ID: 3375634231 Enrollment ID: I20070807000217 |
| Provider Name | Vikram Katari |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1902946130 PECOS PAC ID: 8628169414 Enrollment ID: I20070808000561 |
| Provider Name | Kyle D Craig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528138633 PECOS PAC ID: 3375527765 Enrollment ID: I20070917000092 |
| Provider Name | Ronald M Guy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1881651057 PECOS PAC ID: 2163517665 Enrollment ID: I20070928000154 |
| Provider Name | Pallavi Agarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831249812 PECOS PAC ID: 1850487570 Enrollment ID: I20071011000101 |
| Provider Name | Deborah J Beeson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760605810 PECOS PAC ID: 6103914841 Enrollment ID: I20071114000300 |
| Provider Name | Deborah Rozell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235314345 PECOS PAC ID: 8022195650 Enrollment ID: I20080408000079 |
| Provider Name | Surekha Kamath |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1598940892 PECOS PAC ID: 4385721927 Enrollment ID: I20080408000173 |
| Provider Name | Edward E Rylander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871564930 PECOS PAC ID: 3173600517 Enrollment ID: I20080409000225 |
| Provider Name | Ashley N Estep |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881875946 PECOS PAC ID: 8123105475 Enrollment ID: I20080410000423 |
| Provider Name | Enis Sakirgil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891976957 PECOS PAC ID: 9830276195 Enrollment ID: I20080410000444 |
| Provider Name | Laurel K Williston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578534400 PECOS PAC ID: 2769569847 Enrollment ID: I20080414000695 |
| Provider Name | Scott Allen Keller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356312573 PECOS PAC ID: 1951489921 Enrollment ID: I20080416000655 |
| Provider Name | Paul W Kempe |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1396825345 PECOS PAC ID: 8729080106 Enrollment ID: I20080520000392 |
| Provider Name | Melanie R Mckinney |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1942479316 PECOS PAC ID: 5890864227 Enrollment ID: I20080527000279 |
| Provider Name | Steffan G Anderson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336292549 PECOS PAC ID: 3678643020 Enrollment ID: I20080528000518 |
| Provider Name | Jill Wenger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881662013 PECOS PAC ID: 0042382087 Enrollment ID: I20080708000217 |
| Provider Name | Mark A Trimble |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144405143 PECOS PAC ID: 8729150594 Enrollment ID: I20080710000695 |
| Provider Name | David N Gilbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225176779 PECOS PAC ID: 1153493838 Enrollment ID: I20080714000036 |
| Provider Name | Melody M Rachal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952319543 PECOS PAC ID: 0648343301 Enrollment ID: I20080715000081 |
| Provider Name | Suraj Suku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891833505 PECOS PAC ID: 9133293178 Enrollment ID: I20080808000395 |
| Provider Name | Robert R Farquharson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639287295 PECOS PAC ID: 9032190590 Enrollment ID: I20080819000312 |
| Provider Name | Michael S Gebetsberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851378350 PECOS PAC ID: 8729153994 Enrollment ID: I20080822000266 |
| Provider Name | Elizabeth K Dolin |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1861673493 PECOS PAC ID: 1153497011 Enrollment ID: I20080829000398 |
| Provider Name | Asim Maqsood |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1821137050 PECOS PAC ID: 2365533932 Enrollment ID: I20081009000820 |
| Provider Name | Anderson Mehrle |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396788022 PECOS PAC ID: 6406806181 Enrollment ID: I20081017000444 |
| Provider Name | Justin Thankachan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851433221 PECOS PAC ID: 8123186103 Enrollment ID: I20081020000468 |
| Provider Name | Matthew R Acker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881818417 PECOS PAC ID: 9537227202 Enrollment ID: I20081024000024 |
| Provider Name | John L Halpin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942422795 PECOS PAC ID: 3375631690 Enrollment ID: I20081121000611 |
| Provider Name | Dustin Cupp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417113226 PECOS PAC ID: 6800956517 Enrollment ID: I20081125000111 |
| Provider Name | Kimberly A Sorensen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619937034 PECOS PAC ID: 8921160235 Enrollment ID: I20081222000052 |
| Provider Name | Theresa A Murch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922196369 PECOS PAC ID: 7517995772 Enrollment ID: I20090203000187 |
| Provider Name | Fred J Crapse |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376512442 PECOS PAC ID: 4688738651 Enrollment ID: I20090205000682 |
| Provider Name | Harris J Moreland |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881683613 PECOS PAC ID: 9638234156 Enrollment ID: I20090217000748 |
| Provider Name | Ingrid L Patton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457528614 PECOS PAC ID: 4587720420 Enrollment ID: I20090302000464 |
| Provider Name | Scott Thomas Dull |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1568465961 PECOS PAC ID: 4880580166 Enrollment ID: I20090319000607 |
| Provider Name | James Bryan Wesson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1154382828 PECOS PAC ID: 9638236466 Enrollment ID: I20090324000204 |
| Provider Name | Randolph C Elliott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558395038 PECOS PAC ID: 0042367591 Enrollment ID: I20090420000680 |
| Provider Name | Courtney Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073774279 PECOS PAC ID: 0648328724 Enrollment ID: I20090429000165 |
| Provider Name | Faisal Latif |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1770623068 PECOS PAC ID: 8325198211 Enrollment ID: I20090616000124 |
| Provider Name | Sharolyn D Cook |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1306064944 PECOS PAC ID: 2163572926 Enrollment ID: I20090617000046 |
| Provider Name | Jill D Holleman |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316181084 PECOS PAC ID: 9739239419 Enrollment ID: I20090618000525 |
| Provider Name | Heather Bell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881758563 PECOS PAC ID: 1456402809 Enrollment ID: I20090625000458 |
| Provider Name | Brent Steward |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1265400667 PECOS PAC ID: 4688725609 Enrollment ID: I20090701000569 |
| Provider Name | Estacia Diann Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316196959 PECOS PAC ID: 4981756640 Enrollment ID: I20090710000491 |
| Provider Name | Luke E Matloff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962678938 PECOS PAC ID: 6204992274 Enrollment ID: I20090720000567 |
| Provider Name | Mark A Kiefer |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1992896567 PECOS PAC ID: 3274685300 Enrollment ID: I20090720000582 |
| Provider Name | Kenneth D Williams |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497896385 PECOS PAC ID: 3072666510 Enrollment ID: I20090731000406 |
| Provider Name | Zeyfoula Beytoula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144416462 PECOS PAC ID: 2264585363 Enrollment ID: I20090807000276 |
| Provider Name | Randall C Wetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447432950 PECOS PAC ID: 3173677648 Enrollment ID: I20090818000458 |
| Provider Name | Cory Brit Kebert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003094665 PECOS PAC ID: 4587722442 Enrollment ID: I20090818000800 |
| Provider Name | Scott A Newbrough |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1053551234 PECOS PAC ID: 9133273493 Enrollment ID: I20090820000612 |
| Provider Name | Greta Arlene Warta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689885733 PECOS PAC ID: 7618021874 Enrollment ID: I20090821000635 |
| Provider Name | Garret C Olson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003047853 PECOS PAC ID: 5991850588 Enrollment ID: I20090903000262 |
| Provider Name | Muhammad Afzal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1417096629 PECOS PAC ID: 0547316200 Enrollment ID: I20090922000086 |
| Provider Name | David Paul D Alessandro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730239104 PECOS PAC ID: 9234285883 Enrollment ID: I20090923000191 |
| Provider Name | Kristoffer Lee Crawford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891923553 PECOS PAC ID: 6608922117 Enrollment ID: I20090925000063 |
| Provider Name | Raphael C Francisco |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124063870 PECOS PAC ID: 9133175185 Enrollment ID: I20091020000715 |
| Provider Name | Scott E Hendrickson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497714687 PECOS PAC ID: 5395882153 Enrollment ID: I20091027000678 |
| Provider Name | David R Rumph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083644462 PECOS PAC ID: 8426195009 Enrollment ID: I20091030000470 |
| Provider Name | Catherine Cunningham |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1548595895 PECOS PAC ID: 5395883458 Enrollment ID: I20091110000346 |
| Provider Name | Holly A Kuhn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760610430 PECOS PAC ID: 2769521756 Enrollment ID: I20091204000166 |
| Provider Name | Lindsey M King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235367996 PECOS PAC ID: 1658410501 Enrollment ID: I20091205000145 |
| Provider Name | Ian L Carroll |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437105400 PECOS PAC ID: 5890741805 Enrollment ID: I20091208000759 |
| Provider Name | James Damon Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922075241 PECOS PAC ID: 1850431552 Enrollment ID: I20091210000264 |
| Provider Name | Irfan Kundi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1366504128 PECOS PAC ID: 9638274996 Enrollment ID: I20091228000426 |
| Provider Name | Jacqueline Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801874805 PECOS PAC ID: 5597807313 Enrollment ID: I20100116000193 |
| Provider Name | Amy S Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346578093 PECOS PAC ID: 1355483942 Enrollment ID: I20100120000325 |
| Provider Name | Garrett R Zelkind |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730413790 PECOS PAC ID: 1254473846 Enrollment ID: I20100120000340 |
| Provider Name | Andrew Robert Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447228549 PECOS PAC ID: 5496899692 Enrollment ID: I20100225000124 |
| Provider Name | Teressa D Lemaster |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1003146598 PECOS PAC ID: 6901941996 Enrollment ID: I20100302000351 |
| Provider Name | Robert Paulsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821067307 PECOS PAC ID: 9638214455 Enrollment ID: I20100304000669 |
| Provider Name | Justin T Atherton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912935644 PECOS PAC ID: 6406952969 Enrollment ID: I20100330000225 |
| Provider Name | Suruchi Taneja |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508083676 PECOS PAC ID: 6103952080 Enrollment ID: I20100330000903 |
| Provider Name | Timothy W Hepner |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215966601 PECOS PAC ID: 4981626587 Enrollment ID: I20100415000121 |
| Provider Name | Victoria Nichole Wilson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306876701 PECOS PAC ID: 0042347619 Enrollment ID: I20100430000117 |
| Provider Name | Michael Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962432369 PECOS PAC ID: 3870621402 Enrollment ID: I20100503000262 |
| Provider Name | William Thomas Hutto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588678767 PECOS PAC ID: 0941338578 Enrollment ID: I20100503000281 |
| Provider Name | Ronald L Hay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891753414 PECOS PAC ID: 1850429309 Enrollment ID: I20100504000864 |
| Provider Name | Charles Alton Farmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326078726 PECOS PAC ID: 8426186800 Enrollment ID: I20100505000419 |
| Provider Name | Dana Howard Larson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144250549 PECOS PAC ID: 3779611041 Enrollment ID: I20100506000423 |
| Provider Name | Candy L Watts |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841525961 PECOS PAC ID: 8527196484 Enrollment ID: I20100513000553 |
| Provider Name | Charles Hayward Hill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013979335 PECOS PAC ID: 9830228675 Enrollment ID: I20100603000537 |
| Provider Name | Ethel Vasquez-harmon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922077536 PECOS PAC ID: 6204966674 Enrollment ID: I20100610000925 |
| Provider Name | Jill M Lagaso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841457470 PECOS PAC ID: 5597896118 Enrollment ID: I20100625000749 |
| Provider Name | Stephen Jaskowiak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235169632 PECOS PAC ID: 0446381685 Enrollment ID: I20100701000450 |
| Provider Name | Dawn Hensley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518011493 PECOS PAC ID: 1052443660 Enrollment ID: I20100717000205 |
| Provider Name | William Cleveland Goad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104860410 PECOS PAC ID: 9537196126 Enrollment ID: I20100719000556 |
| Provider Name | Carol J Howard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811936412 PECOS PAC ID: 0749194959 Enrollment ID: I20100730000074 |
| Provider Name | Lindsey Lane Groves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932425915 PECOS PAC ID: 0749313443 Enrollment ID: I20100802000631 |
| Provider Name | Lesley V Landis |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1851598320 PECOS PAC ID: 6406989110 Enrollment ID: I20100802000745 |
| Provider Name | Tamara L Holt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801855200 PECOS PAC ID: 3173429016 Enrollment ID: I20100804001121 |
| Provider Name | Komi Semenou Folly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720271232 PECOS PAC ID: 8921131251 Enrollment ID: I20100806000136 |
| Provider Name | Hazel L Reel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861718876 PECOS PAC ID: 0446384937 Enrollment ID: I20100819000606 |
| Provider Name | Jordan Edward Brown |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1942464029 PECOS PAC ID: 2769516103 Enrollment ID: I20100820000059 |
| Provider Name | Eric J Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285827212 PECOS PAC ID: 6709900566 Enrollment ID: I20100831000316 |
| Provider Name | Jeannette C Power |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295927234 PECOS PAC ID: 9234254301 Enrollment ID: I20100913000687 |
| Provider Name | Ted Steve Auschwitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407044092 PECOS PAC ID: 5496870453 Enrollment ID: I20100914000689 |
| Provider Name | Shivrajpal Singh Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396713483 PECOS PAC ID: 6507775798 Enrollment ID: I20100914001281 |
| Provider Name | Kirsten Tori White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508932724 PECOS PAC ID: 8628171535 Enrollment ID: I20100920000530 |
| Provider Name | Travis Kanaly |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750594099 PECOS PAC ID: 3476679986 Enrollment ID: I20100921001530 |
| Provider Name | Stephen A Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588619787 PECOS PAC ID: 7315139052 Enrollment ID: I20101013000263 |
| Provider Name | James H Beebe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407047723 PECOS PAC ID: 5395938005 Enrollment ID: I20101026000346 |
| Provider Name | Mark Leslie Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053504084 PECOS PAC ID: 4183818701 Enrollment ID: I20101027001464 |
| Provider Name | Brent W Laughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407824501 PECOS PAC ID: 9638364789 Enrollment ID: I20101115000551 |
| Provider Name | Lynn M Mcclintock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366411282 PECOS PAC ID: 3173719200 Enrollment ID: I20101201000134 |
| Provider Name | Peggy Krisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760450993 PECOS PAC ID: 2466649009 Enrollment ID: I20101209000119 |
| Provider Name | Gary Dykstra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033172192 PECOS PAC ID: 7012999444 Enrollment ID: I20110103000547 |
| Provider Name | William Tinker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841253259 PECOS PAC ID: 6204863533 Enrollment ID: I20110103000597 |
| Provider Name | Hafida R Mumallah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225283096 PECOS PAC ID: 3779772736 Enrollment ID: I20110106001056 |
| Provider Name | R J Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083646541 PECOS PAC ID: 8426070194 Enrollment ID: I20110113000393 |
| Provider Name | Michael Ray Collins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598795973 PECOS PAC ID: 1254520760 Enrollment ID: I20110114000501 |
| Provider Name | Kavita Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174738413 PECOS PAC ID: 5092994285 Enrollment ID: I20110119001353 |
| Provider Name | Robert B Coye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215066170 PECOS PAC ID: 4385728997 Enrollment ID: I20110120000389 |
| Provider Name | Karen S Allen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205031960 PECOS PAC ID: 6709065493 Enrollment ID: I20110127000258 |
| Provider Name | Derek Matheson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780765719 PECOS PAC ID: 2668651118 Enrollment ID: I20110128001014 |
| Provider Name | Joshua Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740596030 PECOS PAC ID: 2466633136 Enrollment ID: I20110301000387 |
| Provider Name | Mindi M Bull |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891859856 PECOS PAC ID: 1557543014 Enrollment ID: I20110304000852 |
| Provider Name | Alan Hawxby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225047145 PECOS PAC ID: 7517945991 Enrollment ID: I20110330000818 |
| Provider Name | Joann F Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164410171 PECOS PAC ID: 5294786190 Enrollment ID: I20110503000411 |
| Provider Name | Megan Utz Beatty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861621492 PECOS PAC ID: 1557547353 Enrollment ID: I20110511000805 |
| Provider Name | Rachel Veach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225339385 PECOS PAC ID: 0244416758 Enrollment ID: I20110518000465 |
| Provider Name | Mark O Ebert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801882097 PECOS PAC ID: 6901862010 Enrollment ID: I20110601000710 |
| Provider Name | Rebecca R Arant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134220403 PECOS PAC ID: 3274535547 Enrollment ID: I20110713000709 |
| Provider Name | Tiffany L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972803583 PECOS PAC ID: 2567630684 Enrollment ID: I20110715000409 |
| Provider Name | Carrie Strimple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831408020 PECOS PAC ID: 3779777669 Enrollment ID: I20110721000686 |
| Provider Name | Robert James Postlewait |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396907366 PECOS PAC ID: 1759551948 Enrollment ID: I20110825000497 |
| Provider Name | Theron Joseph Bliss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538364245 PECOS PAC ID: 0446420459 Enrollment ID: I20110831000235 |
| Provider Name | Allan Suttle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861654097 PECOS PAC ID: 2860663457 Enrollment ID: I20110910002927 |
| Provider Name | Asif Sarfraz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447454541 PECOS PAC ID: 6406955608 Enrollment ID: I20110914000409 |
| Provider Name | Imad Uddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245498906 PECOS PAC ID: 3870764285 Enrollment ID: I20110915000274 |
| Provider Name | Ian D Bushyhead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679701361 PECOS PAC ID: 8921143777 Enrollment ID: I20110915000808 |
| Provider Name | Kelley M Struble |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912167867 PECOS PAC ID: 9032380035 Enrollment ID: I20110923000236 |
| Provider Name | Maureen H Azarian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922268820 PECOS PAC ID: 7911179528 Enrollment ID: I20111004000097 |
| Provider Name | Marsha Kay Howerton Engles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790720456 PECOS PAC ID: 9537331392 Enrollment ID: I20111020000638 |
| Provider Name | Chelsea Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790962843 PECOS PAC ID: 8729167127 Enrollment ID: I20111026000846 |
| Provider Name | Justin Fields |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003013723 PECOS PAC ID: 7214100726 Enrollment ID: I20111028000178 |
| Provider Name | Vishal Mundra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235469503 PECOS PAC ID: 0749453926 Enrollment ID: I20111103000448 |
| Provider Name | Andrea N Dryden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225319072 PECOS PAC ID: 9234303918 Enrollment ID: I20111115000053 |
| Provider Name | Julia Margaret Kwon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003133463 PECOS PAC ID: 3971777152 Enrollment ID: I20111128000623 |
| Provider Name | Casie N Brim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003196684 PECOS PAC ID: 1850566548 Enrollment ID: I20111207000846 |
| Provider Name | Michael Sheldon Charles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942293097 PECOS PAC ID: 8224117213 Enrollment ID: I20111215000673 |
| Provider Name | Eva Sawheny |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053511675 PECOS PAC ID: 9638345275 Enrollment ID: I20120103000044 |
| Provider Name | Terry Johannesen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881652428 PECOS PAC ID: 8628013638 Enrollment ID: I20120119000701 |
| Provider Name | Ruth Thompson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811955453 PECOS PAC ID: 5193712446 Enrollment ID: I20120131000087 |
| Provider Name | James M Carver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265499511 PECOS PAC ID: 8426233727 Enrollment ID: I20120201000095 |
| Provider Name | Joel A Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932428661 PECOS PAC ID: 3173780806 Enrollment ID: I20120207000560 |
| Provider Name | Galina Michka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093092223 PECOS PAC ID: 0345407771 Enrollment ID: I20120213000569 |
| Provider Name | Mollie Bechtelheimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922061084 PECOS PAC ID: 9931367315 Enrollment ID: I20120215000527 |
| Provider Name | Sara A Rafael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326369646 PECOS PAC ID: 5991963837 Enrollment ID: I20120222001001 |
| Provider Name | Jennifer Jill Amen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871613380 PECOS PAC ID: 1153413489 Enrollment ID: I20120302000027 |
| Provider Name | Scott D Cochran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336137140 PECOS PAC ID: 1355383498 Enrollment ID: I20120312000834 |
| Provider Name | Monica Saenz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558309278 PECOS PAC ID: 5597744169 Enrollment ID: I20120313000439 |
| Provider Name | Rachel Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447530811 PECOS PAC ID: 0143482950 Enrollment ID: I20120424000172 |
| Provider Name | Margaret Rosales Goddard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659662021 PECOS PAC ID: 3779746367 Enrollment ID: I20120517000558 |
| Provider Name | Aaron Patrick Fieker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326268079 PECOS PAC ID: 4486810215 Enrollment ID: I20120724000346 |
| Provider Name | Jeffrey Brian Craig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497982052 PECOS PAC ID: 1951567619 Enrollment ID: I20120724000760 |
| Provider Name | Pavankumar Bommasamudram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639306293 PECOS PAC ID: 3779749478 Enrollment ID: I20120725000093 |
| Provider Name | Huy Quoc Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124318985 PECOS PAC ID: 9830355338 Enrollment ID: I20120727000658 |
| Provider Name | Zachary A Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164659983 PECOS PAC ID: 9133375322 Enrollment ID: I20120802000724 |
| Provider Name | Alexandria Nicole Fifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841546637 PECOS PAC ID: 8224284989 Enrollment ID: I20120813000070 |
| Provider Name | Amanda Lynn Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689806259 PECOS PAC ID: 5193972800 Enrollment ID: I20120831000702 |
| Provider Name | Andrea Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922367101 PECOS PAC ID: 9032367339 Enrollment ID: I20120911000661 |
| Provider Name | Michael R Phillips |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1619904513 PECOS PAC ID: 4385540160 Enrollment ID: I20120913000756 |
| Provider Name | Tana R Vogele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134478068 PECOS PAC ID: 8729237698 Enrollment ID: I20121009000677 |
| Provider Name | Ty D Kirkpatrick |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235420043 PECOS PAC ID: 3375792039 Enrollment ID: I20121012000653 |
| Provider Name | Stacey L Weil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144570672 PECOS PAC ID: 5496905770 Enrollment ID: I20121023000046 |
| Provider Name | Miranda Gaskamp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962793018 PECOS PAC ID: 1355594177 Enrollment ID: I20130103000316 |
| Provider Name | Wesley Updike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053623884 PECOS PAC ID: 9931357639 Enrollment ID: I20130205000361 |
| Provider Name | Aliyeah Roper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386955532 PECOS PAC ID: 8224295779 Enrollment ID: I20130212000266 |
| Provider Name | Melinda A Snelson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083781066 PECOS PAC ID: 1850461831 Enrollment ID: I20130307000477 |
| Provider Name | Lynn Tudor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386991529 PECOS PAC ID: 1052556677 Enrollment ID: I20130401000357 |
| Provider Name | Tetyana V Klimenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962744359 PECOS PAC ID: 5890934285 Enrollment ID: I20130614000495 |
| Provider Name | Sarah C Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568773075 PECOS PAC ID: 1759520141 Enrollment ID: I20130614000540 |
| Provider Name | Gregory Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053601302 PECOS PAC ID: 4082853080 Enrollment ID: I20130625000033 |
| Provider Name | Bobbie Lucas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427495522 PECOS PAC ID: 1456590215 Enrollment ID: I20130627000089 |
| Provider Name | Clinton W Beeson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063641884 PECOS PAC ID: 2062664055 Enrollment ID: I20130709000519 |
| Provider Name | Sheila Ligon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801137369 PECOS PAC ID: 0345481370 Enrollment ID: I20130802000156 |
| Provider Name | Jeremy T Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104047331 PECOS PAC ID: 0042384380 Enrollment ID: I20130806000176 |
| Provider Name | Monique Tisha Simone Modest-mckoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174767255 PECOS PAC ID: 9830331461 Enrollment ID: I20130812000525 |
| Provider Name | Kristen Ann Mashburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659716991 PECOS PAC ID: 6204078629 Enrollment ID: I20130815000110 |
| Provider Name | Brandon Louis King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588007884 PECOS PAC ID: 2365684602 Enrollment ID: I20130815000410 |
| Provider Name | Ashley Hildebrand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770803660 PECOS PAC ID: 8921240136 Enrollment ID: I20130816000418 |
| Provider Name | Laura Frances Dorwart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538215249 PECOS PAC ID: 4183866320 Enrollment ID: I20130816000730 |
| Provider Name | Bradley R Mons |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1134336373 PECOS PAC ID: 7214109396 Enrollment ID: I20130820000687 |
| Provider Name | Augustina Agadagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205179561 PECOS PAC ID: 8527201557 Enrollment ID: I20130823000563 |
| Provider Name | Stephen A Mikus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598086050 PECOS PAC ID: 7719121938 Enrollment ID: I20130910000128 |
| Provider Name | Madison L Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801188248 PECOS PAC ID: 9537303599 Enrollment ID: I20130913000513 |
| Provider Name | Nicholas A Sloat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861716474 PECOS PAC ID: 3173767092 Enrollment ID: I20130916000545 |
| Provider Name | Trang H Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790006591 PECOS PAC ID: 6406007848 Enrollment ID: I20130917000291 |
| Provider Name | Tuesday Dawn Guthery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902248131 PECOS PAC ID: 9234373887 Enrollment ID: I20130920000319 |
| Provider Name | Jeffery Stamps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275975948 PECOS PAC ID: 2567606809 Enrollment ID: I20130926000348 |
| Provider Name | Ravi Kiran Kode |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366602617 PECOS PAC ID: 9638313976 Enrollment ID: I20130926000367 |
| Provider Name | Julio O Novelo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942327747 PECOS PAC ID: 9234209057 Enrollment ID: I20130927000010 |
| Provider Name | Priti Gurung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518278506 PECOS PAC ID: 3870727399 Enrollment ID: I20131016000035 |
| Provider Name | Aldon Corle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639396583 PECOS PAC ID: 8628101219 Enrollment ID: I20131028001453 |
| Provider Name | Catherine A Bolton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902031990 PECOS PAC ID: 0042456691 Enrollment ID: I20131030001531 |
| Provider Name | Roger K Pfeiffer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215054622 PECOS PAC ID: 3173798550 Enrollment ID: I20131030001768 |
| Provider Name | James J Hutchins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134291834 PECOS PAC ID: 9739175092 Enrollment ID: I20131104001333 |
| Provider Name | Alicia Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720232556 PECOS PAC ID: 1254478886 Enrollment ID: I20131114000778 |
| Provider Name | David K Rasmussen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245537158 PECOS PAC ID: 1052574670 Enrollment ID: I20131213001360 |
| Provider Name | Julie K Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285790493 PECOS PAC ID: 8527296870 Enrollment ID: I20140111000154 |
| Provider Name | Laura Marcu Buck |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255562005 PECOS PAC ID: 9739317884 Enrollment ID: I20140116001281 |
| Provider Name | Monica J Winford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679810295 PECOS PAC ID: 3971731886 Enrollment ID: I20140122000258 |
| Provider Name | Shannon T Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144556739 PECOS PAC ID: 5496885592 Enrollment ID: I20140129001244 |
| Provider Name | John T Whitaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205195443 PECOS PAC ID: 8628207040 Enrollment ID: I20140206000436 |
| Provider Name | Sergii Vjocheslavovitch Alekseiev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669758496 PECOS PAC ID: 9133359946 Enrollment ID: I20140222000388 |
| Provider Name | Aaron Branch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336439959 PECOS PAC ID: 4385874874 Enrollment ID: I20140228001683 |
| Provider Name | Shaun Scott Jung-peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144510223 PECOS PAC ID: 7911137393 Enrollment ID: I20140304001357 |
| Provider Name | Ambria Kay Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467744656 PECOS PAC ID: 2466682851 Enrollment ID: I20140304001761 |
| Provider Name | Cherri Whang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477812618 PECOS PAC ID: 6709016900 Enrollment ID: I20140310001369 |
| Provider Name | Erin Morgan Liening |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548553282 PECOS PAC ID: 0446481048 Enrollment ID: I20140325000543 |
| Provider Name | Katelynne Jean Yow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265854624 PECOS PAC ID: 0042441396 Enrollment ID: I20140329000280 |
| Provider Name | Kathryn R Farguson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912299041 PECOS PAC ID: 8729219852 Enrollment ID: I20140402001478 |
| Provider Name | Sarah Santillano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023302080 PECOS PAC ID: 0345473203 Enrollment ID: I20140429001518 |
| Provider Name | Lauren Watkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851717003 PECOS PAC ID: 1850515172 Enrollment ID: I20140606000982 |
| Provider Name | Mehvish Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770840795 PECOS PAC ID: 3870717341 Enrollment ID: I20140624001825 |
| Provider Name | Kelsey Ray Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245657378 PECOS PAC ID: 0042435992 Enrollment ID: I20140709000094 |
| Provider Name | Brett Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497042279 PECOS PAC ID: 6002059433 Enrollment ID: I20140717001041 |
| Provider Name | Michelle Olmstead-mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215228440 PECOS PAC ID: 7012149446 Enrollment ID: I20140717002497 |
| Provider Name | Mary Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578976551 PECOS PAC ID: 6103042643 Enrollment ID: I20140718001562 |
| Provider Name | Heather Cha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952566978 PECOS PAC ID: 9436375797 Enrollment ID: I20140722000942 |
| Provider Name | Caroline G Ferris |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376576652 PECOS PAC ID: 6103821848 Enrollment ID: I20140724001043 |
| Provider Name | James H Neel |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1942408620 PECOS PAC ID: 4880730522 Enrollment ID: I20140730000149 |
| Provider Name | Amy Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841249257 PECOS PAC ID: 4688689748 Enrollment ID: I20140806000608 |
| Provider Name | Christopher Crowder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134416043 PECOS PAC ID: 1355568841 Enrollment ID: I20140806001821 |
| Provider Name | David Polizzi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386933992 PECOS PAC ID: 6103058581 Enrollment ID: I20140819001134 |
| Provider Name | Juan Carlos Zubieta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346276987 PECOS PAC ID: 4981619244 Enrollment ID: I20140820000223 |
| Provider Name | Gajal Kumar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578836201 PECOS PAC ID: 3577781970 Enrollment ID: I20140827000360 |
| Provider Name | Jayme Marie Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912333154 PECOS PAC ID: 0345468419 Enrollment ID: I20140903000308 |
| Provider Name | Gary Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134410251 PECOS PAC ID: 9931331337 Enrollment ID: I20140916000976 |
| Provider Name | Joni Carmack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386623056 PECOS PAC ID: 3375510266 Enrollment ID: I20140925001745 |
| Provider Name | Kori A Sauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841612025 PECOS PAC ID: 7517187834 Enrollment ID: I20141008000244 |
| Provider Name | Jennifer M Minadeo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093007593 PECOS PAC ID: 8820218134 Enrollment ID: I20141009001033 |
| Provider Name | John Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962634535 PECOS PAC ID: 6901027812 Enrollment ID: I20141017001471 |
| Provider Name | Melissa Haught |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730422874 PECOS PAC ID: 0345562575 Enrollment ID: I20141125001492 |
| Provider Name | Penny Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396169538 PECOS PAC ID: 4880916899 Enrollment ID: I20141202001914 |
| Provider Name | Ashley Gilliland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760882427 PECOS PAC ID: 2365764297 Enrollment ID: I20141204001122 |
| Provider Name | Kimberly N Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033435912 PECOS PAC ID: 9234372822 Enrollment ID: I20141209000682 |
| Provider Name | Suzanne Kirby |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1023415841 PECOS PAC ID: 2860715240 Enrollment ID: I20141217000495 |
| Provider Name | Sunayna Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649483728 PECOS PAC ID: 9133442254 Enrollment ID: I20141222001725 |
| Provider Name | Christopher May |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699942482 PECOS PAC ID: 2668606229 Enrollment ID: I20141230000414 |
| Provider Name | Lacy Jo Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225439391 PECOS PAC ID: 9739402496 Enrollment ID: I20150105000436 |
| Provider Name | Robert Burson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942603386 PECOS PAC ID: 7517281942 Enrollment ID: I20150113001754 |
| Provider Name | Brian Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564729 PECOS PAC ID: 6507180239 Enrollment ID: I20150128001276 |
| Provider Name | Bradley Edgington |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1366588295 PECOS PAC ID: 2466586599 Enrollment ID: I20150129001755 |
| Provider Name | Andrew Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437492949 PECOS PAC ID: 9638493257 Enrollment ID: I20150130000035 |
| Provider Name | Michael Ledbetter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275976136 PECOS PAC ID: 3779807367 Enrollment ID: I20150202000102 |
| Provider Name | Michael Rommen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164865036 PECOS PAC ID: 4082939681 Enrollment ID: I20150202000667 |
| Provider Name | Caitlin R Geurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144663014 PECOS PAC ID: 0244555811 Enrollment ID: I20150203000999 |
| Provider Name | Zoe Smothermon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205179215 PECOS PAC ID: 8123343795 Enrollment ID: I20150203001110 |
| Provider Name | Cody M Yochum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376898965 PECOS PAC ID: 7810146610 Enrollment ID: I20150210000266 |
| Provider Name | Taylor Claybrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013326024 PECOS PAC ID: 1850616038 Enrollment ID: I20150210001792 |
| Provider Name | Eun Ko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932542891 PECOS PAC ID: 1759607211 Enrollment ID: I20150302000162 |
| Provider Name | Pavan Brar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992021802 PECOS PAC ID: 8022240092 Enrollment ID: I20150306001925 |
| Provider Name | Nedra Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558759225 PECOS PAC ID: 9739406752 Enrollment ID: I20150331001709 |
| Provider Name | Alunda Hunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841467057 PECOS PAC ID: 0749347482 Enrollment ID: I20150413002005 |
| Provider Name | Merry Huber |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720499585 PECOS PAC ID: 2860710894 Enrollment ID: I20150423000246 |
| Provider Name | Randall Peyton Holder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538426572 PECOS PAC ID: 4385969559 Enrollment ID: I20150508000190 |
| Provider Name | Tyler Auschwitz |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003050493 PECOS PAC ID: 1153567730 Enrollment ID: I20150622000292 |
| Provider Name | Terry Mills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396772182 PECOS PAC ID: 0244282341 Enrollment ID: I20150624000882 |
| Provider Name | Donald Rae Simmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578556601 PECOS PAC ID: 4082526991 Enrollment ID: I20150630000888 |
| Provider Name | Teri L Ratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316345325 PECOS PAC ID: 9032437918 Enrollment ID: I20150811005015 |
| Provider Name | Allison L Nazinitsky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922324011 PECOS PAC ID: 5092020313 Enrollment ID: I20150817000667 |
| Provider Name | David Burl Duvall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609005669 PECOS PAC ID: 8022324748 Enrollment ID: I20150826000627 |
| Provider Name | Terri Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235497926 PECOS PAC ID: 2567779234 Enrollment ID: I20150911001869 |
| Provider Name | Hilary Kneale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265676944 PECOS PAC ID: 0244472751 Enrollment ID: I20150915000454 |
| Provider Name | Ricardo Aaron Miranda |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1083929087 PECOS PAC ID: 4486961877 Enrollment ID: I20150917000715 |
| Provider Name | Stephanie Marie Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316329113 PECOS PAC ID: 6800103185 Enrollment ID: I20150918001329 |
| Provider Name | Nicholas Hanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225284094 PECOS PAC ID: 3577789197 Enrollment ID: I20150928000436 |
| Provider Name | Carmen L Pisc |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1356324453 PECOS PAC ID: 8325010945 Enrollment ID: I20150930001411 |
| Provider Name | Christopher D Stone |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1750356614 PECOS PAC ID: 3072589068 Enrollment ID: I20151001000595 |
| Provider Name | Warren Hancock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902196728 PECOS PAC ID: 9436380581 Enrollment ID: I20151006001220 |
| Provider Name | Janice Te |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427379577 PECOS PAC ID: 9931417276 Enrollment ID: I20151006001522 |
| Provider Name | Matthew Coburn |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1255560488 PECOS PAC ID: 4284866674 Enrollment ID: I20151007000450 |
| Provider Name | Megan Clarkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780965343 PECOS PAC ID: 1850525387 Enrollment ID: I20151008002025 |
| Provider Name | Jodi Oder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033532098 PECOS PAC ID: 4284864265 Enrollment ID: I20151009000309 |
| Provider Name | David Hibbets |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205256153 PECOS PAC ID: 4183933195 Enrollment ID: I20151014000433 |
| Provider Name | Scott Street |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700014271 PECOS PAC ID: 9436334463 Enrollment ID: I20151014000540 |
| Provider Name | Timothy Condie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326468281 PECOS PAC ID: 4183933104 Enrollment ID: I20151014000916 |
| Provider Name | Thai-hao Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609296557 PECOS PAC ID: 7618286634 Enrollment ID: I20151014000970 |
| Provider Name | Brandon Ganzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710307665 PECOS PAC ID: 9537478565 Enrollment ID: I20151014001424 |
| Provider Name | Elliot Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619203064 PECOS PAC ID: 4082923941 Enrollment ID: I20151016001215 |
| Provider Name | Kelly R Wratten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346652930 PECOS PAC ID: 9739309956 Enrollment ID: I20151016001926 |
| Provider Name | Joel Geurin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407276355 PECOS PAC ID: 7416266234 Enrollment ID: I20151019001274 |
| Provider Name | Kayla Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932591989 PECOS PAC ID: 3072822782 Enrollment ID: I20151020002817 |
| Provider Name | Jacob Greuel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912183138 PECOS PAC ID: 1355416249 Enrollment ID: I20151030001376 |
| Provider Name | Saran D Oliver |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013147248 PECOS PAC ID: 4183937543 Enrollment ID: I20151103000188 |
| Provider Name | Tamer Madrigal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407295835 PECOS PAC ID: 9032429709 Enrollment ID: I20151109001741 |
| Provider Name | Crystal M White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417327545 PECOS PAC ID: 1254641699 Enrollment ID: I20151113002064 |
| Provider Name | Kyla Cowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124497573 PECOS PAC ID: 2365752672 Enrollment ID: I20151116002181 |
| Provider Name | Madelyn Kennedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417345729 PECOS PAC ID: 6002116365 Enrollment ID: I20151118002758 |
| Provider Name | Sarah Janssen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821418773 PECOS PAC ID: 9931409125 Enrollment ID: I20151119000929 |
| Provider Name | Quanisha Roberson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033593207 PECOS PAC ID: 9638479843 Enrollment ID: I20151119001527 |
| Provider Name | Katherine Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023487436 PECOS PAC ID: 1355641523 Enrollment ID: I20151120001010 |
| Provider Name | Whitney M Burk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699159988 PECOS PAC ID: 8224338975 Enrollment ID: I20151202000052 |
| Provider Name | Kelli A Windsor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104246057 PECOS PAC ID: 6901107226 Enrollment ID: I20151210001424 |
| Provider Name | Kimberly Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902277742 PECOS PAC ID: 6800197591 Enrollment ID: I20151222002756 |
| Provider Name | Kristina Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760742282 PECOS PAC ID: 3375844962 Enrollment ID: I20151228001052 |
| Provider Name | Valerie Hazlip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982076642 PECOS PAC ID: 0547562357 Enrollment ID: I20160112000466 |
| Provider Name | Dori Raycob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518339811 PECOS PAC ID: 8729381991 Enrollment ID: I20160121001159 |
| Provider Name | Robin Arlene Gripado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508242975 PECOS PAC ID: 7012210131 Enrollment ID: I20160125000939 |
| Provider Name | Daphnie L Peak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780054403 PECOS PAC ID: 5597068395 Enrollment ID: I20160128002112 |
| Provider Name | Laura E Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730554726 PECOS PAC ID: 9234435124 Enrollment ID: I20160302000935 |
| Provider Name | Gabriel David Presley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730509514 PECOS PAC ID: 1254637507 Enrollment ID: I20160311001454 |
| Provider Name | John Clay Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063801660 PECOS PAC ID: 2264730761 Enrollment ID: I20160418000899 |
| Provider Name | Ryan Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316357437 PECOS PAC ID: 3173845898 Enrollment ID: I20160503000858 |
| Provider Name | Steven Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619960655 PECOS PAC ID: 3072407527 Enrollment ID: I20160524000507 |
| Provider Name | Kip Dorsey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508063074 PECOS PAC ID: 2668629916 Enrollment ID: I20160603000120 |
| Provider Name | Dallas Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336500701 PECOS PAC ID: 4981994845 Enrollment ID: I20160606000292 |
| Provider Name | Maria Super |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619310422 PECOS PAC ID: 3476843095 Enrollment ID: I20160609000993 |
| Provider Name | Leslie Chan |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1912039850 PECOS PAC ID: 6002988037 Enrollment ID: I20160615000092 |
| Provider Name | Nicholas Peluso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649611898 PECOS PAC ID: 6103117510 Enrollment ID: I20160615000574 |
| Provider Name | Ruby Varghese Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477907244 PECOS PAC ID: 3971894296 Enrollment ID: I20160616001885 |
| Provider Name | Donna Krutka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033216791 PECOS PAC ID: 9537453386 Enrollment ID: I20160802002603 |
| Provider Name | Olivia York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134207616 PECOS PAC ID: 3274828199 Enrollment ID: I20160817000253 |
| Provider Name | Samantha P Vang-cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497011563 PECOS PAC ID: 6002101789 Enrollment ID: I20160819000279 |
| Provider Name | Kelly S Marak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316174675 PECOS PAC ID: 3072808799 Enrollment ID: I20160819001425 |
| Provider Name | Andrew Kurklinsky |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1831350263 PECOS PAC ID: 9638242498 Enrollment ID: I20160829000250 |
| Provider Name | Lauren Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659733681 PECOS PAC ID: 5193011807 Enrollment ID: I20160907000367 |
| Provider Name | Patrick Buchanan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1578865416 PECOS PAC ID: 2769643790 Enrollment ID: I20160910000173 |
| Provider Name | Jennifer Vanderford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356799142 PECOS PAC ID: 4587950936 Enrollment ID: I20160910000226 |
| Provider Name | Gregory Hightower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700222189 PECOS PAC ID: 1557502424 Enrollment ID: I20160913002748 |
| Provider Name | Heidi Y Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568849610 PECOS PAC ID: 0446546683 Enrollment ID: I20160914000994 |
| Provider Name | Jeremy Ransdell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346627395 PECOS PAC ID: 8820384076 Enrollment ID: I20160914001302 |
| Provider Name | Adam Greer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184001133 PECOS PAC ID: 0446546600 Enrollment ID: I20160914001750 |
| Provider Name | Scott R Kenney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952720393 PECOS PAC ID: 7618264433 Enrollment ID: I20160922000950 |
| Provider Name | Barbara Landreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649646373 PECOS PAC ID: 9638467806 Enrollment ID: I20161004002624 |
| Provider Name | Rachel Tyler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1679899421 PECOS PAC ID: 6103128715 Enrollment ID: I20161005000536 |
| Provider Name | Candace Seese Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568767119 PECOS PAC ID: 5092997858 Enrollment ID: I20161006000139 |
| Provider Name | Chelsea Vanderwall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861879918 PECOS PAC ID: 9931497773 Enrollment ID: I20161012000097 |
| Provider Name | Salah Uddin |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861676736 PECOS PAC ID: 0749334118 Enrollment ID: I20161018001451 |
| Provider Name | Lindsey T Tricinella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679892764 PECOS PAC ID: 4284877697 Enrollment ID: I20161019002832 |
| Provider Name | Stephanie Cyr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760869085 PECOS PAC ID: 2062790355 Enrollment ID: I20161020000349 |
| Provider Name | James B Hensel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699154070 PECOS PAC ID: 0547558538 Enrollment ID: I20161024002342 |
| Provider Name | Rebecca Massey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366822033 PECOS PAC ID: 4789962812 Enrollment ID: I20161025001483 |
| Provider Name | Shannon Espy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104373398 PECOS PAC ID: 4587943519 Enrollment ID: I20161116000316 |
| Provider Name | Sara Nicole Mcdonald |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811239569 PECOS PAC ID: 5890074835 Enrollment ID: I20161116000645 |
| Provider Name | Taylor Weisz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790238137 PECOS PAC ID: 0345529244 Enrollment ID: I20161117000434 |
| Provider Name | Lacey Vogts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336404755 PECOS PAC ID: 5597062125 Enrollment ID: I20161122000063 |
| Provider Name | Timothy P Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457739039 PECOS PAC ID: 9931497914 Enrollment ID: I20161122000803 |
| Provider Name | Patricia Farrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972052041 PECOS PAC ID: 5890074462 Enrollment ID: I20161123000206 |
| Provider Name | Patricia Jumelle |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1578880225 PECOS PAC ID: 5395051197 Enrollment ID: I20161123000347 |
| Provider Name | Amanda Nichols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912384066 PECOS PAC ID: 6103107578 Enrollment ID: I20161222000724 |
| Provider Name | Lindsay Downing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235680323 PECOS PAC ID: 0446531875 Enrollment ID: I20161227000495 |
| Provider Name | Heidi L Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386646826 PECOS PAC ID: 6305809773 Enrollment ID: I20170119000314 |
| Provider Name | Kelly Shipley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952843120 PECOS PAC ID: 1951683796 Enrollment ID: I20170131001345 |
| Provider Name | Megan E Renz |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013351881 PECOS PAC ID: 2961637319 Enrollment ID: I20170215000072 |
| Provider Name | John Eric York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821533753 PECOS PAC ID: 4688958531 Enrollment ID: I20170221002316 |
| Provider Name | Karen Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801331871 PECOS PAC ID: 2466736996 Enrollment ID: I20170301002016 |
| Provider Name | Julie C Dodson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013304849 PECOS PAC ID: 2961780838 Enrollment ID: I20170315001577 |
| Provider Name | Tamara Cephas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497207575 PECOS PAC ID: 4284919713 Enrollment ID: I20170324002079 |
| Provider Name | Tiffany J Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215471263 PECOS PAC ID: 7719262922 Enrollment ID: I20170329002351 |
| Provider Name | Jaron Soulek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992191365 PECOS PAC ID: 1355629254 Enrollment ID: I20170330001257 |
| Provider Name | Amanda Satterwhite |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669859815 PECOS PAC ID: 7012295983 Enrollment ID: I20170403000597 |
| Provider Name | Maleah Bloyed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467993857 PECOS PAC ID: 2163799461 Enrollment ID: I20170516002228 |
| Provider Name | Arjun Ghodasara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457771669 PECOS PAC ID: 4385912013 Enrollment ID: I20170621000637 |
| Provider Name | Lashonda Lashay Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255541561 PECOS PAC ID: 6103999198 Enrollment ID: I20170621001720 |
| Provider Name | Jeffrey Allen Coldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518386903 PECOS PAC ID: 1052628484 Enrollment ID: I20170628003221 |
| Provider Name | Amar Kirti Dadwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649615105 PECOS PAC ID: 0840599619 Enrollment ID: I20170710000642 |
| Provider Name | Velma Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578004909 PECOS PAC ID: 7315217478 Enrollment ID: I20170721001960 |
| Provider Name | John Gemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750791760 PECOS PAC ID: 4789954769 Enrollment ID: I20170725000354 |
| Provider Name | Robert Wittrock |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548688757 PECOS PAC ID: 5799004297 Enrollment ID: I20170829001136 |
| Provider Name | Christopher Abdo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710326970 PECOS PAC ID: 4789905423 Enrollment ID: I20170830002838 |
| Provider Name | Laquichesha L Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972038602 PECOS PAC ID: 3476826165 Enrollment ID: I20170831000541 |
| Provider Name | Pangaa Buniya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336690288 PECOS PAC ID: 1951687177 Enrollment ID: I20170919001265 |
| Provider Name | Jamie Lynn Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982137055 PECOS PAC ID: 7113291741 Enrollment ID: I20170921000105 |
| Provider Name | Sally Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013132299 PECOS PAC ID: 3173620754 Enrollment ID: I20170921001328 |
| Provider Name | Demi Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295259067 PECOS PAC ID: 7719252436 Enrollment ID: I20171005003371 |
| Provider Name | Deepthi Shivanand Kotihal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154581841 PECOS PAC ID: 6204961659 Enrollment ID: I20171011001991 |
| Provider Name | Errol Gordon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194762377 PECOS PAC ID: 7416951892 Enrollment ID: I20171011003248 |
| Provider Name | Justin Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790211795 PECOS PAC ID: 8729354790 Enrollment ID: I20171018001851 |
| Provider Name | Vitaliy Krylov |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427431253 PECOS PAC ID: 2668748575 Enrollment ID: I20171020001225 |
| Provider Name | Brett T. Grobman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578917217 PECOS PAC ID: 5597031401 Enrollment ID: I20171020001623 |
| Provider Name | Matthew L Haney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548614282 PECOS PAC ID: 9638445554 Enrollment ID: I20171020001849 |
| Provider Name | Joanna Pan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255785903 PECOS PAC ID: 5799051637 Enrollment ID: I20171020002612 |
| Provider Name | Jacob Fisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609220342 PECOS PAC ID: 3779859129 Enrollment ID: I20171030002789 |
| Provider Name | Ryan Tischler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144627134 PECOS PAC ID: 6103192430 Enrollment ID: I20171031003044 |
| Provider Name | Joshua Vanderwall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184079915 PECOS PAC ID: 9234495532 Enrollment ID: I20171101003184 |
| Provider Name | Aliaksandr Savitski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053654863 PECOS PAC ID: 1658679170 Enrollment ID: I20171113002272 |
| Provider Name | Justin Worley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043733884 PECOS PAC ID: 1557627080 Enrollment ID: I20171115003053 |
| Provider Name | Natalie Kay Hearn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396054250 PECOS PAC ID: 7911263413 Enrollment ID: I20171116002226 |
| Provider Name | Sherri Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326486960 PECOS PAC ID: 9537426978 Enrollment ID: I20171120002853 |
| Provider Name | Donald Eric Newman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003841941 PECOS PAC ID: 1850441890 Enrollment ID: I20171120003341 |
| Provider Name | Pablo Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992079867 PECOS PAC ID: 9931365590 Enrollment ID: I20171121003416 |
| Provider Name | Annie Alex |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891172847 PECOS PAC ID: 2365709573 Enrollment ID: I20171127000517 |
| Provider Name | Cynthia (cyndi) A Schneider |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952747768 PECOS PAC ID: 3274890413 Enrollment ID: I20171127001751 |
| Provider Name | Leisa Carrol Roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851468516 PECOS PAC ID: 3072870948 Enrollment ID: I20171130002411 |
| Provider Name | Gina Leanne Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215952742 PECOS PAC ID: 8325088693 Enrollment ID: I20171201000913 |
| Provider Name | Sudheer V Nambiar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1588858914 PECOS PAC ID: 5496830697 Enrollment ID: I20171212001388 |
| Provider Name | Allison K Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508217514 PECOS PAC ID: 5890054399 Enrollment ID: I20180108002653 |
| Provider Name | Kevin Scott Hamilton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1033620802 PECOS PAC ID: 7113286519 Enrollment ID: I20180110001518 |
| Provider Name | Kathryn Marlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023537701 PECOS PAC ID: 6204196884 Enrollment ID: I20180130000423 |
| Provider Name | Kristina Marie Doolittle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306353552 PECOS PAC ID: 4284995952 Enrollment ID: I20180221002317 |
| Provider Name | Zainal Hussain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992995146 PECOS PAC ID: 0547353492 Enrollment ID: I20180306001720 |
| Provider Name | Sarah B Coates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568977668 PECOS PAC ID: 3072874171 Enrollment ID: I20180307000466 |
| Provider Name | Cara Leanne Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033347919 PECOS PAC ID: 4880842467 Enrollment ID: I20180320001628 |
| Provider Name | David F Cawthon |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063587384 PECOS PAC ID: 2163480005 Enrollment ID: I20180413000048 |
| Provider Name | Elizabeth Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104324615 PECOS PAC ID: 4284997693 Enrollment ID: I20180418000845 |
| Provider Name | Kalyan C Vunnamadala |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609991207 PECOS PAC ID: 0244549806 Enrollment ID: I20180531000231 |
| Provider Name | Yasir Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023292976 PECOS PAC ID: 8628226537 Enrollment ID: I20180621000349 |
| Provider Name | Briana Marie Nesst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780022376 PECOS PAC ID: 1355697616 Enrollment ID: I20180629000792 |
| Provider Name | Scarlett Virden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205343605 PECOS PAC ID: 9739436023 Enrollment ID: I20180718000174 |
| Provider Name | Deepa Philip |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659614105 PECOS PAC ID: 0749504637 Enrollment ID: I20180725003339 |
| Provider Name | Cass Cherry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538587316 PECOS PAC ID: 2264738848 Enrollment ID: I20180807003174 |
| Provider Name | Peter Madden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003203001 PECOS PAC ID: 2062724016 Enrollment ID: I20180809004393 |
| Provider Name | Jordon Holt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427437524 PECOS PAC ID: 4981916822 Enrollment ID: I20180813000136 |
| Provider Name | Patricia Ann Ellison Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932253176 PECOS PAC ID: 1759361249 Enrollment ID: I20180824000537 |
| Provider Name | Tarynn Freeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972929875 PECOS PAC ID: 3274882279 Enrollment ID: I20180824001318 |
| Provider Name | Theresa Lynn Gress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598250508 PECOS PAC ID: 0840540027 Enrollment ID: I20180910001221 |
| Provider Name | Ashesh Bhakta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275984031 PECOS PAC ID: 5890046288 Enrollment ID: I20180925000403 |
| Provider Name | Timothy Bushyhead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154718807 PECOS PAC ID: 8123379419 Enrollment ID: I20180926000547 |
| Provider Name | Sandeep Krishnan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1922325687 PECOS PAC ID: 6507180643 Enrollment ID: I20180926000750 |
| Provider Name | Judith Muskrat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831687961 PECOS PAC ID: 4284986076 Enrollment ID: I20181005000062 |
| Provider Name | Bridget Suzanne Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437658523 PECOS PAC ID: 5991057788 Enrollment ID: I20181005000125 |
| Provider Name | Nikki Harrison Carter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992852701 PECOS PAC ID: 9436201183 Enrollment ID: I20181010002957 |
| Provider Name | Roberto Cervera |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1215174024 PECOS PAC ID: 8628228111 Enrollment ID: I20181011001205 |
| Provider Name | Natalie Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144707340 PECOS PAC ID: 9133471428 Enrollment ID: I20181015003365 |
| Provider Name | Robyn Fry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578950671 PECOS PAC ID: 5698072148 Enrollment ID: I20181016000239 |
| Provider Name | Grisel Yuliana Quiroz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598152191 PECOS PAC ID: 2264784578 Enrollment ID: I20181016000966 |
| Provider Name | David Mcvay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154857043 PECOS PAC ID: 2365795689 Enrollment ID: I20181101003207 |
| Provider Name | Cherec Karoline Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588018220 PECOS PAC ID: 1759634074 Enrollment ID: I20181102000017 |
| Provider Name | Christopher Cody Walheim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326572116 PECOS PAC ID: 3678826864 Enrollment ID: I20181106001182 |
| Provider Name | Jazzmine Basham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114451051 PECOS PAC ID: 5294088480 Enrollment ID: I20181106001262 |
| Provider Name | Jonathan Tyler Verdell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982138764 PECOS PAC ID: 3870847080 Enrollment ID: I20181106002720 |
| Provider Name | Bonnie J Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982194254 PECOS PAC ID: 8022362052 Enrollment ID: I20181110000120 |
| Provider Name | Adam D Helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073091062 PECOS PAC ID: 6709130222 Enrollment ID: I20181119001828 |
| Provider Name | George Comas |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1578715454 PECOS PAC ID: 0143463711 Enrollment ID: I20181120001140 |
| Provider Name | Samuel Mark Kammerzell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902293103 PECOS PAC ID: 8022362359 Enrollment ID: I20181126001687 |
| Provider Name | Jenny S Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861835142 PECOS PAC ID: 9032417431 Enrollment ID: I20181127001609 |
| Provider Name | Lindsey Haguewood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942794029 PECOS PAC ID: 5294079596 Enrollment ID: I20181127001967 |
| Provider Name | Hayden Kay Lester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255815361 PECOS PAC ID: 3072857929 Enrollment ID: I20181203002955 |
| Provider Name | Rhonda R Hilger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558839472 PECOS PAC ID: 5597001990 Enrollment ID: I20190107000171 |
| Provider Name | Charles M Maliska |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053467894 PECOS PAC ID: 5991937823 Enrollment ID: I20190110001463 |
| Provider Name | Monica Ann Kirkendoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750821658 PECOS PAC ID: 6103162227 Enrollment ID: I20190110002655 |
| Provider Name | Roshini Selladurai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134653074 PECOS PAC ID: 2860739364 Enrollment ID: I20190122002266 |
| Provider Name | Taylor M Miles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043665987 PECOS PAC ID: 5890032353 Enrollment ID: I20190123000750 |
| Provider Name | Jasmine Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578801361 PECOS PAC ID: 6901143221 Enrollment ID: I20190124002437 |
| Provider Name | Hannah Duvall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821572900 PECOS PAC ID: 0446598494 Enrollment ID: I20190218000032 |
| Provider Name | Alexander Matthew Drew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538321765 PECOS PAC ID: 9739363466 Enrollment ID: I20190221001955 |
| Provider Name | Rajiv Narula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881081412 PECOS PAC ID: 9032418454 Enrollment ID: I20190305002158 |
| Provider Name | Eric Alan Schinnerer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356608418 PECOS PAC ID: 8729239967 Enrollment ID: I20190306002813 |
| Provider Name | Angel Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528539475 PECOS PAC ID: 4789924622 Enrollment ID: I20190313000244 |
| Provider Name | Anuj Malik |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871766428 PECOS PAC ID: 2860552395 Enrollment ID: I20190501003055 |
| Provider Name | Ayad H Latif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063724623 PECOS PAC ID: 8022242031 Enrollment ID: I20190508001677 |
| Provider Name | Sotheavy Vann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710411590 PECOS PAC ID: 2961745997 Enrollment ID: I20190515001271 |
| Provider Name | Jose Carrau Lebron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023229317 PECOS PAC ID: 8325107394 Enrollment ID: I20190612000912 |
| Provider Name | Melissa Ann Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700377066 PECOS PAC ID: 3779834494 Enrollment ID: I20190619002657 |
| Provider Name | Sandra Elaine Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396249348 PECOS PAC ID: 2567796501 Enrollment ID: I20190626000550 |
| Provider Name | Shantel Laniece Bolton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487112603 PECOS PAC ID: 3173857737 Enrollment ID: I20190702000646 |
| Provider Name | Hayden Md Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508276601 PECOS PAC ID: 4587886072 Enrollment ID: I20190722001974 |
| Provider Name | Kacey Mcconnell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063890242 PECOS PAC ID: 4880920800 Enrollment ID: I20190730000928 |
| Provider Name | Brian Daniel Milman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417310947 PECOS PAC ID: 3779863782 Enrollment ID: I20190802001062 |
| Provider Name | Caleb Severns |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043671365 PECOS PAC ID: 3476880154 Enrollment ID: I20190805001584 |
| Provider Name | Eric C Engstrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225484611 PECOS PAC ID: 0749576601 Enrollment ID: I20190816000154 |
| Provider Name | Tyanne Hellums |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255759635 PECOS PAC ID: 2860615168 Enrollment ID: I20190906002088 |
| Provider Name | Mina Masry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902235963 PECOS PAC ID: 7416237664 Enrollment ID: I20190909000938 |
| Provider Name | Daniela Anahita Kloos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427491414 PECOS PAC ID: 6406144617 Enrollment ID: I20190909002951 |
| Provider Name | David Enoch Winston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770070773 PECOS PAC ID: 2668702564 Enrollment ID: I20190919000239 |
| Provider Name | Kezia Alex |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942797949 PECOS PAC ID: 7214267129 Enrollment ID: I20190919000597 |
| Provider Name | David Richard Herrmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629565627 PECOS PAC ID: 6800126764 Enrollment ID: I20190919002747 |
| Provider Name | Grace Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518454511 PECOS PAC ID: 6800126293 Enrollment ID: I20190927001324 |
| Provider Name | Leah B Shell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225525223 PECOS PAC ID: 8325378722 Enrollment ID: I20190927001480 |
| Provider Name | Joel Phillips Slaughter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932696937 PECOS PAC ID: 1759612864 Enrollment ID: I20191003002066 |
| Provider Name | Margaret L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588827133 PECOS PAC ID: 1254622558 Enrollment ID: I20191009000811 |
| Provider Name | Kwame B Agyeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285863753 PECOS PAC ID: 1052452992 Enrollment ID: I20191010000183 |
| Provider Name | Courtney Erin Sauls |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538522875 PECOS PAC ID: 8022349638 Enrollment ID: I20191014000753 |
| Provider Name | Shweta Garg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346537461 PECOS PAC ID: 1759503816 Enrollment ID: I20191015000036 |
| Provider Name | Daniel Scheurich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659396539 PECOS PAC ID: 7810082724 Enrollment ID: I20191015002814 |
| Provider Name | Mohan Mallikarjuna Edupuganti |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164737490 PECOS PAC ID: 3173830981 Enrollment ID: I20191031002681 |
| Provider Name | Rebekah Josephine Mcvay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821444274 PECOS PAC ID: 4587996806 Enrollment ID: I20191105002796 |
| Provider Name | Anastasia Marie Medved |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801448410 PECOS PAC ID: 0446682520 Enrollment ID: I20191111001511 |
| Provider Name | Ezekiel Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134653926 PECOS PAC ID: 0345673471 Enrollment ID: I20191204001157 |
| Provider Name | Shelly Diane Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972144475 PECOS PAC ID: 5294168969 Enrollment ID: I20191211000209 |
| Provider Name | Jennifer Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346634789 PECOS PAC ID: 4082964028 Enrollment ID: I20191213000593 |
| Provider Name | Marisela Gonzalez Mercado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336522028 PECOS PAC ID: 5597199000 Enrollment ID: I20191216001987 |
| Provider Name | Caitlin Amanda Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528600350 PECOS PAC ID: 9436583762 Enrollment ID: I20191219002172 |
| Provider Name | Umer Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265698591 PECOS PAC ID: 4688749955 Enrollment ID: I20200102000509 |
| Provider Name | Trung Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972857878 PECOS PAC ID: 4587974373 Enrollment ID: I20200114001067 |
| Provider Name | Jessica Lynn Shook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528438942 PECOS PAC ID: 1951736008 Enrollment ID: I20200117000355 |
| Provider Name | Christopher Seitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043650831 PECOS PAC ID: 3870725641 Enrollment ID: I20200123001347 |
| Provider Name | Mohammad Yashar Kalani |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1285861153 PECOS PAC ID: 1052600863 Enrollment ID: I20200129000968 |
| Provider Name | Andrew M Finley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235692443 PECOS PAC ID: 5395171573 Enrollment ID: I20200206001475 |
| Provider Name | James Vodvarka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518955210 PECOS PAC ID: 9335191600 Enrollment ID: I20200210001133 |
| Provider Name | Adrienne A Taren |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366976391 PECOS PAC ID: 3678844081 Enrollment ID: I20200220001031 |
| Provider Name | Bridget Davis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1407248735 PECOS PAC ID: 0941527253 Enrollment ID: I20200304000748 |
| Provider Name | Michaelle L Holbird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548822794 PECOS PAC ID: 4385072230 Enrollment ID: I20200309000252 |
| Provider Name | Jean Sun |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265759716 PECOS PAC ID: 3577879535 Enrollment ID: I20200312000736 |
| Provider Name | Charles Matthew Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760014385 PECOS PAC ID: 6103254503 Enrollment ID: I20200318001569 |
| Provider Name | Kassandra D Delcoure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396380259 PECOS PAC ID: 0547699530 Enrollment ID: I20200326000374 |
| Provider Name | Christina Dawn Tinsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841848975 PECOS PAC ID: 0941639975 Enrollment ID: I20200326002181 |
| Provider Name | Houston Reed Slemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962047563 PECOS PAC ID: 1850720582 Enrollment ID: I20200401001607 |
| Provider Name | Lisa M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336772771 PECOS PAC ID: 5496184137 Enrollment ID: I20200401002084 |
| Provider Name | Melissa White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164072534 PECOS PAC ID: 3678902178 Enrollment ID: I20200403003161 |
| Provider Name | Heath A Burchfield |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700317013 PECOS PAC ID: 5799059572 Enrollment ID: I20200413000718 |
| Provider Name | Michele Ann Gatheridge |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952543555 PECOS PAC ID: 6406107358 Enrollment ID: I20200629000213 |
| Provider Name | Patrick Neff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073053468 PECOS PAC ID: 4486078847 Enrollment ID: I20200720001072 |
| Provider Name | Kristie Nicole Mattix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033733225 PECOS PAC ID: 7214351923 Enrollment ID: I20200728000082 |
| Provider Name | Rahul H Rahangdale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295118065 PECOS PAC ID: 7618265265 Enrollment ID: I20200729001018 |
| Provider Name | Linsea Diane Ford |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356873277 PECOS PAC ID: 1355766031 Enrollment ID: I20200729002533 |
| Provider Name | Jason Bass |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124569298 PECOS PAC ID: 4082039409 Enrollment ID: I20200803000881 |
| Provider Name | Jesintha Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003343229 PECOS PAC ID: 8628493079 Enrollment ID: I20200803001976 |
| Provider Name | Divya Akula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194186379 PECOS PAC ID: 8820413081 Enrollment ID: I20200804003763 |
| Provider Name | Tristan Dean Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508398009 PECOS PAC ID: 8628493574 Enrollment ID: I20200810000844 |
| Provider Name | Amru M. Swar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629500517 PECOS PAC ID: 5890111520 Enrollment ID: I20200812002226 |
| Provider Name | Changxing Liu |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467821009 PECOS PAC ID: 7113229766 Enrollment ID: I20200812002619 |
| Provider Name | Amritanshu Singh |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1538695192 PECOS PAC ID: 0042636334 Enrollment ID: I20200818000419 |
| Provider Name | Elizabeth Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922530716 PECOS PAC ID: 5092131292 Enrollment ID: I20200819000499 |
| Provider Name | Kevin P Mcginn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508398652 PECOS PAC ID: 6103243092 Enrollment ID: I20200824001285 |
| Provider Name | Timothy George Ihrig |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1922111400 PECOS PAC ID: 5294869566 Enrollment ID: I20200825002682 |
| Provider Name | Jason King |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255710117 PECOS PAC ID: 2961829445 Enrollment ID: I20200828001465 |
| Provider Name | Michelle Diane Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720614373 PECOS PAC ID: 2567889553 Enrollment ID: I20200908000750 |
| Provider Name | Priscella Ann Caron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053936815 PECOS PAC ID: 5991122988 Enrollment ID: I20200908000924 |
| Provider Name | Carol Sue Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033753090 PECOS PAC ID: 5698193555 Enrollment ID: I20200910000098 |
| Provider Name | Emily Suku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922622869 PECOS PAC ID: 4789002221 Enrollment ID: I20200915001499 |
| Provider Name | Tani Reynolds Calvert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760006886 PECOS PAC ID: 2860810207 Enrollment ID: I20200916001613 |
| Provider Name | Nitin Abrol |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134647183 PECOS PAC ID: 6507132776 Enrollment ID: I20201005002964 |
| Provider Name | Yasmin Ali O'keefe |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194001271 PECOS PAC ID: 3072834720 Enrollment ID: I20201104002648 |
| Provider Name | Caleb Burrows |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1396123246 PECOS PAC ID: 5597078493 Enrollment ID: I20201111003008 |
| Provider Name | Glenna Wong Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013571256 PECOS PAC ID: 3072924414 Enrollment ID: I20201116002567 |
| Provider Name | Yuan I Scarlet Chou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326537275 PECOS PAC ID: 3375954746 Enrollment ID: I20201117000518 |
| Provider Name | Shawn Cherian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134783376 PECOS PAC ID: 1557772845 Enrollment ID: I20201117001944 |
| Provider Name | Michael E Rowe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619081205 PECOS PAC ID: 8729084462 Enrollment ID: I20201119003320 |
| Provider Name | Amber Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275156622 PECOS PAC ID: 0648681429 Enrollment ID: I20201130002053 |
| Provider Name | Danielle Nicole Strohmeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275156010 PECOS PAC ID: 3678984499 Enrollment ID: I20201201000529 |
| Provider Name | Ella F Kuchmiy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285298414 PECOS PAC ID: 6800207556 Enrollment ID: I20201201002062 |
| Provider Name | Jessica Joanne Topping |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760081681 PECOS PAC ID: 4789095472 Enrollment ID: I20201202000331 |
| Provider Name | Sherrita Polk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639603723 PECOS PAC ID: 2668703174 Enrollment ID: I20201202002550 |
| Provider Name | Bhavitha G Richard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578050571 PECOS PAC ID: 5991118515 Enrollment ID: I20201228001984 |
| Provider Name | Cody Due |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326536608 PECOS PAC ID: 5597178764 Enrollment ID: I20210107000458 |
| Provider Name | Renee Cherian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033773270 PECOS PAC ID: 3577977008 Enrollment ID: I20210125002076 |
| Provider Name | Vivek Vadehra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073602793 PECOS PAC ID: 1951560010 Enrollment ID: I20210212001207 |
| Provider Name | Preston Pruett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942892146 PECOS PAC ID: 6406261684 Enrollment ID: I20210222000862 |
| Provider Name | Mary Nettlow |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598862476 PECOS PAC ID: 3375710163 Enrollment ID: I20210222002188 |
| Provider Name | Valerie Md German |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982022885 PECOS PAC ID: 9739499492 Enrollment ID: I20210222003028 |
| Provider Name | Michael Okeefe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366799256 PECOS PAC ID: 4688995517 Enrollment ID: I20210225002230 |
| Provider Name | James Anthony Welker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568423440 PECOS PAC ID: 2466423538 Enrollment ID: I20210226000625 |
| Provider Name | Hector M Farela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851542567 PECOS PAC ID: 9931223807 Enrollment ID: I20210302002846 |
| Provider Name | Bertrand C Liang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396010856 PECOS PAC ID: 3375885536 Enrollment ID: I20210304000487 |
| Provider Name | Alex M. Riggs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396308441 PECOS PAC ID: 2365852878 Enrollment ID: I20210325001302 |
| Provider Name | Catherine Mamah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811062912 PECOS PAC ID: 1951603919 Enrollment ID: I20210331001109 |
| Provider Name | Stephanie S Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821682832 PECOS PAC ID: 5991112047 Enrollment ID: I20210407002775 |
| Provider Name | Tonya Nicole Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073194742 PECOS PAC ID: 2062820319 Enrollment ID: I20210426002438 |
| Provider Name | Muhammad Rehan Azher Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972850170 PECOS PAC ID: 0749591055 Enrollment ID: I20210504001405 |
| Provider Name | Afton Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689254609 PECOS PAC ID: 9234548025 Enrollment ID: I20210507000135 |
| Provider Name | Peter Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760594808 PECOS PAC ID: 8325021421 Enrollment ID: I20210527000407 |
| Provider Name | Jessie M Wissman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598340697 PECOS PAC ID: 6901207034 Enrollment ID: I20210628001611 |
| Provider Name | Renae Lyn Bateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952628307 PECOS PAC ID: 0446380679 Enrollment ID: I20210818000609 |
| Provider Name | Kristen Nicole Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144899410 PECOS PAC ID: 1759786429 Enrollment ID: I20210818001060 |
| Provider Name | Thomas John Loafman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801484092 PECOS PAC ID: 5092122432 Enrollment ID: I20210825001686 |
| Provider Name | Curtis Joseph Behenna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801247697 PECOS PAC ID: 8123311230 Enrollment ID: I20210826003784 |
| Provider Name | George Gregory Demopoulos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942797840 PECOS PAC ID: 4789089863 Enrollment ID: I20210827001282 |
| Provider Name | Stephanie M Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134796774 PECOS PAC ID: 0648674226 Enrollment ID: I20210909002821 |
| Provider Name | Gretchen E Mcgee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720642432 PECOS PAC ID: 2769716216 Enrollment ID: I20210916002187 |
| Provider Name | Rebekah Ann Fairchild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386317915 PECOS PAC ID: 3971900812 Enrollment ID: I20210921000556 |
| Provider Name | Audrey Leanne Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528555372 PECOS PAC ID: 4486051166 Enrollment ID: I20210922003048 |
| Provider Name | Sheron Kurian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285107052 PECOS PAC ID: 4183957301 Enrollment ID: I20210923001827 |
| Provider Name | Dana M Satterlee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427390293 PECOS PAC ID: 7012349830 Enrollment ID: I20210929001017 |
| Provider Name | Yara D Nazzal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477845584 PECOS PAC ID: 3173832995 Enrollment ID: I20210929001980 |
| Provider Name | Jack Test |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033648951 PECOS PAC ID: 5193095792 Enrollment ID: I20210929003235 |
| Provider Name | Saed Awadallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487092128 PECOS PAC ID: 1456641695 Enrollment ID: I20211006002789 |
| Provider Name | Lior N Shamai |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1093963563 PECOS PAC ID: 7315189016 Enrollment ID: I20211011000672 |
| Provider Name | Kelli A Dobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184218604 PECOS PAC ID: 5597163048 Enrollment ID: I20211013002548 |
| Provider Name | Brian P Sprouse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326429804 PECOS PAC ID: 9032412028 Enrollment ID: I20211027000763 |
| Provider Name | Priyanka Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104190032 PECOS PAC ID: 8426270091 Enrollment ID: I20211109000428 |
| Provider Name | Morgan Coldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871053769 PECOS PAC ID: 6709275316 Enrollment ID: I20211118002966 |
| Provider Name | Shelby Willis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730701251 PECOS PAC ID: 7012307366 Enrollment ID: I20211201001313 |
| Provider Name | Ziva R Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427716653 PECOS PAC ID: 6608267653 Enrollment ID: I20211229001811 |
| Provider Name | Samantha May Kipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326715269 PECOS PAC ID: 2961893789 Enrollment ID: I20220104002943 |
| Provider Name | Kelsey Leigh Brittingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003414145 PECOS PAC ID: 4183017965 Enrollment ID: I20220201000624 |
| Provider Name | Priyanka Pathania |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1720242340 PECOS PAC ID: 1759774359 Enrollment ID: I20220203000189 |
| Provider Name | Courtney Renee Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023774353 PECOS PAC ID: 3971998584 Enrollment ID: I20220317002261 |
| Provider Name | Jacob Taft Malone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851043947 PECOS PAC ID: 1153716782 Enrollment ID: I20220317002774 |
| Provider Name | Daniel Alan Whitcomb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356961890 PECOS PAC ID: 7012303928 Enrollment ID: I20220401000279 |
| Provider Name | Harrison A Daniel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245868991 PECOS PAC ID: 6103213186 Enrollment ID: I20220421000620 |
| Provider Name | Randal Riha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588126684 PECOS PAC ID: 4486047248 Enrollment ID: I20220504000850 |
| Provider Name | Michelle L Pierce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982224424 PECOS PAC ID: 2860879707 Enrollment ID: I20220516002183 |
| Provider Name | Timothy Choy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033739560 PECOS PAC ID: 5799162541 Enrollment ID: I20220516002905 |
| Provider Name | Amy Michelle Kirchner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396410254 PECOS PAC ID: 8628456571 Enrollment ID: I20220604000016 |
| Provider Name | Chance Dodson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093052664 PECOS PAC ID: 2264679364 Enrollment ID: I20220608000802 |
| Provider Name | Clyde R Varner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316931256 PECOS PAC ID: 3870521784 Enrollment ID: I20220616000566 |
| Provider Name | Daniel Bancroft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114547825 PECOS PAC ID: 9830579630 Enrollment ID: I20220711003357 |
| Provider Name | Michael R Bellew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104353747 PECOS PAC ID: 0648542449 Enrollment ID: I20220716000529 |
| Provider Name | Andrea Nicole Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285226340 PECOS PAC ID: 9638551880 Enrollment ID: I20220803004051 |
| Provider Name | Andy Allen Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104558527 PECOS PAC ID: 3072995125 Enrollment ID: I20220805000815 |
| Provider Name | Zachary Michael Ferguson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669033957 PECOS PAC ID: 8729313952 Enrollment ID: I20220808000738 |
| Provider Name | Jonathon Ryan Johnston |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356832844 PECOS PAC ID: 1355754102 Enrollment ID: I20220812001484 |
| Provider Name | Kenny Susanto |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255783270 PECOS PAC ID: 1254758410 Enrollment ID: I20220815001112 |
| Provider Name | Todd M Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891173555 PECOS PAC ID: 1052623071 Enrollment ID: I20220823000081 |
| Provider Name | Issac Kriley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649558735 PECOS PAC ID: 4880951706 Enrollment ID: I20220823003811 |
| Provider Name | Pratyaksha Sankhyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801340104 PECOS PAC ID: 0941535744 Enrollment ID: I20220824002628 |
| Provider Name | Maria Cristina Malamug Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619615523 PECOS PAC ID: 6608250311 Enrollment ID: I20220830002048 |
| Provider Name | Pamela Veale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043989007 PECOS PAC ID: 6608250105 Enrollment ID: I20220901001739 |
| Provider Name | Patricia Danielle Harwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801520879 PECOS PAC ID: 1759765837 Enrollment ID: I20220908003817 |
| Provider Name | Courtney Marie Pace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194459321 PECOS PAC ID: 8729463773 Enrollment ID: I20220913000041 |
| Provider Name | Marilyn Kimberly Wilburn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487142766 PECOS PAC ID: 1052669876 Enrollment ID: I20220914002958 |
| Provider Name | Jacob Mark Burdett |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104366574 PECOS PAC ID: 1557742947 Enrollment ID: I20220915002535 |
| Provider Name | Shahnawaz Chaudhry Ijaz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659868719 PECOS PAC ID: 4082099619 Enrollment ID: I20220919002412 |
| Provider Name | David C Remy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508131509 PECOS PAC ID: 3274562624 Enrollment ID: I20220927002820 |
| Provider Name | Leyla Michele Mckay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285652180 PECOS PAC ID: 7517343668 Enrollment ID: I20220928000102 |
| Provider Name | Abelina Yolanda Garcia Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568104842 PECOS PAC ID: 2769868751 Enrollment ID: I20220928001927 |
| Provider Name | Melinda Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922732478 PECOS PAC ID: 8628444973 Enrollment ID: I20221012001133 |
| Provider Name | Theresa E Robertson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215019518 PECOS PAC ID: 4082883681 Enrollment ID: I20221028002477 |
| Provider Name | Taylor Ashtyn Clinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407428527 PECOS PAC ID: 5092183467 Enrollment ID: I20221116002935 |
| Provider Name | Akhilesh Mahajan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982158119 PECOS PAC ID: 1355719493 Enrollment ID: I20221122001465 |
| Provider Name | Virginia E Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952530628 PECOS PAC ID: 8022259696 Enrollment ID: I20230104000511 |
| Provider Name | Donald Thomas Schleicher |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1689011777 PECOS PAC ID: 6204131683 Enrollment ID: I20230118001386 |
| Provider Name | Nicole S Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982313292 PECOS PAC ID: 6608247622 Enrollment ID: I20230130000611 |
| Provider Name | Jordan Dever |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508449430 PECOS PAC ID: 9537531256 Enrollment ID: I20230207000272 |
| Provider Name | Laura Bell Ng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104409036 PECOS PAC ID: 8325410962 Enrollment ID: I20230208002173 |
| Provider Name | Justin L Sailo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295318152 PECOS PAC ID: 0749652964 Enrollment ID: I20230215002337 |
| Provider Name | Nathaniel Ng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285217125 PECOS PAC ID: 9032581202 Enrollment ID: I20230216001000 |
| Provider Name | Stacy Philip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366025207 PECOS PAC ID: 9830561992 Enrollment ID: I20230217002784 |
| Provider Name | Jessica Jo Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144934456 PECOS PAC ID: 9638542053 Enrollment ID: I20230307000246 |
| Provider Name | Candace Lene Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275976664 PECOS PAC ID: 9931341153 Enrollment ID: I20230321001252 |
| Provider Name | Angel Stephen Leo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992388722 PECOS PAC ID: 6103290523 Enrollment ID: I20230324001869 |
| Provider Name | Stephen W Shannon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780267625 PECOS PAC ID: 1850756115 Enrollment ID: I20230420002633 |
| Provider Name | Chelsea Jordan Chavez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124725577 PECOS PAC ID: 0749646966 Enrollment ID: I20230515000132 |
| Provider Name | Reza Sadeghi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457597320 PECOS PAC ID: 0042453730 Enrollment ID: I20230615000159 |
| Provider Name | Deka A Efobi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720059397 PECOS PAC ID: 4082676614 Enrollment ID: I20230706001291 |
| Provider Name | Zachary Michael Mullins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609335595 PECOS PAC ID: 0840652533 Enrollment ID: I20230811002174 |
| Provider Name | Ele Wu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1578944567 PECOS PAC ID: 4688036288 Enrollment ID: I20230814003967 |
| Provider Name | Lesa Roy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669048179 PECOS PAC ID: 8123428158 Enrollment ID: I20230829002302 |
| Provider Name | Joe Moseley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467126854 PECOS PAC ID: 2163827098 Enrollment ID: I20231003003358 |
| Provider Name | Samantha K Nunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295432631 PECOS PAC ID: 9234586330 Enrollment ID: I20231110002854 |
| Provider Name | Pooja Dipak Rao |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1013352376 PECOS PAC ID: 0345481222 Enrollment ID: I20231115000014 |
| Provider Name | Augustus Caine |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043657844 PECOS PAC ID: 7012208358 Enrollment ID: I20231221003629 |
| Provider Name | Kelly Johnson Berry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144896804 PECOS PAC ID: 2466837281 Enrollment ID: I20231227002920 |
| Provider Name | Michael Megaly |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083029755 PECOS PAC ID: 6901116672 Enrollment ID: I20240102001773 |
| Provider Name | Joel Steven Leitch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477521243 PECOS PAC ID: 3971546649 Enrollment ID: I20240110004675 |
| Provider Name | Remy Cole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275071722 PECOS PAC ID: 6103269378 Enrollment ID: I20240206000071 |
| Provider Name | Steve Calico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124161245 PECOS PAC ID: 7416390208 Enrollment ID: I20240208002689 |
| Provider Name | Fallon M Raper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104578418 PECOS PAC ID: 9537503263 Enrollment ID: I20240221000622 |
| Provider Name | Charlece Lynn Hughes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326039215 PECOS PAC ID: 5799702080 Enrollment ID: I20240227003462 |
| Provider Name | Patrick Shane Collins |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1982099875 PECOS PAC ID: 5597071431 Enrollment ID: I20240315002743 |
| Provider Name | Erica Lea Whitson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366145369 PECOS PAC ID: 2860830288 Enrollment ID: I20240404001893 |
| Provider Name | Trenton Lee Overall |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841575032 PECOS PAC ID: 2062658826 Enrollment ID: I20240416003096 |
| Provider Name | Anne Elizabeth Hogan |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881815157 PECOS PAC ID: 7113084054 Enrollment ID: I20240424002924 |
| Provider Name | Steven Lee Pike |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1205226255 PECOS PAC ID: 4880973486 Enrollment ID: I20240605000609 |
| Provider Name | Habiba Tahira Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174001606 PECOS PAC ID: 1850644337 Enrollment ID: I20240607002404 |
| Provider Name | Lyndee Jo Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962147421 PECOS PAC ID: 9830632124 Enrollment ID: I20240614001454 |
| Provider Name | Jose P Falero-pomales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801373089 PECOS PAC ID: 5698001071 Enrollment ID: I20240618002849 |
| Provider Name | Judy Ann Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700302304 PECOS PAC ID: 7911273727 Enrollment ID: I20240625000004 |
| Provider Name | Robin Rainey Kiehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497378996 PECOS PAC ID: 4789085283 Enrollment ID: I20240724003223 |
| Provider Name | Kay Nicole Tipton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124693494 PECOS PAC ID: 0547663494 Enrollment ID: I20240725000071 |
| Provider Name | Abbagail Louella Barnes |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1912744178 PECOS PAC ID: 9032659412 Enrollment ID: I20240912000265 |
| Provider Name | Bradley Allen Boone |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1730151457 PECOS PAC ID: 9537061726 Enrollment ID: I20240917002066 |
| Provider Name | Alvin T Perkins |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922050517 PECOS PAC ID: 4183600679 Enrollment ID: I20241022003031 |
| Provider Name | Heather Renee Alberty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831920735 PECOS PAC ID: 8426581109 Enrollment ID: I20241103000088 |
| Provider Name | Tiffany Eady |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649512435 PECOS PAC ID: 0941546162 Enrollment ID: I20241105001280 |
| Provider Name | Michael Sung-min Hu |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1821309907 PECOS PAC ID: 2062719743 Enrollment ID: I20241106004311 |
| Provider Name | Nicolas Zea |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083855050 PECOS PAC ID: 2062636855 Enrollment ID: I20241121000119 |
| Provider Name | Juan Jose Goyanes-vasquez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831622968 PECOS PAC ID: 7113398728 Enrollment ID: I20241203003270 |
| Provider Name | Jeffrey Morris Apple |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750354924 PECOS PAC ID: 5698716553 Enrollment ID: I20241210002362 |
| Provider Name | Kofi Bonney Quaye |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1528416443 PECOS PAC ID: 3274934930 Enrollment ID: I20241216001580 |
| Provider Name | Cristina Dawn Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588115810 PECOS PAC ID: 3072892025 Enrollment ID: I20250114000955 |
| Provider Name | Joe Kelton Wells |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629092903 PECOS PAC ID: 5991738395 Enrollment ID: I20250205003622 |
| Provider Name | Sammi Jo Grimes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194546531 PECOS PAC ID: 1658801667 Enrollment ID: I20250205004130 |
| Provider Name | Jeffrey Alan Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033107255 PECOS PAC ID: 3577516574 Enrollment ID: I20250227000799 |
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