| Tchma | |
|
2123 Auburn Ave Cincinnati OH 45219-2906 | |
| (513) 585-1500 | |
| (513) 585-1510 |
| Full Name | Tchma |
|---|---|
| Speciality | Internal Medicine |
| Location | 2123 Auburn Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Karen Fairbank (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 5132638535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tchma 237 William Howard Taft Rd Cincinnati OH 45219-2610 Ph: (513) 351-9900 | Tchma 2123 Auburn Ave Cincinnati OH 45219-2906 Ph: (513) 585-1500 |
| NPI Number | 1114107919 |
|---|---|
| Provider Enumeration Date | 11/08/2007 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 0244314102 |
|---|---|
| Medicare Enrollment ID | O20080301000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114107919 | NPI | - | NPPES |
| 2958223 | Medicaid | OH | |
| 7100077920 | Medicaid | KY | |
| DO4197 | Other | OH | RAIL ROAD MEDICARE |
| Provider Name | Joseph Dagenbach |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205838109 PECOS PAC ID: 3779487293 Enrollment ID: I20031125000547 |
| Provider Name | John R Capurro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720011380 PECOS PAC ID: 3072410067 Enrollment ID: I20040123000020 |
| Provider Name | Linda Ann Dault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457490781 PECOS PAC ID: 0244132827 Enrollment ID: I20040123000529 |
| Provider Name | Jo A Sparnall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780612416 PECOS PAC ID: 8325932320 Enrollment ID: I20040211000239 |
| Provider Name | Lisbeth Lazaron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619939816 PECOS PAC ID: 0648165860 Enrollment ID: I20040217000865 |
| Provider Name | Philip M Diller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124002076 PECOS PAC ID: 1850286923 Enrollment ID: I20040218000041 |
| Provider Name | Douglas Paul Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033407333 PECOS PAC ID: 0345136990 Enrollment ID: I20040223000492 |
| Provider Name | Barbara A Ramlo Halsted |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558329417 PECOS PAC ID: 1052207263 Enrollment ID: I20040225000315 |
| Provider Name | Douglas Alan Saunders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760473532 PECOS PAC ID: 0446148951 Enrollment ID: I20040308000156 |
| Provider Name | Mauricio H Caceres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538151642 PECOS PAC ID: 2860380912 Enrollment ID: I20040309001141 |
| Provider Name | Montiel Teresa Rosenthal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962486811 PECOS PAC ID: 2062301377 Enrollment ID: I20040315000108 |
| Provider Name | Michael C Scharf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609868744 PECOS PAC ID: 5092708875 Enrollment ID: I20040407000159 |
| Provider Name | Lawson Wulsin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639271828 PECOS PAC ID: 8123012234 Enrollment ID: I20040412001493 |
| Provider Name | Robert Scott Keyes |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1437265287 PECOS PAC ID: 1254328651 Enrollment ID: I20040428000375 |
| Provider Name | Naum S Krimerman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1003872573 PECOS PAC ID: 7810892536 Enrollment ID: I20040428000857 |
| Provider Name | Jason Paul Graff |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851396808 PECOS PAC ID: 0547242992 Enrollment ID: I20040601001185 |
| Provider Name | Jennifer M Mclellan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548269657 PECOS PAC ID: 5890778336 Enrollment ID: I20040608000190 |
| Provider Name | Christine G Chadwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285633602 PECOS PAC ID: 1557344546 Enrollment ID: I20040610000994 |
| Provider Name | Christopher Schmitt |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548210370 PECOS PAC ID: 4385541762 Enrollment ID: I20040610001550 |
| Provider Name | Brenda Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134349566 PECOS PAC ID: 1153304951 Enrollment ID: I20040611000786 |
| Provider Name | Matthew G Schuermann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689644254 PECOS PAC ID: 2062491368 Enrollment ID: I20040721001504 |
| Provider Name | Geraldine M Vehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306809736 PECOS PAC ID: 3971574229 Enrollment ID: I20040802001225 |
| Provider Name | Margaret C Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417910175 PECOS PAC ID: 7719950823 Enrollment ID: I20040817000819 |
| Provider Name | Don D Duke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619971181 PECOS PAC ID: 1355315813 Enrollment ID: I20040822000003 |
| Provider Name | Christopher M Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497720445 PECOS PAC ID: 2860466901 Enrollment ID: I20040824000590 |
| Provider Name | Mausi Abosede Okunade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144286634 PECOS PAC ID: 0547235707 Enrollment ID: I20040831000886 |
| Provider Name | Joseph Neal Bateman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467418921 PECOS PAC ID: 8820064892 Enrollment ID: I20040909001394 |
| Provider Name | Kathleen Marie Blessinger |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1811120447 PECOS PAC ID: 7810953908 Enrollment ID: I20041209000996 |
| Provider Name | Elizabeth Ann Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942238019 PECOS PAC ID: 3779540729 Enrollment ID: I20041212000003 |
| Provider Name | Jeffrey Scott Morgeson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164436945 PECOS PAC ID: 9537114798 Enrollment ID: I20050321000718 |
| Provider Name | Amanda Marie Denney |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003871047 PECOS PAC ID: 5193765394 Enrollment ID: I20050506000468 |
| Provider Name | Christopher Ray Bernheisel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285618074 PECOS PAC ID: 1456393610 Enrollment ID: I20050526001054 |
| Provider Name | Stephanie Locaputo Striet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821054834 PECOS PAC ID: 8921035569 Enrollment ID: I20050725001249 |
| Provider Name | Joseph P Hazen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578527206 PECOS PAC ID: 8123914108 Enrollment ID: I20050804000924 |
| Provider Name | Terri Lynn Overbeck Zisko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174586143 PECOS PAC ID: 9234168725 Enrollment ID: I20050804000964 |
| Provider Name | Michael Heile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588628234 PECOS PAC ID: 3375572878 Enrollment ID: I20050804001000 |
| Provider Name | Regina Anne Kohls |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316901085 PECOS PAC ID: 5698704195 Enrollment ID: I20050804001037 |
| Provider Name | Timothy J Mccarren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649234311 PECOS PAC ID: 1850287822 Enrollment ID: I20050804001068 |
| Provider Name | Thaddeus Michael Bort |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407810807 PECOS PAC ID: 6204722283 Enrollment ID: I20050810000937 |
| Provider Name | Walter E Donnelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730142407 PECOS PAC ID: 7315833381 Enrollment ID: I20050816000980 |
| Provider Name | Steven C Cooley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457358665 PECOS PAC ID: 9830120401 Enrollment ID: I20050823000879 |
| Provider Name | Marie E Rueve |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487719514 PECOS PAC ID: 0143252510 Enrollment ID: I20050907000238 |
| Provider Name | Michael Jennings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356348569 PECOS PAC ID: 5496788390 Enrollment ID: I20050912001088 |
| Provider Name | Amador Santos Delamerced |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083612410 PECOS PAC ID: 0345274049 Enrollment ID: I20050922000234 |
| Provider Name | Michael S Yi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932157070 PECOS PAC ID: 4880613751 Enrollment ID: I20051121000558 |
| Provider Name | Sonja A Heuker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669435731 PECOS PAC ID: 3779507181 Enrollment ID: I20060124000491 |
| Provider Name | Scott Alan Bresler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043367451 PECOS PAC ID: 7315961646 Enrollment ID: I20060125000427 |
| Provider Name | Karthikeyan Kanagarajan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1497704936 PECOS PAC ID: 6406847680 Enrollment ID: I20060405000379 |
| Provider Name | Michelle Zamudio |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366541385 PECOS PAC ID: 1850396573 Enrollment ID: I20061002000069 |
| Provider Name | Jon Chick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063417129 PECOS PAC ID: 8022014679 Enrollment ID: I20061005000003 |
| Provider Name | Jeffrey Schlaudecker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316056526 PECOS PAC ID: 2567469539 Enrollment ID: I20061106000001 |
| Provider Name | John W Merling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457313843 PECOS PAC ID: 3173504552 Enrollment ID: I20070110000318 |
| Provider Name | Tina M Gabbard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659332492 PECOS PAC ID: 2466433842 Enrollment ID: I20070131000095 |
| Provider Name | Jennifer Eileen Bain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285610709 PECOS PAC ID: 9537261698 Enrollment ID: I20070221000310 |
| Provider Name | Christopher Mckiernan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063546307 PECOS PAC ID: 5193826808 Enrollment ID: I20070725000433 |
| Provider Name | Lena Bhargava |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932304300 PECOS PAC ID: 3375639867 Enrollment ID: I20071015000057 |
| Provider Name | Mary L Inwood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154382901 PECOS PAC ID: 7810978293 Enrollment ID: I20071128000365 |
| Provider Name | Heather M Maier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043352628 PECOS PAC ID: 8224016639 Enrollment ID: I20071218000158 |
| Provider Name | Brian Masterson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053522359 PECOS PAC ID: 4486734449 Enrollment ID: I20080103000028 |
| Provider Name | Shyamala Jagtap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275619165 PECOS PAC ID: 4284713991 Enrollment ID: I20080507000101 |
| Provider Name | Edward M Jung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750346417 PECOS PAC ID: 2668541210 Enrollment ID: I20080522000009 |
| Provider Name | Gerard E Kortekamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194785113 PECOS PAC ID: 4486723046 Enrollment ID: I20080522000012 |
| Provider Name | John R Shockley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669437323 PECOS PAC ID: 8022187681 Enrollment ID: I20080522000019 |
| Provider Name | Thomas Redington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689857518 PECOS PAC ID: 8123198108 Enrollment ID: I20080603000203 |
| Provider Name | Robert J Warden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881696599 PECOS PAC ID: 9133143688 Enrollment ID: I20080714000631 |
| Provider Name | Mary D Blades |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306842042 PECOS PAC ID: 8325111065 Enrollment ID: I20080714000647 |
| Provider Name | Thomas R Yuellig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609873827 PECOS PAC ID: 1052484714 Enrollment ID: I20080715000037 |
| Provider Name | Antoinette A Pragalos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851393730 PECOS PAC ID: 6406929017 Enrollment ID: I20080715000669 |
| Provider Name | Susan B Abbott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568414290 PECOS PAC ID: 5698786044 Enrollment ID: I20080721000377 |
| Provider Name | Newton Bullard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699772830 PECOS PAC ID: 1658445168 Enrollment ID: I20080801000021 |
| Provider Name | John Hawkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669480687 PECOS PAC ID: 6305912346 Enrollment ID: I20080827000584 |
| Provider Name | James Frecka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497719199 PECOS PAC ID: 9234205071 Enrollment ID: I20080903000025 |
| Provider Name | Milla Karev |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1285690743 PECOS PAC ID: 3779659404 Enrollment ID: I20080904000116 |
| Provider Name | Leila Saxena |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053374678 PECOS PAC ID: 5698841948 Enrollment ID: I20080910000283 |
| Provider Name | James K Hill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629034061 PECOS PAC ID: 9638245863 Enrollment ID: I20080911000391 |
| Provider Name | Nancy J Slattery |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013914233 PECOS PAC ID: 9638246648 Enrollment ID: I20080917000211 |
| Provider Name | Marvin H Lucas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508820234 PECOS PAC ID: 4981771920 Enrollment ID: I20080917000542 |
| Provider Name | Thomas Lundberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750347233 PECOS PAC ID: 3577630300 Enrollment ID: I20080922000037 |
| Provider Name | Erik S Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245296540 PECOS PAC ID: 4981771714 Enrollment ID: I20080922000078 |
| Provider Name | Darcy Ann Westermeyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851547475 PECOS PAC ID: 1052488541 Enrollment ID: I20080925000299 |
| Provider Name | Michael Blair Holliday |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225033962 PECOS PAC ID: 6901969724 Enrollment ID: I20090106000035 |
| Provider Name | Reid A Hartmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013056993 PECOS PAC ID: 7911061593 Enrollment ID: I20090126000669 |
| Provider Name | Jennifer Ricer Spata |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285889022 PECOS PAC ID: 2264597046 Enrollment ID: I20090211000003 |
| Provider Name | Scott Ries |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003985003 PECOS PAC ID: 4183772577 Enrollment ID: I20090422000673 |
| Provider Name | Marshall Mchenry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659366938 PECOS PAC ID: 6800829730 Enrollment ID: I20090617000175 |
| Provider Name | Matthew Robert Biscotti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932233129 PECOS PAC ID: 3072664614 Enrollment ID: I20090622000641 |
| Provider Name | Carlos Aguilar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346365632 PECOS PAC ID: 6901957240 Enrollment ID: I20090629000036 |
| Provider Name | Douglas H Bauman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285759449 PECOS PAC ID: 0244382927 Enrollment ID: I20090709000566 |
| Provider Name | Anna M Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801929559 PECOS PAC ID: 4981750940 Enrollment ID: I20090917000018 |
| Provider Name | Katherine Miller |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306057609 PECOS PAC ID: 3870649460 Enrollment ID: I20090923000566 |
| Provider Name | Don Sheldon Fixler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831125079 PECOS PAC ID: 3072669597 Enrollment ID: I20090923000824 |
| Provider Name | Eric M Niemeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417177403 PECOS PAC ID: 2264588672 Enrollment ID: I20090925000156 |
| Provider Name | Lisa A Niehaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639302425 PECOS PAC ID: 8921145129 Enrollment ID: I20091020000676 |
| Provider Name | Frank Perrino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265477244 PECOS PAC ID: 2668565151 Enrollment ID: I20091106000575 |
| Provider Name | Lisa F Stanken |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023008232 PECOS PAC ID: 0244208973 Enrollment ID: I20100201000810 |
| Provider Name | Thomas Lamarre |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326003369 PECOS PAC ID: 3375686553 Enrollment ID: I20100210000555 |
| Provider Name | Ronald Davison Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528048402 PECOS PAC ID: 9638213309 Enrollment ID: I20100218000342 |
| Provider Name | Philip L Weisfelder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043285224 PECOS PAC ID: 1557335684 Enrollment ID: I20100303000146 |
| Provider Name | Christopher L Chadwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710952908 PECOS PAC ID: 2668539867 Enrollment ID: I20100303000198 |
| Provider Name | Lori Abrams Conners |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528034329 PECOS PAC ID: 3476610676 Enrollment ID: I20100303000259 |
| Provider Name | Rajan S Lakhia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720053770 PECOS PAC ID: 5294892493 Enrollment ID: I20100303000332 |
| Provider Name | James G Corwin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558363374 PECOS PAC ID: 6507991783 Enrollment ID: I20100312000392 |
| Provider Name | James L Kolp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730181553 PECOS PAC ID: 2567413396 Enrollment ID: I20100323000639 |
| Provider Name | Christopher M Orabella |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1154370575 PECOS PAC ID: 1355258906 Enrollment ID: I20100325000213 |
| Provider Name | Barbara Neumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255580353 PECOS PAC ID: 1557497088 Enrollment ID: I20100409000091 |
| Provider Name | Mark Joseph Scott |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1346290889 PECOS PAC ID: 7315920253 Enrollment ID: I20100420000756 |
| Provider Name | Sunil K Dama |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1801845334 PECOS PAC ID: 6002943222 Enrollment ID: I20100420000855 |
| Provider Name | Joe D Burghard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073514568 PECOS PAC ID: 2264561885 Enrollment ID: I20100520000060 |
| Provider Name | Sandra L Hans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164425344 PECOS PAC ID: 1456481118 Enrollment ID: I20100608000129 |
| Provider Name | Kenneth Farber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831192012 PECOS PAC ID: 1759338650 Enrollment ID: I20100614000007 |
| Provider Name | Eric Jason Weinstein |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1962534693 PECOS PAC ID: 1557429008 Enrollment ID: I20100614000520 |
| Provider Name | Candice N Jones |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093991614 PECOS PAC ID: 9739219767 Enrollment ID: I20100617000271 |
| Provider Name | Christopher Michael Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285763524 PECOS PAC ID: 5092617670 Enrollment ID: I20100701000030 |
| Provider Name | Kelly Lynn Burghard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063492478 PECOS PAC ID: 7416089909 Enrollment ID: I20100720000035 |
| Provider Name | Ann M Fulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689822835 PECOS PAC ID: 4486706272 Enrollment ID: I20100927000941 |
| Provider Name | Jesiah Bertsch |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376867481 PECOS PAC ID: 6507058336 Enrollment ID: I20101019000428 |
| Provider Name | Megan Rich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427255173 PECOS PAC ID: 2264626357 Enrollment ID: I20101102001563 |
| Provider Name | Cynthia L Tufarella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649584814 PECOS PAC ID: 1052500808 Enrollment ID: I20110107001100 |
| Provider Name | Douglas Haas |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689720203 PECOS PAC ID: 1052593290 Enrollment ID: I20110310000006 |
| Provider Name | Rebecca Braun O'der |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790873495 PECOS PAC ID: 1951585983 Enrollment ID: I20110415000062 |
| Provider Name | Shannon M Haggerty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730390295 PECOS PAC ID: 0042497695 Enrollment ID: I20110607000679 |
| Provider Name | Nicole M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407001050 PECOS PAC ID: 7416019955 Enrollment ID: I20110713000446 |
| Provider Name | Kenneth T Heberling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669465423 PECOS PAC ID: 2668403627 Enrollment ID: I20110818000806 |
| Provider Name | Martha A Orabella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942462510 PECOS PAC ID: 0042480584 Enrollment ID: I20110819000247 |
| Provider Name | Mark A Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821236597 PECOS PAC ID: 0143493734 Enrollment ID: I20111026000609 |
| Provider Name | Kim Marie Mccarthy-nussbaum |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1851684260 PECOS PAC ID: 1355398827 Enrollment ID: I20111109000638 |
| Provider Name | Regina J Lahmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881979979 PECOS PAC ID: 3173799970 Enrollment ID: I20111228000615 |
| Provider Name | Ming E Ashworth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578578969 PECOS PAC ID: 0345407359 Enrollment ID: I20120202000632 |
| Provider Name | Sean W Lynd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518901511 PECOS PAC ID: 0446410930 Enrollment ID: I20120320000703 |
| Provider Name | Elizabeth L Schmitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194990259 PECOS PAC ID: 1153581541 Enrollment ID: I20120321000810 |
| Provider Name | Wendy Benedict |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174695340 PECOS PAC ID: 6002701117 Enrollment ID: I20120420000223 |
| Provider Name | Jodi Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396019501 PECOS PAC ID: 0840454872 Enrollment ID: I20120604000142 |
| Provider Name | Hillary R Mount |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912133042 PECOS PAC ID: 6709032121 Enrollment ID: I20120816000989 |
| Provider Name | Jennifer Diane Beezley Hester |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578664777 PECOS PAC ID: 1658520994 Enrollment ID: I20121002000693 |
| Provider Name | Colleen P Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518235266 PECOS PAC ID: 5890945042 Enrollment ID: I20121024000076 |
| Provider Name | Kalpan Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255666384 PECOS PAC ID: 4880845320 Enrollment ID: I20121110000096 |
| Provider Name | Katie M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700037959 PECOS PAC ID: 2365501087 Enrollment ID: I20130104000531 |
| Provider Name | Vishal Jivan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154563278 PECOS PAC ID: 5890948335 Enrollment ID: I20130110000578 |
| Provider Name | Elise M Chambers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629168786 PECOS PAC ID: 9335380674 Enrollment ID: I20130729000546 |
| Provider Name | Andrea Bashor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649612870 PECOS PAC ID: 6204078835 Enrollment ID: I20130812000521 |
| Provider Name | Sean Boyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992025969 PECOS PAC ID: 3870736705 Enrollment ID: I20130826000366 |
| Provider Name | Patrick Martin Hoferer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043643174 PECOS PAC ID: 1052555984 Enrollment ID: I20130916000580 |
| Provider Name | Daniel Silvestri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356610364 PECOS PAC ID: 5092959882 Enrollment ID: I20130917000692 |
| Provider Name | Kiranmayee Lanka |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003072943 PECOS PAC ID: 2961646617 Enrollment ID: I20130918000688 |
| Provider Name | Jennifer Blied |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104259647 PECOS PAC ID: 6305070293 Enrollment ID: I20131008001700 |
| Provider Name | Stefanie Lynn Meyer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1306273834 PECOS PAC ID: 2466687850 Enrollment ID: I20131018001642 |
| Provider Name | Lisa M Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033544200 PECOS PAC ID: 7810122884 Enrollment ID: I20131028002025 |
| Provider Name | Jordan A Kazakov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144523630 PECOS PAC ID: 4587899257 Enrollment ID: I20131105001091 |
| Provider Name | Kimberly Suzanne Levering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629407531 PECOS PAC ID: 6800022674 Enrollment ID: I20131127000136 |
| Provider Name | Laurie Ann Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033542170 PECOS PAC ID: 5092943472 Enrollment ID: I20140113000182 |
| Provider Name | Debra Ann Koenke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588085054 PECOS PAC ID: 2264660471 Enrollment ID: I20140115001729 |
| Provider Name | John Mark Cafardi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912187543 PECOS PAC ID: 4880726314 Enrollment ID: I20140218000714 |
| Provider Name | Sally Ann Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134540412 PECOS PAC ID: 8729218037 Enrollment ID: I20140306002053 |
| Provider Name | Stephen A Wilkes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730406489 PECOS PAC ID: 5496994527 Enrollment ID: I20140513001373 |
| Provider Name | Janet Elizabeth Hyland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780091447 PECOS PAC ID: 7113143975 Enrollment ID: I20140731000396 |
| Provider Name | Beth-erin S Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851681902 PECOS PAC ID: 9436376910 Enrollment ID: I20140806001486 |
| Provider Name | Cory L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326453150 PECOS PAC ID: 9032336797 Enrollment ID: I20140811001423 |
| Provider Name | Senai Negassi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255604609 PECOS PAC ID: 8820216542 Enrollment ID: I20140821001470 |
| Provider Name | Susannah Macdonald Becker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124254412 PECOS PAC ID: 0446499453 Enrollment ID: I20140911002202 |
| Provider Name | Brandon Michael Wendling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699183814 PECOS PAC ID: 1052532967 Enrollment ID: I20141017001591 |
| Provider Name | Shawn Dale Peavie |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578899951 PECOS PAC ID: 7416186374 Enrollment ID: I20141023001837 |
| Provider Name | Fiza Warsi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306132402 PECOS PAC ID: 6901120484 Enrollment ID: I20150112001748 |
| Provider Name | Meghan M Gossett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356749998 PECOS PAC ID: 6800111097 Enrollment ID: I20150210002052 |
| Provider Name | Helina Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871999763 PECOS PAC ID: 8820313026 Enrollment ID: I20150210002469 |
| Provider Name | Denae N Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598059727 PECOS PAC ID: 3173849205 Enrollment ID: I20150306001224 |
| Provider Name | Melanie Nicole Luttrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346632510 PECOS PAC ID: 9931426491 Enrollment ID: I20150320000684 |
| Provider Name | Kanhya Ton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891181277 PECOS PAC ID: 6305165101 Enrollment ID: I20150429000664 |
| Provider Name | Julia L Moreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922405711 PECOS PAC ID: 3476872565 Enrollment ID: I20150512002871 |
| Provider Name | Angela Pollitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033598222 PECOS PAC ID: 9234178096 Enrollment ID: I20150617002383 |
| Provider Name | Jeffrey Zaenger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053791483 PECOS PAC ID: 5991018277 Enrollment ID: I20150715001198 |
| Provider Name | Patricia Ann Young |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407177900 PECOS PAC ID: 7618280991 Enrollment ID: I20150715001211 |
| Provider Name | Gwendolyn Leigh Welsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225395247 PECOS PAC ID: 6204149198 Enrollment ID: I20150721002590 |
| Provider Name | Carly E Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053791293 PECOS PAC ID: 2769796713 Enrollment ID: I20150804004783 |
| Provider Name | Adrianne M Fleckenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083094247 PECOS PAC ID: 8729393194 Enrollment ID: I20150813010621 |
| Provider Name | Shannon Weinstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699973024 PECOS PAC ID: 2567545015 Enrollment ID: I20150902000485 |
| Provider Name | Sherry A Storm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083080063 PECOS PAC ID: 4486960507 Enrollment ID: I20150903000554 |
| Provider Name | Natalie G Lyndon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598101222 PECOS PAC ID: 0042453474 Enrollment ID: I20150924001648 |
| Provider Name | Nancy Ellen Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558639831 PECOS PAC ID: 9032427810 Enrollment ID: I20150928001715 |
| Provider Name | Sara Kleinschmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184913634 PECOS PAC ID: 1052629664 Enrollment ID: I20151001001016 |
| Provider Name | Alison Patricia Sweet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467612911 PECOS PAC ID: 0143412239 Enrollment ID: I20151019002132 |
| Provider Name | Abigail D Schymanski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851761324 PECOS PAC ID: 8820307390 Enrollment ID: I20151023000291 |
| Provider Name | Anna R. Goroncy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1366732380 PECOS PAC ID: 8628388253 Enrollment ID: I20151110001645 |
| Provider Name | Nathan Hudson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629311246 PECOS PAC ID: 4385954692 Enrollment ID: I20151116002644 |
| Provider Name | Cheryl Doreen Herrle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003285966 PECOS PAC ID: 9133429269 Enrollment ID: I20151123000184 |
| Provider Name | Andrea M Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528433992 PECOS PAC ID: 1456652551 Enrollment ID: I20151215000662 |
| Provider Name | Brennan Michael Lawall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801230982 PECOS PAC ID: 9537465588 Enrollment ID: I20160317000299 |
| Provider Name | Melissa J Wiesenhahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396199428 PECOS PAC ID: 4789983420 Enrollment ID: I20160429001495 |
| Provider Name | Megan Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134595820 PECOS PAC ID: 1658661889 Enrollment ID: I20160531002591 |
| Provider Name | Robert Eugene Dressler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992733497 PECOS PAC ID: 1254436736 Enrollment ID: I20160711002426 |
| Provider Name | Ross Wickstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003265364 PECOS PAC ID: 4880986645 Enrollment ID: I20160714001888 |
| Provider Name | Virginia Weale |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003180290 PECOS PAC ID: 5496040537 Enrollment ID: I20160829000641 |
| Provider Name | Lauren Schoenfeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528512050 PECOS PAC ID: 6901194349 Enrollment ID: I20161018000717 |
| Provider Name | Laura Broxterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417326422 PECOS PAC ID: 2769760388 Enrollment ID: I20161101001964 |
| Provider Name | Emily Elizabeth Uebel |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639530660 PECOS PAC ID: 3779863121 Enrollment ID: I20161201000814 |
| Provider Name | Alison Brady Kortekamp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750701884 PECOS PAC ID: 0547561177 Enrollment ID: I20170612003028 |
| Provider Name | Robert Pulliam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033475728 PECOS PAC ID: 8628208352 Enrollment ID: I20170621002494 |
| Provider Name | Katherine Keegan Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144648874 PECOS PAC ID: 4284906868 Enrollment ID: I20170816002779 |
| Provider Name | Richa M Patel |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689930091 PECOS PAC ID: 4385873017 Enrollment ID: I20170925000203 |
| Provider Name | Lindsey Benjamin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487067179 PECOS PAC ID: 7911297502 Enrollment ID: I20171030003409 |
| Provider Name | Amy Besl Dadosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285152850 PECOS PAC ID: 8729344213 Enrollment ID: I20171116001854 |
| Provider Name | Katherine Lillian Ferry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972856284 PECOS PAC ID: 0547528739 Enrollment ID: I20171215002099 |
| Provider Name | Kate M Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811410947 PECOS PAC ID: 8022376078 Enrollment ID: I20171220001192 |
| Provider Name | Mary A Oyerokun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245610393 PECOS PAC ID: 3870895899 Enrollment ID: I20180314002474 |
| Provider Name | Andrew C Gantzer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578959722 PECOS PAC ID: 9537468897 Enrollment ID: I20180615001516 |
| Provider Name | Sheena Boury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366697393 PECOS PAC ID: 9638337538 Enrollment ID: I20180710003853 |
| Provider Name | Lawrence John Erhardt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457405391 PECOS PAC ID: 7315024734 Enrollment ID: I20180727000727 |
| Provider Name | Samreena Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437539855 PECOS PAC ID: 9436451804 Enrollment ID: I20180810001248 |
| Provider Name | Jillian J Bizzarri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336645753 PECOS PAC ID: 2365791415 Enrollment ID: I20180822001901 |
| Provider Name | Lauren Rankine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831683226 PECOS PAC ID: 7517216427 Enrollment ID: I20180824001885 |
| Provider Name | Kirsten Joan Koch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568857316 PECOS PAC ID: 0941550065 Enrollment ID: I20180911000232 |
| Provider Name | Jeffery Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770847907 PECOS PAC ID: 2567482391 Enrollment ID: I20181015001597 |
| Provider Name | Susan Lippert Foad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174049225 PECOS PAC ID: 2365795481 Enrollment ID: I20181018002931 |
| Provider Name | Lonna Larger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629555321 PECOS PAC ID: 9931445905 Enrollment ID: I20190111001530 |
| Provider Name | Barbara Gail Ackerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619448495 PECOS PAC ID: 6103166863 Enrollment ID: I20190318000794 |
| Provider Name | Sarah Marie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841758836 PECOS PAC ID: 9234470493 Enrollment ID: I20190416002684 |
| Provider Name | Bernice Raeann Calhoun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376796722 PECOS PAC ID: 8123142452 Enrollment ID: I20190521000415 |
| Provider Name | Jayne Lindley Miely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417339524 PECOS PAC ID: 7719279082 Enrollment ID: I20190611000141 |
| Provider Name | Corey A Keeton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508285263 PECOS PAC ID: 6103043567 Enrollment ID: I20190614001200 |
| Provider Name | Scott Michael Douglas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508210337 PECOS PAC ID: 0840524864 Enrollment ID: I20190625003758 |
| Provider Name | James Henry England |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1710243282 PECOS PAC ID: 4486966231 Enrollment ID: I20190722001653 |
| Provider Name | Jennifer Krumpelbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275092538 PECOS PAC ID: 7315273349 Enrollment ID: I20190729000893 |
| Provider Name | Borna Reza Ghoorkhanian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851754709 PECOS PAC ID: 3476847930 Enrollment ID: I20190801000709 |
| Provider Name | Michael Jacob Sither |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528479284 PECOS PAC ID: 4183840630 Enrollment ID: I20190904002704 |
| Provider Name | Karla Rene Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104310291 PECOS PAC ID: 1355690611 Enrollment ID: I20190925003529 |
| Provider Name | Mary C Barraza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518320779 PECOS PAC ID: 8527399666 Enrollment ID: I20191003003425 |
| Provider Name | Michael Putnam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073977740 PECOS PAC ID: 8325379845 Enrollment ID: I20191015002472 |
| Provider Name | Katy Erin Meeker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679118251 PECOS PAC ID: 3577996024 Enrollment ID: I20191213001844 |
| Provider Name | Nicole Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720567068 PECOS PAC ID: 8224461702 Enrollment ID: I20191216000073 |
| Provider Name | Julia Sepulveda Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215586375 PECOS PAC ID: 3072947258 Enrollment ID: I20191220001349 |
| Provider Name | Emily B Neaville |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811374861 PECOS PAC ID: 5496067001 Enrollment ID: I20191230002100 |
| Provider Name | Andrew Ashley Allan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649815713 PECOS PAC ID: 3779919097 Enrollment ID: I20200205001656 |
| Provider Name | Jennifer Ann Fenwick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679124820 PECOS PAC ID: 1052740974 Enrollment ID: I20200327003022 |
| Provider Name | Heather Grace Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568098184 PECOS PAC ID: 9537598925 Enrollment ID: I20200406003353 |
| Provider Name | Niara Morrow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881258127 PECOS PAC ID: 8527497882 Enrollment ID: I20200407003872 |
| Provider Name | Jessica Marie Sanford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104398833 PECOS PAC ID: 1557698362 Enrollment ID: I20200521001918 |
| Provider Name | Michael L Conley |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1194105601 PECOS PAC ID: 0042511545 Enrollment ID: I20200622001678 |
| Provider Name | Bharat Avirneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447787668 PECOS PAC ID: 9537438734 Enrollment ID: I20200630001915 |
| Provider Name | Jacob Farber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952834186 PECOS PAC ID: 9638448038 Enrollment ID: I20200708003440 |
| Provider Name | Paul Belany |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528448917 PECOS PAC ID: 3870894413 Enrollment ID: I20200713003207 |
| Provider Name | Jennifer M Ledonne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265965081 PECOS PAC ID: 1153692512 Enrollment ID: I20200727003334 |
| Provider Name | Stacey Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801413919 PECOS PAC ID: 0042636714 Enrollment ID: I20200812003405 |
| Provider Name | Sarah Love |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346601242 PECOS PAC ID: 5799084257 Enrollment ID: I20200908002854 |
| Provider Name | Katherine Carlson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083127351 PECOS PAC ID: 3577983014 Enrollment ID: I20201021002682 |
| Provider Name | Anna J Schweikert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659733749 PECOS PAC ID: 5799196333 Enrollment ID: I20201202002912 |
| Provider Name | Alan D Gruber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306098561 PECOS PAC ID: 6305259615 Enrollment ID: I20210105003298 |
| Provider Name | Patricia Ann Jolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720677974 PECOS PAC ID: 0042624553 Enrollment ID: I20210125001445 |
| Provider Name | Tiffany Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073114831 PECOS PAC ID: 9032523477 Enrollment ID: I20210127000524 |
| Provider Name | Laura A Clutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922692839 PECOS PAC ID: 5799191615 Enrollment ID: I20210301001815 |
| Provider Name | Alyssa Teepen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598340424 PECOS PAC ID: 9436566544 Enrollment ID: I20210407000873 |
| Provider Name | Alexandra Marie Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003401936 PECOS PAC ID: 0244647303 Enrollment ID: I20210408000160 |
| Provider Name | Emily Anne Ries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477137867 PECOS PAC ID: 1557760030 Enrollment ID: I20210603001878 |
| Provider Name | Rebekah Lantz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770088692 PECOS PAC ID: 3274883483 Enrollment ID: I20210622002432 |
| Provider Name | Bryan Philip Grove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558866301 PECOS PAC ID: 2365799442 Enrollment ID: I20210630004275 |
| Provider Name | Christian Erik Gausvik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043751225 PECOS PAC ID: 9739581018 Enrollment ID: I20210708002490 |
| Provider Name | Elizabeth Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598269755 PECOS PAC ID: 2365841673 Enrollment ID: I20210712002175 |
| Provider Name | Julia C Bedard-thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891181772 PECOS PAC ID: 5991017915 Enrollment ID: I20210728003048 |
| Provider Name | Olivia Rengering |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871026641 PECOS PAC ID: 1658630199 Enrollment ID: I20210809003150 |
| Provider Name | Jennifer Ann Wittwer |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1629457577 PECOS PAC ID: 1850682196 Enrollment ID: I20210811004291 |
| Provider Name | Thomas Eugene Hurst |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134576960 PECOS PAC ID: 1456646934 Enrollment ID: I20210818004149 |
| Provider Name | Aruna Ann Puthota |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578926416 PECOS PAC ID: 3274826375 Enrollment ID: I20210825003979 |
| Provider Name | Albert Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689022253 PECOS PAC ID: 0840578613 Enrollment ID: I20210923003742 |
| Provider Name | Christi Cowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386315646 PECOS PAC ID: 1254739345 Enrollment ID: I20211004001583 |
| Provider Name | Alisha Diane Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396404430 PECOS PAC ID: 6608260229 Enrollment ID: I20220224002893 |
| Provider Name | Lora Danielle Ortega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568543973 PECOS PAC ID: 4486048162 Enrollment ID: I20220225000676 |
| Provider Name | Melanie Shouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043970692 PECOS PAC ID: 3779978572 Enrollment ID: I20220314001650 |
| Provider Name | Carol Joan Byers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205583226 PECOS PAC ID: 5698160810 Enrollment ID: I20220324001264 |
| Provider Name | Andrea Rosado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669932224 PECOS PAC ID: 2062811466 Enrollment ID: I20220604000257 |
| Provider Name | Adrienne Nymberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1720724693 PECOS PAC ID: 1557740966 Enrollment ID: I20220615000879 |
| Provider Name | Florence Hsiao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043771934 PECOS PAC ID: 7214337278 Enrollment ID: I20220714004052 |
| Provider Name | Kareem Marwan Atwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306306659 PECOS PAC ID: 4082947924 Enrollment ID: I20220716000222 |
| Provider Name | Thomas Andrew Burkhead |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780110601 PECOS PAC ID: 2365712833 Enrollment ID: I20220718001978 |
| Provider Name | Duane Allen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285021683 PECOS PAC ID: 2062724123 Enrollment ID: I20220725001467 |
| Provider Name | Christopher Miller Dearth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437880895 PECOS PAC ID: 2365823192 Enrollment ID: I20220725002666 |
| Provider Name | Krishna Gannamraj |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1346637303 PECOS PAC ID: 7416278999 Enrollment ID: I20220726003761 |
| Provider Name | David Schmidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558924167 PECOS PAC ID: 0143629527 Enrollment ID: I20220823001473 |
| Provider Name | Jessica Fornash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598336364 PECOS PAC ID: 0547667321 Enrollment ID: I20220826002705 |
| Provider Name | Amanda Arlington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578057907 PECOS PAC ID: 2062754492 Enrollment ID: I20220830000490 |
| Provider Name | Heather Elaine Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902532625 PECOS PAC ID: 2668858689 Enrollment ID: I20220928003006 |
| Provider Name | Julianna Bort |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902366750 PECOS PAC ID: 1355674193 Enrollment ID: I20220930001227 |
| Provider Name | Amanda Jude |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174028443 PECOS PAC ID: 1951658293 Enrollment ID: I20221004000259 |
| Provider Name | Emily Misner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295226751 PECOS PAC ID: 0840666301 Enrollment ID: I20221025001190 |
| Provider Name | Caroline Khoury Dibiagio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457016750 PECOS PAC ID: 3971970484 Enrollment ID: I20221111001482 |
| Provider Name | Jeanine Marie Goodin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922402726 PECOS PAC ID: 0840668307 Enrollment ID: I20221115001738 |
| Provider Name | Kevin A Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144941329 PECOS PAC ID: 7315316783 Enrollment ID: I20221206002532 |
| Provider Name | Kayla Kathryn Leah Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386303485 PECOS PAC ID: 7416326608 Enrollment ID: I20221209002136 |
| Provider Name | Haley Lippmeier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508467192 PECOS PAC ID: 7618347774 Enrollment ID: I20230105002359 |
| Provider Name | Sheridan Jonas |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1952009359 PECOS PAC ID: 8123491206 Enrollment ID: I20230310002486 |
| Provider Name | Holly Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811606684 PECOS PAC ID: 3375917750 Enrollment ID: I20230327001071 |
| Provider Name | Chiranjeevi Pramodna Siddagunta |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1114205838 PECOS PAC ID: 5698080356 Enrollment ID: I20230403000381 |
| Provider Name | Madeleine Scanlon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710643630 PECOS PAC ID: 5799141974 Enrollment ID: I20230512001186 |
| Provider Name | Jonathan Michael Berbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245591056 PECOS PAC ID: 8628211331 Enrollment ID: I20230616000689 |
| Provider Name | Kirtan H Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629697842 PECOS PAC ID: 3971924069 Enrollment ID: I20230711000950 |
| Provider Name | Margaret Moon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649622366 PECOS PAC ID: 4688967458 Enrollment ID: I20230815002425 |
| Provider Name | Latoya Marie Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235699679 PECOS PAC ID: 0446659361 Enrollment ID: I20230825000726 |
| Provider Name | Apta Errabelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518303585 PECOS PAC ID: 8123315165 Enrollment ID: I20230912002541 |
| Provider Name | Jordan Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073994398 PECOS PAC ID: 8527360080 Enrollment ID: I20231122002304 |
| Provider Name | Tara Jo Hyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518734789 PECOS PAC ID: 0042662074 Enrollment ID: I20240116001431 |
| Provider Name | Kelly Elizabeth Ionna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063289130 PECOS PAC ID: 8022460534 Enrollment ID: I20240120000334 |
Purposed Journey Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11578 Norbourne Dr, Cincinnati, OH 45240 Phone: 513-478-9321 | |
Elite Supportive Living Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 954 W North Bend Rd Ste 304b, Cincinnati, OH 45224 Phone: 513-607-0384 | |
Hype Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 Vine St Ste 401, Cincinnati, OH 45202 Phone: 513-848-4325 | |
Lisa M Lyall Phd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8622 Winton Rd, Suite C, Cincinnati, OH 45231 Phone: 513-521-0500 Fax: 513-521-5010 | |
Cc-child/adult Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Albert Sabin Way, Cincinnati, OH 45229 Phone: 513-558-5823 Fax: 513-558-3880 | |
Rodney E. Vivian Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8000 5 Mile Rd, 240, Cincinnati, OH 45230 Phone: 513-232-3070 Fax: 513-232-5794 | |
Greater Cincinnati Behavioral Neuroscience Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 E Galbraith Road, Cincinnati, OH 45236 Phone: 513-745-5000 Fax: 513-791-7800 |