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409 Bayshore Blvd Tampa FL 33606-2707 | |
| (813) 844-5544 | |
| (813) 844-1655 |
| Full Name | |
|---|---|
| Speciality | Surgery |
| Location | 409 Bayshore Blvd, Tampa, Florida |
| Authorized Official Name and Position | Peter T Chang (CHIEF MEDICAL INFORMATICS OFFICER) |
| Authorized Official Contact | 8138443956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1289 Tampa FL 33601-1289 Ph: (813) 844-3956 | 409 Bayshore Blvd Tampa FL 33606-2707 Ph: (813) 844-5544 |
| NPI Number | 1043557853 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Medicare PECOS PAC ID | 7416253828 |
|---|---|
| Medicare Enrollment ID | O20160310002525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043557853 | NPI | - | NPPES |
| Provider Name | Douglas S Reintgen |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1609869759 PECOS PAC ID: 7810801412 Enrollment ID: I20031118000544 |
| Provider Name | Keith Eric Sommers |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1093721623 PECOS PAC ID: 6709787013 Enrollment ID: I20040120000131 |
| Provider Name | Peter J Berman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316934532 PECOS PAC ID: 7517857014 Enrollment ID: I20040318000375 |
| Provider Name | Michael Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083641070 PECOS PAC ID: 9931192069 Enrollment ID: I20040405001885 |
| Provider Name | Michael Haghighi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770508707 PECOS PAC ID: 8325032238 Enrollment ID: I20040413001287 |
| Provider Name | Rose M Sobel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295780104 PECOS PAC ID: 1951384510 Enrollment ID: I20040617000155 |
| Provider Name | Stephanie Y Talton Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962581157 PECOS PAC ID: 5496725921 Enrollment ID: I20040730000393 |
| Provider Name | Jason M Hechtman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245229574 PECOS PAC ID: 1557332608 Enrollment ID: I20040804000440 |
| Provider Name | Paul A Beyer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942238829 PECOS PAC ID: 1153395199 Enrollment ID: I20040824001379 |
| Provider Name | Sajeel A Chowdhary |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972533685 PECOS PAC ID: 4789652785 Enrollment ID: I20040917000730 |
| Provider Name | Joyce M Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366410003 PECOS PAC ID: 1254390297 Enrollment ID: I20041006000618 |
| Provider Name | Sarah Jessica P Poblete |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457329195 PECOS PAC ID: 2264485739 Enrollment ID: I20050224000208 |
| Provider Name | Susan S Bingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053424945 PECOS PAC ID: 5698721678 Enrollment ID: I20050323000230 |
| Provider Name | Beth L Belof-jasko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851454516 PECOS PAC ID: 2466499785 Enrollment ID: I20050408000339 |
| Provider Name | Jennifer R Gilby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336137819 PECOS PAC ID: 8628016920 Enrollment ID: I20050418001166 |
| Provider Name | Ajmal A Baig |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629142302 PECOS PAC ID: 8224063326 Enrollment ID: I20051013000779 |
| Provider Name | Howard S Tuch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548266356 PECOS PAC ID: 4486670684 Enrollment ID: I20051018000099 |
| Provider Name | Gustavo Rivero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790736155 PECOS PAC ID: 2961423702 Enrollment ID: I20051208000624 |
| Provider Name | Rashmi Nanda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043273097 PECOS PAC ID: 8729093109 Enrollment ID: I20060207000810 |
| Provider Name | Douglas E Politz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194746966 PECOS PAC ID: 7517921166 Enrollment ID: I20060317000203 |
| Provider Name | Kenley B Davis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1841303559 PECOS PAC ID: 9133153190 Enrollment ID: I20060324000411 |
| Provider Name | Ghassan A Hasan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366413320 PECOS PAC ID: 9032121173 Enrollment ID: I20060608000071 |
| Provider Name | Kimberly A Grill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902816606 PECOS PAC ID: 1850393158 Enrollment ID: I20070214000367 |
| Provider Name | Angela T Dowding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982635629 PECOS PAC ID: 5597861948 Enrollment ID: I20070502000233 |
| Provider Name | Lori A. Spoor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003869686 PECOS PAC ID: 0749208528 Enrollment ID: I20070622000087 |
| Provider Name | Natalie K Gimpelevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396969846 PECOS PAC ID: 3375637598 Enrollment ID: I20070919000535 |
| Provider Name | Nathan C Devabose |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184685869 PECOS PAC ID: 7315031069 Enrollment ID: I20070926000136 |
| Provider Name | Natalie Bastien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013102409 PECOS PAC ID: 4880781194 Enrollment ID: I20071102000614 |
| Provider Name | Erin S Parkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205965233 PECOS PAC ID: 7810086154 Enrollment ID: I20071210000130 |
| Provider Name | Eduardo M Sotomayor |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912912536 PECOS PAC ID: 2365532108 Enrollment ID: I20071218000146 |
| Provider Name | Mayer N Fishman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215952999 PECOS PAC ID: 8426148164 Enrollment ID: I20071218000174 |
| Provider Name | Lourdes M Medvid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811005929 PECOS PAC ID: 6800979170 Enrollment ID: I20080208000435 |
| Provider Name | Daniel J Jasko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043260078 PECOS PAC ID: 1456439728 Enrollment ID: I20080428000443 |
| Provider Name | Heyoung L Mcbride |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1609877349 PECOS PAC ID: 9931127123 Enrollment ID: I20080701000501 |
| Provider Name | Mihee Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427191576 PECOS PAC ID: 2567532906 Enrollment ID: I20081203000223 |
| Provider Name | Vanessa Veve |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558395574 PECOS PAC ID: 2567566797 Enrollment ID: I20081216000451 |
| Provider Name | William J Jason |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1518931351 PECOS PAC ID: 4880636315 Enrollment ID: I20090213000509 |
| Provider Name | Heidi A Pearson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1255580080 PECOS PAC ID: 1153477344 Enrollment ID: I20090912000017 |
| Provider Name | Siva K Kumar |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1538267661 PECOS PAC ID: 2466590815 Enrollment ID: I20091105000451 |
| Provider Name | Karen L Jacobs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346338316 PECOS PAC ID: 3678528924 Enrollment ID: I20091207000023 |
| Provider Name | Nancy L Calderon-polanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346572385 PECOS PAC ID: 9830234970 Enrollment ID: I20100301000796 |
| Provider Name | Ting Huang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1871597708 PECOS PAC ID: 6507901279 Enrollment ID: I20100305000169 |
| Provider Name | Debbie Rinde-hoffman |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1801899091 PECOS PAC ID: 6103961883 Enrollment ID: I20100305000233 |
| Provider Name | Noman Ashraf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437395191 PECOS PAC ID: 2567594260 Enrollment ID: I20100715000608 |
| Provider Name | Bradley Scott Fletcher |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1427099423 PECOS PAC ID: 8224162383 Enrollment ID: I20100811001124 |
| Provider Name | Lucila E Ramiro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801863923 PECOS PAC ID: 1951435304 Enrollment ID: I20100820000183 |
| Provider Name | Emma Bautista Ocampo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457328577 PECOS PAC ID: 6002940467 Enrollment ID: I20100820000264 |
| Provider Name | Nadia M Sauer Choe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154516029 PECOS PAC ID: 0941324206 Enrollment ID: I20100824000689 |
| Provider Name | Joanna G Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003142555 PECOS PAC ID: 3375667934 Enrollment ID: I20100902001012 |
| Provider Name | Brian M Roebuck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164456059 PECOS PAC ID: 9739223421 Enrollment ID: I20101108001033 |
| Provider Name | Guillermo A Donate |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891800066 PECOS PAC ID: 6901091909 Enrollment ID: I20101117000073 |
| Provider Name | George A Gadea |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902869654 PECOS PAC ID: 4284822727 Enrollment ID: I20101228000029 |
| Provider Name | Jose A Lopez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396854329 PECOS PAC ID: 8527257724 Enrollment ID: I20110104000386 |
| Provider Name | Antonio D Farrales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285667253 PECOS PAC ID: 8426247313 Enrollment ID: I20110107000259 |
| Provider Name | Yamil Miranda-usua |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952564858 PECOS PAC ID: 9931380417 Enrollment ID: I20110217000374 |
| Provider Name | Pselane A Coney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558660043 PECOS PAC ID: 0547447625 Enrollment ID: I20110527000534 |
| Provider Name | Meira M Pernicone |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992824122 PECOS PAC ID: 4486825452 Enrollment ID: I20110922000689 |
| Provider Name | Linda L Maynard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366597049 PECOS PAC ID: 2466623442 Enrollment ID: I20110923000034 |
| Provider Name | Nyingi Kemmer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962468900 PECOS PAC ID: 0941268429 Enrollment ID: I20111014000335 |
| Provider Name | Raymond A Petrus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184771669 PECOS PAC ID: 8820261563 Enrollment ID: I20111025000787 |
| Provider Name | Luis H Arroyo |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1811965650 PECOS PAC ID: 8022075225 Enrollment ID: I20120110000669 |
| Provider Name | Cheryl L Roberson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225145147 PECOS PAC ID: 7416124029 Enrollment ID: I20120123000768 |
| Provider Name | Michael J Mendoza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215189204 PECOS PAC ID: 8729245626 Enrollment ID: I20120203000725 |
| Provider Name | Jennifer L Mccain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568585222 PECOS PAC ID: 4688834690 Enrollment ID: I20120329000217 |
| Provider Name | Sherry B Leib |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306983424 PECOS PAC ID: 3072773928 Enrollment ID: I20120329000755 |
| Provider Name | Maya J Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841585817 PECOS PAC ID: 6608036496 Enrollment ID: I20120402000649 |
| Provider Name | Tracie Katherine Mudge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598740805 PECOS PAC ID: 6103835749 Enrollment ID: I20120529000200 |
| Provider Name | Lindsay M Wiles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154382059 PECOS PAC ID: 8426074204 Enrollment ID: I20120530000264 |
| Provider Name | Tonia D Richardson Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588963060 PECOS PAC ID: 3375707102 Enrollment ID: I20120607000310 |
| Provider Name | Taniya S Eldridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508166042 PECOS PAC ID: 2466617097 Enrollment ID: I20120706000081 |
| Provider Name | Kristin Kronsnoble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871596023 PECOS PAC ID: 2769638097 Enrollment ID: I20120802000050 |
| Provider Name | Lisa S Paine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801169925 PECOS PAC ID: 4082862594 Enrollment ID: I20120906000854 |
| Provider Name | Jason M Castro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154577930 PECOS PAC ID: 8224286281 Enrollment ID: I20120917000343 |
| Provider Name | Jana M Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952534695 PECOS PAC ID: 5597914788 Enrollment ID: I20121003000540 |
| Provider Name | Kirk Francis Garcia-rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033341821 PECOS PAC ID: 9335392166 Enrollment ID: I20130103000441 |
| Provider Name | Jamie Evelyn Jeffords |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326390337 PECOS PAC ID: 2668626458 Enrollment ID: I20130201000321 |
| Provider Name | Esmeralda H Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083954465 PECOS PAC ID: 7214172386 Enrollment ID: I20130320000097 |
| Provider Name | Catherine L Deluna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073852307 PECOS PAC ID: 5294970810 Enrollment ID: I20130401000398 |
| Provider Name | Margie M Leturno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124384813 PECOS PAC ID: 7911143318 Enrollment ID: I20130409000201 |
| Provider Name | Heather M Amos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962672584 PECOS PAC ID: 9830228584 Enrollment ID: I20130506000174 |
| Provider Name | Benjamin D Mackie |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1346425683 PECOS PAC ID: 9032375498 Enrollment ID: I20130522000626 |
| Provider Name | Preeti Lekhra |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1194052266 PECOS PAC ID: 0143414425 Enrollment ID: I20130607000218 |
| Provider Name | Santosh Potdar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790740041 PECOS PAC ID: 1355233743 Enrollment ID: I20130917000212 |
| Provider Name | Jeffrey C Lester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265584742 PECOS PAC ID: 4385870799 Enrollment ID: I20131113000638 |
| Provider Name | Ioana Dumitru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801844089 PECOS PAC ID: 5193865434 Enrollment ID: I20131205001780 |
| Provider Name | Elizabeth M Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922420850 PECOS PAC ID: 5294966982 Enrollment ID: I20140321000923 |
| Provider Name | Karna P Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649590605 PECOS PAC ID: 6709900681 Enrollment ID: I20140404001212 |
| Provider Name | Mark E Lamielle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609877752 PECOS PAC ID: 8325195621 Enrollment ID: I20140430001059 |
| Provider Name | Erin K Meredith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598049108 PECOS PAC ID: 7810110434 Enrollment ID: I20140528001578 |
| Provider Name | Daniel H Espinoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821241431 PECOS PAC ID: 6709068471 Enrollment ID: I20140722002419 |
| Provider Name | Lina Np Vega-brownlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245639483 PECOS PAC ID: 0042430886 Enrollment ID: I20140930001161 |
| Provider Name | Patress Ann Persons |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427360486 PECOS PAC ID: 3274771027 Enrollment ID: I20141022002112 |
| Provider Name | Sharon L Michota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790835213 PECOS PAC ID: 0244462414 Enrollment ID: I20150522001715 |
| Provider Name | Young Doo Chang |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1659514917 PECOS PAC ID: 9537326277 Enrollment ID: I20150609000811 |
| Provider Name | Sara V Caceres Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619967122 PECOS PAC ID: 8325041437 Enrollment ID: I20150805007715 |
| Provider Name | Miguel H Malespin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568639326 PECOS PAC ID: 8820302623 Enrollment ID: I20150807013805 |
| Provider Name | Jessica Beth Baumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588073654 PECOS PAC ID: 3870808371 Enrollment ID: I20150812008668 |
| Provider Name | Akif Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306007216 PECOS PAC ID: 8628118817 Enrollment ID: I20150820010114 |
| Provider Name | Diego C Reino |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295971430 PECOS PAC ID: 2668614405 Enrollment ID: I20150915002759 |
| Provider Name | Shawn M Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326309501 PECOS PAC ID: 7113234618 Enrollment ID: I20150916000877 |
| Provider Name | Katie E Reid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669765111 PECOS PAC ID: 5991920183 Enrollment ID: I20150916003483 |
| Provider Name | Jeanette R Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689910788 PECOS PAC ID: 1759698012 Enrollment ID: I20150918000671 |
| Provider Name | Judith Elibri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376928176 PECOS PAC ID: 2163739392 Enrollment ID: I20150921000277 |
| Provider Name | Philippe R Chain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265629042 PECOS PAC ID: 4789720954 Enrollment ID: I20150929001223 |
| Provider Name | Michael Baehr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992771869 PECOS PAC ID: 8820089972 Enrollment ID: I20151006002846 |
| Provider Name | Katherine Adelufosi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306250386 PECOS PAC ID: 6103135561 Enrollment ID: I20151026001347 |
| Provider Name | Jennifer Fleeman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790748416 PECOS PAC ID: 7113814443 Enrollment ID: I20151102000904 |
| Provider Name | Edward Elrod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265817233 PECOS PAC ID: 9032410493 Enrollment ID: I20151209001811 |
| Provider Name | Przemyslaw K Kolanko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629285416 PECOS PAC ID: 8628146214 Enrollment ID: I20151215001321 |
| Provider Name | Madeleine Savon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720458375 PECOS PAC ID: 9931400892 Enrollment ID: I20151217001907 |
| Provider Name | Elzbieta Kolanko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689687436 PECOS PAC ID: 8628074580 Enrollment ID: I20160112001139 |
| Provider Name | Dakshina N Walgampaya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962459156 PECOS PAC ID: 4183672355 Enrollment ID: I20160119001516 |
| Provider Name | Mary Carolyn C Vinson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1700043197 PECOS PAC ID: 2163726241 Enrollment ID: I20160210001509 |
| Provider Name | Tanuja Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598133233 PECOS PAC ID: 6103120209 Enrollment ID: I20160210001990 |
| Provider Name | Ann M Lundy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588021497 PECOS PAC ID: 8527363266 Enrollment ID: I20160218000471 |
| Provider Name | Nicole M Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699147934 PECOS PAC ID: 3173829074 Enrollment ID: I20160302001228 |
| Provider Name | Kervin Doctor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023252095 PECOS PAC ID: 0941521637 Enrollment ID: I20160316000041 |
| Provider Name | Luis Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841433687 PECOS PAC ID: 4587815725 Enrollment ID: I20160323001025 |
| Provider Name | Nicole Christine O Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043681117 PECOS PAC ID: 6103125281 Enrollment ID: I20160422002031 |
| Provider Name | Christopher C Mallozzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336507896 PECOS PAC ID: 3971802794 Enrollment ID: I20160429000666 |
| Provider Name | Sabrina M Zaldana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184097131 PECOS PAC ID: 6305145822 Enrollment ID: I20160504000752 |
| Provider Name | Sandra L Ellis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861419491 PECOS PAC ID: 2365343639 Enrollment ID: I20160615002081 |
| Provider Name | Flavia M Bravo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710343637 PECOS PAC ID: 3971894528 Enrollment ID: I20160629000688 |
| Provider Name | Kimberly M Lamartin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023350410 PECOS PAC ID: 5698053098 Enrollment ID: I20161104000679 |
| Provider Name | Basem Alkurdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477520617 PECOS PAC ID: 5597727925 Enrollment ID: I20161129000712 |
| Provider Name | Lenka Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659721538 PECOS PAC ID: 4880974138 Enrollment ID: I20161203000150 |
| Provider Name | Thomas J Rutherford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629068044 PECOS PAC ID: 6305960857 Enrollment ID: I20161219000875 |
| Provider Name | Saurabh Agrawal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194990499 PECOS PAC ID: 0547337149 Enrollment ID: I20161220000890 |
| Provider Name | Olevia Metry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205256328 PECOS PAC ID: 7113209024 Enrollment ID: I20170127001998 |
| Provider Name | Bindu A Joe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386190239 PECOS PAC ID: 3274816400 Enrollment ID: I20170213001816 |
| Provider Name | Shannon Rita Meese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497053359 PECOS PAC ID: 3779860382 Enrollment ID: I20170509002017 |
| Provider Name | Cassandra Rabago-reyes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487967972 PECOS PAC ID: 6305063074 Enrollment ID: I20170509002707 |
| Provider Name | Kawtar Al Khalloufi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639332166 PECOS PAC ID: 1052610664 Enrollment ID: I20170630001982 |
| Provider Name | Kari D Carrieri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487106050 PECOS PAC ID: 8426327396 Enrollment ID: I20170708000119 |
| Provider Name | Susannah Marie Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922545136 PECOS PAC ID: 8628348018 Enrollment ID: I20170718000801 |
| Provider Name | Rashid Syed |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083847768 PECOS PAC ID: 3173742335 Enrollment ID: I20170830003757 |
| Provider Name | Bonnie Lohrbach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114995370 PECOS PAC ID: 5991694929 Enrollment ID: I20170914002718 |
| Provider Name | Mallory Stewart Lott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609397934 PECOS PAC ID: 0941567184 Enrollment ID: I20171127001577 |
| Provider Name | Rebecca Chermak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003285289 PECOS PAC ID: 6204195829 Enrollment ID: I20180105000078 |
| Provider Name | Michael Escobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912437260 PECOS PAC ID: 6608135025 Enrollment ID: I20180110002756 |
| Provider Name | Sheena Spielberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326347584 PECOS PAC ID: 5496986473 Enrollment ID: I20180126001381 |
| Provider Name | Caroline Elizabeth Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184166381 PECOS PAC ID: 2264713817 Enrollment ID: I20180216002029 |
| Provider Name | Kristin B Mraz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285145755 PECOS PAC ID: 8729341987 Enrollment ID: I20180423000322 |
| Provider Name | Jennifer N Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770084923 PECOS PAC ID: 1951665314 Enrollment ID: I20180510002431 |
| Provider Name | Yasmin Divine |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1881868800 PECOS PAC ID: 6406981083 Enrollment ID: I20180524000228 |
| Provider Name | Amal A Awwad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1710952635 PECOS PAC ID: 6406847011 Enrollment ID: I20180614002301 |
| Provider Name | Jennifer Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104322510 PECOS PAC ID: 6103172481 Enrollment ID: I20180628001042 |
| Provider Name | Merlyn S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285173500 PECOS PAC ID: 3072860295 Enrollment ID: I20180719001181 |
| Provider Name | Jason Paul Feliberti |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811215692 PECOS PAC ID: 3476856998 Enrollment ID: I20180725000853 |
| Provider Name | Tyesha Natae' Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023550035 PECOS PAC ID: 0547517179 Enrollment ID: I20180727000345 |
| Provider Name | Valerija Rudic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326547357 PECOS PAC ID: 7810248671 Enrollment ID: I20180918004268 |
| Provider Name | Devora Dionne Fedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699251959 PECOS PAC ID: 4688925068 Enrollment ID: I20180925000004 |
| Provider Name | Matthew L Anderson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952482994 PECOS PAC ID: 0042388787 Enrollment ID: I20181012000997 |
| Provider Name | Gerri Dibartolo |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1952812042 PECOS PAC ID: 5991058307 Enrollment ID: I20181101002701 |
| Provider Name | Kiran Kumar Dhanireddy |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821257668 PECOS PAC ID: 6507928058 Enrollment ID: I20181205000088 |
| Provider Name | Aabedah Taher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871080788 PECOS PAC ID: 5799020889 Enrollment ID: I20181218001754 |
| Provider Name | Abigail S Beard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1821355579 PECOS PAC ID: 6800132093 Enrollment ID: I20190109000491 |
| Provider Name | Christine Michelle Dunlop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538528468 PECOS PAC ID: 7214276807 Enrollment ID: I20190226001234 |
| Provider Name | Andreas Karachristos |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1154524098 PECOS PAC ID: 4880771369 Enrollment ID: I20190307003149 |
| Provider Name | Monique Pires Crowther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255899480 PECOS PAC ID: 1759614506 Enrollment ID: I20190610002025 |
| Provider Name | Daniel Alan Kerr Ii |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821387135 PECOS PAC ID: 1759507619 Enrollment ID: I20190612002754 |
| Provider Name | Diana Peta-ga English |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932357241 PECOS PAC ID: 3375799034 Enrollment ID: I20190619000871 |
| Provider Name | Bianca Clermont |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417416843 PECOS PAC ID: 6800121914 Enrollment ID: I20190711002472 |
| Provider Name | Clayton Elliott Alonso |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730508599 PECOS PAC ID: 7810223161 Enrollment ID: I20190725000266 |
| Provider Name | Elyse Martina Parke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245892405 PECOS PAC ID: 7911237896 Enrollment ID: I20190918003142 |
| Provider Name | Christine Machado-denis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871052563 PECOS PAC ID: 9830429745 Enrollment ID: I20190919000299 |
| Provider Name | Kelly Ann Dewolf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316439425 PECOS PAC ID: 1850621442 Enrollment ID: I20190925000108 |
| Provider Name | Jennifer R Ulseth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851865976 PECOS PAC ID: 2062742430 Enrollment ID: I20190927000339 |
| Provider Name | Stephanie Monica Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427543883 PECOS PAC ID: 5991037186 Enrollment ID: I20191021001352 |
| Provider Name | Andrea Cassidy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093367617 PECOS PAC ID: 1557693991 Enrollment ID: I20191104002471 |
| Provider Name | Chloe Wang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952721797 PECOS PAC ID: 9436481884 Enrollment ID: I20191104003038 |
| Provider Name | Kimberly Frack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740750215 PECOS PAC ID: 5193158483 Enrollment ID: I20191126003089 |
| Provider Name | Vijay Subramanian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932549359 PECOS PAC ID: 0547516783 Enrollment ID: I20191219000369 |
| Provider Name | Titikorn Swangnete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215580576 PECOS PAC ID: 5395170179 Enrollment ID: I20200124001804 |
| Provider Name | Nadine Elizabeth Fiorenza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063043586 PECOS PAC ID: 0446687446 Enrollment ID: I20200304002213 |
| Provider Name | Atreyi Chakrabarti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700935400 PECOS PAC ID: 0749326445 Enrollment ID: I20200306000881 |
| Provider Name | Melissa Mary Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831720168 PECOS PAC ID: 7214365774 Enrollment ID: I20200316001118 |
| Provider Name | Madison D Brooks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578199709 PECOS PAC ID: 7618306077 Enrollment ID: I20200406001911 |
| Provider Name | Guilherme Henrique Oliveira |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1699879098 PECOS PAC ID: 0749281301 Enrollment ID: I20200505002167 |
| Provider Name | Amberly Lynn Porto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467095778 PECOS PAC ID: 5698106029 Enrollment ID: I20200519000384 |
| Provider Name | Edlyn Shanisr Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184010548 PECOS PAC ID: 7214246529 Enrollment ID: I20200624002157 |
| Provider Name | Yajaira P Pluess |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508481847 PECOS PAC ID: 1052733854 Enrollment ID: I20200624002190 |
| Provider Name | John M David |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538540117 PECOS PAC ID: 3971927591 Enrollment ID: I20200715002985 |
| Provider Name | Jaclyn Linsey Fishalow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225647001 PECOS PAC ID: 1456777994 Enrollment ID: I20200814001559 |
| Provider Name | Tara M Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255793345 PECOS PAC ID: 9830516251 Enrollment ID: I20200831003345 |
| Provider Name | Ericka N Hering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447878129 PECOS PAC ID: 6305264854 Enrollment ID: I20200915001928 |
| Provider Name | Elia Enid Villalobos Soto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336636489 PECOS PAC ID: 7315366820 Enrollment ID: I20201002000972 |
| Provider Name | Carolina Martinez |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1235544677 PECOS PAC ID: 7416212600 Enrollment ID: I20201102000592 |
| Provider Name | Richard Tuli |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1548463367 PECOS PAC ID: 2567635956 Enrollment ID: I20201203000988 |
| Provider Name | Brittany Leigh Brecklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467903518 PECOS PAC ID: 5698034817 Enrollment ID: I20201214000612 |
| Provider Name | Amy Lynne Stein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609493881 PECOS PAC ID: 0648683235 Enrollment ID: I20201228000894 |
| Provider Name | Chelsea Pereira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912510132 PECOS PAC ID: 0042624678 Enrollment ID: I20210122000803 |
| Provider Name | Daphne S O Reilly Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669769758 PECOS PAC ID: 5294953659 Enrollment ID: I20210303002279 |
| Provider Name | Timothy Selway |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962887943 PECOS PAC ID: 1456643840 Enrollment ID: I20210318000317 |
| Provider Name | Beth Marie Pailes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578070868 PECOS PAC ID: 3072922962 Enrollment ID: I20210505001438 |
| Provider Name | Aneeta J Joseph |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1396108916 PECOS PAC ID: 6305190661 Enrollment ID: I20210624003267 |
| Provider Name | Anna Marzena Krzeczowska |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518541077 PECOS PAC ID: 5890196877 Enrollment ID: I20210628003405 |
| Provider Name | Vanessa Leigh Arroyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477144913 PECOS PAC ID: 5395146310 Enrollment ID: I20210629001002 |
| Provider Name | Hillary R Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285216317 PECOS PAC ID: 0446652259 Enrollment ID: I20210715001133 |
| Provider Name | Rachel V Hogen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932544780 PECOS PAC ID: 1557654100 Enrollment ID: I20210816001253 |
| Provider Name | Stephanie Costello |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1053997718 PECOS PAC ID: 7911302419 Enrollment ID: I20210821000157 |
| Provider Name | Amanda Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508314279 PECOS PAC ID: 8527347152 Enrollment ID: I20210823002496 |
| Provider Name | Wahida Rahaman-dwarika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023633104 PECOS PAC ID: 6507261922 Enrollment ID: I20210824001447 |
| Provider Name | Matthew H Witt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043660798 PECOS PAC ID: 0042566853 Enrollment ID: I20210826001323 |
| Provider Name | David Swoboda |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1952729741 PECOS PAC ID: 1658647383 Enrollment ID: I20210827000218 |
| Provider Name | Jamie Mckenzie |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1104953546 PECOS PAC ID: 1052567880 Enrollment ID: I20210827002580 |
| Provider Name | Gianna Constantine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639794100 PECOS PAC ID: 2668878745 Enrollment ID: I20210915002270 |
| Provider Name | Alexandra Fucarino |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740549849 PECOS PAC ID: 4789081738 Enrollment ID: I20210917002943 |
| Provider Name | Adeel S Farooqi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891345138 PECOS PAC ID: 3375940224 Enrollment ID: I20210921000815 |
| Provider Name | Timothy Nywening |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508152000 PECOS PAC ID: 6608185848 Enrollment ID: I20210921001081 |
| Provider Name | Elizabeth Altenhofen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932736725 PECOS PAC ID: 6204233992 Enrollment ID: I20210922003078 |
| Provider Name | Margaret M Duggan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578541959 PECOS PAC ID: 2860433737 Enrollment ID: I20210929003482 |
| Provider Name | Tulika Ranjan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1780913707 PECOS PAC ID: 0042345415 Enrollment ID: I20210930001419 |
| Provider Name | Molly Catherine Gorman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023783297 PECOS PAC ID: 4981002086 Enrollment ID: I20211004001961 |
| Provider Name | Celestine Grace Montalvo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508533225 PECOS PAC ID: 0749688075 Enrollment ID: I20211018000507 |
| Provider Name | Anthony Carl Watkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831335603 PECOS PAC ID: 2466596382 Enrollment ID: I20211201000407 |
| Provider Name | John R Pawloski |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1093899981 PECOS PAC ID: 4688774813 Enrollment ID: I20211208000137 |
| Provider Name | Christopher Bariana |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1992092662 PECOS PAC ID: 0042501785 Enrollment ID: I20211213001561 |
| Provider Name | Mohamed Khayata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609294602 PECOS PAC ID: 5294058418 Enrollment ID: I20211215002356 |
| Provider Name | Tracy A Casas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760904676 PECOS PAC ID: 9638443906 Enrollment ID: I20211216002130 |
| Provider Name | Melanie Bliese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497217772 PECOS PAC ID: 0840524302 Enrollment ID: I20211217000631 |
| Provider Name | Victoria Rizk |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1518200195 PECOS PAC ID: 9830521368 Enrollment ID: I20220110001764 |
| Provider Name | Boris G Naraev |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1437313491 PECOS PAC ID: 5890840219 Enrollment ID: I20220120000449 |
| Provider Name | Rodney J Ellis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1679508352 PECOS PAC ID: 8325075963 Enrollment ID: I20220218001033 |
| Provider Name | Jessica Ellen Ospina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275007577 PECOS PAC ID: 4880080852 Enrollment ID: I20220331001645 |
| Provider Name | Eva Marie Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063172708 PECOS PAC ID: 3678969979 Enrollment ID: I20220414000872 |
| Provider Name | Jonathan Daniel |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1609031475 PECOS PAC ID: 6901952845 Enrollment ID: I20220428001027 |
| Provider Name | Dylan Elizabeth Mcwherter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104586858 PECOS PAC ID: 5294122818 Enrollment ID: I20220429001591 |
| Provider Name | Jose Guillermo Ruiz Morales |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1033572284 PECOS PAC ID: 2860788437 Enrollment ID: I20220524003378 |
| Provider Name | Patrick Maxwell Derby |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073075222 PECOS PAC ID: 2264767433 Enrollment ID: I20220613002182 |
| Provider Name | Brian Collins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417956640 PECOS PAC ID: 4789858721 Enrollment ID: I20220703000111 |
| Provider Name | Christopher Scoma |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1831551415 PECOS PAC ID: 0840670998 Enrollment ID: I20220706003790 |
| Provider Name | Karla Rodriguez-barragan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1063942019 PECOS PAC ID: 9739562943 Enrollment ID: I20220822001991 |
| Provider Name | Julia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508593542 PECOS PAC ID: 5395129308 Enrollment ID: I20220824003862 |
| Provider Name | Karthic Chandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033640222 PECOS PAC ID: 9739450461 Enrollment ID: I20220907001732 |
| Provider Name | Mei Yi Worton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538805783 PECOS PAC ID: 4587048749 Enrollment ID: I20220907002175 |
| Provider Name | Shannon Stepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841694429 PECOS PAC ID: 3577881267 Enrollment ID: I20220928001696 |
| Provider Name | Nikesh Shah |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1215390687 PECOS PAC ID: 0143513796 Enrollment ID: I20220929000854 |
| Provider Name | Ashish Singhal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588953392 PECOS PAC ID: 8325287154 Enrollment ID: I20220929000886 |
| Provider Name | Ariana Peguero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366198962 PECOS PAC ID: 3173909017 Enrollment ID: I20220930000599 |
| Provider Name | Lauren Michelle Wojciechowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275272239 PECOS PAC ID: 5395121198 Enrollment ID: I20221003000090 |
| Provider Name | Maria Ivonne Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467113704 PECOS PAC ID: 8820474380 Enrollment ID: I20221006001223 |
| Provider Name | Maria Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821404682 PECOS PAC ID: 5799073490 Enrollment ID: I20221008000299 |
| Provider Name | Derek Fritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366904047 PECOS PAC ID: 5890021281 Enrollment ID: I20221020000413 |
| Provider Name | Victoria Ann Jacobs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417562877 PECOS PAC ID: 7416357413 Enrollment ID: I20221129001160 |
| Provider Name | Devon Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013639962 PECOS PAC ID: 3173993458 Enrollment ID: I20230102000083 |
| Provider Name | Angela Keleher |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972510535 PECOS PAC ID: 9931200961 Enrollment ID: I20230103002562 |
| Provider Name | Ivan Borrello |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1992761050 PECOS PAC ID: 6305028507 Enrollment ID: I20230104000015 |
| Provider Name | Samantha Lynn Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689391229 PECOS PAC ID: 0446621940 Enrollment ID: I20230119003298 |
| Provider Name | Vy Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669185195 PECOS PAC ID: 9830561646 Enrollment ID: I20230203001406 |
| Provider Name | Alejandro Chavarriaga |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225486236 PECOS PAC ID: 9335545623 Enrollment ID: I20230206000129 |
| Provider Name | Jeanne Peter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447860622 PECOS PAC ID: 5799199550 Enrollment ID: I20230207002081 |
| Provider Name | Isabel Dalence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427505114 PECOS PAC ID: 1850671926 Enrollment ID: I20230208003118 |
| Provider Name | Jennifer Ellen Hanle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649946658 PECOS PAC ID: 1557759131 Enrollment ID: I20230209000065 |
| Provider Name | Evangelia Katsoulakis |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1386807493 PECOS PAC ID: 0446404289 Enrollment ID: I20230315002097 |
| Provider Name | Gabrielle Nicole Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295434108 PECOS PAC ID: 4284008442 Enrollment ID: I20230330000426 |
| Provider Name | Mark Donnelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013394576 PECOS PAC ID: 9537467311 Enrollment ID: I20230512002543 |
| Provider Name | Elaine Joy Mahoney |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205457504 PECOS PAC ID: 7911322300 Enrollment ID: I20230518000398 |
| Provider Name | Kayla Forrester |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1952835175 PECOS PAC ID: 7618335373 Enrollment ID: I20230628001207 |
| Provider Name | Nicole Valeria Dinescu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467912592 PECOS PAC ID: 2961863865 Enrollment ID: I20230725001251 |
| Provider Name | Nikolaos Lontos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366071680 PECOS PAC ID: 4082075999 Enrollment ID: I20230725001693 |
| Provider Name | Erin Jeanette Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942741434 PECOS PAC ID: 7012285687 Enrollment ID: I20230810002482 |
| Provider Name | Mark Gjurashaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346878949 PECOS PAC ID: 8921429242 Enrollment ID: I20230821000228 |
| Provider Name | Stephanie Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841625332 PECOS PAC ID: 1850516329 Enrollment ID: I20230823000111 |
| Provider Name | Jordan Burnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356022552 PECOS PAC ID: 6507229655 Enrollment ID: I20230823001123 |
| Provider Name | Nicholas Mencer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053871053 PECOS PAC ID: 7012371792 Enrollment ID: I20230913003316 |
| Provider Name | Helen Furr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447369657 PECOS PAC ID: 7911930227 Enrollment ID: I20230915000216 |
| Provider Name | Danielle N Callahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326747494 PECOS PAC ID: 1658735121 Enrollment ID: I20230918000028 |
| Provider Name | Lee Cummings |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548416969 PECOS PAC ID: 5698944197 Enrollment ID: I20231004003564 |
| Provider Name | Craig Eli Grossman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1134396351 PECOS PAC ID: 6608168224 Enrollment ID: I20231010004209 |
| Provider Name | Essa Alsharif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124575899 PECOS PAC ID: 9133481963 Enrollment ID: I20231011000550 |
| Provider Name | Charlotte K George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487283867 PECOS PAC ID: 2163845744 Enrollment ID: I20231013000263 |
| Provider Name | Karen Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619936051 PECOS PAC ID: 6103717335 Enrollment ID: I20231025004090 |
| Provider Name | Teresa Rdn Amroei |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1093304800 PECOS PAC ID: 6800242462 Enrollment ID: I20231102001606 |
| Provider Name | Darragh Herlihy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124373576 PECOS PAC ID: 7517191034 Enrollment ID: I20231102002358 |
| Provider Name | Aya Sarsour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508549759 PECOS PAC ID: 3779930391 Enrollment ID: I20231103000906 |
| Provider Name | Victoria Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609528710 PECOS PAC ID: 5890142244 Enrollment ID: I20231107003458 |
| Provider Name | Chaquera Leshay Kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780328351 PECOS PAC ID: 7618324799 Enrollment ID: I20231110001721 |
| Provider Name | Asiya Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679984843 PECOS PAC ID: 0042583866 Enrollment ID: I20231118000548 |
| Provider Name | Aman Shah |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1770845851 PECOS PAC ID: 4284973215 Enrollment ID: I20231201001091 |
| Provider Name | Katlyn Agosta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265043020 PECOS PAC ID: 2567873920 Enrollment ID: I20231203000122 |
| Provider Name | Jean Ching |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023605441 PECOS PAC ID: 7719336148 Enrollment ID: I20231212000072 |
| Provider Name | Lacy Chavis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093020786 PECOS PAC ID: 3779932850 Enrollment ID: I20231214001955 |
| Provider Name | Amanda Catherine Rupert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295333102 PECOS PAC ID: 9537577564 Enrollment ID: I20231218000298 |
| Provider Name | Nicole Dianne Irizarry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194403923 PECOS PAC ID: 5597115071 Enrollment ID: I20231226000134 |
| Provider Name | Adaixa Padron Wilborn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952083685 PECOS PAC ID: 0143672485 Enrollment ID: I20240123000338 |
| Provider Name | Christian Cruz Pico |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1659514263 PECOS PAC ID: 1355585852 Enrollment ID: I20240124003768 |
| Provider Name | Kaila Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174160998 PECOS PAC ID: 2769817568 Enrollment ID: I20240125000101 |
| Provider Name | Emily Catherine Foard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699146415 PECOS PAC ID: 4789027699 Enrollment ID: I20240207004364 |
| Provider Name | Danielle Bianca Vance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912777566 PECOS PAC ID: 4385089853 Enrollment ID: I20240224000320 |
| Provider Name | Austin Edward Maurer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376314294 PECOS PAC ID: 1951746734 Enrollment ID: I20240302000580 |
| Provider Name | Shelby Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588446926 PECOS PAC ID: 2163868704 Enrollment ID: I20240306001445 |
| Provider Name | Samantha Dean Brilmyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184489262 PECOS PAC ID: 6709222383 Enrollment ID: I20240306002618 |
| Provider Name | Eduardo Rodriguez Zarate |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407110414 PECOS PAC ID: 5294020897 Enrollment ID: I20240312000113 |
| Provider Name | Diana Carolina Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083471239 PECOS PAC ID: 1951748698 Enrollment ID: I20240318002149 |
| Provider Name | Ernest Fontecha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114230232 PECOS PAC ID: 0244523090 Enrollment ID: I20240328002288 |
| Provider Name | Sasha-gae Mccook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841062312 PECOS PAC ID: 8820437296 Enrollment ID: I20240417004006 |
| Provider Name | Renee Brill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417474412 PECOS PAC ID: 0648695874 Enrollment ID: I20240423002892 |
| Provider Name | Erica Cone Elder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508618877 PECOS PAC ID: 9830539899 Enrollment ID: I20240424004060 |
| Provider Name | Holly Ann Mcgill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780449116 PECOS PAC ID: 4880034206 Enrollment ID: I20240502002148 |
| Provider Name | Elizabeth Ensminger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427360361 PECOS PAC ID: 9830418326 Enrollment ID: I20240507002087 |
| Provider Name | Ashley Koerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558947457 PECOS PAC ID: 5193134914 Enrollment ID: I20240510001731 |
| Provider Name | Gina Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932980380 PECOS PAC ID: 5092156323 Enrollment ID: I20240516003351 |
| Provider Name | Isabella Dasilva Salas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477308179 PECOS PAC ID: 3678914967 Enrollment ID: I20240517001246 |
| Provider Name | Michelle Meyer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992575518 PECOS PAC ID: 9133561384 Enrollment ID: I20240520003712 |
| Provider Name | Hannah Fitterman-harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538916911 PECOS PAC ID: 8820530470 Enrollment ID: I20240611000889 |
| Provider Name | Kristina Mharee Sabilona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639925928 PECOS PAC ID: 0143763334 Enrollment ID: I20240617000445 |
| Provider Name | Chelsea Yost |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215478490 PECOS PAC ID: 2163793860 Enrollment ID: I20240617001874 |
| Provider Name | Victor Songbandith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750489043 PECOS PAC ID: 9032199682 Enrollment ID: I20240731000219 |
| Provider Name | Minu Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669231270 PECOS PAC ID: 6608313804 Enrollment ID: I20240806002515 |
| Provider Name | Richard A Jacobson |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1144601667 PECOS PAC ID: 9638476757 Enrollment ID: I20240820004383 |
| Provider Name | Crystal Siyu Zhang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1023513389 PECOS PAC ID: 8628325271 Enrollment ID: I20240821004166 |
| Provider Name | Heather Renee Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134966534 PECOS PAC ID: 2264971175 Enrollment ID: I20240822004850 |
| Provider Name | Victoria Jackson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1225569536 PECOS PAC ID: 8022559004 Enrollment ID: I20240917005031 |
| Provider Name | Carter Allen Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558114314 PECOS PAC ID: 8022559061 Enrollment ID: I20240918001907 |
| Provider Name | Sean Collins |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1396764965 PECOS PAC ID: 0749288157 Enrollment ID: I20240919001347 |
| Provider Name | Brittany Ciera-denise Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487234001 PECOS PAC ID: 7810438298 Enrollment ID: I20240925003209 |
| Provider Name | Hanna Ro Dowell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174101232 PECOS PAC ID: 7416488747 Enrollment ID: I20240927000246 |
| Provider Name | Ashley Rose Hoffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740018522 PECOS PAC ID: 2860923687 Enrollment ID: I20241003004205 |
| Provider Name | Vaagn Andikyan |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1881985414 PECOS PAC ID: 6204127129 Enrollment ID: I20241011001099 |
| Provider Name | Bhalinder Dhaliwal |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1598259863 PECOS PAC ID: 5597297812 Enrollment ID: I20241011001201 |
| Provider Name | Cha Quanda Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003506759 PECOS PAC ID: 2365974540 Enrollment ID: I20241011003779 |
| Provider Name | Dawn Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912399726 PECOS PAC ID: 3072831130 Enrollment ID: I20241011003939 |
| Provider Name | Meredith Van Antwerp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750111480 PECOS PAC ID: 4082146501 Enrollment ID: I20241022001268 |
| Provider Name | Megan Melody |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1609370758 PECOS PAC ID: 4587912886 Enrollment ID: I20241106001816 |
| Provider Name | Brett Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730723396 PECOS PAC ID: 9537594478 Enrollment ID: I20241108001860 |
| Provider Name | Kayla Burlingame |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972364263 PECOS PAC ID: 3971037193 Enrollment ID: I20241111003980 |
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