| The Moses H Cone Memorial Hospital Operating Corporation | |
|
1200 N Elm St Greensboro NC 27401-1020 | |
| (336) 832-9943 | |
| (336) 832-8272 |
| Full Name | The Moses H Cone Memorial Hospital Operating Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 N Elm St, Greensboro, North Carolina |
| Authorized Official Name and Position | Terrence Benton Akin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3368329500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Moses H Cone Memorial Hospital Operating Corporation 1200 North Elm Street Greensboro NC 27401-1020 Ph: (336) 832-9500 | The Moses H Cone Memorial Hospital Operating Corporation 1200 N Elm St Greensboro NC 27401-1020 Ph: (336) 832-9943 |
| NPI Number | 1356372064 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 03/19/2015 |
| Medicare PECOS PAC ID | 6204744600 |
|---|---|
| Medicare Enrollment ID | O20031124000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356372064 | NPI | - | NPPES |
| 6005124 | Medicaid | NC | |
| 7901337 | Medicaid | NC | |
| 7902090 | Medicaid | NC | |
| 89016H1 | Medicaid | NC | |
| 5900509 | Medicaid | NC |
| Provider Name | Jeffrey C Hatcher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457308918 PECOS PAC ID: 2769396431 Enrollment ID: I20031117000717 |
| Provider Name | William S Tilley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730185380 PECOS PAC ID: 1456256213 Enrollment ID: I20031204000564 |
| Provider Name | Thomas L D Alessio |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467499608 PECOS PAC ID: 0840195582 Enrollment ID: I20031204001073 |
| Provider Name | Michelle E Kane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437197134 PECOS PAC ID: 3971496647 Enrollment ID: I20040205000948 |
| Provider Name | Jean C Sykes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215030606 PECOS PAC ID: 4880588599 Enrollment ID: I20040212000512 |
| Provider Name | William A Hensel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073560538 PECOS PAC ID: 3072400670 Enrollment ID: I20040228000467 |
| Provider Name | James Gordon Arnold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215933809 PECOS PAC ID: 8921996497 Enrollment ID: I20040306000210 |
| Provider Name | Leslie D Reynolds |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265511554 PECOS PAC ID: 1759373715 Enrollment ID: I20040331000495 |
| Provider Name | Jonathan J Berry |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1235237926 PECOS PAC ID: 4385637099 Enrollment ID: I20040407001120 |
| Provider Name | Edward L Hawkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376535161 PECOS PAC ID: 3678566239 Enrollment ID: I20040407001441 |
| Provider Name | John R Rodenbough |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932140779 PECOS PAC ID: 0143214122 Enrollment ID: I20040413000301 |
| Provider Name | Tanya S Pratt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760420715 PECOS PAC ID: 5890784706 Enrollment ID: I20040506001648 |
| Provider Name | Arthur G Green |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174506224 PECOS PAC ID: 3779571849 Enrollment ID: I20040514000231 |
| Provider Name | Jerome O Spruill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407812936 PECOS PAC ID: 4688665532 Enrollment ID: I20040520000367 |
| Provider Name | Mark Leroy Lukens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326026337 PECOS PAC ID: 9436132677 Enrollment ID: I20040609001280 |
| Provider Name | Mark Edward Shogry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740238740 PECOS PAC ID: 5698758399 Enrollment ID: I20040612000038 |
| Provider Name | William B Veazey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841231156 PECOS PAC ID: 6507849106 Enrollment ID: I20040612000117 |
| Provider Name | John Taylor Curnes |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255321329 PECOS PAC ID: 2769465384 Enrollment ID: I20040612000278 |
| Provider Name | Paul D Barry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073503124 PECOS PAC ID: 4486637014 Enrollment ID: I20040612000360 |
| Provider Name | James H Maxwell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235113911 PECOS PAC ID: 8022091677 Enrollment ID: I20040612000451 |
| Provider Name | Glenn Takeshi Yamagata |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1598718066 PECOS PAC ID: 7810970472 Enrollment ID: I20040612000579 |
| Provider Name | John Allen Stahl |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083662084 PECOS PAC ID: 0143203703 Enrollment ID: I20040612000620 |
| Provider Name | Sanjeev K Deveshwar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235129321 PECOS PAC ID: 1557344124 Enrollment ID: I20040612000675 |
| Provider Name | Thomas Earl Lawrence |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326021437 PECOS PAC ID: 4082697669 Enrollment ID: I20040612000764 |
| Provider Name | Walter D Liebkemann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376526434 PECOS PAC ID: 0345223939 Enrollment ID: I20040612000792 |
| Provider Name | Steven Hunter Reid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801844899 PECOS PAC ID: 0244214864 Enrollment ID: I20040614000301 |
| Provider Name | David Charles Clark |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720079767 PECOS PAC ID: 9032105234 Enrollment ID: I20040614000406 |
| Provider Name | Steven L Zacks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467530758 PECOS PAC ID: 0042294043 Enrollment ID: I20040616001328 |
| Provider Name | Michael W Fried |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699847095 PECOS PAC ID: 7719961721 Enrollment ID: I20040616001463 |
| Provider Name | Peter M Gallerani |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679564355 PECOS PAC ID: 1759366859 Enrollment ID: I20040622001586 |
| Provider Name | Broadus Zane Atkins |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1124022983 PECOS PAC ID: 4284619396 Enrollment ID: I20040622001672 |
| Provider Name | Michael Trevor Shick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396793386 PECOS PAC ID: 2466345624 Enrollment ID: I20040712000216 |
| Provider Name | Paula V Ross |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316904949 PECOS PAC ID: 5496734634 Enrollment ID: I20040720000443 |
| Provider Name | Thomas C Wall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528018314 PECOS PAC ID: 0547249799 Enrollment ID: I20040720000497 |
| Provider Name | Mary S Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467475285 PECOS PAC ID: 2365412616 Enrollment ID: I20040726001465 |
| Provider Name | Melinda A Blietz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023057619 PECOS PAC ID: 8426028861 Enrollment ID: I20040730001152 |
| Provider Name | Brian N Hagler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063463024 PECOS PAC ID: 1355314535 Enrollment ID: I20040816001253 |
| Provider Name | Stanley E Harrison |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770538431 PECOS PAC ID: 5991779365 Enrollment ID: I20040823000072 |
| Provider Name | Henry W Smith |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760582951 PECOS PAC ID: 0941274997 Enrollment ID: I20040824001461 |
| Provider Name | Pramod P Sethi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972560894 PECOS PAC ID: 9436121886 Enrollment ID: I20040828000032 |
| Provider Name | Samuel G Mcdowell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457315335 PECOS PAC ID: 4789650961 Enrollment ID: I20040908001586 |
| Provider Name | Jagadeesh R Ganji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306942578 PECOS PAC ID: 7315914488 Enrollment ID: I20040916000961 |
| Provider Name | Kelly Harris Leggett |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649210535 PECOS PAC ID: 3779544242 Enrollment ID: I20041019001111 |
| Provider Name | Rajan R Revankar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508915307 PECOS PAC ID: 3870554868 Enrollment ID: I20041022000742 |
| Provider Name | David Ormond |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235117243 PECOS PAC ID: 9931162377 Enrollment ID: I20041108000357 |
| Provider Name | William W Woodruff |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679551725 PECOS PAC ID: 9436112786 Enrollment ID: I20041108000489 |
| Provider Name | Daniel R Bensimhon |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1245293505 PECOS PAC ID: 2961465265 Enrollment ID: I20041108000956 |
| Provider Name | Raymond C Rubner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033197181 PECOS PAC ID: 9133183130 Enrollment ID: I20041118000948 |
| Provider Name | Wei-chen Lin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417935420 PECOS PAC ID: 9032173935 Enrollment ID: I20041118001050 |
| Provider Name | Clanford Lyonel Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750342879 PECOS PAC ID: 3476518192 Enrollment ID: I20041122001091 |
| Provider Name | Daniel P Boyle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962480012 PECOS PAC ID: 4284699752 Enrollment ID: I20041123001018 |
| Provider Name | Deanna Marie Kirchmayer |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1265500250 PECOS PAC ID: 9234194762 Enrollment ID: I20041124000167 |
| Provider Name | Kelly Hartigan Tate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447212378 PECOS PAC ID: 9537112248 Enrollment ID: I20050222000909 |
| Provider Name | Kimberly Dawn Shaw |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639241490 PECOS PAC ID: 9537112073 Enrollment ID: I20050224000854 |
| Provider Name | Julie A Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013990324 PECOS PAC ID: 5193770121 Enrollment ID: I20050314000116 |
| Provider Name | Christina Phyllis Rama |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902850407 PECOS PAC ID: 3678520145 Enrollment ID: I20050406000798 |
| Provider Name | Gregg William Taylor |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1801846217 PECOS PAC ID: 9335186758 Enrollment ID: I20050415000833 |
| Provider Name | Marie L Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1548332406 PECOS PAC ID: 7214975465 Enrollment ID: I20050419001152 |
| Provider Name | Christopher Wayne Mattern |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780669242 PECOS PAC ID: 3678514957 Enrollment ID: I20050517000647 |
| Provider Name | James Hochrein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467415166 PECOS PAC ID: 5890736623 Enrollment ID: I20050520001000 |
| Provider Name | Peter C Nishan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407810435 PECOS PAC ID: 7315988144 Enrollment ID: I20050520001044 |
| Provider Name | Peter Manning Jordan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1235286626 PECOS PAC ID: 1850332685 Enrollment ID: I20050520001052 |
| Provider Name | Philip J Nahser |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710034053 PECOS PAC ID: 5597707935 Enrollment ID: I20050525001360 |
| Provider Name | Bruce H Swords |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912956947 PECOS PAC ID: 4082654710 Enrollment ID: I20050527000692 |
| Provider Name | John F Campbell |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326096819 PECOS PAC ID: 9931136983 Enrollment ID: I20050720001155 |
| Provider Name | Geoffrey Todd Lamke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538132162 PECOS PAC ID: 5890723662 Enrollment ID: I20050802000879 |
| Provider Name | Traci M Turner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780784983 PECOS PAC ID: 8123059599 Enrollment ID: I20050825000342 |
| Provider Name | Thomas A Kelly |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902902182 PECOS PAC ID: 4880625268 Enrollment ID: I20050825000405 |
| Provider Name | Michael G Robson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386627602 PECOS PAC ID: 3476587577 Enrollment ID: I20050919000644 |
| Provider Name | Jennifer A Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073602348 PECOS PAC ID: 6305871252 Enrollment ID: I20050929000717 |
| Provider Name | Daniel William Entrikin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942239645 PECOS PAC ID: 4981639242 Enrollment ID: I20051005000791 |
| Provider Name | Roy O Fagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023075140 PECOS PAC ID: 7113952565 Enrollment ID: I20051010000927 |
| Provider Name | Christopher Y Blackman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871530568 PECOS PAC ID: 7911922372 Enrollment ID: I20051014000033 |
| Provider Name | Charles A Harper |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689663999 PECOS PAC ID: 0244256436 Enrollment ID: I20051019001052 |
| Provider Name | Taylor H Stroud |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972543858 PECOS PAC ID: 9739107392 Enrollment ID: I20051102001123 |
| Provider Name | Frances H Cresenzo-dishmon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1821187998 PECOS PAC ID: 3072532043 Enrollment ID: I20051121000446 |
| Provider Name | Clinton Young |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538119094 PECOS PAC ID: 1355250770 Enrollment ID: I20051213000695 |
| Provider Name | Deirdra C Poe |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710057930 PECOS PAC ID: 6002839974 Enrollment ID: I20060105000742 |
| Provider Name | Ann B Amyot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558356865 PECOS PAC ID: 8224042643 Enrollment ID: I20060206000377 |
| Provider Name | Timothy R Draper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932144904 PECOS PAC ID: 3577465228 Enrollment ID: I20060213000704 |
| Provider Name | Deborah B Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255373288 PECOS PAC ID: 0941217186 Enrollment ID: I20060314000346 |
| Provider Name | Eugene H Wade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548256266 PECOS PAC ID: 2163400623 Enrollment ID: I20060327000024 |
| Provider Name | Christopher Ronald Berge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619908811 PECOS PAC ID: 0345259941 Enrollment ID: I20060410000465 |
| Provider Name | Patrick Wright |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265482889 PECOS PAC ID: 7315956380 Enrollment ID: I20060419000556 |
| Provider Name | David J Evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164457446 PECOS PAC ID: 2466497870 Enrollment ID: I20060427000184 |
| Provider Name | Brian James Munley |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093775793 PECOS PAC ID: 8729054390 Enrollment ID: I20060712000281 |
| Provider Name | Robert Jerzy Krasowski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346209699 PECOS PAC ID: 8729091830 Enrollment ID: I20060712000347 |
| Provider Name | Stephen M Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962427021 PECOS PAC ID: 2769485473 Enrollment ID: I20060818000469 |
| Provider Name | Catherine D Metheney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407882723 PECOS PAC ID: 7719981810 Enrollment ID: I20060901000235 |
| Provider Name | Karen Ellna Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992735013 PECOS PAC ID: 6709880818 Enrollment ID: I20060901000340 |
| Provider Name | Robert S Byrum |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487620654 PECOS PAC ID: 4082603964 Enrollment ID: I20060912000345 |
| Provider Name | Steven Cochran Klein |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366406340 PECOS PAC ID: 2264438290 Enrollment ID: I20061013000190 |
| Provider Name | Benita W Varnado |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073620159 PECOS PAC ID: 2163420290 Enrollment ID: I20061218000520 |
| Provider Name | Paul H Hayashi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972538262 PECOS PAC ID: 7214928712 Enrollment ID: I20070125000450 |
| Provider Name | Jayadeep S Varanasi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356355648 PECOS PAC ID: 7911009782 Enrollment ID: I20070226000103 |
| Provider Name | Steven H Berliner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487628285 PECOS PAC ID: 0648374470 Enrollment ID: I20070403000533 |
| Provider Name | Susan Jordan Turner |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124236641 PECOS PAC ID: 4981704715 Enrollment ID: I20070710000362 |
| Provider Name | Adam R Henn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275532798 PECOS PAC ID: 6901822865 Enrollment ID: I20070713000471 |
| Provider Name | James Nitka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134120306 PECOS PAC ID: 1951302314 Enrollment ID: I20070728000279 |
| Provider Name | Michael D Cooper |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992929137 PECOS PAC ID: 9830183805 Enrollment ID: I20070809000081 |
| Provider Name | Nicole L Chandler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023227758 PECOS PAC ID: 3779675392 Enrollment ID: I20070827000601 |
| Provider Name | Amelia Pugh Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306810460 PECOS PAC ID: 5395763031 Enrollment ID: I20070913000678 |
| Provider Name | Claire Sanger Dillingham |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1902006646 PECOS PAC ID: 9032203419 Enrollment ID: I20070915000275 |
| Provider Name | David Mabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821127796 PECOS PAC ID: 8729173984 Enrollment ID: I20071002000892 |
| Provider Name | Elizabeth M Mulberry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043398969 PECOS PAC ID: 3678669371 Enrollment ID: I20071010000747 |
| Provider Name | Angela M Kabbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184740862 PECOS PAC ID: 4284720996 Enrollment ID: I20071010000786 |
| Provider Name | Harold L Hall |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1942415567 PECOS PAC ID: 5597851204 Enrollment ID: I20071010000846 |
| Provider Name | Steven R Olson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861476053 PECOS PAC ID: 2365538469 Enrollment ID: I20071022000143 |
| Provider Name | Donna Crutchfield Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568491918 PECOS PAC ID: 5597853747 Enrollment ID: I20071121000471 |
| Provider Name | Deborah D Schoenhoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134153471 PECOS PAC ID: 3678662004 Enrollment ID: I20071207000471 |
| Provider Name | Andrew E Kirsteins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053394254 PECOS PAC ID: 8123010360 Enrollment ID: I20071212000737 |
| Provider Name | Megan B Lovorn |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1629268149 PECOS PAC ID: 5890885685 Enrollment ID: I20071217000665 |
| Provider Name | Myra C Dove |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124025655 PECOS PAC ID: 4880775220 Enrollment ID: I20080111000296 |
| Provider Name | Robert W Comer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205056041 PECOS PAC ID: 6507948726 Enrollment ID: I20080128000301 |
| Provider Name | John V Ferguson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528157930 PECOS PAC ID: 5991730749 Enrollment ID: I20080318000605 |
| Provider Name | Ronald Kulinski |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154378610 PECOS PAC ID: 6406932037 Enrollment ID: I20080324000611 |
| Provider Name | Marshall Lee Chambliss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629026471 PECOS PAC ID: 5294811659 Enrollment ID: I20080325000696 |
| Provider Name | Kathryn M Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275565152 PECOS PAC ID: 6002993813 Enrollment ID: I20080403000291 |
| Provider Name | Cornelius Nestore Van Dam |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1174735070 PECOS PAC ID: 5991883613 Enrollment ID: I20080422000382 |
| Provider Name | Timothy Gollan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891839262 PECOS PAC ID: 6002849833 Enrollment ID: I20080516000537 |
| Provider Name | Ajay S Kadakia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174619795 PECOS PAC ID: 9133299506 Enrollment ID: I20080528000703 |
| Provider Name | Luther Eure |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881783975 PECOS PAC ID: 1850461146 Enrollment ID: I20080529000220 |
| Provider Name | Wynne E Woodyear |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659459071 PECOS PAC ID: 3779653001 Enrollment ID: I20080529000530 |
| Provider Name | Sara Neal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609850114 PECOS PAC ID: 0143390021 Enrollment ID: I20080604000229 |
| Provider Name | Muhammad A Arida |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1053528554 PECOS PAC ID: 3173694833 Enrollment ID: I20080624000395 |
| Provider Name | Nayana Abrol |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497956205 PECOS PAC ID: 5294800231 Enrollment ID: I20080826000440 |
| Provider Name | Ugonna A Anyanwu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922138700 PECOS PAC ID: 4284700089 Enrollment ID: I20080902000251 |
| Provider Name | Mohan N Harwani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639275381 PECOS PAC ID: 8426099250 Enrollment ID: I20080909000179 |
| Provider Name | Mark C Skains |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679794275 PECOS PAC ID: 0547336687 Enrollment ID: I20080913000185 |
| Provider Name | Jeffrey Tzu-liang Hu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770566903 PECOS PAC ID: 9830266543 Enrollment ID: I20080923000130 |
| Provider Name | Kevin G Dover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457342701 PECOS PAC ID: 3476620717 Enrollment ID: I20080929000113 |
| Provider Name | Caron Boyd Dover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255321360 PECOS PAC ID: 1557458080 Enrollment ID: I20081003000698 |
| Provider Name | Lisa T Newsome |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447235304 PECOS PAC ID: 6103994637 Enrollment ID: I20081017000374 |
| Provider Name | Anna Genevieve Wright |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851575096 PECOS PAC ID: 4880752724 Enrollment ID: I20081022000367 |
| Provider Name | Frederic Kendall Newton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1154466100 PECOS PAC ID: 6305945528 Enrollment ID: I20081030000281 |
| Provider Name | Eric Arthur Mansell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1427032606 PECOS PAC ID: 7315006699 Enrollment ID: I20081030000791 |
| Provider Name | Kenneth P Barnes |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447338587 PECOS PAC ID: 4486750908 Enrollment ID: I20081112000823 |
| Provider Name | Elizabeth D Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093706038 PECOS PAC ID: 6305909854 Enrollment ID: I20090110000052 |
| Provider Name | Linda C Bernhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366473662 PECOS PAC ID: 0345303772 Enrollment ID: I20090112000672 |
| Provider Name | Heath K Mccullough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366641243 PECOS PAC ID: 6305909201 Enrollment ID: I20090120000056 |
| Provider Name | Kelly Ann Brozzetti-cronin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093973273 PECOS PAC ID: 3476618596 Enrollment ID: I20090224000374 |
| Provider Name | Mark A Boles |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235129388 PECOS PAC ID: 6709943681 Enrollment ID: I20090319000565 |
| Provider Name | Dina L Arceo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538159686 PECOS PAC ID: 8820155716 Enrollment ID: I20090319000624 |
| Provider Name | Yijun Yan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508056680 PECOS PAC ID: 3173611084 Enrollment ID: I20090522000041 |
| Provider Name | Christopher D Mcalhany |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265656011 PECOS PAC ID: 3375522725 Enrollment ID: I20090803000517 |
| Provider Name | Dalton Singletry Mclean |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1316995400 PECOS PAC ID: 2860545183 Enrollment ID: I20090804000845 |
| Provider Name | Charles Stewart |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528257219 PECOS PAC ID: 8628153590 Enrollment ID: I20090822000143 |
| Provider Name | James D Allred |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1669583316 PECOS PAC ID: 3476559857 Enrollment ID: I20090901000725 |
| Provider Name | Stephen A Beese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962496018 PECOS PAC ID: 7315840592 Enrollment ID: I20091217000603 |
| Provider Name | Angelo S Milazzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407919285 PECOS PAC ID: 1557401882 Enrollment ID: I20091217000637 |
| Provider Name | Marcus V Duda |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124065172 PECOS PAC ID: 4082755582 Enrollment ID: I20100106000288 |
| Provider Name | Virginia F Smith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1265760268 PECOS PAC ID: 7517008709 Enrollment ID: I20100111000270 |
| Provider Name | Mark C Yates |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598702359 PECOS PAC ID: 4385787001 Enrollment ID: I20100203000605 |
| Provider Name | Cynthia Marie Wesley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316905391 PECOS PAC ID: 7214916162 Enrollment ID: I20100318000703 |
| Provider Name | William Henry Hickling |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659337624 PECOS PAC ID: 7517870777 Enrollment ID: I20100326000777 |
| Provider Name | Gregory Scott Dean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639116684 PECOS PAC ID: 9931236890 Enrollment ID: I20100423000803 |
| Provider Name | Peter E Parker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194787473 PECOS PAC ID: 4587740931 Enrollment ID: I20100506000730 |
| Provider Name | Laura Easterwood Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700011699 PECOS PAC ID: 1456480714 Enrollment ID: I20100525000214 |
| Provider Name | Brian S Crenshaw |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093778227 PECOS PAC ID: 0143359000 Enrollment ID: I20100602000659 |
| Provider Name | Wayne A Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295782753 PECOS PAC ID: 6204966492 Enrollment ID: I20100615000338 |
| Provider Name | Todd D Mcdiarmid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841230786 PECOS PAC ID: 9335279520 Enrollment ID: I20100615000402 |
| Provider Name | Charles S Rogers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457395907 PECOS PAC ID: 1759411887 Enrollment ID: I20100616000063 |
| Provider Name | Jeffrey Chang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194959056 PECOS PAC ID: 1850437575 Enrollment ID: I20100622000243 |
| Provider Name | Karl B Fields |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1760437420 PECOS PAC ID: 1254462948 Enrollment ID: I20100624000167 |
| Provider Name | John E Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265496228 PECOS PAC ID: 8022149715 Enrollment ID: I20100624000230 |
| Provider Name | Peter White Whitfield |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700838828 PECOS PAC ID: 9133250871 Enrollment ID: I20100624000686 |
| Provider Name | Jeffrey D. Katz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508820572 PECOS PAC ID: 9032241690 Enrollment ID: I20100716000401 |
| Provider Name | James M Granfortuna |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366495707 PECOS PAC ID: 4486786720 Enrollment ID: I20100721000910 |
| Provider Name | Laura Wilson Murray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780620054 PECOS PAC ID: 9234196288 Enrollment ID: I20100727000756 |
| Provider Name | Valerie A Leschber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518922145 PECOS PAC ID: 3274666474 Enrollment ID: I20100809000128 |
| Provider Name | Vikram R Penumalli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1699920991 PECOS PAC ID: 1254481294 Enrollment ID: I20100823001104 |
| Provider Name | Peggy Constant |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417287764 PECOS PAC ID: 4587789573 Enrollment ID: I20100914001142 |
| Provider Name | Zachary T. Swartz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396765301 PECOS PAC ID: 6901921923 Enrollment ID: I20100915000069 |
| Provider Name | Crystal M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417262023 PECOS PAC ID: 6002931037 Enrollment ID: I20100915000204 |
| Provider Name | Elizabeth L Golding |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124224993 PECOS PAC ID: 8022133909 Enrollment ID: I20100915000814 |
| Provider Name | Shanker M Ghimire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639325657 PECOS PAC ID: 1456409416 Enrollment ID: I20100924001100 |
| Provider Name | Edwin J Green |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235199183 PECOS PAC ID: 9638295348 Enrollment ID: I20100929001610 |
| Provider Name | Michael B. Wert |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1558310276 PECOS PAC ID: 0042403693 Enrollment ID: I20101015000221 |
| Provider Name | Michelle F Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194039164 PECOS PAC ID: 0345433827 Enrollment ID: I20101015000778 |
| Provider Name | Steven A Daub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750325213 PECOS PAC ID: 0547454076 Enrollment ID: I20101028001351 |
| Provider Name | Shannon E Englehorn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457666257 PECOS PAC ID: 6800081514 Enrollment ID: I20101108000938 |
| Provider Name | Michael F Zelson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881638211 PECOS PAC ID: 9032304118 Enrollment ID: I20101115000919 |
| Provider Name | J Wayne Keeling |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558362889 PECOS PAC ID: 8426169905 Enrollment ID: I20101119000995 |
| Provider Name | David Simonds |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1831148295 PECOS PAC ID: 2062601917 Enrollment ID: I20110107000965 |
| Provider Name | Terri L Burleson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295863306 PECOS PAC ID: 1850571217 Enrollment ID: I20110202000626 |
| Provider Name | Mihai Croitoru |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932192309 PECOS PAC ID: 2062481666 Enrollment ID: I20110308000594 |
| Provider Name | Jeanette Elizabeth Wilson Defelice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972807790 PECOS PAC ID: 5092997106 Enrollment ID: I20110310000867 |
| Provider Name | Katherine P Schorr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124324033 PECOS PAC ID: 7618159625 Enrollment ID: I20110314000070 |
| Provider Name | Michael Christopher Ragan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134458359 PECOS PAC ID: 6608058524 Enrollment ID: I20110314000232 |
| Provider Name | Lawrence D Klima |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518059310 PECOS PAC ID: 5799968269 Enrollment ID: I20110321000604 |
| Provider Name | Andrew Delgaizo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235300252 PECOS PAC ID: 2769675180 Enrollment ID: I20110628000905 |
| Provider Name | Adam T Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376779116 PECOS PAC ID: 7810175304 Enrollment ID: I20110705000459 |
| Provider Name | Ashley Mcbride Mortenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033403456 PECOS PAC ID: 9133398373 Enrollment ID: I20110804000578 |
| Provider Name | Marie H Lawson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1740379882 PECOS PAC ID: 0840460424 Enrollment ID: I20110909002667 |
| Provider Name | Jeffrey H Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235386848 PECOS PAC ID: 1355405051 Enrollment ID: I20110914000027 |
| Provider Name | Shane Hudnall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447453451 PECOS PAC ID: 2062683030 Enrollment ID: I20110922000768 |
| Provider Name | Kenneth C Hilty |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487766267 PECOS PAC ID: 4183896079 Enrollment ID: I20111019000609 |
| Provider Name | Prashant Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457386971 PECOS PAC ID: 9830193226 Enrollment ID: I20111027000140 |
| Provider Name | Jai-gurmukh K Samtani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891953428 PECOS PAC ID: 0446423073 Enrollment ID: I20111027000143 |
| Provider Name | Sriyesh Krishnan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699804674 PECOS PAC ID: 8729245899 Enrollment ID: I20120201000031 |
| Provider Name | David W Harding |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1457576043 PECOS PAC ID: 8426215120 Enrollment ID: I20120208000600 |
| Provider Name | William Ross Stevens |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275606022 PECOS PAC ID: 1355376385 Enrollment ID: I20120225000187 |
| Provider Name | John Alexander Watts |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114194537 PECOS PAC ID: 4587828587 Enrollment ID: I20120601000466 |
| Provider Name | Enobong Newlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548429343 PECOS PAC ID: 1254596349 Enrollment ID: I20120621000657 |
| Provider Name | Kehinde Temitayo Eniola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144592353 PECOS PAC ID: 7113183930 Enrollment ID: I20120724000232 |
| Provider Name | Kim K Briscoe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447486212 PECOS PAC ID: 7810143120 Enrollment ID: I20120801000736 |
| Provider Name | Jacob J Stinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750525416 PECOS PAC ID: 3476709403 Enrollment ID: I20120807000940 |
| Provider Name | Sarah A Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144576810 PECOS PAC ID: 3476700790 Enrollment ID: I20120821000984 |
| Provider Name | Ashley G Sutton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023252608 PECOS PAC ID: 5991953473 Enrollment ID: I20120907000768 |
| Provider Name | Alma M Devine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447487681 PECOS PAC ID: 2567611064 Enrollment ID: I20120926000828 |
| Provider Name | Iskra Magick Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659508802 PECOS PAC ID: 6406006733 Enrollment ID: I20121023000556 |
| Provider Name | Cynthia B Snider |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1447472592 PECOS PAC ID: 8527238146 Enrollment ID: I20130110000278 |
| Provider Name | Jamila Crawford |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295951903 PECOS PAC ID: 7113170408 Enrollment ID: I20130117000432 |
| Provider Name | Nishant Dhungel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154583664 PECOS PAC ID: 1456476860 Enrollment ID: I20130214000269 |
| Provider Name | Lisa A Leftwich Kirby |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174869184 PECOS PAC ID: 8325293251 Enrollment ID: I20130226000650 |
| Provider Name | Amy D Clegg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033437322 PECOS PAC ID: 7517104920 Enrollment ID: I20130502000144 |
| Provider Name | Lori G Scott |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033357868 PECOS PAC ID: 7416006333 Enrollment ID: I20130723000186 |
| Provider Name | Carolyn L Harraway Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922116250 PECOS PAC ID: 0446214035 Enrollment ID: I20130807000509 |
| Provider Name | Donna M Plyler |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1326128117 PECOS PAC ID: 6305088774 Enrollment ID: I20130814000622 |
| Provider Name | Jeffrey Howard Walden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548571987 PECOS PAC ID: 7214170570 Enrollment ID: I20130905000572 |
| Provider Name | Reza Nabizadeh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356507644 PECOS PAC ID: 6002059367 Enrollment ID: I20130905000611 |
| Provider Name | Emily B Mullen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689800880 PECOS PAC ID: 0648435677 Enrollment ID: I20130916000775 |
| Provider Name | Kimberly R Booker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013359934 PECOS PAC ID: 8426292707 Enrollment ID: I20130926000792 |
| Provider Name | Sean Bradford Hommel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780905554 PECOS PAC ID: 4082848163 Enrollment ID: I20131002000617 |
| Provider Name | Steven J Newton |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336469667 PECOS PAC ID: 0840424602 Enrollment ID: I20131009002044 |
| Provider Name | Maureen E Ben-davies |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306093646 PECOS PAC ID: 8123253549 Enrollment ID: I20131021000390 |
| Provider Name | Thomas J Thekkekandam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962637926 PECOS PAC ID: 4880829951 Enrollment ID: I20131025000441 |
| Provider Name | Christopher A End |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609072495 PECOS PAC ID: 5597929653 Enrollment ID: I20131113000130 |
| Provider Name | Lindsey Malcolm Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760818165 PECOS PAC ID: 3678700507 Enrollment ID: I20131220000455 |
| Provider Name | Laura R Ingold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356447478 PECOS PAC ID: 6507094745 Enrollment ID: I20140114001204 |
| Provider Name | Regina W Baity |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891123667 PECOS PAC ID: 3779712179 Enrollment ID: I20140205001501 |
| Provider Name | Regina Th Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053509893 PECOS PAC ID: 0941439384 Enrollment ID: I20140206000909 |
| Provider Name | Joshua A Sheets |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619254901 PECOS PAC ID: 4981834066 Enrollment ID: I20140312000367 |
| Provider Name | Heather D Hogan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649507534 PECOS PAC ID: 8325228349 Enrollment ID: I20140401000210 |
| Provider Name | Karissa A Brone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811327422 PECOS PAC ID: 2769606086 Enrollment ID: I20140606000989 |
| Provider Name | Evan S Corey |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1801116884 PECOS PAC ID: 4284859562 Enrollment ID: I20140630000308 |
| Provider Name | Kyle J Fletke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700178100 PECOS PAC ID: 1951549369 Enrollment ID: I20140811000225 |
| Provider Name | Margaret Anne Marsden Fryer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003862152 PECOS PAC ID: 9133346992 Enrollment ID: I20140819000904 |
| Provider Name | Keli B Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124313051 PECOS PAC ID: 8628296746 Enrollment ID: I20140902000800 |
| Provider Name | Brinda Thimmappa |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1639382666 PECOS PAC ID: 5799839114 Enrollment ID: I20140909000566 |
| Provider Name | Naiping Michael Xu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497997803 PECOS PAC ID: 6305065533 Enrollment ID: I20140919001222 |
| Provider Name | Jonathan F Branch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609035757 PECOS PAC ID: 2163642026 Enrollment ID: I20140929000918 |
| Provider Name | Jennifer I Rasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043628969 PECOS PAC ID: 0446470892 Enrollment ID: I20141007000158 |
| Provider Name | Olugbemiga E Jegede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003006503 PECOS PAC ID: 1951572312 Enrollment ID: I20141014001668 |
| Provider Name | Katarina H Nelson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902006356 PECOS PAC ID: 1850565318 Enrollment ID: I20141015001141 |
| Provider Name | Catherine Hansen Rossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467851618 PECOS PAC ID: 7113148909 Enrollment ID: I20141020002368 |
| Provider Name | Josalyn Camille Funches |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679867709 PECOS PAC ID: 4880815604 Enrollment ID: I20141021000633 |
| Provider Name | Alethea Yvette Rucker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053549493 PECOS PAC ID: 1557525102 Enrollment ID: I20141024001597 |
| Provider Name | Cody Elias Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669769212 PECOS PAC ID: 8527289842 Enrollment ID: I20141029001555 |
| Provider Name | Jennifer Ozan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154633394 PECOS PAC ID: 1153543145 Enrollment ID: I20141106001083 |
| Provider Name | Samantha A Murrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598165938 PECOS PAC ID: 0749402121 Enrollment ID: I20141119002662 |
| Provider Name | Anika Shannel Cherry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497075105 PECOS PAC ID: 7618290776 Enrollment ID: I20141220000183 |
| Provider Name | Nischal Narendra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740412170 PECOS PAC ID: 2567598063 Enrollment ID: I20150317001927 |
| Provider Name | Eunice L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659523215 PECOS PAC ID: 6608930417 Enrollment ID: I20150422000497 |
| Provider Name | Valerie A Keck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952794505 PECOS PAC ID: 2365763554 Enrollment ID: I20150529002076 |
| Provider Name | Duncan T Vincent |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962760421 PECOS PAC ID: 5193940724 Enrollment ID: I20150804003994 |
| Provider Name | Charlie Pickens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114217288 PECOS PAC ID: 8224343835 Enrollment ID: I20150811005614 |
| Provider Name | Caroline C Roberts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104185347 PECOS PAC ID: 9638394570 Enrollment ID: I20150812007279 |
| Provider Name | David Merrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922369552 PECOS PAC ID: 3072828318 Enrollment ID: I20150817001058 |
| Provider Name | Tiffany C Randolph |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861636300 PECOS PAC ID: 1052627874 Enrollment ID: I20150825002953 |
| Provider Name | Morgan A Mceachern |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225398068 PECOS PAC ID: 9739404997 Enrollment ID: I20150901001733 |
| Provider Name | Bryan Richard Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164862801 PECOS PAC ID: 3678880010 Enrollment ID: I20150916002774 |
| Provider Name | Jessica L Emly |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134510183 PECOS PAC ID: 1557679248 Enrollment ID: I20150929003008 |
| Provider Name | Mackenzie Esch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770844342 PECOS PAC ID: 1254556368 Enrollment ID: I20151009002165 |
| Provider Name | Richard J Boruta |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1043444722 PECOS PAC ID: 7517101223 Enrollment ID: I20151109000148 |
| Provider Name | Tonya S Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366819807 PECOS PAC ID: 8628388196 Enrollment ID: I20151112002373 |
| Provider Name | Mcallister Windom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003172321 PECOS PAC ID: 8022318831 Enrollment ID: I20151201001192 |
| Provider Name | Landon T Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376835033 PECOS PAC ID: 2163722885 Enrollment ID: I20151202002527 |
| Provider Name | Jayce G Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700225976 PECOS PAC ID: 6800197971 Enrollment ID: I20151214002045 |
| Provider Name | Renee Kuneff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518307255 PECOS PAC ID: 7719288737 Enrollment ID: I20151216002956 |
| Provider Name | Gregory D Calone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538536214 PECOS PAC ID: 1850692518 Enrollment ID: I20151222001926 |
| Provider Name | Caroline T Hacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689042038 PECOS PAC ID: 7416250618 Enrollment ID: I20160121002228 |
| Provider Name | Margaret Gibson Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649647645 PECOS PAC ID: 1850694076 Enrollment ID: I20160121002681 |
| Provider Name | Rachelle A Denney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447622527 PECOS PAC ID: 7810293701 Enrollment ID: I20160302001132 |
| Provider Name | Lawrence A Bass |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467481945 PECOS PAC ID: 6800831918 Enrollment ID: I20160413001041 |
| Provider Name | Jeremy Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538544341 PECOS PAC ID: 2668764143 Enrollment ID: I20160630002194 |
| Provider Name | Danielle Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649663774 PECOS PAC ID: 1557653607 Enrollment ID: I20160711000357 |
| Provider Name | Jennifer Corey Omohundro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023468303 PECOS PAC ID: 7315232964 Enrollment ID: I20160823000085 |
| Provider Name | Rolitta Marshall Dawson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023420841 PECOS PAC ID: 7618263518 Enrollment ID: I20160831002989 |
| Provider Name | Noah Bedford Wouk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679911879 PECOS PAC ID: 2668697145 Enrollment ID: I20160908000964 |
| Provider Name | Kimberly Niles Newton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023453214 PECOS PAC ID: 9830418573 Enrollment ID: I20160913001811 |
| Provider Name | Natalie Marya Alexander |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225476120 PECOS PAC ID: 1557668688 Enrollment ID: I20160917000450 |
| Provider Name | Philip O Lamptey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336349315 PECOS PAC ID: 4789739517 Enrollment ID: I20160920001509 |
| Provider Name | Will M Camnitz |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871751545 PECOS PAC ID: 0840429650 Enrollment ID: I20160920002208 |
| Provider Name | Melanie Bhambri |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215349006 PECOS PAC ID: 7012205222 Enrollment ID: I20161004000653 |
| Provider Name | Brittany J Mcintyre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104266071 PECOS PAC ID: 8022306059 Enrollment ID: I20161006002412 |
| Provider Name | Praveen Mannam |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316113897 PECOS PAC ID: 0446436331 Enrollment ID: I20161012002372 |
| Provider Name | Erin Bray Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598118499 PECOS PAC ID: 1052699584 Enrollment ID: I20161103000503 |
| Provider Name | Patsy Warren Park |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801023494 PECOS PAC ID: 6901027978 Enrollment ID: I20161107001825 |
| Provider Name | Feng Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407209463 PECOS PAC ID: 1850670787 Enrollment ID: I20161117001324 |
| Provider Name | Walidah N Karim |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1649435603 PECOS PAC ID: 3779515101 Enrollment ID: I20161123000712 |
| Provider Name | Ankit Anil Patel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1871850065 PECOS PAC ID: 1759689029 Enrollment ID: I20161207000292 |
| Provider Name | Jane Elizabeth Gledhill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1891093118 PECOS PAC ID: 2264713601 Enrollment ID: I20161227001304 |
| Provider Name | Erin R Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750830196 PECOS PAC ID: 0648551895 Enrollment ID: I20161229001317 |
| Provider Name | Aileen Ingal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205035516 PECOS PAC ID: 9133384332 Enrollment ID: I20170214002216 |
| Provider Name | Erin E Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972040855 PECOS PAC ID: 7517243090 Enrollment ID: I20170418000914 |
| Provider Name | Dawn T Langeland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861651184 PECOS PAC ID: 7911058516 Enrollment ID: I20170510002657 |
| Provider Name | Lindsay Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306384235 PECOS PAC ID: 6901173210 Enrollment ID: I20170516002737 |
| Provider Name | Catherine Sheila Jackson-evans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598862690 PECOS PAC ID: 7911916721 Enrollment ID: I20170619001602 |
| Provider Name | Bhupinder Multani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659829265 PECOS PAC ID: 0648555649 Enrollment ID: I20170707001285 |
| Provider Name | Melanie L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144677220 PECOS PAC ID: 6901176387 Enrollment ID: I20170718000317 |
| Provider Name | Katherine Ann Jordan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265842637 PECOS PAC ID: 6406071026 Enrollment ID: I20170829002441 |
| Provider Name | Yvonne S Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790764603 PECOS PAC ID: 6103987607 Enrollment ID: I20170911000169 |
| Provider Name | Nicholas M Schenk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659782324 PECOS PAC ID: 8123323938 Enrollment ID: I20170926001894 |
| Provider Name | Erik C Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245650621 PECOS PAC ID: 1355562760 Enrollment ID: I20170927001248 |
| Provider Name | Michael L Ervin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720048929 PECOS PAC ID: 5890870232 Enrollment ID: I20171005002559 |
| Provider Name | Zelda Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376068320 PECOS PAC ID: 1951676345 Enrollment ID: I20171011001826 |
| Provider Name | Anna Kowalczyk-kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528478468 PECOS PAC ID: 6002031119 Enrollment ID: I20171020001272 |
| Provider Name | Nicholas P Wendling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669886420 PECOS PAC ID: 9133344435 Enrollment ID: I20171024003708 |
| Provider Name | Kimberly S Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760919187 PECOS PAC ID: 1951677590 Enrollment ID: I20171025002950 |
| Provider Name | Richard Quan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861477168 PECOS PAC ID: 5395717409 Enrollment ID: I20171101002307 |
| Provider Name | Elizabeth W Mumaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841605979 PECOS PAC ID: 9537465844 Enrollment ID: I20171113001180 |
| Provider Name | Holli Hoffman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730450123 PECOS PAC ID: 1254590284 Enrollment ID: I20171113003477 |
| Provider Name | Mandesia Rochelle Hairston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508376914 PECOS PAC ID: 7911264585 Enrollment ID: I20171206003503 |
| Provider Name | Jenny Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689041022 PECOS PAC ID: 4486911971 Enrollment ID: I20171208002476 |
| Provider Name | Taylor Carlyle Bazemore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144648270 PECOS PAC ID: 7012286230 Enrollment ID: I20171219003191 |
| Provider Name | Bridgette A Christopher |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790044238 PECOS PAC ID: 1759649544 Enrollment ID: I20171228000756 |
| Provider Name | Kathryn Lorraine Kooistra |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619492154 PECOS PAC ID: 7719246537 Enrollment ID: I20180123002890 |
| Provider Name | Khalia Louise Grant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689085060 PECOS PAC ID: 7517227234 Enrollment ID: I20180129000042 |
| Provider Name | Annie Marie Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285148833 PECOS PAC ID: 2860753613 Enrollment ID: I20180219002206 |
| Provider Name | Kim Gloria Hoover |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003922733 PECOS PAC ID: 9830452457 Enrollment ID: I20180413000042 |
| Provider Name | Stephanie Nicole Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023518909 PECOS PAC ID: 3870857683 Enrollment ID: I20180502002793 |
| Provider Name | Kate Scott Ettefagh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295028744 PECOS PAC ID: 3274898259 Enrollment ID: I20180522000421 |
| Provider Name | Christina Robertson Hussami |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770965386 PECOS PAC ID: 2466717939 Enrollment ID: I20180604002094 |
| Provider Name | Lunise Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720581770 PECOS PAC ID: 5597010348 Enrollment ID: I20180619001097 |
| Provider Name | Jazma Phelps |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104213271 PECOS PAC ID: 5496002974 Enrollment ID: I20180716003100 |
| Provider Name | Jeremy E Schmitz |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982017927 PECOS PAC ID: 4688948409 Enrollment ID: I20180717002527 |
| Provider Name | Eileen Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316339146 PECOS PAC ID: 1052464575 Enrollment ID: I20180717003413 |
| Provider Name | Amber Moss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386022630 PECOS PAC ID: 0042509309 Enrollment ID: I20180820000973 |
| Provider Name | Julie Emanuelle Pinheiro Degele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639558794 PECOS PAC ID: 9931498433 Enrollment ID: I20180824001519 |
| Provider Name | Andrew P Landstrom |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952669046 PECOS PAC ID: 6800147380 Enrollment ID: I20180921001994 |
| Provider Name | Jessica Rose Schlosberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245504125 PECOS PAC ID: 1658622980 Enrollment ID: I20180925002630 |
| Provider Name | Kelly Meryl Davis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427477348 PECOS PAC ID: 6608128640 Enrollment ID: I20181002003886 |
| Provider Name | Jill Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023591807 PECOS PAC ID: 7012260946 Enrollment ID: I20181023002548 |
| Provider Name | Tewana I Passmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609262146 PECOS PAC ID: 1759686421 Enrollment ID: I20181029000028 |
| Provider Name | Caroline Michelle Neill |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174005854 PECOS PAC ID: 6305199951 Enrollment ID: I20181029000839 |
| Provider Name | Jamie Christina Mcmannes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952765984 PECOS PAC ID: 0749533222 Enrollment ID: I20181030003364 |
| Provider Name | Veronica Casey Rogers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134602881 PECOS PAC ID: 4385998848 Enrollment ID: I20181120000019 |
| Provider Name | Jasmine D Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336668441 PECOS PAC ID: 6103160833 Enrollment ID: I20181206000222 |
| Provider Name | Ashley Marie Massengale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194293241 PECOS PAC ID: 3678819166 Enrollment ID: I20190103001628 |
| Provider Name | Kristin Nicole Boddu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245735018 PECOS PAC ID: 8820348485 Enrollment ID: I20190123004295 |
| Provider Name | Dereck Jone De Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255489100 PECOS PAC ID: 7810176229 Enrollment ID: I20190124000817 |
| Provider Name | Eric William Black-maier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225456775 PECOS PAC ID: 0648511147 Enrollment ID: I20190410002001 |
| Provider Name | Allison Kay Wolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144518184 PECOS PAC ID: 1658504154 Enrollment ID: I20190418000035 |
| Provider Name | Samantha Cochrane Weinhold |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1447725379 PECOS PAC ID: 9436492121 Enrollment ID: I20190521001602 |
| Provider Name | Hiren Mansukhlal Umrania |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396152203 PECOS PAC ID: 6709129075 Enrollment ID: I20190530001491 |
| Provider Name | Erin Billups Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174086052 PECOS PAC ID: 3779816269 Enrollment ID: I20190617000697 |
| Provider Name | Labkhand Kaviani Kossari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578621496 PECOS PAC ID: 4587716055 Enrollment ID: I20190619003222 |
| Provider Name | Traci Ann Bast |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851956965 PECOS PAC ID: 1456685155 Enrollment ID: I20190701000894 |
| Provider Name | Martin A Portillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134292493 PECOS PAC ID: 7911039227 Enrollment ID: I20190702001248 |
| Provider Name | Jessica Lauren Friedman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851745517 PECOS PAC ID: 8820387384 Enrollment ID: I20190703000112 |
| Provider Name | Jayashree Ravishankar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1649265950 PECOS PAC ID: 7810937422 Enrollment ID: I20190722001233 |
| Provider Name | Catherine Lauren Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497118335 PECOS PAC ID: 6305172628 Enrollment ID: I20190724003152 |
| Provider Name | Carina Murphy Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336534577 PECOS PAC ID: 6305153909 Enrollment ID: I20190730002743 |
| Provider Name | Laurel Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225482946 PECOS PAC ID: 0042509523 Enrollment ID: I20190806001023 |
| Provider Name | Mohammed W Akhter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1740485390 PECOS PAC ID: 8921143959 Enrollment ID: I20190828004198 |
| Provider Name | Melissa Kepke Moore |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1205282555 PECOS PAC ID: 3870882269 Enrollment ID: I20190904000365 |
| Provider Name | Stephen Immordino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760044762 PECOS PAC ID: 6800126871 Enrollment ID: I20190918002306 |
| Provider Name | Rachael Ann Lester |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194171223 PECOS PAC ID: 7113219486 Enrollment ID: I20190923003465 |
| Provider Name | Gayatri Ajay Acharya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013270248 PECOS PAC ID: 7416193230 Enrollment ID: I20190924001940 |
| Provider Name | Nimeka Nitrice Dupree Phillip |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114388014 PECOS PAC ID: 6204168040 Enrollment ID: I20191029001958 |
| Provider Name | Mahesh Anand Chandrasekhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033537774 PECOS PAC ID: 3577823087 Enrollment ID: I20191219002970 |
| Provider Name | Krutika Raulkar |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528412905 PECOS PAC ID: 0244577708 Enrollment ID: I20191231000079 |
| Provider Name | Bethany Dare Southern Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003169202 PECOS PAC ID: 6709211139 Enrollment ID: I20200114000212 |
| Provider Name | Kim Marion Carollo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972072114 PECOS PAC ID: 5496095697 Enrollment ID: I20200221002630 |
| Provider Name | Nicole Elise Nugent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487164992 PECOS PAC ID: 1658632641 Enrollment ID: I20200305002711 |
| Provider Name | James Nichols Powers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962602516 PECOS PAC ID: 4789736240 Enrollment ID: I20200324002891 |
| Provider Name | Roy Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447891163 PECOS PAC ID: 3678903911 Enrollment ID: I20200428002058 |
| Provider Name | Caitlin Shea Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205468238 PECOS PAC ID: 4789015256 Enrollment ID: I20200518000723 |
| Provider Name | Jesse Michael Cleaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740824614 PECOS PAC ID: 2567883846 Enrollment ID: I20200523000019 |
| Provider Name | Stephanie Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083248470 PECOS PAC ID: 1658794623 Enrollment ID: I20200709000399 |
| Provider Name | Xika Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740542299 PECOS PAC ID: 3072828284 Enrollment ID: I20200716001542 |
| Provider Name | Kelly Elizabeth Arps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578926788 PECOS PAC ID: 7214235944 Enrollment ID: I20200803002222 |
| Provider Name | Ellen Pigott Soufleris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750736492 PECOS PAC ID: 0749605657 Enrollment ID: I20200808000169 |
| Provider Name | Carolyn Guilloud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356875058 PECOS PAC ID: 4688932775 Enrollment ID: I20200810003023 |
| Provider Name | Matthew Maurice Eckstat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437549763 PECOS PAC ID: 2163717711 Enrollment ID: I20200811002508 |
| Provider Name | Brian Besong Agbor-etang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245673284 PECOS PAC ID: 5698035368 Enrollment ID: I20200814000078 |
| Provider Name | Wesley T O'neal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437596269 PECOS PAC ID: 7719276708 Enrollment ID: I20200817000014 |
| Provider Name | Christopher L Schumann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871869065 PECOS PAC ID: 8022259456 Enrollment ID: I20200817000032 |
| Provider Name | Michelle Nicole Schroeder |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003158809 PECOS PAC ID: 1456782739 Enrollment ID: I20200819001770 |
| Provider Name | Kardie Tobb |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427462977 PECOS PAC ID: 4486876711 Enrollment ID: I20200826000840 |
| Provider Name | Joy Jessup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366072365 PECOS PAC ID: 9537587431 Enrollment ID: I20200909001338 |
| Provider Name | India Blaire Hanvey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083140735 PECOS PAC ID: 2062781172 Enrollment ID: I20200919000000 |
| Provider Name | George Michael Bodziock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1316392665 PECOS PAC ID: 4981997228 Enrollment ID: I20200921000113 |
| Provider Name | Christie J Leath-warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558891523 PECOS PAC ID: 8224456496 Enrollment ID: I20200921001198 |
| Provider Name | Martha Elisabeth Heal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639490048 PECOS PAC ID: 1355562323 Enrollment ID: I20200924000185 |
| Provider Name | Ashley Brooke Fields |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891050522 PECOS PAC ID: 3375846165 Enrollment ID: I20201105000578 |
| Provider Name | Andrew Lee Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437606340 PECOS PAC ID: 3678854791 Enrollment ID: I20201116000562 |
| Provider Name | Komlanvi Sedo Avegno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316588668 PECOS PAC ID: 4587098397 Enrollment ID: I20201123003158 |
| Provider Name | Jessica Asaro Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972110708 PECOS PAC ID: 6608288055 Enrollment ID: I20201209001957 |
| Provider Name | Sara Elizabeth Early |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770190514 PECOS PAC ID: 0143632463 Enrollment ID: I20201210001181 |
| Provider Name | Amy Jeanette Brown Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316554231 PECOS PAC ID: 5890107924 Enrollment ID: I20201215001679 |
| Provider Name | Jessica Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386179547 PECOS PAC ID: 3476815804 Enrollment ID: I20210125000949 |
| Provider Name | Jamilla Rose Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1114524469 PECOS PAC ID: 3173938669 Enrollment ID: I20210216000073 |
| Provider Name | Dennis Ignatius Narcisse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881126613 PECOS PAC ID: 0244646917 Enrollment ID: I20210303002008 |
| Provider Name | Paul Anthony Cristofano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336596998 PECOS PAC ID: 9537590351 Enrollment ID: I20210407001473 |
| Provider Name | Karen Allred Mayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134713688 PECOS PAC ID: 7214346196 Enrollment ID: I20210505001125 |
| Provider Name | Karen Rich Dolby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184202277 PECOS PAC ID: 1850790387 Enrollment ID: I20210603000024 |
| Provider Name | Alicia Claire Firestone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144724139 PECOS PAC ID: 9133471782 Enrollment ID: I20210607000666 |
| Provider Name | Matthew R Zusman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508447038 PECOS PAC ID: 4880094143 Enrollment ID: I20210609000133 |
| Provider Name | Jasmine Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386921476 PECOS PAC ID: 3577963461 Enrollment ID: I20210615000882 |
| Provider Name | William Brandon Winfrey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871081992 PECOS PAC ID: 4486906260 Enrollment ID: I20210622000519 |
| Provider Name | Krista Allison Kalmerton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063006476 PECOS PAC ID: 2769884113 Enrollment ID: I20210708001085 |
| Provider Name | Zachary James Pettigrew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851889349 PECOS PAC ID: 7517212343 Enrollment ID: I20210713002806 |
| Provider Name | Yuri Shtridelman |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508203175 PECOS PAC ID: 7012347933 Enrollment ID: I20210723001117 |
| Provider Name | Heather Elyse Pemberton |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710367537 PECOS PAC ID: 9335457902 Enrollment ID: I20210805002501 |
| Provider Name | Cameron Lambert |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346583747 PECOS PAC ID: 0042508608 Enrollment ID: I20210806000428 |
| Provider Name | Trung Thanh Vu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619006137 PECOS PAC ID: 0840436101 Enrollment ID: I20210819001794 |
| Provider Name | Madison Owsley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1184121287 PECOS PAC ID: 8123365251 Enrollment ID: I20210820000505 |
| Provider Name | Mark Andrew Cairns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760802979 PECOS PAC ID: 9133343114 Enrollment ID: I20210820001123 |
| Provider Name | Sabina Manandhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992156616 PECOS PAC ID: 6002146719 Enrollment ID: I20210823000443 |
| Provider Name | Andrew Wallace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912361502 PECOS PAC ID: 9335433648 Enrollment ID: I20210824002046 |
| Provider Name | Margaret Elizabeth Pray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336669845 PECOS PAC ID: 0749551075 Enrollment ID: I20210825001806 |
| Provider Name | Danielle Lynn Simpson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609448687 PECOS PAC ID: 5890192652 Enrollment ID: I20210921001485 |
| Provider Name | Marcia Cowen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427432111 PECOS PAC ID: 5092091306 Enrollment ID: I20210927000753 |
| Provider Name | Haley Elizabeth Mound |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740851401 PECOS PAC ID: 7416355276 Enrollment ID: I20211007003206 |
| Provider Name | Allison Nicole Herlong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760156897 PECOS PAC ID: 0840698213 Enrollment ID: I20211015000481 |
| Provider Name | Zorana Mrsic |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760823041 PECOS PAC ID: 3779801196 Enrollment ID: I20211112001910 |
| Provider Name | Jessica Marie Milford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215507264 PECOS PAC ID: 0941699888 Enrollment ID: I20211115000600 |
| Provider Name | Adrienne R White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235803362 PECOS PAC ID: 4688063126 Enrollment ID: I20211123000028 |
| Provider Name | Taylor Bailey Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720601610 PECOS PAC ID: 4183014640 Enrollment ID: I20211124001562 |
| Provider Name | Brian Andrew Atkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750886636 PECOS PAC ID: 0244585073 Enrollment ID: I20211211000113 |
| Provider Name | Fowler Richards Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578227930 PECOS PAC ID: 5395137962 Enrollment ID: I20220112001293 |
| Provider Name | Jason Matthews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962844142 PECOS PAC ID: 0749598597 Enrollment ID: I20220119002858 |
| Provider Name | Raymond Joseph De Cuba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427444207 PECOS PAC ID: 1254603954 Enrollment ID: I20220126000460 |
| Provider Name | Milton F Nathan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114909744 PECOS PAC ID: 1557261740 Enrollment ID: I20220510001103 |
| Provider Name | Joseph Liberal Giramata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831666197 PECOS PAC ID: 5890033864 Enrollment ID: I20220608002169 |
| Provider Name | Megan Elizabeth Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831833052 PECOS PAC ID: 2668851106 Enrollment ID: I20220614000958 |
| Provider Name | Alicia Breann Whiteis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821651548 PECOS PAC ID: 7416281324 Enrollment ID: I20220621003250 |
| Provider Name | Christina Maria Albert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003377870 PECOS PAC ID: 2567705122 Enrollment ID: I20220623001930 |
| Provider Name | Anuka Das |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285194480 PECOS PAC ID: 4587990981 Enrollment ID: I20220623002828 |
| Provider Name | Samantha Newing Beard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376006148 PECOS PAC ID: 2264812817 Enrollment ID: I20220629002010 |
| Provider Name | Bailey Jaye Rittberger Meccariello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972066058 PECOS PAC ID: 6406236538 Enrollment ID: I20220707002098 |
| Provider Name | Paula Ashley Duncan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639471568 PECOS PAC ID: 1355575069 Enrollment ID: I20220804001060 |
| Provider Name | Dana W Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043772460 PECOS PAC ID: 1052648649 Enrollment ID: I20220804001657 |
| Provider Name | Arun Thukkani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467573659 PECOS PAC ID: 9335387745 Enrollment ID: I20220809003871 |
| Provider Name | Mayanka Singh |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154705697 PECOS PAC ID: 3173838182 Enrollment ID: I20220817000724 |
| Provider Name | Grace Lau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750841672 PECOS PAC ID: 9739416470 Enrollment ID: I20220921001198 |
| Provider Name | Jessica Sibley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073176301 PECOS PAC ID: 7618210618 Enrollment ID: I20220922003713 |
| Provider Name | Emily Coates Monge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841921293 PECOS PAC ID: 9830575604 Enrollment ID: I20220930002416 |
| Provider Name | Steven Louis Bokshan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821476607 PECOS PAC ID: 8527499680 Enrollment ID: I20221005000068 |
| Provider Name | Alexandra Maria Cupito |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992112569 PECOS PAC ID: 1850700485 Enrollment ID: I20221007002160 |
| Provider Name | Lydia Marie Dominic |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1174976856 PECOS PAC ID: 6002282217 Enrollment ID: I20221012003897 |
| Provider Name | Erin Piontek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780754457 PECOS PAC ID: 1052321734 Enrollment ID: I20221019002981 |
| Provider Name | Lisa Paula Rudd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629700349 PECOS PAC ID: 2163899345 Enrollment ID: I20221031002749 |
| Provider Name | Mary Branch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1710371976 PECOS PAC ID: 7315252293 Enrollment ID: I20221102001234 |
| Provider Name | Andrea Figueroa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386102986 PECOS PAC ID: 7113394123 Enrollment ID: I20221103003359 |
| Provider Name | Julie Machen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528449113 PECOS PAC ID: 5799093175 Enrollment ID: I20221104000834 |
| Provider Name | Michelle Matthews Swinyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841923638 PECOS PAC ID: 3779950340 Enrollment ID: I20221110002461 |
| Provider Name | Suzann Elizabeth Riddle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477146009 PECOS PAC ID: 8729455241 Enrollment ID: I20221111001916 |
| Provider Name | Pamela Kay Banister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043212616 PECOS PAC ID: 3476517368 Enrollment ID: I20221123002961 |
| Provider Name | Melissa Marie Swanson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366162349 PECOS PAC ID: 5294104675 Enrollment ID: I20221206003061 |
| Provider Name | Cheryl Lynn Bock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518980374 PECOS PAC ID: 4385833581 Enrollment ID: I20221213002947 |
| Provider Name | Kristin Marie Gellert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437868932 PECOS PAC ID: 0446629380 Enrollment ID: I20221215000524 |
| Provider Name | Bonnie Lynn Elsdon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972841849 PECOS PAC ID: 8628293487 Enrollment ID: I20221216001694 |
| Provider Name | Tina Celestine Ntuen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750572848 PECOS PAC ID: 1254701469 Enrollment ID: I20230104003222 |
| Provider Name | Heather Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750666533 PECOS PAC ID: 6507024676 Enrollment ID: I20230109000890 |
| Provider Name | Ernest Henry Dick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477217636 PECOS PAC ID: 0648642025 Enrollment ID: I20230213000456 |
| Provider Name | Catharine Michelle Stanhope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225743107 PECOS PAC ID: 6204209208 Enrollment ID: I20230222000553 |
| Provider Name | Nicole Michelle Forlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083324354 PECOS PAC ID: 8325411234 Enrollment ID: I20230223001822 |
| Provider Name | Jacqueline Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740878578 PECOS PAC ID: 2961875547 Enrollment ID: I20230301001810 |
| Provider Name | Shantonette Marquis Payne |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1992418735 PECOS PAC ID: 2668846510 Enrollment ID: I20230316001678 |
| Provider Name | Sheri Renee Hammock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619417789 PECOS PAC ID: 2860746500 Enrollment ID: I20230407001474 |
| Provider Name | Hunter Rafoth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700414067 PECOS PAC ID: 0143644765 Enrollment ID: I20230517001352 |
| Provider Name | Michelle Tedrowe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851920953 PECOS PAC ID: 3971927567 Enrollment ID: I20230517001386 |
| Provider Name | Chiagoziem Jane Ndulue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780173864 PECOS PAC ID: 4880020130 Enrollment ID: I20230525002095 |
| Provider Name | Simone Elizabeth-corwine Autry-lott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013536341 PECOS PAC ID: 2567829955 Enrollment ID: I20230530002256 |
| Provider Name | Vondra Brimage |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568082873 PECOS PAC ID: 3375900798 Enrollment ID: I20230530003281 |
| Provider Name | Erika Sekerak Wachs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871112177 PECOS PAC ID: 5597122721 Enrollment ID: I20230602002731 |
| Provider Name | Jessica Mercado-oritz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568087112 PECOS PAC ID: 6608291422 Enrollment ID: I20230605000777 |
| Provider Name | Elizabeth Mary Peck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417653791 PECOS PAC ID: 9537527809 Enrollment ID: I20230619000020 |
| Provider Name | Etta Grace Nabors |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821611427 PECOS PAC ID: 7315365293 Enrollment ID: I20230619000368 |
| Provider Name | John Victor Cresenzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649890864 PECOS PAC ID: 3577921220 Enrollment ID: I20230628000679 |
| Provider Name | Vinitkumar R Jalandhara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477871663 PECOS PAC ID: 1658514112 Enrollment ID: I20230629003908 |
| Provider Name | Georgia Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912681347 PECOS PAC ID: 3577922913 Enrollment ID: I20230703003156 |
| Provider Name | Morgan Cassandra Engler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225598204 PECOS PAC ID: 3274862644 Enrollment ID: I20230721000491 |
| Provider Name | Aditya Sabharwal |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1861856668 PECOS PAC ID: 9234424151 Enrollment ID: I20230807002685 |
| Provider Name | Augustus Everett Mealor |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1891954616 PECOS PAC ID: 6901075191 Enrollment ID: I20230814002061 |
| Provider Name | Christana Ajewole |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225569890 PECOS PAC ID: 0648541565 Enrollment ID: I20230814002296 |
| Provider Name | Ngozi Nadia Wedderburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427756139 PECOS PAC ID: 4385006667 Enrollment ID: I20230817004199 |
| Provider Name | Michael Albrecht Moore |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154856920 PECOS PAC ID: 9739459678 Enrollment ID: I20230821003275 |
| Provider Name | Deborah Marie Wittenborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568160877 PECOS PAC ID: 7911360045 Enrollment ID: I20230822004395 |
| Provider Name | Kaitlin Gillespie Zuleta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659079358 PECOS PAC ID: 6901260991 Enrollment ID: I20230908002359 |
| Provider Name | Vishnu Priya Mallipeddi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386175008 PECOS PAC ID: 6002192481 Enrollment ID: I20230922002596 |
| Provider Name | Lindsay Atherton Edwards |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861781460 PECOS PAC ID: 2264760446 Enrollment ID: I20231001000024 |
| Provider Name | Jennifer Christine Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598462012 PECOS PAC ID: 8022464585 Enrollment ID: I20231019003531 |
| Provider Name | Kymberly Forsyth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801454418 PECOS PAC ID: 4688908593 Enrollment ID: I20231121000099 |
| Provider Name | Jodi Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235567751 PECOS PAC ID: 8325273261 Enrollment ID: I20231127002332 |
| Provider Name | Savannah Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497434526 PECOS PAC ID: 6901259902 Enrollment ID: I20240125003605 |
| Provider Name | Onome Agbaza |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1669253613 PECOS PAC ID: 7810332327 Enrollment ID: I20240223002448 |
Step By Step Care, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Centerview Dr Ste 105, Greensboro, NC 27407 Phone: 336-378-0109 Fax: 336-378-0180 | |
Cone Adolescent Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131c N Church St, Room 4, Greensboro, NC 27401 Phone: 336-832-7867 Fax: 336-832-7869 | |
James F Scherer Ccsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5318 W Friendly Ave, Greensboro, NC 27410 Phone: 336-292-6947 Fax: 336-292-7409 | |
Therapeutic Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1527 Earl Dr, Greensboro, NC 27406 Phone: 336-299-0754 Fax: 336-299-0755 | |
Greensboro Day School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5401 Lawndale Dr, Greensboro, NC 27455 Phone: 336-288-8590 | |
The Embracement Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Elm St, Ste 35, Greensboro, NC 27401 Phone: 336-328-7821 | |
Envisions Of Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Centerview Drive, Suite 110, Greensboro, NC 27407 Phone: 336-887-0708 Fax: 336-887-1085 |