| Wentworth Douglass Physician Corporation | |
|
789 Central Ave Dover NH 03820-2526 | |
| (603) 742-5252 | |
| Not Available |
| Full Name | Wentworth Douglass Physician Corporation |
|---|---|
| Speciality | Anesthesiology |
| Location | 789 Central Ave, Dover, New Hampshire |
| Authorized Official Name and Position | Trisha Gagnon (DIRECTOR REVENUE CYCLE OPERATIONS) |
| Authorized Official Contact | 6176435112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wentworth Douglass Physician Corporation Po Box 412503 Boston MA 02241-2503 Ph: () - | Wentworth Douglass Physician Corporation 789 Central Ave Dover NH 03820-2526 Ph: (603) 742-5252 |
| NPI Number | 1447352430 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 5496749848 |
|---|---|
| Medicare Enrollment ID | O20040409000433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447352430 | NPI | - | NPPES |
| 3081002 | Medicaid | NH | |
| 3084198 | Medicaid | NH |
| Provider Name | David J Coppola |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770583452 PECOS PAC ID: 2365356920 Enrollment ID: I20031118000189 |
| Provider Name | Marianne K Evans Ramsay |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1063675296 PECOS PAC ID: 2163320722 Enrollment ID: I20031222000258 |
| Provider Name | Stephen M Gemmett |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1518928316 PECOS PAC ID: 8022911288 Enrollment ID: I20040127001040 |
| Provider Name | Melanie Rhoades |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1073544425 PECOS PAC ID: 5799688651 Enrollment ID: I20040128000960 |
| Provider Name | Sonita Mendoza |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114915428 PECOS PAC ID: 4082507918 Enrollment ID: I20040205000053 |
| Provider Name | Scott W Lauer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1932109329 PECOS PAC ID: 1254228935 Enrollment ID: I20040228000271 |
| Provider Name | Kevin M Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801958186 PECOS PAC ID: 8628968534 Enrollment ID: I20040316000767 |
| Provider Name | Rebecca A Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255387882 PECOS PAC ID: 3072505072 Enrollment ID: I20040331000716 |
| Provider Name | Artemio J Mendoza |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235211558 PECOS PAC ID: 0749272599 Enrollment ID: I20040401000096 |
| Provider Name | Jolene Shuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407831910 PECOS PAC ID: 1658364989 Enrollment ID: I20040405000420 |
| Provider Name | Jeffrey M Segil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932298650 PECOS PAC ID: 2466446737 Enrollment ID: I20040412000756 |
| Provider Name | Anna Deyoung |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952490591 PECOS PAC ID: 1951395169 Enrollment ID: I20040412000784 |
| Provider Name | Magdalena J Scherer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063414894 PECOS PAC ID: 7810988722 Enrollment ID: I20040520000061 |
| Provider Name | Kari S Weeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801941547 PECOS PAC ID: 3870584501 Enrollment ID: I20040521000175 |
| Provider Name | Andrea Larose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881656650 PECOS PAC ID: 3274514096 Enrollment ID: I20040527000636 |
| Provider Name | Salman S Ghiasuddin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467446120 PECOS PAC ID: 3375521404 Enrollment ID: I20040713001306 |
| Provider Name | Paul E Demasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659389286 PECOS PAC ID: 6608856695 Enrollment ID: I20040721000946 |
| Provider Name | Robert J Allister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598804411 PECOS PAC ID: 0840270641 Enrollment ID: I20040722000607 |
| Provider Name | Diane B Turcot |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952369423 PECOS PAC ID: 4880666833 Enrollment ID: I20040810000750 |
| Provider Name | Eileen Kirk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841239936 PECOS PAC ID: 3678545571 Enrollment ID: I20040811000378 |
| Provider Name | Jayanthi E Wheeler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609957372 PECOS PAC ID: 9436042603 Enrollment ID: I20040817000779 |
| Provider Name | Michael Douglas Lane |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922005073 PECOS PAC ID: 2062487804 Enrollment ID: I20040826000666 |
| Provider Name | David M Reeves |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992884837 PECOS PAC ID: 6507832490 Enrollment ID: I20040902000338 |
| Provider Name | David C Olken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679655260 PECOS PAC ID: 7214903103 Enrollment ID: I20040902000352 |
| Provider Name | Thomas P Lyng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104991652 PECOS PAC ID: 4183690084 Enrollment ID: I20040902000378 |
| Provider Name | Tyler A Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710042072 PECOS PAC ID: 1254307168 Enrollment ID: I20040902000467 |
| Provider Name | Lori A Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831252410 PECOS PAC ID: 5698741536 Enrollment ID: I20040902000703 |
| Provider Name | Archana Bhargava |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366457004 PECOS PAC ID: 1456327741 Enrollment ID: I20040908000872 |
| Provider Name | Maureen E Cashman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720156367 PECOS PAC ID: 4486622248 Enrollment ID: I20040920000621 |
| Provider Name | Mary Beth Spainhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881671782 PECOS PAC ID: 7315906468 Enrollment ID: I20041005001098 |
| Provider Name | Erwin Cullamar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982605200 PECOS PAC ID: 1759342280 Enrollment ID: I20041019000805 |
| Provider Name | Peter K Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710914502 PECOS PAC ID: 1153386438 Enrollment ID: I20041129000468 |
| Provider Name | Julie Leader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649589185 PECOS PAC ID: 7113983628 Enrollment ID: I20041207000355 |
| Provider Name | Barbara S Civiello |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1275575219 PECOS PAC ID: 0840241477 Enrollment ID: I20050201000620 |
| Provider Name | Belinda Alcaraz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1144207598 PECOS PAC ID: 5597716548 Enrollment ID: I20050207000793 |
| Provider Name | Lucy White |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396777553 PECOS PAC ID: 1153372800 Enrollment ID: I20050210000067 |
| Provider Name | Malcolm D Rosenson |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669554762 PECOS PAC ID: 6406808187 Enrollment ID: I20050211000011 |
| Provider Name | Nathan H Jorgensen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972580314 PECOS PAC ID: 3173575701 Enrollment ID: I20050211000416 |
| Provider Name | John J Novello |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164413639 PECOS PAC ID: 7517910433 Enrollment ID: I20050302000813 |
| Provider Name | Bruce R Myers |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609956093 PECOS PAC ID: 2365481587 Enrollment ID: I20050427000994 |
| Provider Name | Minh T Tran |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1063526952 PECOS PAC ID: 1254370497 Enrollment ID: I20050427001185 |
| Provider Name | Paul R Cass |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841295508 PECOS PAC ID: 8325087455 Enrollment ID: I20050428000424 |
| Provider Name | Mary A Gagnon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871601948 PECOS PAC ID: 0143262691 Enrollment ID: I20050525000659 |
| Provider Name | Matthew J Goldberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407895998 PECOS PAC ID: 5698717049 Enrollment ID: I20050525000754 |
| Provider Name | Joan D Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689613242 PECOS PAC ID: 2365484722 Enrollment ID: I20050525000824 |
| Provider Name | Mark A Berman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972559367 PECOS PAC ID: 1052353422 Enrollment ID: I20050525000939 |
| Provider Name | Kathleen K Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649226630 PECOS PAC ID: 1153363536 Enrollment ID: I20050525001021 |
| Provider Name | William E Hassett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386683001 PECOS PAC ID: 6103868443 Enrollment ID: I20050526000073 |
| Provider Name | Kathryn F Wadleigh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386691483 PECOS PAC ID: 0547202806 Enrollment ID: I20050526000143 |
| Provider Name | Mark R Blackwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376599217 PECOS PAC ID: 8527000892 Enrollment ID: I20050526000242 |
| Provider Name | Nancy J Pettinari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992744627 PECOS PAC ID: 5395787683 Enrollment ID: I20050526000370 |
| Provider Name | Gregory Paul Andrecyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790731107 PECOS PAC ID: 2365484656 Enrollment ID: I20050526000407 |
| Provider Name | Kristina M Lloyd |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1679501340 PECOS PAC ID: 7416983606 Enrollment ID: I20050711000245 |
| Provider Name | Jerome Terres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1942242128 PECOS PAC ID: 5496781619 Enrollment ID: I20050711000515 |
| Provider Name | Mark N Franklin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679584049 PECOS PAC ID: 3971530254 Enrollment ID: I20050719000225 |
| Provider Name | Robert H Harrington |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598784068 PECOS PAC ID: 2365414687 Enrollment ID: I20050729000390 |
| Provider Name | Gavin R Webb |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1740215276 PECOS PAC ID: 3678545852 Enrollment ID: I20050802001011 |
| Provider Name | Alison M Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205820248 PECOS PAC ID: 4284663386 Enrollment ID: I20050809000780 |
| Provider Name | John E Kulcsar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295805000 PECOS PAC ID: 7113956863 Enrollment ID: I20050811001085 |
| Provider Name | Irene Patterson Rupp Hodge |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114099702 PECOS PAC ID: 4981635638 Enrollment ID: I20050823000650 |
| Provider Name | Sarah J Macduffie |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1689668352 PECOS PAC ID: 2567493117 Enrollment ID: I20050824000333 |
| Provider Name | Michael E Metzger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528042546 PECOS PAC ID: 9830132315 Enrollment ID: I20050907000224 |
| Provider Name | William S Danford |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598798332 PECOS PAC ID: 0547202293 Enrollment ID: I20050913000112 |
| Provider Name | Alison Sollee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093897753 PECOS PAC ID: 0840223624 Enrollment ID: I20050913000410 |
| Provider Name | Paul T Berry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548208796 PECOS PAC ID: 2567495344 Enrollment ID: I20050913000417 |
| Provider Name | Cathleen M Ammann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821179540 PECOS PAC ID: 9537193073 Enrollment ID: I20050923000125 |
| Provider Name | Thomas N Decker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205824554 PECOS PAC ID: 6103729736 Enrollment ID: I20050928001378 |
| Provider Name | Paul Tung |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1083667141 PECOS PAC ID: 1850294802 Enrollment ID: I20050929000759 |
| Provider Name | Bruce Altman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255470696 PECOS PAC ID: 7719912567 Enrollment ID: I20050929000770 |
| Provider Name | Jerome T Schlachter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427005362 PECOS PAC ID: 3678508421 Enrollment ID: I20050929000796 |
| Provider Name | Cynthia G Chrobak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447237888 PECOS PAC ID: 1355367285 Enrollment ID: I20051020000460 |
| Provider Name | Gary D Usher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467457127 PECOS PAC ID: 1052337623 Enrollment ID: I20051022000157 |
| Provider Name | Henry L Sonneborn |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376508812 PECOS PAC ID: 5092731679 Enrollment ID: I20051022000219 |
| Provider Name | Donald R Rose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942280540 PECOS PAC ID: 1658397104 Enrollment ID: I20051024000505 |
| Provider Name | Christine M Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578659090 PECOS PAC ID: 0042237513 Enrollment ID: I20051025000406 |
| Provider Name | David Itkin |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1760476667 PECOS PAC ID: 1456378793 Enrollment ID: I20051026001005 |
| Provider Name | Mark J Geppert |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134148604 PECOS PAC ID: 0446222764 Enrollment ID: I20051103000962 |
| Provider Name | John Britton |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770649907 PECOS PAC ID: 7911925375 Enrollment ID: I20051104000266 |
| Provider Name | Paul J Urbanek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346276524 PECOS PAC ID: 0648249730 Enrollment ID: I20051108000104 |
| Provider Name | Timothy M Sherry |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538258231 PECOS PAC ID: 6305865502 Enrollment ID: I20051116001022 |
| Provider Name | Molly M Steele |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1457380362 PECOS PAC ID: 3274552153 Enrollment ID: I20051121000623 |
| Provider Name | Margaret Mallari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295845535 PECOS PAC ID: 3375563984 Enrollment ID: I20051128000805 |
| Provider Name | Caroline F Duquette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043296528 PECOS PAC ID: 1557387859 Enrollment ID: I20051212000461 |
| Provider Name | Janet Perkins - Howland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124057278 PECOS PAC ID: 8527089770 Enrollment ID: I20051215000162 |
| Provider Name | Pamela R Schultze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962490276 PECOS PAC ID: 2365464252 Enrollment ID: I20051220000310 |
| Provider Name | Peter J Dirksmeier |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831124361 PECOS PAC ID: 2264404581 Enrollment ID: I20060126000259 |
| Provider Name | Stacey L Rhyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932193828 PECOS PAC ID: 5193754695 Enrollment ID: I20060126000498 |
| Provider Name | Sunny J Fenn Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558576140 PECOS PAC ID: 8022023407 Enrollment ID: I20060207000779 |
| Provider Name | Sue A Taylor |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740236082 PECOS PAC ID: 2860395811 Enrollment ID: I20060301000092 |
| Provider Name | Restituto D Malonso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760470975 PECOS PAC ID: 9335155043 Enrollment ID: I20060303000301 |
| Provider Name | Elizabeth C Chase |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033141312 PECOS PAC ID: 1759398977 Enrollment ID: I20060314000175 |
| Provider Name | Julie S Franklin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760415665 PECOS PAC ID: 1355373671 Enrollment ID: I20060314000400 |
| Provider Name | Janet C Stocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245255314 PECOS PAC ID: 7315941432 Enrollment ID: I20060901000371 |
| Provider Name | Christopher J Couture |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1144214479 PECOS PAC ID: 1951306661 Enrollment ID: I20060930000021 |
| Provider Name | Sachin D Saksena |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720172646 PECOS PAC ID: 3375541972 Enrollment ID: I20061114000572 |
| Provider Name | Yana Melnikova |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619985405 PECOS PAC ID: 3173521366 Enrollment ID: I20061122000468 |
| Provider Name | Jeffrey Richard Johnson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902886120 PECOS PAC ID: 4385699461 Enrollment ID: I20070213000042 |
| Provider Name | Julie A Bleyenberg |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962443986 PECOS PAC ID: 4284638669 Enrollment ID: I20070503000516 |
| Provider Name | Katrina L Diederichs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821023607 PECOS PAC ID: 4385740273 Enrollment ID: I20070510000037 |
| Provider Name | Molly Buzdon Amend |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598728701 PECOS PAC ID: 4486754405 Enrollment ID: I20070705000169 |
| Provider Name | Michael B Davidson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225109168 PECOS PAC ID: 5698867356 Enrollment ID: I20070827000010 |
| Provider Name | Rebecca A Banaski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952500225 PECOS PAC ID: 0143314443 Enrollment ID: I20070918000161 |
| Provider Name | Nicole S Rembisz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801003595 PECOS PAC ID: 9032203831 Enrollment ID: I20070925000239 |
| Provider Name | Rachael A Wizwer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770545246 PECOS PAC ID: 3173567914 Enrollment ID: I20071020000068 |
| Provider Name | Patricia A Auty |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407073794 PECOS PAC ID: 9133216872 Enrollment ID: I20071029000183 |
| Provider Name | Lilia Routetska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336340017 PECOS PAC ID: 7012004054 Enrollment ID: I20071107000462 |
| Provider Name | Nancy E Braese |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932176328 PECOS PAC ID: 5890877310 Enrollment ID: I20080123000456 |
| Provider Name | Cecil W Bean |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1215981543 PECOS PAC ID: 3375551260 Enrollment ID: I20080312000171 |
| Provider Name | Roberta Compagna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669652301 PECOS PAC ID: 1052497039 Enrollment ID: I20080401000274 |
| Provider Name | Kenneth R Shuman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043266059 PECOS PAC ID: 3971548124 Enrollment ID: I20080417000183 |
| Provider Name | Barbara L Schloth |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417042961 PECOS PAC ID: 8729166079 Enrollment ID: I20080527000688 |
| Provider Name | Virginia Keefe Hassett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578552113 PECOS PAC ID: 8921189614 Enrollment ID: I20080603000566 |
| Provider Name | Maria Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982802617 PECOS PAC ID: 3274609292 Enrollment ID: I20080827000408 |
| Provider Name | Dean H Santerre |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831267772 PECOS PAC ID: 8729155502 Enrollment ID: I20080930000128 |
| Provider Name | John Orland Schorge |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1669439923 PECOS PAC ID: 3577578640 Enrollment ID: I20081112000798 |
| Provider Name | Jean Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518040237 PECOS PAC ID: 3375508948 Enrollment ID: I20081212000555 |
| Provider Name | Prashant Shankar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1164453395 PECOS PAC ID: 6103882758 Enrollment ID: I20081217000042 |
| Provider Name | Christine L Wasilewski |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376750562 PECOS PAC ID: 5496792830 Enrollment ID: I20090113000030 |
| Provider Name | Robert A Jarrett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659318723 PECOS PAC ID: 0042240830 Enrollment ID: I20090123000558 |
| Provider Name | Anna Goodkin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871739086 PECOS PAC ID: 6002970001 Enrollment ID: I20090205000131 |
| Provider Name | Sarah Almas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497952394 PECOS PAC ID: 3577655638 Enrollment ID: I20090227000035 |
| Provider Name | Andrew Jenho Yee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1568453496 PECOS PAC ID: 9638111966 Enrollment ID: I20090309000513 |
| Provider Name | Jessica L Clough |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578709788 PECOS PAC ID: 2668529629 Enrollment ID: I20090408000206 |
| Provider Name | Jennifer H Willard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235375114 PECOS PAC ID: 0941358147 Enrollment ID: I20090428000098 |
| Provider Name | Jacqueline Baselice |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952448300 PECOS PAC ID: 1759436454 Enrollment ID: I20090902000015 |
| Provider Name | Ira S Lehrer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083753594 PECOS PAC ID: 4789720350 Enrollment ID: I20091013000239 |
| Provider Name | Husam Hanna Farah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922043934 PECOS PAC ID: 5597651851 Enrollment ID: I20091016000336 |
| Provider Name | Elizabeth Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881827608 PECOS PAC ID: 7911046198 Enrollment ID: I20091201000282 |
| Provider Name | David C Thut |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1013980275 PECOS PAC ID: 7618017625 Enrollment ID: I20091223000450 |
| Provider Name | Katherine K Furber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457680910 PECOS PAC ID: 3971648338 Enrollment ID: I20100310000193 |
| Provider Name | Marc Bozenski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992037899 PECOS PAC ID: 3577691773 Enrollment ID: I20100510000072 |
| Provider Name | Eugene Soares |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1902864077 PECOS PAC ID: 5597897272 Enrollment ID: I20100715000407 |
| Provider Name | Junnel B Balofinos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275720104 PECOS PAC ID: 2860526241 Enrollment ID: I20100820000486 |
| Provider Name | Stephanie K Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336452796 PECOS PAC ID: 3072639319 Enrollment ID: I20100924000078 |
| Provider Name | Lorenzo W Klein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659489680 PECOS PAC ID: 0446341416 Enrollment ID: I20100924000113 |
| Provider Name | Leigh K Davenport |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861696783 PECOS PAC ID: 1850586074 Enrollment ID: I20101115000058 |
| Provider Name | Amulya T Siram |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1447424817 PECOS PAC ID: 7810182789 Enrollment ID: I20101117000985 |
| Provider Name | Charles M Blitzer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780603258 PECOS PAC ID: 7810969136 Enrollment ID: I20110126000377 |
| Provider Name | Aaron J Kahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396906541 PECOS PAC ID: 0941365209 Enrollment ID: I20110203001036 |
| Provider Name | Mark I Jacobs |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487638409 PECOS PAC ID: 0941250765 Enrollment ID: I20110209000392 |
| Provider Name | Bradley O Whyte |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447434311 PECOS PAC ID: 5395648794 Enrollment ID: I20110303000049 |
| Provider Name | Emily Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932416302 PECOS PAC ID: 2961685334 Enrollment ID: I20110322000717 |
| Provider Name | Henning A Gaissert |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1437149028 PECOS PAC ID: 0345225744 Enrollment ID: I20110803000262 |
| Provider Name | Kasey E Talon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144509241 PECOS PAC ID: 0547431595 Enrollment ID: I20110922000445 |
| Provider Name | Faisal Shamshad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1225022320 PECOS PAC ID: 0345201463 Enrollment ID: I20111118000397 |
| Provider Name | John M Oday |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1508880964 PECOS PAC ID: 2062460405 Enrollment ID: I20111205000362 |
| Provider Name | Cynthia P Paciulli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083678387 PECOS PAC ID: 0446412241 Enrollment ID: I20120424000015 |
| Provider Name | Douglas James Mathisen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699759019 PECOS PAC ID: 3779497813 Enrollment ID: I20120515000452 |
| Provider Name | James Stuart Allan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1699765859 PECOS PAC ID: 3072427111 Enrollment ID: I20120725000006 |
| Provider Name | Christine Michelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811257215 PECOS PAC ID: 3476719055 Enrollment ID: I20120726000034 |
| Provider Name | Christopher D Lawson |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1164612206 PECOS PAC ID: 0941477566 Enrollment ID: I20120829000116 |
| Provider Name | Lauren Catherine Lessard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609042506 PECOS PAC ID: 7315194057 Enrollment ID: I20120830000751 |
| Provider Name | Samir D Bhangle |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1407175995 PECOS PAC ID: 2769631662 Enrollment ID: I20121010000134 |
| Provider Name | Emad Milad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457359853 PECOS PAC ID: 9537318316 Enrollment ID: I20121011000615 |
| Provider Name | Leia L Card |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801055074 PECOS PAC ID: 8426208620 Enrollment ID: I20121024000718 |
| Provider Name | Christine Louise Brant |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316909823 PECOS PAC ID: 4587673157 Enrollment ID: I20121030000404 |
| Provider Name | Ashok Muniappan |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1871575159 PECOS PAC ID: 2163563222 Enrollment ID: I20121119000024 |
| Provider Name | Jennifer Christiansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609146562 PECOS PAC ID: 5597919555 Enrollment ID: I20130129000450 |
| Provider Name | Jessica A Bacon |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1053663880 PECOS PAC ID: 6103061312 Enrollment ID: I20130318000033 |
| Provider Name | Rachel E Higginbotham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548318256 PECOS PAC ID: 4385775121 Enrollment ID: I20130403000292 |
| Provider Name | Cesar M Castro |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1184824112 PECOS PAC ID: 0648448423 Enrollment ID: I20130416000415 |
| Provider Name | Janaki S Fonseka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063694438 PECOS PAC ID: 1759421720 Enrollment ID: I20130502000508 |
| Provider Name | Eliot J Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235218058 PECOS PAC ID: 2668415365 Enrollment ID: I20130621000038 |
| Provider Name | E Gary Mitrevolis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154632990 PECOS PAC ID: 8224270871 Enrollment ID: I20130809000424 |
| Provider Name | Khosro Farhad |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609069111 PECOS PAC ID: 2365685393 Enrollment ID: I20130823000543 |
| Provider Name | Ali Al Alwan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235320318 PECOS PAC ID: 4284877630 Enrollment ID: I20130904000129 |
| Provider Name | Dmytro M Havaleshko |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1770745580 PECOS PAC ID: 6901042902 Enrollment ID: I20130904000725 |
| Provider Name | Agata Marszalek Litauska |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1477991107 PECOS PAC ID: 9830332022 Enrollment ID: I20130909000505 |
| Provider Name | Margaret Crowder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124451380 PECOS PAC ID: 1153555032 Enrollment ID: I20131008001268 |
| Provider Name | Linda M Demo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326481680 PECOS PAC ID: 3870720394 Enrollment ID: I20131209000290 |
| Provider Name | John Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831525302 PECOS PAC ID: 3577790625 Enrollment ID: I20131216001746 |
| Provider Name | Janos Drozsdik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134557804 PECOS PAC ID: 2365679495 Enrollment ID: I20131218000329 |
| Provider Name | Chiedza G Jokonya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043314313 PECOS PAC ID: 2062517253 Enrollment ID: I20140123001435 |
| Provider Name | Abdelghaffar M Elobeid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922267582 PECOS PAC ID: 5991854580 Enrollment ID: I20140130000064 |
| Provider Name | Michael Charles Kumin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184795205 PECOS PAC ID: 1759456650 Enrollment ID: I20140207000354 |
| Provider Name | Jennifer Lynn Kumin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750704466 PECOS PAC ID: 6608007901 Enrollment ID: I20140331001163 |
| Provider Name | Linda Gifford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215968144 PECOS PAC ID: 3173548336 Enrollment ID: I20140424000838 |
| Provider Name | Karen M Davidson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154374890 PECOS PAC ID: 3577547512 Enrollment ID: I20140520000900 |
| Provider Name | Sonali Mukherjee Shah |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1225201387 PECOS PAC ID: 0446427413 Enrollment ID: I20140618001903 |
| Provider Name | Patrick Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316360738 PECOS PAC ID: 3072738517 Enrollment ID: I20140625002346 |
| Provider Name | Diane Michele Nugent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578528584 PECOS PAC ID: 2668462805 Enrollment ID: I20140627001483 |
| Provider Name | Adam B Fleit |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1568626364 PECOS PAC ID: 4981830643 Enrollment ID: I20140723001820 |
| Provider Name | Jennifer M Stout |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780797480 PECOS PAC ID: 0840364600 Enrollment ID: I20140826000136 |
| Provider Name | Elizabeth A Downs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366750895 PECOS PAC ID: 4880812080 Enrollment ID: I20140902000095 |
| Provider Name | Wilhelmina D Cabalona |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265691927 PECOS PAC ID: 1456579309 Enrollment ID: I20140905002016 |
| Provider Name | Paul Ting |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114098019 PECOS PAC ID: 1254388259 Enrollment ID: I20140910000035 |
| Provider Name | Julia H Orsi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780092759 PECOS PAC ID: 3577783471 Enrollment ID: I20140926001898 |
| Provider Name | Anthony Ippolito |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1801012372 PECOS PAC ID: 5395913628 Enrollment ID: I20141027001863 |
| Provider Name | Cora C Donahue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538560438 PECOS PAC ID: 7416178843 Enrollment ID: I20141028000613 |
| Provider Name | Laura E Mcphee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689073017 PECOS PAC ID: 9739402785 Enrollment ID: I20141223000848 |
| Provider Name | Michelle Ciarlo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740690163 PECOS PAC ID: 3678896271 Enrollment ID: I20150107001455 |
| Provider Name | Dennis Patrick Grusenmeyer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871568113 PECOS PAC ID: 0648299644 Enrollment ID: I20150203001771 |
| Provider Name | James L Andriotakis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1215164744 PECOS PAC ID: 6901059138 Enrollment ID: I20150302000518 |
| Provider Name | Sammy Elmariah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1659350858 PECOS PAC ID: 8224070065 Enrollment ID: I20150306000688 |
| Provider Name | Trustin Roy Ennacheril |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1043274509 PECOS PAC ID: 4981798840 Enrollment ID: I20150306001843 |
| Provider Name | Rachel L Mergen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861819468 PECOS PAC ID: 1951628098 Enrollment ID: I20150330000178 |
| Provider Name | Nicole A D'amore |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1336530518 PECOS PAC ID: 7416275227 Enrollment ID: I20150407001656 |
| Provider Name | Heidi M Harrington |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1326241522 PECOS PAC ID: 6204098189 Enrollment ID: I20150505002573 |
| Provider Name | James M Estes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972522282 PECOS PAC ID: 2860438207 Enrollment ID: I20150513001365 |
| Provider Name | Traci Labreck |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487974515 PECOS PAC ID: 7618157413 Enrollment ID: I20150515001390 |
| Provider Name | Kristine Marie Tingley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023273265 PECOS PAC ID: 9537391156 Enrollment ID: I20150522001393 |
| Provider Name | Steven Edwin Johnson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1366402737 PECOS PAC ID: 5890733554 Enrollment ID: I20150608002753 |
| Provider Name | Anne- Marie Hardman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053790600 PECOS PAC ID: 1951613470 Enrollment ID: I20150710002287 |
| Provider Name | Gregory A Imbrie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982871075 PECOS PAC ID: 6901072842 Enrollment ID: I20150915001557 |
| Provider Name | Syed Mudassar Naqshbandi |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295087468 PECOS PAC ID: 4789826215 Enrollment ID: I20150928000715 |
| Provider Name | George Kenton Allen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1730474271 PECOS PAC ID: 2961722970 Enrollment ID: I20151009001462 |
| Provider Name | Carol Stiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942212584 PECOS PAC ID: 9133162316 Enrollment ID: I20151123000885 |
| Provider Name | Jacqueline Irzyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548677685 PECOS PAC ID: 6800190604 Enrollment ID: I20160215000644 |
| Provider Name | Richard Finkelman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801882865 PECOS PAC ID: 4183513351 Enrollment ID: I20160217000528 |
| Provider Name | Sarah Elizabeth Eckenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295109684 PECOS PAC ID: 6608171483 Enrollment ID: I20160217000650 |
| Provider Name | Shirley Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427477512 PECOS PAC ID: 4082930334 Enrollment ID: I20160218000759 |
| Provider Name | Betsy Boyd Sandberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538115316 PECOS PAC ID: 6709860158 Enrollment ID: I20160324001372 |
| Provider Name | Susan M Penney |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1598123036 PECOS PAC ID: 6204126543 Enrollment ID: I20160527001429 |
| Provider Name | Nimalan Vipulananda |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992065528 PECOS PAC ID: 0547552176 Enrollment ID: I20160630000313 |
| Provider Name | Emily S Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346696150 PECOS PAC ID: 2668764614 Enrollment ID: I20160712001204 |
| Provider Name | Linsley Beth Sikorski |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184852261 PECOS PAC ID: 6002064342 Enrollment ID: I20160802001529 |
| Provider Name | Joycelyn H Vardo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184633646 PECOS PAC ID: 5698960383 Enrollment ID: I20160830002120 |
| Provider Name | Michael R Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669817821 PECOS PAC ID: 9234357724 Enrollment ID: I20160831001521 |
| Provider Name | Whitney Coppolino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1518122779 PECOS PAC ID: 1759550791 Enrollment ID: I20160923000999 |
| Provider Name | Mark L Dick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003806084 PECOS PAC ID: 4486835956 Enrollment ID: I20160929000421 |
| Provider Name | Christina E Stark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801248497 PECOS PAC ID: 8325336894 Enrollment ID: I20161017000959 |
| Provider Name | Jacqueline Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972960110 PECOS PAC ID: 5092003590 Enrollment ID: I20161017002016 |
| Provider Name | Adrienne R Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205382157 PECOS PAC ID: 5991093213 Enrollment ID: I20161019000730 |
| Provider Name | Ritoban Sen |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1306076765 PECOS PAC ID: 1355663162 Enrollment ID: I20161216000554 |
| Provider Name | Summer R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093258899 PECOS PAC ID: 5092096818 Enrollment ID: I20170109003230 |
| Provider Name | Sadie M Irving |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124463096 PECOS PAC ID: 8921380288 Enrollment ID: I20170120001598 |
| Provider Name | Marissa Plante Romanovitch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558700070 PECOS PAC ID: 0345523973 Enrollment ID: I20170206002233 |
| Provider Name | Choosak Danny Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588998447 PECOS PAC ID: 6204971617 Enrollment ID: I20170313002067 |
| Provider Name | Kristin L Fedorchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306386982 PECOS PAC ID: 1456637438 Enrollment ID: I20170405000901 |
| Provider Name | Sarah L Winslow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1508307497 PECOS PAC ID: 3870879638 Enrollment ID: I20170410000675 |
| Provider Name | Daniel Brian Hoch |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396727327 PECOS PAC ID: 4082699020 Enrollment ID: I20170413001061 |
| Provider Name | Vinia Madonna C Mendoza |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1134338858 PECOS PAC ID: 0244406049 Enrollment ID: I20170421000189 |
| Provider Name | Robert T Cochrane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669547907 PECOS PAC ID: 6800998352 Enrollment ID: I20170508001884 |
| Provider Name | Nicholas J Tolentino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073574513 PECOS PAC ID: 4486921574 Enrollment ID: I20170519002112 |
| Provider Name | Christopher Curatolo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285900100 PECOS PAC ID: 4880996420 Enrollment ID: I20170524001777 |
| Provider Name | Robert Milhauser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285819045 PECOS PAC ID: 7810053493 Enrollment ID: I20170613001744 |
| Provider Name | Kanistha Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700190618 PECOS PAC ID: 3779729504 Enrollment ID: I20170621002518 |
| Provider Name | Ahmet A Oktay |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457627275 PECOS PAC ID: 4688893936 Enrollment ID: I20170727002968 |
| Provider Name | Christine M Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114449097 PECOS PAC ID: 2062783459 Enrollment ID: I20170803000628 |
| Provider Name | Joseph Franklin Konopka |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851612196 PECOS PAC ID: 2961669213 Enrollment ID: I20170818002207 |
| Provider Name | Sahar A Janjua |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1427312792 PECOS PAC ID: 3173838380 Enrollment ID: I20170818002382 |
| Provider Name | Emma L Musshorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265846331 PECOS PAC ID: 0941505366 Enrollment ID: I20170831000266 |
| Provider Name | Stephan B Danik |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1588644504 PECOS PAC ID: 0648371708 Enrollment ID: I20170907002641 |
| Provider Name | Chee Yuan Ng |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1780816660 PECOS PAC ID: 5698902690 Enrollment ID: I20170914002434 |
| Provider Name | Jade A O'donovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174061170 PECOS PAC ID: 6901172709 Enrollment ID: I20171023002675 |
| Provider Name | Michelle Sarah Mancherje |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215341300 PECOS PAC ID: 3870710973 Enrollment ID: I20171113003197 |
| Provider Name | Meredith B. Bedsworth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780196295 PECOS PAC ID: 1557628021 Enrollment ID: I20171208001482 |
| Provider Name | Ronda Aurigemma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891716080 PECOS PAC ID: 8527025923 Enrollment ID: I20171211000240 |
| Provider Name | Fuad Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891891727 PECOS PAC ID: 7214076546 Enrollment ID: I20171211002250 |
| Provider Name | Caroline D Freeman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1437662350 PECOS PAC ID: 5991063372 Enrollment ID: I20171212001021 |
| Provider Name | Lazaros Xanthopoulos |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255319604 PECOS PAC ID: 5698733368 Enrollment ID: I20180130000732 |
| Provider Name | Lauren C Walker |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1184130510 PECOS PAC ID: 9335400720 Enrollment ID: I20180227002518 |
| Provider Name | Cara L Abbott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285132258 PECOS PAC ID: 1052672011 Enrollment ID: I20180308000590 |
| Provider Name | Aaron J Corbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720586308 PECOS PAC ID: 0143582031 Enrollment ID: I20180312001491 |
| Provider Name | Crystal Guay Morin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033401484 PECOS PAC ID: 6709054703 Enrollment ID: I20180315001705 |
| Provider Name | Keely A Power |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477815264 PECOS PAC ID: 1052542305 Enrollment ID: I20180329000936 |
| Provider Name | Michael J Dunnington |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932566072 PECOS PAC ID: 7315203536 Enrollment ID: I20180423001781 |
| Provider Name | David Jesse Gerth |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1649475583 PECOS PAC ID: 6507120540 Enrollment ID: I20180430000217 |
| Provider Name | Peter Saikali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598149510 PECOS PAC ID: 5991002008 Enrollment ID: I20180507000185 |
| Provider Name | Jean Touchan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568761716 PECOS PAC ID: 8628294857 Enrollment ID: I20180510002193 |
| Provider Name | Evgeny Buharin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720467731 PECOS PAC ID: 4284998485 Enrollment ID: I20180515001836 |
| Provider Name | Emily Marie Thompson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083012405 PECOS PAC ID: 3971827932 Enrollment ID: I20180522000565 |
| Provider Name | George R. Kousaie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548263437 PECOS PAC ID: 8325082340 Enrollment ID: I20180529002131 |
| Provider Name | Sarah C Suri |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1184909269 PECOS PAC ID: 7214103134 Enrollment ID: I20180601002266 |
| Provider Name | Dennis B. Thapa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013259175 PECOS PAC ID: 4880967181 Enrollment ID: I20180612002309 |
| Provider Name | Kushal Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457736274 PECOS PAC ID: 4486956471 Enrollment ID: I20180723002872 |
| Provider Name | Samhitha R Intscher |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316343734 PECOS PAC ID: 9335438936 Enrollment ID: I20180724000429 |
| Provider Name | Debra L Springfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558418319 PECOS PAC ID: 9931350527 Enrollment ID: I20180724000926 |
| Provider Name | Bhavik Kiran Bhulabhai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689052623 PECOS PAC ID: 0244533941 Enrollment ID: I20180724001626 |
| Provider Name | Stephanie S Mandani |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164913455 PECOS PAC ID: 0941558654 Enrollment ID: I20180810002884 |
| Provider Name | Gregory G Rosic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699161018 PECOS PAC ID: 3678863586 Enrollment ID: I20180815000113 |
| Provider Name | Brendan Samuel Murphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962897058 PECOS PAC ID: 9133437619 Enrollment ID: I20180817000298 |
| Provider Name | Deborah A Learson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154480549 PECOS PAC ID: 5698732352 Enrollment ID: I20180820001529 |
| Provider Name | Abigail Jane Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740766286 PECOS PAC ID: 0446509731 Enrollment ID: I20180820002789 |
| Provider Name | Christopher A Rouse |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790707008 PECOS PAC ID: 8325338791 Enrollment ID: I20180821003308 |
| Provider Name | Talley Slate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609354224 PECOS PAC ID: 4981954872 Enrollment ID: I20180914000868 |
| Provider Name | Amy J Bregar |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1851687446 PECOS PAC ID: 0143537985 Enrollment ID: I20181003003205 |
| Provider Name | Catherine Louise Leveroni |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164498713 PECOS PAC ID: 3072573310 Enrollment ID: I20181004002487 |
| Provider Name | Tawnya J Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649577867 PECOS PAC ID: 8123203973 Enrollment ID: I20181018001783 |
| Provider Name | Amanda B Leach |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1528244415 PECOS PAC ID: 0749534287 Enrollment ID: I20181119002962 |
| Provider Name | Holly Marie Dennard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497269690 PECOS PAC ID: 7113261033 Enrollment ID: I20181204002345 |
| Provider Name | Pamela Elaine Lord-voshell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295067221 PECOS PAC ID: 7719169556 Enrollment ID: I20181217001766 |
| Provider Name | Polina K Inkoulova |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1801095906 PECOS PAC ID: 9436237385 Enrollment ID: I20190116000842 |
| Provider Name | Kristin Emily Davis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1750847828 PECOS PAC ID: 2264771591 Enrollment ID: I20190305001634 |
| Provider Name | Caroline M Kamau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497084487 PECOS PAC ID: 2668517293 Enrollment ID: I20190401001716 |
| Provider Name | Kelly Lynn Van Dolson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932481678 PECOS PAC ID: 7214260678 Enrollment ID: I20190618000523 |
| Provider Name | Nicole M Roe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790165272 PECOS PAC ID: 0345559282 Enrollment ID: I20190628002558 |
| Provider Name | Mark C Cullen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497722219 PECOS PAC ID: 0143297168 Enrollment ID: I20190702000763 |
| Provider Name | Kathleen Conway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043517485 PECOS PAC ID: 4385814342 Enrollment ID: I20190708000453 |
| Provider Name | Melissa Mcgann |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003250333 PECOS PAC ID: 9032483789 Enrollment ID: I20190711001186 |
| Provider Name | Alexandra Filippakis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508270596 PECOS PAC ID: 8123327491 Enrollment ID: I20190716000160 |
| Provider Name | Dylan Duncan Thomas |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093058919 PECOS PAC ID: 4688806599 Enrollment ID: I20190716001522 |
| Provider Name | Kristy Webster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609213768 PECOS PAC ID: 6608092481 Enrollment ID: I20190724001058 |
| Provider Name | Sundaravadivel Loganathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396298022 PECOS PAC ID: 4880973577 Enrollment ID: I20190802001476 |
| Provider Name | Anne Koch Alberto |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1366950180 PECOS PAC ID: 1456688027 Enrollment ID: I20190806002269 |
| Provider Name | Katrina L Conrad |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831139765 PECOS PAC ID: 1850561812 Enrollment ID: I20190806002365 |
| Provider Name | Cynthia Miers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730518648 PECOS PAC ID: 1850521568 Enrollment ID: I20190917002201 |
| Provider Name | Sameen Jafari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235494048 PECOS PAC ID: 3577841089 Enrollment ID: I20191002001776 |
| Provider Name | Kwesi A Ntiforo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730345794 PECOS PAC ID: 0042356693 Enrollment ID: I20191101001942 |
| Provider Name | Alexa Schimmel Hayes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568991396 PECOS PAC ID: 8527491067 Enrollment ID: I20191213001541 |
| Provider Name | Royce M Cabalona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205480514 PECOS PAC ID: 1759715063 Enrollment ID: I20191219000996 |
| Provider Name | Jeffrey Vandall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285714832 PECOS PAC ID: 6608979711 Enrollment ID: I20200203001781 |
| Provider Name | Laura Rossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831661172 PECOS PAC ID: 7810323896 Enrollment ID: I20200211001891 |
| Provider Name | Bobby R Burches |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598992828 PECOS PAC ID: 0648416057 Enrollment ID: I20200211002742 |
| Provider Name | Michael Mazzini |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1073551354 PECOS PAC ID: 2860585239 Enrollment ID: I20200213002324 |
| Provider Name | Zizette M Gabriel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265444954 PECOS PAC ID: 5193621670 Enrollment ID: I20200213002673 |
| Provider Name | Erin A Cullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114560810 PECOS PAC ID: 2466889621 Enrollment ID: I20200227001803 |
| Provider Name | Lisa Noelle Weinstein |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1134529456 PECOS PAC ID: 8921388406 Enrollment ID: I20200310000629 |
| Provider Name | Erika D Behrmann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477194413 PECOS PAC ID: 5294163523 Enrollment ID: I20200319000832 |
| Provider Name | Katherine A Mahar |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1710347935 PECOS PAC ID: 5799078135 Enrollment ID: I20200324002104 |
| Provider Name | Tamera Marie Hixon |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417937665 PECOS PAC ID: 9931095981 Enrollment ID: I20200324002991 |
| Provider Name | Mary V Collins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649222126 PECOS PAC ID: 1052357936 Enrollment ID: I20200331000684 |
| Provider Name | Sarah E Starkweather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821633363 PECOS PAC ID: 6406285121 Enrollment ID: I20200401000970 |
| Provider Name | Ricard Townsend |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376653709 PECOS PAC ID: 2769452051 Enrollment ID: I20200410000475 |
| Provider Name | Amy M Caro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1982238788 PECOS PAC ID: 2860822970 Enrollment ID: I20200413002942 |
| Provider Name | Michele Alford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619945706 PECOS PAC ID: 0648210195 Enrollment ID: I20200417002723 |
| Provider Name | Jennifer L Hopp |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1124312137 PECOS PAC ID: 7315255874 Enrollment ID: I20200514002426 |
| Provider Name | Jeffrey Gonzales |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184642365 PECOS PAC ID: 6002810637 Enrollment ID: I20200521001882 |
| Provider Name | Rachel L Velardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073008736 PECOS PAC ID: 4587911888 Enrollment ID: I20200522001701 |
| Provider Name | Jana Petelle |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396194643 PECOS PAC ID: 7315282845 Enrollment ID: I20200708000811 |
| Provider Name | Christopher L Graves |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194936344 PECOS PAC ID: 8527231885 Enrollment ID: I20200721003082 |
| Provider Name | Yulius Leonard Haryadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164943635 PECOS PAC ID: 8022432046 Enrollment ID: I20200723002364 |
| Provider Name | Sarah M Bolduc |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417571944 PECOS PAC ID: 4385068253 Enrollment ID: I20200724000507 |
| Provider Name | Priyanka Shekhawat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326395955 PECOS PAC ID: 1052659661 Enrollment ID: I20200728002629 |
| Provider Name | Thomas Zouki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346624608 PECOS PAC ID: 1254621634 Enrollment ID: I20200804002404 |
| Provider Name | Sujata Shrestha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215310529 PECOS PAC ID: 7012254113 Enrollment ID: I20200810001781 |
| Provider Name | Derek Joseph Trapasso |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033136833 PECOS PAC ID: 6608879960 Enrollment ID: I20200817000093 |
| Provider Name | Serguei Roumiantsev |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609823582 PECOS PAC ID: 1557432838 Enrollment ID: I20200817002106 |
| Provider Name | Jung H Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1366839896 PECOS PAC ID: 7517276694 Enrollment ID: I20200821002330 |
| Provider Name | Maria E Estrada |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578894036 PECOS PAC ID: 7911032156 Enrollment ID: I20200826000695 |
| Provider Name | Noreen P Post |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235621905 PECOS PAC ID: 3274883640 Enrollment ID: I20201002000464 |
| Provider Name | Savannah Mary Fodero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235688284 PECOS PAC ID: 4688955149 Enrollment ID: I20201002001117 |
| Provider Name | Sasha Thomas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1295194835 PECOS PAC ID: 2668753484 Enrollment ID: I20201112002016 |
| Provider Name | Bikramjeet S Dolla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417555301 PECOS PAC ID: 4082025127 Enrollment ID: I20201123000658 |
| Provider Name | Ashley Yvette Forester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407277700 PECOS PAC ID: 3476965724 Enrollment ID: I20201210002316 |
| Provider Name | Chi-fu J Yang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1104117449 PECOS PAC ID: 3779995030 Enrollment ID: I20201210002636 |
| Provider Name | Teresa F Limberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124023122 PECOS PAC ID: 4486937646 Enrollment ID: I20201229000808 |
| Provider Name | Justin Manganaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568765485 PECOS PAC ID: 5294985107 Enrollment ID: I20210125000774 |
| Provider Name | Dhruv Desai |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1265872584 PECOS PAC ID: 7911247978 Enrollment ID: I20210127003156 |
| Provider Name | Allison Tuttle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164821344 PECOS PAC ID: 6507270824 Enrollment ID: I20210128000639 |
| Provider Name | Michael Blanc |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932139953 PECOS PAC ID: 5496762270 Enrollment ID: I20210217000616 |
| Provider Name | Paul Joseph Pace |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528222437 PECOS PAC ID: 8022251990 Enrollment ID: I20210323001627 |
| Provider Name | Kerry E Pound |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811096092 PECOS PAC ID: 4385646389 Enrollment ID: I20210415000973 |
| Provider Name | Emily M Orlowicz |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1700463957 PECOS PAC ID: 6800204173 Enrollment ID: I20210427000369 |
| Provider Name | Brenda A Nyamogo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912325176 PECOS PAC ID: 9436376530 Enrollment ID: I20210427001541 |
| Provider Name | Terence Moran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366433906 PECOS PAC ID: 3577975796 Enrollment ID: I20210429002147 |
| Provider Name | Paul Lerou |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194780536 PECOS PAC ID: 5395781686 Enrollment ID: I20210521001552 |
| Provider Name | Andrea Bertram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376949420 PECOS PAC ID: 5890122667 Enrollment ID: I20210527002527 |
| Provider Name | Heather L Kinsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124425392 PECOS PAC ID: 8921318304 Enrollment ID: I20210623000080 |
| Provider Name | Dinesh Atwal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114313962 PECOS PAC ID: 5991011322 Enrollment ID: I20210629001887 |
| Provider Name | Andrew F Ramaley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578711669 PECOS PAC ID: 5294802724 Enrollment ID: I20210701001153 |
| Provider Name | Chiara Liguori |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104910728 PECOS PAC ID: 5092616599 Enrollment ID: I20210706000233 |
| Provider Name | Katherine A Staniforth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538511035 PECOS PAC ID: 9133489297 Enrollment ID: I20210708003328 |
| Provider Name | Elizabeth H O'keefe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376192682 PECOS PAC ID: 1759714926 Enrollment ID: I20210712002777 |
| Provider Name | Elizabeth Shane French |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730119512 PECOS PAC ID: 9739221482 Enrollment ID: I20210804001165 |
| Provider Name | John Cedarholm |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356353379 PECOS PAC ID: 9537051644 Enrollment ID: I20210818003461 |
| Provider Name | Teresa M Quint |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073188504 PECOS PAC ID: 3971908179 Enrollment ID: I20210826001428 |
| Provider Name | Rachel Kaiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467957878 PECOS PAC ID: 8820494693 Enrollment ID: I20210901003575 |
| Provider Name | Amanda Maurier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396332466 PECOS PAC ID: 2466861240 Enrollment ID: I20210902002545 |
| Provider Name | Tonianne Motta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386165223 PECOS PAC ID: 0941571673 Enrollment ID: I20211006002939 |
| Provider Name | Caroline A Schepker |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1417310079 PECOS PAC ID: 1850685769 Enrollment ID: I20211013002655 |
| Provider Name | Hany Magdy Takla |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205063450 PECOS PAC ID: 0244542900 Enrollment ID: I20211019002393 |
| Provider Name | Martha Straub |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780789354 PECOS PAC ID: 6709808850 Enrollment ID: I20211023000086 |
| Provider Name | Vladyslav Revin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154737674 PECOS PAC ID: 4880959006 Enrollment ID: I20211025002597 |
| Provider Name | Arthur Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649231671 PECOS PAC ID: 0345132841 Enrollment ID: I20211029000437 |
| Provider Name | Niurka Mckee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669852703 PECOS PAC ID: 6305900770 Enrollment ID: I20211104001241 |
| Provider Name | Christopher D Lawson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164612206 PECOS PAC ID: 0941477566 Enrollment ID: I20211108001345 |
| Provider Name | Lawrence Letourneau |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922055433 PECOS PAC ID: 8729274303 Enrollment ID: I20211110002867 |
| Provider Name | Emmalie Bliss Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023559093 PECOS PAC ID: 8527457225 Enrollment ID: I20211118002423 |
| Provider Name | Jessica Vittengl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073707980 PECOS PAC ID: 2365538006 Enrollment ID: I20211119000188 |
| Provider Name | Trenton T Sensiba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346595774 PECOS PAC ID: 9436390747 Enrollment ID: I20211201001099 |
| Provider Name | Brooke Walsh |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1427637065 PECOS PAC ID: 4587055058 Enrollment ID: I20211217001379 |
| Provider Name | Shaun M Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811532583 PECOS PAC ID: 5991132300 Enrollment ID: I20220111000187 |
| Provider Name | Andrew Jonathan Keibel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1669715884 PECOS PAC ID: 9335428184 Enrollment ID: I20220121002237 |
| Provider Name | Lauren Marie Kivlen |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1316601016 PECOS PAC ID: 3476946195 Enrollment ID: I20220201002456 |
| Provider Name | Paul Jansson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003205956 PECOS PAC ID: 2163737958 Enrollment ID: I20220302000325 |
| Provider Name | Katie Lynn Lavallee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770234080 PECOS PAC ID: 1254726904 Enrollment ID: I20220316003239 |
| Provider Name | Jonathan J Parks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598027484 PECOS PAC ID: 2567791874 Enrollment ID: I20220317001741 |
| Provider Name | David Ziehr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447631874 PECOS PAC ID: 8729396395 Enrollment ID: I20220406000681 |
| Provider Name | Marissa Parlee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336894195 PECOS PAC ID: 4880080217 Enrollment ID: I20220411002094 |
| Provider Name | George P Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710419288 PECOS PAC ID: 3779852603 Enrollment ID: I20220420000708 |
| Provider Name | Jennifer Jones |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1952818445 PECOS PAC ID: 5799045415 Enrollment ID: I20220421002203 |
| Provider Name | Bruce H Chamberlain |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1285664078 PECOS PAC ID: 3375599202 Enrollment ID: I20220505002375 |
| Provider Name | Kimberley Mae Hubley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649841404 PECOS PAC ID: 4789061896 Enrollment ID: I20220511000972 |
| Provider Name | Thomas Salvucci |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093783532 PECOS PAC ID: 1456342252 Enrollment ID: I20220511001606 |
| Provider Name | Alyssa Koelker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255083879 PECOS PAC ID: 3779960620 Enrollment ID: I20220513001627 |
| Provider Name | Brandee Prevost |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811580103 PECOS PAC ID: 0143607812 Enrollment ID: I20220518001922 |
| Provider Name | Vanessa Michelle Railton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023488616 PECOS PAC ID: 3678882362 Enrollment ID: I20220523000599 |
| Provider Name | Susan Barton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1760988091 PECOS PAC ID: 8123353695 Enrollment ID: I20220524003147 |
| Provider Name | Steven A Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861094773 PECOS PAC ID: 1052799822 Enrollment ID: I20220607001656 |
| Provider Name | Mary Beth Lacoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871236026 PECOS PAC ID: 0941688659 Enrollment ID: I20220609000347 |
| Provider Name | William Barth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144211715 PECOS PAC ID: 2668417643 Enrollment ID: I20220617001625 |
| Provider Name | Omar Shweish |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871908186 PECOS PAC ID: 8729371877 Enrollment ID: I20220621000462 |
| Provider Name | Katie Marie Redpath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316559453 PECOS PAC ID: 1951781491 Enrollment ID: I20220630001273 |
| Provider Name | Navkirat Kahlon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467803056 PECOS PAC ID: 7012397276 Enrollment ID: I20220706000202 |
| Provider Name | Utsav Nayan Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174189500 PECOS PAC ID: 9931580040 Enrollment ID: I20220721000361 |
| Provider Name | Niaz Memon |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1386171312 PECOS PAC ID: 6406287101 Enrollment ID: I20220728002975 |
| Provider Name | Jhansi Maradana |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053833798 PECOS PAC ID: 4981978665 Enrollment ID: I20220729000998 |
| Provider Name | Kendal Towle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730822768 PECOS PAC ID: 9234511510 Enrollment ID: I20220803001008 |
| Provider Name | Paul Denaro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1336289933 PECOS PAC ID: 5294797502 Enrollment ID: I20220809001477 |
| Provider Name | Arun Kadamkulam Syriac |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700262862 PECOS PAC ID: 1951784818 Enrollment ID: I20220810002697 |
| Provider Name | Rosmy Jimmy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275984411 PECOS PAC ID: 3577890474 Enrollment ID: I20220812000213 |
| Provider Name | Zeeshan Sheriff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326691700 PECOS PAC ID: 9032592779 Enrollment ID: I20220813000102 |
| Provider Name | Rodrigo Mendirichaga Magana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1225443963 PECOS PAC ID: 3476826363 Enrollment ID: I20220813000222 |
| Provider Name | Ravi Teja Pasam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073900312 PECOS PAC ID: 8921391160 Enrollment ID: I20220815001058 |
| Provider Name | Robert O'donnell |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285871731 PECOS PAC ID: 2668611260 Enrollment ID: I20220819000754 |
| Provider Name | Serena Swanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598434409 PECOS PAC ID: 7911395223 Enrollment ID: I20220823003814 |
| Provider Name | Alexander Melamed |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1811254154 PECOS PAC ID: 7517111446 Enrollment ID: I20220823004004 |
| Provider Name | Kim Reiser |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619354487 PECOS PAC ID: 8820398712 Enrollment ID: I20220829000817 |
| Provider Name | Mark Clapp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407122930 PECOS PAC ID: 6608020557 Enrollment ID: I20220907002993 |
| Provider Name | Elisabeth J Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497416051 PECOS PAC ID: 9436534344 Enrollment ID: I20220913003062 |
| Provider Name | Ann Marie Leifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518360346 PECOS PAC ID: 5890170534 Enrollment ID: I20220916001806 |
| Provider Name | Pragati Bogra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477043990 PECOS PAC ID: 5698150183 Enrollment ID: I20220920001763 |
| Provider Name | Anja Marie Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871152546 PECOS PAC ID: 7810373081 Enrollment ID: I20220927000157 |
| Provider Name | Brian Whaley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922342161 PECOS PAC ID: 9234428376 Enrollment ID: I20221013001649 |
| Provider Name | Marc Adam Paranzino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700248242 PECOS PAC ID: 3971876582 Enrollment ID: I20221027000876 |
| Provider Name | Christina Maria Duzyj-buniak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982888111 PECOS PAC ID: 3779615315 Enrollment ID: I20221028000382 |
| Provider Name | Nimesh Patel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083029763 PECOS PAC ID: 9537403340 Enrollment ID: I20221110001548 |
| Provider Name | Spencer Lord |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972035079 PECOS PAC ID: 8628314283 Enrollment ID: I20221110001749 |
| Provider Name | Mohammad Dahrouj |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891180428 PECOS PAC ID: 3375863665 Enrollment ID: I20221110002219 |
| Provider Name | Melinda Vaturro |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790833986 PECOS PAC ID: 0042254740 Enrollment ID: I20221111000375 |
| Provider Name | Elaina Branco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598388266 PECOS PAC ID: 4880062231 Enrollment ID: I20221116002251 |
| Provider Name | Lindsey Perkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1790447571 PECOS PAC ID: 8921499526 Enrollment ID: I20221117001697 |
| Provider Name | Robert Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043984586 PECOS PAC ID: 3870982697 Enrollment ID: I20221125000103 |
| Provider Name | Amanda Franks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861822538 PECOS PAC ID: 9335517127 Enrollment ID: I20221129002183 |
| Provider Name | Yolonda L Colson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1558359257 PECOS PAC ID: 6305832122 Enrollment ID: I20221202001064 |
| Provider Name | Alison Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053823641 PECOS PAC ID: 3274873427 Enrollment ID: I20221213000965 |
| Provider Name | Yvo Rodriguez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114378783 PECOS PAC ID: 8527437482 Enrollment ID: I20221215001582 |
| Provider Name | Kyle Rossi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760809743 PECOS PAC ID: 8820419914 Enrollment ID: I20221221001360 |
| Provider Name | Eleanor Mackenzie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902523111 PECOS PAC ID: 4082084769 Enrollment ID: I20221222000669 |
| Provider Name | Jessica Roberge |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1114510807 PECOS PAC ID: 5890101026 Enrollment ID: I20230105002722 |
| Provider Name | Elizabeth Alkimeny Kowash |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821684317 PECOS PAC ID: 5890165963 Enrollment ID: I20230105002858 |
| Provider Name | Mauro Cappa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851812580 PECOS PAC ID: 1557732179 Enrollment ID: I20230118002526 |
| Provider Name | Maureen Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316655335 PECOS PAC ID: 1153792593 Enrollment ID: I20230124000332 |
| Provider Name | Katelyn Yunes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184075384 PECOS PAC ID: 6901278621 Enrollment ID: I20230207000261 |
| Provider Name | Rachel Bernier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689303422 PECOS PAC ID: 9133591852 Enrollment ID: I20230207000469 |
| Provider Name | Sarah Finch |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700069820 PECOS PAC ID: 9335216274 Enrollment ID: I20230216001013 |
| Provider Name | Malavika Prabhu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861781452 PECOS PAC ID: 0648595280 Enrollment ID: I20230221001422 |
| Provider Name | Kristin Passeri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861808354 PECOS PAC ID: 6103141916 Enrollment ID: I20230222002469 |
| Provider Name | Terry Palmer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982688917 PECOS PAC ID: 8022000132 Enrollment ID: I20230228000377 |
| Provider Name | Richard King |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700813888 PECOS PAC ID: 8426152919 Enrollment ID: I20230301001786 |
| Provider Name | Nicholas Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659090520 PECOS PAC ID: 1052797404 Enrollment ID: I20230301002950 |
| Provider Name | Kristian Correnti |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982318960 PECOS PAC ID: 9638542152 Enrollment ID: I20230303001886 |
| Provider Name | Ioannis Mastoris |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1124403209 PECOS PAC ID: 7214285584 Enrollment ID: I20230314000991 |
| Provider Name | Amanda Jean Brennan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447956313 PECOS PAC ID: 3173997855 Enrollment ID: I20230320002243 |
| Provider Name | Paul W Furlow |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1275914780 PECOS PAC ID: 0143535963 Enrollment ID: I20230328002102 |
| Provider Name | Nathaniel Langer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447547682 PECOS PAC ID: 6800198011 Enrollment ID: I20230405002063 |
| Provider Name | Jerome Crowley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1992081087 PECOS PAC ID: 1850522442 Enrollment ID: I20230412002586 |
| Provider Name | Christopher Newton Cheh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366423345 PECOS PAC ID: 3274605290 Enrollment ID: I20230425000255 |
| Provider Name | Kelly Vallar |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033403589 PECOS PAC ID: 0648572008 Enrollment ID: I20230601001704 |
| Provider Name | Samantha Metevier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225739139 PECOS PAC ID: 7315304573 Enrollment ID: I20230601002787 |
| Provider Name | Elliott Kozin |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1013200740 PECOS PAC ID: 1557524196 Enrollment ID: I20230605000849 |
| Provider Name | Jennifer Soares |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1548485980 PECOS PAC ID: 7416182522 Enrollment ID: I20230605002411 |
| Provider Name | Megan Beaton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407240633 PECOS PAC ID: 2163727280 Enrollment ID: I20230609002899 |
| Provider Name | Sally Naredla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861195687 PECOS PAC ID: 0941667620 Enrollment ID: I20230621003303 |
| Provider Name | Carole Zouki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982158218 PECOS PAC ID: 6507151198 Enrollment ID: I20230718001665 |
| Provider Name | Nadeem Haddad |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932633906 PECOS PAC ID: 7113295924 Enrollment ID: I20230719001420 |
| Provider Name | Mark Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154005502 PECOS PAC ID: 3577923432 Enrollment ID: I20230724003343 |
| Provider Name | Guilherme Marmontel Nasi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639526825 PECOS PAC ID: 6002143047 Enrollment ID: I20230725002751 |
| Provider Name | Yuttiwat Vorakunthada |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1851742514 PECOS PAC ID: 8729372586 Enrollment ID: I20230809000168 |
| Provider Name | Emma Desjardins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1356836092 PECOS PAC ID: 8921334806 Enrollment ID: I20230810002371 |
| Provider Name | Tennison Malcolm |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1447670468 PECOS PAC ID: 7810316601 Enrollment ID: I20230817001123 |
| Provider Name | Aamir Abbas |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1861818957 PECOS PAC ID: 6305228313 Enrollment ID: I20230817002195 |
| Provider Name | Chelsey Winslow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568044212 PECOS PAC ID: 3375936107 Enrollment ID: I20230818000136 |
| Provider Name | Elizabeth Ann Dougherty |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1447696430 PECOS PAC ID: 1951543354 Enrollment ID: I20230822004144 |
| Provider Name | Meredith Davis |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1023479672 PECOS PAC ID: 1850681966 Enrollment ID: I20230912001722 |
| Provider Name | Stephanie Elizabeth Barry |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306330733 PECOS PAC ID: 7719341320 Enrollment ID: I20230915001003 |
| Provider Name | Amanda Mueller |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194111955 PECOS PAC ID: 6800210782 Enrollment ID: I20230921002309 |
| Provider Name | Suvash Shrestha |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184065161 PECOS PAC ID: 1951691286 Enrollment ID: I20230925001486 |
| Provider Name | Emilie Gray Bergh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962181313 PECOS PAC ID: 3779937669 Enrollment ID: I20230926003626 |
| Provider Name | Jenna Bahadir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780048322 PECOS PAC ID: 2163891813 Enrollment ID: I20231003001125 |
| Provider Name | Jasmine E Mikami |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417482126 PECOS PAC ID: 3072935659 Enrollment ID: I20231018003367 |
| Provider Name | Kristina W Bermas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164685749 PECOS PAC ID: 4385882000 Enrollment ID: I20231024001417 |
| Provider Name | Danielle Terpak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477131993 PECOS PAC ID: 8820406887 Enrollment ID: I20231030001491 |
| Provider Name | Abigail Scully |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760862072 PECOS PAC ID: 0143519462 Enrollment ID: I20231030001773 |
| Provider Name | Christine M Kay |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427373240 PECOS PAC ID: 1759738305 Enrollment ID: I20231103001998 |
| Provider Name | Nicholas Montemurro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376115667 PECOS PAC ID: 4486002623 Enrollment ID: I20231128002277 |
| Provider Name | Katerina Dondero |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407160435 PECOS PAC ID: 5991959660 Enrollment ID: I20231214002714 |
| Provider Name | Courtney Anne Atherton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518302215 PECOS PAC ID: 4082064837 Enrollment ID: I20231220002161 |
| Provider Name | Kimberly D Mcmahon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205609187 PECOS PAC ID: 9436509205 Enrollment ID: I20231220002604 |
| Provider Name | Nicolette Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386123594 PECOS PAC ID: 3870943160 Enrollment ID: I20231228003365 |
| Provider Name | Leah Marie Rogers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114220514 PECOS PAC ID: 3779933080 Enrollment ID: I20231228003868 |
| Provider Name | Joanne Devlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265448880 PECOS PAC ID: 7416307491 Enrollment ID: I20240103002587 |
| Provider Name | William A Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1659411668 PECOS PAC ID: 2163873787 Enrollment ID: I20240109000519 |
| Provider Name | Kristen Nicole Wilkinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093079501 PECOS PAC ID: 8820449465 Enrollment ID: I20240109001215 |
| Provider Name | Peter Y Fifield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063727147 PECOS PAC ID: 1254782758 Enrollment ID: I20240109003636 |
| Provider Name | Kristina A Rogers Scherr |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295831717 PECOS PAC ID: 0547584971 Enrollment ID: I20240116001507 |
| Provider Name | Kimberly Angelini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215484761 PECOS PAC ID: 5799137261 Enrollment ID: I20240119003004 |
| Provider Name | Leah T Jablonski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659081115 PECOS PAC ID: 8426421884 Enrollment ID: I20240119003153 |
| Provider Name | Mitchel N Pyles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730506429 PECOS PAC ID: 1658723838 Enrollment ID: I20240124000287 |
| Provider Name | Kathryn Davies Rodger |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275768517 PECOS PAC ID: 0941653489 Enrollment ID: I20240131002577 |
| Provider Name | Laura R Detwiler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528001252 PECOS PAC ID: 5193825750 Enrollment ID: I20240206002533 |
| Provider Name | Francine Hughes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235219718 PECOS PAC ID: 0345145959 Enrollment ID: I20240208001604 |
| Provider Name | Kara Valinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295503514 PECOS PAC ID: 3870939135 Enrollment ID: I20240308000652 |
| Provider Name | Frances S Filkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184942963 PECOS PAC ID: 8123246675 Enrollment ID: I20240312003211 |
| Provider Name | Lisa A Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700081866 PECOS PAC ID: 7315170693 Enrollment ID: I20240314003657 |
St Pierre Counseling Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 835 Central Ave Ste 126, Dover, NH 03820 Phone: 862-305-9675 | |
Strafford Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 Durham Rd, Dover, NH 03820 Phone: 603-781-0318 | |
Dover Childrens Home Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Locust St, Dover, NH 03820 Phone: 603-742-4289 Fax: 603-742-2057 | |
Cornerstone Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 Locust St, Dover, NH 03820 Phone: 603-957-1608 | |
Quinlan Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 53 Washington St, Suite Ll116, Dover, NH 03820 Phone: 207-351-6612 | |
Christine Albert Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34 Dover Point Rd, Dover, NH 03820 Phone: 603-676-9638 | |
Coastal Neurology Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 New Rochester Rd, Suite 5, Dover, NH 03820 Phone: 603-749-0913 Fax: 603-750-4072 |