| Mercy Harvard Hospital Inc | |
|
901 Grant St, Harvard, IL 60033-1821 | |
| (815) 943-5431 | |
| (815) 943-2726 |
| Full Name | Mercy Harvard Hospital Inc |
|---|---|
| Type | Facility |
| Speciality | General Acute Care Hospital - Critical Access |
| Location | 901 Grant St, Harvard, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427001445 | NPI | - | NPPES |
| 00196 | Other | IL | BCBSIL |
| 11002000 | Medicaid | WI |
| Provider Name | Terri Crawley |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386735595 PECOS PAC ID: 5193638302 Enrollment ID: I20031112000371 |
| Provider Name | Patrick Mccarthy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821098906 PECOS PAC ID: 3577469337 Enrollment ID: I20031211000373 |
| Provider Name | Donatas A Siliunas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548261910 PECOS PAC ID: 4789589359 Enrollment ID: I20031211000621 |
| Provider Name | David F Kavanaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437176070 PECOS PAC ID: 8921904871 Enrollment ID: I20031212000171 |
| Provider Name | Ronald M Shenfeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568497311 PECOS PAC ID: 9537066774 Enrollment ID: I20031216000850 |
| Provider Name | Shaila P Kechter |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922075944 PECOS PAC ID: 5496653925 Enrollment ID: I20031222000620 |
| Provider Name | Maryanne K Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275500613 PECOS PAC ID: 8426950759 Enrollment ID: I20040126000577 |
| Provider Name | Evan Samett |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1306890728 PECOS PAC ID: 8921992991 Enrollment ID: I20040211000038 |
| Provider Name | Shailesh R Virani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891842506 PECOS PAC ID: 0941194450 Enrollment ID: I20040213000217 |
| Provider Name | Linda L Dew |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093799884 PECOS PAC ID: 7810882313 Enrollment ID: I20040216000181 |
| Provider Name | Edward C Lee |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285722744 PECOS PAC ID: 5890680631 Enrollment ID: I20040301001027 |
| Provider Name | Alan Ginzburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659390888 PECOS PAC ID: 3476442716 Enrollment ID: I20040313000480 |
| Provider Name | Anish Chatterjee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619913639 PECOS PAC ID: 1052306198 Enrollment ID: I20040417000342 |
| Provider Name | Zubair M Syed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1609819598 PECOS PAC ID: 7113908997 Enrollment ID: I20040527000278 |
| Provider Name | Steven M Salisbury |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1679638860 PECOS PAC ID: 4981681228 Enrollment ID: I20040702001179 |
| Provider Name | Michelle Sergel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245250885 PECOS PAC ID: 8628056546 Enrollment ID: I20040708000663 |
| Provider Name | Michael J Strassman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1114084068 PECOS PAC ID: 2567440894 Enrollment ID: I20040719001166 |
| Provider Name | Patrick F Para |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114979036 PECOS PAC ID: 2567432800 Enrollment ID: I20040726001391 |
| Provider Name | Jung M Rhee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023031770 PECOS PAC ID: 5496720435 Enrollment ID: I20040901000751 |
| Provider Name | James Edward Beckett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992704381 PECOS PAC ID: 3375449523 Enrollment ID: I20040927000211 |
| Provider Name | Neetin C Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174630099 PECOS PAC ID: 0648249318 Enrollment ID: I20041011000313 |
| Provider Name | Susan L Peluchiwski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437158086 PECOS PAC ID: 9234192964 Enrollment ID: I20041104000479 |
| Provider Name | Bassam Soufan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356451546 PECOS PAC ID: 4981668639 Enrollment ID: I20041115000690 |
| Provider Name | Mykola Lisowsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053329839 PECOS PAC ID: 4284692328 Enrollment ID: I20041221000764 |
| Provider Name | Vuong A Dang-duc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588630719 PECOS PAC ID: 7113985854 Enrollment ID: I20041229000150 |
| Provider Name | Thomas J Brefeld |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699885871 PECOS PAC ID: 7416905229 Enrollment ID: I20050108000086 |
| Provider Name | Jon Monkemeyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114087731 PECOS PAC ID: 8426007147 Enrollment ID: I20050119000871 |
| Provider Name | Tracy V Bedford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477501534 PECOS PAC ID: 8628029477 Enrollment ID: I20050209000337 |
| Provider Name | Longcheng Su |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235167834 PECOS PAC ID: 5294787271 Enrollment ID: I20050217000812 |
| Provider Name | Naveed H Elahi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508894205 PECOS PAC ID: 1951358951 Enrollment ID: I20050401000413 |
| Provider Name | Nadeem Ahson Siddiqui |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447360631 PECOS PAC ID: 8224085857 Enrollment ID: I20050405001114 |
| Provider Name | John C Gaskill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316058043 PECOS PAC ID: 7113964859 Enrollment ID: I20050413001072 |
| Provider Name | Christine B Ward |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982714176 PECOS PAC ID: 9638105687 Enrollment ID: I20050712000496 |
| Provider Name | Rick A Chitwood |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609977305 PECOS PAC ID: 9133157159 Enrollment ID: I20050801000705 |
| Provider Name | Leonid Raskin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558471748 PECOS PAC ID: 9931138062 Enrollment ID: I20050809001050 |
| Provider Name | Paul H Dehaan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386727790 PECOS PAC ID: 7517990799 Enrollment ID: I20050917000214 |
| Provider Name | Ginny Kamboj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1053342428 PECOS PAC ID: 7517991474 Enrollment ID: I20050921000306 |
| Provider Name | James J Greenberg |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164412136 PECOS PAC ID: 7113946443 Enrollment ID: I20051116000511 |
| Provider Name | Bradley M Fideler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629153077 PECOS PAC ID: 9436172038 Enrollment ID: I20060110000587 |
| Provider Name | Humaira J Bari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497845135 PECOS PAC ID: 4183639750 Enrollment ID: I20060217000663 |
| Provider Name | Ernest A Conti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033133426 PECOS PAC ID: 0547159162 Enrollment ID: I20060816000579 |
| Provider Name | Dana I Tarandy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1629001623 PECOS PAC ID: 7012911142 Enrollment ID: I20060905000060 |
| Provider Name | Baseer M Qazi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386654093 PECOS PAC ID: 4789689845 Enrollment ID: I20060922000398 |
| Provider Name | Saima Naeem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1164478616 PECOS PAC ID: 9032115530 Enrollment ID: I20061005000473 |
| Provider Name | Brian Parvez Jokhy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508802554 PECOS PAC ID: 4587661996 Enrollment ID: I20061027000179 |
| Provider Name | Troy Bradley Shaffer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285665661 PECOS PAC ID: 4688671423 Enrollment ID: I20061108000610 |
| Provider Name | Chanda L Ramsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245302199 PECOS PAC ID: 6901804871 Enrollment ID: I20061201000416 |
| Provider Name | Maliha Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043230303 PECOS PAC ID: 6406854140 Enrollment ID: I20070315000317 |
| Provider Name | Asha Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124171459 PECOS PAC ID: 9436253770 Enrollment ID: I20070327000386 |
| Provider Name | Jean L Walsh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164648614 PECOS PAC ID: 2860455367 Enrollment ID: I20070810000063 |
| Provider Name | Azeem S Pasha |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619915147 PECOS PAC ID: 5294828224 Enrollment ID: I20070907000417 |
| Provider Name | Nirmit Goel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528081460 PECOS PAC ID: 2769380476 Enrollment ID: I20071004000071 |
| Provider Name | Camelia E Marian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851451132 PECOS PAC ID: 7719061050 Enrollment ID: I20080226000577 |
| Provider Name | Jeremy A Houtakker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902092109 PECOS PAC ID: 0941374052 Enrollment ID: I20080808000010 |
| Provider Name | Emily Yi Shen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871779744 PECOS PAC ID: 5395810998 Enrollment ID: I20080815000532 |
| Provider Name | Ejaz A Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518902527 PECOS PAC ID: 5890860910 Enrollment ID: I20080823000047 |
| Provider Name | Hristo Deianov Hristov |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114103892 PECOS PAC ID: 5092881540 Enrollment ID: I20080905000597 |
| Provider Name | Omer Yusaf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669585956 PECOS PAC ID: 7618931627 Enrollment ID: I20081101000103 |
| Provider Name | Daniel Orozco |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154329399 PECOS PAC ID: 9537221957 Enrollment ID: I20081218000729 |
| Provider Name | Neda Moaddeli |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265699615 PECOS PAC ID: 8123182508 Enrollment ID: I20090129000520 |
| Provider Name | Craig C Lyon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1881804847 PECOS PAC ID: 6507910874 Enrollment ID: I20090916000147 |
| Provider Name | Amish M Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659524213 PECOS PAC ID: 8820144819 Enrollment ID: I20090916000198 |
| Provider Name | Marko F Krpan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1992871347 PECOS PAC ID: 7113052358 Enrollment ID: I20100312000956 |
| Provider Name | Madhusudan R Malladi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376515064 PECOS PAC ID: 9638081045 Enrollment ID: I20100329000928 |
| Provider Name | Benjamin S Frank |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871554097 PECOS PAC ID: 7517093461 Enrollment ID: I20100330000623 |
| Provider Name | Edith M Newsome |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1376579722 PECOS PAC ID: 7113072869 Enrollment ID: I20100526000885 |
| Provider Name | Bibiano C Ronquillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285791228 PECOS PAC ID: 6103956933 Enrollment ID: I20100604000753 |
| Provider Name | Jeffrey Bagdon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518987528 PECOS PAC ID: 9830235902 Enrollment ID: I20100610000589 |
| Provider Name | Allen R Castillo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396881850 PECOS PAC ID: 6103959374 Enrollment ID: I20100809000916 |
| Provider Name | Joseph Kappil |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659423622 PECOS PAC ID: 2860685443 Enrollment ID: I20101015000661 |
| Provider Name | Elaine Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194793711 PECOS PAC ID: 7012102304 Enrollment ID: I20101111001540 |
| Provider Name | Howard Kim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629003397 PECOS PAC ID: 2567658917 Enrollment ID: I20101124000176 |
| Provider Name | Amarish A Dave |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891877213 PECOS PAC ID: 5092705962 Enrollment ID: I20101221000531 |
| Provider Name | Krishanthi D Seneviratne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972814267 PECOS PAC ID: 7810176195 Enrollment ID: I20110119001241 |
| Provider Name | Jaymin R Shah |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1770670408 PECOS PAC ID: 3173702628 Enrollment ID: I20110128001068 |
| Provider Name | Farah Diba Ciftci |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902135668 PECOS PAC ID: 3577746254 Enrollment ID: I20110318000344 |
| Provider Name | Christopher H Ross |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346355575 PECOS PAC ID: 5799969218 Enrollment ID: I20110407000604 |
| Provider Name | Atul Patel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528045374 PECOS PAC ID: 6103844774 Enrollment ID: I20110415000434 |
| Provider Name | Fang Zhu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861792715 PECOS PAC ID: 9133399025 Enrollment ID: I20110901000340 |
| Provider Name | Venkata S Dontaraju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821241084 PECOS PAC ID: 5395917694 Enrollment ID: I20111010000579 |
| Provider Name | Jennifer M Morema |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710277041 PECOS PAC ID: 8022280866 Enrollment ID: I20111020000300 |
| Provider Name | Stephen C Cotton |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891756888 PECOS PAC ID: 1557521812 Enrollment ID: I20120322000689 |
| Provider Name | Janine Elizabeth Andriusis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356581037 PECOS PAC ID: 8628238961 Enrollment ID: I20120412000349 |
| Provider Name | Michael R Miller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730470493 PECOS PAC ID: 9133306418 Enrollment ID: I20120511000332 |
| Provider Name | Anastasia Osipova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073889382 PECOS PAC ID: 0244496875 Enrollment ID: I20120725000559 |
| Provider Name | Yone Amuka |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790929693 PECOS PAC ID: 6002075439 Enrollment ID: I20120802000245 |
| Provider Name | Naser M Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437270253 PECOS PAC ID: 0244338317 Enrollment ID: I20120808000544 |
| Provider Name | Elizabeth Maria Leweling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265632459 PECOS PAC ID: 9638326028 Enrollment ID: I20120820000659 |
| Provider Name | Justin Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821040866 PECOS PAC ID: 0042104754 Enrollment ID: I20121109000532 |
| Provider Name | Casey G Shupe |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982867446 PECOS PAC ID: 6608029699 Enrollment ID: I20121221000370 |
| Provider Name | Jennifer Rose |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558551119 PECOS PAC ID: 0840368643 Enrollment ID: I20130131000400 |
| Provider Name | Matthew D Piske |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861657884 PECOS PAC ID: 8022262245 Enrollment ID: I20130215000358 |
| Provider Name | Kelly M Winkelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649523838 PECOS PAC ID: 0244484400 Enrollment ID: I20130218000162 |
| Provider Name | Yaser Siraj |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760497416 PECOS PAC ID: 6901800218 Enrollment ID: I20130308000295 |
| Provider Name | Laeeq S Shamsuddin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1568524312 PECOS PAC ID: 0244322360 Enrollment ID: I20130413000027 |
| Provider Name | Rajesh K Kakarla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609026467 PECOS PAC ID: 9335319185 Enrollment ID: I20130517000077 |
| Provider Name | Swapna Aradhyula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659688588 PECOS PAC ID: 6709028533 Enrollment ID: I20130807000841 |
| Provider Name | Jeffrey B Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104079862 PECOS PAC ID: 2668625047 Enrollment ID: I20130828000452 |
| Provider Name | Eugene K Vortia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972725174 PECOS PAC ID: 2264533124 Enrollment ID: I20131004000145 |
| Provider Name | Syed Hassan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063637544 PECOS PAC ID: 7517013154 Enrollment ID: I20131021001358 |
| Provider Name | Chandra A Norder Brandli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932532009 PECOS PAC ID: 2567697683 Enrollment ID: I20131028000172 |
| Provider Name | Baby Than |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033371554 PECOS PAC ID: 9638336878 Enrollment ID: I20140305000076 |
| Provider Name | Chris E Mileos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1598180135 PECOS PAC ID: 5991936445 Enrollment ID: I20140326000090 |
| Provider Name | Sanya Siraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356554075 PECOS PAC ID: 6204966849 Enrollment ID: I20140409002361 |
| Provider Name | Christopher L. Wistrom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700041886 PECOS PAC ID: 2365613221 Enrollment ID: I20140428000631 |
| Provider Name | Erin K Swanson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538325485 PECOS PAC ID: 7012140536 Enrollment ID: I20140507000562 |
| Provider Name | Richard Louis Herrmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598052532 PECOS PAC ID: 0648496000 Enrollment ID: I20140722000803 |
| Provider Name | Ivan Parra-sanchez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922265818 PECOS PAC ID: 1951522093 Enrollment ID: I20141015000604 |
| Provider Name | Benjamin Mathew |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477781466 PECOS PAC ID: 2466506555 Enrollment ID: I20141015001346 |
| Provider Name | James I Collins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1366429383 PECOS PAC ID: 0749176261 Enrollment ID: I20141022001453 |
| Provider Name | Nicolaus J. Kuehn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518946649 PECOS PAC ID: 6507858651 Enrollment ID: I20141022002609 |
| Provider Name | Vibhav Bansal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730337569 PECOS PAC ID: 2163680851 Enrollment ID: I20141110002095 |
| Provider Name | Nelly Y Amador |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336119064 PECOS PAC ID: 4284656422 Enrollment ID: I20150206000818 |
| Provider Name | Emily Kathleen Wilczak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386969400 PECOS PAC ID: 3678726544 Enrollment ID: I20150424000402 |
| Provider Name | Huma Sarah Qureshi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568447357 PECOS PAC ID: 9335167733 Enrollment ID: I20150430001817 |
| Provider Name | Amory Balucating |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922342484 PECOS PAC ID: 9931428018 Enrollment ID: I20150512002427 |
| Provider Name | Rajyalakshmi Gannu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770600769 PECOS PAC ID: 8628253754 Enrollment ID: I20150515001651 |
| Provider Name | Jeffrey Caverly |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912968686 PECOS PAC ID: 2961509500 Enrollment ID: I20150526000946 |
| Provider Name | Jose A Ospina |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033373287 PECOS PAC ID: 7618147653 Enrollment ID: I20150529000360 |
| Provider Name | Alix Vincent |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003802265 PECOS PAC ID: 4789602194 Enrollment ID: I20150601000871 |
| Provider Name | Peilin Reed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265484794 PECOS PAC ID: 5991783227 Enrollment ID: I20150602001339 |
| Provider Name | Karuna Chilukuri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497941629 PECOS PAC ID: 6204901630 Enrollment ID: I20150626000366 |
| Provider Name | Maajid M Ekkiswala |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104110436 PECOS PAC ID: 5890912224 Enrollment ID: I20150723009302 |
| Provider Name | Meghann Victoria Houck |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558658633 PECOS PAC ID: 8123252640 Enrollment ID: I20150723009653 |
| Provider Name | Pooja Dalsania Narang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538448840 PECOS PAC ID: 3375859598 Enrollment ID: I20150903000259 |
| Provider Name | Surender Kurapati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073558383 PECOS PAC ID: 8628982428 Enrollment ID: I20151217001694 |
| Provider Name | Victoria Z Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326408436 PECOS PAC ID: 0042517898 Enrollment ID: I20160323000287 |
| Provider Name | Nicholas K Ventocilla |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164876967 PECOS PAC ID: 1759680408 Enrollment ID: I20160502000083 |
| Provider Name | Jakob C Thorud |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174818272 PECOS PAC ID: 8729207691 Enrollment ID: I20160505001953 |
| Provider Name | Adnan Iqbal Qureshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184658692 PECOS PAC ID: 4789588377 Enrollment ID: I20160624000015 |
| Provider Name | Mohammad Ishaq |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336585140 PECOS PAC ID: 6406157684 Enrollment ID: I20160718000381 |
| Provider Name | Matthew E Smetana |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487093795 PECOS PAC ID: 4284955139 Enrollment ID: I20160801002071 |
| Provider Name | Roseann C Iverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386099208 PECOS PAC ID: 0547554578 Enrollment ID: I20160812001834 |
| Provider Name | Abhijit Patil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104288497 PECOS PAC ID: 0345536447 Enrollment ID: I20160915000278 |
| Provider Name | Vishrut P Naik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063730976 PECOS PAC ID: 7214243104 Enrollment ID: I20161212002396 |
| Provider Name | Jacquelyn V Saengmany |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558803791 PECOS PAC ID: 2567743602 Enrollment ID: I20170103000814 |
| Provider Name | David J Kawior |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326453093 PECOS PAC ID: 3476857715 Enrollment ID: I20170227001657 |
| Provider Name | Lauren E Poteet |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063961985 PECOS PAC ID: 1355627415 Enrollment ID: I20170404002605 |
| Provider Name | Charles Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447240171 PECOS PAC ID: 9335230291 Enrollment ID: I20170726000466 |
| Provider Name | Jennifer Jean Gibson Chambers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689017220 PECOS PAC ID: 4789994633 Enrollment ID: I20170807001256 |
| Provider Name | Waleed Mansour |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043628589 PECOS PAC ID: 1557661980 Enrollment ID: I20170814000395 |
| Provider Name | Deborah L Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730615030 PECOS PAC ID: 8820369234 Enrollment ID: I20171025002306 |
| Provider Name | Merrit Marion Debartolo |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427379189 PECOS PAC ID: 0941595631 Enrollment ID: I20171117001343 |
| Provider Name | Dennis D. Magdadaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578074753 PECOS PAC ID: 3375800162 Enrollment ID: I20171204001331 |
| Provider Name | Hamik Biramian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689817488 PECOS PAC ID: 8022270503 Enrollment ID: I20171220003370 |
| Provider Name | Christopher Graviss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417980517 PECOS PAC ID: 8224082045 Enrollment ID: I20180302000977 |
| Provider Name | Krzysztof Malewicz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609383496 PECOS PAC ID: 1052669652 Enrollment ID: I20180730001138 |
| Provider Name | Pratixa T Patel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891210647 PECOS PAC ID: 0840548053 Enrollment ID: I20180803002467 |
| Provider Name | Catrina Patrice Johnson |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457766677 PECOS PAC ID: 6608097894 Enrollment ID: I20180810002492 |
| Provider Name | Robert Long |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720407430 PECOS PAC ID: 6406144989 Enrollment ID: I20180830000902 |
| Provider Name | Ammar Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336526524 PECOS PAC ID: 4587979034 Enrollment ID: I20180926003473 |
| Provider Name | Jerry Wayne Catt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285991299 PECOS PAC ID: 7315255056 Enrollment ID: I20181001001130 |
| Provider Name | Altaf Dawood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295034759 PECOS PAC ID: 9739307778 Enrollment ID: I20181121000317 |
| Provider Name | Sarah R Linder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134603095 PECOS PAC ID: 8820332166 Enrollment ID: I20181127003409 |
| Provider Name | Marian M Tripp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316334287 PECOS PAC ID: 4385944529 Enrollment ID: I20181210003043 |
| Provider Name | Tyler John Runde |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548615982 PECOS PAC ID: 7911299094 Enrollment ID: I20181212000505 |
| Provider Name | Thomas N Folan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700022712 PECOS PAC ID: 1153622394 Enrollment ID: I20181219001158 |
| Provider Name | Scott M Detloff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639651060 PECOS PAC ID: 5395080022 Enrollment ID: I20181227000506 |
| Provider Name | David L Junkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902285323 PECOS PAC ID: 4486966595 Enrollment ID: I20181231000269 |
| Provider Name | Jagpal S Sahota |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083712202 PECOS PAC ID: 1456359611 Enrollment ID: I20190116000014 |
| Provider Name | Nimarta Singh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1073892253 PECOS PAC ID: 0648573915 Enrollment ID: I20190130000883 |
| Provider Name | Syed Zamir |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093761926 PECOS PAC ID: 1759390099 Enrollment ID: I20190212003164 |
| Provider Name | Kent A Nickell |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942270004 PECOS PAC ID: 1759271745 Enrollment ID: I20190516001597 |
| Provider Name | James W Bauer |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1902249543 PECOS PAC ID: 7719242726 Enrollment ID: I20190617000140 |
| Provider Name | Mandy J Rueff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649736174 PECOS PAC ID: 3971838947 Enrollment ID: I20190712001346 |
| Provider Name | Nishant Sadana |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194082446 PECOS PAC ID: 6002077823 Enrollment ID: I20190722003079 |
| Provider Name | Moamen Mohammad Al Zoubi |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1770902587 PECOS PAC ID: 4688978083 Enrollment ID: I20190725000653 |
| Provider Name | Mohammad Amir |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386036085 PECOS PAC ID: 6204146848 Enrollment ID: I20190910002079 |
| Provider Name | Patrick Brian Mulligan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326433467 PECOS PAC ID: 8628371242 Enrollment ID: I20190910003165 |
| Provider Name | Stephanie N Okwudi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497138259 PECOS PAC ID: 0042520082 Enrollment ID: I20190927002042 |
| Provider Name | Pierre Louis Lanthiez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801864970 PECOS PAC ID: 2769570860 Enrollment ID: I20191108002105 |
| Provider Name | Christian Ingui |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407893894 PECOS PAC ID: 0042213431 Enrollment ID: I20191111001244 |
| Provider Name | Kamiar Massrour |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376791343 PECOS PAC ID: 4587704119 Enrollment ID: I20191112000552 |
| Provider Name | Daniel Lucas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417905522 PECOS PAC ID: 8527040195 Enrollment ID: I20191113001025 |
| Provider Name | David Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1659447118 PECOS PAC ID: 0143128082 Enrollment ID: I20191115002679 |
| Provider Name | Laura Sinada-bottros |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1962799403 PECOS PAC ID: 8426398892 Enrollment ID: I20191216001830 |
| Provider Name | Jennifer C Finch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275193062 PECOS PAC ID: 9638503790 Enrollment ID: I20191223001784 |
| Provider Name | Farid Shafaie |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306891841 PECOS PAC ID: 4688636905 Enrollment ID: I20200107001199 |
| Provider Name | Ather M Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518308246 PECOS PAC ID: 2365763315 Enrollment ID: I20200109001931 |
| Provider Name | Supriya Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548521883 PECOS PAC ID: 5092004523 Enrollment ID: I20200113001847 |
| Provider Name | Uzma G Rezvi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003256850 PECOS PAC ID: 0648574384 Enrollment ID: I20200324001136 |
| Provider Name | Cory Deburghgraeve |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972920395 PECOS PAC ID: 3274833298 Enrollment ID: I20200527001514 |
| Provider Name | Kathryn R Johns |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891223285 PECOS PAC ID: 7214358282 Enrollment ID: I20200529000032 |
| Provider Name | Joshua Paul Roach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326492018 PECOS PAC ID: 8628361664 Enrollment ID: I20200604000419 |
| Provider Name | Imdad Ahmed |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053536219 PECOS PAC ID: 6305946344 Enrollment ID: I20200626000726 |
| Provider Name | Sean W Marquis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053554089 PECOS PAC ID: 5496921249 Enrollment ID: I20200708000417 |
| Provider Name | Jacob G Ginglen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538518386 PECOS PAC ID: 3779821467 Enrollment ID: I20200729001817 |
| Provider Name | Nicole M Gladchenko |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437492675 PECOS PAC ID: 3476790692 Enrollment ID: I20200904000484 |
| Provider Name | James Robert Tobin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750812145 PECOS PAC ID: 3375814825 Enrollment ID: I20200911000887 |
| Provider Name | Kathryn L Clemans |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417574054 PECOS PAC ID: 0244658839 Enrollment ID: I20200914002497 |
| Provider Name | Abbas Chamsuddin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578539557 PECOS PAC ID: 0446150262 Enrollment ID: I20201104000761 |
| Provider Name | William Ekow Awotwi Ayetey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780604025 PECOS PAC ID: 5698817096 Enrollment ID: I20201217001725 |
| Provider Name | Chanthou Vong |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1811348170 PECOS PAC ID: 3375837768 Enrollment ID: I20201223000802 |
| Provider Name | Marwan M Abdulsattar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265790695 PECOS PAC ID: 9638468531 Enrollment ID: I20201223001790 |
| Provider Name | Aaron C Jun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033194253 PECOS PAC ID: 5496773061 Enrollment ID: I20210210001135 |
| Provider Name | David Ishimitsu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497919641 PECOS PAC ID: 3173783057 Enrollment ID: I20210220000157 |
| Provider Name | Ewald Horwath |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720128986 PECOS PAC ID: 7113975525 Enrollment ID: I20210305001723 |
| Provider Name | Charles Parker Windham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306058540 PECOS PAC ID: 5799708244 Enrollment ID: I20210308001516 |
| Provider Name | Carlos Collin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609850171 PECOS PAC ID: 2365487923 Enrollment ID: I20210309000244 |
| Provider Name | Alberto Penalver |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740294545 PECOS PAC ID: 4183756687 Enrollment ID: I20210309002308 |
| Provider Name | Jonathan Hulkower |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063597961 PECOS PAC ID: 0749323343 Enrollment ID: I20210309002646 |
| Provider Name | David B White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407310717 PECOS PAC ID: 1557601887 Enrollment ID: I20210319001421 |
| Provider Name | Mohammed I Azam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275947392 PECOS PAC ID: 4486920683 Enrollment ID: I20210412000915 |
| Provider Name | Julie Anne Gargollo Hervias |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881849164 PECOS PAC ID: 5294143830 Enrollment ID: I20210420000517 |
| Provider Name | Ari Plosker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639141682 PECOS PAC ID: 4587693320 Enrollment ID: I20210913000064 |
| Provider Name | William Schneider |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487966818 PECOS PAC ID: 5395083281 Enrollment ID: I20210913003104 |
| Provider Name | Thayer Hamoudah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568843209 PECOS PAC ID: 2769774611 Enrollment ID: I20210915001715 |
| Provider Name | Elizabeth Anne Steffens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497426290 PECOS PAC ID: 5193113991 Enrollment ID: I20211028000061 |
| Provider Name | Myra Khan |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1588075162 PECOS PAC ID: 5991008955 Enrollment ID: I20211101001357 |
| Provider Name | Christine Joy C Junia |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649606179 PECOS PAC ID: 3173829538 Enrollment ID: I20211116001515 |
| Provider Name | Rita Lemngan Nkamanyang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396417671 PECOS PAC ID: 9931599610 Enrollment ID: I20211213001088 |
| Provider Name | Andrew R Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275988156 PECOS PAC ID: 1759619448 Enrollment ID: I20220224001133 |
| Provider Name | Hiba Anaqrah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417516428 PECOS PAC ID: 2365777489 Enrollment ID: I20220413001038 |
| Provider Name | Gregory J Orth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205875788 PECOS PAC ID: 2860573722 Enrollment ID: I20220620000991 |
| Provider Name | Lance Williams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194773549 PECOS PAC ID: 2365455839 Enrollment ID: I20220718002922 |
| Provider Name | Monica Logan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568923498 PECOS PAC ID: 3678954716 Enrollment ID: I20220720001568 |
| Provider Name | Murtaza A Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174905277 PECOS PAC ID: 7113309915 Enrollment ID: I20220726002336 |
| Provider Name | Anna Frishman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801390943 PECOS PAC ID: 1254713845 Enrollment ID: I20220730000178 |
| Provider Name | Jonathan Ehrhardt |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639205289 PECOS PAC ID: 4789782228 Enrollment ID: I20220812002172 |
| Provider Name | Diana A Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194930917 PECOS PAC ID: 0244410181 Enrollment ID: I20220817000661 |
| Provider Name | Shaji A Mohammed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316504939 PECOS PAC ID: 2163750712 Enrollment ID: I20220829001278 |
| Provider Name | Anthony D Dicianni |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356790372 PECOS PAC ID: 2264855873 Enrollment ID: I20220912003607 |
| Provider Name | Mahdieh Haji Amou Assar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1518953926 PECOS PAC ID: 5799675781 Enrollment ID: I20221018001662 |
| Provider Name | Anthony Bernard Bullard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376590927 PECOS PAC ID: 8921077132 Enrollment ID: I20221026001191 |
| Provider Name | Keith Mcguire |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750310421 PECOS PAC ID: 6103093190 Enrollment ID: I20221027000061 |
| Provider Name | Paul Lampert |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326010356 PECOS PAC ID: 4284532508 Enrollment ID: I20221101001710 |
| Provider Name | Faranak Sadri Tafazoli |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790717221 PECOS PAC ID: 7214005750 Enrollment ID: I20221103003161 |
| Provider Name | David D Nelsen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1417184169 PECOS PAC ID: 4183894587 Enrollment ID: I20230209002213 |
| Provider Name | Brittany Bankes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710690680 PECOS PAC ID: 4183097082 Enrollment ID: I20230223001317 |
| Provider Name | Mehreen Shazeb Rathore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235429762 PECOS PAC ID: 5597983882 Enrollment ID: I20230303002064 |
| Provider Name | Miguel Rodriguez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255418984 PECOS PAC ID: 0648464529 Enrollment ID: I20230309000572 |
| Provider Name | Steven White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174529507 PECOS PAC ID: 3375595846 Enrollment ID: I20230321002751 |
| Provider Name | Marina Karamanis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699303164 PECOS PAC ID: 7113391442 Enrollment ID: I20230328000774 |
| Provider Name | Adam Nathan Wallace |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1801117585 PECOS PAC ID: 4486883014 Enrollment ID: I20230424001287 |
| Provider Name | Abdulrazzak Zarifa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1629603139 PECOS PAC ID: 6002273414 Enrollment ID: I20230530002831 |
| Provider Name | William Zinn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912984238 PECOS PAC ID: 2062460694 Enrollment ID: I20230606001436 |
| Provider Name | Robb R Whinney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568480044 PECOS PAC ID: 2860384237 Enrollment ID: I20230627001293 |
| Provider Name | Farhan Shahab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114549417 PECOS PAC ID: 2961825880 Enrollment ID: I20230628003735 |
| Provider Name | Emily Duym |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225591134 PECOS PAC ID: 3971838244 Enrollment ID: I20230705001786 |
| Provider Name | James Chatham Jr |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629130141 PECOS PAC ID: 6002968773 Enrollment ID: I20230711003323 |
| Provider Name | Christopher O'hara Hampson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033262985 PECOS PAC ID: 9638225881 Enrollment ID: I20230724001647 |
| Provider Name | Abhirami Ravichandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942652409 PECOS PAC ID: 0941538011 Enrollment ID: I20230808001165 |
| Provider Name | Vasanth Kattalai Kailasam |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1275882730 PECOS PAC ID: 6204116148 Enrollment ID: I20230810000314 |
| Provider Name | Karl Magsamen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033202536 PECOS PAC ID: 8921084187 Enrollment ID: I20230830000412 |
| Provider Name | Jeffrey Alan Zuckerman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326153701 PECOS PAC ID: 7113810318 Enrollment ID: I20230830002768 |
| Provider Name | Kajel K Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871118083 PECOS PAC ID: 1658735840 Enrollment ID: I20230906002319 |
| Provider Name | Umber Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083957153 PECOS PAC ID: 1557599941 Enrollment ID: I20230907001960 |
| Provider Name | Meredith Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114588597 PECOS PAC ID: 5193057859 Enrollment ID: I20231002003036 |
| Provider Name | Joseph Couvillon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053517516 PECOS PAC ID: 0547438160 Enrollment ID: I20231012000682 |
| Provider Name | Hafiz Dewan Hamza Khalid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154757607 PECOS PAC ID: 8628366614 Enrollment ID: I20231017001329 |
| Provider Name | Joseph Stein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477940070 PECOS PAC ID: 8022439108 Enrollment ID: I20231030001538 |
| Provider Name | Julia Kim Leblanc |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467416990 PECOS PAC ID: 6002805801 Enrollment ID: I20231114001727 |
| Provider Name | Earl Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912561077 PECOS PAC ID: 2062839707 Enrollment ID: I20231120001076 |
| Provider Name | Matthew Weeks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619239936 PECOS PAC ID: 6103130653 Enrollment ID: I20231212001505 |
| Provider Name | Andrew James Rife |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902421449 PECOS PAC ID: 5092164392 Enrollment ID: I20231212002924 |
| Provider Name | Aaron M Taylor |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750768271 PECOS PAC ID: 9638428840 Enrollment ID: I20231229000580 |
| Provider Name | Nikyla Lee Bilderback |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164296844 PECOS PAC ID: 7416309927 Enrollment ID: I20240120000212 |
| Provider Name | Haleem J Rasool |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1790766392 PECOS PAC ID: 2961495114 Enrollment ID: I20240122002554 |
| Provider Name | Jeffrey Saunders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811945876 PECOS PAC ID: 7810938933 Enrollment ID: I20240306000850 |
| Provider Name | Sandra Engemann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992780977 PECOS PAC ID: 0143213694 Enrollment ID: I20240312001978 |
| Provider Name | Matthew Darwin Tyl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851734222 PECOS PAC ID: 4880903277 Enrollment ID: I20240320003407 |
| Provider Name | J Paul Rubin |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720036312 PECOS PAC ID: 9436056215 Enrollment ID: I20240404003474 |
| Provider Name | Anqi Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588240022 PECOS PAC ID: 4082054085 Enrollment ID: I20240424001529 |
| Provider Name | Manish Rochwani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841605425 PECOS PAC ID: 5092000885 Enrollment ID: I20240424001924 |
| Provider Name | Vanessa Khoury |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437736667 PECOS PAC ID: 3971908898 Enrollment ID: I20240523000928 |
| Provider Name | Sean Feinberg |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104273549 PECOS PAC ID: 3476952557 Enrollment ID: I20240529001286 |
| Provider Name | Faiz Ahmed |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174084974 PECOS PAC ID: 4385971605 Enrollment ID: I20240708003780 |
| Provider Name | Amer Rasheed |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1417454778 PECOS PAC ID: 1951770148 Enrollment ID: I20240709000530 |
| Provider Name | Dax Patrick Wolford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851742100 PECOS PAC ID: 1759790850 Enrollment ID: I20240730002820 |
| Provider Name | Vishal Mittal |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558935288 PECOS PAC ID: 1951704675 Enrollment ID: I20240808001178 |
| Provider Name | Elton Rex Naidoo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366619892 PECOS PAC ID: 9335387943 Enrollment ID: I20240814003221 |
| Provider Name | Michael Patrick Golden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093385460 PECOS PAC ID: 4486055258 Enrollment ID: I20240819000518 |
| Provider Name | Michael Joshua Wakely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447836846 PECOS PAC ID: 8325587884 Enrollment ID: I20240828002271 |
| Provider Name | Mohamed Eldeen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306492517 PECOS PAC ID: 0749643542 Enrollment ID: I20240831000577 |
| Provider Name | Clarence S Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982633426 PECOS PAC ID: 9931102746 Enrollment ID: I20240906002889 |
| Provider Name | Evan Johnson |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1639462450 PECOS PAC ID: 2466708763 Enrollment ID: I20240910001638 |
| Provider Name | Ranran Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1205254539 PECOS PAC ID: 5193942738 Enrollment ID: I20240911003067 |
| Provider Name | Joshua W Mccain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487742698 PECOS PAC ID: 5395914154 Enrollment ID: I20240923003314 |
| Provider Name | Carolina Halina Hartje |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942881883 PECOS PAC ID: 5395141626 Enrollment ID: I20240925001392 |
| Provider Name | Stewart Pine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144776832 PECOS PAC ID: 8921428822 Enrollment ID: I20241010004132 |
| Provider Name | Michael Benanti |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1619945342 PECOS PAC ID: 7911964853 Enrollment ID: I20241017001809 |
| Provider Name | Joseph Song |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326493990 PECOS PAC ID: 5294073458 Enrollment ID: I20241017002230 |
| Provider Name | Tse F Anyu |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417490301 PECOS PAC ID: 9537538723 Enrollment ID: I20241017002973 |
| Provider Name | Jonathan Carl Tiemann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437732708 PECOS PAC ID: 7012362163 Enrollment ID: I20241025000315 |
| Provider Name | Melissa L Stone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780806968 PECOS PAC ID: 8921132788 Enrollment ID: I20241106000544 |
| Provider Name | Giancarlo Colon Vilar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508151762 PECOS PAC ID: 2961708334 Enrollment ID: I20241108000142 |
| Provider Name | Ammar Tarabichi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750941639 PECOS PAC ID: 0840524328 Enrollment ID: I20241125003264 |
| Provider Name | Rahul Pawar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487819553 PECOS PAC ID: 4880872472 Enrollment ID: I20241202000294 |
| Provider Name | Valerie Kae Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003643669 PECOS PAC ID: 2062948201 Enrollment ID: I20241211000425 |
| Provider Name | Michael Mcdonald Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1083842165 PECOS PAC ID: 8224350756 Enrollment ID: I20241219003929 |
| Provider Name | Parthiv B Patel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649419714 PECOS PAC ID: 3274767090 Enrollment ID: I20241227001183 |
| Provider Name | Christopher J Vermillion |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659638997 PECOS PAC ID: 1355562042 Enrollment ID: I20250102000270 |
| Provider Name | Fah S. Leong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184685299 PECOS PAC ID: 0547340655 Enrollment ID: I20250107002874 |
| Provider Name | Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1326531138 PECOS PAC ID: 8628323201 Enrollment ID: I20250109000198 |
| Provider Name | Arnav Roopkumar Pondicherry |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306307624 PECOS PAC ID: 5092040246 Enrollment ID: I20250109001394 |
| Provider Name | Sara Flores |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073768248 PECOS PAC ID: 5294911608 Enrollment ID: I20250109001789 |
| Provider Name | Christopher Michael Koenig |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104205467 PECOS PAC ID: 5092000265 Enrollment ID: I20250116003587 |
| Provider Name | Robert Langenohl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457719023 PECOS PAC ID: 4082013883 Enrollment ID: I20250204000529 |
| Provider Name | Megan Le |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396265344 PECOS PAC ID: 9335679430 Enrollment ID: I20250204003535 |
| Provider Name | Nagib Chowdhury |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184851792 PECOS PAC ID: 8325281207 Enrollment ID: I20250210000654 |
| Provider Name | Wendell Grigg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376596833 PECOS PAC ID: 6305822727 Enrollment ID: I20250224000984 |
| Provider Name | Ann M Bunnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285957399 PECOS PAC ID: 1052442654 Enrollment ID: I20250305003792 |
| Provider Name | Daniel Eberdt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780446427 PECOS PAC ID: 7214459247 Enrollment ID: I20250319004025 |
| Provider Name | Dennis Mcdonald |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1235160524 PECOS PAC ID: 5991606956 Enrollment ID: I20250409000734 |
| Provider Name | Selena Christiansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578330130 PECOS PAC ID: 3870930886 Enrollment ID: I20250415000200 |
| Provider Name | Julie J Sundaram |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184691347 PECOS PAC ID: 5294864054 Enrollment ID: I20250415002529 |
| Provider Name | Kiron Master |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1376535005 PECOS PAC ID: 0345293601 Enrollment ID: I20250501002744 |
| Provider Name | Molly Elizabeth Freely |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578734927 PECOS PAC ID: 3971020058 Enrollment ID: I20250512003202 |
| Provider Name | Ihtesham Qureshi |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1275989543 PECOS PAC ID: 4284032715 Enrollment ID: I20250513001666 |
| Provider Name | Straight Line Arla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962660068 PECOS PAC ID: 7113177759 Enrollment ID: I20250515001452 |
| Provider Name | Ania K Henning |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942706155 PECOS PAC ID: 3779957568 Enrollment ID: I20250606002560 |
| Provider Name | Panagiota Korenis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881832780 PECOS PAC ID: 3779717160 Enrollment ID: I20250624002681 |
| Provider Name | Andre Jawann Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023162559 PECOS PAC ID: 6406917285 Enrollment ID: I20250624003109 |
| Provider Name | Steven Saletta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255074407 PECOS PAC ID: 8527572312 Enrollment ID: I20250703002129 |
| Provider Name | Amina Adil |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336482314 PECOS PAC ID: 7911206461 Enrollment ID: I20250710003142 |
| Provider Name | Nicholas Gregory Baur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144783309 PECOS PAC ID: 1759618499 Enrollment ID: I20250716001790 |
| Provider Name | Lyle Montgomery |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730208158 PECOS PAC ID: 7315855491 Enrollment ID: I20250717000085 |
| Provider Name | Neil Karan Mohindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265105472 PECOS PAC ID: 7315342086 Enrollment ID: I20250719000405 |
| Provider Name | Fahad Sarvari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497497473 PECOS PAC ID: 5597272039 Enrollment ID: I20250729002479 |
| Provider Name | Cynthia Janelle Sung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982807970 PECOS PAC ID: 4082883228 Enrollment ID: I20250730003068 |
| Provider Name | Mayur Narkhede |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1730529777 PECOS PAC ID: 7911230792 Enrollment ID: I20250806000299 |
| Provider Name | Rissa Fedora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780143149 PECOS PAC ID: 4082153994 Enrollment ID: I20250807001694 |
| Provider Name | Charles Bach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609436898 PECOS PAC ID: 4981939097 Enrollment ID: I20250814000988 |
| Provider Name | Patrick Mercho |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477164077 PECOS PAC ID: 5395283188 Enrollment ID: I20250818000142 |
| Provider Name | Arun Kumar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326256678 PECOS PAC ID: 0244397065 Enrollment ID: I20250819003649 |
| Provider Name | Claudia Rodriguez Galvis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730380130 PECOS PAC ID: 5799855540 Enrollment ID: I20250827004362 |
| Provider Name | Jeffrey Masi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972707545 PECOS PAC ID: 0446437859 Enrollment ID: I20250902002293 |
| Provider Name | Benjamin M Wilkinson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063089241 PECOS PAC ID: 4688076698 Enrollment ID: I20250904003876 |
| Provider Name | Jasbir Grewal |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881731560 PECOS PAC ID: 5092746164 Enrollment ID: I20250908000611 |
| Provider Name | Samuel Azeze |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275981631 PECOS PAC ID: 8921492752 Enrollment ID: I20250909003329 |
| Provider Name | Ryan Gene O'hara |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821154121 PECOS PAC ID: 9931294618 Enrollment ID: I20250915001073 |
| Provider Name | Hunter J Promer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912535568 PECOS PAC ID: 1456774439 Enrollment ID: I20250915002702 |
| Provider Name | Laura Allen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447576228 PECOS PAC ID: 4587827134 Enrollment ID: I20250916001321 |
| Provider Name | Esther Lee |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063640878 PECOS PAC ID: 5597076802 Enrollment ID: I20250924000706 |
| Provider Name | Thomas Allen Rayner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194008979 PECOS PAC ID: 0941533574 Enrollment ID: I20250929002827 |
| Provider Name | Jibril Ashiru-balogun |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669047551 PECOS PAC ID: 8123550449 Enrollment ID: I20251008001530 |
| Provider Name | Matthew Shopshire-griffin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881343457 PECOS PAC ID: 9133616386 Enrollment ID: I20251013002772 |
| Provider Name | Malaika Rose Adams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063875847 PECOS PAC ID: 6608296645 Enrollment ID: I20251029002464 |
| Provider Name | Aitala Giron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922057413 PECOS PAC ID: 1658603733 Enrollment ID: I20251030001474 |
| Provider Name | Daryl R Tanski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497809834 PECOS PAC ID: 7012937311 Enrollment ID: I20251031003347 |
| Provider Name | Jeffrey Tsai |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528216090 PECOS PAC ID: 2769654581 Enrollment ID: I20251110000443 |
| Provider Name | Charles Braxton Davis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1568959120 PECOS PAC ID: 5395071799 Enrollment ID: I20251121001139 |
| Provider Name | Adrienne Mary Krysiak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023549847 PECOS PAC ID: 1557638392 Enrollment ID: I20251217001584 |
| Provider Name | Leena Mammen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1275568826 PECOS PAC ID: 3476517848 Enrollment ID: I20260105000474 |
| Provider Name | Minh Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1326531138 PECOS PAC ID: 8628323201 Enrollment ID: I20260121003133 |
| Provider Name | Jeffrey Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316334683 PECOS PAC ID: 4385958065 Enrollment ID: I20260206001925 |
| Provider Name | Ahmet Sakiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447900378 PECOS PAC ID: 4284113127 Enrollment ID: I20260210002932 |
| Provider Name | Michael Goldman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003854985 PECOS PAC ID: 2668568825 Enrollment ID: I20260211001926 |
| Provider Name | Hariharan Palayapalayam Ganapathi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1154860526 PECOS PAC ID: 1658627534 Enrollment ID: I20260211002921 |
| Provider Name | Paulina Monika Schuch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174493035 PECOS PAC ID: 8426538893 Enrollment ID: I20260214000624 |
| Provider Name | Ramana Surya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144260621 PECOS PAC ID: 6002957438 Enrollment ID: I20260216000843 |
| Provider Name | Syeda Anum |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528564457 PECOS PAC ID: 2365799061 Enrollment ID: I20260219002442 |
| Provider Name | Haley Sauder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114347564 PECOS PAC ID: 3779700117 Enrollment ID: I20260227002738 |
| Provider Name | Christopher M Tanner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619394723 PECOS PAC ID: 5395045850 Enrollment ID: I20260304002901 |
| Provider Name | Amanda Nicole Sedlak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639031982 PECOS PAC ID: 0244712438 Enrollment ID: I20260306000117 |
| Provider Name | Madelyn Vavra |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093679342 PECOS PAC ID: 6204319148 Enrollment ID: I20260310001955 |
| Provider Name | Joseph George |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740398643 PECOS PAC ID: 8628066289 Enrollment ID: I20260317000926 |
| Provider Name | Haley Elisabeth Makar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639015498 PECOS PAC ID: 0143798611 Enrollment ID: I20260504007303 |
| Provider Name | James Larsen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1366767352 PECOS PAC ID: 4284882242 Enrollment ID: I20260507004284 |
| Provider Name | Alexander Copelan |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1932469673 PECOS PAC ID: 8325279839 Enrollment ID: I20260511001433 |
| Provider Name | Kyle B Nichols |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194041285 PECOS PAC ID: 3678706009 Enrollment ID: I20260603002257 |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Harvard Hospital Inc 901 Grant St, Harvard, IL 60033-1821 Ph: (815) 943-5431 | Mercy Harvard Hospital Inc 901 Grant St, Harvard, IL 60033-1821 Ph: (815) 943-5431 |